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UN KGKUUND 'TANK CLOSURE/AB,AND MENT INSPECTION• (SHADED A 1 TO BE FILLED IN FOR THE ?*2ST .TANK ONLY) <br /> G OWNER NAME <br /> OWNER PHONE # <br /> E <br /> N < CONTRACTOR CON. PHONE# <br /> E - - i <br /> R < SJLHD PERMIT # EPA # FIRE PERMIT # <br /> L Y <br /> INSPECTOR DATE TANK # 39 - I - - <br /> I RINSED (Y METHOD RINSE AMOUNT <br /> I <br /> S I - <br /> -� :� DISPOSAL SITE ( � Sh <br /> E MANIFEST # -ORJ HER <br /> V VAPORS PURGED METHOD <br /> y ��� AMOUNT USED <br /> A <br /> P L.E.L. READING AT REMOVAL (MUST BE < 20%) <br /> 0 <br /> T R COMMENTS <br /> A <br /> N TANK MATERIAL (STEEL, FIBERGLASS, OTHER) TANK SIZE ' <br /> K C <br /> / 0 TANK CONDITION (GOOD, POOR, OLES) <br /> P N <br /> I S PIPE MATERIAL (STEEL, FIBERGLASS, OTHER) # FEET /g. <br /> P T <br /> I PIPING CONDITION (GOOD, POOR, HOLES) <br /> N <br /> G DEPTH SOIL TYPE OBSERVATION SAMPLE # <br /> T _ <br /> F A <br /> I N <br /> E K <br /> L <br /> D EXCAVATION SIZE: X X YDS OF SOIL: <br /> S . <br /> S <br /> I A LDEPTH SOIL TYPE OBSERVATION SAMP <br /> N M P <br /> S p I <br /> P L PEMU <br /> E I E <br /> C N <br /> T G TRENCH DIMENSION X X <br /> I I S OF SOIL <br /> 0 H DEPTH TO G.W. : FT SAMPLING METHOD <br /> N 2 <br /> 0 # OF HOURS SINCE DEWATERING: <br /> Fo�F OTHER SAMPLE: <br /> LABORATORY: SAMPLERS NAME: <br /> CLOSURE IN PLACE MIXTURE: VOLUME: <br /> LII 23 043(7/88) DRAW SITE MAP ON REVERSE <br />