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-5517888 Line 7:05:42 06-27-2013 1/1 <br />6ETTLER—RYAN INC. ii_,N 2 7 201x. <br />.. 71, h <br />JITESTING NOTIFICATION Job # 20-591563 11 <br />otification Date <br />equested Test Date <br />Name <br />Address <br />6/27/2013 <br />7/1/2013 Requested Time: 9:00am <br />Arco 5450 Repairs Requested ❑ <br />1617 W Fremont Startup Test ❑ <br />Stockton, CA Annual Test ❑ <br />Agency Notified <br />San Joaquin County EHD <br />Method: <br />Spill Bucket: ❑ <br />Contact Person <br />Thuy Tran <br />Verbal <br />❑ <br />Telephone. <br />3GPH Simulation: ❑ <br />Fax <br />❑x <br />Fax: <br />209-464-0138 <br />E -Mail <br />❑ <br />Tank Monitor Certification: ❑ <br />VR201-202 Exhibit 5 ❑ <br />Spill Bucket: ❑ <br />VR201-202 Exhibit 7 ❑ <br />Secondary Containment (SB989): ❑ <br />Inspection of sensor <br />VR201-202 Exhibit 8 ❑ <br />3GPH Simulation: ❑ <br />replacement SR0067373 <br />VR201-202 Exhibit ❑ <br />TP201.1B ❑ <br />VR203-204 Exhibit 5 ❑ <br />TP201.1 CID ❑ <br />VR203-204 Exhibit 6 ❑ <br />T13201.1E ❑ <br />VR203-204 Exhibit 8 ❑ <br />TP201.3 ❑ <br />VR203-204 Exhibit 9 ❑ <br />TP201.3B ❑ <br />VR203-204 Exhibit 10 ❑ <br />TP201.4 ❑ <br />VR203-204 Exhibit 11 ❑ <br />TP201.6 ❑ <br />VR203-204 Exhibit 12 ❑ <br />Healy Dispenser Integrity❑ <br />W ` <br />VR203-204 Exhibit 13 ❑ <br />VR201-202 Exhibit4it <br />❑ <br />. ,Z�I <br />VR203-204 Exhi 14 <br />b❑ <br />Repair Scope: <br />Inspection of sensor replacement SR0067373 <br />Technician Assigned to: Chris Reeves 916-826-6176 <br />Notification Contact: Wendy Beach Contact Phone #: 925-551-7555 or 916-826-6828 <br />YANINC. Office - 925-551-7555 Fax - 925-551-4770 email - grmaini <br />Received Time Jun.27. 2013 6:59AM No -3473 <br />