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May, 9. 2017 4: 12PM Don'lee Pump Co No, 7237 P. 6 <br /> AOL <br /> Secondary Containment Testing Repoporm-Page 5 of 5 <br /> Pass/Fail Threshold or Criteria: <br /> Test Result; Pass; 0 Fail 0 Pass; [I Fail Pass; [:1 N—H 17 Pass; M Fail <br /> Was leak detection sensor NiA(Not El Yes;[I No; 0 Yes;El No; El Yes;El No; 0 Yes;®Na; <br /> functional <br /> replaced and verified as Rcmoved) NIA(Not Removed) <br /> El N/A(Not Removed) El NIA(Not Removed) Elfunctional after tes�u? <br /> I. Testing of Spill Buckets El NIA(No spill buckets installed) <br /> ill bucket(s)not tested <br /> Test Method Developed By: El Bucket Manufacturer;El Industry Standard;El PE;D Other(Sped): <br /> Test Method Used: E]pressure; El Vacuum; El Hydrostatic; [I Other(Spew): <br /> Test Equipment Used: Equipment Resolution: <br /> Bucket ff.- Bucket Bucket 9; Bucket ff; <br /> Bucket Diameter: <br /> Bucket Depth: <br /> Wait time between applying <br /> pressure/vacuum/water and 01 <br /> starting test: <br /> Test Start Time: 0 2017 <br /> Initial Reading(Rt}: <br /> Test End Time: ENVIPi LTH <br /> Final Reading(RF)- P f,L N`- <br /> Change in Reading(RF—RO: <br /> Poss,(Fail Threshold or Criteria: <br /> Test Result El Pass; El Fail El Pass; El Fail =Pass; El]Fail 0 Pass; El Fail <br /> J. Additional Information <br /> Were any repairs made to secondary containment systems prior to testing? QYes(describe in"Comments");El No <br /> Were any secondary containment systems unable to be tested? 0 Yes(describe in"Comments"),AM <br /> is any follow-up action recommended? [:j Yes(describe in"Comments"); No <br /> Was any cleaning of secondary containment systems done? []Yes(describe management of wastewater in"Comments");"KNO <br /> If hydrostatic testing was performed,describe in"Comments"what was done With the Water after completion of testing. <br /> Comments; f-tovceA boy )nco� an w- ?u. MANtdfA "e& <br /> Njor4 -Vo )Dx, cf., v4r-A <br /> IC W4 -054-5/5 www.unldocs.org 02/26/02 <br />