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Designatecl UST Operatorgnd Storage Tank <br /> 5 <br /> ovvue Visual Inspection Report <br /> Number the�PERATOR DESCRIPTI <br /> ON OF FOLLOW-UP ACTION <br /> °w up actions to correspond to appropriate compliance p nce issues from Section 3. <br /> 3 6. OWNER / OPERATOR ACKNOWLEDGEMENT OF INSPECTION <br /> 1 have reviewed the results of the designated UST o RESULTS <br /> at <br /> description of the actions) taken or to be taken to orre t an inspection <br /> report and provi <br /> anc <br /> Name of UST Owner/ Operator (print) Y p ssues disc <br /> UST Owner/Operator Signature <br /> Date Signed <br /> 7. INSPECTION HISTORY <br /> Has each follow-up action of Section 3 from the previous Designated UST <br /> Operator Inspection Report been completed appropriately? Yes <br /> (Attach documentation verifying appropriate service to this report.) El <br /> 8. RELEASE DETECTION ALARM HISTORY <br /> Attach a copy of the alarm history report/log to this report. Yes <br /> Is the monitoring system powered on and in proper operating mode? <br /> Has each alarm <br /> 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 /> Ill answers marked "No" must be described by the designated UST operator in Section 3 <br />