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SJLHD - UFRGROUND 'DANK CLOSURE/A4V'r_-1MENT INSPECTION, <br /> (SHADED )%.&A TO DC FILLED; IN FOR T;, IRST TANK' ';ONLY) <br /> � - Ei I _ r •T <br /> G OWNER NAME OWNER PHONE I < <br /> E <br /> N CONTRACTOR CON. PHONED ' <br /> E <br /> R < SJLHD PERMIT # EPA FIRE PERMIT 1' <br /> A � ' ' . . ' <br /> h <br /> INSPECTOR DATE �ZIZa'88 TANK , 1 39 - <br /> ti R RINSED �f/ ) METHOD�rNs RINSE AMOUNT V r,rl <br /> I <br /> N RINSATE DISPOSAL SITE <br /> S <br /> E MANIFEST I -OR- OTHER <br /> V; VAPORS PURGED (Y N.) METHOD �i2y (C& AMOUNT USED,.26 <br /> P L.E.L. READING AT REMOVAL (MUST BE C 20%) - <br /> 0 <br /> T R COMMENTS <br /> A <br /> N TANK MATERIAL STE FIBERGLASS, OTHER) TANK:;:'SIZEa � .. , <br /> K C <br /> / 0 TANK CONDITIONGOOD POOR; 'HOLES) <br /> P N <br /> I S PIPE MATERIAL STEEL FIBERGLASS, OTHER) I FEET; ' <br /> P T, <br /> I IPIPING CONDITION (GOOD, �?R, HOLES) <br /> Ni . <br /> G DEPTH SOIL TYPE OBSERVATION SAMPLE <br /> F A l- <br /> I i N " <br /> E K <br /> D EXCAVATION SIZE: , b X 28 X YDS OF S,OT L: ;. <br /> S- ,, <br /> I A, DEPTH SOIL TYPE OBSERVATION SAMPLE I <br /> N M P <br /> S P' I S ; <br /> P LP i <br /> E I; E .w <br /> C N' <br /> T G'. TRENCHLl DIMENSION X I X YDS OF SOIL +... <br /> FT SAMPLING METHO <br /> O H DEPTH TO C.W. : L) <br /> N �� 2 <br /> 0 11 OF HOURS SINCE DEWATERING: & <br /> f O OTHER SAMPLE <br /> LABORATORY: D� G'`wt Uo,R"^'xn SAMPLERS NAME: --e- <br /> CLOSURE IN PLACE MIXTURE: VOLUMEi-e-1 <br /> DRAW SITE MAP. ON REVRRSE. <br /> ER 2:1 04:1(7/88) f H <br />