Laserfiche WebLink
SiLHU - UNDEkt GRUUND 'TANK CLOSURE/ABANDONIAWNT INSPECTION <br /> (SHADED ARE BE FILLED IN FOR THE FI TANK ONLY) <br /> G OWNER NAME OWNER PHONE # ; <br /> E ; <br /> N CONTRACTOR, CON. PHONE# <br /> E <br /> R SJLHD PERMIT # EPA kxw000pyj FIRE PERMIT <br /> A ` a <br /> L <br /> INSPECTOR DATE 3/��`�_ TANK # 39 <br /> R RINSED"� /N) METHOD )/� RINSE AMOUNT rSUU <br /> I <br /> N RINSATE DISPOSAL SITE <br /> S <br /> E MANIFEST # -OR- OTHER <br /> V VAPORS PURGED 61N) METHOD AMOUNT USED 300 /C,-s- <br /> A <br /> PL.E.L. READING AT REMOVAL (MUST BE < 20%) <br /> O Z <br /> T R COMMENTS <br /> A <br /> N TANK MATERIAL. (STEEL,) FIBERGLASS, OTHER) TANK SIZE w p0Jc 2_ <br /> K C <br /> / O TANK CONDITION (GOOD, POOR., HOLES) <br /> P N <br /> I SPIPE MATERIAL (STEEL, IBERGLASS, 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: �L) X )` X 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 /> O H DEPTH TO G.W. : FT SAMPLING METHOD <br /> N 2 <br /> 0 # OF HOURS SINCE DEWATERING: <br /> F-oli OTHER SAMPLE: <br /> LABORATORY: SAMPLERS NAME: <br /> CLOSURE IN PLACE MIXTURE: VOLUME: <br /> DRAW SITE MAP ON REVERSE <br />