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141 E Harney Ln, Lodi, CA 95240 <br />08/18/2021 <br />PHOTO 17: <br />DO reports signed by unauthorized <br />a N <br />�]Q4� gQN 3N <br />S ££¢¢ <br />Coy - <br />v -/ <br />�.nnpnance issues <br />PRO543574 <br />Program: UST <br />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(s) taken or to be taken to correct any compliance issues discovered. <br />Name of UST Owner / Operatorprint) <br />UST Owner/Operator Signature <br />I. INSPECTION HISTORY` <br />Date ySi��d � <br />Has each follow-up action of Section 3 from the previous Designated UST <br />Operator Inspection Report been completed appropriately? Yes 7NoNA <br />Attach documentation verifying a ro riate service to this re ort.rl <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 I No NA <br />All answers marked "No" must be described by the designated UST operator in Section 3. <br />VICKY VANG-LEE, EHS Page 17 of 18 <br />