Laserfiche WebLink
SJLHD - UND' _ROUND 'TANK CLOSURE/AIJAND( *10T INSPECTION <br /> (SHADED AR)�jW TO BE FILLED IN FOR THE F',3T TANK ONLY) <br /> G OWNER NAME ZAn 7 <br /> 72�rt.F�s OWNER PHONE I <br /> E <br /> N CONTRACTOR CON. PHONEI ' &Lo,� <br /> E 4' - <br /> R t SJLHD MIT I E A N FIRE PERMIT #1 a <br /> ' � rt � ' <br /> �L- � � l . <br /> INSPECTOR !/ DATE kllk / TANK 39 -- P37 ? - .4 <br /> R RINSED (9N) METeOD ode RINSE <br /> • I <br /> giff <br /> N RINSATE DISPOSAL SITEe <br /> S <br /> E MANIFEST I -OR-- OTHER <br /> V VAPORS PURGED X ) METHOD AMOUNT USED <br /> .A <br /> .P L.E.L. READING AT REMOVAL (MUST BE < 20%) <br /> O <br /> T R COMMENTS <br /> N TANK MATERIALSTElrL FIBERGLASS, OTHER) TANK SIZE 10 OCI� <br /> K C <br /> / 0 TANK CONDITION (6970D�p POOR, HOLES) <br /> P N <br /> I S PIPE MATERIAL ( T EL FIBERGLASS, OTHER) I FEET - 10� <br /> P T <br /> I PIPING CONDITION (GOOD, OOR HOLES) <br /> N <br /> G DEPTH SOIL TYPE OBSERVATION SAMPLE Y <br /> T <br /> F Aai!'i I N �� � <br /> E K <br /> L <br /> D EXCAVATION SIZE: /3 Zx 3fX YDS OF SOIL: -60 <br /> 8- ycta <br /> I A DEPTH SOIL TYPE OBSERVATION SAMPLE tF <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 SAMPLING METHOD <br /> N 2 <br /> 0 # -OF HOURS SINCE DEWATERING: <br /> [_O OTHER SAMPLE: <br /> r✓vt S Fis i <br /> " <br /> LLABORATORY: ���, _ fty� � SAMPLERS NAME: h <br /> � 5 <br /> CLOSURE IN PLACE MIXTURE: VOLUME: <br /> DRAW SITE MAP ON REVERSE <br />