Laserfiche WebLink
��p�(�. + 4 .+ra'{ �w �', •-'- u y p '` -ice„ ,a¢' svw�r ,,.. <br /> UNDERG � ` //fJ 0 � / <br /> ,p TANK R ,w� !� <br /> 'SHADED AREA TSS CLOSURE/ABANDONCTION <br /> FILLED MkNSPE <br /> IN FOR,^THEFFIRST <br /> s <br /> OWNER• NAME <br /> E <br /> E CONTRACTOR 7�0 CON. PHONE# <br /> d�`� ` <br /> R SJLHD PERMIT # / <br /> A ' FIRE PERMIT # , 600fa • <br /> J <br /> INSPECT DATE _y U L= <br /> R RINSED N) METHOD <br /> I 7,�j 11dSe - RINSE AMOUNT ,Z <br /> ; N RINSATE DISPOSAL SITE <br /> S <br /> E MANIFEST # —OR— OTHER <br /> V VAPORS PURGED Y N) METHOD <br /> A AMOUNT USED <br /> P L.E. L. READING AT REMOVAL (MUST BE ( 20%) <br /> 0 <br /> T R COMMENTS <br /> A <br /> NTANK MATERIAL (STEEL FIBERGLASS OTHER) TANK SIZE <br /> K <br /> / <br /> 10 TANK CONDITION (GOOD, POOR, OLES) 1 it ) <br /> S PIPE MATERIAL (ST E , FIBERGLASS, OTHER) <br /> T # FEET <br /> P <br /> I PIPING CONDITION (GOOD, POOR, HOLE <br /> Nom . <br /> G " DEPTH SOIL TYPE OBSERVATION <br /> T SAMPLE # <br /> F A <br /> I N . <br /> E i K <br /> L <br /> D ITZ <br /> EXCAVATION SIZE: . / <br /> X YDS OF SOIL; S mCS <br /> I A DEPTH SOIL TYPE OBSERVATION <br /> N -M p SAMPLE # <br /> S G 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 FT SAMPLING METHOD <br /> G # OF HOURS SINCE DEWATERING: <br /> ! 0 OTHER SAMPLE: <br /> I'' I <br /> LABORATORY: ) <br /> " SA PLLE S NAME <br /> CLOSURE IN PLACE MIXTURE: <br /> VOLUME: , <br /> H 2.1.043 ( 10/B9) DRAW SITE MAP ON REVERSE � <br />