Laserfiche WebLink
• <br />L:7 <br />Monthly Inspection - Page 2 of 2 <br />PAPERWORK INPECTION Y N NA Date Done <br />Monitoring s stem certification (within past 12 months) <br />Si)ill Bucket testing completed (within Dast 12 months <br />Leak Dejggtar-mQcfianical/elcctrQnic f most ailgs.kwit bi-n nast 12 mont-hs.) X 7— t <br />The above are usually done together on an annual basis for local regulator: <br />Line Ti fitness (usual( upon construction or when no positive shutdown) <br />AQ <br />Tank Tightness (usually only after construction or when using SIR) <br />-,:-ondM containment (SB989) tests have been compl6ted suall <br />y every 3_yrs >C <br />(je testing or maintenance completed as required. Last --th—em--below: <br />Test/Maintenance: <br />Test/Maintenance: <br />'cst/Maintenance: <br />Crmments: <br />Items Requiring Follow-up Actions: <br />Monthly inspection must be conducted by an ICC licensed Designated Operator. <br />A copy of this checklist must be provided to UST owner or operator, but not to State Water Resources. <br />Designated Operator must alert the UST owner or operator of any condition discovered during the <br />-mon0y inspection. -that may require follow-up actionr--,-' <br />UST owner or operator must maintain a copy of this m onihly inspection and any attachments for the <br />previous 12 months. Records must be maintained on-site! or, if approved by the local agency, off-site at <br />a readily available location. <br />