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Underground Storage Tank <br /> Designated UST Operator Visual Inspection Report <br /> b <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 0 <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 Yes No Containment Sump ID Yes No <br /> EE <br /> 871 P [:11:1 El❑ ❑ El E] CD <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 Containm"ID - <br /> Y; <br /> No Spill Containment ID Yes No <br /> ❑ 91 C4 ❑ <br /> ❑ ❑ ❑❑ ❑ a U❑ ❑ ❑ <br /> is the UDC free of damage, water, debris, and hazardous substances and all sensors located to <br /> detect a re/ease at the earliest opportunity? ❑ No UDC(s) at this facility <br /> UDC ID Yes No UDC 1Db <br /> Yes No <br /> 1-2 ❑ 3-4 ❑ <br /> 5-6 ❑ 7-8 ❑ <br /> 9-10 ❑ ❑ ❑ `„ 1� 17� <br /> ❑ ❑ <br /> ❑ ElQ � <br /> ❑ ❑ <br /> ❑ ❑ ' <br /> El <br /> ❑ ❑Mechanical float mechanisms used in UDCs. El <br /> All answers marked "No"must be described bdesignated <br /> y the UST operator in Section 3. <br /> Page 3 of 4 <br />