Laserfiche WebLink
UNDERGROUND STORAGE TANK <br /> SECONDARY CONTAINMENT TESTING REPORT FORM (Page 2 of 6) <br /> V. TANK SECONDARY CONTAINMENT INFORMATION <br /> Manufacturer I Identify Tank ID from Section III for each Manufacturer <br /> Modern Weldinq I A S1 I B x❑ C z D ❑ <br /> A ❑ I B ❑ C ❑ I D <br /> Test Method Used: ❑Manufacturer GuidelinesS eci <br /> ( p fY) <br /> Z Industry Code or Engineering Standard (Specify): PEI/RP1200-17/Glass/Steel Tank/-10" Hg. 2 Hours <br /> ❑Engineered Method(Specify): <br /> #of Attached Pages <br /> Attach the testing procedures and all documentation required to determine the results. 2 <br /> Tank Containment Testing Training and Certifications(List applicable certifications.) Expiration Date <br /> ICC Service Technician #5246802-UT 4/3/2019 <br /> Underground Storage Tank Tester License #90-1120 12/31/2019 <br /> VI. COMMENTS <br /> Provide any additional comments here. <br /> Tank#1-A-#2-B-&#3-C, is a 20K Triple Compartment, 1 OK Regular 87, 5K Super 91 and 5K Diesel. Single Tank <br /> Secondary Containment. <br /> VII. PRODUCT PIPING CONTAINMENT TESTING INFORMATION <br /> Manufacturer Identify Tank ID from Section III for each Manufacturer <br /> Ameron FRP A ❑x B ❑x IC ❑x D ❑ <br /> A ❑ B ❑ I C ❑ D ❑ <br /> Test Method Used: ❑ Manufacturer Guidelines(Specify): <br /> ❑x Industry Code or Engineering Standard (Specify): PEI/RP1200-17/Fiberg lass Pipe/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 4/3/2019 <br /> Under round Storage Tank Test License #90-1120 12/31/2019 <br /> Interstitial Communication Verification Method Used: <br /> Release pressure at end of Piping Run at UDC's when applicable. <br /> VIII. COMMENTS <br /> Provide any additional comments here. <br /> ID=Identification <br />