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UST OPERATOR ONT LY INSPECTION <br /> PAPERWORK HISTORY YIN/A DATE <br /> 9 Monitoring system certification has been completed within the past 12 months. <br /> ® 10-31-12 <br /> 10 Secondary containment tests have been comltd i11 Spill containment buckets have been tested within the past 12 month10-16-11 <br /> 12 Tank tightness testinwas 110 31 12 <br /> 13 Line tig14 Other required testing/maintenance was completed within the required timeframe. <br /> "fest/Maintenance: <br /> Test/Maintenance: ❑ ❑ ❑ <br /> I est/Maintenance: ❑ <br /> FACILITY EMPI.OYFE TRAINING Y N N/A <br /> IS All facility employees have received the required on-the-job training within the past year. <br /> 1G 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 section on the following page,and will require follow-up action. ® ❑ <br /> Comments: <br /> ray <br /> t_r <br /> Items Requiring f-ollow-Up Action: <br /> ALARM PRINT OUTS <br /> E] T [. <br /> S F <br /> P.O.I30X 401,W SAC-RAMFNI'O,CA 95691 <br /> (800)477-7266 <br />