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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 riot been responder) <br /> to by a qualified service technician. Containment sumps llsted 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 /> ❑ 01 ❑ ❑ <br /> Are all sensors in visually inspected containment sumps located to detect a release at F11T131 <br /> the earliest opportunity? <br /> Is the spill containment free of damage, wvater, debris, and hazardous substances? is the fill pipe <br /> free of obstructions? is fill cap securely on the fill pipet <br /> Spill Containment ID Yes No Spill Containment ID Yes No <br /> Spill Bucket-87 0 ❑ ❑ ❑ <br /> Spill Bucket-91 0 ❑ ❑ ❑ <br /> ❑ ❑ ❑ ❑ <br /> ❑ ❑ ❑ ❑ <br /> ❑ 1 ❑ ❑ ❑ <br /> Is the UD C 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 /> Dispenser-1/2 ❑ ❑ ❑ <br /> Dispenser-3/4 ❑ ❑ ❑ <br /> Dispenser-5/6 0 ❑ ❑ ❑ <br /> Dispenser-7/8 0 ❑ ❑ ! ❑ <br /> ❑ ❑ ❑ ! ❑ <br /> ❑ ❑ ❑ ❑ <br /> ❑ ❑ ❑ ❑ <br /> ❑ Mechanical float niechanGsms used in UD s. _ J <br /> Ail answers marked "No"must be described by the designated US T operator in Section 3. <br /> Page 3 of 4 <br /> 7-11 -41341 -09/06/2024 <br />