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141 E Harney Ln, Lodi, CA 95240 <br />08/18/2021 <br />PHOTO 14: <br />Owner/operator name missing from monthl DO <br />�'- �' 5. OWNER/OPERATOR DESCRIPTIpN OFF '�NOrt <br />Number the follow up actions to comes OLLOW_Up gCT1pN <br />Pond to appropriate com <br />pliance <br />issues s.,._ <br />PRO543574 <br />Program: UST <br />6. OWNER / OPERATOR ACKNOWLEDGEMENT OF INSPECTION RESULTS I <br />I 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 />UST Owner/ Qperator Signature <br />Date Signed <br />7. INSPECTION HISTORY ` <br />Has each follow-up action of Section 3 from the previous Designated UST <br />Operator Inspection Report been completed appropriately? <br />(Attach documentation ver;f in appropriate service to this report.) <br />8. RELEASE DETECTION ALARM HISTORY <br />Yes No NA <br />Attach a copy of the alarm history report/log to this report. <br />Yes No NI <br />Is the monitoring system powered on and in proper operating mode? <br />Y <br />Has each alarm since the previous inspection been responded to appropriately? <br />Q <br />(Attach documentation verifying appropriate service to this report.) <br />` <br />Have all containment sumps, that have had an alarm since the previous <br />[] <br />designated UST operator inspection report, been responded to by a qualified <br />service technician? <br />All answers marked "No" must be described by the designated UST operator in Section 3. <br />Page 2 ai 4 <br />VICKY VANG-LEE, EHS Page 14 of 18 <br />