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SJLHD - UNDL7UND YANK CLOSURLWAl NDO" � � <br /> (SHADED AREAh 'jl0 I1E FILLED •� I 1:1'1 uN <br /> rN FOH T!!E I' I ST TANK ONLY) <br /> G OWNER NAME; FK_q? <br /> E Q e� OWNER PHON _All <br /> ' <br /> N (,f CONTRACTOR O�`� <br /> E 4 CON. PHONE# <br /> R t SJLHD PERMIT I EPA <br /> AFIRE PERMIT M � 57Vi,��vt <br /> INSPEC 0 DATE TANK 1 3g <br /> R RINSED Y N) METHOD <br /> I /p=er• , �jNr,,.-f., RINSE AMOUNT I <br /> N RINSATE DISPOSAL SITE <br /> S <br /> E MANIFEST <br /> ..- ,OR- OTHER <br /> V VAPORS PURGED Y N) METHOD <br /> A ,> \/ -C i AMOUNT USED <br /> .P L.E.L. READING AT REMOVAL (MUST BE < 20%) <br /> 0 <br /> T R COMMENTS <br /> A <br /> N TANK MATERIAL (STEEL FIBERGLASS, OTHER) TANK SIZE <br /> K C <br /> / 0 TANK CONDITION (GOOD POOR, HOLES) Cr50 <br /> P N <br /> ` I S PIPE MATERIAL (STEEL; FIBERGLASS, OTHER) <br /> P T FEET <br /> J ' !i <br /> I PIPING CONDITION (GOO <br /> N , POOR, HOLES) <br /> G DEPTH SOIL TYPE OBSERVATION - SAMPLE u <br /> E K <br /> L <br /> D EXCAVATION SIZE: /r <br /> 3; �� X� X YDS OF SOIL: <br /> I A DEPTH SOIL TYPE OBSERVATION <br /> N M P SAMPLE # <br /> S P I <br /> P L P <br /> EI• E <br /> C N <br /> T G TRENCH DIMENSION X X <br /> I YDS OF SOIL <br /> 0 H DEPTH TO C.W. : FT <br /> N 2 SAMPLING METHOD <br /> 0 M OF HOURS SINCE DEWATERING: <br /> 0 OTHER SAMPLE: <br /> J LABORATORY: SAMPLERS NAME: <br /> CLOSURE IN PLACE MIXTURE: <br /> VOLUME: <br /> ]';ff 21 04:1(7/88) ON SITE MAP ON REVERSE <br />