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Underground Storage Tank System Turbine Sumps,Fila Sumps and Under Dispenser Containment 2 <br /> Secondary Containment Certification Form Page of <br /> Facility#: 2133 City: 5+bLk+h Testing Contractor: 1?r1k% ,n Test Date: )0:30-01L <br /> Facility <br /> 0:30—OZ- <br /> Facility Address: AM 0,6 2 e jam n "0 k+ PC, Contractor Address: W(1® 5. Ave Teck. Name:VAk&v%y1O � Z <br /> Y � wrtw 0 <br /> Turbine Sumps B7 99 91 D 97 99 1 D g7 s9 91 D 87 99 91 D Fill Sumps 87 89 91 D 87 89 91 D e7 69 91 D 97 89 91 D <br /> ID(north,slave,etc.) ID no slave etc. r <br /> Manufacturer CAV i lydvs. -Mvo ynh Manufacturer <br /> Start Time(to) t 't} ')t? Start Time(to) <br /> Water Level ,DOO .000 Water Level <br /> Time(t) 1'L,1 G 1 '.13 Time(tj) <br /> Water Level *coo ;d Water Level <br /> Time(t2) I Z! lq i'3 Time(t-A) <br /> Water Level ,60 .BO Water Levet <br /> Time(tj) )2:22 Time(t1) <br /> Water Level .000 Water Level <br /> Time(tj /wir Time(t4) <br /> Water Level Water level <br /> Test Results Fail Pa a Pass Fail Pass Fail Test Results Pass Fail Pass Fail Pass Fail Pass Fail <br /> 01 <br /> Signature Signature <br /> UDC UDC <br /> 1D(1/2,314,etc.) <br /> ID(112,314,etc.) <br /> Manufacturer Manufacturer <br /> Start Time(to) Start Time(tv) <br /> Water Level Water Level <br /> Time(tj Time(til <br /> , <br /> Water Level Water Levet <br /> Time(t2) Time(t2) <br /> Water Level Water Level <br /> Time(t,) Time(tj <br /> Water Level Water Level <br /> Time(t j Time{tJ <br /> Water Level Water Level <br /> Test Results Pass Fail Pass Fail Pass Fail Pass Fail Test Results Pass Fail Pass Fail Pass Fail Pass F ' ,, `� <br /> Signature Sigasture �` 0 <br /> �� <br />