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HomeMy WebLinkAboutINSPECTIONS UNDERGROUND INJECTION CONTROL PROGRAM INSPECTION REPORT Inspector ~r~ Facility Info~ation Facility Name ~~ ~k;~ d~om Phone ~o.g~ Parent Company Address ~/~ 2~~& J~ City State e~ Zip Contact Name and Position ~/~ ~R~% / - Description of waste stre~ Descrip.t, ion of injection well Il Description of activity that may endanger ground water but not related to injection wells or tanks (e.g. ponds, spills) Inspection Information Inspection Date ~ Number of Wells Well Type Auto Service ~ Industrial Waste Agricultural Drainage StOrm Water Other Status of Wells Active Abandoned Under Construction Other ~ Inj ectate Sampled(Y/N) Violation Found(Y/N) Follow-Up Needed(Y/N) RCRA Facility(Y/N) ~';"~C ..... ,~'; ~6~ ~ ~'~ ~ . ..... 1¢ Hit[ Z06 " r't~'L~ ~C ~ ~-'~ ~ ...... [&~'~i -- iS Hit[ Z06 -- - ~CLC' '" L~'tL ~ ~ OI3IJS~3XVB. IS HiDE ~t6 * '"'*' ~ Lc OiaOD C~ ~-CL'C$;'L z-,];',][~'. '~' ,,,0 9C.££6 VD Ol]IJS)])VB ,,, ~-CL'~L~'' ' £~f'99 _ 0~/~[/~0. iS 0i~03 OS~ ~C~ S-CC_ii,CCC_=.= ,- ~.~[ . ~AIID¥ ~ ~a~OH ~' ~ " NIa "---. ';~;CiC .... [~'~ ~ ~ O]3I~S~3~V~, IS HiDE Z t6 ' ,,. Z-C~'£C,t'L ~-f~'~'~ ~ 9Off6 VD O]~I~SN~VB ,,, C-VZ'96Z ~'{Z ~-C~'f~.~,._~,~ tgz'z~ _ 9Z/0£/60 . 'iS OIMOD OZg~ ~'~9J~6 J002£ t-gt'6£i'~ ZLL .l -- ~ t 00000 C, 03 ~]llOlS 36-O0-Ot-tfO-ZOO ' " "' la ]50Ag 00£/ ~ f_,~.f;~ . /Of'Of '" ~ -- tOO-tOO O~ZZ-&O6D 'Nld 9N)H$ lIJOad lO01 lIO O~VB 3/-O0-60-L£O-ZO0 L '"' t~;C. LC' "" ;~'t; -- ~ Ol3IJS~3xv~. IS HIDE tOOt . '' ,,.0 LORE6 VD O13IJSa3XVe ,., -- - t "~ LOC- LOC ,~' t ;'~'~f: .... c ,'; = "" t C'COCC