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J�";Ja - U"w-twulvL 'TANK CLOSURE/AUNDONMEr4T INSPECTION <br />(SHADED P y; TO BE FILLED IN FOR THE 'ST TANK ONLY) <br />G 4 OWNER NAME N <br />�p�/�l CTL OWNER PHONE <br />E <br />CEJ <br />N CONTRACTOR vj�s&� �ti CON. PHONE# <br />E <br />R < SJLHD PERMIT #Gtr U0a <br />EPA #�y FIRE PERMIT # <br />L��-"E <br />INSPECTORic-�/ DATE 9/1��� y TANK # 39 <br />R RINSED (Y ) METHOD -Ti i-�?RINSE AMOUNT 5D6 <br />I <br />N RINSATE DISPOSAL SITE v1 <br />S <br />E IL MANIFEST # -OR- OTHER <br />V VAPORS PURGED ON) METHOD e �2 AMOUNT USED <br />A <br />P L.E.L. READING AT REMOVAL (MiuST BE < 20%) <br />0 <br />T R COMMENTS T'— <br />A <br />N TANK MATERIAL. (STEE , ��j GLASS, OTHER) TANK SIZE <br />K C v <br />/ 0 TANK CONDITION (G OOR HOLES)«,� ev'rGiQ�,, <br />P N <br />I S PIPE MATERIAL(STEE ) FIBERGLASS, OTHER) # FEET <br />P T <br />I PIPING CONDITION (GOOD,R HOLES ); <br />N <br />G DEPTH SOIL TYPE OBSERVATION SAMPLE # <br />T <br />F A e> o 4 <br />I N <br />E K i1- GULc�r� i oL <br />L -�a <br />D EXCAVATION SIZE: X X <br />S- <br />YDS OF SOIL: <br />ZA <br />A DEPTH SOIL TYPE OBSERVATION PLE # <br />N M P <br />S P I_ <br />P L p S <br />E I E <br />C N <br />T G TRENCH DJMENSION 23 X C2- X �f_ YDS OF SOIL �_Scdt6 4S C, ✓c <br />I <br />0 H DEPTH TO G. W. r" FT J,SAPPLING METHQD <br />N 2 c'rl u ) n N <br />0 # OF HOURS SINCE DEWATERING• 667 ,-li-/4 <br />L0 OTHER SAMPLE: <br />LABORATORY: Ca�:==: �� SAMPLERS NAME: <br />CLOSURE IN PLACE I MIXTURE: VOLUME: <br />DRAW SITE MAP ON REVERSE <br />