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UNDERGROUND STORAGE TANK SECONDARY CONTAINMENT TESTING REPORT FORM (Page a of 6) XIII. VAPOR RECOVERY PIPING CONTAINMENT TESTING INFORMATION Manufacturer Identify Tank ID from Section III for each Manufacturer Smith FRP A ❑X B X❑ C 0 D ❑ A ❑ B ❑ C ❑ D ❑ Test Method Used: ❑Manufacturer Guidelines(Specify): ❑x Industry code or Engineering Standard(Specify): PEI/RP 1200-17/Fiberglass Pipe/5 Psi 1 hr. ❑Engineered Method (Specify): #of Attached Pages Attach the testing procedures and all documentation required to determine the results. 2 Vapor Recovery Piping Containment Testing Training and Certifications(List applicable certifications.) Expiration Date ICC Service Technician #5246802-UT 3/21/2021 Underground Storage Tank Tester License #90-1120 12/31/2022 Interstitial Communication Verification Method Used: Release pressure at end of Vapor Recovery Piping Containment runs at UDC's where applicable. XIV. COMMENTS Provide any additional comments here. Note: All Vapor Recovery Piping Containment and Gasoline Vent Piping Containment is manifolded at this UST Facility. NA-Section III-No Vapor Recovery Piping for Tank D-Diesel. XV. TURBINE/PRODUCT PIPING SUMP TESTING INFORMATION Manufacturer Identify Tank ID from Section III for each Manufacturer Unknown Fiberglass A ZB XC xD X A ❑ I B ❑ I C ❑ I D ❑ Test Method Used: ❑Manufacturer Guidelines(Specify): ❑ Industry Code or Engineering Standard(Specify): ❑Engineered Method (Specify): Caldwell Systems/Hydrostatic 30 Minutes #of Attached Pages Attach the testing procedures and all documentation required to determine the results. 2 Turbine/Product Piping Sump Testing Training and Certifications(List applicable certifications.) Expiration Date Caldwell Level Change Indicator 6/10/2023 ICC Service Technician #5246802-UT 3/21/2021 Underground Storage Tank Tester License #90-1120 12/31/2022 XVI. COMMENTS Provide any additional comments here. ID=Identification