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DEsigtlated Dnderground.SLarmig Ti ik LUST) IDperatar <br /> Monthlyuisual-1 POCt' ecklist <br /> t: -7 Of <br /> 'f=oci Addreaxf ir:1�:h.' {.•`r=r. _ <br /> Cit : • raF Coda <br /> • aatedUS'r <radae <br /> owYcii Pectitiatfea N: _7 ion - - - <br /> Oato: f <br /> 747 <br /> Item QNIT / <br /> 1 Mtlnit9[m s stem is owcred on amt in a' Bret n mode <br /> 2. Mmu"IfIR 4yweoras not alarmso <br /> Alarmhiatory repmVlog forthe previous.,,%j is available,and been reviewed by the <br /> DesiguaLed USP Am"-"c BMs vvufluhle. <br /> 4 Each alarm forte reviu"mowh has ttsm so l , i <br /> S Sensors located inlaek-ta yaucnat.,krmedpas month. <br /> -58 - List all tont-top sumps wheeendorms arxrnrod M the purr <br /> NoIf:Unix-trrtradnw6ar oomnv$ taywpi8ahwuley,�w,tglua��erp daAw,rd <br /> p,ropxip addn•mn d.the courrafihe a/mw.Attwh&numemoUan wrafj9ng Y)(lHair mv.,-w thu mj w <br /> aur rn xenon h rr diced Vcard rrruln in neat <br /> UST&Y=hi1NS N_. <br /> 6 ant-top cantainmentsumpe�reGtegfwau;r,debr'44ad sub"but. ,Copaorsare locatedproperly. <br /> Nalt. Vines!em'xrtlnn✓ rum rr it only n• tared In.eum .r rvhor m alarm har r used in rhe Pan march a•a•ht.h three a na rrnriee scan d' <br /> Y N , M* Y N <br /> Sump Location: Sum L anon: y, x <br /> Lorartonr Sum <br /> t r-. <br /> S Lncmren: Sum <br /> T '1Acoataiatnentmocturaare-ffee ufwater,debns and bazardcu 4bitance. <br /> Tak.d-Contents: - Tank P 'ureses: - <br /> Tank 2-Cuntenls• ,';r - Tank 4 ontents: <br /> b Mader nsercoutaiumeatareasarefiee�ofwater,debris ted substance.Sertaora <br /> Y N INA i I Y N I ,NA <br /> is user 1/2 3LA19 <br /> Dispenser 3 14I) 11112 <br /> DLc ensu 5/6nlcpeng ldlll <br /> Dis arser 7/8 D 15/14 <br /> 77 <br /> P ?A?JKRWORKINSPLM 3N Y N -TU DATEDONE.. <br /> -9 Mositorin s stem certification has-been completed within pest 12 onihs. ., <br /> - t tieMs heveficcn tedvrithirrthti i imeliame. <br /> 14 Jeeatairmxnt atmcturc t textin was cam letedwithin t ast ear. v <br /> r 12 Tank Ushumsts wits withiate t}mefremc <br /> 13 lane ss testing W4S Jedwitbin timeframe. <br /> 0 14 Other required tes ' ew&&compk4cd wubinr K ell �, List trents hlow./ , <br /> TevIlMoinrenance. <br /> TesdMainienonce. <br /> T�em'dMal nienancc. <br /> a <br /> L+eftIIovAwgpM,wndTM NNA <br /> IS Allfacilit .c to ees hithinthe as1 an eeahovd--otrthe ' treimNote: Any answer of"N^ah�amtld Seaaplalned M the commee f IIowieg pM,and T Mssgrtre <br /> �foMaw ftp action. <br /> Pcge t of .September.2004 <br /> 50 "d --__ Wtl r0: b0 600L—£0—d35 <br />