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UST PROGRAM INSPECTION REPORT <br />Facility Name: f C& Address: <br />25 CCR 2643 (d) <br />26 CCR 2643 (e) <br />27 <br />CCR <br />2662 <br />28 <br />CCR <br />2661 <br />29 <br />HSC <br />25286 (a) <br />30 <br />HSC <br />25298 (a) <br />31 <br />HSC <br />25298 (b) <br />32 <br />HSC <br />25298 (c) <br />33 <br />(1hcPrvatinn(�l� <br />Triennial tightness test of suction piping that is not continuously <br />monitored <br />Biennial tightness test of gravity piping that is not continuously <br />monitored <br />Upgrade requirements for UST system <br />Permit to repair UST system <br />Permit to alter monitoring system COOPY Illegal abandonment of UST system <br />Permit to temporarily close UST system <br />Permit to close UST system <br />Violation(s) not listed above <br />Inspection: Type <br />REHS�� <br />Title <br />PHS 260 (8/04/00) <br />Date / (- 7 6^0 <br />Print (. ; -�; Br S <br />of Print <br />/�-Y int(,4-,Phone <br />p tZ <br />GA) <br />c K-ItIA-1 <br />C I <br />�� -> 9 <br />