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9255517888 Gettler Ryan Inc 04:38:24 p.m. 10-29-2020 <br /> 6ETTLER - RYAN INC. RECEIVED <br /> H�'+ � 9 HH <br /> i_, <br /> TESTING NOTIFICATION Job# 20203824 TI <br /> AFNT <br /> Notification Date 10129/2020 <br /> Requested Test Date 11119/202 Requested Time: 9:00 AM <br /> Facility Name Arco 7049 Repairs Requested ❑ <br /> Facility Address 800 E Kettleman Ln Startup Test <br /> Cit !State Lodi,CA Annual Test ❑x <br /> Agency Notified San Joaquin County EHD Method: <br /> Contact Person Inspector Verbal <br /> Tele hone: Fax []x <br /> Fax: 209-468-3433 E-Mail �x <br /> esting Scope(cFeck all that apply) <br /> Tank Monitor Certification: VR201-202 Exhibit 5 <br /> Spill Bucket: VR201-202 Exhibit 7 <br /> Secondary Containment(SB989): El VR201-202 Exhibit a <br /> Monitoring System Certification, <br /> 3GPH Simulation: ❑ Spill/Overfill Containment Box Test, VR201-202 Exhibit 9 ❑ <br /> TP201.18 ❑ ER Pump/Dispenser Shut-Off Test, <br /> VR203-204 Exhibit 5 ❑ <br /> Impact Valve Test,Complete <br /> TP201.1CID ❑ Equipment Survey,Leak Detector VR203-2D4 Exhibit 6 <br /> TP201.1E ❑ Test,Overfill inspection VR203-204 Exhibit 8 <br /> TP201.3 VR203-204 Exhibit 9 <br /> TP201.3B VR203-204 Exhibit 10 <br /> TP201.4 ❑ 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: <br /> Technician Assi ned to: Darnell Smith <br /> Notification Contact: Tomeka Askew Contact Phone#: 925-551-4777 <br /> GEIM-11YAN I.NC Office - 925-551-7555 Fax - 925-5514770 email - grmainl4pine.com or rmallheiesCcRrine.com <br />