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UNDERGROUND STORAGE TANK <br /> SECONDARY CONTAINMENT TESTING REPORT <br /> V. TANK SECONDARY CONTAINMENT INFORMATION (ANNULAR) <br /> Manufacturer Identify Tank ID from Section III for each Manufacturer. <br /> A® B ❑ I C❑ D❑ <br /> A❑ B ❑ C❑ D❑ <br /> Test Method Used: ❑ Manufacturer Guidelines: <br /> ® Industry Code or Engineering Standard: PEI/RP1200/Vacuum Test/10Hg for i hr. <br /> ❑ Engineered Method: <br /> Attach the testing procedures and all documents required to determine the results. #of Attached Pages: <br /> Tank Containment Testing Training and Certifications Expiration Date <br /> ICC Service Technician-9943 5/10/2020 <br /> VI. COMMENTS <br /> Tested DSL annular with county post construction. _t <br /> FEB '' 4 2020 <br /> ENVIRONMENTAL HEALTH <br /> VII. PRODUCT PIPING CONTAINMENT TESTING INFORMATION (SECONDARY LINE) <br /> Manufacturer Identify Tank ID from Section III for each Manufacturer <br /> A❑ B❑ I C:0= D❑ <br /> A❑ B❑ C❑ D <br /> Test Method Used: ❑ Manufacturer Guidelines: <br /> ® Industry Code or Engineering Standard: PEI/RP1200/Pressure Test/5 psi for 1 HR <br /> ❑ Engineered Method: <br /> Attach the testing procedures and all documentation required to determine the results #of Attached Pages: <br /> Product Piping Containment Testing Training and Certifications Expiration Date <br /> ICC Service Technician- <br /> Interstitial Communication Verification Method Used: <br /> VIII. COMMENTS <br /> N/A <br />