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zi 6ETTLER - RYAN INC. <br /> TESTING NOTIFICATION Job# 21200044 <br /> Notification Date 1/7/2021 <br /> Requested Test Date 1/19/2021 Requested Time: 10:00am <br /> Facility Name Arco 6080 Repairs Requested <br /> Facility Address 85 East Louise Ave Startup Test <br /> City/State Lathrop, Ca. Annual Test Ex <br /> Agency Notified San Joaquin County EHD Method: <br /> Contact Person Inspector Verbal ❑ <br /> Telephone: Fax Lx <br /> Fax: 209-468-3433 E-Mail Ox <br /> Testing Scope(check all that apply) <br /> Tank Monitor Certification: ❑x VR201-202 Exhibit 5 E] <br /> Spill Bucket: ❑x VR201-202 Exhibit 7 <br /> Secondary Containment(SB989): 7VR201-202 Exhibit 8 <br /> Test s12 sensor <br /> 3GPH Simulation: ❑ VR201-202 Exhibit 9 E] <br /> TP201.1 B ❑ VR203-204 Exhibit 5 E] <br /> TP201.1C/D ❑ VR203-204 Exhibit 6 E] <br /> TP201.1 E ❑ 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 E] <br /> Healy Dispenser Integrity VR203-204 Exhibit 13 E] <br /> VR201-202 Exhibit 4 ❑ VR203-204 Exhibit 14 E] <br /> Repair scope: replace s12 sensor and retest <br /> Darnell Smith <br /> Notification Contact: grtesting@grinc.com Contact Phone#: 925-551-4777 x126 <br /> GETTLER-RYANINC. 0lfce - 925-551-7555 Fax - 925-551-4770 email - grmaint@grinc.comorrmatthenckgrinc.com <br />