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UNDERGROUND STORAGE TANK <br /> SECONDARY CONTAINMENT TESTING REPORT FORM ( Page 4 of 6) <br /> XIII . VAPOR RECOVERY PIPING CONTAINMENT TESTING INFORMATION <br /> Manufacturer Identify Tank ID from section III for each Manufacturer <br /> Test Method Used : <br /> ❑ Manufacturer Guidelines : (Specify) <br /> ® Industry Code or Engineering Standard : (Specify) RP-1200 / Guidelines Adopted by CAL CUPA Forum <br /> ❑ Engineered Method : (Specify) <br /> Attach the testing procedures and all documentation required to determine the results. # of Attached Pages <br /> None <br /> Vapor Recovery Piping Containment Testing Training and Certifications (List applicable certifications.) Expiration Date <br /> ICC California Service Technician UT Cert. #8185019 09/10/2021 <br /> Interstitial Communication verification Method Used : Visual drop on gauge by pressure released from furthermost piping runs . <br /> XIV. COMMENTS <br /> Provide any additional comments here. <br /> Site's vapor recovery / return line is single wall NOV A.O . Smith piping . <br /> XV. TURBINE / PRODUCT PIPING SUMP TESTING INFORMATION <br /> Manufacturer Identify Tank ID from section III for each Manufacturer <br /> Xerxes T1 -91 M T2-89 ® T3-87 ® T4-Diesel Z . <br /> Test Method Used : <br /> ❑ Manufacturer Guidelines : (Specify) <br /> ® Industry Code or Engineering Standard : (Specify) RP-1200 / Guidelines Adopted by CAL CUPA Forum <br /> ❑ Engineered Method : (Specify) <br /> # of Attached Pages <br /> Attach the testing procedures and all documentation required to determine the results. None <br /> Turbine / Product Piping Sump Testing Training and Certifications (List applicable certifications.) Expiration Date <br /> ICC California Service Technician UT Cert. #8185019 09/10/2021 <br /> Franklin Fueling Systems Incon TS -STS Sump Tester Level 4 Cert. #1000553709 01 /07/2022 <br /> XVI . COMMENTS <br /> Provide any additional comments here. <br /> CERS = California Environmental Reporting System , ID = Identification, UST = Underground storage tank, ICC = International Code Council , <br /> NA = Not applicable, UDC = Under-dispenser containment <br />