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€! <br /> z L7 <br /> JUL B 8 2017 <br /> Dispenser 5i6 X Dispenser 22121 X <br /> Dispenser 7/8 X Dispenser 23122 <br /> Dispenser 9/10 X Dispenser 24,23 <br /> Dispenser 11.12 X Dispenser 25/24 X <br /> Dispenser 13,'14 X Dispenser 26125 X <br /> Dispenser 15/16 X I Dispenser 27126 Satellite x <br /> Dispenser 17/18 X Dispenser 27 X <br /> Facili Em to ee TrainingPa e 2 of <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 Don <br /> Monitoring system certification(within past 12 months) X 5/26/1( <br /> Spill Bucket testing completed(within past 12 months) X 5126/1( <br /> Leak Detector-mechanical/electronic for most sites(within past 12 months) X ; 5/26/1( <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 after construction or when using SIR) X <br /> Secondary containment(SB989)tests have been completed(usually every 3 years) X 8/26/1 <br /> Other testing or maintenance completed as required List them below: <br /> TesdMaintenance:A MD X 5/26/1( <br /> Test/Maintenance: <br /> TestlMaintenance: <br /> PRINTOUT INCLUDED Yes No © NA <br /> Comments:NO ALARMS SITE CLEAN AND DRY AT TIME OF INSPECTION <br /> TRAINED ONE WHILE ON SITE -ERICA ROMERO <br /> Items R uiring Follow- Actions: <br /> Z-d dE1t:Z 6 L l 8Z Inf <br />