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9255517888 Line 10 s fl :26 p.m. 11-14-2008 1 /1 <br /> NOV 14 2008 <br /> F1 GETTLER - RYAN INC. SAE JOAQUIN COUNTY <br /> NVlgn.iMr-114. <br /> HEALTH DEPARTMENT <br /> TESTING PROGRAM <br /> AGENCY NOTIFICATION SHEET W/O#:54,3 <br /> Notification Date: l J ` Notification For: <br /> Requested Test Date:: Initial Test <br /> Facility Name: rr rj Repairs <br /> e L <br /> Site Nam , (Facility k: Re-Test E7 <br /> Address: W D ( 5Pi <br /> City,Slate: <br /> Agency Notified: Method: <br /> Contact Person: Verbal <br /> Fax <br /> Telephone: E-Mail <br /> Fax k: lQ ,3. Confirm Date/Time: <br /> Tech: <br /> Testing Scope(eheekdlcomponentsMelappry) > /j <br /> ST-27 Back Pressure/TP 201.4 Tank Monitor Certification/JP/!l <br /> ST-30 PSI Decay USY TP 201.3 3-GPH Leak Simulation <br /> ST-37 Liquid Removal/TP 201.6 Static Tmrque TP-201.1E <br /> ST-38 PSI Decay ASV TP 201.3B Drop Tube/Drain Valve TP 201.1C <br /> ST-39 Air/Liquid/ TP 201.5 Drop Tube OVERFILL TP-201.1D <br /> REPAIR SCOPE (des fibewmponeneisandanNcipatedmpaim) <br /> Notification Contact:/ � ra Telephone: (925)551-4777 <br /> Scope of Work Contact: Telephone: <br /> .- 4 Sic r r a Cnurl . Ruitp J Duhlin Calitnrnle on 99A / n0c ) ccl laaa <br />