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Facility Em to ee Trai ' gPa e 2 of 2 <br />All facility employees have received the required on-the-job training within th s, ,, X <br />All facility employees hired within the past 30 days have received the required on th7Jo g. <br />X <br />Monthly Inspection — r <br />N NA Date Done <br />Monitoring system certification (within past 12 months) �i�d�aFt�� 6-28-13 <br />Oki <br />Spill Bucket testing completed (within past 12 months) XT 6-28-13 <br />Leak Detector-mechanical/electronic for most sites (within past 12 months) X 6-28-13 <br />The above are usually done together on an annual basis for local regulator. <br />Line Tightness (usually upon construction or when no positive shutdown) <br />Tank Tightness (Usually only after construction or when using SIR) <br />Secondary containment (SB989) tests have been completed (usually every 3 years) x 1-13-09 <br />Other testing or maintenance completed as required. List them below: <br />Test/Maintenance: AQ Testing X 5-8-13 <br />Test/Maintenance: LEFT PRINT OUT ON SITE X <br />Test/Maintenance: <br />PRINTOUT INCLUDED Yes ® No ❑ NA ❑ <br />Comments: <br />Needs 989 testing asap <br />SITE HAD ALARMS ON ANN SPACE 7-13 13 HIGH LIQ DO TO DELIVERY. SITE WILL KEEP AN EYE ON DSL ANN <br />Print out attached <br />Items Requiring Follow-up Actions: <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 />109/99 <br />