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Uaderground Storage Tank System Tanks,Piping,& Spill Buckets - <br /> Secondary Containment Certification Forin Page r of L <br /> Facility#: 2133 City: 5�v��� Testing Contractor: Pt✓ c,ov% Test Date: Its—a®-oma <br /> FBcility Address: Zo8 Buy 10IA1 H Wb Q r, Contractor Address: Y,.a`t tuwot. Tech.Name:PQ c.+-•-� c <br /> UST Annular S e econdary in <br /> Tank#1 Tank #2 Tank#3 Tank#4 Line#,A Li®e #2 Line#3 Line#d <br /> Product 87 69 9i D 87 B9 9l D 67 B9 9] D B7 69 91 D Product 87 89 D 67 89 91 D 67 89 91 D 87 69 91 D <br /> Capacity12,600 Piping Type m Siphon Primary Siphon Primary 5iptum Primary Siphon <br /> Manufacturer Msoutacturer 4.0 <br /> Test Start Time q�.Z. Test Start Time .0 Tat <br /> Initial Pressure 7 '4 Initial Pressure <br /> Test End Time d� :2 Test End Time (� s7 <br /> Final Pressure 'J is Final Pressure �y-0 D f <br /> Test Results Fail Pass Fail Pass Fail Pass FailTest Results Pass Fail Pass ail Past Fail Pass Fail <br /> Signature <br /> ,Signature <br /> Spill Buckets <br /> Overfill#1 Overfill#2 Overfill#3 Overfill#4 Seconds l'i in <br /> Line#S Line #i6 Line#i7 Line#S <br /> Product 87 89 91 D 87 89 91 D 87 89 91 D 87 99 91 D <br /> Product 87 89 91 D 97 89 91 D 87 69 91 D 87 89 91 D <br /> Manufacturer <br /> Piping Type Primary Siphon Primary Siphon Primary Siphon Primary Sip <br /> Start Time(to) <br /> Water Level Manufacturer <br /> Time(ti) Test Start Time <br /> Water Level <br /> Initial Pressure <br /> Time(t,) <br /> Water Level Test End Time <br /> Time(t?) Final Pressure <br /> Water Levet <br /> Test Results Pass Fail Pass Fail Pass Fail Peds Fail <br /> Time(ta) <br /> Water Level Signature <br /> Test Results Pass Fail Pass Fail Pass Fail Pass Fail <br /> v <br /> Signature '\�b <br /> \l� <br />