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UNDERGROUNI)STORAGETANK <br /> DESIGNATED UST OPFAATOR MONTEIIX MPFCHON <br /> F A _ y3� s°3s� city: :5of T - ,q) X ea mss' <br /> _ don a y 7 - cJ <br /> FSi <br /> ruA= <br /> now m t=P I RY Y Na A <br /> 1. is the mon' on and in prow mOdO? <br /> 2. is the nxo leak ? <br /> 3- Is the revrevewed by ft <br /> UST 14t#rrch a to then <br /> 4_ Inas each alam for the <br /> U5T sysrEm m <br /> 5. Are -tap coatdnm=stw4m fiec of waW, su ? Abit,j gv mawr to Awn 4 um'74 <br /> "HA"Shp to Imm 6 SMW Whem tw ahm ho OCCWTed bt d w be bqwcmd ifa <br /> tl�s 6e ro digs <br /> Yes No Yes No <br /> SUMP v i <br /> Sump Lmation: p'JSUMP <br /> 6. Acs buckets LcMtsinat tri of ? <br /> Yes No NIA Y '` <br /> Tank I ID— Ft ca/ T 3 ID— <br /> 21D— j- ea T $ID- <br /> 7_ Are conudiumint areas free of pdebMand hamdous subslanCd? <br /> Yes No m!A Y A <br /> D' —lf2 D' <br /> D' —3/4 T= D' --11/12 <br /> Di —5/6 D' —13/14 <br /> D° —7/8 Di —15116 <br /> B. Leak detection is property located - d- eat• <br /> Yea I No N/A I <br /> , <br /> Dispenser—1t. -9n0 TF <br /> —3/4 —I I/12 <br /> • ser_5/6 D' —13/14 <br /> 7/9 —15/16 <br /> _ . r <br /> P Yes we IN& <br /> 9. Monitor' 12 ? / <br /> 1tf_ ? <br /> 11. W bucket{ 12 mooWt <br /> 12- T ? 0 El <br /> 13. Lim tkhtnm lesting completed wiffiin dw thm fmw? <br /> U. Offimraphydm ' <br /> T ce:ST27 and ST34 <br /> T <br /> FACELM ENNWYEE TRAUGNG I Y A <br /> I li L <br /> I tilit u I <br /> itS. Hzm X11 <br /> 17. ell ? <br /> NoW-. Explain any-W answers in&c"COSIUMORW on do fbHowing <br /> 4fie 1X+.71 <br /> 119 2017 <br /> Vlhuoviv,L�i�j � b m �E LTH <br />