Laserfiche WebLink
t� <br /> I ... <br /> S•ILHD - UHDWGROUND 'PANK CLOSUA9/A NDO <br /> (SHADED AREA TO BE NMLN'1'. I NSNEC'1'!uN <br /> . fiItLED XN FOR THE FIRST TANK ONLY) <br /> G r OWNER NAME ' 'F <br /> OWNER PHONE j ' <br /> S71 --ey- 3�" ; <br /> N CONTRACTOR 5CON. PHONE <br /> R SJLHD MIT EPA .N cjaccx,-e_�.z ! <br /> PERMIT I <br /> INSPECTOR DATE , TANK N 39 - <br /> R RINSED Y N) METHOD <br /> I e jF RINSE AMOUNT <br /> N RINSATE DISPOSAL SITE <br /> OTHER • <br /> V VAPORS PURGED N) METHOD <br /> A e?4 /c€ AMOUNT USED <br /> P L.E.L. READING AT REMOVAL (MUST DE < 20%) <br /> 0 <br /> T R COMMENTS <br /> A <br /> N TANK MATERIAL STEEL, FIBERGLASS, <br /> K C OTHER) TANK SIZE <br /> s�owt <br /> / 0 TANK CONDITION GOQ POOR, HOLES) <br /> P N <br /> : I S PIPE MATERIAL STEEL IBERGLASS, OTHER) Y FEET <br /> ; P T _ <br /> I PIPING .CONDITION (GOOD DOOR, HOLES) <br /> N <br /> G DEPTH SOIL TYPE OBSERVATION <br /> T � ON SAMPLE p <br /> F IL,o 6n c/r c� cr,T <br /> I N cv/rte - <br /> E. K <br /> L t <br /> D EXCAVATION SIZE: r ' <br /> s: �-. X _ X ,� YDS OF SOIL: <br /> DEPTH SOIL TYPE OBSERV <br /> N M P ATION SAMPLE <br /> S P I - <br /> P L P <br /> E I E <br /> C N <br /> T G � <br /> TR DIMENSION X X <br /> YDS OF .SOIL . <br /> I � <br /> 0. H DEPTH TO C.N. : FT SAMPLING METHOD <br /> N 2 <br /> O A OF HOURS SINCE DEWATERING: <br /> 0 OTHER SAMPLE: <br /> J <br /> LABORATORY: Cc,/ SAMPLERS NAME <br /> CLOSURE IN PLACE MIXTURES <br /> VOLUME: <br />