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RELIABLE PETROLEUM SERVICES, INC. <br /> 11930 Horseshoe Road'Ph:(209)845-8586,faq(209)845-8953 License#883706 CORRECTIVE ACTIONS(UST) <br /> SERVICE REQUEST FORM <br /> Site: mo#: 92 -992-9' DI L1Z5'-ry <br /> ACdress: i4 - I'fL<� P.O. <br /> Client l <br /> °hone VIOLATION 103 <br /> Servke Repuestetl: <br /> We are sorry thatfinancial responsibility document had been not submitted.Nett <br /> time we will make sure that it gets updated and submitted annually as required. <br /> Description of work Perrwmed: - L�iWG.' 'w — (copy attached) <br /> VIOLATION 109 <br /> Weare sorry for secondary containment testing performed late.We already have <br /> t c.—... o...-) <br /> conversation with D.O.to make sure that we have correct testing dates in the <br /> �� _ future,so that all the tests can be done and submitted to county office in timely <br /> ow.., . <br /> V✓ ,E .� 'f; manner.The recent test report is attached. <br /> VIOLATION 126 <br /> i - All UST information is updated and is available to upload online.This time we <br /> need some help to do it online so please allow three additional weeks to <br /> complete and set up an appointment.In the future we will submit online as <br /> needed.(copies attached) <br /> WortPmformed Arrival Deaanbm tabor Tavel VIOLATION 201: <br /> Ome Time Hurs Hours Total HDu sGuMaintenance records for 87 fill sump fuel alarm on 02-07-2014 have been found <br /> (copy attached).Other record for 06-14-2014 alarm is still missing and we <br /> Rocontinuing our search.In the future,we will make sure that the alarm log is <br /> maintained properly and will keep records at the site for the last three years. <br /> VIOLATION 208: <br /> f IUVF rHE AUOIpRfIYTp ORDERTHE WORRY WHMY HAS BEEN SATL5FA=RMY PERTORMED,AS OURINED ABOVETT Z AGREEDTHATTHE <br /> SELLEF W2L RETAIN TITLE MANY EQUIPMENTOR MATERLAL THAT MAY w FuRNISHm UNTIL FMAL PAYMENTf5 MADE AND Ir SETTlEMENTIS <br /> NOT MADEPSAGREED,1HESELLER SHALL HAVE THE RIGHT TO REMOVESAMEANO THESE![ER WILL BEHELD HARMLFSS MR MY DAMAGES D.O.monthly inspection for March 2014 had been found(copy attached).Already <br /> LILTING FROM THE REMOVAL THEREOF. <br /> �Y have talk with D.O.for better record keeping. <br /> .,mer Signature Date <br /> Prinl Name <br /> TlRM5:30OAYS N[l.Af1N1XCE CHARGE OF 3%PER MWO WRLaI CXAWO 04 INVOICES VNPAEO 30 OF"FROM P.M.DATE IN ANY ACTION -- -- <br /> XlLrcg3ylY TO CXFORC[T1E3 A6REEMlM.TN[aVYEq YgLL PRYRFASaNAaL[ATiOgNIY!!!3 AryY Ca3T6 DIRRMIXED aY TH!CDaRT. <br /> gRETURN CHECK POLICY *Return Checks will be Charged a minimum of$25.00 each <br /> RECEIVED <br /> JAN C C tiJR <br /> ENVIRONMENTAL HEALTH <br /> DEPARTMENT <br />