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UNDERGROUNDSTORAGETANK <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 />A❑ <br />I B❑ <br />C❑ <br />I D❑ <br />A❑ <br />I B❑ <br />I C <br />1 D❑ <br />Test Method Used: <br />❑ 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 />Vapor Recovery Piping Containment Testing Training and Certifications (List applicable certifications.) <br />Expiration Date <br />Interstitial Communication Verification Method Used: <br />XIV. COMMENTS <br />Provide any additional comments here. <br />Single wall - N/A <br />XV. TURBINE / PRODUCT PIPING SUMP TESTING INFORMATION <br />Manufacturer Identify Tank ID from Section III for each Manufacturer <br />Fiberglass A Z <br />I B Z <br />I C ❑ <br />D ❑ <br />A <br />1 B❑ <br />I C❑ I <br />D❑ <br />Test Method Used: <br />❑ Manufacturer Guidelines (Specify): <br />® Industry Code or Engineering Standard (Specify): Hydrostatic <br />❑ Engineered Method (Specify): <br /># <br />Attach the testing procedures and all documentation required to determine the results. <br />of Attached Pages <br />Turbine / Product Piping Sump Testing Training and Certifications (List applicable certifications.) <br />Expiration Date <br />ICC UST Certification # 8819839 10/15/2021 <br />INCON TS -STS L4 - Certification # 1019623710 9/24/2020 <br />XVI. COMMENTS <br />Provide any additional comments here. <br />87 sump failed. Replaced test boot, retested and passed. <br />91 sump failed. Replaced test boot, retested and increased made adjustments. Tightened hose clamps on conduit penetration, retested <br />and passed. <br />GHr'ri n.r ,... <br />