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UNDERGROUND STORAGE TANK <br /> SECONDARY CONTAINMENT TESTING REPORT FORM (Page 4 of 6) <br /> XIII . VAPOR RECOVERY PIPING CONTAINMENT TESTING INFORMATION <br /> Manufacturer Identify Tank ID from section III for each Manufacturer <br /> NOV A . O . Smith T-1 87 N T-2 91 N <br /> Test Method Used : <br /> ❑ Manufacturer Guidelines : (Specify) <br /> N Industry Code or Engineering Standard : (Specify) RP-1200 / Guidelines Adopted by CAL CUPA Forum <br /> ❑ Engineered Method : (Specify) <br /> Attach the testing procedures and all documentation required to determine the results. # of Attached Pages <br /> 1 <br /> Vapor Recovery Piping Containment Testing Training and Certifications (List applicable certifications.) Expiration Date <br /> ICC California Service Technician UT Cert. #5254736 11 /03/2020 <br /> NOV Fiberglass Systems 12/03/2020 <br /> Interstitial Communication verification Method Used :Visual drop @ test gauge when pressure released at piping furthest most ends . <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 /> Western Fiberglass T-1 87 N T-2 91 N <br /> Test Method Used : <br /> ❑ Manufacturer Guidelines: (Specify) <br /> N Industry Code or Engineering Standard : (Specify) RP-1200 / Guidelines Adopted by CAL CUPA Forum <br /> ❑ Engineered Method : (Specify) <br /> Attach the testing procedures and all documentation required to determine the results. # of Attached Pages1 <br /> Turbine / Product Piping Sump Testing Training and Certifications (List applicable certifications) Expiration Date <br /> ICC California Service Technician UT Cert . #5254736 11 /03/2020 <br /> Western Fiberglass Installer 06/29/2020 <br /> Franklin Fueling Systems Incon TS -STS Sump Tester Level 4 Cert. #1001773708 02/03/2021 <br /> XVI . COMMENTS <br /> Provide any additional comments here. <br /> CERS = California Environmental Reporting System , ID = Identification , UST = Underground storage tank, ICC = International Code Council, <br /> NA = Not applicable, UDC = Under-dispenser containment <br />