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" Designated''UnclergiroundStorne Tank(UST) Operator <br /> 1y1onth1y VISUd'inspection ChecWi t, . <br /> I+aalli .Nam®: <br /> Faofl Address; 2" v <br /> Cd Vo C6do' z <br /> Aesi at T p f G ducti � n eetlon: <br /> xntarnatl a!Coda C c! i 4 r EX tion atw / <br /> Si a ••,., Phone � <J <br /> R Yes N-No NA w Not A liable <br /> Item M®N%P' MAN PANEL(ALARM MSTOAY Y •N NA <br /> I Monitorin , stem is w on tela r er ttn mode, 150 <br /> 2 Monitoringsystem is not cturen howin l or Warnings. <br /> 3 Alarm history report/log for the pre-'o month isavaiiable,and has been reviewed by the <br /> Desi ated UST'O orator. �1 aril a co o the aid htato 'r ort/!o to this ort;r'l avallubl�, <br /> d Each alarm for the rovlous month has herb res nded to to riatel . <br /> S Sensors located inUnk-to contairitt�lont sM 3 hu mnot alarmedfr►the ast month. <br /> Sa - List all tank- - sumps tvl a alarms oecurredln the past month. <br /> Note:&mus where an a/arne lrae oQcurred tnYEse peal mahth mwt Ee fnspeotgd reelass a gua!(/Iad servtee technician responded la,and <br /> properly addressed the caW,gfthe alarm.NNaeh doawmentatlan wro,11 g appropriate seiv/ee to this report. <br /> a / ion is re WIrEd,rocordtvrsulta ln./tem d,belotr. , <br /> SYSTEM IN PECTIOiN <br /> 6• Wank-top confifl men. sumps'm'free•df WaTO,debris,and hazardous substance.'Sensors are located properly, <br /> Yo : Nrtlal l salon sum s'@­&r#qv1redqn;smxm where an alarm has oema"d in the eatt otdnth or which there O eservles reeoro: <br /> Y• • •N ; N <br /> S Locatlon: Sum �ocrztlon: <br /> um GdCatlon; to 40cat/on: <br /> Sum tocatlon: Sum loaattarr: <br /> 7 _ ' . Qnia <br /> ''&eat,�+�atdr:delrrd jt bit '�:,• . ... •..:__ -:.. ..... <br /> Y I.X I-NA-1 VTF N NA <br /> Tank l --Contents: I Tank 1-7_co <br /> Tank 2-_ConteMts' T4nk,4-Contents: <br /> $ 1 Under-dis enser eontai eh t ai°eas are a"cf vPatd ' ebr and hazardous substance. Sensors.aro too ted provotly. <br /> • . Y', N 'PYA Y NFT NA <br /> Lits ellser 1 ,= Dispenser 9/10 <br /> b!s &roar 3 4 Dbs enser 11/'12 <br /> D s /6 M enser 13/14 <br /> .Drs ens /$ •�d.,• D eraser, S./16 • <br /> • PAPE WO1RK INSPECTION. Y ' N NA DATE.D•QNE <br /> 9 Monitorin s stern certifioa io eeepo' letedrorithin ',est 12 months, Z,_/._ <br /> 10 1 Scoondxy containment teats have'bggn.c2 letdd withid the r, u red timeframe. <br /> I T I Spill cnntuinment sMrctura a ,fig ',*Ag cc feted within-the past year. -4 <br /> 12 ankti htnesstesti» oom i od•within ' u'iedtlmefranta �- <br /> 13' Line t Mness testin ,was c m 064 with 'i a uire• timeMme, ---. <br /> 14 Other re uIred teatin mai tel9anco Was ed timaitatne. List testlrnalnterrrace iterm below. <br /> Tesl/Malntenance:' G <br /> 3. 13 <br /> Tgst/ht'alntenance: <br /> TesdMalnterianae: ' <br /> AGILITY EMPLO WING Y N NA <br /> A <br /> 13 ll facili em to e$ .,. rico ot't-th ' obtrafnln within the east oar, <br /> 16: <br /> Allboil em lb ees,hired within the est 30 dayshave receifed the re iced on-the-ob training. <br /> Note: Any answer of"N"should be ekplained in the Comment aeOfoh on the following page,and will re Ire <br /> follow-up action. <br /> '•" :''�''Pnge i of 2 November 2004 <br /> 6Zd WdtiZ:2O S00Z Z0 '0aQ OVSZ ZZ2 9T6: 'ON XUA B3NUN31N I UW NO I1d1Sd0I r)d3S'Z'g: WONA <br />