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SJL11D UNDERGItOUND TANK CLDSUItE/AItANDUNHL•'NT I N!'vLi:'1•!uN <br /> (SHADSO AREA TO BE PILLED In F'OR TILE FIRST TANK ONLY) <br /> E ' OWNER NAME t //- OHNER PRONE I <br /> R CONTRACTOR CON. PfIONEA <br /> R ' SJLIID P HIT 1 EPA I <br /> `iia . . F HIT <br /> A IRE PER <br /> INSPECTOR � 0 7-- DATE <br /> /�J/pa TANK 1 39 <br /> R RINSED (VN) METHOD <br /> RINSE: AMOUN'Q'ZJ �3`f� <br /> N RINSATR DISPOSAL SITE <br /> Ze <br /> Ir HANI���T � <br /> -OR- OTIIER <br /> V VAPORS PURGED /N) METHOD <br /> A � AMOUNT USED <br /> /v.lrv. <br /> p L.B.4. READING AT REMOVAL (MUST BE < 20% ) <br /> O <br /> T R COMMENTS <br /> A <br /> N TANK MATERIA STEE , FIBERGLASS, OTIIER ) TANK SIZE <br /> K C <br /> / O TANK CoNbiMioN (aoo �oort, Ito es) <br /> P N <br /> ` I S PIPE MATERIAL STEEL,_ IB9RGLASS, OTIIER <br /> J 'r T ? I FEET << <br /> I PIPING CONDITION (coon," <br /> coon, (POOR; HOLES ) <br /> t! <br /> G DEPTH SOIL TYPE OBSERVATION <br /> 'I' SAMPLE a� <br /> A 0 `"-t <br /> N <br /> • K <br /> L <br /> D EXCAVATION SIZE: X <br /> 9- X YDS OF SOIL : <br /> I A • DEPTH SOIL TYPE OBSERVATION SAMPLE M� <br /> SP I 4 <br /> P L P � <br /> F I E <br /> v- N a. <br /> T G TRRNCII DIHENSION _� X <br /> I -_ X <br /> YDS OF SOIL <br /> 0 It bEPTIJ TO 0.W. : <br /> N 2 FT SAMPLING METHOD <br /> 0 1 OF IIOURS SINCE DENATER I NO: <br /> 0 OTHER SAMPLE: <br /> LAgDItATDI;Y: SAMPLERS HANE: <br /> CLOSURE IN PLACE MIXTURE: —` <br /> LL-_ - VOLUMr: <br />