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UNDERGROUND STORAGE TANK SECONDARY CONTAINMENT TESTING REPORT FORM (Page 5 of 6) XVII , FILL RISER SUMP TESTING INFORMATION Manufacturer I Identify Tank ID from Section III for each Manufacturer A ❑ I B ❑ == C ❑ D ❑ A ❑ B 1 C ❑ I D ❑ Test Method Used : ❑ Manufacturer Guidelines (Specify). ❑ Industry Code or Engineering Standard (Specify): ❑ Engineered Method (Specify): # of Attached Pages Attach the testing procedures and all documentation required to determine the results. Fill Riser Sump Testing Training and Certifications (List applicable certifications.) Expiration Date XVIII . COMMENTS Provide any additional comments here. No Fill Riser Sumps present at this UST Facility, XIX. VENT / TRANSITION SUMP TESTING INFORMATION Manufacturer Identify Vent / Transition Sump ID from Section III for each Manufacturer a ❑ b ❑ c ❑ d ❑ a ❑ I b ❑ I c ❑ I d ❑ Test Method Used : ❑ Manufacturer Guidelines (Specify) : ❑ Industry Code or Engineering Standard (Specify) : ❑ Engineered Method (Specify) : # of Attached Pages Attach the testing procedures and all documentation required to determine the results. i i Vent / Transition Sump Testing Training and Certifications (List applicable certifications.) Expiration Date i i f i XX. COMMENTS Provide any additional comments here. No Vent/Transition Sump at this UST Facility . i ID = Identification c