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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 No Containment Sump ID Yes No <br /> ® ❑ ® ❑ <br /> ® ❑ ® ❑ <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 /> RUL ❑x ❑ ❑ rl <br /> PUL ❑x ❑ El ri <br /> Diesel ❑x ❑ ri ri <br /> ❑ ❑ r ri <br /> ❑ ❑ rl ❑ <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 No <br /> 1 & 2 © ❑ ® rl <br /> 3 & 4 ® ❑ © ri <br /> 5 & 6 F1 ❑ ri ri <br /> 7 & 8 © ❑ ❑ ❑ <br /> 9 & 10 © rl ® ri <br /> 11 & 12 ® ri ® ❑ <br /> © ® rl ❑ <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 />