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■ ■ <br /> Y M55517888 Line 08:56:48 12-31-2013 1 /1 <br /> ■ <br /> RECEIVE[ <br /> ig 6ETTLER — RYAN INC. DEC 31 2013 <br /> ENVIRONMENTAL HEALT H <br /> PERMIT/SERVICES <br /> TESTING NOTIFICATION Job# 20-592714 <br /> Notification Date 12/31/2013 <br /> Requested Test Date 1/8/2013 Requested Time: 9:30am <br /> Facility Name Arco 2186 Repairs Requested <br /> Facili Address 3212 N California Startup Test [, <br /> City/State Stockton Annual Test <br /> Agency Notified San Joaquin County EHD Method: <br /> Contact Person Garrett Backus Verbal <br /> Telephone: Fax Q <br /> Fax: 209-464-0138 E-Mail <br /> Testing Scope(check all that apply) <br /> Tank Monitor Certification: 71 VR201-202 Exhibit 5 <br /> Spill Bucket: a VR201-202 Exhibit 7 <br /> Secondary Containment(SB989): E Spill Bucket test VR201-202 Exhibit 8 El <br /> 3GPH Simulation: El SR0068427 VR201-202 Exhibit 9 <br /> TP201.1 B F] VR203-204 Exhibit 5 <br /> TP201.1 CID 71 VR203-204 Exhibit 6 <br /> TP201.1 E F—] VR203-204 Exhibit 8 <br /> TP201.3 F_� VR203-204 Exhibit 9 <br /> TP201.313 F_� VR203-204 Exhibit 10 <br /> TP201.4 F-1 VR203-204 Exhibit 11 <br /> TP201.6 F-1 VR203-204 Exhibit 12 <br /> Healy Dispenser Integrity 71 VR203-204 Exhibit 13 <br /> VR201-202 Exhibit 4 VR203-204 Exhibit 14 <br /> Repair scope: Spill Bucket test SR0068427 <br /> Technician Assigned to: Chris San Nicolas 925-570-4088 <br /> Notification Contact: Wendy Beach Contact Phone#: 925-551-7555 <br /> YAN INC. Office - 925-551-7555 Fax - 925-551-4770 email - grmain <br /> Received Time Dec. 31. 2013 7 . 50AM No. 4884 tz. <br />