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10/25/2016 11:52 2098392001 TRAr J, EC I Y EI)03/13 <br /> OCT 0 3 2017 <br /> Monthly Inspection Checklist <br /> ENVIRMI IM16tL HEALTH <br /> .. rl Cr1 P.Pq nr - <br /> Designated Underground Storage Tank (UST) Operator <br /> Comments: Monthly Visual Inspection Checklist (]ofz) <br /> 'SOF <br /> 111 4 : ..e 11Lt 101Jo- <br /> it Yll4oCZR� ear. L a <br /> ♦ ` I <br /> c <br /> k„ ,Y]e 1ocu�e� e� 1r �� .C) oncr- , M <br /> — l•1+,t , �' all _a,�vt.+c g,. <br /> �nr.no 4!•nGexs ,.c colt t_l3nd <br /> l eel�a dll �k�t: <br /> Ae Vsftr, 29 1-0 <br /> ar <br /> Items Requiring Follow-Up Actions: <br /> Instructions: <br /> Monthly visual inspection of the UST system must be conducted by a Designated UST Operator, who possesses a <br /> current"California UST System operator^certification issued by the International Code Council. <br /> A copy of this monthly visual inspection checklist must be provided to the UST Owner or Operator,but not to the <br /> State Water Resources Control Board- <br /> The <br /> oardThe Designated UST Operator must alert the UST Owner or Operator of any condition discovered during the <br /> monthly visual inspection that may require follow-up actions. <br /> The UST Owner or Operator must maintain a copy of this monthly visual inspection checklist and all attachments <br /> for the previous 12 months. The records must be maintained on-site or, if approved by the local agency,off-site at <br /> a readily available location. <br />