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UNDERGROUND STORAGE TANK <br /> SECONDARY CONTAINMENT TESTING REPORT FORM (Page s of 6) <br /> XVII , FILL RISER SUMP TESTING INFORMATION <br /> Manufacturer Identify Tank ID from section III for each Manufacturer <br /> Test Method Used : <br /> ❑ Manufacturer Guidelines: (Specify) <br /> M Industry Code or Engineering Standard : (Specify) RP -1200 / Guidelines Adopted by CAL CUPA Forum <br /> ❑ Engineered Method : (Specify) <br /> # of Attached Pages <br /> Attach the testing procedures and all documentation required to determine the results. None <br /> Fill Riser Sump Testing Training and Certifications (List applicable certifications.) Expiration Date <br /> XVIII , COMMENTS <br /> Provide any additional comments here. <br /> Site does not have any fill sumps installed . Direct burry spill containers installed . <br /> XIX. VENT / TRANSITION PIPING SUMP TESTING INFORMATION <br /> Identify Vent / Transition Sump ID from <br /> Manufacturer section III for each Manufacturer <br /> i <br /> r <br /> i <br /> i <br /> t <br /> Test Method Used : <br /> ❑ Manufacturer Guidelines : (Specify) <br /> i <br /> ® Industry Code or Engineering Standard : (Specify) RPA200 / Guidelines Adopted by CAL CUPA Forum <br /> i <br /> ❑ Engineered Method : (Specify) <br /> # of Attached Pages <br /> Attach the testing procedures and all documentation required to determine the results. <br /> None <br /> Vent / Transition Piping Sump Testing Training and Certifications (List applicable certifications) Expiration Date <br /> XX. COMMENTS <br /> Provide any additional comments here. <br /> Site is not equipped with vent or transition sumps . <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 />