Laserfiche WebLink
SJLHD - U14,-1 :OUND 'TANK CLOSURE/AILANr--' r. NZ' I N:il'Ei;'!'i U!V r <br /> (SHADED AidA TO DE FILLED :IN FOR TILE h.ST TANK ONLY) <br /> G < OWNER NAME N� P OWNER PHONE <br /> E +# <br /> N CONTRACTOR 5�M� f CON. :'PHONE# ` y 2 <br /> E <br /> R i SJLHD PERMIT I EPA tFIRE PERMIT 9 <br /> A . . � <br /> INSPECTOR DATE V I TANK ;6# 39 <br /> i R RINSED Y N) METHOD RINSE AMOUNT <br /> I I <br /> N RINSATE DISPOSAL SITE r <br /> S it <br /> E MANIFEST I F -OR- 'OTHER <br /> V VAPORS PURGED (Y/ ) METHOD Ll ;, / e AMOUNT USED. AY <br /> . P L.E.L. READING AT REMOVAL (MUST Bpi < 2'0%) <br /> 0 <br /> T R COMMENTS f <br /> A M <br /> N TANK MATERIAL (SLTEEFIBERGLASS, FOTHER) TANK SIZE <br /> K C �'` <br /> / 0 TANK CONDITION (GOOD, POOR, HOLES) <br /> P N s <br /> I S PIPE MATERIAL A RIAL (STEEL FIBERGLASS OTHER)'{ H R) # FEET <br /> l P T <br /> I PIPING CONDITION (000D, POOR, HOLES) <br /> N <br /> G DEPTH SOIL TYPE OBSERVATION N SAMPLE # <br /> T ' _ <br /> F A r �^' � <br /> I N <br /> E K ' <br /> L 14 k <br /> D EXCAVATION SIZE: �' X X/ I'' YDS OF SOIL: . <br /> S- <br /> I A DEPTH SOIL TYPE OBSERVATION SAMPLE # <br /> N M P <br /> S P I <br /> P L P j <br /> E <br /> C N n :k <br /> T G TRENCH DIMENSIONXil YDS OF SOIL <br /> x <br /> O H DEPTH TO G.W. : FT } SAMPLING METHOD <br /> N 2 z k <br /> 0 A OF HOURS SINCE DEWATERING: <br /> F7OTHER SAMPLE:0r <br /> LABORATORY:L1SAMPLERS NAME: <br /> E <br /> CLOSURE IN PLACE MIXTURE: I,h <br /> VOLUME: <br /> DRAW <br /> SITE MJIP ON REVERSE <br /> Ell 23 01:1(7/88) <br />