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P. 1 <br />Communication Result Report ( Oct -29, 2015 2:41PM) <br />1) San JoaquinCounty <br />2) Environmental Health Department <br />Date/Time: Oct,29. 2015 2:16PM <br />File Page <br />No, Mode Destination Pg (s) Result Not Sent <br />---------------------------------------------------------------------------------------------------- <br />1399 Memory TX 1 P. 1 E-2) 2) 2) 2) 2) P.1 <br />919163731173 OK <br />---------------------------------------------------------------------------------------------------- <br />Reason for error <br />E.1) Hansup or line fail E.2) Busy <br />E.3) No answerE.4) No facsimile connection <br />E. 5) Exceeded max. <br />E —mai 1 size <br />.. <br />SAN JOADena COIaaTV <br />nads:ss: sp„n„t�bsrs: <br />EWWl0N fiUffAL F#ALTH DEPARRMSxT <br />frnalb 'e iii; rGGapr�u:ea TdeAnWe" waw ft,P c nandaaiimTradeag: <br />1568 East "aael9m Avast., Sfdeln"n. CA a52 -U= <br />T 8) 468-3420 Fes: (200) 485-3433 Web: mom. " w ®hd <br />- (20 <br />UNDERGROUND <br />STORAGE TANK (UST) PROGRAM SERVICE REQUEST INSPECTION REPORT <br />FarBy Mnenr. ®� <br />Parkwoods Gas and Food Thursday, OCtob®f 29, 2015 <br />nads:ss: sp„n„t�bsrs: <br />17hy <br />1612 West Hammer lane, Stoddon SROD73405 <br />frnalb 'e iii; rGGapr�u:ea TdeAnWe" waw ft,P c nandaaiimTradeag: <br />Anthony Reyes 17!16/16 VR 2%28117 <br />SERVICE <br />SERVICE <br />LeandeelaeW <br />Spit O Min— 5 990n <br />❑ <br />OrnedrardW Modd: <br />hydnoW 0mgr TS -Stu <br />0.lactone: Sew � <br />d !"steel mmbd <br />well System 0 Din., <br />Leak deledor <br />SPIT bu M 0 nariresn 5 gets" <br />❑ <br />Dmednal HIodN: <br />whydrmiaic ❑erwnT&STS <br />0 sletArordc Sm tt: <br />well System 0 OBmr <br />0 Wnetaist ravened <br />P, Ing feeling aC❑ <br />�160f <br />❑ poSNve shutdomr Mc�L0 fail sora Seel A <br />min❑NA <br />[01 <br />ery csda'vmesttesfing for.PIPWQ <br />svto sfiimown emaet: <br />Sys) <br />00 fall —1, <br />UST(s) <br />UNA <br />fwteahmemmponentsabnOddtreW= <br />❑ <br />O psslBVed_wIdw m Mold: <br />(ensu❑NAe❑ <br />Drop hrbe" acct ticaloverfillsi.592 <br />l�l or mantodng part;! <br />Dp ste'1✓ml m.hnicat uvmfdl&M <br />lsn protection <br />❑ <br />ovar8h F-ffi*w Ices LG 1 150.1) <br />® <br />Other. see bdow <br />® ❑ Tfds UST( edify is NOT APPROVED to operate <br />Arrived on site and Walton Engineering technician informed me that he did riot perform a <br />reprogramming on the monitoring pard so no mid start occurred. Service permit was puled for cold <br />start for reprogramming software of the monimrkV panel. Asked the technician to print alarm history <br />(see attaehed): No alarms morumed after the monitoring system oartification on May 7, 2015. <br />THIS FACILITY 65 SUBJECT To RHNSPECf=7 ANY EAT@f0'S CUR-MNT HOURLY RATE_ <br />otos, roe®w by �^-- <br />as seas a.v.aawra uararxerF rrcwrsr we�uTrsr�sm <br />