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Underground Storagej o <br />Designated UST Operator Visuai Inspection <br />W. T ESTING AND MAM 1'tNANC <br />...... ........... <br />Yes <br />No <br />SIA <br />..... ..... <br />date last <br />performed <br />Has monitoring; system certification been completed within the past5-9-23 <br />n <br />1�. mo%%hs? <br />5-9-23 <br />.. ...... <br />Has spill container -testing been completed within the past. 12 <br />months'' <br />I� <br />U <br />Has overfill prevention equipment inspection been completed <br />_ <br />n <br />n <br />17-21 <br />within t1he.. past G rnonths:� - .._ <br />- <br />-- <br />p_ <br />I q. l <br />t <br />i las secondary cont�alviEnent testing been %oriipl�:�eu,"witliio the past <br />36 months? <br />Has tank tightness testing been completed within required <br />0 <br />❑ <br />IA <br />El <br />l7 <br />t,imefraryws? <br />Has line tiertnec.s testing been c."ompleted within the required <br />tiroetrames? <br />❑ <br />Other Test / Maintenance: <br />❑ <br />� <br />Other `fest / Maintenance: <br />f:l <br />❑ <br />C <br />Other Test/ Maintenance. _ <br />F:l <br />I IJ <br />CI <br />11. FACILITY EMPLOYEE TRAINING 5-17-23 1 Yes No <br />Have all EndEVEdrEais Iyer Far rnirr roc:ilily employee duties received Line requited facility � <br />Prnnloyer-- training within flee prast '12 months? <br />13. COMMENT'S <br />This section may be used to record comments or observations that are not current compliance <br />deficiencies. <br />A1! otlswerti' !?'ni ed "Alo," must be (lescribed by the desi;gnlnoted OST {►nprr tor!n7 Schon 3. <br />