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Underground Storage Tank <br /> Designated UST Operator Visual Inspection Deport <br /> 5. OWNER} PERATOR DESCRIPTION OF FOLL W-UP AC T10N <br /> Number the follow up actions to correspond to appropriate cornpGanoe issues from Section 3. <br /> No Issues. <br /> C. OWNER i 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 actions) taken or to be taken to correct any cornpliance issues discovered. <br /> Dame of UST Owner ! Operator (print) Mike Eliason <br /> UST O ner/Ope for Signature Date Sign-ed <br /> 1/012026 <br /> 7. INSPECTION HISTORY <br /> Has each fallow-up action of Section 3 from the previous Designated UST Yes No NA <br /> Operator Inspection Report been completed appropriately? ❑ ❑ <br /> Attach docurrrentatioT�rerif ling appropriate service to this report) <br /> S. RELEASE DETECTION ALARM HISTORY <br /> Attach a copy of the alarm history reportlfog to this report Yes No NA <br /> Is the monitoring system powered on artd 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 qualified ❑ 0 <br /> service technician? <br /> All answers marked "No'must be described by the designated US T operator in Section .3, <br /> Page 2 of 4 <br />