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UNDERGROUND STORAGE TANK <br /> SECONDARY CONTAINMENT TESTING REPORT FORM (Page 4 of 6) <br /> XIII. VAPOR RECOVERY PIPING CONTAINMENT TESTING INFORMATION <br /> Manufacturer Identify Tank ID from Section III for each Manufacturer <br /> Ameron FRP LCX A ❑ I B 21 1C ❑X D ❑ <br /> A ❑ I B 1 C ❑ D <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 /> #of Attached Pages <br /> Attach the testing procedures and all documentation required to determine the results. 2 <br /> Vapor Recovery 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 /> Release pressure at end of Vapor Recovery Piping Containment runs at UDC's where applicable. <br /> XIV. COMMENTS <br /> Provide any additional comments here. <br /> NA-Section III-Tank A-Diesel has no Vapor Recovery Piping or Vapor Recovery Piping Containment. <br /> Note: Vapor Recovery Piping is manifolded between Tank B-Super 91 and Tank C-Regular 87. <br /> XV. TURBINE/ PRODUCT PIPING SUMP TESTING INFORMATION <br /> Manufacturer Identify Tank ID from Section III for each Manufacturer <br /> Unknown Fiberglass A ❑X I B ❑x I C XX D ❑ <br /> A ❑ I B ❑ I C ❑ I D ❑ <br /> Test Method Used: ❑Manufacturer Guidelines(Specify): <br /> ❑ Industry Code or Engineering Standard (Specify): <br /> 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.) Expiration Date <br /> Caldwell Level Change Indicator 7/5/2020 <br /> ICC Service Technician #5246802-UT 3/21/2021 <br /> Underground Storage Tank Tester License #90-1120 12/31/2022 <br /> XVI. COMMENTS <br /> Provide any additional comments here. <br /> ID=Identification <br />