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a <br /> UST OPERATOR MONTHLYINSPECTION <br /> PAPERWORK HISTORY Y jN N/A DATE <br /> 9 Monitoring system certification has been completed within the past 12 months. ❑ ❑ 10-31-13 <br /> 10 Secondary containment tests have been completed within the past 36 months. 10-16-11 <br /> 11 Spill containment buckets have been tested within the past 12 months. 10-31-12 <br /> 12 Tank tightness testing was completed within the past 12 months ❑ <br /> 13 Line tightness testing was completed within the past 12 months. <br /> 14 Source test completed within the last 12 months. <br /> 15 Other required testing/maintenance was completed within the required timeframe. <br /> Test/Maintenancc: <br /> Test/Maintenance: <br /> FACILITY EMPLOYEE TRAINING Y N N/A <br /> 16 All facility employees have received the required on-the-job training within the past year. ❑ ❑ <br /> 17 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: <br /> y <br /> y/ `^ <br /> Items Requiring Follow-Up Action: <br /> ALARM PRINT OUTS <br /> T L g F <br /> 6 5-9 <br /> P.O.BOX 401,W SACRAMENTO,CA 95691 <br /> (800)477-7266 <br />