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v <br />i RAMOSy <br />Note: Any answer of "N" should he explained in the comment section on the following page, and will require follow-up action. <br />Comments: Site onneralina normal <br />Items Requiring Follow -Up Action: None <br />ALARM PRINT OUTS <br />T I, g F <br />6 5-9 <br />P.O. 13OX 401, W SACRAMI NTO, CA 95691 (800) 477-7266 <br />PAPERWORK HISTORY <br />Y I <br />N <br />N/A <br />DATE <br />9 <br />Monitoring system certification has been completed within the past 12 months. <br />® <br />❑ <br />❑ <br />10 <br />Secondary containment tests have been completed within the past 36 months. <br />® <br />❑ <br />❑ <br />I 1 <br />Spill containment buckets have been tested within the past 12 months. <br />® <br />❑ <br />❑ <br />12 <br />'rank tightness testing was completed within the past 12 months <br />® <br />❑ <br />❑ <br />13 <br />Line tightness testing was completed within the past 12 months. <br />® <br />❑ <br />❑ <br />14 <br />Source test completed within the last 12 months. <br />❑ <br />❑ <br />❑ <br />15 <br />Other required testing/maintenance was completed within the required timeframe. <br />'I'est/Maintenance: <br />❑ <br />❑ <br />fest/Maintenance: <br />FACILITY EMPLOYEE TRAINING <br />❑ <br />❑ <br />Y N N/A <br />16 <br />All facility employees have received the required on-the-job training within the past year. <br />® ❑ ❑ <br />17 <br />All facility employees hired within the past 30 days have received the required on-the-job training. <br />® ❑ ❑ <br />Note: Any answer of "N" should he explained in the comment section on the following page, and will require follow-up action. <br />Comments: Site onneralina normal <br />Items Requiring Follow -Up Action: None <br />ALARM PRINT OUTS <br />T I, g F <br />6 5-9 <br />P.O. 13OX 401, W SACRAMI NTO, CA 95691 (800) 477-7266 <br />