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0 <br /> UNDERGROVKD TANK ROGRAM OFFICIAL INSPECTION <br /> RETORT <br /> COUNTY NAME <br /> SITE NAME INSP DATE: /0 <br /> SITE ADDRESS (.56 <br /> CHANGES S E/OWNER/OPZR 7 TANK TANK TANK TANK <br /> YES M.F.R. SMUT. to * l to r too to I <br /> SITE Cote S TYPE OF INSP PER P PER S m 1 PSR P <br /> Ev DATE EJP DATE M DATC E0 DATE <br /> oPIEPATIONAL VZOIJITt01fS <br /> ti <br /> 1. Permit to Operate <br /> 2. Change in Cond. to Operate <br /> 3. Approved Construction N ` <br /> 4. -written Monitoruq Procedures A ` <br /> S. Approved MonitorLnq SYatee f- <br /> 6. Monitoring System Operational E <br /> 7. Approved Moaltorb q trrquewy E <br /> B. Monitoring Records Maintained <br /> 9. Access Casing Secured 14 ` <br /> Ia. Piping Sgcnog MA, <br /> 11. Inventory ReconcLliatI"E \ <br /> 12. Tank Guaging r-_r N141 <br /> 13. Approved Response Plan tj <br /> 14. Unauthorized Release Oockurenoe <br /> 15. Saspling <br /> 16. Approved Tank Repalrs \ <br /> 17. Unauthorised Releases Reported \ <br /> 18 Safety !Lazard \ <br /> 19. Conditions Abated <br /> TE"PON" C(A)SM <br /> 20. Removai of Residual Materials <br /> 21. Plaasebla Vapors Removed <br /> 22. Aocess Locations Seale ` <br /> 23. Power Disconnected <br /> 24. Amer/Operator Monitoring <br /> Pt31tAMEPrr CI s6M <br /> 25. Removal of Ftesldual Materials <br /> 26. Piping <br /> 27. Flammable Vapors Removed <br /> 28. Unauthorized Release <br /> 29 S&WIIng <br /> 30. Ggroper Abandonment <br /> r t,10represant vio atas4ons and Moat be oorrecued follows: <br /> i <br /> cWF 10Ea I NSP: WXE _ <br /> PNONE TI <br /> cc ' g <br />