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10878 North Highway 99 East PR0231598 <br /> April 6, 2022 Program: UST <br /> PHOTO 4: The 6/21/21, 10/17/21, 12/12/21 and 3/7/21 DO re orts were not si ned by the UST Owner/Operator. <br /> ®® 0M <br /> Underground storage Tank <br /> DesignatedUST operator visual Inspection Report <br /> OWN R/E OPE he — OT R <br /> N DESCRIPTIION OF FOLLOW-UP ACTION <br /> foll'Number tcW up ms to correspond to appropriate compliance Tissues from Section 3. <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 di:scovered,. <br /> Name of UST Owner/Operator(print) <br /> UST Ovvner/Operator Signature ate Signed <br /> 7. INSPECTION iHISTORY <br /> Has each follow-up action off Section 3 from the previous Df,signated UST Yes No NA <br /> Operator Inspection Report(been completed appropriately? ��� <br /> Attach documentation veri ging appropriate service to this re ort. I u�Ll <br /> [-8.—RELEASE DETECTION.ALARM HISTORY <br /> Attach at 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 /> ave all containment sumps,that have had an alarm since the previews <br /> designated UST operator inspection report,been responded to by a qualified <br /> ,serv�chn <br /> A#anSwe(s marked ,No,,muse"be described by the designated UST operator in Section 3. <br /> Page 2 of It <br /> Lydia Baker, SR. REHS Page 4 of 6 <br />