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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 FIdentify Tank ID from Section III for each Manufacturer <br /> E ❑ F ❑ I G❑ H ❑ <br /> E ❑ F 1 G❑ I H ❑ <br /> Test Method Used: ❑Manufacturer Guidelines(Specify): <br /> ❑Industry Code or Engineering Standard(Specify): <br /> ❑Engineered Method(Specify): <br /> # <br /> Attach the testing procedures and all documentation required to determine the results. of Attached Pages <br /> Tank Containment Testing Training and Certifications(List applicable certifications.) Expiration Date <br /> VI. COMMENTS <br /> Provide any additional comments here. <br /> N/A <br /> VII. PRODUCT PIPING CONTAINMENT TESTING INFORMATION <br /> Manufacturer Identify Tank ID from Section III for each Manufacturer <br /> Ameron E 0 1 F 0 G❑ H ❑ <br /> E ❑ I F 1 G❑ I H <br /> Test Method Used: ❑Manufacturer Guidelines(Specify): <br /> ® Industry Code or Engineering Standard(Specify): pressure <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 /> ICC UST Certification#8819839 10/15/2021 <br /> Interstitial Communication Verification Method Used: <br /> VIII. COMMENTS <br /> Provide any additional comments here. <br /> *87 east product failed due to torn test boot. Replaced test boot, retested and passed. <br /> Started 87 east product at 9:40 am at 5 psi ended at 10:40 am at 5 psi <br /> Started 89 east product at 9:50 am at 5 psi ended at 10:50 am at 5 psi <br /> Started 91 east product at 10:10 am at 5 psi ended at 11:10 am at 5 psi <br /> ID=IdenWation <br />