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Facg!jy Employee Training Page 2 of 2 <br /> All faa;'ity employees have received the required on-tbejob 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 /> NA <br /> Monitoring system certification(within past 12 mY N Date Done <br /> onths) X Done 6 <br /> Spill Bucket testing completed(within past 12 months) X 5/26/16 <br /> Leak Detector-mechanicaVelectronic for most sites(within past 12 months) X 5/26/16 <br /> The above are usualty 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 $126114 <br /> Other testing or maintenance completed as required List them below: <br /> TesvMaintenance:A RAID X 5/26/16 <br /> Test/Maintenance: <br /> Test/Maintenance: <br /> PRINTOUT LEFT ONSITE: BINDER UP TO DATE: <br /> Comments:TESTING NEXT MONTH i <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 /> 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 12 <br /> months. Records must be maintained on-site or, if approved by the local agency, off-site at a readily available <br /> location, <br /> 99/79/75 <br /> JUL 2 g 2017 <br /> ENVIRONMENTAL HEALTH <br /> DEPARTMENT <br /> 06'd d9V:Zl L l 8Z Inf <br />