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Oct. 29. 2018 1 : 15PM Donl ee Pump Co No, 0917 P, <br /> UNDERGROUND STORAGE TANK <br /> SECONDARY CONTAINMENT TESTING REPORT FORM(Page 2 of B) <br /> V. TANK CONTAINMENT TESTING INFORMATION <br /> Manufacturer Identify Tank ID from section III for each Manufacturer <br /> Bel C ❑ D ❑ <br /> A B C 17 D <br /> fest Method Used: _�� <br /> [.Manufacturer Guidelines:(5pecifY) <br /> ❑Industry Code or Engineering Standard:(Specify) <br /> ❑Engineered Method:(Specify) <br /> #of Attached Pages <br /> Attach the testing procedures and all documentation required to determine the resulfs. <br /> Tank Containment Testing Training and CeriiflC&llons(List appRCahlA Cerfifrcbfi0n8,) EXplration Date <br /> VI, COMMENTS <br /> Provide any addifionat comments here. viz <br /> 'I w 46.,D- <br /> 2OI <br /> Ir <br /> HEALTH <br /> r' �►VTAL <br /> i ENT <br /> VII. PRODUCT PIPING CONTAINMENT TESTING INFORMATION <br /> Manufacturer Identify Tank ID from section III for each Manufacturer <br /> e B21' c aCl <br /> A ❑ B C ❑ D❑ <br /> Test Method Used: {J,_,/� <br /> Manufacturer Guldelines:(SPHC.Ity) V r'a?5L))(e- r <br /> ❑ Industry Code or Engineering Standard:(Specify) <br /> ❑Engineered Method:(Specify) <br /> #of Attached Pages <br /> Attach the testing procedures and all documentation required to determine the results. <br /> Product Piping Co ninon(Testing Training and CerfifIcations(List applicable cerfirioatlons.) Expiration Data <br /> lnlerslllal Communication Verification Method Used: <br /> VIII. COMMENTS <br /> Provide any additional comilldnts here: <br /> t <br />