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Underground Storage Tank <br /> Designated UST Operator Visual Inspection Report <br /> 10 . TESTING AND MAINTENANCE Yes No NA Date last <br /> performed <br /> Has monitoring system certification been completed within the past <br /> 1 � ❑ ❑ 09 -21 -2020 <br /> 2 months ? <br /> Has spill container testing been completed within the past <br /> 12 months ? <br /> ❑✓ 1:1 El 09 -21 -2020 <br /> Has overfill prevention equipment inspection been completed within <br /> 03 - 12 -2021 <br /> the past 36 months ? ❑ ❑ <br /> Has secondary containment testing been completed within the past <br /> 36 months ? ❑✓ 1:1 El04- 14 -2021Has tank tightness testing been completed within required ❑ ❑ ❑ <br /> timeframes ? <br /> Has line tightness testing been completed within the required ❑ ❑ ❑ <br /> timeframes ? <br /> Other Test / Maintenance : ❑ ❑ ❑ <br /> Other Test / Maintenance : ❑ ❑ ❑ <br /> Other Test / Maintenance : ❑ ❑ ❑ <br /> 11 . FACILITY EMPLOYEE TRAINING Yes No <br /> Have all individuals performing facility employee duties received the required facility ❑ Elemployee training within the past 12 months ? <br /> 13 . COMMENTS <br /> This section may be used to record comments or observations that are not current compliance <br /> deficiencies. <br /> All answers marked "No " must be described by the designated UST operator in Section 3. <br /> Page 4 of 4 <br />