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WO-131$3 <br /> STP/Piping Sump Containment <br /> Tank#Assigned <br /> Test Method Used — <br /> Test Equipment Mfr./Model <br /> Test Start Time - <br /> Initial Reading <br /> Test End Time — <br /> Final Reading <br /> Change in Readings <br /> Pass/Fail Threshold/Criteria <br /> Result — <br /> Under-Dispenser Containment <br /> UDC# <br /> Test Method Used <br /> Test Equipment Mfr./Model <br /> Test Start Time <br /> Initial Reading <br /> Test End Time <br /> Final Reading <br /> Change in Readings <br /> Pass/Fail Threshold/Criteria <br /> Result <br /> Fill Riser Containment <br /> Tank#Assigned —T-- <br /> Test Method Used -- - ---- <br /> Test Equipment Mfr./Model - -- - <br /> Test Start Time <br /> Initial Reading <br /> Test End Time <br /> Final Reading <br /> Change in Readings <br /> Pass/Fail Threshold/Criteria <br /> Result <br /> Was an UMPA inspector present during testing? ❑Yes ❑No <br /> Inspector Name: Inspector Signature: <br /> Date: <br /> certify under penalty of law that the information provided here and in supporting documents is true, accurate and complete. <br /> Tester Name: Tester Signatur I Zr-� A <br /> Date: t <br /> CERS=California Environmental Reporting System,ID=Identification,UST=Underground storage tank,ICC=International Code Council, <br /> NA=Not applicable,UDC=Under-dispenser containment <br />