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3775 N. Tracy Blvd., Tracy, CA. 95376 Record ID PR0231418 <br /> 2/16/2018 <br /> PHOTO#2 <br /> Designated operator report with incorrect Monitoring system certification, spill bucket testing, and leak detector testing dates. <br /> i <br /> All facility employees have received thFacili Em to ee Trainin <br /> e 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. <br /> Month1v Insvection— <br /> 1. <br /> Y I N I NA Date \J- <br /> Monitoring system certification(within past 12 months) X 05-15-17 <br /> Spill Bucket testing completed(within past 12 months) X 05-15-17 ` ®�A <br /> � <br /> Leak Detector-mechanical/electronic for most sites(within past 12 months) X 05-15-17 ? <br /> The above are usually done together on an annual basis for local regulator. X� <br /> Line Tightness(usually upon construction or when no positive shutdown) X �x <br /> Tank Tightness(Usually only after construction or when using SIR) a _ .� S <br /> Secondary containment(SB989)tests have been completed(usually every 3 years) <br /> X 03-03-16 <br /> Other testing or maintenance completed as required List them below: <br /> Test/Maintenance: <br /> Test/Maintenance: �S <br /> Test/Maintenance: <br /> PRINTOUT INCLUDED Yes® No ❑ NA S <br /> 'Ca°b <br /> Comments: L 15 87 FILL AUG 15H Ix <br /> L 2 91 STP AUG 4TH <br /> Q�s4e°s <br /> O`spense , <br /> ��sQe°sec d <br /> user �/ <br /> p�sQ ensu a <br /> ��sQ owjer �, <br /> Items Re uirin Follow-up Actions:SITE HAD WATER REMOVED <br /> se <br /> D�sQe° <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 RPc <br /> Betty Ho, EHS Page 2 of 2 <br />