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UNDERGROUND TAN %GROGRAM OFFICIAL INSPECI•ION REPORT <br /> COUNTY NAMN <br /> �. SITE NAME INSP DATE: <br /> SITE ADDRESS 3� t� J „ C/S/L � <br /> CHANGES SITE/OWNER/OPER 7 TANK TANK TANK TANK <br /> YES NO M.F.R. SUBMIT. ID v , ID M -, ID O ID M <br /> SITE COMP. N TYPE OF INSP PER M PER M PER 0 PER M <br /> EXP DATE EKP DATE EXP DATE - EXP DATE <br /> OPERATIONAL VIOLATIONS <br /> 1. Permit to Operate <br /> 2. Change in Cond. to Operate <br /> 3. Approved Construction '- <br /> 4. Written Monitoring Procedures <br /> 5. Approved Monitoring System <br /> 6. Monitoring System Operational D cK - <br /> 7. Approved Monitoring Frequency n C- <br /> B. Monitoring Records Maintained <br /> 9. Access Casing Secured <br /> 10. Piping - - <br /> 11. Inventory Reconciliation _ <br /> 12. Tank Guaging <br /> 13. Approved Response Plan .Cf A — - - <br /> 14. Unauthorized Release Occurrence <br /> 15. Sampling <br /> 16. Approved Tank Repair■ <br /> 17. Unauthorized Releases Reported /IA <br /> 18 Safety Hazard - <br /> 19. Conditions Abated <br /> TEMPORARY CLOSURE <br /> 20. Removal of Residual Materials <br /> 21. Flammable Vapors Removed <br /> 22. Access Locations Sealed <br /> 23. Power Disconnected <br /> 24. Owner/Operator Monitoring <br /> PEEMAJ4EfT CLOSURE <br /> 25. Removal of Residual Materials <br /> 26. Piping <br /> 27. Flammable Vapors Removed <br /> 28. Unauthorized Release <br /> 29 Sampling <br /> 30. Improper Abandonment <br /> The marked Items represent violations and moat be corrected an follows: <br /> � . OFFICE: INSP: <br /> PHONE I TI RECHECK <br /> ti <br />