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CD <br /> 0 <br /> CD <br /> CD <br /> CD lav L !✓%, 5 <br /> N <br /> O r ; J .� /� +ice �' /:c./ .iiia 9• .>,._, . lss.�-. m <br /> l 11 <br /> d < <br /> ✓J O <br /> lC/V� <br /> (D ]IJ S <br /> o (D aired Follow-Up Actions: <br /> 0 <br /> o r <br /> C) �l <br /> _ INSTRUCTIONS W <br /> < <br /> ( e month) UST system m y Designated Opera poss�vs <br /> (p y inspection must be conducted b a Desi ted UST for who a current`Calif <br /> D O ST System Operator"exam issued by the International Code Council(ICC). <br /> O _ Designated UST Operator must alert the UST Omm <br /> Owner or Operator of my condition discovered during the mtNsw <br /> y�il <br /> D -tion that may require follow-up actions. <br /> O copy of this monthly inspection report must be provided to the UST Owner or Operator. /1 <br /> c (D u UST Owner or Operator must maintain a copy of each monthly inspection report and all anaehmwts far the rent V J <br /> a" <br /> 7C) months The records sha0 be maintained on-site or, if approved by the local agency. off-site at a medily availal O <br /> tD O uw. <br /> 0 <br /> j -]/l nrwaltavae O <br /> A <br />