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UNDERGROUND STORAGE TANK SECONDARY CONTAINMENT TESTING REPORT FORM (Page 2 of 6) V. TANK SECONDARY CONTAINMENT INFORMATION Manufacturer Identify Tank ID from Section III for each Manufacturer XERXES AM B ❑ C ❑ D ❑ A 1 B ❑ C ❑ I D ❑ Test Method Used : ❑ Manufacturer Guidelines (Specify) : px Industry Code or Engineering Standard (Specify) : PEI / RP 1200 - 17/ Fiberglass Tank/- 10" Hg . 1 hr . ❑ Engineered Method (Specify): # of Attached Pages Attach the testing procedures and all documentation required to determine the results. 2 Tank Containment Testing Training and Certifications (List applicable certifications) Expiration Date ICC Service Technician #5246802- UT 3/21 /2021 Underground Storage Tank Tester License #90- 1120 12/31 /2022 VI . COMMENTS Provide any additional comments here. Tank A is a 12K, Double Wall Fiberglass , designated for Diesel . S VII . PRODUCT PIPING CONTAINMENT TESTING INFORMATION Manufacturer Identify Tank ID from Section III for each Manufacturer Smith FRP/ Masterd�BC ❑ D ❑ x❑ A ❑ Smith FRP/Satellite A ❑ B x❑ C ❑x D ❑ Test Method Used : ❑ Manufacturer Guidelines (Specify) : Z Industry Code or Engineering Standard (specify) : PEI / RP1 200 - 1 7/ Fiberglass Pipe/5 Psi 1 hour ❑ Engineered Method (Specify): # of Attached Pages Attach the testing procedures and all documentation required to determine the results. 2 Product Piping Containment Testing Training and Certifications (List applicable certifications) Expiration Date ICC Service Technician #5246802 - UT 3/21 /2021 Underground Storage Tank Tester License #90 - 1120 12/31 /2022 Interstitial Communication Verification Method Used : Release pressure at end of Piping Runs at Master UDC and at Satellite UDC's . VIII . COMMENTS Provide any additional comments here. ID = Identification