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UNDERGROUND STORAGE TANK <br /> SECONDARY CONTAINMENT TESTING REPORT FORM (Page s of s) <br /> XVII. FILL RISER SUMP TESTING INFORMATION <br /> Manufacturer I Identify Tank ID from Section III for each Manufacturer <br /> A ❑ I B ❑ I C 1 D <br /> A 0 1 so I C Li I D <br /> Test Method Used; D Manufacturer Guidelines (Specify): <br /> Q Industry Code or Engineering Standard (Specify): <br /> Q 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 /> XVIII, COMMENTS <br /> Provide any additional comments here. <br /> E <br /> XIX . VENT 1 TRANSITION SUMP TESTING INFORMATION <br /> Manufacturer Identi Vent 1 Transition Sump ID from Section iii for each Manufacturer <br /> a LJ b 0 C 1 d ❑ <br /> a ❑ I b ❑ C d <br /> Test Method Used : ❑ Manufacturer Guidelines (Specify) <br /> [I Industry Code or Engineering Standard (Specify): <br /> ❑ Engineered Method (Specify) : <br /> # orAttached Pages <br /> Attach the testing procedures and all documentation required to determine the results. <br /> I' Vent f Transition Sump Testing Training and Certifications (List applicable certifications ) Expiration Date <br /> i <br /> i <br /> i <br /> it <br /> XX, COMMENTS <br /> Provide any additional comments here. <br /> 10 = Iderffaition <br />