Laserfiche WebLink
UNDERGROUND STORAGE TANK <br /> SECONDARY CONTAINMENT TESTING REPORT FORM (Page 5 of s) <br /> XVII . FILL RISER SUMP TESTING INFORMATION <br /> Manufacturer tify Tank ID from Section III for each Manufacturer <br /> A I B ❑ I C ❑ D ❑ <br /> A ❑ I B 1 C ❑ I D ❑ <br /> Test Method Used : ❑ Manufacturer Guidelines (Specify) : <br /> ® Industry Code or Engineering Standard (Specify): Hydrostatic <br /> ❑ Engineered Method (Specify): <br /> # of Attached Pages <br /> Attach the testing procedures and all documentation required to determine the results. <br /> Fill Riser Sump Testing Training and Certifications (List applicable certifications.) Expiration Date <br /> ICC UST Certification # 8819839 10/15/2021 <br /> INCON TS-STS L4 - Certification # 1019623710 9/24/2020 <br /> XVIII . COMMENTS <br /> Provide any additional comments here. <br /> Direct burys - N/A <br /> XIX. VENT / TRANSITION SUMP TESTING INFORMATION <br /> Manufacturer Identify Vent / Transition Sump ID from Section III for each Manufacturer <br /> a ❑ I b I c ❑ I d ❑ <br /> a ❑ I b ❑ I c ❑ 1 d <br /> Test Method Used : ❑ Manufacturer Guidelines (Specify): <br /> ❑ Industry Code or Engineering Standard (Specify) : <br /> ❑ Engineered Method (Specify): <br /> # of Attached Pages <br /> Attach the testing procedures and all documentation required to determine the results. <br /> Vent / Transition Sump Testing Training and Certifications (List applicable certifications.) Expiration Date <br /> XX. COMMENTS <br /> Provide any additional comments here. <br /> N/A <br /> ID = Identification <br /> i <br /> i <br />