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Address Stockton Food & Gas, 1605 EI Dorado, Stockton CA 95206 Record ID PRO504388 <br /> Date 6/29/2022 Program: UST <br /> PHOTO 5: <br /> Report not signed by owner/operator within 72 hours. <br /> Underground Storage Tank <br /> Designated UST Operator visual inspection Report <br /> i 6. OWNERIOPERATOR DESCRIPTION OF FOLLOW-UP ACTION <br /> Number the follow up actions to correspond to appropriate compliance issues from Section 3. <br /> 6. OWNER/OPERATOR ACKNOWLEDGEMENT OF INSPECTION RESULTS <br /> i I have reviewed the results of the designated UST operator inspection report and provided a <br /> description of the actton(s)taken or to be taken to correct any compliance issues discovered. i <br /> Name of UST Owner t Operator(print) <br /> UST Owner/Operator Signature � <br /> Date Signed <br /> 1. INSPECTION HISTORY <br /> Has each follow-up action of Section 3 from the previous Designated UST <br /> Operator Inspection Report been completed appropriately? Yes No NA <br /> Attach documentation ved in a ro nate service to this re ort. ❑ ❑ <br /> S. RELEASE DETECTION ALARM HISTORY <br /> Attach a co ry p g <br /> py of the a/arm histo re oA//o to this report. <br /> Is the monitoring system powered on and in proper operating mode? Yes No NA / <br /> Has each alarm since the previous inspection been responded to appropriately? ❑ LJ ❑ <br /> (Attach documentation verifying appropriate service to this report.) ECDn <br /> Have all containment sumps,that have had an alarm since the previous ❑ ❑ ❑ <br /> j�Round <br /> designated UST operator inspection report,been responded to b a e m20+5' <br /> C <br /> service technician? p Y qualified ❑ ❑ 00 <br /> .d arytq <br /> All answers marked-NO"must be described by the designated UST operator in Section 3. <br /> Page 2 of 4 <br /> y., <br /> Gabriela Garcia-Mejia, EHS Page 5 of 5 <br />