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14-5ucll inspection Report <br /> OR DESCRIPTION OF FOLLOW_ <br /> actions to correspond to appropriate IJP ACTION <br /> compliance issues from Section 3. <br /> OWNER I OPERATOR ACKNOWLEDGEMENT OF INSPECT[ON RESULTS <br /> ive reviewed the results of the designated UST operator inspection report and provided a <br />;cription of the action(s) taken or to be taken to correct any compliance issues discovered. <br /> ne of UST Owner / Operator (print) <br /> . tlDeA 51ti4P <br />- Owner/Operato ignature Date Signed <br /> MSPECTION HISTORY` <br /> each follow-up action of Section 3 from the previous Designated UST YeNo NA <br /> rator Inspection Report been completed appropriately? [1� <br /> ich documentation veri in a ro riate service to this report.) <br /> ELEASE DETECTION ALARM HISTORY <br /> ch a copy of the alarm history report/log to this report. Yep, No NA <br /> Tn <br /> monitoring system powered on and in proper operating mode? ❑ � <br /> aach alarm since the previous inspection been responded to appropriately? ❑ <br /> r1h documentation verifying appropriate service to this report.) <br /> all containment sumps, that have had an alarm since the previous ❑ �] <br /> nated UST operator inspection report, been responded to by a qualified <br />;e technician? <br />;wens marked "No"must be described by the designated UST operator in Section 3. <br /> Page 2 of 4 <br />