UST-ENF-06 Revised 5/01/10 Facility: _____________________________________ Agency Interest No.: ________________ Depth to Groundwater (if encountered): ________ (in feet) Removed UST Tank Hold Dispenser Closed-In-Place UST Area Island D # ft. Tank Contained Diesel and Length of Tank – G # ft. Tank Contained Gasoline and Length of Tank Dispenser – U # ft. Tank Contained Used Oil and Length of Tank – T# Tank Sample # Collected in Native Soil BF# Backfill Sample # D# Dispenser Sample #
UST-ENF-06 Revised 5/01/10 Facility: _____________________________________ Agency Interest No.: ________________ Depth to Groundwater (if encountered): ________ (in feet) Removed UST Tank Hold Dispenser Closed-In-Place UST Area Island D – # ft. Tank Contained Diesel and Length of Tank G – # ft. Tank Contained Gasoline and Length of Tank Dispenser U – # ft. Tank Contained Used Oil and Length of Tank T# Tank Sample # Collected in Native Soil BF# Backfill Sample # D# Dispenser Sample #