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Underground Storage Tank System Turbine Sumps,Fill Sumps and Under Dispenser Containment <br /> Secondary Containment Cartiticatiun Form <br /> Page) of <br /> EFacifily City: Testing Contractor, OA) Tess I}atte 1D' 8 dress: /fDD ��Jl/� <br /> Contractor Address: 7 ! �, Jy (,cJQ /UE Tech,Name: r c41 <br /> Turbine Sumps sl 9 D Jt9 9t n H7 d9 e�9al B9 si n <br /> ID,na:th,sla, eta; Fill St MpS 87 89 r nID 1�_DS9 91 D 37 (�e 91 D 97 99 91 D <br /> Manufacturer <br /> !D north-slave etc. <br /> ���5 X�Y �5 x�Y��s Manufacturer X2(ke � <br /> Start Time(t,,) 10: S2, 11100 f[ : 2 0 �r J?s <br /> Water Level Start Time(to) r-11 C <br /> Time(t,) <br /> Water Level <br /> l dkoaC Time(ti) <br /> 'Water Levels [V Water Level 1�4� tf ok <br /> Time 0011t�(� 2S�Q��4 �'�^ I o' <br /> Water Level i[r pS�t �V Time(ts) �es��,.q, ��th i� I e� <br /> Water Level . t '( <br /> Time(t,) <br /> Water Level Tlme(t3) <br /> Water Level <br /> � <br /> Time(t,} <br /> Water Level Time(t+) <br /> Water Level <br /> Test Results Pass Fail Pass Fal Pass Fai s Fail Test ltesultx <br /> Pass Fait Pass Fai Pass Fai P s Fai[ <br /> Signature ' },l�'� t,, <br /> a <br /> unc ,j f Y.4 1/1//& UDC <br /> ID(142,3(4,ctr.) $ I z <br /> Manufacturer �gtngr'cRn 'leY'u+n Am er;cdn �tlhZr+�n <br /> in e canA'e?wm n on :nattrl Gn�al t Manufacturer <br /> j Start Time(t,) 2 . 2 X o '7 <br /> Water LeveE O' Start "me(to) <br /> Oed• ago <br /> Time(t,) Water Level 0,000 O •000 <br /> Water Level <br /> 2:3p 2 Sp� Tiroe(t,) 1. / :s-s- <br /> �� p.Os`� 0.007 <br /> TimeWater Level - 6, ) 76 0, 6 S <br /> (t2) Time(t,) _ <br /> Water Level Water Level <br /> Water level <br /> Time(t,) Wa ter Level <br /> • <br /> Water Level Time(ta <br /> Water Level ' <br /> Test Results Pass ail Pass Fai PassFet pass ail Test Results Pass Fail Pass Fat Pais Fai! Pass Fail <br /> Signature C <br /> UA.1 � Signature ' <br /> cl' 1 <br /> Rev. I J/01 White—Original Yellow—Arco Environmental(mmnliancr <br /> l <br />