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UNDERGROUND STORAGE TANK <br /> SECONDARY CONTAINMENT TESTING REPORT FORM (Page 2 of s) <br /> V. TANK SECONDARY CONTAINMENT INFORMATION <br /> Manufacturer Identify Tank ID from Section III for each Manufacturer <br /> Owens Corning A Dx IB x❑ C n D ❑ <br /> A ❑ 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 /> Tank A is a 12K Double Wall Fiberglass with Brine Filled Tank Secondary , designated for Regular 87 Octane Gasoline . <br /> Tank B is a 12K Double Wall Fiberglass with Brine Filled Tank Secondary , designated for Super 91 Octane Gasoline . <br /> Tank C is a 12K Double Wall Fiberglass with Brine Filled Tank Secondary , designated for Clear Diesel <br /> NA-Section III -Tanks have Brine Filled Tank Secondary Containment and are Exempt from periodic testing . <br /> VII . PRODUCT PIPING CONTAINMENT TESTING INFORMATION <br /> Manufacturer Identify Tank ID from Section III for each Manufacturer <br /> Ameron FRP A ❑x 1 B Nx I C ❑x D ❑ <br /> A ❑ I B 1D <br /> Test Method Used : Zx 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 Service Technician #5246802- UT 3/20/2021 <br /> Underground Storage Tank Tester License #90 - 1120 12/31 /2019 <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 Test Pressure , Time and Protocol , for Fiberglass Piping <br /> Systems that terminate at Bravo System Coated Steel UDC's . <br /> ID = Identification <br />