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Desi Underground Storage Tank <br /> Design UST Operator Visual Inspection Report <br /> s. ow <br /> NE'JOPERATOR DESCRIPTION OF FOLLOW-UP ACTION <br /> Number the follow up actions to correspond to appropriate compliance issues from Section 3. <br /> ty <br /> 6. OWNER / OPERATOR ACKNOWLEDGEMENT OF INSPECTION RESULTS <br /> 1 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 /> ST Owner/Operator t Date Signed <br /> 7. INSPECTION HIST RY <br /> Has each follow-up action of Section 3 from the previous Designated UST Has <br /> No NA <br /> Operator Inspection Report been completed appropriately? ❑ ❑ L <br /> Attach documentation verifyLng verifyingappropriate service to this report. <br /> �8_ RELEASE DETECTION ALARM HISTORY <br /> Attach a copy of the alarm history reportliog to this report. <br /> J_ VN <br /> Is the monitoring system powered on and in proper operating mode? <br /> Has each alarm since the previous inspection been responded to appropriate(Attach documentation verifying appropriate service to this report.) <br /> Have all containment sumps, that have had an alarm since the previousdesi Hated UST operator inspection report, been responded to by a qualifie <br /> 9 <br /> service technician? <br /> A// <br /> answers marked "No"must be described by the designated UST operator in Section 3. <br /> Page 2 0 � <br />