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19255517888 Main Fax . GETTLER RYAN INC43 p.m. 04-17-2007 1/1 <br /> 6ETTLER — RYAN INC. <br /> TESTING PROGRAM <br /> AGENCY NOTIFICATION SHEET W/O#: 2o <br /> Notification Date: Q Notification For: <br /> Requested Test Date: $ oj�?C Initial Test <br /> Facility Name: �7 Repairs El <br /> Site Name Facility#: z Re-Test <br /> Address: 12, LEy!7 <br /> City,State: 44��– C <br /> Agency Notified: t 1 0 v Method: <br /> Contact Person: t/ ,�/ Verbal <br /> Fax <br /> Telephone: — Y� E-Mail g <br /> Fax#: -Ilik— 13-3 Confirm Date/Time: <br /> Tech: <br /> Testing Scope(checkaNcomponentsthat apply) <br /> ST-27 Back Pressure Tank Monitor Certification <br /> ST-30 PSI Decay UST 3-GPH Leak Simulation <br /> ST-37 Liquid Removal SB-989 <br /> ST-38 PSI Decay AST E� Meter Calibration <br /> ST-39 Air/Liquid r— 'G' <br /> other <br /> REPAIR SCOPE{descr;becompommnetsanaanuopatedmpan) <br /> Notification Contact: Dennis Murphy Telephone: (925)551-4777 <br /> Scope of Work Contact: Telephone: <br /> 14 % 47 Sierra Court , Suite J • Dublin , California 94568 ( 925) 551 -7555 <br />