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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 /> K&T Steel A x❑ 13 F1 c ❑ D ❑ <br /> A ❑ B ❑ C ❑ D ❑ <br /> Test Method Used : ❑ Manufacturer Guidelines (Specify) : <br /> ❑x Industry Code or Engineering Standard (Specify) : PEI / RP 1200- 17/Steel Tank -6Hg . 1 hour <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 Service Technician #5246802 - UT 3/20/2021 <br /> Underground Storage Tank Tester License #90- 1120 1 12/31 /2019 <br /> VI . COMMENTS <br /> Provide any additional comments here. <br /> Section V-Tank A is a 1 OK Jacketed Double Wall Steel designated for Dyed Diesel , <br /> VII . PRODUCT PIPING CONTAINMENT TESTING INFORMATION <br /> Manufacturer dentify Tank ID from Section III for each Manufacturer <br /> Western Fiber lass - Co Flex A B ❑ C ❑ D ❑ <br /> A ❑ I B ❑ I C ❑ I D ❑ <br /> Test Method Used : ❑ Manufacturer Guidelines (Specify) : <br /> ❑p Industry Code or Engineering Standard (Specify) : PEI / RP 1200 - 17/ Flexible Piping /5 Psi/ 1 Hour <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 /> ICC Service Technician #5246802- UT 3/20/2021 <br /> Underground Storage Tank Tester License #90 - 1120 12/31 /2019 <br /> Interstitial Communication Verification Method Used : <br /> Release pressure at end of Product Piping Containment Runs where applicable . <br /> VIII . COMMENTS <br /> Provide any additional comments here. <br /> ID = Identification <br />