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1800 North California Street PR0231036 <br /> September 27, 2021 Program: UST <br /> PHOTO 5: 11/18/2020 DO report with incorrect date of overfill prevention equipment inspection. <br /> >t: <br /> Designated <br /> Storage Tank <br /> gnated UST Operator usual Inspection Report <br /> 10, TESTING AND Date lest - <br /> Has MAINTENANCE Yes No NA performed <br /> monitoring system certification been completed within the past <br /> 12 months? 10/26/2020 <br /> o ❑ <br /> Has spill container testing been completed within the past <br /> 12 <br /> El <br /> months? 10/26/2020 <br /> as ove <br /> the past III Prevention <br /> r venti n equipment inspection been completed within <br /> Has seconds g C] ❑ 10/08/201 S <br /> 36 months? ry containment testin been completed within the past <br /> Ha0 ❑ El 10/14/2019 <br /> s tank ti <br /> timeframes,9 ss testing been completed within required <br /> Has line tightness testis ❑ ❑ ❑ <br /> timeframes? 9 been completed within the required <br /> Other Test/ ❑ El M(Maintenance: <br /> Other Test/Maintenance: ❑ ❑ 21 <br /> Other Test/Maintenance: ❑ ❑ F/I <br /> 11. FACILITY EMPLOYEE T ❑ ❑ 11 <br /> Have all individuals RAINING <br /> emPlo ee Performing facility em Yes No <br /> Y training within the past 12 months?ee duties received the required facility <br /> 13. COMMENTS © ❑ <br /> This section maybe used to recortl comments or observations that are not current compNance <br /> deficiencies. <br /> %answers marked`No"must be described by the designated UST <br /> °perator in Section 3, <br /> Page 4 Of 4 <br /> Lydia Baker, SR. REHS Page 5 of 22 <br />