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,DesignatedUxtdergroundSt^*� <br /> _ _ T jUST) Operator <br /> Montttty Visual Inspection kiist <br /> Facility Name: .-t! _.r._� "'e' ,'—1 <br /> Dat <br /> FaCilily Address: e- 2 <br /> Zai <br /> Designated 10STOperstorConductin theins ectiod: , <br /> International Voderjoutrcfl Certification V. •. - E ion Date: r f."" <br /> Me.NA-Nat kabk <br /> IWONTT`OMG PATWC l YJ M J WA <br /> .... <br /> 1 Monitoring system is powered on and in Ptril.tPertlax, <br /> mode. <br /> 2 Monitoring system is not curreml showio an alarms or werniii s. <br /> 3 Alarm history report/log for the previous month is available,and has een reviewe7bythe <br /> Desi natcd-USTO rator. Attach a co +o the alarm histriev re o to to this oilable.d Each alarm for the revious monthhasbeen rex onded to a ro tin9 Sensors located in tank-to containment sum s have not alarmed in a eat month <br /> 3a Lut all'tank-irip sumps where alarms xctured in rhe part mane -111111i <br /> Noir.Sia,".•here m alarm bac rarvrred m tier past num/4 man br inrlwrreJ lest n quaflJRd service 1tr:hNtian rr)pPndsd m,and <br /> pvprrl y aJdre.'SM..the tmae oJthe alta Amrh ducrom aihm vrro"g priest) Vfty ar sins re/wr. <br /> l/.vue+ �wnitr qrQ raeordrca'a4sawruaD.bcla+u <br /> UST SYSTEM UmSPECTI <br /> 1 -6 ank-top cuntainmentsumps ure free of water,dcbria,andliazardou ubstance. Srnsorsarelocated property. <br /> Nate Y.rual' m:Nrmu sum n lr riredxr,.um . wimrttar a/awn Mas m/+n-MrcpwHaarh ra'hublarn is uM a nzr�l <br /> . . Y Y IN <br /> Sum Loctulon.. br ion: <br /> Sam Lacation: ,1f. 'n...:; SUMP 77i <br /> Sump Location: 1- Sam <br /> 7 Isgntanmcnt+v cu.e.e ecaof uaueL deh❑s,widhaiordn stauce, <br /> - Y . N AIA Y N NA <br /> Tank i -Contents. <br /> Tail, - oniknfs: <br /> Tank 2-Contents: (crrant 4- <br /> g Under—dispenser containment areas are fmc.of water,debris and he dous substance. Sensors are located prowly <br /> Y N -NA I Y N NA <br /> Dispenser 112 - Dis ens 9110 <br /> Dispenser 3/I Ds ens 11112 <br /> _ Dispenser S 16 Dls ens 13114 <br /> Dir enser 7/81 Dis lens 13116 <br /> • F"ER31410 G1111MCTION T N -NA I -DATE DONE <br /> 9 Monitoring"Kern certification Ins been com wpltisf all <br /> A Secondary containment sostsJtave biwwcmpleted within <br /> -" ill essutai neruetun I ash's <br /> —1-2 .Tank siesting-wxszomplmd within rc aired tuvefrantc. <br /> 13 Line tightness testing was comilileted within r uirad tintefcauae. <br /> 14 Other re uired t stir /maintenance was completed within re uired r' cframe. Llsf lesi/mainrena.u•e items below.) <br /> Test/Maintenance: <br /> Test/Maintenance: <br /> Test/Maintenance: <br /> FACELITY WLf}YEE TRAINP 3 <br /> IS Ail facility W es have reeeivedthc required un-thetra' - watm the t <br /> 40- 4All facilit s eca~hu'velwithin the pw 30 kava rxeiveA re cd ow-the-'abrairim <br /> ,aitr . Aay answer of`•N"ahomMbeaxphWmd inthe eoseeeeat ee"Wn the 4@411anAAng page,and will require <br /> foNew-uµactiaw- <br /> 'PtWe I of 2 September 2004 <br /> 90 'd Wei Z0= b0 6002—£0—d3S <br />