Laserfiche WebLink
9255517888 Line 17-±2.56p.241.2009GETTLER 111 n,f� <br />-RYAN INC. <br />S.a,4 nom_ <br />TESTING PROGRAM <br />AGENCY NOTIFICATION SHEET <br />W/O #:.620 --5t <br />/ <br />Notification Date: J%• �'7 'd j <br />Notification -For: <br />Requested Test Date: la -6 log 0 -XV, Repairs <br />Initial Test <br />Facility Name: <br />Re -Test <br />Site Name <br />Facility #:-7a /+ <br />Address: f �j/ 7 <br />City; State:�� <br />Agency Notified: <br />Method: <br />Contact Person: /0/7 <br />Verbal <br />Fax <br />Telephone: <br />E -Mail I�,J <br />� g L�/,, 1 <br />Fax #: c--2-0< ' " 7 &e ^ `7d3 <br />Testing Scope (check all components that apply) <br />TP-201.4/ST-27 Back Pressure <br />Tank Monitor Cer Bucket Test' <br />TP-201.3/ST-30 PSI Decay <br />3-GPH Simulation <br />TP-201.6/ST-37 Liquid Removal L,..._� <br />TP -201.16 Static Torque <br />TP-201.3B/ST-38 PSI.Decay AST I� <br />Drop Tube/Overfill TP=201.ID <br />TP-201.5/ST-39 Air/Liquid <br />Secondary Containment <br />Repair Scope <br />f <br />Dog 740 r&6,e <br />r <br />Notification Contact: <br />Telephone: 92S -SSI -4777 <br />6747 Sierra Court, Suite J - Dublin, CA 94568 - (925) 551-7555 - Fax (925) 551-7888 <br />3140 Gold Camp Drive, Suite 170 - Rancho Cordova, CA 95670•- (916) 631-1300 - Fax (916) 631-1317 <br />1364 N. McDowell Blvd., Suite B2 - Petaluma, CA 94964 - (707) 789-3255 - Fax (707) 789-3218 . <br />