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Underground Storage Tank <br /> Des ig nated UST Operator Visual Inspection Report <br /> 9, UST STEAM INSPECTION <br /> List below and in Section 3 all containment sumps that have had a release defection-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, dab s, hazardous substance, and proper sensor loca Ho n. <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 /> _ ❑ ❑ ❑ ❑I <br /> Are all sensors in visually inspected conWnment sumps located to detect a reloese at ❑ ❑ <br /> the earliest opportunity? <br /> Is the spill containment tree of damage, water, debris, aria 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 Yves No <br /> B-20 0 0 Unleaded 871 E ❑ <br /> 13 ❑ ❑ ❑ ' <br /> ❑ ❑ ❑ ❑ <br /> ❑ ❑ ❑ ❑ <br /> ❑ 1 ❑ ❑ ❑ <br /> Is the UDC free of damage, grater, debris, and hazardous substances and all sensors located to <br /> detect a release at the earliest opportunity ❑ No UD (s) at this facility <br /> UDC ID lies No UDC ID Yes No <br /> Dispenser 112 � ❑ Dispenser 314 9 ❑ <br /> Dispenser 6/6 0 ❑ ❑ ❑ <br /> ❑ ❑ ❑ ❑ <br /> ❑ ❑ 0 ❑ <br /> ❑ ❑ ❑ ❑ <br /> C. ❑ ❑ ❑ <br /> ® Mechanical float mechanisms used in UD s. <br /> AIt answers marked "No"must be described by the designated US T operator rrr Section 3_ <br /> Page 3 of 4 <br />