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UNDERGROUND STORAGE TANK <br /> SECONDARY CONTAINMENT TESTING REPORT FORM (Page 6 of 6) <br /> XXI . UNDER-DISPENSER CONTAINMENT TESTING INFORMATION <br /> Manufacturer(s) : Identify UDC ID from section III for each Manufacturer <br /> S . Bravo Systems 1 -2 3 =4 5-6 7=8 9 -10 11 -12 <br /> Test Method Used : <br /> ❑ Manufacturer Guidelines : (Specify) <br /> ® Industry Code or Engineering Standard : (Specify) RPA 200 / 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 /> 1 <br /> UDC 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 /03/2022 <br /> XXII , COMMENTS <br /> Provide any additional comments here. <br /> 1 . UDC #1 -2 & #3=4 both failed hydrostatic sump testing . Visual failures at shallow Bravo 82000 electrical penetrations . <br /> Recommended repairs are to install Bravo 's 82000 retro -fit kits at each UDCs . <br /> 2 . UDC #9-10 failed hydrostatic sump testing . Visual failures at 87 product line secondary termination test boot. <br /> Recommended repairs are to replace test boot with Icon ISR 3 .5x2 .40SA. <br /> If the facility has more components than this form accommodates, additional copies of these pages may be attached. <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 />