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UNDERGROUND STORAGE TANK <br /> SECONDARY CONTAINMENT TESTING REPORT FORM(Page a of s) <br /> XIII. VAPOR RECOVERY PIPING CONTAINMENT TESTING INFORMATION <br /> Manufacturer Identify Tank ID from Section III for each Manufacturer <br /> A ❑ B 1 C 1 D ❑ <br /> A ❑ B 1 C ❑ I D <br /> Test Method Used: ❑Manufacturer Guidelines(Specify): <br /> ❑ Industry Code or Engineering Standard(Specify): <br /> ❑Engineered Method(Specify): <br /> Attach the testing procedures and all documentation required to determine the results. #of Attached Pages <br /> Vapor Recovery Piping Containment Testing Training and Certifications(List applicable certifications.) Expiration Date <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 /> Fiberglass A 0 B ❑ IC ❑ I D <br /> A ❑ B ❑ I C ❑ I D ❑ <br /> Test Method Used: ❑Manufacturer Guidelines(Specify): <br /> Hydrostatic <br /> Q Industry Code or Engineering Standard(Specify): PEI RP1200 <br /> ❑Engineered Method (Specify): <br /> Attach the testing procedures and all documentation required to determine the results. #of Attached Pages <br /> Turbine/Product Piping Sump Testing Training and Certifications(List applicable certifications.) Expiration Date <br /> Franklin Fueling INCON TS-STS 5/28/2021 <br /> XVI. COMMENTS <br /> Provide any additional comments here. <br /> Retest of Fill/Piping Sump only Following Snorkel Boot replacement for supply and return product piping. <br /> RECEIVED <br /> NOV 2 0 2019 <br /> ENVIRONMENTAL HEATTFF— <br /> ID=Identification <br /> DEPARTMENT <br />