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UNDERGROUND STORAGE TANK <br />SECONDARY CONTAINMENT TESTING REPORT FORM (Page 2 of 6) <br />V. TANK SECONDARY CONTAINMENT INFORMATION <br />Manufacturer Identify Tank ID from Section III for each Manufacturer <br />Modern Welding A Ell B L_ C D LI <br />AU B LI I C Li I D U <br />Test Method Used: <br />Vacuum <br />D Manufacturer Guidelines (Specify): Franklin Fueling INCON TS-STS <br />II Industry Code or Engineering Standard (Specify): <br />ci Engineered Method (Specify): <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.) Expiration Date <br />09/29/2019 Franklin Fueling INCON TS-STS- 1032363709 <br />VI. COMMENTS <br />Provide any additional comments here. <br />Annular - 9:04am to 11:04am @ -10" HG -2 Hour test - PASSED <br />VII. PRODUCT PIPING CONTAINMENT TESTING INFORMATION <br />Manufacturer !del ility Tank ID !Isom Section Ill for each Manufacturer <br />Modern Welding A X B LI 1C D <br />AEIJ Bfl cfl I D 0 <br />Test Method Used. <br />Nitrogen <br />ID Manufacturer Guidelines (Specify): 4" Dial Gauge <br />['Industry Code or Engineering Standard (Specify): <br />LI Engineered Method (Specify): <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.) Expiration Date <br />Ameron <br />N/A <br />Interstitial Communication Verification Method Used: <br />N/A <br />VIII. COMMENTS <br />Provide any additional comments here. <br />Diesel Product - 9:21am to 10:21am @ 5 PSI for one hour - PASSED <br />Diesel Hi Flow - Failed after 10 minutes. Will return to repair and retest. <br />ID= Identification