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82/0712613 13: 51 209-599•2 <br />CSI1714 0 <br />Agency Inspection Report Fax <br />(Neale fax in Atte Agency Inspection Reports with or without corrective actions) <br />DATE: 21712013 <br />(including cover) <br />TO: Permit Desk <br />FAX (925) 842-9585 or (925) 842-5660 <br />Station 21 099711 71 4 Ripon <br />(Chevron Facility <br />, <br />My facility received the att (check appropriately below): <br />PAGE 61/0 <br />❑ NOV - Notice of Violation.- A document issued by a Govemment or Local Agency identifying a <br />violation or condition that requires a corrective action by a specified date and may require payment of a <br />m.o.uetary fine or penalty. <br />Z NTC - Notice to Comply: A document issued by a Government or Local ,Agency identifying a <br />violation or condition of non-compliance that requires a corrective action by a specific date but does not levy a <br />monetary fine or penalty. <br />❑ Other: 100% or Any Government or Local Agency document or communication (these include a <br />successfdly° passed inspection) <br />Narne of x Diane Province <br />Name of RESH Specialist: Gerardo <br />In addition to faxing in the (legible) inspection report, please place a copy of the noti-M <br />into the Retail Facility Compliance 9. <br />Updated <br />