Laserfiche WebLink
SJLHD - UNDOROUND 'DANK CLOSURE/AUND �N'P INSPECTION <br /> (SHADED AR TO BE FILLED IN OR TE F _.ST TANK ONLY) <br /> G OWNER NAME / OWNER PHONE # ;?0 <br /> E C� <br /> N t CONTRACTOR`S CON. PHONE# ' <br /> fePaWSo ( ostrueYc�.. <br /> R SJLHD PERMIT # EPA # FIRE PERMIT #/V" OwG�G <br /> INSPECTOR7�-,,X0S,/" DATETANK # 39 1707 <br /> R RINSED (YO METHOD RINSE AMOUNT <br /> I <br /> N RINSATE DISPOSAL SITE <br /> S <br /> E MANIFEST # -OR- OTHER <br /> V VAPORS PURGED 7� N) METHODSC'e AMOUNT USEIL��/hS <br /> A <br /> P L.E.L. READING AT REMOVAL (MUST BE < 20%) <br /> 0 ., <br /> T R COMMENTS �CC�i ��vtl rf1�E� QS G/ aY "ctye <br /> A <br /> N TANK MATERIAL S FIBERGLASS, OTHER) TANK SIZEt �X <br /> K C �/ <br /> / 0 TANK CONDITION OD POOR, HOLES)•QS {1Lt��d66///PC <br /> P N <br /> I S PIPE MATERIAL (STEEL, FIBERGLASS, OTHER) # FEET <br /> P T y <br /> I PIPING CONDITION (GOOD, POOR, HOLES ) IVO ✓ ScPwv <br /> N <br /> G DEPTH SOIL TYPE OBSERVATION SAMPLE # <br /> T <br /> F A Li <br /> /(J <br /> I N Si/ri n ,X a L81i J <br /> E K <br /> D EXCAVATION SIZE: L/ X X YDS OF SOIL: <br /> S- <br /> I A DEPTH SOIL TYPE OBSERVATION SAMPLE # <br /> N M P <br /> S P I <br /> P L P <br /> E I E <br /> C N <br /> T G TRENCH DIMENSION X X YDS OF SOIL <br /> I <br /> 0 H DEPTH TO C.W. : FT SAMPLING METHOD <br /> N 2 <br /> 0 # OF HOURS SINCE DEWATERING: <br /> OTHER SAMPLE: <br /> LABORATORY: Cl �y(�1i`�k IMY�F SAMPLERS NAME: <br /> i <br /> CLOSURE IN PLACE MIXTURE: VOLUME: <br /> DRAW SITE MAP ON REVERSE <br /> 1?:" 013(7/88) <br />