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SJLHD - UNDI " ;;ROUND TANK CLOSURL/ALtANDC` 'EN'1- INSYECTION <br /> (SHADED AR TO BE FILLED IN FOR THE F ST TANK ONLY) <br /> G < OWNER NAME OWNER PHONE <br /> E <br /> E CONTRACTOR C �� + CON. PHONE q �Jr I _ 9 <br /> 3 <br /> R t SJLHD PERMIT # EPA 0 FIRE PERMIT 9 <br /> INSPECTOR , r1✓, DATE TANK Y 39 - (4�o4- - <br /> R RINSEDY N) METHOD �� p � RINSE AMOUNT <br /> N RINSATE DISPOSAL SITE - <br /> Sajjgu��v � _ <br /> E MANIFEST # -OR- OTHER <br /> V VAPORS PURGED CY ) METHOD � _jF I AMOUNT USED <br /> A <br /> P L.E.L. READING AT REMOVAL (MUST BE < 20%) <br /> 0 <br /> T R COMMENTS <br /> A <br /> N TANK MATERIALSTEEL FIBERGLASS, OTHER) 'DANK SIZE <br /> K C <br /> / 0 TANK CONDITION G , POOR, HOLES) <br /> P N <br /> I S PIPE MATERIAL �EL, FIBERGLASS, OTHER) FEET <br /> P T <br /> I PIPING CONDITION (GOOD, POOR, HOLES ) <br /> N <br /> G DEPTH SOIL TYPE OBSERVATION SAMPLE Y <br /> T <br /> F A .Uv s Y N 2 <br /> I N2-- <br /> E K <br /> L <br /> D EXCAVATION SIZE: wp�C IS L X S' YDS OF SOIL : <br /> 3- <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 G.W. : FT SAMPLING METHOD <br /> N 2 <br /> ( 0 1 OF HOURS SINCE DEWATERING: <br /> L IO OTHER SAMPLE: <br /> LABORATORY: �j�/(/�/1//L SAMPLERS NAME: <br /> _t_ <br /> CLOSURE IN PLACE I MIXTURE: /V' ` VOLUME: <br /> laf '':l 04",(7/88) DRAW SITE MAP ON REVERSE <br />