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2185 E Fremont St, Stockton Record ID PR0231118 <br /> 12/17/2021 UST Inspection <br /> Photo 3: Section 6 was not completely filled out on the 8/6/2021 monthly inspection report. Failed to complete designated operator re orts. <br /> Designated <br /> U5 wFj';. <br /> pESCRIPTION OF FOLLOW-UP ACTION �r <br /> S. OWNEW�Pa=Rp70R rrespond to appropriate compliance issues from Section 3. <br /> Number the follow up actions!a rA <br /> I <br /> I <br /> I <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/ erator Signature Da Signed <br /> I <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 ve ' in 11 1 11,10 ro riate service tO this re ort <br /> Tc 8. RELEASE DETECTION ALARM HISTORY <br /> Attach a co <br /> PY of the alarm history report/io <br /> Is the monitoring system g to this report. Yes No NA <br /> f. powered <br /> Has each aa, _. on and in proper onP_rafirnn rn,,,4--) — <br /> John Alaniz, REHS Page 3 of 3 <br />