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'rr <br /> SJLHD - UNDERGROUND 'TANK CLOSUCtE/AltANDONML••N'T 1NSP8CTION <br /> (SHADED ARCA TO BE FILLED 114 FOR THE FIRST TANK ONLY) <br /> • • <br /> G OWNER 'NAME OWNER PHONE t' <br /> E Coca. Co%� <br /> NCONTRACTOR CON. PHONEI 1 <br /> E C r.s Co.�sf. <br /> R t SJLHD ERMIT 1 EPA N FIRE PERMIT <br /> it . <br /> INSPECTOR <br /> �'. DATE y-/'7-yo TANK 1 39 - <br /> R RINSED ) METHOD <br /> I �� , je 5 RINSE AMOUNT <br /> N RINSATE DISPOSAL SITE <br /> S � <br /> _. E MANIFRST M -OR- OTHER <br /> V VAPORS PURGEDN) METHOD J� AMOUNT USED <br /> A �`c- <br /> .p L.E.L. READING AT REMOVAL (MUST BE < 20%) <br /> 0 <br /> T R COMMENTS <br /> A <br /> N TANK MATERIAL TEE PIRERGLASSO OTHER) TANK SIZE <br /> K C <br /> / 0 TANK CONDITION (GOOD, POOR, HOLES <br /> P N <br /> ` .1 S .PIPE MATERIAL S EE ' FIBERGLASS# OTHER) 1 FEET <br /> J ��P T 2ev <br /> I PIPING CONDITION (GOODS POOR HOLES) <br /> N <br /> G DEPTH SOIL TYPE OBSERVATION <br /> T SAMPLE 1 <br /> F ' <br /> I ' <br /> N G., �- <br /> E <br /> K <br /> L <br /> D EXCAVATION SIZE: /sem <br /> S: -Z.. X X ' YDS OF SOIL: <br /> I A DEPTH SOIL TYPE OBSERVATION <br /> �N M P SAMPLE 1 <br /> S P I <br /> P L P <br /> E I E <br /> C N <br /> T G TR�NCH DIMENSION ____ X X <br /> I YDS OF SOIL <br /> O' H DEPTH TO C.hf. : PT <br /> N 2 SAMPLING METHOD <br /> 0 1 OF HOURS SINCE DEWATERING: <br /> 0 OTHER SAMPLE: <br /> 1 LABORATORY: 1�7-1 <br /> CLOSURE IN PLACE MIXTURE SAMPLERS NAME: US TPc/- e�,�«c„ <br /> 1�G <br /> :� <br /> VOLUME: <br />