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d <br /> round Storage Tank <br /> Underg Inspection Report <br /> UST operator Visual <br /> Designated Date last <br /> Yes No NA performed <br /> vo. T <br /> 3 �, ESTING AND MAINTENANCE m ❑ 12/12/2022 <br /> Allc Has completed within the past <br /> 12 months°ring system certification been <br /> /��/ Zl'4,s spill container testing been completed within the past m ❑ <br /> 12/22/2022 <br /> Has°nths? <br /> the paserfiil prevention equipment inspection been completed within m ❑ ❑ 11/12/2021 <br /> a Ha t 36 months? <br /> 36 s secondary containment testingbeen completed within the past 0 ❑ ❑ 11/28/2022 <br /> months? <br /> �1as tank tightness testing been completed within required El Elt <br /> ►neframes? <br /> tHas lamerg�tness testing been completed within the required ❑ ❑ <br /> timeframes? <br /> Other Test/Maintenance: <br /> Other Test/Maintenance: <br /> ❑ ❑ ElOther <br /> Test/Maintenance: <br /> 11. FACILITYElHave EMPLOYEE TRAINING <br /> all individuals performing facility employee duties received the required facility Yes No <br /> employee training within the past 12 months? <br /> 13. COMMENTS ❑ <br /> This section maybe used to record comments or observations that are <br /> deficiencies. not current compliance <br /> C <br /> I <br /> A/l answers marked "No"must be described by the designated UST Operator in <br />