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UST OPERATOR MONTHLY INSPECTION ' r <br /> PAPERWORK HISTORY Y N I 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 12 months ❑ ❑ <br /> 13 Line tightness testing was completed within the past 12 months. ❑ El <br /> Other required testing/maintenance was completed within the required timeframe. <br /> Test/Maintenance: ❑ ❑ ❑ <br /> Test/Maintenance: ❑ ❑ ❑ <br /> Test/Maintenance: ❑ ❑ IL❑ <br /> FACILITY EMPLOYEE TRAINING Y 70M <br /> 15 All facility employees have received the required on-the-job training within the past year. ®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 /> JAA <br /> P�yy <br /> E .w 7 .,,. aui�`, lye�,� <br /> .u.,..ito t <br /> a—a�.edR <br /> e. .. + . <br /> Items Requiring Follow-Up Action: �Jfrr-`C_ , c_l <br /> ALARM PRINT OUTS <br /> T L <br /> g F <br /> P.O.BOX 401,W SACRAMENTO,CA 95691 <br /> (300)477-7266 <br />