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opt -10E: <br />INSP: <br />am <br />—�,1&7, <br />UNDERGROUND TANK PROGRAM <br />OFFICIAL INSPECTION <br />REPORT <br />COUNTY <br />NAM9 <br />f <br />`. SITE NAMEC <br />A <br />INSP DATE: <br />-3- /�.. <br />Za) <br />SITE ADDRESS5-��-1� �" <br />�C/S/L <br />CHANGESTE/OWNER/OPER ? <br />TANK <br />TANK TANK <br />TAN <br />YES NO M.F.R. SUBMIT. <br />IDM I <br />ID M 2 ID 0 <br />ID N <br />PER M <br />PER M PER M <br />PER I <br />SITE CUT <br />1 <br />E OF INSP <br />7 j <br />EXP DATE <br />EXP DATE EXP DRTE <br />_ EXP DATE <br />OPERATIONAL VIOLATIONS <br />1. Permit to Operate <br />2. Change in Cond. to Operate <br />` ` <br />- <br />3. Approved Construction <br />-- A ` <br />4. Written Monitoring Procedures <br />T <br />5. Approved Monitoring System <br />? <br />- --- <br />--- <br />6. Monitoring System Operational <br />— 7 <br />7. Approved Monitoring Frequency <br />— <br />- - <br />8. Monitoring Records Maintained <br />_ <br />— - <br />9. Access Casing Secured <br />------ <br />10. Piping { tzE-7�0e-XE- <br />- <br />11. Inventory Reconciliation <br />? <br />12. Tank Guaging <br />- <br />13. Approved Response Plan <br />` <br />- - -- <br />14. Unauthorized Release Occurrence <br />15. Sampling <br />'— <br />16. Approved Tank Repairs <br />17. Unauthorized Releasee Reported <br />18 Safety Hazard <br />19. Conditions Abated <br />TEIWORARY C14SO E <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 />P049V02IT 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 />T11e marked item represent violations and Yut� <br />roSFected ee follows: <br />opt -10E: <br />INSP: <br />am <br />—�,1&7, <br />