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916-631-1317 Gettler-Ryan Inc. 1; 47 p.m. 10-04-2012 1 /1 <br /> 6ETTLER - RYAN INC. <br /> 0 04 <br /> TESTING NOTIFICATION Job# 20-582062 <br /> Notification Date 10/4/2012 <br /> Requested Test Date 10/11/2012 Requested Time: 9:00 AM <br /> Facility Name Arco 2186 Repairs Requested Qx <br /> Facility Address 3212 N California St Startup Test E] <br /> rrLeL__ Stockton Ca Annual Test E] <br /> Agency Notified San Joaquin County EHD Method: <br /> Contact Person Inspector Verbal <br /> Tele hone: Fax Q <br /> Fax: 209-468-3433 E-Mail <br /> Testing Scope(check all that apply) <br /> Tank Monitor Certification: ❑X VR201-202 Exhibit 5 <br /> Spill Bucket: 7 VR201-202 Exhibit 7 <br /> Secondary Containment(SB989): Permit sr0065530 VR201-202 Exhibit 8 <br /> 3GPH Simulation: ❑x VR201-202 Exhibit 9 ED <br /> TP201.1 B ❑ VR203-204 Exhibit 5 <br /> TP201.1C/D ❑ VR203.204 Exhibit 6 <br /> TP201.1 E F� VR203-204 Exhibit 8 <br /> TP201.3 ❑ VR203-204 Exhibit 9 <br /> TP201.3B ❑ i VR203.204 Exhibit 10 <br /> TP201.4 S <br /> 111 VR203-204 Exhibit 11 <br /> TP201.6 VR203.204 Exhibit 12 <br /> Healy Dispenser Integrity VR203-204 Exhibit 13 <br /> VR201-202 Exhibit 4 \ VR203.204 Exhibit 14 <br /> Repair scope: Monitor Cert after a cold start <br /> Technician Assigned to:Wes Morrison/Chris Reeves 925 -570-4013 <br /> Notification Contact: Ryan Matthews Contact Phone#: 925-551-7555 or 916-826-6806 <br /> GEMER-RYANW.. Office - 925551-7555 Fax - 925-551-4770 email - grmaint@grinc.com <br />