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Aug. 4. 200410: 12AM No. 0901 P. 1/1 <br /> MtMora Mr INBER <br /> L, cW E S) __TA R <br /> = <br /> ENftQNMENTAtI <br /> SALES- TRUCTIOq-SERVICE <br /> 4688 W.,ENN STE 101,FRE�No,CA.93722 <br /> (559)27 378/ 559)277-0106 <br /> Lic f6A_ Z \\1 <br /> INSPEMON REQUEST <br /> NOTE:INSPECTOR,TO CONFIRM TEST PLEASE INITIAL AT BOTTOM OF PAGE AND-FAX TO(559) 277-0106 <br /> Date: 8/4/2004 Fax Number: 209488.3433 <br /> Attn: RAY VON FLUE Conf. #; (If necessary fill in <br /> and fax back to Stenya Q 559-277-WO6) <br /> Facility Dietalls <br /> Permit# <br /> Facility Name: ESCALON MINI MART <br /> Facility Address: 1097 a YOSEMITE <br /> City: ESCALON MINI MART Zip; 95320 <br /> Telephone: 209-838-1546 Fax: <br /> Contact Name: BILL Title; OWNER <br /> Schedule Type: Facility Start-up Cancellation <br /> Routine Compliance Annual Monitoring <br /> X Retest Cathodic Protection Cif applicable) <br /> Reschedule <br /> Tating Coinipany Details <br /> Testing Company Name: WSE <br /> Testing Company Address: 4888 W JENNIFER#101 <br /> City. FRESNO CA Zip, 03722 <br /> Telephone: 559-277-9378 Fax 559-277-0106 <br /> Tester's Name(Print): Testeras ID#: <br /> Requested By: STENYA MENDRIN Test Time: 8-6-04_�1 PM <br /> 24 Hour Test Results <br /> Test Test Scheduled Pass Fall <br /> TP 201.3 Leak Decay <br /> TP 201.38 Leak Dern AS <br /> TP201.4 Back Pressure <br /> TP201.5 Air to Li uid Ratio <br /> TP201.6C Li uld Removal <br /> VR101 Ex 4 <br /> VRI 01 Ex 5 <br /> VR102 Ex 4 <br /> VRI 02 Ex 5 <br /> Annual Monitoring <br /> TP201.3C UST Tie Test <br /> MLLD Mechanical Line Leak Test X <br /> LINE TEST Pressure Line Test <br /> UST Inte Tightness Test <br /> SB989 Test <br /> Cathodic Protection <br /> Comments: INSTALL&REINSPECT UNLEADED MLD <br /> Date Received: Inspector acknowiedgement: <br />