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6 <br />UNDERGROUP(D TANK PROGRAM <br />6 <br />OFFICIAL INSPECTION REPORT <br />COUNTY NAME <br />r <br />SITE NAME r , <br />SITE ADDRESS <br />CHANGES SITE/OWNER/OPER 7 TANK <br />YES NO M.F.R. SUBMIT. ID# <br />SITE COMP. # TYPE OF INSP PER M <br />EXP DATE <br />OPEPATIONAL 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 Releases Reported <br />18 Safety Hazard <br />19. Conditions Abated <br />TEMPORARY Q.06ZE <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 />PF ]tr CILXXW <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 />INSP <br />DATE: <br />C/S/z <br />TANK <br />TANK <br />TANK <br />ID M <br />ID M <br />ID # <br />PER M <br />PER X <br />PER M <br />EXP DATE <br />EXP DATE <br />_ EXP DATE <br />The worked Items represent violations and "rust be corrected ea follows: <br />uFf, ICE: <br />d� <br />or: <br />E <br />-/Z <br />