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SJLHD — UN 'ROUND TANK CLO:XRW AUNDENT INSYEC'TIUN <br />(SHADED A TO BE FILLED IN FOR THE ST TANK ONLY) <br />G OWNER NAME >S OWNER PHONE�� <br />N i CONTRACTOR CON. <br />PHONE #, <br />PHON' `4oe G� <br />%s— <br />R SJLHD PERMIT q EPA #C4c A 1 700 FIRE PERMIT V <br />A <br />INSPECTOR DATE TANK N 39 <br />R RINSED Y N)METHOD RINSE AMOUNT, <br />I 1 G, t• v�'c�r•� <br />N RINSATE DISPOSAL SITE <br />S ry <br />E MANIFRST _ �> S� y;Z -OR- <br />-OTHER <br />V VAPORS'PURGED (Y N) METHODAMOUNT USED <br />A fr <br />•P L.E.L. READING AT REMOVAL (MUST BE < 20%) <br />0 <br />T R COMMENTS <br />A <br />N TANK MATERIAL TIRE FIBERGLASS, OTHER) TANK SIZE 41 <br />K C <br />P N TANK CONDITIO (GOOD, POOR, HOLES) /�) c <br />oo <br />I S PIPE MATERIAL TEEL, IBERGLASS, OTHER) FEET <br />P T <br />I PIPING CONDITION (GOOD, POOR, HOLES) <br />N <br />G DEPTH SOIL TYPE OBSERVATION <br />T SAMPLE <br />F A <br />I N <br />E K <br />L <br />D EXCAVATION SIZE: X X YDS OF SOIL: <br />I A DEPTH SOIL TYPE OBSERVATION <br />N M P SAMPLE <br />S P I, <br />P L P <br />E I E <br />C N <br />T G TRENCH DIMENSION <br />I X X YDS OF SOIL <br />N 2 DEPTH TO G.W. ,�_� � FT� cSAMPLING METHOD <br />0 OF HOURS SINCE DEWATERING: Pak', fV0 <br />0 OTHER SAMPLE:, <br />LABORATORY: SAMPLERS NAME: <br />CLOSURE IN PLACE MIXTURE: VOLUME: <br />vir 2r! DRAW SITE MAP ON REVERS!;' <br />