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1] <br />9 <br />UST PROGRAM INSPECTION REPORT {{�� <br />Facility Name- Address: t✓© i�J �f}'A,r� 2 , , J �l� , <br />25 CCR 2643 (d) <br />26 CCR 2643 (e) <br />27 CCR 2662 <br />28 CCR 2661 <br />29 HSC 25286 (a) <br />30XHSC 25298 (a) <br />31 HSC 25298 (b) <br />32XHSC 25298 (c) <br />33 <br />Al - ---i" ___ /-%. <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 <br />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 />�,, <br />W, /Z:[/moi' i I <br />MrM VFW 0A <br />(p Iq rte, <br />CA <br />—Date 5 ! <br />13kiay.41 <br />PHS 260 (8/04100) 1 2 of -?- <br />