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UNDERGROUND TANK TROGRAM OFFICIAL INSPECTION REPORT <br /> COUNTY NAMR <br /> SITE NAME INSP DATE: <br /> SITE ADDRESS � ot <br /> / C/S/L <br /> CHANGESE/OWNER/OPER 7 TANK TANK TANK TANK <br /> YES O M.F.R. SUBMIT. IDN t ID N ID N ID N <br /> SITE COMP. N TYPE OF INS _ PERN PEREXN PER N PER N <br /> �S/ EYP DI1SE EXP DATE P DALE - EXP DATE <br /> OPERATIONAL VIOLATIONS <br /> 1. Permit to Operate <br /> 2. Change in Cold, to Operate <br /> 3. Approved Construction ` <br /> 4. Written Monitoring Procedures <br /> 5. Approved Monitoring System <br /> 6. Monitoring System Operational <br /> 7. Approved Monitoring Frequency <br /> 8. Monitoring Records Maintained <br /> 9. Access Casing Secured ` <br /> 10. Piping ( <br /> 11. Inventory Reconciliation <br /> 12. Tank Guaging —(• � <br /> 13. Approved Response Plan <br /> 14. Unauthorized Release Occurrence <br /> 15. Sampling — O <br /> 16. Approved Tank Repairs <br /> 17. Unauthorized Release Reported L <br /> 18 Safety Hazard <br /> Im 1 <br /> 19. Conditions Abated <br /> TEMPORARY C14SM <br /> 20. Removal of Residual Materials <br /> 21. Flammable Vapors Removed <br /> 22. Access Locations Sealed <br /> 23. Power Disconnected <br /> 24. Omer/Operator Monitoring <br /> PE7NWQ]fr CI.OSURi <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 Itema represent violations and must be corrected as follow&: <br /> yll 19= <br /> Z [ [L <br /> 5 <br /> OFFICE: INSP: I RECEI . <br /> f <br /> PHONE �� TITLE: —� CM/EACN: <br /> RE � <br />