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Underground Storage Tank <br />Designated UST Operator Visual Inspection Report <br />All answers marked "No" must be described by the designated UST operator in Section 3. <br />Page 4 of 12 <br />Date last <br />10. TESTING AND MAINTENANCE <br />Yes <br />No <br />NA <br />performed <br />Has monitoring system certification been completed within the past <br />N <br />❑ <br />2023-08-08 <br />12 months? <br />Has spill container testing been completed within the past <br />❑ <br />2023-08-08 <br />12 months? <br />Has overfill prevention equipment inspection been completed within <br />Fx1 <br />❑ <br />❑ <br />2024-05-14 <br />the past 36 months? <br />Has secondary containment testing been completed within the past <br />M <br />❑ <br />❑ <br />2023-08-16 <br />36 months? <br />Has tank tightness testing been completed within required <br />❑ <br />❑ <br />0 <br />timeframes? <br />Has line tightness testing been completed within the required <br />❑ <br />❑ <br />N <br />timeframes? <br />Other Test / Maintenance: Sensor Repairs <br />N <br />❑ <br />❑ <br />2023-11-30 <br />Other Test / Maintenance: Remote Audible visual repairs <br />0 <br />❑ <br />❑ <br />2024-07-09 <br />Other Test / Maintenance: <br />❑ <br />❑ <br />❑ <br />11. FACILITY EMPLOYEE TRAINING <br />Yes <br />No <br />Have all individuals performing facility employee duties received the required facility <br />M <br />❑ <br />employee training within the past 12 months? <br />13. COMMENTS <br />Overfill alarms occurred due testing of repairs <br />All answers marked "No" must be described by the designated UST operator in Section 3. <br />Page 4 of 12 <br />