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S.ILND - UNDERGItOUHD 'TANK CLOSUrIF/AlIANDONHENT 1 NSPEc uN <br /> (SHADED AREA TO BE FILLED IN FOR THE FIRST <br /> . • �ta��� ����t'��t�t� ���t�t�' TANK ONLY <br /> JUT07 k1"T 01 v <br /> oil <br /> OWNER NAMEf <br /> E �h�l N /✓ t/ct/Ce OWNER P 110N E 11 f�S`g _ 3 <br /> N CONTRACTOR ����-�/� CON. PHONE/ <br /> RSJLIID p,916HIT 1 EPA 1FIRE PERMIT I <br /> INSPECTOR e.Oz, DATE; TANK 1 39 <br /> R RINSED N) HETIIDD s j /�'`' INSE AHOUNTele SSS <br /> N RINSATE DISPOSAL SITE <br /> (_ <br /> E HANIFST —oR-- OTHER <br /> V VAPORS PURGED METHOD k`l � ""� AMOUNT USED 00" <br /> P L.G.L. READING AT REMOVAL (MUST BE t 20% ) <br /> 0 <br /> T R COMMENTS <br /> A <br /> N TANK MATERIAL 7STEE FIBERGLA85� OTIIER) TANK SIZE <br /> K C S,Ucso � <br /> / 0 TANK CONDITION (GDOD P � HOLFS) <br /> • p N /-fie r� sc7..�.! �.,cr</max Jc Z �E <br /> ` I 3 I PIPE MATERIAL <br /> P T tsTEE[,;;PIDERGLASS" OTHER ) 1 FEET <br /> J <br /> I111., .............................. .............................. <br /> N PIPING CONDITION (GOOD" POOR.. (1OLES ) <br /> G DEPTH SOIL TYPE OBSERVATION <br /> T SAMPLE @ <br /> F A <br /> i N l� r o/ .s z czG n> <br /> E K <br /> L <br /> D EXCAVATION SIZE; <br /> S. _ X /U x YDS OF ,SOIL • <br /> ZOc)y r� <br /> ,I A . DEPTH SOIL TYPE OBSERVATION <br /> N H pSAMPLE �~ <br /> 4 p <br /> P L P r <br /> p I E ve <br /> C N <br /> T G TR NCH DIMENSION <br /> I X X YDS OF Soil <br /> O !1 bEpTN TO Q.N. : <br /> N PT SAHPLI NG METHOD <br /> 2 <br /> 0 1 OF HOURS SINCE DENATERING.o <br /> o OTHER SAMPLE: <br /> LABORATORY! <br /> rr SAMPLERS NAME: <br /> CLOSURE IN PLACE MIxTUREt - <br /> ----- vOLUNr <br />