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SJLHU - UVbERf.RUUNU TANK CLOSURE/A4ANDONYF:NT INSPECTION <br /> (SHADED ARE O BE FILLED IN FOR THE FI TANK ONLY) <br /> G OWNER NAME OWNER PHONE # <br /> N CONTRACTOR, � � CON. PHONE# <br /> E <br /> R : SJLHD PERMIT # EPA #CY3coot 000`1 FIRE PERMIT <br /> A i <br /> L v <br /> INSPECTOR DATE � TANK # 39 <br /> R RINSED ("YAO METHOD �� �c RINSE AMOUNT <br /> I <br /> N RINSATE DISPOSAL SITE <br /> S <br /> E MANIFEST # -OR- OTHER <br /> V VAPORS PURGED (YIN) METHOD ), ice AMOUNT USED ����� <br /> A <br /> P L.E.L. READING AT REMOVAL (MUST BE < 20%) �� <br /> T R COMMENTS <br /> N TANK MATERIAL (STEEL FIBERGLASS, OTHER) TANK SIZE /0 00 <br /> K C <br /> / 0 TANK CONDITION (GOOD, POOR HOLES) <br /> P N <br /> I JS PIPE MATERIAL (STEEL, FIBERGLASS, OTHER) # FEETP - O — L' <br /> I PIPING CONDITI (GOOD POOR, HOLES) � 54-, cc, j <br /> N <br /> G DEPTH SOIL TYPE OBSERVATION SAMPLE # <br /> F A - <br /> I N <br /> E K <br /> L <br /> D EXCAVATION SIZE: X 30 X Z/ 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 <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 /> 1 071 OTHER SAMPLE: <br /> LABORATORY: /, ,;� i-z � �' SAMPLERS NAME <br /> CLOSURE IN PLACE I MIXTURE: VOLUME: <br /> DRAW SITE MAP ON REVERSE <br />