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'1'JiNK C:LUSUR /A1tAND(.- -MENT INSPECTIUN <br /> (SHADED AI` TO BE FILLED IN FORtTHE .ST TANK ONLY) <br /> KAHE5 <br /> ,C u /- ; <br /> G <br /> OWNER PHONE <br /> � OWNER NAME Sly 1, l <br /> E <br /> - N i CONTRACTOR CON.` PHONE# <br /> E <br /> ire cr s�c,� /:�c�Grs/�.• � �ac�yJ Y�a_9 yii <br /> R i SJLHD PERMIT I EPA # FIRE PERMIT N <br /> L � ` � �` <br /> INSPECTOR (fiarl�� llunt� DATE ;;TANK # 39 /S/d 3 CJS ' <br /> Cuyvl 0 Z <br /> R RINSED (Y/N) METHOD RINSE AMOUNT. 1 <br /> - I " <br /> N RINSATE DISPOSAL SITE ! <br /> S 15L-' <br /> E MANIFEST # 'OR- OTHER <br /> V VAPORS PURGED (Y/N) METHOD AMOUNT USED <br /> A <br /> P L.E.L. READING AT REMOVAL (MUST BE < 20%) <br /> 0 ' <br /> T R COMMENTS <br /> A R <br /> w <br /> K c <br /> / 0 TANK CONDITION (GOOD, POOR, HOLES) <br /> P N <br /> P S PIPE MATERIAL (STEEL, IBERGLASS,' OTHER) # FEET 3. <br /> ZZp <br /> I PIPING CONDITION (GOOD, OOR HOLES) <br /> N �� � �� ���/ <br /> �prry <br /> G <br /> T DEPTH SOIL TYPE OBSERVATION SAMPLE # <br /> F A �� r 5u r+Gl �z�- C/� <br /> I N r <br /> E K ,. <br /> L <br /> D EXCAVATION SIZE: ,S� X /3x i5' YDS OF SOIL: <br /> S- <br /> I A <br /> EDEPTHOBSERVATION SAMPLEM P <br /> SP _ _:... <br /> E I E �- <br /> C N <br /> T G TRENCH DIMENSION ` r -� ` , <br /> O H DEPTH TO G.W. : <br /> N 2 —�___� FT SAMPLING METHOD <br /> r 0 # OF HOURS SINCE DEWATERING: <br /> f JO OTHER SAMPLE: <br /> LABORATORY: SAMPLERS NAME• . <br /> CLOSURE IN PLACE MIXTURE: VOLUME: <br /> 'r. <br /> DRAW SITE MAP ON REVERSE <br /> I'll 23 0-13(7/88) <br />