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FAdW E!j LIDYlee —9 <br />mr,".7 MMMSI I - 1 6 <br />. � - � I., 11 I=: <br />a rM. n <br />------ MHURAM SM <br />Line Tigbtnass (upon const=600 or when no padd <br />TURT <br />Odw testing or maintenance compided as required List them Wow <br />&Q -7i 0 P17777s, MTW, INS IEEM�ffXN <br />MEEII IMMI <br />MINE IMMI <br />MW WC <br />Y. <br />ft=$ kg_koUow-up Acdons- JAN 162014 <br />MEN <br />D E PA FRI <br />Monthly inspection must be conducted by an ICC licensed Designated Operator. <br />I 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 actiom <br />UST owner or operator must maintain a copy of this monthly inspection and agy attachments for the prmous <br />J 2 moaft. Records must be maintained on-site or, if approved by the local agency, off-site at a readily <br />able location. <br />-- <br />V: 'A <br />