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10878 North Highway 99 PR0231598 <br /> May 26, 2021 Program: UST <br /> PHOTO 3: DO <br /> report unsi ned b owner/o erator. <br /> 81GNATEp UN RQROUNO STORAGE TANK OPERATOR VISUAL INSPECTION REPORT a <br /> U�ORWND WORAGE TANK <br /> CE S ID <br /> I ` 6 FACILRY INFORMATION <br /> I S ^fie Nary(selna oats a D- too mspew <br /> ' Bu e F° YNmmeorDBA,DoIM&slow Ae.) _ I_ <br /> 7 U ny ZIP Cotla <br /> ofDabn pESIONAp J 2 <br /> UeT DEROR UND STORAGE TANK OPERATOR INFORMATKtN <br /> �I SMITHERgM 'e'nomOnunlcccerdlc um) Pnonep <br /> (916)884-2114 e,e <br /> ICC Cenekation E+Slretlon Dote <br /> Al, 02/10/2021 <br /> "N'1'o'aearbne vu rtagh I,Mw,y COMPLIANCE ISSUES <br /> 1• .,.vae»cm rots aeasorl arq mey reple fdbW-Faction. <br /> 3. <br /> 4. <br /> 8. <br /> 7.8. <br /> f <br /> SI �r <br /> 9.T <br /> to. <br /> 12. <br /> w' CERTIFN:ATKNt BY DE810NATED UST OPERATOR CONDUCTING THIS INSPECTION <br /> I unRY that . vbual InspVIG.tlar eru per7onned In II sem ■dm Cantwnl■Code of <br /> 9,obapMer 16e.eeabn 471!a aS Lig Irrronnae rein ReSulW atbna,H23. <br /> noted Spnalure � <br /> Owe <br /> V. OWNER/ PE PTKNI OP FOLLOW-UP ACTIONS — <br /> Nes br esctlpn 111 above,must nfte a a4/sus In M Use bbwr+P eollon feken,am De feeert,b canecY ure!sous on numserllne Mat <br /> wltll Ms nuln6srlbre tlw svmp6noe Issue le Nebd shoos m e9cYbrtill. <br /> 1. <br /> 2. <br /> 3. -44 <br /> (t <br /> 4. <br /> 5. <br /> 7. ` <br /> 9. <br /> 10. <br /> 11. <br /> 12. <br /> VI. OWNER!OPERATOR ACKNOWLEDGMENT OF COMPLUINCE ISSUES <br /> 1 nevNw.d a.atlon rel"COMPLIANCE ISSUEae and Provided C dwallRon In aAetlon V.Of ills-W-taken or to be taken <br /> to Do voct the beues dbcumd. <br /> Nems UST /Q»row Mdld) UST Owrad()Perstor Signature Ddb signed <br /> IOC■hlr.■wawenwn..w <br /> ROL <br /> Lydia Baker, SR. REHS Page 3 of 8 <br />