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tie �Z9 <br /> r � - <br /> __ Facili Employee Trainingpage-2 of 2 <br /> All facility employees have received the required on-the-lob training within the peak year. X <br /> All facility employees hired within the past 30 days have received the required on the,job traininm, <br /> I <br /> Monthly Inspection <br /> E IM 10111 1 <br /> Y I N NA Date Done <br /> Monitoring system certification(within past 12 months) _ X 6/26/09 <br /> Spill Bucket testing completed(within past 12 months) ;� 6/26/09 <br /> Leak Detector—mechanical/electronic for most sites(within past 12 months) X 6/26/09 i <br /> The above are usually doote together on an anneal basis for local regulator. <br /> f,.ime-rightness(usually upon construction or when no positive shutdown) <br /> 'rank Tightness(Usually only after construction or when using SIR) !�M <br /> 3 Secondary containment(58989)tests have been completed(usually every 3 years) <br /> 01hen testing or maintenance completed as required. List them below: <br /> 'r'est'Ma1ntenance:AQ�- X 2/2/10 <br /> r'I'estiMaintenance: <br /> SE <br /> Maititsnance; <br /> !' PRINTOUT INCLUDED Yes No IYA <br /> Comments: SITE IN GREAT SHAPE! <br /> I•� <br /> iritems Requiring Follow-up Actions: <br /> +r — <br /> i <br /> i <br /> Monthly inspection must be conducted by an ICC licensed Designated Operator, <br /> A copy of this checklist must be provided to UST owner or operator,but not to State Water Resources. <br /> i Designator Operator must alert the UST owner or operator of any condition discovered during the monthly <br /> ! inspection that may rewire that may require follow-up action. <br /> 1 UST owner or operator trust maintain a copy of this monthly inspection and any attachments for the previous <br /> 2 months. Records must be maintained on-site or, if approved by the local agency, off-site at a readily <br /> available location. <br /> 61 'd ZO:Zk OIOZ 6k InP Ok6199b60Z:Xe3 -10d 30 NVA <br />