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AUG/17/2021/TUE 02,24 PM Tracy Truck Stop FAX No.209832 2312 P,017 <br />k acili Em to ee urainin Nee 2 of 2 <br />All facility employees have received the required ozi-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. <br />Monthly TYtcnvrtink <br />Y N NA Date Done <br />Monitoring system certification (within past 12 months) � 12-15-17 <br />Spill Bucket testing completed (within past 12 months) X AST <br />Leak. Detector-mechanicai/elect-onto for most sites (within past 12 moriths) X 12-15-17 <br />The above are usually done together on an annual basis for local regulator. <br />bine Tightness (usually upon Construction or when no positive shutdown) X <br />"Tank Tightness (Usually only after constTuction or when using SIR) x <br />Secondary contaixunez�t (SB989) tests have been completed (usually every 3 years) � A S T <br />Other testing or anaintenaYace compleaed as regatlred.. List them below: <br />Test/Maiatenance: <br />Test/Maintenance: <br />PRINTOUT INCLUDE Yes No ❑ NAD BINDER UP TO DATJE: <br />Com <br />Items Reouiri <br />s: <br />Monthly inspection zxaust be conducted by an ZCC licensed Desigzrated Operator. <br />A copy of this checklist must be provided to UST owner or operator, <br />but not to State Water Resources. <br />Designator Operator must alert tile UST owner or operator of any condition discovered during the mon <br />thly <br />iztspectioxt that may require that may xequire follow-up actzon. <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 ata readily <br />available location. <br />Received Time Aug, 17. 2021 3;19PM No. 6863 <br />