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9255517888 Line 1 08:05:12 12-29-2015 1/1 <br /> 6ETTLER - RYAN INC. <br /> DEC 2U5 <br /> ENVIRONMENTAL <br /> WCA1Tt-I nr:0AQTIIAPKIT <br /> TESTING NOTIFICATION Job# 20-640102 <br /> Notification Date 12/29/2015 <br /> Requested Test Date 2/2/2016 Requested Time: 9am <br /> Facility Name Arco 6080 Repairs Requested <br /> Facility Address 85 E Louise Ave Startup Test <br /> City/State Lathrop Annual Test <br /> Agency Notified San Joaquin County EHD Method: <br /> Contact Person Verbal <br /> Telephone: 209-468-8257 Fax Qx <br /> Fax: 209-468-3433 E-Mail <br /> Testing Scope(check all that apply) <br /> Tank Monitor Certification: 0 VR201-202 Exhibit 5 <br /> Spill Bucket: FX_1 VR201-202 Exhibit 7 El <br /> Secondary Containment(SB989): n VR201-202 Exhibit 8 <br /> 3GPH Simulation: FRI VR201-202 Exhibit 9 <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 F_� VR203-204 Exhibit 9 El <br /> TP201.313 VR203-204 Exhibit 10 E] <br /> TP201.4 VR203-204 Exhibit 11 <br /> TP201.6 VR203-204 Exhibit 12 <br /> Healy Dispenser lntegrity7 VR203-204 Exhibit 13 <br /> VR201-202 Exhibit 4 F-1 VR203-204 Exhibit 14 ❑ <br /> Repair Scope: Annual Monitor Certification <br /> Technician Assigned to:Tim Admas 925-5704783 <br /> Notification Contact: Wendy Beach Contact Phone#: 925-551-7555 <br /> GITTUR-RYAN INC. Once - 925:5,51-7555 Fax - 925-55I4770 ewail - grmmnt@grinc.com <br />