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Underground Storage Tank <br />Designated UST Operator Visual Inspection Report <br />Yes No NA Date last <br />10. TESTING AND MAINTENANCE performed <br />Has monitoring system certification been completed within the past El 5-9-23 <br />12 months? <br />,n completed within the past 12 5-9-23 <br />Has spili'container testing bee 0 <br />months'? <br />Has overfill prevention equipment inspection been completed El U 5-17-21 <br />within thea past 36 mon'ths? ...... . <br />Has secondary containment testing been completed within the past I 0 El 10-1 Z <br />36 months':' <br />Has tank tightness testing been completed within required <br />timefrarnes? <br />Has line tightness testing been completed within the required 1:1 Cl <br />timeframes? <br />Other Tost / Maintenance: <br />Other Test Maintenance: 1J L <br />Other Test Maintenance: F1 El <br />11. FACILITY EMPLOYEE TRAINING -Yes No <br />Have all individuals performing facility employee duties received the required facility <br />ernployee 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 />