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916-631-1317 Gettler-Ryan Inc. 01:"1" '9 p,m. 06-22-2012 1 !1 <br /> 6ETTLER - RYAN NC. <br /> JUN 2 5 <br /> TESTING NOTIFICATION Job# 20-581334 <br /> Notification Date 612 212 01 2 <br /> Requested Test Date 6/28/2012 Requested Time: 11:00 AM <br /> Facility Name Arco 6080 Repairs Requested ❑x <br /> Facility Address 85 East Louise Ave Startup Test <br /> Ci /State Lathrop Annual Test <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 VR201.202 Exhibit 5 <br /> Spill Bucket: D VR201-202 Exhibit 7 <br /> Secondary Containment(SB989): El VR201-202 Exhibit 8 <br /> 3GPH Simulation: F� VR201-202 Exhibit 9 <br /> TP201.1 B F� VR203-204 Exhibit 5 <br /> TP201.1C/D 0 VR203-204 Exhibit 6 <br /> TP201.1 E F� VR203-204 Exhibit 8 <br /> TP201.3 VR203.204 Exhibit 9 <br /> TP201.38 VR203-204 Exhibit 10 <br /> TP201.4 F_� VR203.204 Exhibit 11 <br /> TP201.6 F-1 VR203-204 Exhibit 12 <br /> Healy Dispenser Integrity VR203-204 Exhibit 13 <br /> VR201-202 Exhibit 4 VR203-204 Exhibit 14 <br /> Repair scope: Replace 91 Plld and Retest <br /> Technician Assigned to: Mike Pratt/Wes Morrison 916-826-3449 <br /> Notification Contact: Ryan Matthews Contact Phone#: 925-551-7555 or 916-826-6806 <br /> t� <br /> GETTLEN YAN INC. Office - 925.551-7555 Fay - 925-5514770 email - grmaint@grinc.com /l, <br />