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RECEIVED BY EHD VIA EMAIL: <br /> 2/23/2022 <br /> UNDERGROUND STORAGE TANK <br /> SECONDARY CONTAINMENT TESTING REPORT FORM(Page 2 of 5) <br /> V. TANK SECONDARY CONTAINMENT INFORMATION <br /> Manufacturer Identify Tank ID from Section III for each Manufacturer <br /> Modern Welding A x 1 B x❑ C f] D D <br /> A Lj IB❑ C I D❑ <br /> Test Method Used: ❑Manufacturer Guidelines(Specify) <br /> Q Industry Code or Engineering Standard(Specify) PEI/RP 1200-17/Steel Tank/-6" Hg. 1 hr. <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 3/21/2021 <br /> Underground Storage Tank Tester License#90-1120 12/31/2022 <br /> VI. COMMENTS <br /> Provide any addr.ronal comments here <br /> Tank A is a 10K, Double Wall Steel, designated for Regular 87 Octane Gasoline. <br /> Tank B is a 10K, Double Wall Steel,designated for Regular 87 Octane Gasoline. <br /> Tank C is a 10K, Double Wall Steel,designated for Super 91 Octane Gasoline. <br /> VII. PRODUCT PIPING CONTAINMENT TESTING INFORMATION <br /> Manufacturer Identify Tank ID from Section III for each Manufacturer <br /> Smith FRP A x❑ I B❑x I C❑x D❑ <br /> A❑ I B❑ I C❑ I D❑ <br /> Test Method Used ❑z Manufacturer Guidelines(Specify): *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 3/21/2021 <br /> Underground Storage Tank Tester License#90-1120 12/31/2022 <br /> Interstitial Communication verification Method Used <br /> NA-Section III-Sealed System at Termination end of Product Piping Containment,at Bravo System Coated Steel UDC's. <br /> VIII. COMMENTS <br /> Provide any addrbonal comments here. <br /> 'Section VII-See Test Procedure Attachment for Product Piping Containment Test Pressure,Time and Protocol,for <br /> Fiberglass Piping Systems that terminate at Bravo System Coated Steel UDC's. <br /> D-ldutArcabm <br />