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I1 <br />Underground Storage Tank <br />Designated UST Operator Visual Inspection Report <br />9. UST SYSTEM INSPECTION <br />List below and in Section 3 all containment sumps that have had a release detection alarm <br />since the previous Designated UST Operator inspection Report and have not been responded <br />to by a qualified service technician. Containment sumps listed below require a visual <br />Inspection for damage, water, debris, hazardous substance, and proper sensor location. <br />Is the containment sump free of damage, water, debris, and hazardous substances? <br />Containment Sump ID Yes <br />No <br />Containment Sump ID Yes <br />No <br />❑ <br />❑ <br />❑ <br />❑ <br />❑ <br />❑ <br />FAII sensors in visually inspected containment sumps located to detect a release at ❑❑ <br />rliest opportunity? <br />Is the spill containment free of damage, water, debris, and hazardous substances? Is the fill pipe <br />free of obstructions? Is till cap securely on the till pipe? <br />Spill Containment ID <br />Yes <br />No <br />Spill Containment ID <br />Yes <br />No <br />❑ <br />❑ <br />❑ <br />7'2-. 8 7 <br />C$" <br />❑ <br />❑ <br />❑ <br />TS -it <br />❑ <br />❑ <br />❑ <br />❑ <br />❑ <br />❑ <br />❑ <br />Is the UDC free of damage, water, debris, <br />detect a release at the earliest opportunity? <br />and <br />hazardous <br />❑ No <br />substances and all sensors located <br />UDC(s) at this facility <br />to <br />UDC ID <br />Yes <br />No I <br />UDC ID <br />Yes <br />No <br />/. ;k <br />❑ <br />❑ <br />❑ <br />3 it <br />❑ <br />p <br />❑ <br />6-: 410 <br />❑ <br />❑ <br />❑ <br />7.g <br />er <br />❑ <br />❑ <br />❑ <br />❑ <br />[]1 <br />❑ <br />❑ <br />❑ <br />Fij <br />❑ <br />❑ <br />❑ <br />❑ <br />1 ❑ <br />❑ <br />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 />