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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 Yes No Containment Sump ID Yes No <br /> El r] ❑ In <br /> 0 0 In 0 <br /> Are all sensors in visually inspected containment sumps located to detect a release at r] 0 <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 Yes No Spill Containment ID Yes No <br /> C1 Diesel 0 ❑ 0 <br /> C2 Unleaded 0 ❑ El ❑ <br /> W01 Waste Oil 0 ❑ 97 In <br /> ❑ ❑ ® El <br /> ❑ ❑ ® El <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 Yes No UDC ID Yes No <br /> 1&2 F © ❑ 0 <br /> 3&4 F1 0 ri rl <br /> 0 M El ri <br /> 0 r <br /> © © M El <br /> R7 C M r <br /> © ❑ ® r] <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 />