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Tanks, Piping, Tank Sumps & Overfill Buckets Page 1 of ! <br />Underground Storage Tank System <br />N <br />Secondary Containment Certification Form <br />�S Test Date:/2�/�Y7�'0 <br />Lress: Testing Contractor:�Tech. Name:�� <br />Contractor Address: <br />Turbine Sums _ '_� Tank #4 <br />UST Annular Space --� Tank # 1 Tank #2_ _Tank #3 <br />Tank #1 <br />Tank #2 Tank #3 Tank #4 <br />1 D 8 <br />Product 7 89 91 D Start Time (to) <br />87 89 91 D 87 89 91 D 87 89 9 <br />Water Level OD <br />CTime (tI)Capacity <br />Water Level <br />"Test Start Time <br />_ — Time (t2) / ( �- <br />initial Pressure Water Level pt3 V '4 //�✓�� <br />V <br />Test End Time Time (ts) <br />Final Pressure Water Level <br />�ef�'`~ mss T%"► <br />Test Results Pass Fail Pass Fail Pass Fail Pass Fail Time 04) NQS 8 ,pLI <br />Water Level ,05 la P `� tz <br />signatureFM <br />Test Results ass Fail Pass ail Pas Fail Pass Fail <br />Overfill Buckets Signature <br />Overfill #1 Overfill 42 Overfill #3 Overfill #4 <br />Product 87 89 91 D 87 89 91 D 87 89 91 D 87 89 91 D Seconrlar►' Pi in <br />Line #1 Line #2 Line #3 Line 44 <br />Start Time (to) <br />Water Level Product 87 89 91 D 87 89 91 D 87 89 9l D 87 89 91 <br />Time 40 Test Start Time <br />Water Level 1 <br />Initial Pressure <br />Time (t2) <br />Water Level Test End Time <br />Time (t,) Final Pressure <br />Water Level <br />Test Results Pass Fail Pass Fail Pass Fail Pass Fal <br />Time (t,) <br />Wafer Leve{ signature <br />Test Results Pass Fail Pass Fail Pass Fail Pass Fail g <br />Signature <br />Pink – Contractor o <br />Rev. 10101 <br />White – Original Yellow – Arco Environmental Compliance <br />