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JUL-30-2005 09 :24 AN GETTLER—RYAN INC. 925 551 4770 P. 011 <br /> RE 'v <br /> 6ETTLER - RYAN INC. JUL 302008 <br /> SAN JOAQUIN COUNTY <br /> ENVIRONMENTAL <br /> HEALTH DEPARTMENT <br /> TESTING PROGRAM <br /> AGENCY NOTIFICATION SHEET W/ON: 2D <br /> Notification Dale; Notification For: <br /> Requested Test Date: rt ( 'L /Y+ Initial Test <br /> Facility Name; A I F Repairs <br /> site Nems Faoill M: Flo-Test <br /> Address: '!- /n=/ /? t2/,-?,Or :5t. <br /> C Stah: BTU �e <br /> AgM Notified: // Method: <br /> Contact Portion: Verbal 0 <br /> Fox r <br /> Telephone: //, 3Y3E-Mall Q <br /> Fax Y: 2 //fir, • ^lir •C .3 Confirm Datat Time: <br /> Tech: <br /> Testing Scope tab.ce.x.ant oa.tt.m,r.aPar1 <br /> ST-27 Back Pressure/TP 201.4 Tank Monitor Certification <br /> ST-30 PSI Decay USY TP 201..3 3-GPH Leak Simulation <br /> ST-37Liquid Removal/TP 201.6 Static Terqu® TP-201. 111 <br /> ST48 PSI Decay AST TP 201.38 Drop Tube/Drain Valve TP 201. 1C <br /> ST-9Air/Liquid / TP 201.5 Drop 'Tube OVERFILL TP-201.11) <br /> REPAIR SCOPE(M.Ibe=mpun.nelanndentkpgt uiepM) <br /> Notification Contact: �f: ' STelephone: (925) 5514777 <br /> Scope of Work Contact: _ Telephone; <br /> f it • ra Court . Suite J • Duolon . Ca: liforn : a 94568 ( 925 ) :151 . 7555 <br />