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■ <br /> RECEIVED BY EHD VIA EMAIL: <br /> 2/23/2022 <br /> UNDERGROUND STORAGE TANK <br /> SECONDARY CONTAINMENT TESTING REPORT FORM(Page 6 of 6) <br /> XXI. UNDER-DISPENSER CONTAINMENT TESTING INFORMATION <br /> Manutacturer s IdentifyIdenti!y UDC ID from Section III for each Manufacturer <br /> Bravo Systems-Coated Steel 1 x 2 " 3x a 1 5 ❑ 6 ❑ <br /> 7 8 9 10 ❑ 11 ❑ 12 ❑ <br /> 0 1 2 ❑ 3 ❑ q ❑ 5 ❑ 6 ❑ <br /> 7 ❑ 8 ❑ 9 ❑ 10 ❑ 1 11 ❑ 12 ❑ <br /> Test Method Used. ❑Manufacturer Guidelines(Specify) <br /> ❑Industry Code or Engineering Standard(Specify) <br /> Engineered Method(Specify) Caldwell Systems/Hydrostatic 30 Minutes <br /> Attach the resting procedures and all documentation required to determine the results. #of Attached Pages2 <br /> UDC Testing Training and Certifications(List applicable certifications.) Expiration Date <br /> Caldwell Level Change Indicator 6/10/2023 <br /> ICC Service Technician#5246802-UT 3/21/2021 <br /> Under round Storage Tank Tester License#90-1120 12/31/2022 <br /> XXII. COMMENTS <br /> Prowde any addnonai comments here <br /> H the facility has more components than this form accommodates,additional copies of these pages may be attached. <br /> UDC-Under-0aperia Corttarrrvt m■Idagka0on <br /> L � <br />