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UNDERGROUND STORAGE TANK <br />SECONDARY CONTAINMENT TESTING REPORT FORM (Page 4 of s) <br />XIII. VAPOR RECOVERY PIPING CONTAINMENT TESTING INFORMATION <br />Manufacturer Identify Tank ID from Section III for each Manufacturer <br />A❑ <br />B❑ <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): <br />❑ Engineered Method (Specify): <br /># of Attached Pages <br />Attach the testing procedures and all documentation required to determine the results. <br />Vapor Recovery Piping Containment Testing Training and Certifications (List applicable certifications.) <br />Expiration Date <br />Interstitial Communication Verification Method Used: <br />NA -Section III -No Vapor Recovery Piping Containment at this UST Facility. <br />XIV. COMMENTS <br />Provide any additional comments here. <br />NA -Section III -No Vapor Recovery Piping Containment at this UST Facility. <br />XV. TURBINE / PRODUCT PIPING SUMP TESTING INFORMATION <br />Manufacturer Identify Tank ID from Section III for each Manufacturer <br />Unknown Fiberglass A ❑x <br />I B ❑x <br />1 C ❑x <br />D ❑ <br />A❑ <br />I B❑ <br />I C❑ <br />I D❑ <br />Test Method Used: <br />❑ Manufacturer Guidelines (Specify): <br />❑ Industry Code or Engineering Standard (Specify): <br />p Engineered Method (Specify): Caldwell Systems/Hydrostatic 30 Minutes <br /># of Attached Pages <br />Attach the testing procedures and all documentation required to determine the results. 2 <br />Turbine / Product Piping Sump Testing Training and Certifications (List applicable certifications.) <br />Expiration Date <br />Caldwell Level Change Indicator <br />7/5/2020 <br />ICC Service Technician #5246802 -UT <br />3/21/2021 <br />Underground Storage Tank Tester License #90-1120 <br />12/31/2022 <br />XVI. COMMENTS <br />Provide any additional comments here. <br />ID = Identification <br />