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"" UNIX jKUUNU TANK CLOSURE/ABAN ENT INSPECTION <br /> (SHADED ARS TO BE FILLED IN FOR THE Fir,,T TANK ONLY) <br /> PAT <br /> OWNER NAME OWNER PHONE # <br /> E Ll 9 vn4 cif/ ,cccEf 0 <br /> N CONTRACTOR CON. PHONE# c <br /> E lcl� <br /> R SJLHD PERMIT # u FIRE PERMIT # <br /> A EP #� »� ,� � 5� kv ✓sh <br /> L <br /> INSPECTOR � DATE ���� p TANK # 39 <br /> R RINSED (Y/ ) METHODS RINSE AMOUNT <br /> N RINSATE DISPOSAL SITE <br /> E MANIFEST # ?17116091) -OR- OTHER <br /> V VAPORS PURGEDON)N) METHOD �� AMOUNT USED <br /> A <br /> P L. E. L. READING AT REMOVAL (MUST PE ( 20%) <br /> 0 <br /> T R COMMENTS <br /> A <br /> N TANK MATERIAL (STEEL, FIBERGLASS, OTHER) TANK SIZE <br /> K C <br /> / O TANK COND I T I O (GOOD, 00 R, HOLES) ,�____ 11 <br /> N 6rr`,�-�► <br /> S PIPE MATERIAL (STEEL, FIBERGLASS, OTHER) # FEET <br /> P T r , <br /> I PIPING CONDITION (GOOD, POOR, HOLES) <br /> N <br /> G ON DEPTH SOIL TYPE OBSERVATION Seo .rrQ� �� off' SAMPLE # <br /> I N �. <br /> E K <br /> D " <br /> I A DEPTH SOIL TYPE OBSERVA <br /> N M P' SAMPLE # <br /> S P I o'c .n LCcr <br /> P L P 7 S foc! /P S� / <br /> E I E <br /> C N <br /> T G TRENCH DIMENSION X X YD5 OF SOIL <br /> 11 I <br /> G H DEPTH TO G. W. : _ FT SAMPLING METHOD <br /> N '6r4 <br /> 0 # OF HOURS SINCE DEWATERING: <br /> 0 OTHER SAMPLE: <br /> LABORATORY: trDr� �S SAMPLERS NAME: <br /> CLOSURE IN PLACE MIXTURE: VOLUME: <br /> EH E3043 ( 10/89) DRAW SITE MAP ON REVERSE <br /> i <br />