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UNDERGROUND STORAGE TANK <br /> SECONDARY CONTAINMENT TESTING REPORT FORM (Page 5 of s) <br /> XVII. FILL RISER SUMP TESTING INFORMATION <br /> Manufacturer Identify Tank ID from Section III for each Manufacturer <br /> A ❑ B ❑ IC ❑ D ❑ <br /> A ❑ B ❑ I C ❑ I 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 /> Fill Riser Sump Testing Training and Certifications (List applicable certifications.) Expiration Date <br /> XVIII. COMMENTS <br /> Provide any additional comments here. <br /> XIX. VENT/TRANSITION SUMP TESTING INFORMATION <br /> Manufacturer Identify Vent I Transition Sump ID from Section III for each Manufacturer <br /> Western Fiberglass a X❑ I b ❑ c ❑ d ❑ <br /> a b ❑ c ❑ d ❑ <br /> Test Method Used: ❑ Manufacturer Guidelines(Specify): <br /> Hydrostatic <br /> Q Industry Code or Engineering Standard (Specify): PEI RP 1200 <br /> ❑ Engineered Method (Specify): <br /> #of Attached Pages <br /> Attach the testing procedures and all documentation required to determine the results. <br /> Vent I Transition Sump Testing Training and Certifications(List applicable certifications.) Expiration Date <br /> Franklin Fueling L4- 1032363709 09-29-2019 <br /> XX. COMMENTS <br /> Provide any additional comments here. <br /> UG01 00001 Vent Sump- <br /> 9:00am to 9:16am, 4.6776"START to 4.6777" STOP, 0.0001'' Difference- PASSED <br /> 9:16am to 9:31 am. 4.6781"START to 4.6780" STOP, 0.0001" Difference-PASSED <br /> UG0100001 Transition Sump- <br /> 9:00am to 9:16am, 3.8747"START to 4.8746" STOP. 0.0001'' Difference- PASSED <br /> 9:16am to 9:31 am, 3.8746"START to 3.8745" STOP, 0.0001" Difference-PASSED <br /> ID=Identification <br />