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UNDERGR11 O41 UIF 1I ND1 STORAGE .TANK <br /> SECONDARY CONTA! NM ENT. TESTING R�P.ORT FpRM ..(Page3: 0;6) <br /> IX. REMOTE:FILL PIPING 'CONTAINMENT' TESTI.NO INFORMATION <br /> Manufacturer Idents Tank ID from Section III for each Manufacturer <br /> A Q C D ❑ <br /> A ❑ B ❑ C ❑ D ❑ <br /> Test Method Used: ❑ Manufacturer Guidelines (Specify): <br /> ❑✓ Industry Code or Engineering Standard (Specify): <br /> PEI RP 1200 <br /> ❑ Engineered Method (Specify) : <br /> Attach the testing procedures and all documentation required to determine the results. # of Attached Pages <br /> Remote Fill Piping Containment Testing Training and Certifications (List applicable certifications.) Expiration Date <br /> See Attached <br /> Interstitial Communication Verification Method Used: <br /> IF <br /> IF <br /> X, COMM. .I=NTS41 , <br /> W444 I <br /> Provide any additional comments here. <br /> 1 <br /> DEC 2018 <br /> c XI , ;U NT PIF iNG CQNTAINMENT'TE..TING iNirOIZMATIONIF <br /> Manufacturer Identify Tank ID from Section III for each Manufacturer <br /> A ❑ B ❑ I C ❑ D ❑ <br /> A ❑ B ❑ I C ❑ I D ❑ <br /> Test Method Used: ❑ Manufacturer Guidelines (Specify) : <br /> ❑✓ Industry Code or Engineering Standard (Specify): <br /> PEI RP 1200 <br /> ❑ Engineered Method (Specify): <br /> Attach the testing procedures and all documentation required to determine the results. # of Attached Pages <br /> Vent Piping Containment Testing Training and Certifications (List applicable certiflcations.) Expiration Date <br /> See Attached <br /> Interstitial Communication Verification Method Used: <br /> I.XII COMMENTS <br /> Provide any additional comments here. <br /> ID = Identification <br />