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UNDERGROUND STORAGE TANK <br /> SECONDARY CONTAINMENT TESTING REPORT FORM (Page s of 6) <br /> XVII. FILL RISER SUMP TESTING INFORMATION <br /> Manufacturer Identify Tank ID from section III for each Manufacturer <br /> Unknown A® B ® C ® D❑ <br /> A❑ B❑ C ❑ D❑ <br /> Test Method Used: <br /> ❑ Manufacturer Guidelines: (Specify) <br /> ® Industry Code or Engineering Standard: (Specify) Hydrostatic <br /> ❑ Engineered Method: (Specify) <br /> Attach the testing procedures and all documentation required to determine the results. #of Attached Pages5 <br /> Fill Riser Sump Testing Training and Certifications(List applicable certifications.) Expiration Date <br /> Caldwell Level Change Indicator 12/31/2020 <br /> XVIII. COMMENTS <br /> Provide any additional comments here. <br /> XIX. VENT/TRANSITION PIPING SUMP TESTING INFORMATION <br /> Manufacturer Identify Vent/Transition Sump ID from <br /> section III for each Manufacturer <br /> Unknown a ® b ® CE d ❑ <br /> a b ❑ CO d ❑ <br /> Test Method Used: <br /> ❑ Manufacturer Guidelines: (Specify) <br /> ® Industry Code or Engineering Standard: (Specify) Hydrostatic <br /> ❑ Engineered Method:(Specify) <br /> Attach the testing procedures and all documentation required to determine the results. #of Attached Pages5 <br /> Vent/Transition Piping Sump Testing Training and Certifications(List applicable certifications.) Expiration Date <br /> Caldwell Level Change Indicator 12/31/2020 <br /> XX. COMMENTS <br /> Provide any additional comments here. <br /> ID=Identification <br />