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02/23/2017 20:18 2098392001 Tear: rm" ECENGF-P <br /> OCT 0 3 2017 <br /> Monthly tnspectinn Checklist <br /> E MIMENTAL HEALTH <br /> "-PAPTMENT <br /> Designated Underground Storage Tank (UST) Operator <br /> Monthly Visual Inspection Checklist (I or 2) <br /> Comments: <br /> L3r,• HjAL, t r � Yn4rM n 1 NA � � • � <br /> M <br /> S <br /> SIE"Ile, Bio STP C ,Mo Qrn dn. cr�r.. Sr°nSr�r t �� n{. rL .•I •(„r oaair� / <br /> —Was n/7P� r <br /> t <br /> " 1.`i i—ieu0—ern g��a I �n�n � C /tvN o n [ nCn� <br /> G <br /> Items Requiring Po11ow-Up//Actions: lIt <br /> r�aMm„niret�r' n QID[nn <br /> Instructions: <br /> Monthly visual inspection of the UST system must be conducted by a Designated UST Operator, wbo possesses a <br /> current"California UST System Operator"certification issued by the tntemational 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 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 />