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UST PROGRAM INSPECTION REPORT <br /> Facility Name:" Address: �� (_�%27`' ,(� , �-jx -V <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 /> Observation(s): _ <br /> -=44Aw) <br /> 1) _ ID <br /> .— 1,413 P-j c SFr .-* 1 • <br /> 40 0 <br /> G_ E, <br /> j c f- Iry N ' <br /> Inspection Type -r c! Date a <br /> REHS . Print +r eta ; c S V � <br /> Receiv y Print .7' <br /> a N� <br /> 5 cfmn <br /> Title �� neNs s c e'rftt � Phone (�zoe, �1 r G <br /> D <br /> PHS 260(8104100) 2 of . ., <br />