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UNDERGROUND STORAGE TANK <br /> SECONDARY CONTAINMENT TESTING REPORT FORM ( Page z of s) <br /> V. TANK SECONDARY CONTAINMENT INFORMATION <br /> Manufacturer Identify Tank ID from Section III for each Manufacturer <br /> Owens Corning A x❑ I B Z I C ❑x D ❑ <br /> A ❑ I B ❑ I C ❑ I D ❑ <br /> Test Method Used : ❑ Manufacturer Guidelines (Specify). <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 /> Tank Containment Testing Training and Certifications (List applicable certifications.) Expiration Date <br /> VI . COMMENTS <br /> Provide any additional comments here. <br /> NA: Section III -Tank Secondary Containment . Tanks have Brine Filled Annulars and are exempt from periodic testing . <br /> Tank A is a 10K Regular 87 . <br /> Tank B is a 1 OK Super 91 . <br /> Tank C is a 8K Diesel . <br /> VII . PRODUCT PIPING CONTAINMENT TESTING INFORMATION <br /> Manufacturer Identify Tank ID from Section III for each Manufacturer <br /> Smith FRP A ❑x 1 B ❑x I C ❑x D ❑ <br /> A ❑ I B ❑ I C ❑ I D <br /> Test Method Used : ❑ Manufacturer Guidelines (Specify) : <br /> x❑ Industry Code or Engineering standard (specify) : PEI / RP1200 - 17/Fiberglass Pipe/5 Psi 1 hour <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 Service Technician #524680MT 3/20/2021 <br /> Underground Storage Tank Tester License #90 - 1120 12/31 /2019 <br /> Interstitial Communication Verification Method Used : <br /> Release pressure at end of Piping Runs at UDC' s where applicable . <br /> VIII . COMMENTS <br /> Provide any additional comments here. <br /> F <br /> i; <br /> ID = Identification <br /> i <br />