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UST PROGRAM INSPECTION REPORT <br /> Facility Name: Address: <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 /> Mervation(s): <br /> L A <br /> n <br /> Zf) 07f <br /> IV <br /> ()i _ n 4-® <br /> • � x"C� eV v/ <br /> GC I-- <br /> �e. <br /> Inspection: T e Date <br /> RENS Print /. e; " t L, r I J <br /> Received ty 4::;a'i 7yckC4 �;,r , Print <br /> Title Phone <br /> PHS 260(8/04/00) 2 of <br />