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Underground Storage Tank <br /> Designated UST Operator Visual Inspection Report <br /> 5 . OWNER/OPERATOR DESCRIPTION OF FOLLOW- UP ACTION <br /> Number the follow up actions to correspond to appropriate compliance issues from Section 3 . <br /> WATER FOUND IN SUMP <br /> 6 . OWNER / OPERATOR ACKNOWLEDGEMENT OF INSPECTION RESULTS <br /> I have reviewed the results of the designated UST operator inspection report and provided a <br /> description of the action (s ) taken or to be taken to correct any compliance issues discovered . <br /> Name of UST Owner / Operator ( print) <br /> UST Owner/Operator Signature Date Signed <br /> 7 . INSPECTION HISTORY <br /> Has each follow- up action of Section 3 from the previous Designated UST Yes No NA <br /> Operator Inspection Report been completed appropriately? ❑ ❑ <br /> (Attach documentation verifying appropriate service to this report. ) <br /> 8 . RELEASE DETECTION ALARM HISTORY <br /> Attach a copy of the alarm history report/log to this report. Yes No NA <br /> Is the monitoring system powered on and in proper operating mode ? ❑✓ ❑ ❑ <br /> Has each alarm since the previous inspection been responded to appropriately ? ❑ ❑ ✓❑ <br /> (Attach documentation verifying appropriate service to this report. ) <br /> Have all containment sumps , that have had an alarm since the previous <br /> designated UST operator inspection report , been responded to by a qualified ❑ ❑ ❑✓ <br /> service technician ? <br /> A11 answers marked "No " must be described by the designated UST operator in Section 3. <br /> Page 2 of 4 <br />