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SJLHD - UNDER ND I'ANK CLOSURE/AIAANDUNkM' INSPECTIUll "1 11, <br />(S11ADFD A It <br />0BE FILLED IN FOR TUE FII ONLY 0 <br />.. .................. . ......... .. ... ..... . <br />/V. <br />G OWNER NAME low -1,fl-re I -r\16 OWNER PHONE N <br />E <br />N c CONTRACTOR CON. PHONE# <br />E <br />R SJLHD PERMIT I EPA # FIRE PERMIT 0 <br />A. . . ......... . ......... <br />law q <br />L I ffl <br />INSPECTORk,e,2 <br />DATE <br />R RINSED (YN) METHOD <br />I-- -- - - <br />N RINSATE DISPOSAL SITE <br />S <br />E I MANIFEST I <br />TANK# 39- 1-310 <br />I RINSE AMOUNT <br />-OR- OTHER I <br />DRAW SITE MAP ON REVERSE <br />Ell 23 043(7/88) <br />V <br />VAPORS PURGED <br />METHOD C EAMOUNT <br />USED <br />P <br />L.E.L. READING AT REMOVAL (MUST BE < 20%) <br />0 2 1 <br />T <br />R <br />COMMENTS <br />A <br />N <br />K <br />c <br />TANK MATERIAL STEEL FIBERGLASS, OTHER <br />D <br />TANK SIZE 6 00() <br />— <br />0 <br />TANK CONDITION (!O—OD..)POOR, HOLES) <br />P <br />I <br />N <br />S <br />PIPE MATERIAL STEEL FIBERGLASS, OTHER) # FEET <br />�s- ii�) 70 <br />P <br />T <br />' <br />I <br />PIPING CONDITION ((GOOD), POOR, HOLES) <br />N <br />G <br />DEPTH SOIL TYPE OBSERVATION SAMPLE I <br />T <br />F <br />A <br />I <br />N <br />L <br />E <br />L <br />D <br />EXCAVATION SIZE: X �O XI' <br />YDS OF SOIL: <br />I <br />A <br />DEPTH SOI TYPE OBSERVATION SAMPLE <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 />N <br />T <br />G <br />TRENCH DIMENSION X X <br />YDS OF SOIL <br />0 <br />H <br />DEPTH TO G.W.: FT —SAMPLING <br />METHOD <br />N <br />2 <br />0 <br />1 OF HOURS SINCE DEWATERING: <br />rO1 <br />OTHER SAMPLE: <br />LABORATORY: <br />SAMPLERS NAME: <br />CLOSURE IN PLACE <br />I MIXTURE: <br />VOLUME: <br />DRAW SITE MAP ON REVERSE <br />Ell 23 043(7/88) <br />