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UNDERGROUND STORAGE TANK SECONDARY CONTAINMENT TESTING REPORT FORM (Page 2 of s) V. TANK SECONDARY CONTAINMENT INFORMATION Manufacturer Identify Tank ID from Section III for each Manufacturer Modern Welding A 0 B C Q D ❑ A ❑ I B ❑ I C ❑ 1 D ❑ Test Method Used : ❑ Manufacturer Guidelines (Specify) : Z Industry Code or Engineering Standard (Specify) : PEI / RP 1200- 17/Glass Steel Tank/- 10 " Hg . 1 hr . ❑ Engineered Method (Specify): # of Attached Pages Attach the testing procedures and all documentation required to determine the results. 2 Tank Containment Testing Training and Certifications (List applicable certifications) Expiration Date ICC Service Technician #524680MT 3/23/2021 Underground Storage Tank Tester License #90 - 1120 12/31 /2019 VL COMMENTS Provide any additional comments here. Tank A is a 1 OK , Double Wall Glass Steel . Tank A is designated for 1 OK Regular 87 Octane Gasoline . Tank B & C is a 1 OK, Two Compartment, Double Wall Glass Steel . Tank B is designated for 5K Super 91 Octane Gasoline . Tank C is designated for 5K Diesel . VII . PRODUCT PIPING CONTAINMENT TESTING INFORMATION Manufacturer Identify Tank ID from Section III for each Manufacturer Total Containment/Polymer A ❑x I B ❑x I C x D ❑ A ❑ I B ❑ I C ❑ I D ❑ Test Method Used : ❑ Manufacturer Guidelines (Specify) : ❑x Industry Code or Engineering Standard (Specify): PEVRP 1200- 17/Polymer Pipe/5 Psi 1 hr . ❑ Engineered Method (Specify) : Attach the testing procedures and all documentation required to determine the results. # of Attached Pages2 Product Piping Containment Testing Training and Certifications (List applicable certifications) Expiration Date ICC UST Service Technician #832169MT 3/23/2021 Underground Storage Tank Tester License #90- 1120 12/31 /2019 Interstitial Communication Verification Method Used : Release pressure at termination end of Product Piping Containment at UDC's where applicable . VIII . COMMENTS Provide any additional comments here. Note : On October 3 , 20197 1 was scheduled to perform a Secondary Containment Test at this UST Facility. I observed that all the Product Piping Containment Test Boots in the Turbine/Product Piping Sumps and at the Under- Dispenser Containment had material degradation and would not seal off the Product Piping Containment for Testing Purposes . I Contacted the Site Owner and advised that i would need to order all 10 Test Boots and reschedule the testing . I rescheduled the testing event for October 18 , 2019 . 1 replaced all 10 Test Boots prior testing . Note : All Test Boots in the Turbine/Product Piping Sumps and the Under- Dispenser Containment were loosened and pulled back from the Primary/Secondary Product Piping Interface , at the end of Testing , to allow earliest detection , should a Primary Product Piping Leak occur. ID = Identification