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UNDERGROUND TANK PROGRAM OFFICIAL INSPETI RZpORT <br /> COUNTY NAML <br /> SITE NAME INSP DATE: <br /> sa-2 r6 <br /> SITE ADDRESS (f7D� C/SIr <br /> f <br /> CHANGES SITE/OMlNER/OPER ? TANK TANK TANK TANK <br /> YES N.F.R. SUBMIT. ID r f 10 r 7_- ID r ID r <br /> s1Tt Pomp. I =OF IHSP PER PER N PER r PER r <br /> ! EXP DATE EXP DATE UP GATE EXP DATE <br /> OPERATIOKAL VIOEATI016 <br /> 1. Permit to Operate <br /> 2. Change in Cond. to Operate Af 4q, <br /> 1. Approved Construction N <br /> 4. Written Monitoring ProcaduresAl < < <br /> 5. Approved Monitoring systa 7 <br /> 6. Monitoring System OperationalF- <br /> 7. Approved Monitoring ir*TAGacy E <br /> a. monitoring Records Maintained ' <br /> 9. Aodu Casing Secured N <br /> 10. Piping A K?'G OCZ <br /> 11. Inventory RaaalciliationE- <br /> 12. Tank Guaging E <br /> 13. Approvd Response Plan N <br /> 14. Unauthorizd Rele Oocurrence <br /> 15. Sampling <br /> ( 16. Approved fga-Opaln <br /> 17. Unauthorized Relaues Reported <br /> 16 Safety Hazard <br /> 19. Conditions Abated <br /> TEPFCIRAR1f CLOSURE <br /> 20. Rw val of Residual Materials <br /> 21. Flammable Vapors Removed <br /> 22. Access Locations Scald <br /> 23. Power Disconnectd <br /> 24. Omer/Operator Monitoring <br /> Pf wAmE r CI.OSORC <br /> 25. Re vel of Residual Material• iq <br /> 26. Piping <br /> 27. Flammable Vapors Removed <br /> 28. Unauthorized Releue <br /> 29 Senpling <br /> 30. Inproper Abandori t <br /> Pk r mrrked it a represent via attona and co ecled u o 1 n <br /> fL <br /> BE <br /> er <br /> © D <br /> OP►'ICEi INSPt <br /> n <br /> PHONE ATI = <br />