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UST PROGRAM INSPECTION REPORT <br />Facility Name: Address: `I d 1 44kc <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 />Observation(s): <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 />Yp� ;k c�r��:�;���1.`a FBF °�ir�,��z -ce�������� <br />l0A*Q.. -C&A. C�Yf�t.A �n��IR (�1� A� ©� �i c_of '�- �n �` COY i� S4 <br />-7-6 c1$ <br />Inspection: Type UL&4-c Date A k I <br />REHS `c — Print L.e� <br />Received by Print_S 1.0�0 <br />Title y Phone_ �90,' 36-9 9797 <br />PHS 260 (8/04/00) 2 of <br />