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916-631-1317 Gettler-Ryan Inc, 0? -17 01-03-2014 1 /1 <br /> � ECEIVED <br /> 6ETTLER - RYA ,v JAN' 0 3 2c a NC. <br /> riMVIROMMENTAL <br /> HEALTH DEPARTMENT <br /> TESTING NOTIFICATION Job# 20-600050 <br /> Notification Date 1/3/2014 <br /> Requested Test Date 2/18/2014 Requested Time: 9:00 AM <br /> Facility Name Arco 6080 Repairs Requested ❑ <br /> Faci ityAddress 85 East Louise Startup Test <br /> Ci /State Lathrop,Ca Annual Test [x <br /> Agency Notified San Joaquin County EHD Method: <br /> Contact Person Inspector Verbal <br /> Tele hone: Fax �x <br /> Fax: 209-468-3433 E-Mail <br /> Testing Scope(check all that apply) <br /> Tank Monitor Certification: ❑X repairs E] <br /> Spill Bucket: 0 VR201-202 Exhibit 7 <br /> Secondary Containment(SB989): F� VR201-202 Exhibit 8 <br /> 3GPH Simulation: 0 VR201-202 Exhibit 9 <br /> TP201.1 B F-1 VR203-204 Exhibit 5 E] <br /> TP201.1C/D F-1 VR203-204 Exhibit 6 <br /> TP201.1 E M VR203-204 Exhibit 8 <br /> TP201.3 r-1 VR203-204 Exhibit 9 E] <br /> TP201.313 F_� VR203-204 Exhibit 10 <br /> TP201.4 F-1 VR203-204 Exhibit 11 <br /> TP201.6 E VR203-204 Exhibit 12 <br /> Healy Dispenser Integrity VR203-204 Exhibit 13 <br /> VR201-202 Exhibit 4 El VR203-204 Exhibit 14 <br /> Repair Scope: Annual Monitor Cert <br /> Technician Assi ned to: San Nic/Sanchez 925-570-4088 <br /> Notification Contact: Ryan Matthews Contact Phone#: 925-551-7555 or 916-826-6806 <br /> GF-MER-RYAN INC Office - 925-551-7555 Fax - 925-551-4770 email - o mains@g-ine.coni or rnialtlmvs@griric.com ���`r1 <br /> I- <br />