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UNDERGROUND STORAGE TANK SECONDARY CONTAINMENT TESTING REPORT FORM (Page 4 of s) XIII . VAPOR RECOVERY PIPING CONTAINMENT TESTING INFORMATION Manufacturer Identify Tank ID from Section III for each Manufacturer A ❑ I B ❑ C ❑ D ❑ A ❑ I B ❑ I C ❑ I D ❑ Test Method Used : ❑ Manufacturer Guidelines (Specify). ❑ Industry Code or Engineering Standard (Specify) : ❑ Engineered Method (Specify): # of Attached Pages Attach the testing procedures and all documentation required to determine the results. Vapor Recovery Piping Containment Testing Training and Certifications (List applicable certifications.) Expiration Date Interstitial Communication Verification Method Used : NA-Section III -No Vapor Recovery Piping Containment at this UST Facility . XIV, COMMENTS Provide any additional comments here. NA-Section III -No Vapor Recovery Piping Containment at this UST Facility . 'r I i I XV. TURBINE / PRODUCT PIPING SUMP TESTING INFORMATION Manufacturer Identify Tank ID from Section III for each Manufacturer Unknown Fiberglass A ❑x B 0 C ❑x D ❑ 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 7/5/2020 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. NA-Section III-Summery of Secondary Containment Test Results . Not Tank D present at this UST Facility. ID = Identification