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RANDOM SAMPLE HElit SUPPLEMENT ~p/~~/~~, <br />7. Permittee___-~j_~y[l1~_nll.lr~i v~ ,-~~. ~•,. ,-_____„________ 5. Days since Last State Complete Inspection (LSCI) _~3 <br />_l/ ~ - - <br />2. Permit Number __~_a W_jQ :~ _L.--_________. ______ _ 6. Block 25 Cstegoriaa in NON-COMPLIANCE this RSI _' - <br />J. Joint Inspection I_~_I Y/N <. Date __~~__- O~_-_ y O _ 7. Total Violations this RSI -L- <br />...a•...~..~.••......a~..••.. ••....••...•......~•. ura• u•••.•.•...•..••...•.•••••.•.••.......o~.••..•.•.•.. ~.......•. •....... •.. <br />8. List (only once) all violations: <br />A) where State enforcement was rsQUired and taken during the LSCI; <br />2) recorded in the LSCI report but the Stste failed to take enforeement;~ <br />~) observed during this RSI which clearly •:feted during the LSCI but: the State failed to take enforcement; and; <br />4) e:tietinq during thi^ RSI which are not already listed under one o[ the eategorie^ above. <br />A B C D E F G R I J K <br />nD <br />Y AB <br />SREGULAT <br />ONAVI R <br />I <br />F RIOUS <br />y~ <br />LAN / <br />I <br />OLATED CATEGOR ACTION UNC~T[C <br />D <br />CAUSE PEO <br />IMPACT ACTION OPTIONAL <br />T--T-~-T-- <br />I. ~ /_QS /_~ /_-- /---- I~ -T-a_I~- -T----T----j=~=T-- --T-aT-7.~T --T ~=T-T_---T---J--- <br />rp <br />Drltrutrll: Blo,s +; l~0 .ski-~G~' <br />z. -- /- /- /- /- I_-_I I~__I I_-I I--I I____I I__-I I-I I-__I Ir--I I-__I <br />Dr,N lPlrn:~ T~ I _-T~~~~ I_-I T _I <br />7. ---- /- /- /- /--- I- T r T( (~ r T <br />Dr,crrM ur:~._~-~ _I _-I _-1 •I~-_~__I I-I ~n--1--1•_ _-I <br />.. - /_- / ~ - /- /-- - T <br />Drlct lPt l,.•~~r 1 -~•T--T~~~---~_ -- '-~~--~~ I <br />5. ---- /-- /- /- /-- - <br />ArttrlPtl..: <br />(`.f--T_-_T-_T_- <br />6. --- /--- /---- /---- /-_- _T.. ....~ ~..r __C_-(--~i-i-_I-~-1--1--~-----~- -1 <br />D„trl/tl..: <br />fr-T-T-~"~r=- -T_ -T = =T-- _~~_T=f--f=T-I=f-~_f~~f~f- -1 <br />DnN qLu: <br /> <br />~ a. -- /---- /--- /--- /---- f_ -T-T= T-T _- <br />:--~- <br />--T_ <br />-:_f_ _ <br />-T---~---f-Ti~i~i~_1 -f-_~-T_~I <br />s. _..- /---- /--- /---- /---- I--I 1---- <br />D.,t,Iltr..:~___T-.T._T_-_T_._T~=:T_..._~ =-= T..__f ~T_.f~~f =--~--~-_ -~-----~---I <br />,o. ---- /--- /--- /--- /--- <br />Dren 11 m: <br />S1AlE AC110N <br />1 1 Eu dr1 a lf[I, ctrl <br />7 > Eutlrl a ISCI. nl edrl <br />7 > Gte/ Prm tl lSfl, <br />AMlnrll Pnlnl <br />1 > Occ.rrel tote ISCI <br />r <br />SIAIF'S :EASON PDP !bi [111X5 V!F!At IAX <br />(fYIfR DISCUSSIBt YIIX IItE SIAIE) <br />I) bl . Vnhim <br />1 1 hrchwl Ir Sutr PJ ar <br />3) Nd ntlUrl urrr 541r hym <br />> Wnul P.e n he d 1 Gidru <br />;) Yulnw ul ncqutel (uuN) <br />6 1 Pottle 111er/ sire q/mN Pend <br />1 > In mn tr ulr <br />R) Ynlnl alh Olenlu N Grrrd <br />9 1 Ot/rr: <br />(.lei <br />I) Pend Dr4d <br />2) Ihunl Ynlhn b.ldnn <br />7) Wdlrcnl Yu.rr <br />1 1 O/rube MrDI IDetr <br />S > Othn: <br />APofiADILIIr DF <br />EVFNI OCCYRPENC( <br />1) Mur n U.Iddt <br />3) ldrh <br />]) Omrrrl <br />L~~ <br />D.uw inure YItAn the Pend Are <br />1 1 NIIr It Ar.Ir <br />i) blrrdr <br />7) GndrnNr <br />Ducar Erteu Irnld the hrlrl Are <br />1 1 XOr Ir ALIr <br />s 1 N.Irrltr <br />6 1 CuulrrJll <br />OMlratw tr 6lncnnt <br />7)huru Anu <br />R 1 Arrerrlr <br />;AP( A(lld <br />1 > Ddrnrl 4 Stlu Adm <br />1 > iDx hurl <br />7 1 IM-CD road <br />/) Prrrnnlr filed. <br />Aginnl PnLq <br />5) ANtrl Lrnl o Nhre <br />OSARE hgrtlm <br />