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rt <br /> r'pop.- e Tank Ghon Rep° <br /> Stora9 spe a <br /> d In al rrr' d <br /> Undergr°�{or Vlsval detects°resp°nde <br /> ed <br /> UST <br /> Opera a had a rel a e not beer, I <br /> e5�gnat istj <br /> 5 that hall <br /> ort and h vire a cation <br /> eq <br /> TION tainment s rvpto pe°tjOn s listed bel ower Sens°r�° No <br /> TEM INSP g ae�LIST operator t sump and prop s Yes <br /> Zardous substance <br /> din SectjOnnat Containmes SUbstancea <br /> oW anV'ous p. technician hazard°U andm LIMF ID <br /> re ice debris, debris' ent 5 Q <br /> e,Water' WaterI Contain <br /> eP <br /> e tb palified se e, <br /> ag <br /> PYa , for da t free of dam Yes No <br /> i�pee�tion nine <br /> ill <br /> is t Sump ID 0 tect a release at ❑ <br /> Containment p ted to de <br /> � es? Is the fill pipe <br /> �ontalnment Sumps to s Substanc <br /> in and hazardou Yes No <br /> sensors in visually debris, <br /> Are all sen ortunity9 water, ettt ID m ❑ <br /> the earliest oPP ent free of damage, the fill pipe <br /> ontainm Securely Spill Contatnm <br /> Is the spill c 9 Is fill cap Yes No ❑ <br /> free of obstructs ent ID ❑ Diesel <br /> m T3 ❑ <br /> Spill Containm ❑ <br /> TI:Regular 0 ❑ ❑ <br /> T2:Premium ❑ ❑ ❑ <br /> ❑ ❑ <br /> dous substances and all sensors located to <br /> water, debris, and hazer <br /> Is the UDC free of damage, 9 No UDC(s) at this facility Yes NO <br /> detect a release at the earliest opportunity. ❑ <br /> Yes No UDC ID ❑ ❑ <br /> UDC ID <br /> El <br /> Dispenser 01 102 ❑ ❑ <br /> Dispenser 03104 m <br /> 4' Dispenser 05106 m ❑ ❑ ❑ <br /> hE <br /> I <br /> IF Dispenser 07108 m ❑ ❑ ❑ <br /> herr Dispenser 09110 7 ❑ ❑ <br /> Desi <br /> Dispenser 11112 m ❑ <br /> CER;Ident <br /> ❑ ❑ ❑ <br /> Stora <br /> fora ❑ Mechanical float mechanisms used in UDCs. ❑ <br /> All answers marked"No"must be described by the <br /> designated UST operator in Section 3. <br /> Page 3 'Of 4 <br />