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1 � <br /> Underground Storage Tank <br /> Designated UST Operator Visual Inspection Report <br /> 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 sum free of damage, water, debris, and hazardous substances? <br /> ,- <br /> Containment <br /> Yes No <br /> Containment Sump ID p Yes No Containment Sump ID <br /> ❑ ❑ ❑ ❑ <br /> ❑ ❑ ❑ ❑ <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 damage, water, debris, and hazardous substances? Is the fill pipe <br /> free of obstructions? Is fill cap securely on the fill pipe? <br /> Spill Containment ID Yes :No Spill Containment ID Yes N <br /> DIESEL W ❑ ❑ <br /> ❑ ❑ ❑ c <br /> ed a _ ❑ ❑ ❑ [ <br />'ered, ❑ 0 ❑ <br /> ❑ ❑ ❑ <br /> Is 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 Yes <br /> NA ° <br /> El El <br /> ❑ ❑ ❑ <br /> ❑ ❑ <br />�A ❑ ❑ <br /> ° ° ❑ <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 <br />