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UNDERGROUND STORAGE TANK <br />SECONDARY CONTAINMENT TESTING REPORT FORM (Page 2 of s) <br />V. TANK SECONDARY CONTAINMENT INFORMATION <br />Manufacturer Identify Tank ID from Section III for each Manufacturer <br />Owens Corning A © 1 B ® <br />C ❑ <br />D ❑ <br />A❑ I B❑ <br />C❑ <br />D❑ <br />Test Method Used: <br />❑ Manufacturer Guidelines (Specify): <br />® Industry Code or Engineering Standard (Specify): Vacuum <br />❑ Engineered Method (Specify): <br /># <br />Attach the testing procedures and all documentation required to determine the results. <br />of Attached Pages <br />Tank Containment Testing Training and Certifications (List applicable certifications.) <br />Expiration Date <br />ICC UST Certification # 8819839 10/15/2021 <br />VI. COMMENTS <br />Provide any additional comments here. <br />Started 87 annular at 11:30 am at 10 hg ended at 12:30 pm at 10 hg. <br />Started 91 annular at 12:00 pm at 10 hg ended at 1:00 pm at 10 hg. <br />No Inspector on site. <br />VII. PRODUCT PIPING CONTAINMENT TESTING INFORMATION <br />Manufacturer Identify Tank ID from Section III for each Manufacturer <br />Smith A© <br />BD <br />I C❑ <br />D❑ <br />A❑ <br />B❑ <br />I C <br />I D❑ <br />Test Method Used: <br />❑ Manufacturer Guidelines (Specify): <br />® Industry Code or Engineering Standard (Specify): Pressure <br />❑ Engineered Method (Specify): <br /># <br />Attach the testing procedures and all documentation required to determine the results. <br />of Attached Pages <br />Product Piping Containment Testing Training and Certifications (List applicable certifications.) <br />Expiration Date <br />ICC UST Certification # 8819839 10/25/2019 <br />Interstitial Communication Verification Method Used: <br />VIII. COMMENTS <br />Provide any additional comments here. <br />Started 87 product at 11:45 am at 5 psi test ended at 12:45 pm at 5 psi. <br />Started 91 product at 12:15 pm at 5 psi test ended at 1:15 pm at 5 psi. <br />ID = Identificabon <br />