Laserfiche WebLink
Jndergroand Slorage Tank System Turbine Strops, Fill Sums and Under Dispenser Containment <br />Page of <br />© ;ecoudary Containment Certifeatioe Form ) /r,, /' Q <br />/9 �� C� ST Ti�►+i t-�Y Testing Contractor C.���0 iri7c /i��f Test Date: g O <br />Facility #' i t,. <br />Contractor Address, / LTw/S a C'aS"dZ Tech, Name: A..C�it�iViL <br />Facility Address: ��� L m:A#Q wd– ' <br />Turbine Sumps 87 89 91 D f 17 19 91 D 1117 89 91 D 1 11 89 9l D <br />ID (north, slave, etc.) <br />Manufacturer <br />Start Tme (te) <br />Water Level <br />Time (tl) <br />Water Level <br />Time (tz) <br />Water level <br />Time (t,) <br />Water Level <br />-Time 04) <br />Water Level <br />Test Results Pass Fail Pass Fail Pass Fail Pass Fail <br />Signature <br />LTDC <br />97 89 9l D <br />97 99 91 D <br />V 89 91 D <br />V 99 91 D <br />IDD (M4 314, etc.) <br />Mantafseturer <br />Start Time (t.) <br />Water Level <br />J C 16 <br />'Time (tj) <br />Water Level <br />550 W%I <br />Water Level <br />Tine (tj <br />Water Level <br />5" m1 <br />Time (tj) <br />Tette 03) <br />Water Level <br />TUR, (tQ <br />Water Level <br />W155T <br />. OS <br />Test Results <br />ass Fail <br />Pass Fail <br />Pass Fail <br />Pass Fail <br />Water Level <br />Signature <br />Time (t4) <br />FiR Sumps <br />97 89 9l D <br />97 99 91 D <br />V 89 91 D <br />V 99 91 D <br />ID slave etc. <br />Mannhetarer <br />Start Time (to) <br />Water Level <br />Time (tj) <br />Water Level <br />Time (tz) <br />Water Level <br />Time (t3) <br />Water Level <br />Time (t4) <br />Water Level <br />Test Results <br />Pass Fail <br />Pass Fail <br />Pass Fail <br />Pass Fail <br />Signature <br />UDC <br />ID 012, 314, etc_) <br />Manufacturer <br />Start Time (ta) <br />Water Level <br />Time (tj) <br />water Level <br />Tree (t2) <br />Water Level <br />Time (t3) <br />Water Level <br />Thee (tj <br />Water Level <br />Test Results <br />Pass Fail <br />Pass Fail <br />Pass Fail <br />Pass Fm <br />Signature <br />nm;4— - rh4a;, al Yellow – Arco EnvironmctiMl Compliance <br />Pink — Connaemar <br />