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Facili 2 of 2,y Employee ie <br /> All facility employees have received the required on-the-job training within the past year. X <br /> All facility employees hired within the past 30 days have received the required on the job training. X <br /> Monthly Inspection— <br /> Y N NA Date Done <br /> Monitoring system certification(within past 12 months) X 12-18-15 <br /> Spill Bucket testing completed(within past 12 months) X 12-18-15 <br /> Leak Detector-mechanical/electronic for most sites(within past 12 months) X 12-18-15 <br /> The above are usually done together on an annual basis for local regulator. <br /> Line Tightness(usually upon construction or when no positive shutdown) X <br /> Tank Tightness(Usually only after construction or when using SIR) X <br /> Secondary containment(SB989)tests have been completed(usually every 3 years) X 12-18-14 <br /> Other testing or maintenance completed as required List them below: <br /> Test/Maintenance: <br /> Test/Maintenance: <br /> Test/Maintenance: <br /> PRINTOUT INCLUDED Yes No NA <br /> Comments:TRAINED 3 EMPLOYEES. <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 /> Designator Operator must alert the UST owner or operator of any condition discovered during the monthly <br /> inspection that may require that may require follow-up action. <br /> UST owner or operator must maintain a copy of this monthly inspection and any attachments for the previous <br /> 12 months.Records must be maintained on-site or,if approved by the local agency, off-site at a readily <br /> available location. <br /> 2 0 Z016 <br /> ENVIRONMENTAL HEALTH <br /> DEPARTMENT <br />