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Address Pacific Service Station, 6131 Pacific Avenue, Stockton CA 95207 Record ID PR0231223 <br /> Date 8/25/2022 Program: UST <br /> PHOTO 2: <br /> Missing owner/o erator name. <br /> a n . <br /> 6. OWNER-/OPERATOR ACKNOWLEDGEMENT OF INSPECTION RESULTS <br /> I have reviewed the results of the designated UST operator inspection report and <br /> description of the actions)taken or to be taken to correct any compliance issues <br /> Name of UST Owner/Operator(print) <br /> UST Owner/operator Signature Date Signed <br /> 7. INSPECTION HISTORY <br /> Inas each follow-up action of Section 3 from the previous Designated UST --- ---Ye, <br /> Operator inspection Report been completed appropriately? <br /> AgEeh documentation vers iqg a ro nate service to this Teo ❑ <br /> 3. RELEASE DETECTION ALARM HISTORY <br /> IHach a copy of the alarm history reporbio9 to this report. <br /> the monitoring system powered on and in proper operating mode? Ye; <br /> as each alarm since the previous inspection been responded to appropriately? <br /> Ittach docUmentetion verifying appropriate service to th/s report,) ❑ <br /> Elva all containment sumps, that have had an alarm since the previous <br /> ,signaled UST operator inspection report, been responded to by a qualified <br /> rVICe technician? — ❑ <br /> answers marked"NO"must be described by the deli Hated UST ST operator in Section <br /> Gabriela Garcia-Mejia, EHS Page 2 of 5 <br />