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SB 989 Test Log Shell <br />Testing Contractor: 3725 Tracy BlvdTracy, CA 95376 <br />N021066 — testing <br />4 <br />Product Piping Secondary Containment <br />Test Date: <br />Line Information: Fuel Grade: 87 / 87 Syphon Line / 89 / 91 /CD)/ <br />�'—� �/ M85 / WO Remote Fill <br />Type: Single Wall / Double �1/all <br />Primary Piping: <br />Secondary Piping: <br />AO Smith (Gold): AO Smith (Gold): <br />Ameron (Red): . <br />Ameron (Red): <br />Environ (Green, Flex): <br />TCI (Grey, Plastic): <br />CTC (Black, Flex): CTC (Orange, Plastic): <br />Western Co -Flex (Grey, Flex): <br />CTC (Blue, Plastic): <br />Other <br />Other <br />Test Start Test Finish <br />P -Test <br />HH:MM / Pressure HH:MM / Pressure Pass / Fall <br />Condition (Repair Notes) <br />►'nil <br />Pass / Fail <br />Pass /Fail <br />Pass / Fail <br />Pass / Fail <br />SB 989 Test Log Forms 2.0 <br />