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Underground Storage Tank <br />Designated UST Operator Visual Inspection Report <br />110. TESTINGAND MAINTENANCE <br />Yes <br />No <br />NA <br />last <br />DDaate last <br />Date <br />P <br />Has monitoring system certification been completed within the past <br />12 months? <br />❑ <br />1Y, /6, z� <br />Has spill container testin g been completed within the past <br />12 months? <br />�/- <br />Has overfill prevention equipment inspection been completed within <br />the past 36 months? <br />❑ <br />Cl <br />I <br />Has secondary con tain men t testi n g been completed within the past <br />36 months? <br />/tot? <br />Has tank tightness testing been completed within required <br />timeframes? <br />❑ <br />❑ <br />EJ -- <br />Has line tightness testing been completed within the required <br />timeframes? <br />❑ <br />❑ <br />Er <br />Other Test / Maintenance: <br />❑ <br />❑ <br />OtherTest / Maintenance: <br />❑ <br />❑ <br />Other Test / Maintenance: <br />❑ _. <br />.❑ <br />11. FACILITY EMPLOYEE TRAINING Yes 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 />i All answers marked "No" must be described by the designated UST operator in Section 3. <br />Page 4 of 4 <br />