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o Underground Storage Tank System Tanks,Piping,&Spill Buckrb "LPage�of <br /> m Secondary Containment Cert icon Farm <br /> 1ji Facility# 0313 city: A <br /> Testing Contractor: �r elk Test Date;, +bZ <br /> �� Contractor Address: Tech.Name: <br /> ID �A) ��z <br /> a Facill£ y Address:AQQ_,C.%A" <br /> i <br /> UST Ann ular S ace secoftjkry P <br /> Tank f#1 Tank #2 Tank 93 Tank 44 Line#1 Line #2 Lice#3 Line#4 <br /> Product 87 89 91 D S7 89 91 D 87 B9 91 D 87 89 91 D Product <E)89 91 D 87� 91 D 97 89(D D 87 89 91 D <br /> - Fip_ a Type s'P�' � 34il3on Primary 5lphm <br /> Capacity - <br /> Manufacturer Ma-miracturer A7w% <br /> U • <br /> z Test 5tart'15me Test Start Time <br /> `i 3 <br /> winitial Pressure IQi"Pressure .0 P-S Z5.0 P-5-T0 <br /> F-- <br /> z Test End 11mv _ Teat Rod Time '7J D <br /> F- [Test <br /> inalpreamtre nal Pressure ,� 04• 'r <br /> Resolb Pass Fail Pass Fail Pass Fail Pass Fail <br /> Test Rranits ss Fail � Fail s7 Fait Pass Fail <br /> Sigaature sigaatnre <br /> i11$uekets SeQOHda ' in <br /> C)verfill#1 Overfill#Z Overfill f03 Uverlt#4 <br /> Line!#5 Line #6 Line 97 Line fig <br /> Product j) 39 91 D 689 91 D 37 age D 87 99 91 D <br /> Product 87 99 91 D 87 89 91 D 87 89 91 D 87 89 91 U <br /> Manufacturer �vrnfieIV Q4 n Pt in a i� Siphon Nmwy Siphon Primary Siphon ?timar Siphon <br /> a p ping Typ <br /> m Start Time(W S <br /> m Water Level ,boo . toov .G0�►on <br /> LO ED Time(tt) -1=3� ;53 :DR Test start Time <br /> i Water Levet ,000 000 - <br /> Init3al P-re3sute <br /> nine(ti.) -1:44 x:51. \ <br /> Ted Sod Time <br /> Water Level -.0 o <br /> TSme(ts) -1'W 5115 Final Presvare <br /> Water Level .t){1O• aD0 - Dot Results Pass Fail Pass Fail Pass Fail Pass Fail <br /> M: TLme I,Lt 7 <br /> `f Water Level �00a .000 - ODL Signature <br /> l� TealResul{s Pail Fail Rail Pass Fail <br /> 1 signature <br /> Rev. i l/f i wwte-Original Yellow-Arco Envfiv mentai Compliance Pink-Conractor <br />