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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 Owens Corning A © B I C ✓❑ D ❑ A ❑ B ❑ I C ❑ I D Test Method Used : ❑ Manufacturer Guidelines (Specify) : ® Industry Code or Engineering Standard (Specify): Vacuum ❑ 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 UST Certification # 8819839 10/ 15/2021 VI . COMMENTS Provide any additional comments here. Started 87 annular at 11 : 00 am at 10 hg test ended at 12 : 00 pm at 10 hg Started 91 annular at 11 : 15 am at 10 hg test ended at 12 : 15 pm at 10 hg Started Diesel annular at 11 : 30 am at 10 hg test ended at 12 : 30 pm at 10 hg . " No inspector on site . VII . PRODUCT PIPING CONTAINMENT TESTING INFORMATION Manufacturer Identify Tank ID from Section III for each Manufacturer Smith A © 1 B W1 C D ❑ A ❑ I B ❑ C ❑ I D ❑ Test Method Used : ❑ Manufacturer Guidelines (Specify) : ® Industry Code or Engineering Standard (Specify): Pressure ❑ Engineered Method (Specify): # of Attached Pages Attach the testing procedures and all documentation required to determine the results. Product Piping Containment Testing Training and Certifications (List applicable certifications) Expiration Date ICC UST Certification # 8819839 10/25/2019 Interstitial Communication Verification Method Used : VIII . COMMENTS Provide any additional comments here. Started 87 product at 12 : 00 pm at 5 psi test ended at 1 : 00 pm at 5 psi . Started 91 product at 12 : 15 pm at 5 psi test ended at 1 : 15 pm at 5 psi Started Diesel product at 12 : 30 pm at 5 psi test ended at 1 : 30 pm at 5 psi . ID = Identification j6 C