Laserfiche WebLink
UNDERGRpUND STpRAr, F <br /> VO UNpERGROUND STORAGE TANK OPER TANK <br /> E I rAC 11 ITYATOR TIC, NVIgUREPORT <br /> INFOIf AL INSPECTION R (Paye t art) <br /> C� mete of CMak�r,atwt UST r <br /> a " I ni dlll' tJil11N t111A I )r rintr I b , . lr l, . ,; /1 •a <br /> C 7F <br /> IN J-LiLd <br /> V ` <br /> Uf= SIGNATLD UNDIEFi (AWUNpIV <br /> STt) ►tAtft_ ' 1r `_ o � � � <br /> r hg11151 O� rai . ilui ( I 'll/ 1 • r. . :, hr )wn rlri owrldn - d" n , ) TANK, f , ► rF ? A { rill 1111 ( 1 { ! 1r1ATIt7N <br /> rA <br /> nl • COMPLIANCr_ ' i 1 <br /> ISSIjF, <br /> or 'NA " in sec tons Vlt Inr, nul ) Xf nnrst to ux Ii lrnrxl <br /> 'N <br /> j ��� <br /> , unrtl , r ; , 1 , , ,, • l . a , ,t , <br /> � I Ir4R. <br /> �/j . n �) <br /> Lw °Vzt� c • � . , d <br /> IV. CERTIFICATION BY DESI UST OPERATOR CONDUCTING THIS INSPEC _ <br /> sby certify that the visual inspection was rmed in full compliance with California Code of Reguiations, Tate TS, <br /> s :a3, Chapter 16, Section 2716 and all the ' i vided herein is accurate . <br /> UST Operator Signature <br /> V. OWNER / E OR DESCRIPTION OF FOLLOW-UP ACTIONS <br /> As listed in Section Ill a must have a des e n of the follow-up action taken or to be taken to correct <br /> 'a: conesponds with the er ti of the co nc® issue fisted above in Section - - - - <br /> i <br /> . r <br /> ��uy�„EDGMENT OF COMPLIANCE ISSUES <br /> PERAdescription in Section V of the action taken or to be taken <br /> reviewed Se ISSU rod _pr0Vlded a <br /> Date S' ed >' r <br /> ct the issuesrator Signature t <br /> BUST o nerlop UST pHrnerlOPe <br /> Tank ICC <br /> Int Cede Council <br /> Sys 6fica <br />