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UNDERGROUND TANK V&—LOGRAM OFFICIAL INSPECTIGN REPORT <br /> COUNTY NAM[ <br /> SITE NAME V- 1(`L l ` INSP DATE: <br /> SITE ADDRESS •,3 bar <br /> y CT C/S/L 5 C <br /> CHANGES ,�SITE/OWNER/OPER 7 TANK TANK TANK TANK <br /> YES L^O� M.F.R. SUBMIT. ID N ( Io N ID N ID N <br /> SITZ COUP. N TYPE OF INSP. PER N PER N PER N PER / <br /> � Lcuc) ERP DATE ERP DAR ERP DATE ERP DATE <br /> WmTiaMIIL YIAUITIOW <br /> 1. Pernit to Operate <br /> 2. Change in Cond. to Operate --"--- - - <br /> 3. Approved Construction N <br /> t. Written Monitoring Prooedrres N <br /> S. Approved Monitoring System E_ <br /> 6. Monitoring System Operational E <br /> 7. Approved Monitoring Frequency E 111) <br /> � <br /> N. Monitoring Records Maintained ' <br /> 9. Access Cuing Segued N C <br /> 10. Piping lo , A, - -- <br /> 11. Inventory Reconciliationf, <br /> 12. Tank Guaging E c _ <br /> 13. Approved Response Plan N< ---T-- <br /> 14. Unauthorized Release Occurrence <br /> 15. Sampling <br /> ( 16. Approved-TjW Repalre <br /> 17. Unauthorized Releuu Reported <br /> 1e Safety Hazard <br /> 19. Conditions Abated <br /> TEMPORARY CLOSOM <br /> 20. Rwoval of Residual Materials <br /> 21. Flaweable Vapors Removed <br /> 22. Access Locations Sealed <br /> 23. Power Disconnected <br /> 24. Owner/Operator Monitoring <br /> PEFWA EXT CLOSURE <br /> 25. Removal of Residual Materials <br /> 26. Piping LL 77Tn7= LL-L= <br /> 27. Fln.mable Vapors Removed <br /> 28. Unauthorized Role"* <br /> 29 Senpling <br /> 30. Improper Abandonment <br /> The m rkd hews represent violations and meet be oorrecld a (*lbws: <br /> L O rY'C C _ -7 C. '7C'r1 <br /> (wi,ICC: INS P: t <br /> TI n RECHECK: <br /> `� <br />