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Facifig Employee Training Page 2 of 2 <br />All facility employees have received the required on-the-job training within the past year. X <br />All facility employees hired within the past 30 days have received the required on the job training. X <br />Monthly Inspection — <br />Y N NA Date Done <br />Monitoring system certification (within past 12 months) X 6-24-16 <br />Spill Bucket testing completed (within past 12 months) X 6-24-16 <br />Leak Detector-mechanical/electronic for most sites (within past 12 months) X 6-24-16 <br />The above are usually done together on an annual basis for local regulator. <br />Line Tightness (usually upon construction or when no positive shutdown) X <br />Tank Tightness (Usually only after construction or when using SIR) X <br />Secondary containment (S13989) tests have been completed (usually every 3 years) X 8-11-14 <br />Other testing or maintenance completed as required. List them below: <br />Test/Maintenance: <br />Test/Maintenance: <br />PRINTOUT INCLUDED: Yes ® No [_1NA❑ PRINTOUT LEFT ON SITE: ® BINDER UP TO DATE: <br />Comments: L-14 DSL ANN FUEL ALARM ON 4/28/17 <br />Items Requiring Follow-up Actions: <br />,JUN s� <br />i C i <br />VT <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 />Designator Operator must alert the UST owner or operator of any condition discovered during the monthly inspection <br />that may require that may require follow-up action. <br />UST owner or operator must maintain a copy of this monthly inspection and any attachments for the previous 12 <br />months. Records must be maintained on-site or, if approved by the local agency, off-site at a readily available <br />location. <br />99/79/75 <br />