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LAKE TEST PROTOCOL <br />PIPING SUMPS/UNDER DISPENSER CONTAINMENT SUMPS <br />BUSINESS NAME: &dem' Bda'),Iel &—o' h� 1 <br />LOCATION/ADDRESS: zlez 42e. lh'dhV,, 0,49f:3, <br />PHONE/FAX: <br />OWNER/OPERATOR NAME: A��w <br />SCHEDULED TEST DATE: /0 A s--/ 't <br />FOLLOW INSTRUCTIONS ON FRONT OF FORM <br />Description Test Start Test Complete Change (inches) P/F <br />Sump 1: QN4EADFP FiLL --3-'eO PI -4 <br />Sump 2: 10 VA4 F1 L L 3! 0,o J7/44 f 'IL-1 <br />Sump 3: <br />Sump 4: <br />Sump 5: <br />Sump 6: <br />Sump 7: <br />Sump 8: <br />RECORD ALL INSPECTION NOTES, BY SUMP HERE <br />a-1- <br />Notes: 69:� <br />tv ' 7- t4l 14-,4 r— FYI 00 C K€7 --S <br />T. <br />Au C i1v Tr--- A LF V,6 z— <br />Tester Name: UARAM00971 Date: <br />Rev 11-26-02 LAKE TEST PROTOCHOL <br />/ e� -5-A54 <br />