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riguetedLJR&rgmi;id SWW T ak(USTYO;iemtor <br /> Manthty'lrisualinspectid iChecklist <br /> TacHi!X Name: 11 ate: 77,71,17.7-777, <br /> _15estirlistrod UST OperstEWConductin the Inspection; 740 <br /> 11 iration Date: .7 1,,'Y <br /> -SiRrature: "j,' on oF <br /> as <br /> ion�'tc .7 <br /> HISTORY <br /> e <br /> ALA HI <br /> 0,warm <br /> ''Wr V- <br /> VOCINY-Wis, A=Notiliwilemble <br /> `M(YNrraRTNG1PA4 /ALA N `11;7A <br /> is powered on andtaprilperj; 'CAI.Cde. <br /> Vo=Mo=,ng stem ,Vainu <br /> Monitoring system is not n 5 w al 0 <br /> cu a_tlV showinx any alarms Or wamin <br /> Alarm history report/tog For Ithe previous month is available,sad vixexisilied by the <br /> dedUSTOperazor. (Allachacoo,ii, <br /> Each f die alarm histort,re rt/lo g to this form available.) <br /> allrm lbrilve Previous month bas been responded to a, <br /> Sensors located mUnk4e—p -- - -— Er"IF <br /> P56- containment sum have not alarmed i the past month. <br /> Liftoff lank-top sumps where alarms occurred in the4wt m <br /> N",,edm 1hrtwo m""A most tK in rlr <br /> Jimpe"14,ailulfvftd,fair, np: ir,Mix mem. <br /> rl <br /> UST SYSTEM INSPECT N <br /> 6 k-top cumairrment sumps are free of water,debris,and hazardo substance. Sensors arelocated properly. <br /> mmuar /"mMjlps Whry an alum herb erred <br /> In she I intanh v which than h no rtrvnr re,wd. <br /> imp,Location: Sum L Orion; V N <br /> TIT <br /> Sum PL 71ion.. on. <br /> Stunt;Location: Sumn (ion: <br /> 7 S ill containment structures aze-imaf and <br /> _Tank I - Contents, <br /> —8 �Tn" "a 3" <br /> dc,­2o."n_..r',;nt*imncnt are"are free of Sensors are located <br /> Z>Ijpe;;;er 1-12 -L Y D Q/," Y I N I NA. <br /> Owens P114 L• lYs <br /> Dispenser 5/6 11 IJ2 T-7 <br /> Hi. enser 8 f 1,� 13114 <br /> "M <br /> 4"Affi�4NIROPICTIVII <br /> 1 4 —I <br /> Monitor mpleved withm-liairt i icha. j I Tq INA DAFOONE <br /> 10 Secondar leted�jilnni <br /> c M <br /> o"n <br /> 0 <br /> d <br /> CT <br /> '6 <br /> n,517r <br /> it <br /> 12 an c <br /> A S ill containment$I Otte"selitift T1,7 <br /> Wait ileted withm <br /> Tank ti htncss jest, <br /> at h d f <br /> 13 Line testi co tPlet—ed wi1bin=4u=d4mcfrS1nC. <br /> d t <br /> at <br /> 14 Other aired ­Mpielcd within required _(Lisf, <br /> T IM Irtrithimimenairre items below.) <br /> ,W <br /> IN TCSIIMAjnternance( <br /> T IW <br /> estImal"Ienalice. <br /> 71 <br /> aired <br /> 01_the 7 <br /> sci ces have received the re d �.,b irsin n ithnithe ast <br /> 16 Al facility employ" h within the Pat rail ling. I <br /> Pa 1 <br /> ,A101te. Any answer of"N"&bomW 4N+%Pkifted in At tommem! section-oTI Che fbllowlng Paige, and will require <br /> foltow-up action. <br /> :Page i of 2 Sep=iber 2944 <br /> WH 1-0: t`0 6002-20-J3S <br />