Laserfiche WebLink
Underground Storage Tank System Turbine Sumps,Fill Sumps and Under Dispenser Containment <br /> Secondary Containment Certification Form Page I of S <br /> Facility#: 4600 City; S I ec L'ybrt Testing Contractor: C s2 j Lex- Q.,q6+ h Test Date: r6 <br /> Facility Address: t-2-SQ .J, 4..1.1 w ,. Contractor Address: Bistro G� tb1;nCa. Tech.Name: 1tro-tr� yA4a+e," <br /> Turbine Sumps 8 89 91 D 87 91 D 87 89 ®D 87 89 9l D Fill Sumps 87 89 91 D 8791 D 87 89 91 87 89 91 D <br /> ID(north,slave,etc.) ID north slave etc. <br /> Manufacturer tiodfafrl MtkV1 M Manufacturer <br /> Start Time(to) t 0.013 t =^13 %-Z-e 1 Start Time(to) Its t t 1 o?- <br /> Water <br /> Ila o <br /> Water Level 0 o I + CPO 2 oe a Water Level - 003 000 <br /> 0 0 0 <br /> Time(tt) 'e.IU +z.La 11 Oct Timet t t <br /> Ej <br /> Water Level o e 3 • o. — e z a ( t) S y 1105 f: 1 3 <br /> S Water Level - e0L _ ,ees - oo l ML <br /> Time(t2) toul aat Time(tz) u S t t t e tla 6 <br /> Water Level 003 +005 Water Level <br /> Time(Q to Z7- itcz- Time(t3) u;tq <br /> Water Level 4.003 Water Level <br /> Time(t4.) A w.u h ZS Time(t,) tr t z <br /> Water Level 4003 Water Level <br /> Test Results ass Fail Fai ass 4.i Pass Fail Test Results Pass Pass Fail' 1`as Fail Pass Fail <br /> Signature �(j`_ Signature <br /> UDC UDC <br /> ID(1/2,3/4,etc.) -L} `� 5 _ " rop/i,3/4,etc.) B - 1.0° tt - t 13 - ty tS — tbV,_ <br /> Manufacturer Uey+r N WManufacturer <br /> Start Time(to) 832. $t9 92.0 1 f t. Start Time 114 Z dl 94.% laze <br /> Water Level -oct +001 00o 0100 Water Level 0 00 000 000 0 0 0 <br /> Time(t1) 835 8". i1-3 qgq Time(ti) q4$ tsl 110A1 .0 <br /> so <br /> Water Level _ 003 4.001 000 —OIL Water Level - at) —003 .060 oc 0 <br /> Time(tz) 838 8LS --jZ-5 Time(t2) R St{ $034 to 33 <br /> Water Level -po tool 0010 Water Level ► <br /> CC 0 a 000 <br /> Time(t3) Qyl 8LE 9%e Time(t3) `0311 IM r7 <br /> Water Level -00% }.eol coo Water Level 0i0 d <br /> DO <br /> Time(tj $49 831 qii` Time(Q 1va0 <br /> Water Level o 10 .6-00( &,oOdd <br /> o o Et Water Level k 11.00 <br /> - 1000 <br /> Test Results Pass al ass Fail il� Fail Pass Fail Test Results Pass m Pass �s Fail ass Fail <br /> Signature Signature <br /> Rev. 11/01 White-Original Yellow-Arco Environmental Compliance Pink-Contractor G <br />