Laserfiche WebLink
rrc�—:.nu tise.a.ecxt. Ytuc:tvL 1 k"44 "l 4..+.wow^SJ I 1 I Lf.N <br />(SHADED AREA TO BE FILLED IN FOR THE FIRST TANK ONLY) <br />y al�lYL'LG7!!jl(!4I'�' .t6.Qf!'�1Y.GYX+Y�!/tYl�.1�AY flf..Ca�b.�WYl1r,�' f�'tXLYl4'. !!lflP$Br L9'!./llff6'.flfJf//A'Ikifilf!/dd.�' <br />t X 1 1 �. t }-el �}'/'✓ t ivi � I L,. Ft a i S t V 1 1 G. <br />r 4 OWNER NAMEJ OWNER PHONE f <br />N CONTRACTOP CON. PHONE# <br />c <br />R SjLHD PERMIT # EPA # FIRE PERMIT # <br />i <br />• A ���f" ':�rilr "'1 !` .GV .� �/ ! ! �G 1✓�iG �GGG f � � <br />t <br />L sti (F I., ul 4 l r% s 1 N ii t 1 rt C'Cu F% <br />INSPECTO DATE TANK ## 39 —ell <br />% — <br />.'S <br />I R i R I LASED- (Y ' METHO RINSE CUNT <br />i 1 � <br />N RINSATE DISPOSAL SITE <br />S <br />MANIFEST # —OR— OTHER <br />V VAPORS PURC•cD (`! N) METHOD AMOUNT USED <br />A <br />P i L.E.L. READING AT REMOVAL (MUST BE < 20X) <br />. 0 <br />TR <br />COMMENTS <br />I <br />N <br />j <br />TANK MATERIAL STEEL FIBERGLASS, OTHER) TANK SIZE <br />I <br />z / <br />0 <br />TANK CONDITIOCGOOD POCK, HOLES) <br />PIPE MATERIAL STE EL FIBERGLASS, OTHER) # FEET / <br />'P i <br />T <br />I <br />i PIPING CONDITION(GOOD, POOR, HOLES) <br />N <br />G <br />r i <br />I <br />I <br />TI <br />A <br />N <br />DEPTH SOIL TYPE OBSERVATION <br />SAMPLE # <br />F <br />I <br />E <br />K i <br />; <br />I <br />EXCAVATION SIZE: Z_ X X L <br />I YDS OF SOIL: <br />t D <br />S <br />1 <br />r <br />DEPTH <br />SOIL TYPE OBSERVATION <br />SAMPLE <br />Y <br />I S <br />t°'iX <br />P ( <br />A <br />p <br />L <br />P i <br />P <br />/ Ori - X +— GI <br />+°rN b , <br />!E <br />I C <br />I <br />N <br />j E <br />} T <br />G <br />TREN H D IMENS ION X X YDS OF SOIL <br />I j <br />O <br />s H <br />DEPTH TO G. W.: 4 FT <br />I SAMPLING METHOD <br />N <br />a <br /># OF HOURS SINCE DEWATERING: <br />' <br />0 <br />rm M AJ <br />C OTHER SAMPLE: <br />I <br />i <br />I LABORATORY:� 6 hq rf, (,e/ SAMPL=RS NAME: <br />I CLOSURE IN PLACE I MIXTURE: �. VOLUME: <br />I <br />;-i 2-0435 (10/S9) DRAW SITE MAP ON REVERSE. <br />