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916-631-1317 Gettler-Ryan Inc. OR'-- 08p.m. 12-16-2014 1i <br /> C ,V <br /> ki 6ETTLER - RYAN INC. R E C; VED <br /> DEC 17 2014 <br /> TESTING NOTIFICATION Job# 20-630005 �\/lPn\IA.AFNT'A1_H LTH <br /> Notification Date 12/1612014 <br /> Requested Test Date 1/13/2015 Requested Time: 9:00 AM <br /> Facility Name Arco 2186 Repairs Requested [] <br /> Facility Address 3212 North California Startup Test <br /> Ci !State Stockton,Ca Annual Test Ox <br /> Agency Notified San Joaquin County EHD Method: <br /> Contact Person Inspector Verbal <br /> Telephone: Fax FX <br /> Fax: 209-468-3433 E-Mail <br /> Testing Scope(check all that apply) <br /> Tank Monitor Certification: F repairs <br /> Spill Bucket: F VR201-202 Exhibit 7 <br /> Secondary Containment(SB989): ❑ VR201-202 Exhibit 8 <br /> 3GPH Simulation: Q VR201-202 Exhibit 9 <br /> TP201.1 B VR203-204 Exhibit 5 <br /> TP201.1CID VR203-204 Exhibit 6 <br /> TP201.1E VR203-204 Exhibit 8 <br /> TP201.3 VR203-204 Exhibit 9 <br /> TP201.3B F VR203-204 Exhibit 10 <br /> TP201.4 F-] VR203-204 Exhibit 11 <br /> TP201.6 F] VR203-204 Exhibit 12 <br /> Healy Dispenser Integrity VR203.204 Exhibit 13 <br /> VR201-202 Exhibit 4 VR203-204 Exhibit 14 <br /> Repair scope: Annual Monitor cert <br /> Technician Assigned to: Chris San Nicolas/Elodio Sanchez 925-5704088 <br /> Notification Contact: Ryan Matthews Contact Phone#: 925-551-7555 or 916-826-6806 <br /> GEMER-11YANW. Office - 925-551-7555 Fax - 925-5514770 email grmaint@grinc.com or rmatthewsCgrinc.com 44 �/ <br /> U•��J <br />