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Underground Storage Tank <br /> Designated UST Operator Visual Inspection Report <br /> 10. TESTING AND MAINTENANCE Yes No NA Date last <br /> performed <br /> Has monitoring system certification been completed within the past © 5/09/2025 <br /> 12 months? <br /> Has spill container testing been completed within the past 0✓ © 9/20/2024 <br /> 12 months? <br /> Has overfill prevention equipment inspection been completed within © 0 9/20/2024 <br /> the past 36 months? <br /> Has secondary containment testing been completed within the past © © © 2/03/2023 <br /> 36 months? <br /> Has tank tightness testing been completed within required <br /> timeframes? <br /> Has line tightness testing been completed within the required <br /> timeframes? <br /> Other Test / Maintenance: 0 0 0 <br /> Other Test / Maintenance: © © ri <br /> Other Test / Maintenance: ii r] <br /> 11. FACILITY EMPLOYEE TRAINING Yes No <br /> Have all individuals performing facility employee duties received the required facility 0✓ 0 <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 /> Monitor certification Performed 09/11/2025 <br /> All answers marked "No"must be described by the designated UST operator in Section 3. <br /> Page 4 of 4 <br />