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UNDERGROUND STORAGE TANK <br /> SECONDARY CONTAINMENT TESTING REPORT FORM (Page 4 of s) <br /> XIII. VAPOR RECOVERY PIPING CONTAINMENT TESTING INFORMATION <br /> Manufacturer Identity Tank ID from Section III for each Manufacturer <br /> Smith AZ BW1 I C ❑ I D❑ <br /> A ❑ B ❑ C ❑ D ❑ <br /> Test Method Used: ❑Manufacturer Guidelines(Specify): <br /> 0 Industry Code or Engineering Standard(Specify): Pressure <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 /> ICC UST Certification#5254516 7/12/2021 <br /> Interstitial Communication Verification Method Used: <br /> XIV. COMMENTS <br /> Provide any additional comments here. <br /> Vapor Piping made adjustments. Tightened hose clamps on vapor test boot.Tested at 8:15 am at 5 psi ended at 9:15 am at 5 psi. <br /> XV. TURBINE/ PRODUCT PIPING SUMP TESTING INFORMATION <br /> Manufacturer Identify Tank ID from Section III for each Manufacturer <br /> A ❑ I B ❑ C ❑ D ❑ <br /> A I B ❑ I C ❑ D ❑ <br /> Test Method Used: ❑Manufacturer Guidelines(Specify): <br /> ❑Industry Code or Engineering Standard (Specify): <br /> ❑Engineered Method(Specify): <br /> #of Attached Pages <br /> Attach the testing procedures and all documentation required to determine the results. <br /> Turbine/Product Piping Sump Testing Training and Certifications(List applicable certifications.) Expiration Date <br /> XVI. COMMENTS <br /> Provide any additional comments here. <br /> N/A <br /> ID=Identification <br />