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916-631-1317 Gettler-Ryan Inc. 0 12:#p.m. 08-30-2012 tli <br /> ig6ETTLER - RyAiv INC. A�u <br /> TESTING NOTIFICATION Job# 20-581987 <br /> Notification Date 8/10/2012 <br /> Requested Test Date 9/24/2012 Requested Time: 1:00 PM <br /> Facility Name PG&E Stockton Service Center Repairs Requested <br /> FacifitV Address 4040 West Ln Startup Test ❑ <br /> Ci /State Stockton Ca Annual Test Qx <br /> Agency Notified San Joaquin County EHD Method: <br /> Contact Person Inspector Verbal ❑ <br /> Telephone: Fax ❑x <br /> Fax: 209-068-3433 E-Mail El <br /> esting Scope(check all that apply) <br /> Tank Monitor Certification: Q VR201-202 Exhibit 5 <br /> Spill Bucket: rX VR201-202 Exhibit 7 Ej <br /> Seconclary containment(SB989): D VR201-202 Exhibit 8 F] <br /> 30PH Simulation: 0 VR201-202 Exhibit9 ED <br /> TP201.1B V8203.204 Exhibit 5 ❑ <br /> TP201.10/D VR203-204 Exhibit El <br /> TP201.1E VR203-204 ExhibR 8 El <br /> TP201.3 VR2M-204 Exhibit 9 ❑ <br /> TP201.315 VR203-204 Exhibit 10 El <br /> TP201.4 ❑ VR20&204 Exhibit 11 <br /> TP201.6 F-1 VR203.204 Exhibit 12 <br /> Healy Dispenser Integrity VR20&204 Exhibit 13 <br /> VR201.202 Exhibit 4 F1 VR203-204 Exhibit 14 E] <br /> Repair scope: Annual Monitor cert <br /> Technician Assigned to: Jose Carrasco 925-570-5574 <br /> Notification Contact: Ryan Matthews Contact Phone#: 925-551-7555 or 916-826-6806 <br /> GEMER-RYAN INC. Office - 925-551-7555 Fax - 925-551.4770 email - grmaint@g1•irfc.com ' '2,'L <br /> �:7 <br />