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'i�■ x' r '' i • u • .r i � � i <br /> /11 ..1I <br /> Facility name: i • . �Id• •.- or: • #. - Inspection <br /> ') � Date: <br /> , f gyp; <br /> Facility •. <br /> ,. C )36 <br /> ..,y si ,i f t f <br /> IN <br /> Facility <br /> ntact: Title: <br /> • • . <br /> .I r � <br /> r r Jr+- <br /> �� .t <br /> Piping system: Overfill prevention: <br /> i_/�ressur U Suction 0 Gravity /Mechanical 0 Audible/visual <br /> ion type:Code Section- <br /> WAiN.MME�1CC qervic?Technician Exp.Date. If,Fit <br /> i i w -. - •.- • fY- . i ©® <br /> No permit to operate <br /> W020A U1 <br /> WeVUEENG "0=1 <br /> Monitoring and/or response plan is-not onsite <br /> CCR <br /> i <br /> toring of suction piping(pre-January 1, 1984)not performed <br /> NIMMIMMIN1.1y am r,0111RIII.F.R.M-11001 M, -- <br /> WHEN <br /> USI system monitoring equipment is not operational (RAI) <br /> ® ` <br /> Primary containment is not product tightw <br /> All releases in secondary piping do not flow to a collection sump <br /> )t installed (Mi) <br /> Spill container not installed,failed to contain a minimum capacity of five gallons,or failed to provide (M2) <br /> • • • ..... <br /> )(1) a means to keep the spill container eg Rallum-rm.1 <br /> ME ME <br /> M • • <br /> Water in 21 containment not removed�anaiyze6&properly disposed of___ <br /> Unauthori ed release that:(c)did not escape s con ary containment and cleaned up within eight hours (MI) <br /> was not recorded;(e)escaped secondary containment,not cleaned up after eight hours,or a sudden loss of <br /> product was not reported to the EHD within 24 hours <br /> Designated operator e <br /> • CCR 2715(f) <br /> fs not '• <br /> i • - • <br /> f _ <br />