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2535 WIGWAM OR, <br />STOCKTON. CA 95205 ELITE IV <br />PHN (209) 461-6337 <br />FAX (209) 461.6342 CONTRACTORS <br />ELITEIV@SBCGLOBAL, NET <br />I V E <br />FaxNOV 19 2014 <br />ENVIRONMENTAL HEALTH <br />DEPARTMENT <br />To: Fatinah Zareef From: {limberly White <br />Fax: (209) 468-3433 Pages: 2 <br />Phone: (209) 953-7311 Date: Nov. 19, 2014 <br />Re: Form "C" cc: <br />X UrHent C) For Review ❑ Please Comment ❑ Please Reply © Please Recycle <br />• Comments, <br />Hi Fatinah Z., <br />SR# 0070639 <br />Waterloo Food Mart, 4315 E. Waterloo Rd, Stockton, CA <br />To follow this cover page is the required Form "C" to close the above SR#. <br />We meet Friday, Nov. 14, 2014 and conducted the inspection of verifying the <br />interstitial fluid throughout the UDC of #7!8 & vacuum of monitoring of all pipes after <br />the repaired penetrations in #718 UDC. (Bravo Brine used to fill #718) <br />Regards, <br />Kimberly White <br />Representative <br />Elite IV Contractors, Inc. <br />2535 Wigwam Dr. <br />Stockton, CA 95205 <br />Phn 209.461.6337 <br />T'd 2t,6919b602 QUI SJQ'4QeJ4UQ3 nI a'4z13 eLE:OT bT 61 noW <br />