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' <br /> Underground Storage Tank <br /> eCtion Report <br /> Designated UST Operator isual Insp D ins <br /> _ ____ --- -- -- - --— ---_ -- -- -- Yes No NA perfor -*40r <br /> 10. TESTING AND MAINTENANCE 8/25/2022 <br /> El <br /> Has monitoring system certification been completed within the past �✓ <br /> 12 months? 0 ® 8/25/ o <br /> Has spill container testing been completed within the past <br /> 12 months? ❑ ❑ 4./26/202'1 <br /> Has overfill pirevention equipment inspection been connpleted within <br /> the past 36 months? a ❑ (3 8/24/2021Has secondary containment testing been completed within the past <br /> 36 months? <br /> Has tank tightness testing been completed within required <br /> timeframes? <br /> Has line tightness testing been completed within the required ❑ ❑ <br /> timeframes? <br /> Other Test / Maintenance: <br /> Other Test/ Maintenance- E] ❑ ®- - -- - - <br /> Other Test/ Maintenance: <br /> 11. FACILITY EMPLOYEE TRAINING Yes No <br /> Have all individuals performing fadlity employee duties, received the required facility 0 <br /> employee training within the past 12 months? <br /> i 13. COMMENTS <br /> j <br /> This section ma-y be used to record comments or observations that areurrent com fiance <br /> deficiencies. <br /> f . <br /> I <br /> f <br /> Y <br /> ,Jl answers marked 'No"must bebed d �--�–'"—" <br /> by the designated US -- <br /> r in Section 3. <br />