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'N <br /> Oct. 26, 2005 2: 34PM 'We, Eiv i ro nme n t a I, I n c. No. 2615 1 <br /> Date: l0-Z(-o'0i5 <br /> WIEJ �TAR 00J Requested By: Susan Romanoff <br /> E _._ .,_,,. A <br /> N INIMENTAL INC. <br /> fto - <br /> SALES- <br /> MIFFRUCTIO .-SERVICE Telephone: 559-277-9378 x3010 <br /> 4M W.impot,SIE 101,FM*O,CA.93722 Fax: 559-277-0106 <br /> 378 5.") <br /> Uc -T z <br /> FQ <br /> INSPECTION REQUEST <br /> ............................................ ---------------­-­I......................................... <br /> Facility Details ENVi, 0 <br /> "�)I HEALTH <br /> PE[IMT./j;_,'1' <br /> ARCD Permit# CES <br /> ry) naD6Contact Name:t <br /> Facility Name: e��QQ= 'in) <br /> Facility Address: 10q-1 F__j Telephone: z0q -qb$ - i 56-4(0 <br /> City/State/Zip Eu�c&*% Fax: ZCR -0059. 154(p <br /> Schedule Type: <br /> "i-s" Routine Compliance Cancellation Reschedule Retest <br /> Facility Start-up 4...: 1-11 11---1. <br /> ----------------------*.............**-------------------- <br /> -- <br /> ----------- -- --- ........................................................... <br /> - <br /> Air Polutlon Control Dist. Environmental Health Dept. <br /> Attention: Attention, <br /> C <br /> Phone Number: Phone Number: 9 Cq <br /> Fax Number: Fax Number: <br /> E <br /> a) <br /> Z Test Time: Test Time: <br /> 0 <br /> F-] TP20 1.1 B-Static Torque Annual Monitoring <br /> TP201.1 CID-Drop Tube Spill Buckets Only <br /> TP 201.3 Leak Decay(ST30) -E] SS989 <br /> TP 201.313 Leak Decay(ST38) Mechanical Leak Detector Test <br /> TP201.3C Pipe Connections Test El Pressure Line Tee <br /> TP201.4 Back Pressure(ST27) ® Cathotic Protector <br /> E <br /> Ej TP201.5 Air to Liquid Ratio Integrity Tightness <br /> -rm2n-i at+ 1 ;-..1,4 <br /> Z LJ <br /> E] VRI01B <br /> Inspector acknowledgement: Inspector acknowledgement: <br /> Confirmation#: Confirmation#: <br /> --------------------------------------------------------------------------J I ------------------------------------------------------------------------- <br /> Comments, n CA <br /> Tester information <br /> [-]Customer Acknowledgement On Account <br /> [:]APCD Acknowledgement ®COD <br /> [:]EHD Acknowledgement El <br />