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Oct, 29. 201$ 1 . 15PM Donlee Pump Co No. 0917 P. 6 <br /> UNDERGROUND STORAGE TANK <br /> SECONDARY CONTAINMENT TESTING REPORT FORM (Page ti of 6) <br /> XVII. FILL RISER SUMP TESTING INFORMATION <br /> Manufacturer Identity Tank ID from section 111 for each Manufacturer <br /> qp B❑ C DD <br /> A ❑ B❑ CU D❑ <br /> Test Method Used: <br /> Q Manufacturer Guidelines:(Specify) <br /> ❑Industry Code or Engineering Standard:fte6ffy) <br /> ❑Engineered Method'.(Specify) <br /> #of Attached Pages <br /> Attach the testing procedures and all documontatfon required to determine the results. <br /> Fill Riser Sump Tesling Training and Certifications(Lista <br /> certitrC&tions-) Expiration pale <br /> XVIII. COMMENTS <br /> Provide any additional comments here. <br /> VIR(Jrd r. .. <br /> _. DF,:pAJRTr9. F - <br /> XJX. VENT I TRANSITION PIPING SUMP TESTING INFORMATION <br /> Identify Ventl Transition Sump ID from <br /> Manufacturer section til for each Manufacturer <br /> aq b 17 c❑ d[I <br /> a b❑ cQ d 17 <br /> ------------------------------ <br /> Test Method Used: <br /> Q Manufacturer Guidelines:(Specify) <br /> ❑Industry Code or Engineering Standard:(Specify) <br /> ❑Engineered Method:(Specify) <br /> #of Attached Pages <br /> Attach the tasting procedures and an documentation required to determine the results. <br /> Expiration Date <br /> Vent f Transition Piping Sump Testing Training and Gertificatlons(List appecable Cortificalions) <br /> XX.COMMENTS <br /> Provide any additional comments here- <br /> , <br />