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c underground Storage Tank System <br />t� Secondary Containment Certification Form <br />Facility ID: Afp <br />a� �Sd <br />Facility Address: <br />Tanks, Piping, Tank Sumps & Overfdl Buckets page of <br />Test Date:x"10 <br />Testing Contractor: � A/� <br />Tech. Name: <br />Contractor Address: jrdqL ,A apps <br />White — Original Yellow — Arco Environmental Compliance <br />Rev. 10101 <br />Tank #1 Tank #2 Tank #3 Tank #4 <br />Pass Fail ! Pass Fail I Pass Fail I Pass Fail <br />Line #1 Line #2 Line 0 Line #4 <br />87 89 91 D 87 89 91 D t8l 89 91 D 87 89 91 D^ <br />Pass Fail Pass Fail Pass Fail Pass Fail <br />�r <br />i <br />Pink —Contractor �j� <br />Turbint SUMPS <br />UST Annular S ace <br />Tank #1 <br />Tank #2 <br />Tank #3 <br />Tank #4 <br />87 89 91 D <br />87 89 91 D <br />87 89 91 D <br />87 89 91 D <br />Start Time (to) <br />Product <br />Water Level <br />Capacity <br />Time (ti) <br />Test Start Time <br />Water Level <br />Time (ti) <br />initial Pressure <br />Water Leve! <br />Test End Time <br />Time (t3) <br />Final Pressure <br />Fail, <br />Pass Fail <br />Pass Fait <br />Water Level <br />Test Results <br />Pass Fail <br />Pass <br />Time (ta) <br />Water Level <br />Signature_ <br />Test Results <br />,S" •.r f <br />Over Ill <br />Overfill #t <br />Overfill #2 <br />Overfill #3 <br />Overfill #A <br />Signature <br />Product <br />�9 91 D <br />189 91 D <br />87 8511? <br />87 89 91 D <br />Secondary P n <br />Start Time (to) <br />��,� <br />/4� <br />Water Level <br />NJ <br />01'.01 ✓/ i <br />��A, j <br />rProductTime <br />TimeWater <br />L <br />Leve!Time <br />(tz)ssure <br />�v'7� <br />Water Level <br />l+0 <br />Test End Time <br />Time <br />U Amw� <br />1�� <br />�/1,W/ <br />Final Pressure <br />L <br />Water Level <br />- <br />bass <br />��tt <br />Acss�.� <br />Test Results <br />Time (t,) <br />Water Level <br />�1�tgP ti <br />,afg � <br />.o nti <br />ss Fail <br />Fail <br />as Fail <br />Pass Fail <br />Signature <br />Test Resu{ts <br />Signature <br />White — Original Yellow — Arco Environmental Compliance <br />Rev. 10101 <br />Tank #1 Tank #2 Tank #3 Tank #4 <br />Pass Fail ! Pass Fail I Pass Fail I Pass Fail <br />Line #1 Line #2 Line 0 Line #4 <br />87 89 91 D 87 89 91 D t8l 89 91 D 87 89 91 D^ <br />Pass Fail Pass Fail Pass Fail Pass Fail <br />�r <br />i <br />Pink —Contractor �j� <br />