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Commun'Ation Result Report ( Jan, 21. 2014 1:06AM ) * * P. 1 <br />1) San Joaquin County <br />2) Environmental Health Department <br />Date/Time: Jan,21. 2014 11:05AM <br />File Page <br />No, Mode Destination Pg (s) Result Not Sent <br />---------------------------------------------------------------------------------------------------- <br />0928 Memory TX 912093349369 P. 6 OK <br />---------------------------------------------------------------------------------------------------- <br />Reasonfor <br />error <br />E. 1) <br />Hans up or <br />line fail <br />E.2) Busy <br />E.3) <br />No answer <br />E.4) No facsimile <br />connection <br />E.5) <br />Exceeded max. E—mail <br />size <br />San Joaquin County <br />4 <br />Environmental Health Department <br />. <br />1868 East Hazelton Avenue <br />o� <br />a, <br />Stockton, California 95205-6232 <br />r=ao suW cOoRDIMATOR3 <br />f 1krI MC Idur, RENS <br />••,� -.: <br />Jan Cammr , RENs o' <br />- - �. <br />(i jinx, <br />Nobiuw: wwtra/yov.orp/ehd <br />tinJx TAahe, RENS Kwey rd". R91i5 <br />Phoria (209) 41i6-3420 <br />Fax: (209)444.40138 <br />Ocicber 14, 2013 <br />Azad and Helen Amid and 10umam Malevandi 9'. 71 9690 0935 0039 1092 32 <br />Flag City Chevron <br />6421Capitol Ave. <br />tnd1. CA 95242 <br />RE Flag City Chevron 6421 Capitol Ave. Lodi, CA 95242 <br />San Joaquin County Environmental Health Department (FHO) performed a routine undergfe—ri stnmgn <br />lark Itr,Wedien on Seplernba 4, 201 J, at fhe above referenced silo <br />An inspac5on repad xas Issued ie-ofying information to be submitted to bnng this sae ,ht. compl-woe. <br />This information was required to be submitted by Odober 4, 2013. This information has not been <br />mcr4vnd resoling in a non-xmpliart stats for this facility. <br />Note: AN END staff time associated with failing to comply, including the isauence of this letter, is <br />billed at the current hourly rate ($125). Fx9ure to submit the completed Information Immediately <br />may result to a re-Inspectlon, additional violations, andfor further legal action. <br />I he missng in nrinatlon incl des, <br />- Return to Ccmpianca Certification form <br />Coirective acfon statemerds for each violation <br />Curmntcopy of the monitoring and response plan <br />gym have any questions, please cal; Anis Cacapit, REH3 at (209) 466-34'-3 <br />1gr <br />x <br />Nis Carap4, RENS <br />Senior Registered Environmental Health Specialist <br />CC: Bolddea Fondly L7mAed PTP <br />PO 9- 14111 <br />Woodlundge, CA 95258 <br />