Laserfiche WebLink
2358 East Waterloo Road PR0231756 <br /> April 28, 2022 Program: UST <br /> PHOTO 1: The 7/1/2021 desi nated operator report was not signed by the owner/o erator. <br /> Desi Hated Underground storage Tank <br /> US ~ <br /> 9 Operator Visual inspection Report <br /> 5. OWNERIOPERATOR DESCRIPTION OF FOLLOW- <br /> Number the follow up actions to correspond to to comP ian NgTI( <br /> ppropriate cornpliance issues from Section 3. or mon <br /> 7 pursr. <br /> of Fec <br /> Utern <br /> dtern <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 /> Name of UST Owner/Operator(print) <br /> UST Owner/Operator Signature Date Signed <br /> 7. INSPECTION HISTORY <br /> Has each follow-up action of Section 3 from the previous Designated UST Yes No NA <br /> Operator Inspection Report been completed appropriately? ❑ ❑ X — <br /> Attach documentation vendng appropriate service to this report) - <br /> 8. RELEASE DETECTION ALARM HISTORY <br /> Attach a copy of the alarm history report(log to this report. Yes No NA <br /> Is the monitoring system powered on and in proper operating mode? ❑ <br /> Has each alarm in 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 ❑ ❑ 1A <br /> service technician? <br /> All answers marked"No"must be described by the designated UST operator in Section 3. <br /> Pa e2of4 <br /> Lydia Baker, SR. REHS Page 1 of 2 <br />