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UNDERGROUND STORAGE TANK <br />SECONDARY CONTAINMENT TESTING REPORT FORM <br />XVII. FILL RISER SUMP TESTING INFORMATION <br />ID = Identification <br />(Page s of 6) <br />Manufacturer <br />Identify Tank ID from Section III for each Manufacturer <br />A❑ <br />B❑ <br />C❑ <br />I <br />D❑ <br />A❑ <br />B❑ <br />C❑ <br />D❑ <br />Test Method Used: <br />❑ Manufacturer Guidelines (Specify): <br />❑ Industry Code or Engineering Standard (Specify): <br />❑ Engineered Method (Specify): <br />Attach the testing procedures and all documentation required to determine the results. <br /># of Attached Pages <br />Fill Riser Sump Testing Training and Certifications (List applicable certifications.) <br />Expiration Date <br />XVIII. COMMENTS <br />Provide any additional comments here. <br />NA -Section III -Fill Riser Sumps are present, but were not tested. <br />XIX. VENT / TRANSITION SUMP TESTING INFORMATION <br />Manufacturer <br />Identify Vent / Transition Sump ID from Section III for each Manufacturer <br />a❑ <br />I b❑ <br />I <br />c❑ <br />d❑ <br />a❑ <br />b❑ <br />I <br />c❑ <br />I d <br />Test Method Used: <br />❑ Manufacturer Guidelines (Specify): <br />❑ Industry Code or Engineering Standard (Specify): <br />❑ Engineered Method (Specify): <br />Attach the testing procedures and all documentation required to determine the results. <br /># of Attached Pages <br />Vent / Transition Sump Testing Training and Certifications (List applicable certifications.) <br />Expiration Date <br />XX. COMMENTS <br />Provide any additional comments here. <br />NA -Section llkNo Vent/Transition Sump at this UST Facility. <br />