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9255517888 Line 1 0 :21 p.m. 03-06-2009 1 11 <br /> Mft <br /> .r <br /> HVA N INCE <br /> GETTLEK <br /> TESTING PROGRAM <br /> AGENCY NOTIFICATION SHEET W/O#: 2D -15i5o 2,11 <br /> Notification Date: `(J 109 Notification For: <br /> Ltleated Test Date: initial Test <br /> Facility Name: aefoo R ir$ <br /> Site Name 4g=&e=,Q Facil 8: Re-Test <br /> Add 1�625 lrn <br /> CRY,State: 42 <br /> A en Notified: -J ? QUl J 7 Cil.-'/7 Method: <br /> Contact persow. verbal <br /> Fax <br /> Tele hone: E-Mail <br /> Fax N: 0>� �5-3 Confirm Date/Time: <br /> Tech: <br /> Testing Scope/ rAuacmpo„nm ma 4v�Y) <br /> ST-27 Back P urq/TP 201.4 ® Tank Monitor Certification <br /> ST 30 PSI Decay USY TP 201.3 3-GPH Leak Simulation <br /> ST-37 Liquid R vol/TP 201.6 Static T&rque TP-201.1B <br /> ST 38 PSt Dway ASY TP 201.3B Drop Tube/Drain Valve TP 201.10 <br /> ST39 Air/Liquid/ TP 201.5 Drop Tube OVERFILL TP-201.1D <br /> REPAIR SCOPE(desecomFoaene�sandanrirlperedra�ra�s) <br /> 4 <br /> Notification Contact: Telephone: (925}551-4777 <br /> Scope of Work Contact: Telephone: <br />