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S"HU — UNDEKF ')UND TANK CLOSURE/A4ANDONMF4T INSPECTION <br /> (SHADED A _0 BE FILLED IN FOR THE TANK ONLY) <br /> SGP LKC�. . . •rOPS�/G Gr <br /> . . . . . . . . . . . . . . <br /> G OWNER NAME <br /> E /off /� C� , OWNER PHONE # <br /> N < CONTRACTOR <br /> E CON. PHONE# <br /> S fl S�. SLG Y6 " <br /> - <br /> R < SJLHD RMIT # EPA # FIRE PE # <br /> A <br /> PERMIT 3 <br /> L <br /> INSPECTOR C� c DATE 3/s/y3 TANK # 39 - aSsd <br /> R RINSED /N) METHOD <br /> I �„ RINSE AMOUNT <br /> s S5 <br /> N RINSATE DISPOSAL SITE <br /> S <br /> E MANIFEST # -OR- OTHER <br /> AVAPORS PURGED (TIN) METHOD cC G{ AMOUNT USED /y5 <br /> 7S <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 /tel <br /> K C <br /> / O TANK CONDITION (GOOD, POOR HOLES) <br /> P N <br /> I S PIPE MATERIAL STEEL\ FIBERGLASS, OTHER ) # FEET <br /> P T <br /> I PIPING CONDITION (GOOD, POOR, HOLES) <br /> N G /o <br /> G DEPTH SOIL TYPE OBSERVATION SAMPLE # <br /> � T <br /> F A Tlc/ S <br /> E K / cc , N <br /> i� <br /> Lac./c i7 F <br /> D EXCAVATION SIZE: /p' X // ' X 5%' YDS OF SOIL : <br /> S- <br /> I A DEPTH SOIL TYPE OBSERVATION <br /> N M P SAMPLE # <br /> S P I <br /> P L P <br /> E I E <br /> C N <br /> T G TRENCH DIMENSION X X <br /> I YDS OF SOIL <br /> O H DEPTH TO G.W. : FT SAMPLING METHOD / <br /> N 2 <br /> 01 OF HOURS SINCE DEWATERING: <br /> 0 OTHER SAMPLE: <br /> LABORATORY: McCaw p6eO SAMPLERS NAME: �nLiSnf <br /> CLOSURE IN PLACE MIXTURE: VOLUME: <br /> DRAW SITE NAP ON REVERSE ; <br />