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'.SB 989 Test Log <br />Testing Contractor: <br />• ' It • - • _ <br />1p <br />E <br />Dispenser Number: <br />Bravo (Steel, Shallow Pan): <br />Bravo (Fiberglass, Deep Sump): <br />Bravo (Plastic, Deep Sump): <br />Phil Tite (White Inside, Green Outside, Deep L): <br />• • • • <br />EMIL61911f; • <br />Beaudreau (Sm Black Puck, Light Sensor): <br />Beaudreau (Modern Electronic): <br />Other : = <br />Shell <br />3725 Tracy Blvd <br />Tracy, CA 95376 <br />N021066 - testing <br />Test Date: <br />Sump Type: Shal ow Deep / Deep L <br />OPW Pices (White, Straight Sides, Deep): <br />Total Containment (Fiberglass): <br />Western Fiberglass (Grey, Deep L): <br />Other <br />Test Start Time Test Finish <br />H -Test <br />:MM (12 Minute Duration) Level Differential Pass / Fail <br />Fail <br />Pass / Fail <br />Pass / Fail <br />Pass / Fail <br />Pass / Fail <br />SB 989 Test Log Forms 2.0 <br />Bravo (Mechanical Float): <br />Veeder Root (Electronic): <br /># r . <br />