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916-631-1317 Gettler-Ryan Inc. 12:18:59 p.m. 07-18-2013 1 /1 <br />0 MM RECEIVED <br />fo T T L E R HYYA N INC. JUL 18 2013 <br />ENVIRONMENTAL <br />HEALTH DEPARTMENT <br />Name <br />,k] <br />812212013 <br />Requested Time: 9:00 AM <br />Arco 5460 <br />Repairs Requested <br />1617 West Fremont <br />Startup Test <br />Stockton, Ca <br />Annual Test <br />82enc y Notified Son Joaguin Coun!y EHD Method: <br />Contact Person Inspector Verbal F-1 <br />,Telephone: Fax <br />I <br />Fax: 209-468-3433 E -Mail <br />Tank Monitor certification: <br />Spill Bucket: <br />Secondary containment (SB989)., <br />30PH Simulation: <br />TP2DI.1 B <br />TP201.1 C/O <br />TP201.1E El <br />TP201.3 El <br />TP201.3B n <br />TP201.4 E] <br />TP201.6 F] <br />Healy Dispenser IntegdtyF—1 <br />VR201-202 Exhibit 4 <br />Repair Scope: <br />Technician Assigned to: Joe <br />VA201-202 Exhibit <br />VR201-202 Exhibit 7 <br />VR201-202 Exhibit 8 <br />VR201.202 EWtbft 9 <br />VR203.204 Exhibit 5 <br />VR203-204 Exhibit 6 <br />VR203.204 Exhibit 8 <br />VF1203-204 Exhibit 9 <br />VR203-204 Exhibit 10 <br />VR203-204 Exhibit 11 <br />VR203-204 Exhibit 12 <br />VR203-204 Exhibit 13 <br />VF1203-204 Exhibit 14 <br />Annual Monitor Cert <br />MesatElodio Sanchez (925)575-1526 <br />Notification Contact: Ryan Matthews Contact Phone #: 925-551 .7555 or 916-826-6806 <br />GEMENYAN INC. Office - 925-551-7555 Far - 925-5514770 email - grmdnt@gyine.com or rmatthewAoccom <br />