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2680 Reynolds Ranch Parkway PR0535432 <br /> May 18, 2021 Program: UST <br /> PHOTO 2: D. O. report with incorrect overfill prevention date of 5/21/2020. <br /> Y��S <br /> OeSlgnated USTOpe <br /> 10• Operator Visual Inspection Report <br /> TESTING <br /> ate la <br /> tam^ u toringAG mA1CeNTEN'gpICE Yes No NA systperfoll <br /> Has s? nification been <br /> Spill co completed within the past ❑ srzir2o <br /> stainer testing been completed within the past <br /> 72 months? <br /> Has overfill 0 ❑ s 21no <br /> the past 36 m nthst?n egwP hent inspection been completed within ❑ sn� <br /> Has seconda 0 ❑ nu <br /> Sment s? containment testing been completed within the past ❑ ❑ wq <br /> timefr tightness testing 9 been completed within required <br /> Has line tightness testing [3 13 N/Atimefraes? 9 been <br /> mcompleted within the required <br /> Other Test/Maintenance. El <br /> N/A <br /> Other <br /> Test/Maintenance: 0 0 0 wq <br /> Other Test/Maintenance: 0 ❑ 0 <br /> Wq <br /> 11. FACILITY EMPLOYEE TRAINING 0 0 Q <br /> Have wA <br /> all individuals pertorming facility employee duties received the required facility Yes No <br /> employee training within the past 12 months? <br /> 13. COMMENTS <br /> This section may be used to record comments or observations that are not current ❑1 <br /> deficiencies. <br /> 1.See attached alarm response worksheet. CpmPttanCe <br /> 2.Site is continuously monitored. <br /> 3.Employees trained on 5/13/21.See attached employee training roster. <br /> All answers/nark <br /> ed No be descnb <br /> edbytho a_ <br /> Lydia Baker, SR. REHS Page 2 of 3 <br />