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5. OWNER/OPERATOR I) —"� <br /> ESCRIPTION OF SpeCtI®n Report <br /> Number the follow up actions to correspond FOLLO <br /> toaPpro riat ACTION <br /> prate c°mPiiance issues from Section 3. <br /> 6. OWNER / OPERATOR ACKNOWLEI DGEMENT OF <br /> I .have reviewed the. results of the designa�ted INSPECTION RESULTS <br /> description of`the actions) taken or to be taken ®rreCtr inspection report and provide <br /> Name of UST Owner/ Operator`(print any compliance issues discov( <br /> UST Owner/Operator Signature <br /> Date Signed <br /> 1 /12/2023 <br /> 7. INSPECTION HISTORY <br /> Has each follow-up action of Section 3 from,the previous Designated UST Yes No <br /> Operator Inspection Report;been completed appropriately? <br /> (Attach documentation ve Yiing appro _ <br /> riate service to this re ort. <br /> 8. RELEASE. DETECTION ALARM HISTOR <br /> ttaoh a copy of the alarm history re ori log to this re ort. Yes No <br /> Is the monitoring system ,powered on and in proper operating made? ❑✓ ❑ <br />-las each alarm since the previous inspection been responded to appropriately? <br /> El <br />'Attach documentation verifying ap ro riate service to this re ort. El-lave all containment sump ,s that have had an alarm since previous <br /> since the <br /> lesignated UST operator inspection report, been responded to by a qualified ❑ ❑ <br /> ice technician? <br />