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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 <br />Yes <br />No <br />Containment Sump ID <br />Yes <br />No <br />© <br />❑ <br />© <br />❑ <br />© <br />❑ <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 <br />Yes <br />No <br />Spill Containment ID <br />Yes <br />No <br />❑ <br />❑ <br />❑ <br />❑ <br />❑ <br />❑ <br />❑ <br />❑ <br />❑ <br />❑ <br />❑ <br />❑ <br />© <br />❑ <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 <br />Yes <br />No <br />UDC ID <br />Yes <br />No <br />© <br />❑ <br />©❑ <br />❑ <br />❑ <br />F71 <br />El <br />n <br />[Cl <br />©c <br />© <br />❑ <br />El <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 />