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Underground Storage Tank System Tanks, Piping, Tank Sumps & Overfill Buckets <br />'secondary Containment Certification Form Page 2 of <br />Facility ID: X133 Testing Contractor: �0"g?X JV 09 Test Date: /2 /1AO/ / <br />Facility Address: 9 �_- Contractor Address:; �//�ys._ Tech. Name: �g4e 1,474.4 <br />cAL Ci c. /007— <br />zr <br />114VT Annurar .Gnaw <br />S�..y) <br />nrn <br />s,o.u�tv ..h.���. ^,V <br />Tank #1 <br />Tank #2 <br />Tank #3 <br />Tank #4 <br />Product <br />87 89 91 D <br />87 89 91 D <br />87 89 91 D <br />87 89 91 D <br />Capacity <br />�s <br />83 <br />Test Start Time <br />Se <br />Initial Pressure <br />Test End Time <br />zDe9iwl <br />yy/ <br />Final Pressure <br />Pass Fail <br />Pass Fail <br />Pass Fail <br />Pass Fail <br />Test Results <br />Pass Fail <br />Pass Fail <br />Pass Fail <br />Pass Fail <br />Signature <br />j <br />S�..y) <br />nrn <br />s,o.u�tv ..h.���. ^,V <br />Tnrhine .4umn.c <br />#1 <br />Overfill #2 <br />Overfill #3 <br />Overfill 44 <br />Product <br />87 89 91 D <br />87 89 91 D <br />87 890 D <br />87 89 91 D <br />Start Time (to) <br />�s <br />83 <br />Water Level <br />Se <br />Time (t,) <br />Water Level <br />zDe9iwl <br />yy/ <br />Time (tz) <br />Pass Fail <br />Pass Fail <br />Pass Fail <br />Pass Fail <br />Water Level <br />Time (t3) <br />j <br />Water Level <br />Time 04) <br />� 7;1m'.y <br />Water Level <br />/ <br />10-5 g h <br />Test Results <br />Pass Fa <br />Pass Fail <br />s Fail <br />Pass Fail <br />Signature <br />Tnrhine .4umn.c <br />Secondarr Pinin-a <br />Tank #1 <br />Tank #2 <br />Tank #3 <br />Tank #4 <br />Start Time (to) <br />Water Level <br />87 89 91 D <br />87 89 91 D <br />87 89 91 D <br />87 89 91 <br />Time (ti) <br />Water Level <br />Time 02) <br />Water Level <br />Time (t3) <br />Water Level <br />Time (tq) <br />Water Level <br />Test Results <br />Pass Fail <br />Pass Fail <br />Pass Fail <br />Pass Fail <br />Signature <br />Secondarr Pinin-a <br />Rev. 10/01 White - Original Yellow - Arco Environmental Compliance Pink - Contractor �� <br />Line #1 <br />Line #2 <br />Line #3 <br />Line #4 <br />Product <br />87 89 91 D <br />87 89 91 D <br />87 89 91 D <br />87 89 91 <br />Test Start Time <br />Initial Pressure <br />Test End Time <br />Final Pressure <br />Test Results <br />Pass Fail <br />Pass Fail <br />Pass Fail <br />Pass Fail <br />Signature <br />Rev. 10/01 White - Original Yellow - Arco Environmental Compliance Pink - Contractor �� <br />