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9/13/233 4 : 06 PM CommonSpirit Health Mail - " Inspection Finding" <br /> Underground Storage Tank <br /> Designated UST Operator Visual Inspection Report <br /> 5, OWNER/OPERATOR DESCRIPTION OF FOLLOW-UP ACTION <br /> ' Number the follow up actions to correspond to appropriate compliance issues from Section 3. <br /> 6. OWNER l 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 /> UST O for Sig Date Signed <br /> Ww <br /> - mss z3 <br /> 7. INSP ON HISTORY <br /> Has each follow-up action of Section 3 from the previous Designated UST Yes No NA <br /> Operator Inspection Report been completed appropriately? E3 ❑ <br /> Attach documentation verifying appropriate service to this report) <br /> 8. RELEASE DETECTION ALARM HISTORY <br /> Attach a copy of the alarm history report/lag to this report. _ Yes No NA <br /> Is the monitoring system powered on and in proper operating mode? R] ❑ <br /> Has each alarm since the previous Inspection been responded to appropriately? El E](Attach documentation verifying appropriate service to this report) 21 <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 Wo" must be described by the designated UST operator in Section 3. <br /> Page 2 of 4 <br /> If you have any questions please let me know. <br /> Thank You <br /> Chuck R . Chapple <br /> Chief Engineer <br /> Plant Maintenance / Plant Operations <br /> Dignity Health <br /> St . Joseph 's Medical Center <br /> https :Hmail . google , com/mail/u/0/? ik=fc9064613a &view= pt&search =all&permthid=thread-a : r2082766802405097353% 7Cmsg-a : r783175843868994885 . . . 2/3 <br />