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ig 6ETTLER - RYAN INC. <br /> TESTING NOTIFICATION Job# 20204729 <br /> Notification Date 12!2412020 <br /> Requested Test Date 12/3012020 Requested Time 9:00 AM <br /> Facility Name Arco 2186 Repairs Requested <br /> Facility Address 3212 N.California Startup Test <br /> knn: <br /> Stockton,CA Annual Tesi ❑x <br /> Agency Notified San Joaquin County EHD Method <br /> Contact Person Inspector Verbal <br /> ele hone Fax 0 <br /> Fax 209-468.3433 E-Mail El <br /> Testing Scope(check all that apply) <br /> Tank Monitor Certification MX VR201-202 Exhibit 5 <br /> Spill Bucket. FX VR201.202 Exhibit 7 <br /> Secondary Containment(S8989) El Test s12 sensor VR201-202 Exhibit 6 <br /> 3GPH Simulat on ❑ VR201-202 Exhibit 9 ❑ <br /> TP201 1B ❑ VR203-204 Exhibit 5 <br /> TP2011CID ❑ VR203-204 Exhibit 6 <br /> TP201 1E F-1 VR203-204 Exhibit 8 ID <br /> TP201 3 M VR203-204 Exhibit 9 <br /> TP201 3B M VR203.204 Exhibit 10 ❑ <br /> TP201 4 F-1 VR203-204 Exhibit 11 El <br /> TP201 6 r-1 VR203-204 Exhibit 12 E3 <br /> Healy Dispenser Integrity VR203-204 Exhibit 13 <br /> VR201-202 Exh bit 4 VR203-204 Exhibit 14 <br /> Repair Scope replace s12 sensor and retest <br /> Technician Assigned to: Darnell Smith <br /> Notification Contact: Gabriela Ramirez Contact Phone#. 925-551-7555 <br /> G):TlU11-Rt t At" Ufire - 925-5.V-7555 ray - '921 551-1. Il rrnntl - araudillia grinr.roni orrowilhr-usu8ririr. om <br />