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a <br /> Am <br /> UST OPERATOR MONTHLY INSPECTION dkmw- <br /> PAPERWORK <br /> HISTORY Y N 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 l2 months ❑ ❑ <br /> 13 Line tightness testing was completed within the past 12 months. ❑ ❑ <br /> 14 Other required icsting/maintenance was completed within the required timeframe. <br /> fest/Maintenance: ❑ ❑ ❑ <br /> fest/Maintenance: ❑ ❑ ❑ <br /> "Test/Maintenance: ❑ ❑ ❑ <br /> FACILITY EMPLOYEE TRAINING Y N N/A <br /> E16IS All facility employees have received the required on-the-job training within the past year. ® ❑ <br /> All facility employees hired within the past 30 days have received the required on-the-job training. ❑ ❑ <br /> Note: Any answer of"N"should be explained in the comment <br /> section on the following page,and will require follow-up action. <br /> Comments: 1 �� '�(i � � CJ�J� j►" � a W , d 'i <br /> 'v T <br /> Items Requiring rollow-Up Action: <br /> ALARM PRINTOUTS <br /> T L <br /> g F <br /> P.O.130X 401,W SACRAMENTO,CA 95691 (800)477-7266 <br />