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Underground Storage Tank <br />Designated UST Operator Visual Inspection Report <br />10. TESTING AND MAINTENANCE Yes No NA Date last <br />i performed <br />Has monitoring system certification been completed within the past FA r 111812023 <br />12 months? <br />Has spill container testing been completed within the past0 In 1/18/2023 <br />12 months? <br />Has overfill prevention equipment inspection been completed within ❑ <br />the past 36 months? 3/19/2021 <br />Has secondary containment testing been mpleted ithin the past X 2/18/2021 <br />36 months? <br />Has tank tightness testing been completed within required I on I En <br />timeframes? <br />Has line tightness testing been completed within the required <br />timeframes? <br />Other Test / Maintenance: I ® I ® 1 ri <br />Other Test /Maintenance: ^® <br />Other Test / Maintenance: Annual Training Date 6/6/2023 j <br />11. FACILITY EMPLOYEE TRAINING _ _ _ _ Yes No <br />Have all individuals performing facility employee duties received the required facility ❑x <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 />