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0 0 <br /> INSP all FACILITY tJ OPERATING WITHIN ACCEPTED I-r,RAMETERS AND <br /> REGULATIONS <br /> * The Document Code is any symbol you choose to represent the name of a document(e.g.EIR,RDSI,CUP,etc.) <br /> ❑ Check here if additional pages have been attached to this form. <br /> onchisions Re. Permit Status <br /> oilcan© evision/Suspesio ` ev©cation} <br /> Facility is currently operating within parameters and regulations for all documents <br /> reviewed. <br /> Directives Given to Operator. <br /> Permit Action Required: Documents to be Submitted: <br /> (Check One Box) (Check all applicable boxes) <br /> ❑ Submit Application for Permit Revision ❑ Updated RFI <br /> ❑ Submit Application for Permit Modification ❑ Financial Assurances <br /> ❑ Permit Suspension ❑ Periodic Site Review <br /> ❑ Permit Revocation ❑ CEQA Compliance <br /> ❑ Other(specify below) ❑ Preliminary Closure Plan <br /> ❑ Final Closure Plan <br /> ❑ Other(specify below) <br />