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SJLHD - UNDFryGRUUND 'YANK CLOSURE:/ALJANDtLN'1' INSYLCTIUN <br /> IN <br /> (SHADED AR( TO BE FILLED FOR THE P' ST TANK ONLY) <br /> C4 c4f -, <br /> 1'. <br /> G OWNER NAME OWNER PHONE # <br /> E <br /> E CONTRACTOR 4-C + CON. PHONE# 951 _ 93 <br /> R SJLHD PERMIT # EPA # FIRE PERMIT # <br /> L � � ` ` . = : <br /> INSPECTOR � r_4 V1 _ATE TANK # 39 - <br /> R RINSED/6N) METHOD � v RINSE AMOUNT <br /> N RINSATE- DISPOSAL SITE �- <br /> S <br /> E MANIFEST # -OR- OTHER <br /> V VAPORS PURGED CY ) I METHOD `��,� AMOUNT USED a� <br /> A <br /> P L.E.L. READING AT REMOVAL (MUST BE < 20%) <br /> 0 <br /> T R COMMENTS <br /> A <br /> N TANK MATERIAL TEEL FIBERGLASS, OTHER) TANK SIZE <br /> K c <br /> / 0 TANK CONDITION G , POOR, HOLES) <br /> P N <br /> I SPIPE MATERIAL EEL FIBERGLASS, OTHER} # FEET <br /> P T <br /> I PIPING CONDITION (GOOD, POOR, HOLES) <br /> N <br /> G DEPTH SOIL TYPE OBSERVATION SAMPLE # <br /> F A <br /> I N /d .sg !J y /f/ o ar 2-- <br /> E K <br /> L <br /> D EXCAVATION SIZE: 7( Is X �5� 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 /> O H DEPTH TO G.W. : FTSAMPLING METHOD <br /> N 2 - F <br /> 0 # OF HOURS SINCE DEWATERING: <br /> OTHER SAMPLE: <br /> LABORATORY: ��N � SAMPLERS NAME: <br /> ___F <br /> CLOSURE IN PLACE MIXTURE:DRAW SITE SITE MAP ON REVERSE <br />