Laserfiche WebLink
Underground Storage Tank <br /> Designated UST Operator Visual Inspection Report n <br /> _ �N <br /> 10. TESTING AND MAINTENANCE w <br /> Yes No NA Date last <br /> Has monitoring system certification been completed within the past performed �° o <br /> 12 months? © Q <br /> Has spill container testing been com P leted within' the past 12/6/22 <br /> 12 months? ❑ <br /> Has overfill prevention equipment inspection been completed within 12/6/22 <br /> i the past 36 months? © ❑ <br /> Has secondary containment testing been completed within the past 12/16/21 <br /> 36 months? ❑ 0 <br /> Has tank tightness testing been completed within required 8/04/20 <br /> timeframes? <br /> Has line tightness testing been completed within the required <br /> timeframes? q © ❑ � <br /> Other Test/Maintenance: w <br /> Other Test/Maintenance: © © © �.30, <br /> Other Test/Maintenance: © © 3 <br /> 11. FACILITY EMPLOYEE TRAINING <br /> Have all individuals performin cty employee duties G <br /> employee train' Yes O c° <br /> g within the received the required facility x No N -0 0 <br /> 13. COMMENTS Past 12 months? ❑ ❑ <br /> This section ma <br /> deficiencies. y be used to record comments or observations that are not currentu <br /> Tank and line tightness test is not re comp/Nance � <br /> required for double wall tank and line T <br /> o n <br /> N D <br /> M <br /> o � <br /> I <br /> All answers marked`%Vo"must be described by the designated UST operator in Section 3. <br /> Identification, =Not,�pp,�;nu,o age 4 of 4 <br /> Storage Tank <br /> UN-111 <br /> www.unidoce.orp <br /> Rev.10101120 Page 1 OT 4 ►- <br />