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Designated Underground Storage Tank(UST)Operator I pcsignalled Undergroutel Storage Tank (LIST)Operator
<br /> Monthly Visual Inspection Chet tilt Monthly Visual Inspection Checklist
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<br /> ,uusl VITOperator Conducua the Insevenes,Mal nd0(wNewd CenrnvIt a; I I 1 �i lhrtt: ' I 112
<br /> - •si rated 1 ore rarer Condemn the lee pion: I '-/ ,,l
<br /> emetronalCMe C'nuncil Cerliacatian p: , < Ex irarion Detc. I 2/ 2
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<br /> +u rFiinnnr. r+1ll sl fir+i ni1inµl' Y N NA AfONtTORINC PANEL./ALARM IIISTORy V N NA
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<br /> dnnitaing sY�v, ;�^' - - -�- r' Mnnuonn s smm is nwcrcd on andira m cro corrin mode. t
<br /> llarm hisrogrcp�.. - -.�.been reviewed by the
<br /> Monimrin s stem is not currentlyallowing say alnnne or weenie s.
<br /> seslgaelal UST nl. ,.n./n m this fetle,i a"olthlr) Alarm history ref ort/log for the previous nwnrh is available,and has been reviewed by the
<br /> ach alma torrr - m i Desi natcd UST Operator Atiach aro r-fib,.1ihistarV re orr110 hr this aravailable. �-
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<br /> same laced"I �n. -i -. i.���ht ase month. V- Eechalarmfor IM1e previous monthhasbeen responded toappropriately.
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<br /> Sensors located in tank-m containment sumpshave not alarmed in the est month.
<br /> / � � '" � ;) - {�/iezo/1/i ?tom./ !�!A/ter_.. - LNr afttank-top.rnmps where nlnrms nr•curred in rbc parr month:
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<br /> r A.,,, .,rn.rm+,+„r n,ra...r...I ,Yeesell wherilila.m4acmwndin rtrepnastrath mart be arrpsoazdvnlaera 9udoedre,,ke krAniCm mpvwd¢dso and
<br /> ,.eh mm b h - --_ propnn "ens/shermoeofrheatam,.Anm.h documearaven+vrhing�prupraae servierro MixrTort
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<br /> LIST SYSIF\I 1N>Ill l IION iasis w
<br /> d .,p anntainmem sumps art tree of water debt,, 6:vmdous suhsrunee. Sensor are Iceetedproperly. UST SYSTEM INSPECTION
<br /> nwdr k„der . .,„A rrvdin eu ,aha.rrunnvl in rhe vvr mxuh nuhrh eam¢proper, ran,rd fanbtop containment sumps arc free 0(water,debris,and hazardous substance. Sencnrs are located properly.
<br /> Y N Y N lsoadaim where w alarm hie ecnnrerlin rhe IN,er oif..w4kh,hrre a se,lervar record
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<br /> "P l-mrarion. Starr,Lacafi F;imp Location- Sum Location-
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<br /> II containment swcmrcs arc free ofel debris,sold haz nl usubstance. :aEsc:os's r.L.crttT. Sum Location:
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<br /> 11 ANNULAR SantooLocarii Sum Location: , ,a i:.
<br /> Y I N I NA ouULAR "FACE Spill containment struemrcs are free of water debris and hazardous substance.
<br /> kt-Cdnrentc Tnnk.7-Cumm�r.c Lout29. ID ALARM
<br /> Au; .:9. 2D11 11:29 Nr+ Y I N I NA I Y N NA
<br /> �k?-Confmtrr - / Tnnk 4-CnmrnR¢ Task 1-Contents:
<br /> Ic"is cnscrconlutnment ares are frccofwnrer debris endhazardoas.ubstance Sm HIGH LIQUID ALARM
<br /> Tank 3-Canrenzr:
<br /> ALM; 29. 2011 1 1 129 Al” nk Ta2-Camenrv: - ✓ Tank 4--Cuntenze
<br /> 1 N NA Under-dis nser containment areas are free oftener,debris,and hazardous substance. Sensors are located Droverlil.�
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<br /> /Xvisenw, 9/10 LO LIQUID ALARM
<br /> +reser d/t ✓ plc+rns,v l(/l1 AUG 29. 2011 11:23 AM V N I NA I Y I N I NA
<br /> Dir enter 112 Dis enser 9/10
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<br /> PAI Elt\AORK INSPECTION -Y I pi en,.,' F
<br /> rr fine certification hn 1 :nL 1 dwithin as 12 months. n,n !i In
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<br /> anI tests hair b"ti 11 I s olein the required timet'nunc. PAPERWORK INSPEC IION Y N NA D:1'IE DONE
<br /> Moaitonn s stem certificalimt has been cum feted within ast 12 months. r
<br /> NUur.IhucAcn rsma.c 11 iaA,vilhin the fist veer - Secandary wnwinment texts hove been cum Ictede in the rc tiered timefmmc,
<br /> a so-rontplI 1,rnh.. pir.d luurlmnc,. OTHER
<br /> w•+. cam it I unhw...p vcd hn,cln+me. S ill c�"inment 61rUCmre bucket Icstin,was eons IeteA within the fist ear C• /
<br /> iiewcnanc_.,as ,n,pirlyd,+idrin rc,uired t inmfrmne. (Lixrresbms TarAt essicsin wescom Ieted aiihin re uirod --me.
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<br /> Lore tl - gtestin Bascom Ieled wehin re uired timeframe.
<br /> Ot Lectin 4ntimenance war nom iletal 11 flint required timeframe Lis,terr;mainrenanee items hell
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