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UNDERGROUND STORAGE TANK <br /> SECONDARY CONTAINMENT TESTING REPORT FORM (Page 3 of s) <br /> IX. REMOTE FILL PIPING CONTAINMENT TESTING INFORMATION <br /> Manufacturer Identify Tank ID from Section III for each Manufacturer <br /> A ❑ I B ❑ I C ❑ D ❑ <br /> A ❑ I B 1 C 1 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 /> Remote Fill Piping Containment Testing Training and Certifications(List applicable certifications.) Expiration Date <br /> Interstitial Communication Verification Method Used: <br /> NA-Section III-No Remote Fill Piping or Remoter Fill Piping Containment at this UST Facility. <br /> X. COMMENTS <br /> Provide any additional comments here. <br /> NA-Section III-No Remote Fill Piping or Remote Fill Piping Containment at this UST Facility. <br /> XI. VENT PIPING CONTAINMENT TESTING INFORMATION <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 /> ❑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 certifications.) Expiration Date <br /> Interstitial Communication Verification Method Used: <br /> NA-Section III-No Vent Piping Containment at this UST Facility. <br /> XII. COMMENTS <br /> Provide any additional comments here. <br /> NA-Section III-No Vent Piping Containment at this UST Facility. <br /> ID=Identftation <br />