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r <br /> Shirley Environmental Testing, Corp. <br /> 1 omments: 1 C� r n 1 :Z -r,.: :,V< ri -� <br /> tt - Ue- I t.. <br /> }f i /C <br /> l� 1 G,l�..i�+1b5 l l l� % fzi � L ICE'14I L U t S 4 v� <br /> .rte T CL c ,.j TL A` -j <br /> -i l f/L rel 11?A 1A,,1,vt;:. <br /> it)T <br /> _ SI <br /> $ . <br /> Items Requiring Follow-Up Actions: *'- / 2 A S <br /> Instructions: <br /> Monthly visual inspection of the UST system must be conducted by a Desi � <br /> grated UST Operator,who <br /> possesses a current"California UST System Operator"certification issued by the International Code <br /> Council. <br /> A copy of this monthly visual inspection checklist must be provided to the UST Owner or Operator, but <br /> not to the State Water Resources Control Board. <br /> The Designated UST Operator must alert the UST Owner or Operator of any condition discovered during <br /> the monthly visual inspection that may require follow-up actions. <br /> The UST Owner or Operator must maintain a copy of this monthly visual inspection checklist and all <br /> attachments for the previous 12 months. The records must be maintained on-site or, if approved by the <br /> local agency,off-site at a readily available location. <br /> Shirley EuvimnffienW Testing Corporation <br /> 9595 Lucas Ranch Road,Suite 4100,Rancbo Cucamonga,CA 91730 <br /> 800-533-4030 <br />