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9255517899 Line 1 OT 5a.m 03-03`2011 1 /1 <br /> F <br /> � 3 <br /> 6ETTLER - RYAN INC. FE13 -3 <br /> r <br /> TES-TI NP ROG RX M <br /> AGENCY NOTIFICATION SHEET W/O#:f2clj <br /> Notification Date: Cj - Q' t Notification For: <br /> Requested Test Date: Repairs <br /> Initial Test <br /> Facility Name: Re-Test <br /> Site Name Facility#: <br /> Address: : <br /> City,State: vi I <br /> Agency Notified: �t�.i d Method: <br /> Contact Person: ULN ((.., Verbal <br /> Fax <br /> Telephone <br /> 'r1` <br /> Fax#: .L� a !+ ` olb% E-Mail <br /> Testing Scope(check all components that apply) <br /> TP-201.4/ST-27 Back Pressure Tank Monitor Cert/Bucket Test <br /> TP-201.3/ST-30 PSI Decay 3-GPH Simulation <br /> TP-201.6/ST-37 Liquid Removal TP-201.18 Static Torque <br /> TP-201.3B/ST-38 PSI Decay AST ® Drop Tube/Overfill TP-201.1D L.�J <br /> TP-201.5/ST-39 Air/Liquid Secondary Containment <br /> Repair Scope `r <br /> Notification Contact: Palatio" Telephone: 925-551-4777 <br /> 6747 Sierra Court. Suite J - Dublin, CA 94568 - (925) 551-7555.- Fax(925) 551-7888 <br /> 3140 Gold Camp Drive, Suite 170 - Rancho Cordova, CA 95670 - (916) 631-1300- Fax (916) 631-1317 i <br /> 1364 N. McDowell Blvd., Suite B2- Petaluma, CA 94954 - (707) 789-3255 - Fax (707) 789-3218 /�\ <br />