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-� +i+nu UV1)'E;X(A(UUNU TANK CLOSURE/AUNPf"-,NMENI' INSPECTION <br /> (SHADEL- -P A TO BE FILLED IN FOR THE :RST TANK ONLY) <br /> J <br /> G + OWNER NAME OWNER PHONE A <br /> E <br /> N ' CONTRACTOR <br /> E CON. PHONE# <br /> S �' <br /> R t SJLH9,PERMIT # EPA # ' .0 FIRE PERMIT <br /> L # l3/9 <br /> � CAC . . — <br /> INSPECTOR CU2 DATE TANK # 39 <br /> R I RINSED OY N) METHOD <br /> I RINSE AMOUNT <br /> N RINSATE DISPOSAL SITE !1 <br /> �. rrl eel. <br /> E MANIFEST #6.a 6c' sGov// _ —OR— OTHER <br /> V VAPORS PURGED �} /N) METHOD ���rr AMOUNT US'D <br /> A <br /> P L.E.L. READING AT REMOVAL (MUST BE < 20%) <br /> 0 <br /> T R COMMENTS <br /> A _ <br /> N TANK MATERIAL STEEL, FIBERGLASS, OTHER) TANK SIZE <br /> K C 54 O v <br /> / O TANK CONDITION (GOOD, OOR, HOLES) <br /> P N <br /> T- S PIPE MATERIAL (STEEL FIBERGLASS, OTHER) # FEET <br /> P T <br /> I PIPING CONDITION (GOOD, POOR HOLES) <br /> N <br /> G T DEPTH SOIL TYPE OBSERVATION SAMPLE # <br /> F A 13 tCI �/ 2 ., o ci t o <br /> I N <br /> E K <br /> L [E-7 I <br /> D EXCAVATION SIZE: X X • <br /> OF SOIL <br /> S- YDS . <br /> I A DEPTH SOIL TYPE OBSERVATION <br /> N M P SAMPLE <br /> S P I <br /> P L P <br /> E I E <br /> C N .s <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 /> F <br /> 0 R OF HOURS SINCE DEWATERING: <br /> f0 OTHER SAMPLE: <br /> LABORATORY: J JZ SAMPLERS NAME: 2 <br /> Z 1aF/c kPs <br /> ECLOSURE IN PLACE MIXTURE: VOLUME: <br /> ENf 23 0113(7/88) DRAW SITE MAP �N REVERSE <br /> 1 <br />