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RECEIVED <br /> UNDERGROUND STORAGE TANK AUG 11 ?020 <br /> SECONDARY CONTAINMENT TESTING REPORT FORM (Page 4 of s) <br /> XIII. VAPOR RECOVERY PIPING CONTAINMENT TESTINGF T <br /> Manufacturer IdentifyTank ID from Section III for each Manufacturer - R"— <br /> TAL HEALTH <br /> Smith FRP I A ❑ I Bx❑ C ❑x:")l`:"PA: ❑ <br /> A I B ❑ I C ❑ I D <br /> Test Method Used: ❑Manufacturer Guidelines(Specify): <br /> ❑x Industry Code or Engineering Standard(Specify): PEI/RP1200-17/Fiberglass Pipe/5 PSI 1 hour <br /> ❑ Engineered Method(Specify): <br /> Attach the testing procedures and all documentation required to determine the results. #of Attached Pages2 <br /> Vapor Recovery Piping Containment Testing Training and Certifications(List applicable certifications.) Expiration Date <br /> ICC UST Service Technician #5246802-UT 3/21/2021 <br /> Underground Storage Tank Tester License #90-1120 12/31/2022 <br /> Interstitial Communication Verification Method Used: <br /> Release pressure at end of Vapor Recovery Piping Containment Runs, at UDC's where applicable. <br /> XIV. COMMENTS <br /> Provide any additional comments here. <br /> Note: Vapor Recovery Piping and Vapor Recovery Piping Containment is Manifolded between Tank A, Tank B, Tank C <br /> and Tank E, at this UST Facility. Vapor Recovery Piping is disconnected from Tank A and Tank E and has Test Seal off <br /> Boots to isolate for Testing. <br /> NA-Section III: No Vapor Recovery Piping or Vapor Recovery Piping Containment for Tank D Diesel. <br /> XV. TURBINE/PRODUCT PIPING SUMP TESTING INFORMATION <br /> Manufacturer Identify Tank ID from Section III for each Manufacturer <br /> Unknown Fiberglass A ❑x I B ❑x I C ❑x D ❑x <br /> A ❑ I B ❑ I C 1 D ❑ <br /> Test Method Used: ❑ Manufacturer Guidelines(Specify): <br /> ❑ Industry Code or Engineering Standard (Specify): <br /> Z Engineered Method (Specify): Caldwell Systems/Hydrostatic 30 Minutes <br /> Attach the testing procedures and all documentation required to determine the results. #of Attached Pages2 <br /> Turbine/Product Piping Sump Testing Training and Certifications(List applicable certifications.) Expiration Date <br /> Caldwell Level Change Indicator 6/10/2023 <br /> ICC Service Technician #5246802-UT 3/21/2021 <br /> Underground Storage Tank Tester License #90-1120 12/31/2022 <br /> XVI. COMMENTS <br /> Provide any additional comments here. <br /> ID=Identification <br />