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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 XERXES AD 1 B ❑ I C ❑ I D ❑ A ❑ I B ❑ I C ❑ I D ❑ Test Method Used : ❑ Manufacturer Guidelines (Specify): ❑ Industry Code or Engineering Standard (Specify): ❑ 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 VI . COMMENTS Provide any additional comments here. Tank A is a 12K Double Wall Fiberglass designated for Diesel NA-Section III -Tank A has a Brine Filled Tank Secondary Containment and is Exempt from periodic testing . VII . PRODUCT PIPING CONTAINMENT TESTING INFORMATION Manufacturer Identify Tank ID from Section III for each Manufacturer Smith FRP A X B ❑ C ❑ D ❑ A ❑ B ❑ I C ❑ I D ❑ Test Method Used : ❑x Manufacturer Guidelines (Specify) : * Bravo Systems Coated Steel UDC . 3 Psi - 1 Hour ❑ Industry Code or Engineering Standard (Specify) : ❑ Engineered Method (Specify): # of Attached Pages Attach the testing procedures and all documentation required to determine the results. 2 Product Piping Containment Testing Training and Certifications (List applicable certifications.) Expiration Date ICC Service Technician #5246802- UT 3/20/2021 Underground Storage Tank Tester License #90- 1120 12/31 /2019 Interstitial Communication Verification Method Used : NA-Section llkSealed System at Termination end of Piping Runs at Bravo System Coated Steel UDC's . VIII . COMMENTS Provide any additional comments here. * Section VII -See Test Procedure Attachment for Product Piping Test Pressure , Time and Protocol , for Fiberglass Piping System that terminates at Bravo System Coated Steel UDC . ID = Identification