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UNDERGROUND STORAGE TANK <br />SECONDARY CONTAINMENT TESTING REPORT FORM (Page s of 6) <br />IX. REMOTE FILL PIPING CONTAINMENT TESTING INFORMATION <br />Manufacturer Identify Tank ID from Section III for each Manufacturer <br />A❑ <br />I B❑ <br />I C❑ <br />I D❑ <br />A❑ <br />I B <br />1 C❑ <br />I D❑ <br />Test Method Used: <br />❑ Manufacturer Guidelines (Specify): <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. <br />Remote Fill Piping Containment Testing Training and Certifications (List applicable certifications.) <br />Expiration Date <br />Interstitial Communication Verification Method Used: <br />NA -Section 111 -No Remote Fill Piping or Remoter Fill Piping Containment at this UST Facility. <br />X. COMMENTS <br />Provide any additional 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❑ <br />B❑ I <br />C❑ I <br />D❑ <br />A❑ <br />B I <br />C❑ <br />I D <br />Test Method Used: <br />❑ Manufacturer Guidelines (Specify): <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. <br />Vent Piping Containment Testing Training and Certifications (List applicable certifications.) <br />Expiration Date <br />Interstitial Communication Verification Method Used: <br />NA -Section III -No Vent Piping Containment at this UST Facility. <br />XII. COMMENTS <br />Provide any additional comments here. <br />NA -Section III -No Vent Piping Containment at this UST Facility. <br />ID = Identification <br />