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UNDERGROUND STORAGE TANK <br /> SECONDARY CONTAINMENT TESTING REPORT FORM (Page 2 of s) <br /> V. TANK SECONDARY CONTAINMENT INFORMATION <br /> Manufacturer Identi Tank ID from Section III for each Manufacturer <br /> Modern Welding A x❑ B x❑ C z D ❑x <br /> A ❑ B ❑ C ❑ I D ❑ <br /> Test Method Used: ❑Manufacturer Guidelines(Specify): <br /> Z Industry code or Engineering standard(Specify): PEI/RP 1200-17/Glass/Steel Tank/-10" Hg. 2 hrs. <br /> ❑ Engineered Method (Specify): <br /> #of Attached Pages <br /> Attach the testing procedures and all documentation required to determine the results. 2 <br /> Tank Containment Testing Training and Certifications(List applicable certifications.) Expiration Date <br /> ICC Service Technician #5246802-UT 3/21/2021 <br /> Underground Storage Tank Testing License #90-1120 12/31/2022 <br /> VI. COMMENTS <br /> Provide any additional comments here. <br /> Tank A is a 20K Double Wall Glass/Steel, designated for Diesel. <br /> Tank B, Tank C and Tank D, is a 20K, Three Compartment, Double Wall Glass/Steel. Tank B is designated for 10K <br /> Regular 87 Octane Gasoline. Tank C is designated for 5K Plus 89 Octane Gasoline. Tank D is designated for 5K Super <br /> 91 Octane Gasoline. Tank B, Tank C and Tank D have a common Tank Secondary Containment. <br /> Note: Tanks have a total volume exceeding 20,000 Gallons. Tank Secondary Containment Test times extended to two <br /> hours. See Secondary Containment Test Procedure Attachment for Test times and Protocols. <br /> VII. PRODUCT PIPING CONTAINMENT TESTING INFORMATION <br /> Manufacturer Identify Tank ID from Section III for each Manufacturer <br /> Smith FRP A ❑x B ❑ I C ❑ D ❑ <br /> Ameron LCX FRP A ❑ B ❑x I C ❑x D ❑x <br /> Test Method Used: ❑Manufacturer Guidelines(Specify): <br /> X❑Industry code or Engineering Standard(Specify): PEI/RP 1200-17/Fiberglass Pipe/5 Psi 1 hr. <br /> ❑Engineered Method(Specify): <br /> # <br /> Attach the testing procedures and all documentation required to determine the results. of Attached Pages2 <br /> Product Piping Containment Testing Training and Certifications(List applicable certifications.) Expiration Date <br /> ICC Service Technician #5246802-UT 3/21/2021 <br /> Underground Storage Tank Tester License #90-1120 12/31/2022 <br /> Interstitial Communication Verification Method Used: <br /> ReleasecPressure at end of Product Piping Containment Runs at UDC's where applicable. <br /> VIII. COMMENTS <br /> Provide any additional comments here. <br /> ID=Identification <br />