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Apr.08.2016 09:40 AM Afr-)rda Test — Galt Offic 20974^0116 PAGE. 7/ 11 <br />facility Employee Training Pa e 2 of 2 <br />All facility employees have received the required on-the-job training within the past year. X <br />All facility employees hired within the past 30 days have received the required on the job training. X <br />Monthly Inspection — <br />Y N NA Date Done <br />Monitoring system certification (within past 12 months) X 4-29-15 <br />Spill Bucket testing completed (within past 12 months) X 4-29-15 <br />Leak Detector-mechanical/electronic for most sites (within past 12 months) X 4-29-15 <br />The above are usually done together on an annual basis for local regulator. <br />�'- Tightness (usually upon construction or when no positive shutdown) X <br />Tank Tightness (Usually only after construction or when using SIR) X <br />Secondary containment (S13989) tests have been completed (usually every 3 years) X 2-12-15 <br />Other testing or maintenance completed as required, List them below: <br />Test/Maintenance; AQ 'Testing X <br />Test/%4aintenance: <br />Test/Maintenance: <br />PRINTOUT INCLUDED Yes No NA <br />Comments: <br />Items Requiring Follow-up Actions: <br />Monthly inspection must be conducted by an ICC licensed Designated Operator. <br />A copy of this checklist must be provided to UST owner or operator, but not to State Water Resources. <br />I Designator Operator must alert the UST owner or operator of any condition discovered during the monthly <br />inspection that may require that may require follow-up action. <br />UST owner or operator must maintain a copy of this monthly inspection and any attachments for the previous <br />12 months. Records must be maintained on-site or, if approved by the local agency, off-site at a readily <br />available location. <br />99/79 <br />