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SJLHD - UNDEROUND TANK CLOSURE/AIIANDON S <br />INPECTIUL4 <br />(SMADED AREA BE FILLED IN FOR Til *f TANK ONLY) <br />all. <br />in <br />00. yel IT <br />G OWNER NAME OWNER PHONE #Lln'LlS�Llf <br />E <br />N CONTRACTOR CON. PHONE#- vo,/ z <br />E <br />R SJLHD PERMIT I EPA I FIRE PERMIT V <br />.... ....... .. .. . .. . <br />A <br />INSPECTOR DATE TANK 1 39 - <br />R RINSED (Y/N) METHOD ERINSE AMOUNT 6 l elli <br />I <br />N RINSATE DISPOSAL SITE <br />S <br />E MANIFEST I -OR- OTHER <br />V VAPORS PURGED (Y/N) METHOD AMOUNT USED <br />T <br />A <br />N <br />K <br />P <br />I <br />P <br />I <br />N <br />G <br />F <br />I <br />E <br />L <br />D <br />I <br />N <br />S <br />P <br />E <br />C <br />T <br />I <br />0 <br />N <br />A <br />P L.E.L. READING AT REMOVAL (MUST BE < 20%) <br />0 <br />R 11 COMMENTS <br />TANK MATERIA L�(S T54 -'FIBERGLASS, OTHER) <br />C <br />0 TANK CONDITIO� OOR, HOLES) <br />N <br />S PIPE MATERIAL STEE FIBERGLASS, OTHER) <br />T <br />PIPING CONDITION Q500yj POOR, HOLES) <br />DEPTH SOIL TYPE OBSERVATION <br />T <br />jwl 0A 41-z <br />A <br />N <br />I K <br />S- <br />A <br />M <br />P <br />L <br />I <br />N <br />G "I TRENCH DIMENSION X X I YDS OF SOIL <br />H DEPTH TO G.W.: FT SAMPLING METHOD <br />2 <br />0 1 OF HOURS SINCE DEWATERING: <br />70 1 OTHER SAMPLE: <br />10 - <br />LABORATORY: 644,0-kt; SAMPLERS NAME: <br />CLOSURE IN PLACE MIXTURE: VOLUME: <br />DRAW SITE HAP ON REVERSE <br />EM 2:1 01:1(7/88) <br />I <br />TANK SIZE IZ_, , e U <br />FEET le�) 1 U" <br />e y r'f'j VA <br />SAMPLE # <br />EXCAVATION SIZE: 5-X Z� / <br />_±-1 YDS OF SOIL: <br />DEPTH I SOIL TYPE OBSERVATION I SAMPLE I <br />