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a <br /> UST OPERATOR MONTHLY INSPECTION <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 'rank tightness testing was completed within the past 12 months ETJ 010 <br /> 13 Line tightness testing was completed within the past 12 months. 01010 1 <br /> 14 Other required testing/maintenance was completed within the required timeframe. <br /> Test/Maintenance: ❑ ❑ ❑ <br /> Test/Maintenance: <br /> -0- <br /> Test/Maintenance: ❑ <br /> FACILITY EMPLOYEE TRAINING Y N N/A <br /> E1615 All facility employees have received the required on-the-job training within the past year. ® ❑ ❑ <br /> 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 /> Comments: lov �/�(� t �t�� /�s (� /�•"'�� JJ� <br /> Y <br /> � n <br /> Items Requiring follow-Up Action: t,(�a1tJ1G(� <br /> ALARM PRINT OUTS <br /> T I. g F <br /> P.O.BOX 401,W SACRAMEN'T'O,CA 95691 (800)477-7266 <br />