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,Desig ed Undewmnd Storage <UST}Operator <br /> Monthly Visual inspecti >✓heddi <br /> litName: Gc <br /> Facility Address: <br /> Deahtnated-U-S-T—Operajor Conducting the inspect <br /> ton: <br /> InWrastianatCode Council Certification p: .-r,-: %r tration Date: P 'i'slina <br /> tore: one: r <br /> - 7+Yw,N=No NA-NotA Scsblc <br /> rMONITORING PANEL I ALA HISTORY V, N NA <br /> Monitoring s stem ie end.ia nada. <br /> gs stem is not currentlyshowingan alarms or warni <br /> story report/log for the previmts-mpnth�available and. s been-reviewed by the <br /> d'UST O razor. Anachoco oJthe alarn hlsror y re rl/la m thir orm i avmlah/e.m Tor the revious month hes been re Ad ocated in tank-co containment sum s hevc not alarmed i the est month. <br /> Llsl a)I rank-lop.rumps where alarms acctu'red lnAe maw <br /> Nal".ianyu where an alarm hm mLvned In Ihrjrlxumlh mmibc uukarayady4rJrervJce leclmician reyxmdrd lo.curl <br /> " 1Hoprr(raddrersed rhe.wure n/,he olorai.,Inwh daarmrnranrm rr iJrirryy o ,ttyHimr renicr m rhb"/wn, <br /> !rr/ imp,,lion 1,W ,ieeyrdtrrvfRm nem e,brh,w. . . .. <br /> ...ter..• ,.:..,.., .: ,: ,:, ,.. ::.,,. -;,<. , <br /> UST SYSTEM INSPEC ON <br /> srtk-tap co11fli1tment sumps are rrec of water debris,and hazardo sLbslaace. Scasors are located properly. <br /> Nola: Viwol 9hm n'Ir nrJruhrJin.mrn r whcvr an afavn hm r 'urreJ ur rhr •/manlh nr narlch/Mn Ir mr rm•ite <br /> Sum Location: V blG'hJ: <br /> v buy Sum L talion: <br /> Sum Location: Sa L mien: <br /> Sum Location. �s ' <br /> 7 S ill containment strstcturesaae OrAVNcs,debris Ste ' L canon. <br /> ante. <br /> Y Nf1 <br /> Tank 1 -Conte»rs: Y N NA <br /> Tank 3 anrerm: <br /> Tank 2-Contents: 7tmk4 Gr.rrenrs: <br /> 8 Uoder dis nser containment areas are Leeol�yater,- am} yybsrance.-Sensorsne 110mcd cri <br /> Y. -PI -tA1A N N>• <br /> is .ser 1/2 i.. Y•411-0 <.., <br /> Dif enser J/! L. 11613 1_.,. <br /> DIS enser5/6 D" 1_tll4 <br /> Dir ser 7fS Dl 15:/4-6 <br /> q ilewortxffvsP> cTroN V N NA DATE DONE <br /> oerttf+cattonhasbern letedwithin an 12 omhs, I c_, <br /> 10 Scc containment tes[ehave been ' the ui timeflaine. <br /> J ill containm nLptucJare test was ca within t ast ear. <br /> 12 Tank ti Incas test was tedwaWas tintefiahic- <br /> J3 ne it hin sa was compk4cd w"%+Sw [4 n.- <br /> 14 Otherten maintcnsnce <br /> TesdMainrenace: was within re L7rttrrNmainrenanceitems below.) <br /> Test/Maintenance: <br /> Tcv/Malntenance: <br /> fACiLfTY EMPLOYEE-MAIY..:.., <br /> em to eeS Ixwe V0Civedthc re - fired on-1 <br /> red tramin ilhin the at ear. N <br /> 16 All Tac' a em to ahised-wituin them] 30 da a trm recervcd 1h re uired on-the•ub trainin . - <br /> Note: Any answer of"N".aawybeexp%inedTMtfie commeni secilon o the fo lowing page, and will require <br /> follow-up action. <br /> �Ey{cJ sil'2 <br /> September Zttb4 <br /> 0[ 'd W" b0: 40 600Z—£0—d3S <br />