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-_ _ � 1C1A1-INSF TION REPORT <br /> OA VIN N A,,. DISTRICT <br /> UNDERGR011 SAN CQUN�y TON # <br /> 1601 E. HAZELAVE. <br /> SPOGOy,TON, GN (35205 <br /> NE NO. 46B-3423 <br /> COUNTY NAME i or INSPECTION DATE: -7 /Q , o <br /> SITE NAME <br /> ,W/ <br /> CITY/STATE/ZIP }Yv C_j(�Yl/ '1/4 q5 d U_5 <br /> SITE ADDRESS: /� / 1,40 <br /> � ; <br /> N <br /> CHANGES SITE/OWNER/PERMIT? YES NO TANK K U / / TANK U _- TANK �� � TANK .� :� <br /> COMPUTER COMPUTER COMPUTER COMPUTER <br /> FORM A AND/OR B SUBMITTED? NUMBER NUMBER NUMBER NUMBER <br /> TYPE OF INSPECTION SITE COMPUTER # PER# PER# PER # PER # <br /> y E EXP.DATE EXP.DATE EXP.DATE <br /> TANK CON <br /> OPERATIONAL TANK TI O a <br /> MAJOR MNOR --- <br /> PERMIT TO OPERATE 1 2 <br /> ,1 <br /> CHANGE IN CONDITIONS TO OPERATE 3 4 _ <br /> APPROVED CONSTRUCTION 5 6 <br /> WRITTEN MONITORING PROCEDURES 7 8 <br /> APPROVED MONITORING SYSTEM 9 10 <br /> MONITORING SYSTEM 11 12 <br /> APPROVED MONITOR FREQUENCY 13 14 <br /> MONITORING RECORDS MAINTAINED 15 16 <br /> ACCESS CASING SECURED 17 18 r � <br /> PIPING 19 20 <br /> INVENTORY RECONCILIATION 21 22 () Q <br /> TANK GAUGING 23 24 <br /> APPROVED RESPONSE PLAN 25 26 <br /> UNAUTHORIZED RELEASE OCCURRENCE 27 28 <br /> SAMPLING 29 30 -- <br /> APPROVED TANK REPAIRS 31 32 <br /> UNAUTHORIZED RELEASES REPORTED 33 34 — <br /> SAFETY HAZARD 35 36 <br /> CONDITIONS ABATED 37 <br /> TEMPORARY TANK CLOSURE <br /> REMOVAL OF RESIDUAL 38 39 <br /> FLAMMABLE VAPORS REMOVED 40 <br /> ACCESS LOCATIONS SEALED 41 42 <br /> POWER DISCONNECTED 43 <br /> OWNER/OPERATOR MONITORING 44 45 <br /> PERMANENT TANK CLOSURE <br /> REMOVAL OF RESIDUAL MATERIALS R5556 <br /> PIPING <br /> FLAMMABLE VAPORS REMOVED -- <br /> UNAUTHORIZED RELEASE <br /> SAMPLING <br /> IMPROPER ABANDONMENT <br /> THE MARKED ITEMS REPRESENT VIOLATIONS AND MUST BE CORRECTED AS <br /> SYSTEM STATUS(MUST MARK ONE) <br /> FOLLOWS: <br /> 58 <br /> MAJOR 57 MINOR NO 59 <br /> VIOL. VIOL. ❑ VIOL. <br /> OFFICE: INSP: RECEIVED BY: <br /> TITLE: [- PHONE: <br /> C � � BECK: <br /> HUT-3 <br /> FILE COPY „ , <br />