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1800 North California Street PR0231036 <br /> September 27, 2021 Program: UST <br /> PHOTO 14: 7/30/2021 DO re ort with incorrect date of overfill revention e ui ment inspection. <br /> Designate Undnergr-U <br /> Designated UST Operator <br /> Storage Tank <br /> Aerator Visual Inspection Report <br /> TING AND MAINTENANC <br /> onitonng system ce E <br /> onths. rtification been completed spill container pleted wl Yes No NA Date last <br /> testis thin the Past performed <br /> onths? 9 been completed within the ❑ <br /> overfill r Past ❑ 10-26-20 <br /> p evention equipment ins ❑ <br /> past 36 months? PectlOn been co ✓ ❑ ❑ 10-26-20 <br /> .s secondary containment testing complete within ❑ <br /> months? g been completed ✓ ❑ ❑ 10-08-20 <br /> s tank tightness testin within the past <br /> eframes? 9 been completed within re ❑ ❑ 10-14-19 <br /> been c <br /> as line tightness testingquired <br /> imefrarrtes? ompleted within the re ❑ ❑ <br /> Other Test/Maintenance: quired <br /> ❑ ❑ ✓❑ <br /> Other Test/Maintenance: ❑ ❑ <br /> Other Test/Maintenance: ❑ ❑ <br /> 11.FACILITY EMPLOYEE TRAINING ✓ <br /> Have all individuals performing facility employee duties received the required facility <br /> employee training within the past 12 months? Yes No <br /> 13.COMMENTS <br /> This section maybe used to record comments or obse vations that are not current compliance <br /> deficiencies. <br /> 0 <br /> s <br /> i <br /> 0 <br /> n <br /> R <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 14 of 22 <br />