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IN <br /> UNDERGROUND STORAGE TANK <br /> SECONDARY CONTAINMENT TESTING REPORT FORM ( Page 6 of 6) <br /> XXI . UNDER-DISPENSER CONTAINMENT TESTING INFORMATION <br /> Manufacturer(s) : Identify UDC ID from section III for each Manufacturer <br /> S Bravo 10 20 3 ® 4 M 5 E 6 ❑ <br /> 7 ❑ 8 E 90 101`71 11 ❑ 120 <br /> 1 ❑ 20 3 E 4 ❑ 5 ❑ 6 ❑ <br /> 7 ❑ 8 E 9 E 10 El 11 ❑ 12 El <br /> Test Method Used : <br /> ❑ Manufacturer Guidelines : (Specify) <br /> ❑ Industry Code or Engineering Standard : (Specify) <br /> ® Engineered Method : (Specify) Caldwell Systems/Hydrostatic 30 Minutes <br /> Attach the testing procedures and all documentation required to determine the results. # of Attached Pages <br /> UDC Testing Training and Certifications (List applicable certifications.) Expiration Date <br /> Caldwell Level Change Indicator 05/31 /2022 <br /> XXII . COMMENTS <br /> Provide any additional comments here. <br /> Dispenser 7 - 8 UDC failed the hydrostatic test due to bad electrical penetration fitting . Fitting <br /> must be repaired/replaced and UDC retested with passing result . <br /> If the facility has more components than this form accommodates, additional copies of these pages may be attached. <br /> UDC = Under-dispenser containment, ID = Identification <br />