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S U UST PR GRAM INSPECTION REPORT <br /> Facility Name: Address: I <br /> 25 CCR 2643 (d) Triennial tightness test of suction piping that is not continuously <br /> monitored <br /> 26 CCR 2643 (e) Biennial tightness test of gravity piping that is not continuously <br /> monitored <br /> 27 CCR 2662 Upgrade requirements for UST system <br /> 28 CCR 2661 Permit to repair UST system <br /> 29 HSC 25286(a) Permit to alter monitoring system <br /> 30 HSC 25298 (a) Illegal abandonment of UST system <br /> 31 HSC 25298 (b) Permit to temporarily close UST system <br /> 32 HSC 25298(c) Permit to close UST system <br /> 33 Violation(s)not listed above <br /> Obsetion(s): <br /> (C V1 0 vJ Irl a 1 ct... '1 v- r (41/'C <br /> Inspectioke Date �� i 3REHS Print .�2aL,,er )Received y Print C <br /> Title��,� �-- Phone 1 -7 q L141 7s' <br /> PHS 260(8/04/00) 2 of <br />