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RECEIVED BY EHD VIA EMAIL: <br /> 2/23/2022 <br /> UNDERGROUNDSTORAGETANK <br /> SECONDARY CONTAINMENT TESTING REPORT FORM (Pago J of 6) <br /> IX. REMOTE FILL PIPING CONTAINMENT TESTING INFORMATION <br /> ManufacturerEE� Idents Tank ID from Section III for each Manufacturer <br /> A B L1 I C D <br /> A B C D❑ <br /> Test Method Used ❑Manufacturer Guidelines(Specify) <br /> ❑Industry Code or Engineering Standard(Specify). <br /> ❑Engineered Method(Specify) <br /> Attach the testing procedures and all documentation required to determine the results. #of Attached Pages <br /> Remote Fill Piping Containment Testing Training and Certifications(List applicable certifications) Expiration Date <br /> Intersat al Communication Verification Method Used <br /> NA-Section III-No Remote Fill Piping or Remoter Fill Piping Containment at this UST Facility. <br /> X. COMMENTS <br /> Prowde any addawnal comments here. <br /> NA-Section III-No Remote Fill Piping or Remote Fill Piping Containment at this UST Facility. <br /> XI. VENT PIPING CONTAINMENT TESTING INFORMATION <br /> Manufacturer Identify Tank ID from Section III for each Manufacturer <br /> A❑ B❑ C❑ I D0 <br /> A❑ I B I C❑ I D❑ <br /> Test Method Used ❑Manufacturer Guidelines(Specify) <br /> ❑Industry Code or Engineenng Standard(Specify) <br /> ❑Engineered Method(Specify) <br /> 7f <br /> Attach the testing procedures and all documentation required to determine the results. of Attached Pages <br /> Vent Piping Containment Testing Training and Certifications(List applicable certifications) Expiration Date <br /> Interstitial Communcation Verification Method Used <br /> NA-Section III-No Vent Piping Containment at this UST Facility. <br /> XII. COMMENTS <br /> Provide any addrtwnal comments here <br /> NA-Section III-No Vent Piping Containment at this UST Facility. <br /> ID=tdentiScabon <br /> 1 <br />