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Address Express Fuel & Mart Record ID PR0231059 <br /> Date 6/15/2022 Program: UST <br /> PHOTO 1: <br /> Monthly DO report was missing the owner/operator date and signature. <br /> L��oU�7=l�11�fAOpl�zw4 Pur •ol�4.gp <br /> --L%r.:7 i'"l iiiiv at-v V.'as r-.`.:�:�i^ � .••-••••••-•-"— .' <br /> y ir' •• wT ■�oNpl.UVll 1'Z�F7Ut-C" �•_�. <br /> 5. 0 fNER/OPERATOR DESCRIPTION OF FOLLOW-UP ACTION <br /> Number the follow up actions to correspond to appropriate compliance issues from 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/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? 0 N <br /> Attach documentation Keri in a ro riate service to this report.) 13 Fri <br /> 8. RELEASE DETECTION ALARM HISTORY <br /> Attach a copy of the alarm history reporViog to this report. Yes No FNA <br /> Is the monitoring system powered on and in proper operating mode? Q <br /> Has each alarm since the previous inspection been responded to appropriately? 1­1 0 <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 /> All answers marked"No"must be described by the designated UST operator in Section 3. <br /> Page 2 of 4 <br /> Gabriela Garcia-Mejia, EHS Page 1 of 2 <br />