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UNDERGROUND STORAGE TANK <br /> SECONDARY CONTAINMENT TESTING REPORT FORM (Page 5 of 6) <br /> XVII . FILL RISER SUMP TESTING INFORMATION <br /> Manufacturer Identify Tank ID from section III for each Manufacturer <br /> Test Method Used : <br /> ❑ Manufacturer Guidelines : (Specify) <br /> ® Industry Code or Engineering Standard : (Specify) RP-1200 / Guidelines Adopted by CAL CUPA Forum <br /> ❑ Engineered Method : (Specify) <br /> # of Attached Pages <br /> Attach the testing procedures and all documentation required to determine the results. None <br /> Fill Riser Sump Testing Training and Certifications (List applicable certifications) Expiration Date <br /> ICC California Service Technician UT Cert. #8185019 09/10/2021 <br /> Franklin Fueling Systems Incon TS -STS Sump Tester Level 4 Cert. #1000553709 01 /07/2022 <br /> XVIII , COMMENTS <br /> Provide any additional comments here. <br /> Site is not equipped with fill sumps , direct burry spill containers installed . <br /> XIX. VENT / TRANSITION PIPING SUMP TESTING INFORMATION <br /> Manufacturer Identify Vent / Transition Sump ID from <br /> section III for each Manufacturer <br /> Test Method Used: <br /> ❑ Manufacturer Guidelines : (Specify) <br /> ® Industry Code or Engineering Standard : (Specify) RPA200 / Guidelines Adopted by CAL CUPA Forum <br /> ❑ Engineered Method : (Specify) <br /> Attach the testing procedures and all documentation required to determine the results. # of Attached Pages <br /> # One <br /> Vent / Transition Piping Sump Testing Training and Certifications (List applicable certifications.) Expiration Date <br /> ICC California Service Technician UT Cert. #8185019 09/10/2021 <br /> Franklin Fueling Systems Incon TS -STS Sump Tester Level 4 Cert. #1000553709 01 /07/2022 <br /> XX . COMMENTS <br /> Provide any additional comments here. <br /> Site is not equipped with vent or transition sumps . <br /> CERS = California Environmental Reporting System, ID = Identification, UST = Underground storage tank, ICC = International Code Council, <br /> NA = Not applicable, UDC = Under-dispenser containment <br />