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UST OPERATOR MONTHLY INSPECTION ° <br /> PAPERWORK HISTORY Y N N/A DATE. <br /> ff9M(onitoring system certification has been completed within the past 12 months. ® 0 10-31-2012 <br /> y containment tests have been completed within the past 36 months. ® ❑ ❑ 12-16.2011 <br /> 11 Spill containment buckets have been tested within the past 12 months. ® 0 1 0 10-31-2012 <br /> 12 'Tank tightness testing was completed within the past 12 months <br /> 13 Linc tightness testing was completed within the past 12 months. 01 Ell 0 <br /> 14 Other required testing/maintenancc was completed within the required timeframe. <br /> fest/Maintenance: 0 0 <br /> Test/Maintenance: <br /> fest/Maintenance: <br /> FACILITY FMPLOYFFTRAINING Y N N/A <br /> 15 All facility employees have received the required on-the-job training within the past year. <br /> 16 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 /> -77-7-77777- <br /> LT <br /> , LTH <br /> Items Requiring Follow-Up Action: 0 <br /> ALARM PRINTOUTS <br /> 1 t. <br /> 9 F <br /> P.Q.13OX 401,W SACRAM1:NTO,CA 95091 <br /> (800)477.7266 <br />