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SJLHD - UNDER ND 'TANK CLOSURE/A4AND0Nlo%M 1NSPECTILA4 o <br />(SHADED AREA BE FILLED IN FOR THE F.T[AW TANK ONL Y) <br />...... .... ..... <br />IMOV 1.4a <br />G OWNER NAME A i d A OWNER PHONE #I <br />E c <br />N CONTRACTOR CON- PHONE# <br />e <br />R SJLHD PERMIT I EPA V FIRE PERMIT <br />A til Tq . 1 .. . ................ <br />4 <br />I Is 1 l . <br />DRAW SITE MAP ON REVERSE <br />Ell 2:1 04:1(7/88) <br />HR <br />INSPECT0%)./DATE 40��14�P <br />TANK# 39-13/ <br />I <br />RINSED N) <br />o <br />T METHOD <br />7 <br />RINSE AMOUNT, <br />RINSATE DISPOSAL SITE <br />N <br />MANIFEST # -OR- OTHER <br />S <br />E <br />VAPORS PURGED METHOD AMOUNT USED <br />V <br />A <br />.p <br />L.E.L. READING AT REMOVAL (MUST BE < 20%) <br />0 <br />T <br />R <br />COMMENTS <br />A <br />N <br />TANK MATERIAL � STEEL FIBERGLASS, OTHER) <br />TANK SIZE olor <br />K <br />C <br />0 <br />TANK CONDITION tGOOD POOR HOLES) <br />P <br />I <br />P <br />N <br />S <br />PIPE MATERIAL (STEEL BERCLASS, OTHER) <br /># FEET <br />e <br />Xe"'v <br />I <br />PIPING CONDITION (GOOD, POOR, HOLES) <br />N <br />G <br />DEPTH <br />SOIL TYPE OBSERVATION SAMPLE # <br />F <br />T <br />A <br />4:2 <br />A <br />I <br />N <br />E <br />L <br />D <br />EXCAVATION SIZE: X X <br />YDS OF SOIL: <br />I <br />A <br />DEPTH SOIL TYPE OBSERVATION <br />SAMPLE I <br />N <br />M <br />p <br />S <br />P <br />I <br />P <br />L <br />p <br />E <br />I <br />E <br />C <br />T <br />N <br />G <br />TRENCH DIMENSION X — X <br />YDS OF SOIL <br />I <br />0 <br />-- <br />H <br />DEPTH TO G.W.: FT <br />SAMPLING METHOD <br />N <br />2 <br />0 <br />1 OF HOURS SINCE DEWATERING: <br />1 07 <br />OTHER AMPLE: <br />LABORATORY: 17 <br />SAMPLERS NAME: <br />CLOSURE IN PLACE I <br />MIXTURE:VOLUME: <br />DRAW SITE MAP ON REVERSE <br />Ell 2:1 04:1(7/88) <br />