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UNDERGROUND STORAGE TANK <br /> SECONDARY CONTAINMENT TESTING REPORT FORM (Page s of 6) <br /> XVII. FILL RISER SUMP TESTING INFORMATION <br /> Manufacturer I Identi Tank ID from Section III for each Manufacturer <br /> A ❑ B ❑ No] <br /> D ❑ <br /> A ❑ B ❑ D ❑ <br /> Test Method Used: B Manufacturer Guidelines(Specify): <br /> ❑Industry Code or Engineering Standard(Specify): <br /> ❑ Engineered Method(Specify): <br /> Attach the testing procedures and all documentation required to determine the results. #of Attached Pages <br /> Fill Riser Sump Testing Training and Certifications(List applicable certifications.) Expiration Date <br /> XVIII. COMMENTS <br /> Provide any additional comments here. <br /> Retest after repair on diesel high flow only pressure test. <br /> XIX. VENT I TRANSITION SUMP TESTING INFORMATION <br /> Manufacturer Identify Vent/Transition Sump ID from Section III for each Manufacturer <br /> a❑ I b = c ❑ d El <br /> a 1 b 1 c d <br /> Test Method Used: ❑Manufacturer Guidelines(Specify): <br /> ❑Industry Code or Engineering Standard(Specify): <br /> ❑Engineered Method(Specify): <br /> Attach the testing procedures and all documentation required to determine the results. #of Attached Pages <br /> Vent/Transition Sump Testing Training and Certifications(List applicable certifications) Expiration Date <br /> XX. COMMENTS <br /> Provide any additional comments here. <br /> Retest after repair on diesel high flow only pressure test. <br /> 10=Identification <br />