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Underground Storage Tank <br /> Designated UST Operator Visual Inspection Report <br /> . UST SYSTEM 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, debris, hazardous substance, and proper sensor location. <br /> Is the containment sump free of damage. water, debris, and hazardous substances? <br /> Containment Sump ID lies No Containment Sump ID Yes No <br /> 17 ❑ E E I <br /> Are all sensors in visually inspected containment sumps located to detect a relear>e at � <br /> the earliest opportUllit <br /> Is the spill containment free of da ra e, grater: 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 J .Na Spill Containment ID lies N o <br /> RUL 7�-(1 ❑ ❑ 0 <br /> PUL ❑ -- I <br /> –ffj <br /> Diesel ❑ M <br /> ❑ ❑ R7 M <br /> ❑ i ❑ <br /> Is the UDC free of damage, grater, debris, and hazardous substances arra all sensors located to <br /> detect a release at the earliest opportunity? El No D (s) t this facility <br /> UDC- I -- — Yes No UDC ID Ye o <br /> 1 & 2 ❑ <br /> 34 0 El- - rl <br /> 5 & 6 M ❑ <br /> 7 & 8 0 ❑ ❑ ❑ <br /> .,7 <br /> x i ❑ In El <br /> 4 <br /> 11 & 12 r ❑ <br /> 77 r <br /> ❑ Illleohanioai float mechanisms used in UD s. <br /> All answers marked "No must be described by the designated UST operator in Section 3. <br /> Page 3 of 4 <br />