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Storage Tank port <br /> Underground Visual Inspection Re <br /> UST operator pate las <br /> Designated Yes No NA performe <br /> 10. TESTING AND MAINTENANCE leted <br /> within the past 0 ❑ 6/22/22 <br /> Has monitoring system certification been come ❑ 6/22/22 <br /> 12 months? -Has pill container testing been completed with n the Past <br /> 0 ❑ <br /> 12 months? ection been comp <br /> leted within ✓❑ ❑ ❑ 4/30121 <br /> Has overfill prevention equipment insp ❑ 4/28/21 <br /> the past 36 months? leted within the past ❑ ❑ <br /> Has secondary containment testing been comp <br /> 36 months? EJ El <br /> Has tank tightness testing been completed within required <br /> timeframes? <br /> ❑ ❑✓ <br /> Has line tightness testing been completed within the required EJ <br /> timeframes? <br /> ❑ El ❑ <br /> Other Test/ Maintenance: ❑ ❑ ❑ <br /> Other Test/ Maintenance: ❑ ❑ ❑ <br /> Other Test/Maintenance: Yes No <br /> 11. FACILITY EMPLOYEE TRAINING uired facility <br /> Have all individuals performing facility employee duties received the req <br /> employee training within the past 12 months? <br /> 13. COMMENTSliance <br /> This section may be used to record comments or observations that are not current comp <br /> deficiencies. <br /> i. <br /> a <br /> y <br /> I <br /> i <br /> answers marked "No"must be described by the designated UST operator in Section 3. <br /> Page 4 of 4 <br />