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0.3/06,'03 THU 10:12 FAX 010 —0 1177 B.E.S.I. Zoos <br /> To: Fax# <br /> Na,of Pape9' <br /> Agency! <br /> by SB 989 TESTING PROGRAM <br /> AGENCY NOTIFICATION SHEET <br /> Notification Date: 10/3/2007 NotlHcatlon Por. <br /> Requested Tegt Date: 10/8/2002 Initlal r—t: X <br /> Repgira: <br /> ARCO Foci: 6919 Re-test: <br /> Address: 1100 SOUTH MAIN 5T. <br /> City: MAArrBCA <br /> State: C4 <br /> Agency Name: SAN.rcAQyIN CTY ENV HEALTH Notification Method: <br /> Person Contacted: DOVAT5 CArA)VYA6 Fax X <br /> E-mail' <br /> Time Cnrrtacted Verbal: _ <br /> Comment2tRequiretnemts 8AM <br /> eg Mnq O P9 (check 1k)l cempaRents thet aPPM <br /> Tank Annular X Fill Sumps X <br /> Secondary Piping X spill Bucket$ X <br /> Turbinb Sumps X UDC X <br /> Repair Sea a (oea Abe cornponernts and anWpElted repalm) <br /> Contractor Name. PErCON TFCHNOL00ZE5. 1W <br /> Contractor Phone: 310.679.9991 <br /> Notification Made By: EWrE MAPTZNfZ <br /> 'Name of Indite ualj <br /> ARCO Contact. CNRIS MOUL Phone: 503.294.3590 <br /> DietNbution: 0rtp4nel Lu Agency <br /> copy jo Seiehlre Environmental SeMCY9 <br />