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(SHADED Al TO BE FILLED IN FOR THE 'ST TANK ONLY) <br /> mull f <br /> G OWNER NAME OWNER PHONE # <br /> [[E <br /> N < CONTRACTOR 'n C( CON. PHONE# ���� 7 Ca _ 19 ,60 <br /> E <br /> R SJLHD PERMIT # EPA # FIRE PERMIT # E-0 <br /> A <br /> L -r <br /> INSPECTOR �� �i � DATE '& I TANK # 39 <br /> R RINSED WN) METHOD RINSE AMOUNT <br /> I <br /> N RINSATE DISPOSAL SITE <br /> S <br /> E MANIFEST # -OR- OTHER <br /> V VAPORS PURGED ,(Y/N) METHOD „ 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 jS T EL, FIBERGLASS, OTHER) TANK SIZE IG CC>(- <br /> K C <br /> / 0 TANK CONDITION((�7' POOR, HOLES ) <br /> P N <br /> I S PIPE MATERIAL { T� FIBERGLASS, OTHER) # FEET <br /> P T <br /> I PIPING CONDITION (GOOD, POOR, HOLES ) <br /> N <br /> G DEPTH SOIL TYPE OBSERVATION SAMPLE # <br /> T <br /> I N <br /> E K <br /> L <br /> D EXCAVATION SIZE: _ X _h X -2., YDS OF SOIL : <br /> S- <br /> I A DEPTH I 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 /> 0 H DEPTH TO G.W. : FT SAMPLING METHOD <br /> N 2 <br /> 0 # OF HOURS SINCE DEWATERING: <br /> FO 1 <br /> OTHER SAMPLE: <br /> LABORATORY: E1 SAMPLERS NAME: <br /> CLOSURE IN PLACE I MIXTURE: VOLUME: <br /> DRAW SITE MAP ON REVERSE <br />