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(SHADED A hl TO BE FILLED IN FOR THE T TANK ONLY) <br /> 1999 'Ww � ' . <br /> G < OWNER NAME (� � OWNER PHONE # <br /> E r 2Gc , <br /> N < CONTRACTOR CON. PHONE# <br /> E <br /> R < SJLHD PERMIT # EPA # FIRE PERMIT # <br /> L <br /> INSPECTOR DATE r TANK # 39 c (,r - I <br /> R RINSED (Y/N) METHOD RINSE AMOUNT <br /> I <br /> N RINSATE DISPOSAL SITE <br /> S <br /> E MANIFEST # -OR- OTHER <br /> V VAPORS PURGED Y/ ) METHOD �j 'C� 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 MATERIAL STEE , FIBERGLASS, OTHER) TANK SIZE <br /> K C <br /> / O TANK CONDITION (GOOD, <br /> P N f}R _OLE, Cicwd <br /> I S PIPE MATERIALSTEE , FIBERGLASS, OTHER) # FEET <br /> P T <br /> IPIPING CONDITION (GOOD, POOR, HOLES ) <br /> N <br /> G DEPTH SOIL TYPE OBSERVATION SAMPLE # <br /> T <br /> F A <br /> I N <br /> E K <br /> L <br /> D S- EXCAVATION SIZE: X X YDS OF SOIL : <br /> — <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. : FT SAHPLING METHOD <br /> N 2 <br /> 0 # OF HOURS SINCE DEWATERING: <br /> hHF—oT0THER SAMPLE: <br /> LABORATORY: SAMPLERS NAME: <br /> CLOSURE IN PLACE MIXTURE: VOLUME: <br /> DRAW SITE MAP ON REVERSE <br />