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2009 09/28 12:10 FAX SJEH Q003 <br /> elm 11 11 <br /> Facili Employee Trainin Pa e 2 of 2 <br /> All facility employees have r=ived the required on-the-job training within the past year. <br /> All facility employees hied within the past 30 days have received the required on the job training. I + <br /> Monthl inspection— <br /> Y N NA Datc Done <br /> Monitoring system certification(within past 12 months) x a. t.'Os <br /> Spill Bucket testing completed(within past 12 months) X <br /> Leak Detector-mcchanicallelectronic for most sites(wititirt past 12 months) <br /> The above are usually done together on an annual basis far local <br /> regulator, <br /> Line Tightness(usually upon consiruclion or when no positive shutdown) <br /> Tank Tightness(Usually only atter construction or when using SIR) <br /> Secondary containment(SI3989)tests have been completed(usually every 3 years) <br /> Other testing or maintenance completed as required.List them below: <br /> Test/Maintenance: <br /> 'rest/Maintenance: <br /> Tcst/Mainicnancc: <br /> Comment R <br /> Items BSq #g Follow-up Actions /V"4>3 7�0 044'0W tl A <br /> Monthly inspection must be conducted by an ICG 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 <br /> 12 months. Records must be maintained on-site or, if approved by the local agency, off-site at a readily <br /> available location. <br />