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_ 1601 E. HAZELTON AVL. <br /> h r NAME STOCKTON; GA 952Q5 COW: # <br /> Ja/ tir j tAt"o cola►'• PHONE NO. 468=3423 <br />#! K .L �I u <br /> SITE NAME: INSPECTION DATA: <br /> SITE ADDRESS: '' �aCh4h[ra_�e E CITY/STATE/ZIP '" <br /> Q I S'fcae <br /> CHANGES SITE/OWNER/PERMIT? YES NO TANK TANK TANK . _,._;. TANK ' <br /> FORM A AND/OR B:SUBMITTED? COMPUTER COMPUTER COMPUTER COMPUTER <br /> NUMBER I+ NUMBER NUMBER 9 NUMBER <br /> TYPE OF INSPECTION 51TE COMPUTER# PER# t " PER # PER#° " PER# " <br /> i01.sfae(6{yd.,, _ pr w%orr%j a <br /> K EXP DATE EXP DATE EXP DATE Ii EXP DATE <br /> TANK CONTENTS �. ` '. i <br /> OP RATIONAL TANK: <br /> MAJOR MWOR _ <br /> PERMIT TO OPERATE 1 2 I _ "I . <br /> CHANGE IN CONDITIONS TO OPERATE 3 4 L <br /> APPROVED CONSTRUCTION 5 B t; <br /> WRITTEN MONITORING PROCEDURES 7 <br /> APPROVED MONITORING SYSTEM 9 10 <br /> MONITORING SYSTEM 11 12 I !! <br /> APPROVED MONITOR FREQUENCY 13 14 i <br /> MONITORING RECORDS MAINTAINED 15 . 16 <br /> ACCESS CASING SECURED 17 18 <br /> PIPING 19 20 I 1 <br /> INVENTORY RECONCILIATION ' 21 22 <br /> TANK GAUGING 23 24 <br /> APPROVED RESPONSE PLAN 25 28 <br /> UNAUTHORIZED RELEASE OCCURRENCE 27 28 <br /> SAMPLING is 29 30 <br /> 3 APPROVED TANK REPAIRS 31 32 ! <br /> UNAUTHORIZED RELEASES REPORTED 33 34 4 p <br /> SAFETY HAZARD 35 <br /> CONDITIONS ABATED 37 <br /> TEMPORARY TANK CLOSURE <br /> 2%inAll <br /> REMOVAL OF RESIDUAL 38 39 <br /> FLAMMABLE VAPORS REMOVED 40_ I y , <br /> ACCESS LOCATIONS SEALED 41 42 <br /> POWER DISCONNECTED 43 J <br /> OWNER/OPERATOR MONITORING 144 145 I i <br /> i IF <br /> li .. <br /> PERMANENT TANK CLOSURE <br /> REMOVAL OF RESIDUAL MATERIALS 46 47 ; <br /> PIPING 48 49 <br /> FLAMMABLE VAPORS REMOVED <br /> UNAUTHORIZED RELEASE 51 52 _ .. <br /> SAMPLING 53 54 <br /> IMPROPER ABANDONMENT 1,55 56 <br /> THE MARKED ITEMS REPRESENT VIOLATIONS AND MUST,BE CORRECTED AS <br /> SYSTEM STATUS{MUST MARK ONE} <br /> FOLLOWS:ii _ __Sa(s <br /> y i S i• Q �-� Q� , t <br /> 58 <br /> MAJOR 57 MINOR NO 59 Pr< �Tti+xc{f►dam S Q!P-" �[ tr <br /> VIOL. ❑ VIOL. VIOL.❑ II j. .1 <br /> '3 F Fp <br /> OFFICE: INSP: RECEIVED BY: I <br /> TITLE: 1PHONE: RECK: <br /> is ! <br /> 9/e8 OM <br /> HUT-3 ORIGINAL <br /> 7 _ <br /> HUT-3 OWNER'S COpv sraa OM <br />