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13850 N De Vries, Lodi, CA 95240 PR0231547 <br />08/17/2021 Program: UST <br />PHOTO 3: <br />Report signed by owner/operator on 01/11/2021 <br />PW <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 discoverec <br />Name of UST Owner / Operator (print) <br />Stephen G. Wiedemann <br />UST Owner/Operatorr Signature Date Signed <br />211011 b1Y1 ��SG�-0 tlemann <br />M21011112-- <br />7. <br />7. INSPECTION HISTORY <br />I <br />' Has each follow-up action of Section 3 from the previous Designated UST <br />Yes No <br />Operator Inspection Report been completed appropriately? <br />1 Attach d01 <br />ocumentation veri in appropriate service to this re ort. <br />8. RELEASE DETECTION ALARM HISTORY <br />Attach a copy of the alarm history reportliog to this report. <br />Yes No <br />Is the monitoring system powered on and in proper operating mode? <br />® ❑ <br />Has each alarm since the previous inspection been responded to appropriately? <br />❑ ❑ <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 />❑ ❑ <br />service technician? <br />All answers marked "No" must be described by the designated UST operator in Section 3. <br />IT FAULT <br />__ARA <br />C . FAULT <br />Page 2 of 4 <br />KJO <br />VICKY VANG-LEE, EHS Page 3 of 5 <br />