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UNDERGROUND STORAGE TANK <br /> SECONDARY CONTAINMENT TESTING REPORT FORM ( Page 2 of 6 ) <br /> V . TANK CONTAINMENT TESTING INFORMATION <br /> Manufacturer Identify Tank ID from section III for each Manufacturer <br /> Unknown double wall FRP A ® B ® C ® D <br /> A ❑ B ❑ C D ❑ <br /> Test Method Used : <br /> ❑ Manufacturer Guidelines : (Specify) <br /> ® Industry Code or Engineering Standard : (Specify) PEI RP - 1200 <br /> ❑ Engineered Method : (Specify) <br /> # of Attached Pages <br /> Attach the testing procedures and all documentation required to determine the results. 1 <br /> Tank Containment Testing Training and Certifications (List applicable certifications,) Expiration Date <br /> General A 743160 11 /30/ 19 <br /> VI . COMMENTS <br /> Provide any additional comments here. <br /> VII . PRODUCT PIPING CONTAINMENT TESTING INFORMATION <br /> Manufacturer Identify Tank ID from section III for each Manufacturer <br /> ED <br /> Smith doublewall FRP A ® B ® C ® J:7D <br /> A ❑ B ❑ C ❑ <br /> Test Method Used : <br /> ❑ Manufacturer Guidelines: (Specify) <br /> ® Industry Code or Engineering Standard : (Specify) PEI RP - 1200 <br /> ❑ Engineered Method : (Specify) <br /> — # of Attached Pages <br /> Attach the testing procedures and all documentation required to determine the results. 2 <br /> Product Piping Containment Testing Training and Certifications (List applicable certifications, ) Expiration Date <br /> General A 743160 11 /30/ 19 <br /> f <br /> Interstitial Communication Verification Method Used : <br /> VIII , COMMENTS I <br /> Provide any additional comments here. <br /> E <br /> ID = Identification <br />