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UNDERGROUND STORAGE TANK <br /> SECONDARY CONTAINMENT TESTING REPORT FORM (Page 2 of s) <br /> V. TANK SECONDARY CONTAINMENT INFORMATION <br /> Manufacturer Identify Tank ID from Section III for each Manufacturer <br /> Trusco A © 1 B ✓❑ C ❑ D ❑ <br /> A ❑ I B ❑ I C ❑ I D ❑ <br /> Test Method Used : ❑ Manufacturer Guidelines (Specify): <br /> ® Industry Code or Engineering Standard (Specify): Vacuum <br /> ❑ Engineered Method (Specify): <br /> # <br /> Attach the testing procedures and all documentation required to determine the results. of Attached Pages <br /> Tank Containment Testing Training and Certifications (List applicable certifications) Expiration Date <br /> ICC UST Certification # 8819839 10/25/2019 <br /> VI . COMMENTS <br /> Provide any additional comments here. <br /> 87/91 manifolded tank annular test at 8: 30 am at 7 hg ended at 9 : 30 am at 7 hg . <br /> Note : No inspector present <br /> VII . PRODUCT PIPING CONTAINMENT TESTING INFORMATION <br /> Manufacturer Identify Tank ID from Section III for each Manufacturer <br /> Environ A 0 1 B ® I C ❑ D ❑ <br /> A ❑ I B ❑ I C ❑ I D ❑ <br /> Test Method Used: ❑ Manufacturer Guidelines (Specify) : <br /> ® 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 /> 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 here. <br /> 87 and 91 product piping test at 10: 30 am at 2 psi end at 11 : 30 am at 0 psi . Failed unable to reach 5 psi due to no jumper lines installed <br /> in UDC 3/4 and 5/6. <br /> ID = Identification <br />