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e <br /> UST OPERATOR MONTHLY INSPECTION ° <br /> , <br /> PAPERWORK HISTORY Y N N/A DATE <br /> 9 Monitoring system certification has been completed within the past 12 months. ® ❑ ❑ 10-31-2011 <br /> 10 Secondary containment tests have been completed within the past 36 months. ® ❑ ❑ 12-16-2011 <br /> 11 Spill containment buckets have been tested within the past 12 months. ® ❑ ❑ 10-31-2011 <br /> 12 Tank tightness testing was completed within the past 1.2 months ❑ 1 ❑ <br /> 13 Line tightness testing was completed within the past 12 months. ❑ El2214 Other required testing/maintenance was completed within the required timeframe. <br /> Test/Maintenance: ❑ ❑ ❑ <br /> Test/Maintenance: ❑ ❑ ❑ <br /> Test/Maintenance: ❑ ❑ ❑ <br /> FACILITY EMPLOYEE TRAINING Y N N/A <br /> 15 All facility employees have received the required on-the-job training within the past year. ® ❑ ❑ <br /> 16 All facility employees hired within the past 30 days have received the required on-the-job training. ® ❑ ❑ <br /> Note: Any answer of"N"should be explained in the comment section on the following page,and will require follow-up action. <br /> Co mems: O1/" �) _ ,3... I D_ <br /> '&'a }j4 <br /> •j 0;i... <br /> En i e <br /> n e. <br /> Items Requiring Follow-Up Action: <br /> ALARM PRINT OUTS <br /> T L 9 F <br /> P.O.BOX 401,W SACRAMENTO,CA 95691 (300)477-7266 <br />