Laserfiche WebLink
1 <br /> Underground Storage Tank <br /> Designated UST Operator Visual Inspection Report <br /> b• OWNERIOPERATOR DESCRIPTION OF FOLLOW-UP ACTION <br /> Number the follow up actions to correspond to appropriate compliance issues from Section 3. <br /> G. OWNER 1 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 /> 1 <br /> UST OwnerlOperat r%n ture Date / <br /> S*gne �.� <br /> 7. INSPECTION Hl�TORY <br /> Has each follow-up action of Section 3 from the previous Designated UST YesNo NA <br /> Operator Inspection Report been completed appropriately? <br /> Attach documentation verifying appropriate service to this re ort. <br /> 8. RELEASE DETECTION ALARM HISTORY <br /> Attach a 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 /> Have all containment sumps, that have had an alarm since the previous <br /> designated UST operator inspection report, been responded to by a qualified <br /> service technician? <br /> All answers marked"No"must be described by the designated UST operator in Section 3. <br /> Page 2 of 4 <br />