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Jan :SU 14 U4:1'Lp L6I i bbu 1-1U 1-U1:iU <br />agency inspection Report rax <br />(Please fax in ALL Agency inspection Reports with or without corrective actions) <br />Permit Desk <br />FAX (926) 842-9586 <br />FROM* Station # <br />. {. I n.� <br />pages: <br />{Including cover} <br />M <br />phone umber. <br />� � <br />PrintManager Name: "".. s...-- _ , <br />r�Sc. <br />My facility <br />received the attached (check appropriately belOWY <br />[] NOV <br />- Notice of Violation: A document issued by a Goved datenand mays eau re p t or Locl Agency gent of a a <br />violation or condition that requires a corrective action by a spec <br />monetary fine or penalty. <br />?'notice to Comply: A document issued by a Government or Local Agency identifying a <br />violation or condition of non-compliance that requires a corrective action by a specific date but does not levy a <br />monetary fine or penalty. <br />�--� Other: 144% or Any Governmen <br />t or Loco! Agency document or communication {these include a <br />E] <br />successfully passed inspection} <br />i=S representative via phone anlor fax. <br />I have also notifiedyC <br />Name of RESH Specialist: 'E'EIVED <br />Notes:cl-�Qn; �v- ki <br />� <br />, 2 0 14 <br />Do: Ument <br />Revision Date 9/1412012 <br />