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Underground Storage Tank System Turbine Sumps,Fill Sumps and Under Dispenser Containmeat <br /> 9 5econdsry Contalament Certification Form Page_j_ of �. <br /> [Y <br /> 9 - <br /> Vidlity tl• 4031-5 City: -,6jam4gc, Testing Contractor: ipr4f-n 1, Test Date: -0 <br /> FaciUAddress: A Ls. <br /> a t Y i!V05. tka K 1 -j Contractor Address:I,'l II Q S.I-yiei� !spa AVP_ Tech.Name: <br /> Turbine Sumps 87 89 91 D 97 (V 91 D 87 V 0 37 39 91 D FRI Sumps 91 D 87 (B 91 D 37 99 (2) r} d7 39 91 D <br /> ID(Borth,slava dc.) 10 LWyr,ebc <br /> Manufacturer Manufacturer phx x <br /> ell <br /> Start Time(4) 7.5S' 0.,3Vjecos Start Time(t9) �:4 S 10:17- 10.42 <br /> Water Level _Ow .000 400 Water Level _ 0� ,Opp 00 <br /> Time(i1) x .113 cl�•a 8 Time(tj) °t' 140-.15- 10 <br /> z Water Level - — 1000 ,000 _000 Water Level .000 app ,pOp <br /> Time(tj) 0:01 $:3L Time(tz) 1= i ♦,O:l� t0:�g <br /> w Water Level .000 000 Water Level 000 4000 <br /> Qo <br /> z Time(1:3) :C4 :Tq Ca(:11 Time(ty) �•� �0:�� ila ; '{ <br /> 0 Walter Level .000 ,000 .000 Water L"d 0 p 000 0 <br /> U <br /> Time(W 10:07 q7- ct: 0 Time(Q 9:S? 10:Zf <br /> Water Level aU .001V .000 Water Level —.001 _ 000 <br /> Tesf Resuilts ass Fail 0 Feil Fail Pass Fail Test Results ass Fail ass Fail s ) Fail Pass Fail <br /> SignsUrr Signatwe <br /> Or <br /> UDC lie 7-/S- 3/ "/1 UDC b� °t/ <br /> )D(112,314,uc.) `� ID(1n,314.dc.) it 10 <br /> Manufacturer Awit�O1r` �'�`� r�e''�'^ Gr`eol"� Manufacturer 'r�''� If�cr.�w <br /> m <br /> m Start Time:( ) '3 C :4$ 1' , 1_ <br /> Start Time(to) :3 3 <br /> ,�. Water Level r cQo Opp ,000 Water Levr.I pop ..Doc <br /> CD TIme(til 8:33 8.48 :0S °1: 2-1 Time(ti) :316 <br /> M Water Level .000 000 ao 000 Water Level <br /> .pOQ , 000 <br /> 7"me42) <br /> la=3.4 8=5 =ti$ at;=-Y Time( ) R•3pt Ct :5q— <br /> Wafer Level .00 pp p -, p ' ,000 Water Level <br /> -4"D . 000 <br /> Tine(t,) '9-39 :,sY -1, 01 q; 7 Time(t,) = I ct.5 <br /> Naber Level00 p - a0) act vp( Water Level .000 <br /> v00 <br /> CII9 <br /> Time((4) $=y2 _$7 °k:!`1 oi,3fl TIme(W a;qS �p <br /> Water Level .000 —.001 —, 00100 l Water Level . 000 <br /> Test AesnELr ass Favi ass Fail Failass Fail Test Results Pass Fail Fail Pass Fail Pais <br /> Signature SigastureOf <br /> V-TI—, <br /> Ao:r ?II/)I 171R:[n,lk+aT:nn! <br />