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Facility Employee TraiWag Page 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 trai mg. g <br /> molathly la ion— <br /> Y N NA Daft Done <br /> Monitoring system certification(within past 12 months) x 12-13-16 <br /> Spill Bucket testing completed(within past 12 months) X AST <br /> Leak Detector-mechanimVelectronic for most sites(within past 12=Aths) X, 1213-16 <br /> The above are usually done together on an annual basis for local regulator. <br /> Line Tightness(usually upon construction or when no positive shutdown) X <br /> Tank Tightness(Usually only sitar construction or when using Slit) X <br /> Secondary containment(513989)tests have been completed(usually every 3 years) g AST <br /> Other testing or maintenance completed as required List them below: <br /> Test/Maintenance:AQMD X 8-29-16 <br /> Test/Maintenance: <br /> Test/Maintenance: <br /> PRINTOUT INCLUDED: Yes 0 No ❑ NA❑FRMTOUT LEFT ON SITE.ORPM1 Lip TO DATE: <br /> Comments: TRAINED THREE TODAY <br /> NO ALARMS SITE CLEAN AND DRY AT TIME OF INSPECTION <br /> NO ALARMS <br /> Items Requiring Follow-up Actions:N/A <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 /> Designator Operator must alert the UST owner or operator of any condition discovered during the montbly <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 />