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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 /> N/A A ❑ B ❑ C ❑ D ❑ <br /> A ❑ B ❑ C ❑ D ❑ <br /> Test Method Used: <br /> ❑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 /> XVlli. COMMENTS <br /> Provide any additional comments here. <br /> no fill sum <br /> XIX. VENT 1 TRANSITION PIPING SUMP TESTING INFORMATION <br /> Manufacturer Identify Vent I Transition Sump ID from <br /> section III for each Manufacturer <br /> NIA a ❑ IbEl c ❑ IdEl <br /> a ❑ I b ❑ I CO I d ❑ <br /> Test Method Used: <br /> ❑Manufacturer Guidelines:(Specify) <br /> ❑ Industry Code or Engineering Standard: (Specify) <br /> ❑ Engineered Method:(Specify) <br /> Attach the testing procedures and all documentation required to determine the results. #of Attached Pages <br /> Vent I Transition Piping Sump Testing Training and Certifications(List applicable certifications.) Expiration Date <br /> XX.COMMENTS <br /> Provide any additional comments here. <br /> No transition sumps <br /> ID=Identification <br />