Laserfiche WebLink
SJLHD - UNDER ND 'TANK CLOSUkL-�/AlWMD0Nkjft' 1N!;PLCTlUi4 ✓ <br />(SJlADFD AREA W BE FlLlr!,D I FOR T11-0, FII TANK ONLY) <br />....... .... <br />1'1'h jLZZ:2P—PR- -3' Al, A-ILI <br />G < OWNER NAME OWNER PHONE N Yl� <br />E <br />N CONTRACTOR CON. PHONEY 114 <br />E <br />R < SJLHD PERMIT I EPA I FIRE PERMIT 9 <br />A <br />Is 477 <br />INSPECTORL� DATE 1 39 <br />R RINSED (Y/N) METHOD RINSE AMOUNT <br />N RINSATE DISPOSAL SITE (V <br />S <br />E MANIFEST I -OR- OTHER <br />'-- <br />V VAPORS PURGED (Y/N ) METHOD 4 AMOUNT * <br />AT� <br />P L.E.L. READING AT REMOVAL (MUST BE < 20%) <br />0 <br />T R COMMENTS <br />A <br />N TANK MAFIBERGLASS, OTHER)ANK SIZE OR <br />K c ET <br />0 TANK CONDITION (GOOD,OOR ")HOLES) x1lell <br />P N �p 11 1 u <br />I LS1 I PIPE MATERIAL (STEEL, FIBERGLASS, OTHER T X-' <br />P T <br />I PIPING CONDITION (GOOD, POOR, HOLES) <br />N <br />G DEPTH SOIL TYPE OBSERVATION SA PLE <br />T I I I <br />C 0-77E 117 <br />F A <br />I N <br />E <br />L <br />D EXCAVATION SIZE: X X YDS OF SOIL: <br />I A DEPTH SOIL TYPE OBSERVATION SAMPLE <br />N M P <br />S P I <br />P L P <br />E I E <br />C N <br />T G TRENCH DIMENSION x X YDS OF SOIL <br />I <br />0 H DEPTH TO G.W.: FT — TSAMPLING METHOD <br />N 2 <br />0 1 OF HOURS SINCE DEWATERING: <br />0' OTHER SAMPLE: <br />voo <br />LABORATORY: SAMPLERS NAME <br />CLOSURE IN PLACE I MIXTURE: I VOLUME: <br />DRAW SITE MAP ON REVERSE <br />Ell 2:1 043(7/88) <br />