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Underground Storage Tank <br />Designated UST Operator Visual Inspection Report <br />10. TESTING AND MAINTENANCE <br />Yes <br />No <br />NA <br />Date fast <br />performed <br />Has monitoring system certification been completed within the past <br />g/ <br />0 <br />L1 152 ) <br />12 months? <br />--" <br />Has spill containertesting been completed within the past <br />93/ <br />l 2 <br />12 months? <br />Has overfill prevention equipmentinspection been completed within <br />Cid <br />� <br />� <br />LA t5 2 t <br />the past 36 months? <br />Has secondary containmenttesting been completed within the past <br />[2/ <br />❑ <br />to, 111 t 6t <br />36 months? <br />Has tank tightness testing been completed within required <br />C] <br />C <br />timeframes? <br />Has line tightness testing been completed within the required <br />❑ <br />❑ <br />timeframes? <br />Other Test / Maintenance:G e,,,A .- t CQ <br />0 <br />IZ• 2•Z1 <br />a <br />❑ <br />Other Test / Maintenance: <br />Other Test / Maintenance: <br />Yes <br />Na <br />11. FACILITY EMPLOYEE TRAINING <br />Have all individuals performing facility employee duties received the required facility <br />13 <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 />