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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 /> performed <br /> Has monitoring system certification been completed within the past <br /> 12 months? ❑X ❑ 10/30/2023 <br /> Has spill container testing been completed within the past 12 months? ❑ <br /> 10/30/2023 <br /> Has overfill prevention equipment inspection been completed within <br /> the past 36 months? 0 ❑ ❑ 10/08/2021 <br /> Has secondary containment testing been completed within the past ❑ ❑ <br /> 36 months? 10/30/2023 <br /> Has tank tightness testing been completed within required ❑ ❑ <br /> timeframes? <br /> Has line tightness testing been completed within the required ❑ ❑ ❑X <br /> timeframes? <br /> Other Test / Maintenance: ❑ ❑ ❑X <br /> Other Test / Maintenance: ❑ ❑ ❑X <br /> Other Test / Maintenance: ❑ ❑ ❑X <br /> 11. FACILITY EMPLOYEE TRAINING Yes No <br /> Have all individuals performing facility employee duties received the required facility ❑ <br /> employee training within the past 12 months? <br /> 12. COMMENTS <br /> This section may be used to record comments or observations that are not current compliance <br /> deficiencies. <br /> Last FACILITY EMPLOYEE TRAINING conducted on 05/24/2023 <br /> All answers marked "No"must be described by the designated UST operator in Section 3. <br /> Page 4 of 4 <br />