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UNDERGROUND STORAGE TANK <br /> SECONDARY CONTAINMENT TESTING REPORT FORM (Page 5 of 6) <br /> XVII . FILL RISER SUMP TESTING INFORMATION <br /> Manufacturer Identify Tank ID from section III for each Manufacturer <br /> Unknown A M B ® CM D ❑ <br /> A B ❑ CO D ❑ <br /> Test Method Used : <br /> ❑ Manufacturer Guidelines: (Specify) <br /> ® Industry Code or Engineering Standard : (Specify) Hydrostatic <br /> ❑ Engineered Method : (Specify) <br /> Attach the testing procedures and all documentation required to determine the results. # of Attached Pages5 <br /> Fill Riser Sump Testing Training and Certifications (List applicable certifications.) Expiration Date <br /> Caldwell Level Change Indicator 12/31 /2020 <br /> XVIII , COMMENTS <br /> Provide any additional comments here. <br /> XIX. VENT / TRANSITION PIPING SUMP TESTING INFORMATION <br /> Manufacturer Identify Vent / Transition Sump ID from <br /> section I II for each Manufacturer <br /> Unknown a M b ® c ® d ❑ <br /> a b ❑ c ❑ d ❑ <br /> Test Method Used : <br /> ❑ Manufacturer Guidelines: (Specify) <br /> M Industry Code or Engineering Standard : (Specify) Hydrostatic <br /> ❑ Engineered Method : (Specify) <br /> Attach the testing procedures and all documentation required to determine the results. # of Attached Pages5 <br /> Vent / Transition Piping Sump Testing Training and Certifications (List applicable certifications) Expiration Date <br /> Caldwell Level Change Indicator 12/31 /2020 <br /> XX. COMMENTS <br /> Provide any additional comments here. <br /> ID = Identification <br />