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r <br /> UNDERGROUND STORAGE TANK <br /> SECONDARY CONTAINMENT TESTING REPORT FORM (Page 2 of 6) <br /> V. TANK SECONDARY CONTAINMENT INFORMATION <br /> Manufacturer Identify Tank ID from Section III for each Manufacturer <br /> XERXES AZ BE I C z D ❑ <br /> A ❑ B ❑ I C ❑ I D ❑ <br /> Test Method Used : ❑ Manufacturer Guidelines (Specify) : <br /> ❑x Industry Code or Engineering Standard (Specify) : PEI / RP 1200 - 17/ Fiberglass Tank/- 10 " Hg . 1 Hr . <br /> ❑ Engineered Method (Specify) : <br /> # of Attached Pages <br /> Attach the testing procedures and all documentation required to determine the results. 2 <br /> Tank Containment Testing Training and Certifications (List applicable certifications) Expiration Date <br /> ICC UST Service Technician -#5246802 - UT 3/20/2021 <br /> Underground Storage Tank Tester License#90- 1120 12/31 /2019 <br /> VL COMMENTS <br /> Provide any additional comments here. <br /> Tank A is a 1 OK, Double Wall Fiberglass designated for Regular 87 Octane Gasoline . <br /> Tank B is a 10K Double Wall Fiberglass designated for Plus 89 Octane Gasoline . <br /> Tank C is a 1O Double Wall Fiberglass designated for Super 91 Octane Gasoline , <br /> VII . PRODUCT PIPING CONTAINMENT TESTING INFORMATION ' <br /> Manufacturer Identify Tank ID from Section III for each Manufacturer <br /> Ameron FRP AX B ❑X1 C x❑ D ❑ <br /> A ❑ I E3 El C ❑ I D ❑ <br /> Test Method Used : ❑x Manufacturer Guidelines (Specify) : * Bravo Systems Coated Steel UDC ' s . 3 Psi - 1 Hour <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. 2 <br /> Product Piping Containment Testing Training and Certifications (List applicable certifications.) Expiration Date <br /> ICC UST Service Technician #5246802- UT 3/20/2021 <br /> Underground Storage Tank Tester License #90 - 1120 12/31 /2019 <br /> i <br /> Interstitial Communication Verification Method Used: <br /> NA-Section III -Sealed System at Termination end of Piping Runs at Bravo System Coated Steel UDC's . <br /> VIII . COMMENTS <br /> Provide any additional comments here. <br /> *Section VII - See Test Procedure Attachment for Product Piping Containment Test Pressure , Time and Protocol , for <br /> Fiberglass Piping Systems that terminate at Bravo System Coated Steel UDC' s . <br /> i <br /> i' ID = Identification <br />