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UST OPERATOR MONTHLY INSPECTION <br /> r <br /> PAPERWORK HISTORY Y N I N/A DATE <br /> 9 Monitoring system certification has been completed within the past 12 months. ® ❑ ❑ 10-31-2012 <br /> 10 Secondary containment tests have been completed within the past 36 months. ® ❑ ❑ 12-16-2011 <br /> I 1 Spill containment buckets have been tested within the past 12 months. ® ❑ ❑ 10-'31-2012 <br /> 12 'Tank tightness testing was completed within the past 12 months ❑ <br /> 13 Line tightness testing was completed within the past 12 months. ❑ <br /> El 0 <br /> 14 Other required testing/maintenance was completed within the required timeframe. <br /> 'fest/Maintenance: ❑ ❑ ❑ <br /> fest/Maintenance: ❑ ❑ ❑ <br /> '1'esi/Maintenance: ❑ ❑ ❑ <br /> FACILITY EMPLOYEE TRAINING Y N N/A <br /> 15 All facility employees have received the required on-the-job training within the past year. 0 -0- ❑ <br /> 16 All facility employees hired within the past 30 days have received the required on-the-job training. ® 13 ❑ <br /> Note: Any answer of"N"should be explained in the comment section on the following page,and will require follow-up action. <br /> Comments: <br /> A7 H <br /> Items Requiring follow-Up Action: <br /> ALARM PRINT OUTS <br /> T I' 9 F <br /> P.O.13OX 401,W SACRAMEXI'O,CA 95091 (300)477-7266 <br />