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' SJLHD - UND: ROUND TANK CLOSURE/AltANUC NT INSPECTIUN <br /> (SHADED ARANO BE FILLED IN FOR THE F�T TANK ONLY) <br /> Ice s Al, ; Sf J <br /> G OWNER NAME ,/ TOWNER PHONE # <br /> E G��a iD�a l C` <br /> N CONTRACTORCON. PHONEY- <br />. E <br /> R < SJLHD ERMIT 1 L�cA @ Oaf :FIRE PERMIT <br /> L : . <br /> INSPECTOR �' d DATE Gt�a a f TANKJA 39 -- -62 L/ Iq -- 03 ;I <br /> R RINSED (Y METHOD 6udf RINSE MO <br /> • I <br /> N RINSATE DISPOSAL SITE <br /> S <br /> E MANIFEST @ -OR-- :OTHER <br /> V VAPORS PURGED METHOD AMOUNT USED <br /> A _ <br /> . P L.E.L. READING AT REMOVAL (MUST BE C 20%) <br /> 0 , <br /> T R COMMENTS <br /> N TANK MATERIAL STEE FIBERGLASS, OTHER) TANK SIZE <br /> K C <br /> / 0 TANK CONDITION (GOOD, POOR, HOLES) <br /> P N <br /> ` I LS PIPE MATERIALSTESL FIBERGLASS, OTHER) V FEET yPIPIPING CONDITION (GOOD,c <br /> OO ,r�H6ZES <br /> N <br /> C DEPTH SOIL TYPE OBSER ATION SAMPLE IIS <br /> F A , , r <br /> i N <br /> E K <br /> L <br /> D EXCAVATION SIZE: X: X 4oC YDS OF SOIL: . <br /> S . <br /> I A DEPTH SOIL TYPE OBSERVATION SAMPLE .3'. <br /> N M P <' <br /> S P I A2 <br /> P L P E f <br /> E I E <br /> C N <br /> T G TRENCH DIMENSION X X YDS OF SOIL" <br /> 0 H DEPTH TO G.W. : - FT SAMPLING METHOD <br /> N 2 y�sJ <br /> 0 1 OF HOURS SINCE DEWATERING: <br /> s <br /> OTHER SAMPLE: r <br /> LABORATORY: SAMPLERS NAME: <br /> CLOSURE IN PLACE MIXTURE: f VOLUME: <br /> DRAW SITE MAP ON REvERSI: <br /> tat 23 04:1(7/88) � <br />