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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 /> Owens Corning Ax❑ B x❑ CxQ D ❑ <br /> A ❑ B ❑ C ❑ 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 /> Attach the testing procedures and all documentation required to determine the results. # of Attached Pages2 <br /> Tank Containment Testing Training and Certifications (List applicable certifications) Expiration Date <br /> ICC Service Technician #5246802- UT 3/21 /2021 <br /> Underground Storage Tank Tester License #90 - 1120 12/31 /2022 <br /> VI . COMMENTS <br /> Provide any additional comments here. <br /> Tank A is a 15K, Double Wall Fiberglass , designated for Regular 87 Octane Gasoline . <br /> Tank B & Tank C is a 15K, Two Compartment , Double Wall Fiberglass , Tank B is designated for 5K Super 91 Octane <br /> Gasoline , Tank C is designated for 10K Diesel <br /> Note : Tank B & Tank C have a common Tank Secondary Containment. <br /> VII . PRODUCT PIPING CONTAINMENT TESTING INFORMATION <br /> Manufacturer Identify Tank ID from Section III for each Manufacturer <br /> Smith FRP A0 I B0 I C0 D ❑ <br /> A ❑ I B ❑ I C ❑ I D ❑ <br /> Test Method Used : ❑x Manufacturer Guidelines (Specify) : * Bravo Systems Coated Steel UDC's . 3 PSH 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 Service Technician #5246802- UT 3/21 /2021 <br /> Underground Storage Tank Tester License #90 - 1120 12/31 /2022 <br /> Interstitial Communication Verification Method Used : <br /> NA-Section III -Sealed System at Termination end of Product 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 /> ID = Identification <br />