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1,DEsignated Undagmund-Siorage jj=Operator <br /> V"L Inspect' <br /> Facili Name: r <br /> 'Foesht Address•: <br /> d-usT Canducf viae tign: l ir,. <br /> ",• i-Code rtiEcatilrn,ll� �" r i'°••+�' Date: / ` /;. <br /> uce p c,-r c,G <br /> Y-Yes N-N NA-NotA kabk <br /> Item N T T Y N <br /> „f.:: Monitoringsystem is„ ..,. r .: <br /> onttM iviltroper Gratin mode. - <br /> 2 it4erritorina WRYal.”,5-orwWritiazid, - <br /> 3 Alarm hiatnryrepact/iog1brthe previoustltomhisuv,tilubjejand b beenrevieweeby*he - <br /> Desi UST fn'srrtrr a«ailuble. L- <br /> A Each alarm J'grth revious mont4tfisabeenr mdcd to r' 1 . <br /> 3 SensorslouttauL centaianunt hareaaralarmed i montp. �. <br /> 3a _ LAtid1w stmrpswherea/ormsorrarleAin*epwl <br /> Note Saurµ(+rhwt an alpMrtrar,Kcurnd intrrrpan mmnlh n . firirmrpr dvlvaynnlftA.rrvierreehnie+a ,rWonWv and <br /> p<rprrl),asUrb ',cd,rhe'^"."�rllhe olaon Aaach Jacauruvraion ve,7fitity l:]lCsrnftl to rhir+rian-1. <br /> str 1/nt .tl'.Is r uim't M...d r sing w hero b,IAPIVW <br /> ..: :..y .. <br /> F}SF bYS�Et14+A'S•REET <br /> ¢ , Ank-top containpient sumps are free ofoAaler,dcbm,rod substance Sataetsace ^^"•'_��T;y <br /> Nwe t4rual i"spw0vn olsurn al.,ad•rr nimd in Burn a w•herr an nla^n has a. rvvJ irr/hr paylmonthjirr whish More Is no JrrYlCc rmrord <br /> Y <br /> Y N ,I„ N <br /> "Sum Location: Sam r La otion. ` <br /> Sumv Location. Sun L lion: "- <br /> Sump Location: Sump Lo ation: <br /> 7 Spill containment structures are free of water debris and hazardous ubstance. <br /> :• Y- N NA Y N NA <br /> drankt— ContentsTan k3— tnttentsr 1' <br /> Tank 2—Conten— Tank A•- rouenmt •r <br /> $ Under<dis laereontaiamini areas arc Frce ol'water debris and hs 'nous substance. -Sensors are located properly. <br /> VI <br /> NA - - l' N ,1V71 <br /> Dis eas 'WTO <br /> DN .ter3/I Y Dim elrs 11117 <br /> rr1/4 D" .t 131.14- <br /> - <br /> Dis enscrl/8 - oil 13/"le t� <br /> P HJJ1iKJNSPECSJON Y N NAI DATE NE <br /> 9 Monitoring system certification has been completed within est 12 onths, <br /> I Secundar containment tests have been completed within the re uir timeframe. s, <br /> 11 Spill <br /> I containottni structure bucket testingwas com laid within th past year. <br /> R in was completed within required tmeframe.Tit was <br /> completed within re uired timeframe, - <br /> : 'W <br /> Othrrrequire(fteatingtrnainittlance was completed within required a ieflarric, List testAnaimenance items below.) <br /> TesUMainrenonce: <br /> FertlMarrmrrmrce- <br /> Test/Mainnnance <br /> t FACjLUVEWPLOYEE TRAJNjN <br /> IS 1 All facility em Io ces have received the required on-the-bb trainin ojthin the past car. v' <br /> !6 I All facility employees hired wit 'n ast 30 do hev rtcciv d ced ion-the=oh training. 1' <br /> Note: Any answer of"N"should be a:plafned In the comment section at the following page,and will require <br /> tfullow-up action. <br /> p4c l o f2 Stptember•20N <br /> L0 'd WV Z0: b0 6002-£0-d3S <br />