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Underground Storage Tank Designated UST Operator Visual Inspection Report 9. UST SYSTEM INSPECTION List below and in Section 3 all containment sumps that have had a release detection alarm since the previous Designated UST Operator Inspection Report and have not been responded to by a qualified service technician. Containment sumps listed below require a visual inspection for damage, water, debris, hazardous substance, and proper sensor location. Is the containment sump free of damage, water, debris, and hazardous substances? Containment Sump ID Yes No Containment Sump ID Yes No ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ Are all sensors in visually inspected containment sumps located to detect a release at the earliest opportunity? ❑ ❑ Is the spill containment free of damage, water, debris, and hazardous substances? Is the fill pipe free of obstructions? Is fill cap securely on the fill pipe? Spill Containment ID Yes No Spill Containment ID Yes No T-1/ Diesel ® ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ Is the UDC free of damage, water, debris, and detect a release at the earliest opportunity? ® hazardous substances and all sensors located to No UDC(s) at this facility UDC ID Yes No UDC ID Yes No ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ Mechanical float mechanisms used in UDCs. All answers marked "No" must be described by the designated UST operator in Section 3. Page 3 of 10