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UNDERGROUND STORAGE TANK <br />SECONDARY CONTAINMENT TESTING REPORT FORM <br />XVII. FILL RISER SUMP TESTING INFORMATION <br />ID =Identificati <br />(Page 5 of 6) <br />Manufacturer <br />IdentifV Tank ID from Section III for each Manufacturer <br />A❑ B❑ I <br />C❑ <br />I D❑ <br />A❑ <br />B❑ <br />I <br />C❑ <br />D❑ <br />Test Method Used: <br />❑ 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. <br /># of Attached <br />Pages <br />Fill Riser Sump Testing Training and Certifications (List applicable certifications.) <br />Expiration Date <br />XVIII, COMMENTS <br />Provide any additional comments here. <br />XIX. VENT / TRANSITION SUMP TESTING INFORMATION <br />Manufacturer <br />Western Fiberglass <br />Identify Vent / Transition Sump ID from Section III for each Manufacturer <br />a ❑ 1 b C ❑ d <br />a❑ I b 1 c❑ I d❑ <br />❑ <br />Test Method Used: <br />❑ Manufacturer Guidelines (Specify): <br />(] Industry Code or Engineering Standard (Specify): INCON TS -STS <br />❑ Engineered Method (Specify): <br />Attach the testing procedures and all documentation required to determine the results. <br /># of Attached <br />Pages <br />Vent / Transition Sump Testing Training and Certifications (List applicable certifications.) <br />Expiration Date <br />INCON T&STS 1001733709 <br />7/31/2019 <br />XX. COMMENTS <br />Provide any additional comments here. <br />on <br />