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tiJLHU -- UNVI:l( ►Iru wt. <br /> 'JAn i.u� ,. <br /> uit /�►►y►�ruu.r,►..�, ,n. c. . ,v.. <br /> (SHADED ARCA DE FILLED IN FOR TUD FIRST TANK ONLY) <br /> G OWNER NAME OIZT O,,-- �lOWNER PHONE I <br /> E 9 ��Q 6 <br /> E CONTRACTOR "�l vepo 0 L AG CON. PHONE N ` D - <br /> R SJLHD PERMIT N EPA N FIRE PERMIT N <br /> INSPECTOR. DATE TANK N 39 - 1.2 Y-;7 <br /> R RINSED (Y/N) METHOD RINSE AMOUNT <br /> I <br /> N RINSATE DISPOSAL SITE <br /> S <br /> E MANIF4ST 1 -OR- OTHER <br /> �ER <br /> VAPORS PURGED (Y/N) METHOD l AMOUNT USED <br /> L.E.L. READING AT REMOVAL (MUST BE < 20t) <br /> T COMMENTS <br /> A <br /> N TANK MATERIAL STEEL FIBERGLASS, OTHER) TANK SIZE <br /> K c <br /> / 0 TANK CONDITION (GOOD, POOR OLEO <br /> P N - <br /> I S PIPE MATERIAL STEEL FIBERGLASS, OTHER) I FEET 2 U <br /> P T <br /> I PIPING CONDITION (GOOD, POOR HOLES) <br /> N <br /> G DEPTH SOIL TYPE OBSERVATION SAMPLE I <br /> T <br /> FA <br /> I N <br /> E K <br /> L <br /> D EXCAVATION SIZE: XX YDS OF SOIL: <br /> s: <br /> I A DEPTH SOIL TYPE OBSERVATION S AMPLE I <br /> N M P <br /> S P I <br /> P L P <br /> E I. E <br /> r <br /> C N <br /> T G TRENCH DIMENSION X X YDS OF SOIL <br /> I <br /> O H DEPTH TO G.W. : - FT SAMPLING METHOD <br /> N 2 <br /> 0 N OF HOURS SINCE DEWATERING: <br /> aOTHER SAMPLE: <br /> LABORATORY: ((� SAMPLERS NAME: �(� <br /> CLOSURE IN PLACE MIXTURE: VOLUME: <br /> DRAW SITE MAP ON l EVERSE <br />