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U'-tderground Storage Tank System Turbine Sumps,Fill Sumps and Under Dispenser Containment , <br /> Secondary Containment Certification Form Page / of 7Z _ <br /> Facility#: 6O 0 City: Testing Contractor: G--y� RyA- i Test Date: 3 "0 Z. <br /> Facility Address: 1;6, Contractor Address: 6 7y 7 Tech.Name:9, a/410� <br /> Turbine Sumps 89 91 D 87 91 D 87 89 C)D 87 8991 Fill Sumps 87 89 91 D 87 89 91 D 87 89 91 87 89rf 1 D <br /> ID(north,slave,etc.) ID north slave etc. 1�.� Of <br /> Manufacturer Manufacturer j <br /> Start Time(to) 1 ' 55 Start Time(to) '1 1 ' X 2— <br /> Water Level d•CV0 (9.00 Water Level O. 01 <br /> 11-07 <br /> Time(tt) I.Z.• Time(tt) ZI 1 : . b Z: t �-: S3 <br /> Water Level Q7. C7. Doo coo Water Level 0.00 O �• �� coo <br /> Time(t2) 1 : 1 1 L: Time �•�© <br /> (t2) 1 % Z 1= S y Z �..; `.� <br /> Water Level •.•p•CaD� .QO2 .Q9� Water Level ©.000 ©•WO -0 -001 d•00 Z, <br /> Time(t3) 13 12-1- 1 <L�S Time(t3) �—� % 2'. 31 <br /> Water Level —0-CV1 v.©©I Water Level v-00 ) —�.�� ^D• C7D I <br /> Time 04) tii: 12- 1117,0 �?..: J Time f7 •0O <br /> (t4) ( : a D <br /> Iz- <br /> Water Level —& t "` .001 Water Level V•WO ,CO' Q,cD ••Q0 Z <br /> Test Results Fail ass Fail Pass Fail Test Results a Fail s Fail ass Fail ass Fail <br /> Signature G, }Z.�. G Signature <br /> UDC UDC <br /> ID(1/2,3/4,etc.) _ Z 3-q 5— & 7- ID(1/2,3/4,etc.) <br /> Manufacturer Manufacturer <br /> Start Time(to) b '3 0 f Start Time(to) <br /> Water Level ©•Goo V-000 m. Water Level <br /> Time(tt) ' 10 s'3.3 :5-t Time(tt),,�. <br /> Water Level (� r, $?•Z, . Q� © Water Level <br /> Time 02) (� : L� Time 02) <br /> Water Level .©Q . D0 0 Water Level <br /> Time(t3) ' : 5-1 &% 7- Time 03) <br /> Water Level 0. 0490 m, 001) Water Level <br /> Time 04) s►' 6, ` % 2-7 Time 04) <br /> Water Level Water Level <br /> Test Results Pass Fail Pass Fail Pass Fail ass Fail Test Results Pass Fail Pass Fail Pass Fail Pass Fail <br /> Signature kt•v_ W-r� 14-00 lvr� Signature <br /> a <br /> Rev. 11/01 White—Orieinal Yellow—Arco Environmental Comnliance Pink—Contractor <br />