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Facgity EmPloyft Tndning P 2 of 2 <br /> All fact'lity employees have mmvod the required on-the-job training within the pat year. <br /> X <br /> All ftcfl*emPloyees hired within the punt 30 dtys have received the req wW on the job training. X <br /> Monthly Inspection <br /> 'Y N NA, Acme Daae <br /> Monitoring sy,%WM cortification(within past 12 maonft) <br /> Spill Bncl*testing completed(within past 12 months) X 4/21/17 <br /> X 421/17 <br /> 1..eek Detector-n"bAMiC9 VeleCtr0nk for most sites(within past 12 months) X 4/21/17 <br /> The above are usually done together on m ovmd ba$&for local regulatar. <br /> line Tightness(usually uta consbuction or when no positive shutdown) X <br /> Tank Tightness(Usually only a*=cowftction or whm using SIR) <br /> Secondary containment(SB989)testa have been completed(usually every 3 years) X 2-12-15 <br /> Other resting or mamenmwe coWle td w required Gist than below: <br /> Tesr/Mtaiaataaance:AQ Twdng X 4-5-17 <br /> Test/Maioatenance: <br /> Test/Maimte�ace: <br /> PRtM <br /> XJT INCLUDED Yes No U NA Lj <br /> Comments: NO ALARMS S1 lb CIBAN AND DRY AT TiME OP MpF.CnON ---RECEIVED <br /> TRAINING GOOD <br /> OCT I <br /> PERMIT SERVICES <br /> items N Follow-up Actions: <br /> Monthly inspection must be conducted by an ICC Licensed Desi <br /> gnated Operatm. <br /> A copy of this cbocklist must be provided to UST owner or operator,but not to State Water Resources. <br /> Designator Operator must alert the UST owner or operator of any condition discovered during the monthly <br /> inspection that may require that may require follow-up action. <br /> UST owner or operator must maintain a copy of this monthly inspection and any attachments for the previous <br /> 12 months.Records must be Maintained on-site or,if approved by the local agency,off-site at a readily <br /> available location. <br /> 99/79 <br />