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2358 East Waterloo Road PR0231756 <br /> April 28, 2022 Program: UST <br /> PHOTO 2: The designated operator failed to check and note the correct test dates for the overfill prevention on the designated operator inspection report <br /> dated 3/11/2022. <br /> Underground Stora <br /> Designated UST O 9e Tank <br /> CONTRACTORS Aerator Visual Inspection Pection Report <br /> Fe,(209)as,-e 10.TESTING AND MAINTENANCE Date last <br /> Has monitoring system certification been completedYes No NA <br /> 12 months? pe1{orme' <br /> within the past <br /> 4/07/21 <br /> 12months? <br /> spill� testing been completed within the past <br /> �`1 { 04/07/21 <br /> Has overfill ❑✓ ❑ <br /> Prevention equipment inspection been <br /> t'-rte the past 36 months? completed within ❑ ❑ 11/22/19 <br /> Has secondary containment testing been completed <br /> 36 months? within the past <br /> �nE Has tank tightness testing been completed ❑✓ E] ❑ 03/03/21 <br /> timeframes? p within required <br /> Has line tightness testing been completed within the re ❑ ❑ ❑ <br /> timeframes? quired <br /> Other Test/Maintenance: ❑ ❑ ❑✓ <br /> S Other Test/Maintenance: ❑ ❑ ✓❑ <br /> Other Test/Maintenance: ❑ ❑ <br /> 11.FACILITY EMPLOYEE TRAININGs ✓ <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 /> deThis section maybe used to record comments or obse nations that are not current compliance <br /> ficiencies. <br /> i <br /> All answers marked"NO"Must be described by the designated UST operator i <br /> n Section 3. 1 <br /> F'age 4 of 4 <br /> Lydia Baker, SR. REHS Page 2 of 2 <br />