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■YJd <br /> VE <br /> 5 <br /> UNDERGROUND STORAGE TANK <br /> SECONDARY CONTAINMENT TESTING REPORT FORM (Page 3 of 6)r <br /> IX. REMOTE FILL PIPING CONTAINMENT TESTING INFORMATION. <br /> Manufacturer Identity Tank ID from Section III for each Manufacturer <br /> A El I B ❑ I C El I D <br /> A B Lj I C 0 1 D Lj <br /> Test Method Used: ❑Manufacturer Guidelines(Specify): <br /> ®Industry Code or Engineering Standard(Specify): PEI 1200 <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 /> X. COMMENTS <br /> Provide any additional comments here. <br /> The UST systems do not have remote fill piping. <br /> XI. VENT PIPING CONTAINMENT TESTING INFORMATION <br /> Manufacturer Identify Tank ID from Section III for each Manufacturer <br /> A Ej I B ❑ C❑ D Ll <br /> A B C DEJ <br /> Test Method Used: ❑Manufacturer Guidelines(Specify): <br /> ® Industry Code or Engineering Standard(Specify): PEI 1200 <br /> ❑ Engineered Method(Specify): <br /> #of Attached Pages <br /> Attach the testing procedures and all documentation required to determine the results. <br /> Vent Piping Containment Testing Training and Certifications(List applicable certifications.) Expiration Date <br /> Interstitial Communication Verification Method Used: <br /> XII. COMMENTS <br /> Provide any additional comments here. <br /> Vent piping is single wall, does not have containment. <br /> ID=Identification <br /> UN-054 www.unidocs.org 3/6-Rev.06/14/18 <br />