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1800 North California Street PR0231036 <br /> September 27, 2021 Program: UST <br /> PHOTO 11: 6/3/2021 DO re ort with incorrect date of overfill revention a ui merit inspection. <br /> Underground Storage Tank <br /> Designated UST operator Visual Inspection Report <br /> 10.TESTING AND MAINTENANCE <br /> Has monitorin Yes No Nq Date last <br /> 12 months? g system certification been completed within the past pertormed <br /> Has spill container testing been completed within the past i1 ll 0 10-26-20 <br /> 12 months? <br /> Has overfill prevention equipment inspection been completed within ❑ ED El to-26-2o <br /> the past 36 months? ❑ ❑` <br /> Has secondary containment testing been completed within the past 10-OB-20 <br /> 36 months? b ❑ ❑ <br /> Has tank tightness testing been completed within required 1110-14-19 <br /> timeframes? <br /> Has line tightness testing been completed within the required ❑ ❑ ❑ <br /> timeframes? <br /> Other Test/ 0 El 0✓ <br /> Maintenance: <br /> Other Test/Maintenance: <br /> Other Test/Maintenance: <br /> 11.FACILITY EMPLOYEE TRAINING <br /> HaLJ <br /> ve all individuals performing facility employee duties received the required facility Yes No <br /> employee training within the past 12 months? <br /> 13.COMMENTS <br /> This section may be used to record comments or observations that are not current compliance <br /> deficiencies. <br /> 0 <br /> N <br /> F <br /> All answers marked'No"must be described by the designated UST operator in Section 3. <br /> Page 4 of 4 <br /> Lydia Baker, SR. REHS Page 11 of 22 <br />