Laserfiche WebLink
{ <br /> E OWNER NAME j�� �r OWNER PHONE <br /> V <br /> N { CONTRACTOR PHONE# / _79' <br /> E d <br /> R SJLHD PERMIT # EPA-`;;# FIFE PERMIT # <br /> A <br /> L <br /> INSPECTOR&/j, DATE TANK # 39 <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/N) METHOD AMOUNT USED/,+ <br /> A <br /> P L.E.L. READING AT REMOVAL. J MUST BE C 20%) <br /> 0 <br /> T R COMMENTS �6 <br /> A <br /> N TANK MATERIAL (STEEL, IBERGLAS , OTHER) TANK SIZE <br /> K C <br /> / 0 TANK CONDITION ((jOOD 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 /> G DEPTH SOIL TYPE OBSERVATION J SAMPLE # <br /> F A <br /> I N <br /> E K i <br /> D EXCAVATION SIZE: r X Z X /d 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 <br /> E I E <br /> C N I <br /> T G TRENCH DIMENSION X X YDS OF SOIL <br /> t <br /> I <br /> 0 H DEPTH TO G.W. : FT SAMPLING -METHOD 4 <br /> N 2 <br /> 0 # OF HOURS SINCE DEWATERING: <br /> EI <br /> OTHER SAMPLE: <br /> LABORATORY: 1�'' �f�y�,y7L �sG SAMPLERS NAME: <br /> f <br /> CLOSURE IN .PLACE MIXTURE: VOLUME: <br /> t <br /> DRAW SITE MAP ON REVERSE <br />