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UNDERGROUND STORAGE TANK <br /> SECONDARY CONTAINMENT TESTING REPORT FORM (Page 4 of 6) <br /> XIII . VAPOR RECOVERY PIPING CONTAINMENT TESTING INFORMATION <br /> Manufacturer Identify Tank ID from section III for each Manufacturer <br /> 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 RP1200 <br /> ❑ Engineered Method : (Specify) <br /> # of Attached Pages <br /> Attach the testing procedures and all documentation required to determine the results. <br /> Vapor Recovery Piping Containment Testing Training and Certifications (List applicable certifications.) Expiration Date <br /> NOV/Smith 03/ 13/21 <br /> Interstitial Communication Verification Method Used : <br /> XIV. COMMENTS <br /> Provide any additional comments here. <br /> XV. TURBINE / PRODUCT PIPING SUMP TESTING INFORMATION <br /> Manufacturer Identify Tank ID from section III for each Manufacturer <br /> Xerxes A ® B ® C 1 D ❑ <br /> A ❑ B ❑ C ❑ D ❑ <br /> Test Method Used : <br /> ❑ Manufacturer Guidelines: (Specify) <br /> ® Industry Code or Engineering Standard : (Specify) PEI RP1200 <br /> ❑ Engineered Method : (Specify) <br /> # of Attached Pages <br /> Attach the testing procedures and all documentation required to determine the results. <br /> Turbine / Product Piping Sump Testing Training and Certifications (List applicable certifications.) Expiration Date <br /> Xerxes 12/27/21 <br /> XVI . COMMENTS <br /> Provide any additional comments here. <br /> F <br /> I ID — Identification <br />