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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 K & TSteel AMB ❑ c ❑ D ❑ A ❑ I B ❑ I C ❑ I D ❑ Test Method Used : ❑ Manufacturer Guidelines (Specify): ❑x Industry Code or Engineering Standard (Specify): PEI / RP1 200 - 1 7/Jacketed Steel Tank -6Hg . 1 hour ❑ Engineered Method (Specify): # of Attached Pages Attach the testing procedures and all documentation required to determine the results. Tank Containment Testing Training and Certifications (List applicable certifications) Expiration Date ICC Service Technician #5246802 - UT 3/20/2021 Underground Storage Tank Tester License #90 - 1120 12/31 /2019 VI . COMMENTS Provide any additional comments here. Section V-Tank A is a 1 OK Jacketed Double Wall Steel designated for Diesel . Note : Tank A has a Tank Secondary Containment Vent to Atmosphere . Tank Secondary Containment Vent capped during Testing . VII . PRODUCT PIPING CONTAINMENT TESTING INFORMATION Manufacturer Identify Tank ID from Section III for each Manufacturer Smith Ax❑ B ❑ C ❑ D ❑ A ❑ I B ❑ I C I D ❑ Test Method Used : ❑ Manufacturer Guidelines (Specify) : ❑x Industry code or Engineering standard (specify) : PEI / RP 1200 - 17/ Fiberglass Piping/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 3/20/2021 Underground Storage Tank Tester License #90- 1120 12/31 /2019 Interstitial Communication Verification Method Used : Release pressure at end of Product Piping Containment Run at UDC . VIII . COMMENTS Provide any additional comments here. ID = Identification