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Faeft Employee Trainin Pa e 2 of 2 <br /> All facility employees have received the required on-the-job ftmiuning within the past year. X <br /> All facility employees hired within the past 30 days have received the required on the job traiming. X <br /> MOn I[ns 1b100-� <br /> Y N NA Date Done <br /> Monitoring system certification(within past 12 months) X 12-13-16 <br /> Spill Bucket testing completed(within past 12 months) X .AST <br /> Leak Detector-mechamicaVelectronic for most sites(within past 12 ma(mths) X 12-13-16 <br /> The above are usually done together on an annual basis for Iocal regulator. <br /> Line Tightness(usually upon construction or when no positive shutdown) X <br /> Tank Tightness(Usually only alter construction or when using SIR) X <br /> Secondary containment(SR999)tests have been completed(usually every 3 years) X AST <br /> Other testing or maintenance completed as required.List them below: <br /> Test/Maintenance:AQM D X, 8-29-16 <br /> TestiMaintenance: <br /> Test/Maintenance: <br /> PRINTOUT INCLUDED: Yes 10 No ❑ NAD PRINTOUT UUT ON SITE: BI.VAER UP TO DATE: <br /> Comments:SITE HAD ALARM ON JANUARY 7'm IN L5 TRAN SUMP RAJN WATER CLEANED OUT. <br /> ALL DRY NOW. <br /> items Regafiing Follow-HR Actions:NIA <br /> Monthly inspection must be conducted by an ICC licensed Designated Operator. <br /> A copy of this checklist 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 />