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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 /> Trusco A x❑ 1 B x❑ I C ❑x D ❑ <br /> A ❑ I B ❑ I C ❑ I D <br /> Test Method Used : ❑ Manufacturer Guidelines (Specify) : <br /> px 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 3/20/2021 <br /> Underground Storage Tank Tester License #90- 1120 12/31 /2019 <br /> VI . COMMENTS <br /> Provide any additional comments here. <br /> Tank A is a 20K Double Wall Glass/Steel , designated for Regular 87 Octane Gasoline . <br /> Tank B & C is a 20K Double Compartment, Double Wall Glass/Steel , with 1 OK designated for Super 91 Octane Gasoline <br /> and 1 OK designated for Diesel . <br /> Note : Tanks B & C is a Double Compartment with single Tank Secondary Containment . <br /> Note : Test time extended from 1 hour to 2 hours due to Tank Volumes of 20K. See Test Procedure Attachment for Tank <br /> Secondary Containment Test Time and Protocol . <br /> VII . PRODUCT PIPING CONTAINMENT TESTING INFORMATION <br /> Manufacturer Identify Tank ID from Section III for each Manufacturer <br /> Smith FRP A ❑x B ❑x C x❑ D ❑ <br /> A ❑ I B ❑ C ❑ I D ❑ <br /> Test Method Used : Zx Manufacturer Guidelines (Specify) : <br /> Bravo Systems Coated Steel UDC ' s . 3 Psi - 1 Hour <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. 2 <br /> Product Piping Containment Testing Training and Certifications (List applicable certifications) Expiration Date <br /> ICC Service Technician #5246802 - UT 3/20/2021 <br /> Under round Storage Tank Tester License #90 - 1120 12 /31 /2019 <br />[ Interstitial Communication Verification Method Used : <br /> NA-Section III -Sealed System at Termination end of Piping Runs at Bravo System Coated Steel UDC 's . <br /> VIII . COMMENTS <br /> Provide any additional comments here. <br /> * Section VII -See Test Procedure Attachment for Product Piping Test Pressure , Time and Protocol , for Fiberglass Piping <br /> Systems that terminate at Bravo System Coated Steel UDC 's . <br /> ID = Identification <br /> I <br />