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UNDERGROUND STORAGE TANK <br /> SECONDARY CONTAINMENT TESTING REPORT FORM (Page 4 of s) <br /> XIII . VAPOR RECOVERY PIPING CONTAINMENT TESTING INFORMATION <br /> Manufacturer Identify Tank ID from section III for each Manufacturer <br /> AO Smith AN BE C ® D ❑ <br /> A ❑ B ❑ C ❑ D ❑ <br /> Test Method Used : <br /> ❑ Manufacturer Guidelines : (Specify) <br /> E 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. 5 <br /> Vapor Recovery Piping Containment Testing Training and Certifications (List applicable certifications.) Expiration Date <br /> CSLB Licensed Contractor 12/31 /2019 <br /> Interstitial Communication Verification Method Used : <br /> XIV. COMMENTS <br /> Provide any additional comments here. <br /> XV. TURBINE / PRODUCT PIPING SUMP TESTING INFORMATION <br /> Manufacturer Identify Tank ID from section III for each Manufacturer <br /> Unknown AN BZ CM D ❑ <br /> A ❑ B ❑ C ❑ D <br /> Test Method Used : <br /> ❑ Manufacturer Guidelines : (Specify) <br /> E Industry Code or Engineering Standard: (Specify) Hydrostatic <br /> i <br /> ❑ Engineered Method : (Specify) <br /> # of Attached Pages <br /> Attach the testing procedures and all documentation required to determine the results. # <br /> Turbine / Product Piping Sump Testing Training and Certifications (List applicable certifications.) Expiration Date <br /> Caldwell Level Change Indicator 12/31 /2020 <br /> XVI , COMMENTS <br /> Provide any additional comments here. <br /> ID = Identification <br />