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SJLHU — UN' I 'UUNU TANK CLUSUkE/AiAANr�'��' 'NT ili; lI� :CTI W-1 <br /> (SHADED AWA TO BE F'ILL,ED r' .IN FOR,J TURS41�.7 T TANK ONLY).0 F <br /> v <br /> Imiul P1 .1101.112, <br /> • Hs 2a� <br /> G OWNER NAME OWNER PHONE # <br /> ECONTRACTOR S�iMG(] CON. PHONEg ' Z/1 <br /> R { SJLHD PERMIT 0 EPA ' FIRE PERMIT # <br /> L <br /> NSPECTOTWf%/ DATE LIS TANK �Y 39 <br /> s _ R RINSEDVYN) METHOD / e.5 ' RINSE AMOUNT <br />_ X / <br /> --F-N RINSATE DISPOSAL SITE 'p <br /> S i+ <br /> ;} <br /> E MANIFEST # ;M —OR-- �pOTHER <br /> V VAPORS PURGED (Y/N) METHOD ! AMOUNT USED / <br />! A '' i <br />' P L.E.L. READING AT REMOVAL (MUST BE < 2F0%) <br />' 0 I <br /> T R COMMENTS <br /> A <br /> N TANK MATERIAL (STEE FIBERGLASS, }OTHER) TANK SIZEOQ <br /> K C <br /> / O TANK CONDITIO (GO POOR; HOLES) <br /> P N ' <br /> I S PIPE MATERIAL {ATEE FIBERGLASS, OTHER) I FEET <br /> P TA li A <br /> I PIPING CONDITION (GOOD, POOR, HOLES) , -k } <br /> N <br /> G DEPTH SOIL TYPE OBSERVATIOq SAMPLE 4 <br /> T . " '' ? <br /> = LLIr <br /> i F A <br /> I N I i1.cs S S <br /> E K fI <br /> L f� k <br /> D EXCAVATION SIZE: X Z3 X YDS OF SOIL: 194 z <br /> E <br /> S- C <br /> I ADEPTH SOIL TYPE OBSERVATION SAMPLE <br /> N M ` 1 <br /> S P I <br /> P L P 7It <br /> E I E } F <br /> C N Ij I <br /> T G TRENCH DIMENSION X X �� DS OF SOIL <br /> O H DEPTH TO G.W. : ----� FT SAMPLING METHOD <br /> N 2 # <br /> 0 1 OF HOURS SINCE DEWATERING: <br /> OTHER SAMPLE: <br /> a <br /> EE <br /> i <br /> LABORATORY: p SAMPLERS NAME: <br /> CLOSURE IN PLACE MIXTURE: 'I ; VOLUME: <br /> DRAB SITE MAP ON REVERT E <br /> Jqf 2:3 04:3(7/88) <br />