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i <br /> ( J(, UNDERGROUND TANK ®ROGRAM OFFICIAL INSPECAN REPORT <br /> COUNTY NAME <br /> SITE NAME �_,(CJ INSP DATE: <br /> SITE ADDRESS C/S/L �, � <br /> CHANGES SITE/OWNER/OPER ? TANK TANK TANK TANK <br /> YES NO M.F.R. SUBMIT. IDM l ID M Z ID M ID W <br /> SITE COMP. p TYPE OF INSP PER M PER I PER M _ PER N <br /> ( r EXP DATE EXP DATE EXP DATE EXP DATE <br /> OPERATIONAL VIOi.ATIOM <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 Systaim <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 (i <br /> 12. Tank Guaging NA, <br /> 13. Approved Response Plan U4— <br /> 14. Unauthorized Release Occurrence <br /> 15. Sampling y <br /> 16. Approved Tank Repairs <br /> 17. Unauthorized Releases Reported <br /> 18 Safety Hazard <br /> 19. Conditions Abated <br /> 722WORARY CIA)SURE <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 violations and must be corrected as f 11 ��� <br /> 04 <br /> i <br /> . <br /> rA <br /> L & <br /> i <br /> OFFICE: INSP: } RECEI . <br /> PHONE TITLE: REC K: <br /> -)& L e <br />