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REC <br /> 54,pen -%ENED <br /> ser3/4 3U X Dispenser 21 x <br /> Dispenser 5,16Dispenser 22/21 <br /> Dispenser 718 Q4 X Dispenser 23122 X <br /> Dispenser 9 s FNT X Dispenser 24/23 <br /> Dispenser 11/12 X Dispenser 25/24 x <br /> Dispenser 13/14 X Dispenser 26,25 X <br /> Dispenser 15!16 X Dispenser 2726 Satellite X <br /> Dispenser 17!18 X Dispenser 27 x <br /> Faeility Employee Trainin Paae 2 of <br /> All facility employees have received the required on-the-job training within the past year. X <br /> All facility employees hired within the past 30 days have received the required on the job training. X <br /> Monthly Inspection Don <br /> -- <br /> Monitoring system.certification(within past 12 months) X Y N NA Date Date 1 E <br /> Spill Bucket testing completed(within past 12 months) X 5/26/1( <br /> Leak Detector-mechanical/electronic for most sites(within past 12 months) X 5/26/1( <br /> The above are usually done together on an annual basis for local regulalor. <br /> Line Tightness(usually upon construction or when no positive shutdown) X <br /> Tank Tightness(Usually only after construction or when using SIR) X <br /> Secondary containment(SB989)tests have been completed(usually every 3 years) X 8/26/1 e <br /> Other testing or mainlenance completed as required List them below: <br /> TesaMaintenance.A MD X 5/26/1( <br /> TesuNfaintenance: <br /> Test;''Maintenance: <br /> PRINTOUT INCLUDED Yes No L1 NA ❑ <br /> Comments:L-2 91 STP SUMP ALARMED 3 TIMES -SITE REMOVED WATER. <br /> L-3 DSL STP ALARMED 3 TIMES -SITE REMOVED WATER <br /> SITE DRY AND CLEAN AT THIS INSPECTION ALL SENSORS IN CORRECT POSITION <br /> TRAINED LINDA WHILE ON SITE AND UPDATED THE FOLDER. <br /> Items Requiring Follow-u Actions: <br /> g-d d£t:ZL L L SZ inf <br />