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Underground Storage Tank <br /> Des i hated UST Op e rator Vis u a I Inspection Re <br /> 10. TESTING AND MAINTENANCE Yes No NA Date last <br /> performed <br /> Has monitoring system certification been completed within the past ❑ 111 6124 <br /> 12 months'? <br /> Has spill container testing been completed within the past ® ❑ 11126124 <br /> 12 months? <br /> Has overfill prevention equipment inspection been completed within 0 ❑ ❑ 11128123 <br /> the past 36 months? <br /> Has secondary containment testing been completed within the past 0 ❑ ❑ 1112812 <br /> 6 months? <br /> Has tank tightness testing been completed within required ❑ ❑ <br /> timeframes? <br /> Has line tightness testing been completed wthin the required ❑ ❑ <br /> tirneframes? <br /> Other Test I Maintenance: ❑ ❑ ❑ <br /> Other Test 1 Maintenance. ❑ El ❑ <br /> Other Test/ Maintenance: ❑ ❑ 0 <br /> 11. FACILITY EMPLo EE TRXINING lies No <br /> Have all individuals performing facility employee duties received the required facility ® ❑ <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 /> Rfl answers marked "Nou mast be described by the designated UST operator in Section 3. <br /> Page 4of4 <br />