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2908 West Benjamin Holt Drive PR0231021 <br /> January 26, 2022 Program: UST <br /> PHOTO 1: DO report not signed b owner/o erator and follow-u actions not addressed. <br /> • ,• <br /> Desi Underground storage lank <br /> gnated UST Operator Visual Ins <br /> 5. OWNER/OP Inspection Report <br /> ERATOR DESCRIP <br /> Number the follow up actions TION I <br /> t.Action: to corres FOLLOW-t/p gCT10N <br /> pond to appropriate compliance <br /> 2.action: issues from Section 3. <br /> 3.Action: <br /> ER/OPERATOR <br /> tvie ACKNOVyUEDG <br /> Wed the results of the EMENT <br /> °n of the action designated US�o INSPECTIO ULTS <br /> is UST Ow (s)taken or to Perator l N RES <br /> Owner/pperator(print be taken to correct inspection re <br /> �d5 _ <br /> 1Paa} FnpPe to°r Signature— anY complian e�sues tl sc ve ed. <br /> tO0q1 et <br /> 5 a a0 �N HISTORY —�--_ Date Signe <br /> ee llwu d <br /> �s 0 a1, Ntaction <br /> i of Section 3 fro <br /> �entatio ePOrt been comPlet d ahe previous Designate <br /> U n ver- in a Ppropriatel ? d UST <br /> ET ppro rate Y. <br /> Il orthe ION ALARM HISTORYrW to this re Yes No NA <br /> m histo ❑ <br /> cy��J\Q�Jao\�oad�aCaSsYstem Powered on an in iog to this repo Q <br /> rl. ❑ <br /> �a��o1�epGa °Ce the previous inland in proper oPeratin <br /> p`}SIV a0��a�aa tcn verifying a pection been res 9 mode? Yes <br /> riate <br /> d d <br /> III a�o�aa55�oRJ�QJ® nratomns.that have had an ala e to Asn to epsince t �apprOpriatety? Q ❑ NA <br /> jaiJ0 Jo�a ay pection report,been re Ponded to Previous <br /> "I <br /> `, 110,mustbe bYaqualified ❑ ❑ <br /> described by thedes/ynated VST operat ❑ ❑ <br /> oris Section rZ <br /> 3 <br /> Lydia Baker, SR. REHS Page 1 of 1 <br />