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2701 West March Lane PR0231176 <br /> December 16, 2021 Program: UST <br /> PHOTO 6: Mechanical float mechanisms used in UDCs box not checked. <br /> e <br /> Underground Storage Tank <br /> v <br /> Designated UST Operator Visual Inspection Report <br /> STEM INSPECTION <br /> y s"rice the pre usDesignate/d UST Operator/nspecbon Report and have not been responded <br /> in pe vo <br /> a quafor d service technician. Containment sumps listed be/ow require a visual <br /> inspection for damage,water,debris,hazardous substance,and proper sensor location. <br /> /s the containment sump free of damage,water,debris,and hazardous substances? <br /> Containment Sump ID Yes No Containment Sump ID Yes No <br /> e ❑ ❑ ❑ ❑ <br /> Are all sensors in visually inspected containment sumps located to detect a release at ❑ ❑ <br /> the earliest opportunity? ❑ ❑ <br /> /s the spill containment free of tlamage,water tlebris,and hazardous substances?/s the fill pipe <br /> free of obstructions?is fill cap securely on the fill pipe? <br /> Spill Containment ID Yes No Spill Containment ID <br /> TI:Regular Yes No <br /> ❑ T3:Diesel ❑y ❑ <br /> T2:Premium 2 ❑ <br /> ❑ ❑ ❑ ❑ <br /> ❑ ❑ ❑ ❑ <br /> ❑ ❑ ❑ ❑ <br /> /s the UDC free of damage,water,debris,and hazardous substances and all sensors located to <br /> detect a release at the earliest opportunity? ❑ No UDC(s)at this facility <br /> UDC ID Yes No UDC ID <br /> Yes No <br /> Dispenser 01/02 9 ❑ ❑ ❑ <br /> Dispenser 03/04 0 L1 ❑ ❑ <br /> Dispenser05/06 Q ❑ <br /> Dispenser07/08 ❑y ❑ ❑ ❑ <br /> Dispenser 09/10 © ❑ la <br /> Dispenser 11/12 Q ❑ ❑ ❑ <br /> ❑ ❑ ❑ ❑ <br /> 0 Mechanical float mechanisms used in UDCs. <br /> All answers marked No"must be described by the designated UST operator in Section 3. <br /> Page 3 of 4 <br /> Lydia Baker, SR. REHS Page 6 of 6 <br />