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UNDERGROUND STORAGE TANK <br /> SECONDARY CONTAINMENT TESTING REPORT FORM (Page 2 of 6) <br /> V. TANK SECONDARY CONTAINMENT INFORMATION <br /> Manufacturer I identify Tank ID from Section III for each Manufacturer <br /> K&T Steel A x❑ B x❑ I C D D ❑ <br /> A ❑ B ❑ I C ❑ I D ❑ <br /> Test Method Used : ❑ Manufacturer Guidelines (Specify) : <br /> ❑x Industry Code or Engineering standard (Specify) : PEI /RP1200 - 17/Glass/Steel Tank/- 10 " Hg . 1 Hour <br /> ❑ Engineered Method (Specify): <br /> Attach the testing procedures and all documentation required to determine the results. # of Attached Pages2 <br /> Tank Containment Testing Training and Certifications (List applicable certifications) Expiration Date <br /> ICC Service Technician #524680MT 3/21 /2021 <br /> Underground storage Tank Tester License #90- 1120 12/31 /2019 <br /> VI . COMMENTS <br /> Provide any additional comments here. <br /> Tank A is a 12K Glass/Steel , designated for Regular 87 Octane Gasoline , <br /> Tank B is a 12K Glass/Steel , designated for Regular 87 Octane Gasoline . <br /> Tank C is a 12K Glass/Steel , designated for Super 91 Octane Gasoline . <br /> VII . PRODUCT PIPING CONTAINMENT TESTING INFORMATION <br /> Manufacturer Identify Tank ID from Section III for each Manufacturer <br /> Smith FRP A x❑ I B Mx I C x❑ D ❑ <br /> A ❑ 1B ❑ I C ❑ I D <br /> Test Method Used : ❑x Manufacturer Guidelines (Specify) : * Bravo Systems Coated Steel UDC ' s . 3 PSH Hour <br /> ❑ Industry Code or Engineering Standard (Specify) : <br /> ❑ Engineered Method (Specify): <br /> Attach the testing procedures and all documentation required to determine the results. # of Attached Pages2 <br /> Product Piping Containment Testing Training and Certifications (List applicable certifications.) Expiration Date <br /> ICC Service Technician #524680MT 3/21 /2021 <br /> Underground Storage Tank Tester License #90 - 1120 12/31 /2019 <br /> Interstitial Communication Verification Method Used : <br /> NA-Section llkSealed System at Termination end of Product Piping Runs at Bravo System Coated Steel UDC's . <br /> VIII . COMMENTS <br /> Provide any additional comments here. <br /> *Section VII -See Test Procedure Attachment for Product Piping Test Pressure , Time and Protocol , for Fiberglass Piping <br /> Systems that terminate at Bravo System Coated Steel UDC's . <br /> Note : Replaced Test Boot on Tank C-Super 91 Product Piping Containment at Turbine/Product Piping Sump , prior to <br /> testing . <br /> ID = Identification <br />