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141 E Harney Ln, Lodi, CA 95240 <br />08/18/2021 <br />PHOTO 16: <br />DO reports signed by unauthorized <br />a <br />LZ <br />VICKY VANG-LEE, EHS <br />PR0543574 <br />Program: UST <br />Lj <br />_. ' iUN <br />_ espond to appropriate compliance issues from Section 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(.) taken or to betaken to correct any compliance issues discovered. <br />Name of UST Owner Operator (print) <br /><_`� i�CIVCth <br />UST Owner/Operator Si ature Date Signed <br />Ll -2.—Z <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 verifying appropriate service to this re ort. <br />8, RELEASE DETECTION ALARM HISTORY <br />Attach a copy of the alarm history report/log to this report. <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 />designated UST operator inspection report, been responded to by a qualified <br />service technician? <br />Yes No NA <br />In 0 in <br />Yes <br />Alf answers marked "No" must be described by the designated UST operator in Section 3. <br />Page 2 of 4 <br />Page 16 of 18 <br />