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UNDERGROUND TANK PROGRAM OFFICIAL INSPECTION REPORT <br /> COUNTY //NAME <br /> SITE NAMEF.(O, INSP DATE: to Ze> �P� <br /> SITE ADDRESS � 2� S ;4C/SIL <br /> CHANGES SITE/OWNER/OPER 7 TANK TANK TANK TANK <br /> YES NO M.F.R. SUBMIT. ID M ID N ID M ID N <br /> PER M PER M PER N PER N <br /> SITE COMP p 7' OF INSP EXP DATE I:KP L)A,E Fp DATE EAP DATE <br /> ..Q <br /> OPERATIOKAL 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 <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 <br /> 16. Approved Tank Repairs <br /> 17. Unauthorized Releasee Reported <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 /> PERMAfNE?rr 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 must be corrected as follows: <br /> /L0�tMn1-Z <br /> OFF ICE: INS/ c RECEIVE <br /> �L <br /> 1'IIONE TITLE: RECHECK: <br />