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6421 Capitol Ave, Lodi Record ID PR0231706 <br /> 4/26/2021 UST Inspection <br /> Photo 3: The operator of the UST system failed to fill out section 5 and 6. <br /> es sp"tt+s" 5. OWNER/c�rcn... ro �a. - , 0 101, <br /> R,°y�p pra q,�AC Number the follow up actions to wrrespcnd a ap <br /> �.{&s°qt 36 n GGO efti <br /> the p ec°"da <br /> Das s�ths? EFacilitY36(Don <br /> tor, t'��t line t 9 <br /> a e°Of oftU�it`/?� <br /> t ,eframes. free <br /> Otnef lest+ FLAG CITY PI A <br /> �y�yt°P�tai� -fill c� <br /> 5421 CAPITA <br /> tY1Bf�OSt LODI CA 952 .11 III G C.iort.✓'. <br /> O BlTSt� 01, <br /> ptner Test Hirt S. eo' <br /> FAcsG Qio fital�t+n R„ Vjar <br /> Have all in aysrEM <br /> plus <br /> employee ALL FHM <br /> T2 <br /> 93. COM up�n'i <br /> This sect T3 <br /> deficientyesel <br /> 6. OWNER/OPERATOR ACKNOWL,E©GEMENT OF INSPECTION RESULTS -�4: D� <br /> ALARM H,I .i-have-reviewed the-results of the designated UST operator inspect4on report ar<d p{o�►� <br /> sr description of the action(s)taken or to be taken to correct any compliance issues discos <br /> C free of dame <br /> ANNULtiRr Name of UST Owner/Operator(print) a�Q IfM a at the <br /> SENSOR <br /> 3EP a' Date Signed re <br /> S�Fct?R UST Owner/Operat i at [e <br /> I t f 1 1 +v <br /> FEEL H 112 <br /> 7. INSPECTION HIS RY <br /> Has each follow-up action of Section 3 from the previous Designated UST Yes No 31C <br /> Operator Inspection Report been completed appropriately? Q Q <br /> Attach documentation ve[64ng qppropriate service to this re art. 51 <br /> KRE�LEASE DETECTION ALARM HISTORY <br /> Attach a copy of the alarm history report/log to this report. <br /> Yes No 7 <br /> Is the monitoring system powered on and in proper operating mode? Q <br /> All -[Has each alarm since the previous inspection been responded to appropriately'? Q Q 1 <br /> (Attach documentation verifying appropriate service to this report.) <br /> Have all containment sumps, that have had an alarm since the previous Q <br /> designated UST operator inspection report, been responded to by a qualified <br /> service technician? harkak f <br /> A#answers marked "No”must be described by the designated UST operator in Section S. <br /> John Alaniz, REHS Page 3 of 8 <br />