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APPenStorage I°' eCtlo[ , <br /> derground Vis <br /> Ual lnsp <br /> Un Operator 10/5/23 <br /> T pate <br /> pes►9na{ed US InSPe�tion <br /> I�Fol TION <br /> e Tank � <br /> �•��� round <br /> gtorag Inspection Repo <br /> Under erator Visual <br /> Designated UST op i <br /> ve had a release detection alarm <br /> CTION en responded <br /> s that ha have not b <br /> T SYSTEM INSPE a ort and vire a visual <br /> Pe Inspection R p <br /> t below and in Section 3 e UST Op ent sum s listed below req cation. <br /> ince the previous Designated ent sump proper sensor to <br /> to by a qualified service technician. <br /> Containm and prop <br /> e water, debris,hazardous substance, <br /> inspection for damage, age, water, debris, and hazardous substances? Yes No <br /> ' p free of dam g <br /> Is the containment sump yes No Containment Sump ❑ ❑ <br /> Containment Sump ID ❑ ❑ <br /> Are all sensors in visually inspected containment sumps located to detect a release at ❑ ❑ <br /> the earliest opportunity? <br /> Is 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 No <br /> T1:Regular 0 ❑ T3:Diesel ❑✓ ❑ <br /> T2:Premium © ❑ ❑ ❑ <br /> Is the UDC free of damage, water, debris, and hazardous substances and all ❑ ❑ <br /> detect a release at the earliest o <br /> UDC ID pportunity? ❑ No UDC(s) sensors located to 1 <br /> ( ) at this facility <br /> Yes No UDC ID <br /> Dispenser Ot/02 <br /> Dispenser 03/04 0 ❑ Yes No <br /> of 4 ❑ ❑ <br /> Dispenser 05/06 2 ❑ <br /> Dispenser 07/08 ❑ ❑ ❑ <br /> Dispenser 0g/10 0 ❑ ❑ <br /> Dispenser 11/12 © ❑ <br /> a ❑ ❑ ❑ <br /> 0 Mechanical float Mechanisms <br /> CJ C] ❑ ❑ <br /> hanisms used in UDC,,. ❑ <br /> All answers ❑ <br /> marked"No„must be d ❑ <br /> escribed <br /> by the designated US <br /> T o'°erafor in SeCtip <br /> n3 <br />