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(SHADED ARL. i TO BE FILLED -INy FOR THE F, S T TANK ONL Y) <br /> 1 <br /> TSJLHD <br /> R NAME OWNER; PHONE # <br />,i NACTOR CON. PHONES PERMIT I EPA V FIRE PERMIT V <br /> A . <br /> � - L <br /> INSPECTOR DATE/ 8 TANK # 39 - <br /> R RINSED N) METHOD �}- RINSE AMOUNT <br /> I U%ii(:L DU <br /> ^ N RINSATE DISPOSAL SITE <br /> S <br /> E MANIFEST Y S„ -OR- OTHER <br /> V VAPORS PURGED (!,I)N) METHOD �Z� AMOUNT USED <br /> A <br /> t P L.E.L. READING AT REMOVAL (MUST BE';< < 20%)� <br /> a o <br /> T R COMMENTS <br /> A <br /> N TANK MATERIAL/(STEE , 'FIBE GLASSt OTHER) TANK SIZED d <br /> K C <br /> / 0 TANK CONDITIO GOOD, P?49', HOLES), <br /> P N <br /> I S PIPE MATERIAL '(ST ; FIBERGLASS, OTHER) V FEET 2� <br /> P T <br /> I PIPING CONDITION (GOOD, P0Pit HOLES) <br /> N <br /> G DEPTH SOIL TYPE OBSERVATION SAMPLE V <br /> - T i s4f <br /> F- 'A <br /> I N P <br /> t E K <br /> L <br /> D EXCAVATION SIZE: t2 X X YDS OF SOIL: <br /> S- L . . . I <br /> I A DEPTH . SOIL TYPE OBSERVATION SAMPLE # <br /> N M P <br /> S P I <br /> R L P <br /> E Y LEC N <br /> T GTRENCH DIMENSION Z X -Z-/,x '2 S" YDS OF SOIL <br /> I <br /> r . O H DEPTH TO G.W. : FT 'I SAMPLING METHOD <br /> N 2 <br /> 0 k OF HOURS SINCE DEWATERING: <br /> c OTHER SAMPLE: <br /> 1 <br /> LABORATORY: SAMPLERS NAME: <br /> 4 <br /> CLOSURE IN PLACE MIXTURE: VOLUME: <br /> i <br /> DRAW SITE MAP ON REVERS <br />