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UNDERGROUND TANK PROGRAM OFFICIAL INSPECTION REPORT <br />COUNTY NAME <br />t1 SITE NAME <br />1. <br />INSP <br />DATE: <br />�Y- /(7 <br />SITE ADDRESS �� ., <br />, ���� <br />C/S/ZG. <br />Written Monitoring Procedures <br />5. <br />CHANGES SITE/OWNER/OPER 7 <br />TANK <br />TANK <br />TANK <br />TAN <br />YES NO M. F. R. SUBMIT. <br />ID N <br />ID M <br />ID M ID N <br />10. <br />PER N <br />PER N <br />PER N / <br />PER N <br />SITE COMP. N <br />TYPE OF INSP <br />EXP DATE <br />EAP DATE <br />EXP DATE <br />_ EI(P DATE <br />OPEIUITIOMAL VIOLATIONS <br />1. <br />Permit to Operate <br />2. <br />Change in Cond. to Operate <br />3, <br />Approved Construction <br />4. <br />Written Monitoring Procedures <br />5. <br />Approved Monitoring System <br />6. <br />Monitoring System Operational <br />7. <br />Approved Monitoring Frequency <br />B. <br />Monitoring Records Maintained <br />9. <br />Access Casing Secured <br />10. <br />Piping <br />11. <br />Inventory Reconciliation <br />12. <br />Tank Guaging <br />13. <br />Approved Response Plan <br />14. <br />Unauthorized Release Occurrence <br />15. <br />Sampling <br />16. <br />Approved Tank Repairs <br />17. <br />Unauthorized Releases Reported <br />18 <br />Safety Hazard <br />19. <br />Conditions Abated <br />7*29MORARY CIJOSUiE <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 />PERMANENT 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 violation. and must be corrected as follows: <br />OFFICE: <br />INSP: <br />