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LAKE TEST PROTOCOL <br /> PIPING SUMPS/UNDER DISPENSER CONTAINMENT SUMPS <br /> BUSINESS NAME: Ci-4 j-6 <br /> LOCATION/ADDRESS: `?'�3 �7 <br /> PHONE/FAX: (-2-010 c4-7C- <br /> OWNER/OPERATOR <br /> -7C-OWNER/OPERATOR NAME: C►Lj') r+ <br /> SCHEDULED TEST DATE: �� /13 LQ 3 <br /> FOLLOW INSTRUCTIONS ON FRONT OF FORM <br /> Description Test Start Test Complete Change (inches) P/F <br /> Sump 1: i c5 . a. o c t 0100 <br /> Sump 2: <br /> Sump 3: <br /> Sump 4: <br /> Sump 5: <br /> Sump 6: <br /> Sump 7: <br /> Sump 8: <br /> RECORD ALL INSPECTION NOTES, BY SUMP HERE <br /> Notes: <br /> TesterName: r Date: <br /> Rev 11-26-02 LAKE TEST PROTOCHOL <br />