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5 <br /> SJLHD - UNDI.` �RDUND 'TANK CLOSUkL/A!t/►NUC LN'1' I N:;1'L'l;7'1 uN <br /> f (SHADED AR TO DE TILLED :IN FOR <br /> THE'' ID' T TAMC ONLY) <br /> G ; OWNER NAME OWNER PHONE # <br /> ECONTRACTOR m ! CON. PHONE q: S 3 ? <br /> Fl- C7r3vd p � , <br /> R SJLHD ERMZT II E <br /> {°�� FIRE PERMIT fl /07'" 7 i ' k <br /> . � � - <br /> INSPECTOR LV, OU LDATE �a Y TANK 1:4 39 <br /> R RINSED ON) METH0D;AJYI ftesSovv- cl.� RINSE AM CST j <br /> N RINSATE DISPOSAL SITE } <br /> S ��/C�S u /i1 /zj ��1�rEsph <br /> E MANIFEST I -OR- OTHER <br /> V VAPORS PURGED (09, N) METHOD �` AMOUNT USED <br /> A �. <br /> P L.E.L. READING AT REMOVAL (MUST BE < 70$) <br /> T R COMMENTS <br /> A <br /> N TANK MATERIAL STEEL FIBERGLASS, OTHER) TANK SIZE s- <br /> K C <br /> / 0 TANK CONDITION (GOOD, POOR, HOLES) <br /> P N <br /> l ' I S PIPE MATERIAL (STEEL, FIBERGLASS, OTHER) II FEET I <br /> J P T <br /> I PIPING CONDITION (GOOD, POOR, HOLES) <br /> N <br /> G DEPTH SOIL TYPE OBSERVATION SAMPLE 0 ,. <br /> T <br /> F A IC7qff <br /> n <br /> I N <br /> E <br /> K `� ! <br /> L <br /> D EXCAVATION SIZE: X �3 X <br /> S ' .�. ,..,� ', YDS OF SOIL <br /> I A DEPTH SOIL TYPE OBSERVATION SAMPLE <br /> N M P <br /> S P I �? <br /> P L P <br /> C N u <br /> T G TRENCH DIMENSION X : X YDS OF SOIL d-� i <br /> I <br /> OIc <br /> DEPTH TO G.W. : FT SAMPLING METHOD, <br /> N p OF HOURS SINCE DEWATERING: it <br /> O <br /> =E:RAMPLE: <br /> I <br /> .` LABORATORY: Cof G s SAMPLERS NAME: J (� <br /> CLOSURE IN PLACE MIXTURE: VOLUME: <br /> DRAW SITE MAP ON REVERSE <br /> 3111 23 044(7/88) <br />