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SJLHD UNDERGROUND TANK CLO:, URE/AIIANDONMENT INSPECTION !;e <br />V <br />(SHADED AREA TO BE FILLED IN FOR THE FIRST TANK ONLY) <br />G OWNER NAME <br />E <br />OWNER PHONE # <br />E CONTRACTOR ' ®' Its �S®"✓ �� <br />CON. PHONE# ` l _eld <br />R < SJLHD PERMIT # EPA # <br />A FIE2E PERMIT # ; <br />L ..- <br />INSPECTOR DATE TANK # 39 - _,,,( <br />y i RINSED /N) METHOD , RINSE AMOUNT <br />qa <br />N RINSATE DISPOSAL SITE <br />S lain <br />E MANIFEST # -OR- OTHER <br />• V VAPORS PURGED /N) METHOD AMOUNT USED <br />.2011 A r <br />P L.E.L. READING A% REMOVAL (MUST BE < 2°0%) <br />0 <br />T R COMMENTS <br />A <br />N TANK MATERLA (STEE <br />K C , FIBERGLASS, OTHER) TANK SIZE <br />f �® <br />/ 0 TANK CONDITION (G00 , POOR, HOLES),: <br />P N <br />I S PIPE MATERIAL (STEEL, FIBERGLASS, OTHER) # FEET <br />P T <br />I PIPING CONDITION (GOOD, POOR, HOLES) <br />N <br />G DEPTH SOIL TYPE OBSERVATION <br />T w` SAMPLE # <br />F A <br />I N <br />E K <br />L <br />D 3; 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 X X <br />I YDS OF SOIL <br />0 H DEPTH TO G.W.: <br />N 2 FT SAMPLING METHOD <br />(�0 # OF HOURS SINCE DEWATERING: <br />0 OTHER SAMPLE: <br />LABORATORY: SAMPLERS NAME: <br />CLOSURE IN PLACE MIXTURE: VOLUME: <br />°(( y,, DRAW SITE MAP ON REVERSE <br />p, <br />