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uesignated UST Operator Visual Inspection Report <br /> V. OWNEPRJIOPERATOR DESCRIPTION OF FOLLOW-UP ACTION <br /> Number the follow up actions to correspond to appropriate compliance issues from Section 3. <br /> LTS <br /> OWNER/ OPERATOR ACKNOWLEDGEMENT OF INSPECTIONRtreport and provided a <br /> s• operator inspection <br /> I have reviewed the results of the taken or to bett ken t correct any <br /> compliance issues discovered. <br /> description of the action(s)erator (print) <br /> Name of UST Owner/ Op <br /> Date Si ned <br /> UST O nen erator Signature <br /> PECTION HISTORY Yes No NA <br /> action of Section 3 from the previous Designated UST ❑ ❑ C <br /> Has each follow-up Operator Inspection Report been completed appropriately? <br /> Attach documentation verif in appropriate riate service to this report-) <br /> 8. RELEASE DETECTION ALARM HISTORY Yes No tS <br /> ort/109 to this report. ❑ ❑ <br /> Attach a copy of the alarm history re p <br /> monitoring system powered on and in proper operating mode? <br /> Is the <br /> ach alarm since the previous inspection been rto fh°Sdreport.) <br /> Has a service <br /> (Attach documentation verifying appropriate ❑ ❑ <br /> containment sumps, that have had an alarm since the previous <br /> Have all qualified <br /> UST operator inspection report, been responded to by a <br /> designated <br /> service technician? <br /> arked "No"must be described by the designated UST operator in Section 3. <br /> All answers m Page 2 <br />