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Underground Storage Tank <br /> Designated UST Operator Visual Inspection Report <br /> Date last <br /> F,O TESTING AND MAINTENANCE Yes No NA <br /> performed <br /> Has monitoring system certification been completed within the past <br /> 12 months? <br /> Has spill container testing been completed within the past <br /> 12 months? <br /> _Has oWr�i T_prevention equipmentbeen completed within inspection 1-12 <br /> the past 36 months? ........ <br /> Has secondary containment testing been completed within the past qt-i 1 <br /> 36 months? <br /> Has tank tightness testing been completed within required <br /> timeframes? V,),tv Has line <br /> .1 <br /> tightness testing---g6een completed within the required <br /> timeframes? <br /> Other Test t Maintenance: <br /> �k <br /> Other Test t Maintenance: <br /> Other Test r Maintenance: <br /> 11. TY EMPLOYEE TRAINING Ye <br /> No <br /> Have all individuals performing facility employee duties received the required facility <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 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 />