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UNDERGROUND TANK PROGRAM OFFICIAL INSPECTION REPORT <br /> COUNTY NAMI <br /> 7 <br /> SITE NAME ��'� d '���, INSP DATE: <br /> �/4�7 <br /> SITE ADDRESS C/S/L <br /> CHANGES SITE/OWNER/OPER 7 TANK' GAS ; TANK(!A)Ki TANK TANK <br /> YES NO M.F.R. SUBMIT. IDN ID M ID 0 ID M <br /> SITE COMP. N TYPE OF INSP PER I PER PER I PER N <br /> J/ ,.-r EXP DATE EXP DATE EXP DATE EXP DATE <br /> OPERATIONAL V101ATIONS <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 System <br /> 6. Monitoring System Operational <br /> 7. Approved Monitoring Frequency <br /> B. Monitoring Records Maintained <br /> 9. Access Casing Secured <br /> 10. Piping <br /> 11. Inventory Reconciliation <br /> 12. Tank Guaging <br /> 13. Approved Reaponse Plan <br /> 14. Unauthorized Release Occurrence <br /> 15. Sampling <br /> ,l 16. Approved Tank Repair@ <br /> 17. Unauthorized Releases Reported <br /> 18 Safety Hazard <br /> 19. Conditions Abated <br /> T09KNUM CLOSURE <br /> 20. Removal of Residual Materials 1117171111777717777777 1111111TTT <br /> 21. Flammable Vapors Removed <br /> 22. Access Locations Sealed <br /> 23. Power Disconnected <br /> 24. Owner/Operator Monitoring <br /> PFRIANEWr CLOSURE <br /> 25. Removal of Residual Materials _117117177 1111T <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 follows: <br /> 41 11 <br /> - <br /> ,. <br /> r <br /> OFFICE: INSP: y RECEI <br /> PHONE <br /> TI RECHECK: <br /> I <br />