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Underground Storage <br /> Tank <br /> a kection Report <br /> Visual Designated USIA Operator Vis P <br /> rl <br /> S. OWNER/OPERATOR DESCRIPTION OF FOLLOW-UP ACTION <br /> Number the follow up actions to correspond to appropriteacompliance issues from Section 3. <br /> I <br /> 4 6. OWNER / OPERATOR ACKNOWLEDGEMENT OF INSPECTION RESULTS <br /> 1 have reviewed the results of the designated UST operator inspection report and provideda <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 /> UST Owner/Operator Signature Date Signed <br /> 7. INSPECTION HISTORY <br /> E�� <br /> Has each follow-up action of Sectiion 3 from the previous Designated UST Yes No NA <br /> Operator Inspection Report been completed appropriately? ❑ ❑ ❑ <br /> Attach documentation verifying appropriate service to this report.) <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 quallified ❑ ❑ ❑✓ <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 />