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Nov 19 07 04: 37p Afforda Test (209) 744-0116 p. 10 <br /> Monthly Inspection - Pa<ye 2 of 2 <br /> .,,r mrvr� 'V 74� "f "NDate <br /> p• 1�. f`""; �'w�'r 'nr`'q'' 113APLIMORK INSP1ECTION Y N Done <br /> Monitorin syste m certification within past 12 months r� <br /> Still Bikket tcstin co+rl. letecl within :.i,t 12 ,-.nl:hs <br /> t - / t • S 1 <br /> /The al�nve are as`//ally clurlr ingelher on a17 annual basis for local regulator. <br /> Lino Tightness usual/ L11) ri Collstructio11 Or When 110 POsitive shutdown <br /> 1'snk Ti htness usual/ only after construction or when using SI1:) <br /> 1:)econdary containment (SB989) tests have been completed(usuall cve 3 rs) <br /> 11 1Cr tC,clinOr lreoinf.CY na com.) ele Cxs re Beare i.tit t erre e pw: <br /> 'Ce st/Maintcnancc: <br /> Test/Maintenance: <br /> Tcst/Maintcnallce: <br /> ConimcntS- <br /> Items Requiring Follow-up Actions: <br /> Monthly inspection must be conducted by an TCC licensed Designated Operator. <br /> A copy of this checklist must be provided to LUST owner or operator, but not to State Water Resources. <br /> Designated Operator must alert the UST owner or operator of any condition discovered during the <br /> m.6-Mthly inspection thatrTiay require fd1Tow-up action o— <br /> ITST owner or operator must maintain a copy of this monthly inspection and any attachments for the. <br /> previous 12 111011thti. 'Rccords must be lllalntained on-site or, if approved by elle local agency, off-site <br /> a readily availalle location. <br />