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UNDERGROUND STORAGE TANK <br /> SECONDARY CONTAINMENT TESTING REPORT FORM(Page 2 of 6) <br /> V. TANK SECONDARY CONTAINMENT INFORMATION <br /> Manufacturer Identify Tank ID from Section III for each Manufacturer <br /> Modern welding A W1 I B ® C © D <br /> A❑ I B El I C ❑ I D <br /> Test Method Used: ❑Manufacturer Guidelines(Specify): <br /> ®Industry Code or Engineering Standard(Specify):Vacuum <br /> ❑Engineered Method(Specify): <br /> #of Attached Pages <br /> Attach the testing procedures and all documentation required to determine the results. <br /> Tank Containment Testing Training and Certifications(List applicable certifications.) Expiration Date <br /> ICC UST Certification#8819639 10/25/2019 <br /> VI. COMMENTS <br /> Provide any additional comments hem. <br /> Started 87 tank at 11:00 am at 7 hg ended at 12:00 pm at 7 hg <br /> Started 91 tank at 11:30 am at 7 hg ended at 12:30 pm at 7 hg <br /> Started 89 tank at 12:15 pm at 7 hg ended at 1:15 pm at 7 hg <br /> Started Diesel tank at 10:40 am at 7 hg ended at 11:40 am at 7 hg <br /> *NOTE*No Inspector present for testing. <br /> VII. PRODUCT PIPING CONTAINMENT TESTING INFORMATION <br /> Manufacturer Identify Tank ID from Section III for each Manufacturer <br /> Environ A © 8 Z I C ® D <br /> A B Lj I C 0 1 D Ll <br /> Test Method Used: ❑Manufacturer Guidelines(Specify): <br /> ® Industry Code or Engineering Standard(Specify): pressure <br /> ❑Engineered Method(Specify): <br /> # <br /> Attach the testing procedures and all documentation required to determine the results. of Attached Pages <br /> Product Piping Containment Testing Training and Certifications(List applicable certifications.) Expiration Date <br /> ICC UST Certification#8819839 10/25/2019 <br /> Interstitial Communication Verification Method Used: <br /> VIII. COMMENTS <br /> Provide any additional comments hem. <br /> B7 product line failed due to torn test boots in UDC's 112,314,and 718 <br /> 91 product line failed due to torn test boot in UDC 112 <br /> Diesel product line failed, needs further investigation <br /> 89 product line started at 11:30 am at 5 psi ended at 12:30 pm at 5 psi test passed. <br /> ID=Identification <br />