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141 E Harney Ln, Lodi, CA 95240 <br />08/18/2021 <br />PHOTO 15: <br />DOrep orts si ed by unauthorized personnel <br />NER/OPERATOR DESCRIPTION OF FOLLOW_Up ACTION <br />Number the follow up actions to correspond to appro riate <br />p compliance issues <br />3. <br />6. OWNER / 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 action(s) taken or to be taken to correct any compliance issues discovered. <br />Name UST Owner / Operator (print) <br />c- <br />ub I <br />UST 6Vvner/2perator Signature Date Signed <br />7. INSPECTION HISTORY <br />each follow-up action of Section 3 from the previous Designated UST <br />Yes <br />No NA <br />[Has <br />rator Inspection Report been completed appropriately?ach <br />documentation verifying in appropriate service to this report. <br />8. RELEASE DETECTION ALARM HISTORY <br />Attach a copy of the alarm history report/log to this report. <br />Yes <br />No NA <br />Is the monitoring system powered on and 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 />T] T7 <br />designated UST operator inspection report, been responded to by a qualified <br />service technician? <br />PRO543574 <br />Program: UST <br />All answers marked "No" must be described by the designated UST operator in Section 3. <br />Page 2 of 4 <br />VICKY VANG-LEE, EHS Page 15 of 18 <br />