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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 T-IdenflfV Tank ID from Section III for each Manufacturer <br /> Modern Weldin A El B ❑ _ C ❑ D❑ <br /> ALJ I BU I Cu D❑ <br /> Test Method Used: Ox Manufacturer Guidelines(Specify): Franklin Fueling INCON TS-STS <br /> Vacuum <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 /> Franklin Fueling INCON TS-STS-1032.363709 09/29/2019 <br /> VI. COMMENTS <br /> Provide any additional comments here. <br /> Annular-9:04am to 11:04am to)-10"HG-2 Hour test-PASSED <br /> VII. PRODUCT PIPING CONTAINMENT TESTING INFORMATION <br /> Manufactufei _ ldunliiy Tdnk ID fiom Section III for each Manufacturer <br /> Modern Welding A❑X B❑ I C ❑ D El <br /> A❑ B i C LJ I D Ll <br /> Test Method Used. 0 Manufacturer Guidelines(Specify): 4"Dial Gauge <br /> Nitrogen _ <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 /> Product Piping Containment Testing Training and Certifications(List applicable certifications) Expiration Date <br /> Ameron <br /> N/A <br /> Interstitial Communication Verification Method Used: <br /> NIA <br /> VIII. COMMENTS <br /> Provide any additional comments here. <br /> Diesel Product-9:21 am to 10:21 am @ 5 PSI for one hour-PASSED <br /> Diesel HI Flow-Failed after 10 minutes.Will return to repair and retest. <br /> ID=Identification <br />