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Jul 09 10 09s14a Elite IV Contactors 120946 6342 <br />ELITEis I <br />IV CONTRACTORS, INC. <br />C. <br />2535 WIGWAM DRIVE <br />STOCKTON, CA 95205 <br />FED ID #68-0286169 <br />p.1 <br />PHONE: (209) 461-6337 <br />FAXES: (209) 461-6342 <br />eliteiv m,sbcgiobal.net <br />s t <br />JUL OA 2010 <br />COUNTY <br />F'N'1 r s „ism <br />Site: Flames Mini Mart 1301 W Kettleman Ln FIE -AU -,11 <br />Date of .inspection: Monday July .12,2010 T'o follow LMH inspection <br />SR 0060367 <br />Name of Inspector scheduled appointment with: Acis Cacapit <br />Part # and Location of TESTING <br />1. LD 2000 IN 91 <br />2. 3.0 TEST REQUIRED <br />Name of Tech: Lance Juarez <br />Date of work performed: <br />Special notes: <br />Please fill out all appropriate forms and the sections on said forms that <br />apply, Including Form C <br />Thank you, <br />Denise Guzman <br />SERVICE COORDINATOR <br />