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141 E Harney Ln, Lodi, CA 95240 <br />08/18/2021 <br />PHOTO 18: <br />DO reports signed by unauthorized personnel <br />Ir -W., <br />PRO543574 <br />Program: UST <br />--Lion Report <br />OF FOLLOW_ <br />.� iuer [ne follow up actions to corres U AACTION <br />pond to appropriate corn <br />pliance issues from Section <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 actions) taken or to be taken to correct any compliance issues discovered. <br />Vame of UST Owner / Operator (print) <br />!')iVlVirl/� <br />,nCmjperator Signature <br />7. INSPECTION HI R <br />Uate Signed <br />Has each follow-up action of Section 3from the previous Designated UST <br />Operator Inspection Report been completed <br />appia <br />Attach documentation verif itely? <br />n a 1`0o riate service ropris this report.)Yes <br />8. RELEASE DETECTION ALARM <br />No NA <br />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 />Yes No NA <br />Has each alarm since the previous i2 <br />nspection been <br />in <br />responded to appropriately. <br />(Attach documentation verifying appropriate service <br />to this report.) <br />Have all containment sumps, that have had an alarm <br />since the previous <br />designated UST operator inspection report, been <br />�\ ® T7 <br />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 />4 <br />P20P 9 M A <br />VICKY VANG-LEE, EHS Page 18 of 18 <br />