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■ 15517888 Line 09:12:08 07-10-2014 1 /1 <br /> 1: RECEIVED <br /> 6ErTLrR - RYAN NJUL 102014 <br /> ENVIRONMENTAL HEALTH <br /> PERMIT/SERVICES <br /> TESTING NOTIFICATION Job# 20-601679 <br /> Notification Date 7/10/2014 <br /> Requested Test Date 7/17/2014 Requested Time: 9am <br /> Facility Name Arco 6080 Repairs Requested <br /> Facili Address 4z Startup Test <br /> Ci /State Lathrop Annual Test <br /> Agency Notified San Joaquin County EHD Method: <br /> Contact Person Thuy Tran Verbal <br /> Telephone: 209-468-6257 Fax <br /> Fax: 209-464-0138 E-Mail <br /> Testing Scope(check all that apply) <br /> Tank Monitor Certification: ❑ VR201-202 Exhibit 5 <br /> Spill Bucket: ❑ VR201-202 Exhibit 7 ED <br /> Secondary Containment(SB989): 0 Sensor verification VR201-202 Exhibit 8 <br /> 3GPHSimulation: ❑ inspection SR#0070001 VR201-202 Exhibit 9 <br /> TP201.113 F_� VR203-204 Exhibit 5 <br /> TP201.1 C/D VR203-204 Exhibit 6 <br /> TP201.1 E VR203-204 Exhibit 8 <br /> TP201.3 ❑ VR203-204 Exhibit 9 <br /> TP201.3S F-1 VR203-204 Exhibit 10 <br /> TP201.4 F_� VR203-204 Exhibit 11 <br /> TP201.6 7 VR203-204 Exhibit 12 <br /> Healy Dispenser Integrity VR203-204 Exhibit 13 <br /> VR201.202 Exhibit 4 \�' VR203-204 Exhibit 14 <br /> Repair scope: Sensor replacement SR#0070001 <br /> Technician Assigned to: Wes Morrison 925-570-4013 <br /> Notification Contact: Wendy Beach Contact Phone#: 925-551-7555 <br /> YAN INC. Office - 925-551-7555 Fax - 925-551-4770 email - grmaih <br /> Received Time Jul. 10, 2014 9 : 03AM No. 6545 <br />