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Ute" �E 7460 �pNLH� ,rtateLA <br /> VOLS b5' 0 C.Al�, 1 <br /> 'V'�V0L s �b00 1 H 4ey19 G-�11 <br /> 1�5 Gtlon <br /> Underground Storage Tank ,(�� $e Sign <br /> Designated UST Operator Visual Inspection Report y�y riV <br /> III 5 �eiCe r <br /> � a i� N <br /> Vy lob ted d se e, � <br /> 5. OWNER/OPERATOR DESCRIPTION OF FOLLOW-UP ACTION pelreP llfie a�ag ' p <br /> Number the follow up actions to correspond to appropriate compliance issues from Section 3. �g q�0 <br /> for d rt 5U <br /> ',nVecti jtai05��,p ,V <br /> P co �t <br /> v�5u <br /> 5ots <br /> u <br /> all sen t oPP0 I� <br /> s stain <br /> Q1he st rctions? <br /> s of ob <br /> iinert <br /> qee tal► <br /> ion <br /> Spill v`Ket.B� <br /> SPU 6 <br /> SP0 BU <br /> cKet-g1 <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 /> Jasmin Kaur UDCfre( <br /> UST Owner/Operator Signature Is the <br /> Date Signed detect a relea; <br /> 06/12/ 2024 ups 1D <br /> 7. INSPECTION HISTORY <br /> Has each follow-up action of Section 3 from the previous Designated UST <br /> Operator Inspection Report been completed appropriately? Yes No NA Dispenser-112 <br /> Dispenser-31� <br /> (Attach documentation verif ing appropriate service to this report.) ❑ ❑ <br /> 8. RELEASE DETECTION ALARM HISTORY <br /> Attach a copy of the alarm history reporUlog to this report. Yes No NA <br /> Is the monitoring system powered on and in proper operating mode? <br /> '-las each alarm since the previous inspection been responded to appropriately? 1Z ❑ <br /> Attach documentation verifying appropriate service to this report.) ❑ ❑ Z <br /> lave all containment sumps, that have had an alarm since the previous <br /> 'esignated UST operator inspection report, been responded to by a qualified <br /> ervice technician? ❑ ❑ 0 <br /> OM <br /> answers marked "No"must be described b the designated signated UST operator in Section 3. <br /> Page 2 of 4 All ar <br /> 7-11 -17647-06/12/2024 <br />