COMPLIANCE INFO_1986-2006 - Laserfiche WebLink

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Tanks,Piping,& Spill Buckets page— of veidergronnd Storage Tank System m ' Secondary Containment Certification Form O" p• Test Date:42 �' Testing Contractor: LFFacility lity#:�� City: �t Contractor Address: / C� , h'Name: t Address: Secondary P' in UST Annular S ace Tank#4 Product 41 Line #2 Line#3 Line#4 N Tank#1 Tank #2 Tank#3 � I 87 $9 910 87 89 9 87 89 91 D 87 89 9l D Product 87 89 91r'�D 87 89 91 D 87 89 91 D 87 89 9� Product Siphon Siphon 1 iphon Primary Siphon Primary Piping Type py Capacity S Manufacturer Manufacturer fANIL Test Start Time Test Start Time O' ®� S vC Initial Pressure N initial Pressure Test End Time Test End Time i Final Pressure ! Final Pressure Q-P Test Results as Fail Pass Fail Pass Fail Pass Fail Test Results Pass Pass Pass Fail Pass Fail X1 Signature LL Signature ••�'—"� S ill Buckets Second P'Pin t— Overfill#1 overfill#2 overfill#3 overfill#4 Line#5 Line #b Line#7 Line#8 t6 •�; Product 87 89 91y 87 89 91 D 87 89 91 D 87 89 91 D Product 87 89 91 D 87 89 91 D 87 89 91 D 87 89 91 D i Manufacturer Piping Type 01 Primary Siphon Primary Siphon Primary Siphon Primary Siphon i Start Time(tfl) Manufacturer •t- Water Level �•*' i Test Start Time 0 ' �j Time(t,) 7 i —1 I Water Level � Initial Pressure Time 02) - 4 Test End Time N Water Level M Time(t,) Final Pressure ® Water LevelTest Results Pass Fail Pass Fail Pass Fail Pass Fail N Time(ta) •r 1 I Water Level Signature ® P Fail Pass Fail Pass Fail Pass Fail i Test Results d ' Signature ® ; White—original Yellow—Arco Environmental Compliance Pink—Contractor Rev. 11lt}I _...... ....•u..uurcinnt c.nfnn7tArtc7P Pink ' Cnn"r.tor -