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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 © B VIC ❑ D El <br /> A ❑ B ❑ I C ❑ I D ❑ <br /> Test Method Used : ❑ Manufacturer Guidelines (Specify) : <br /> ® Industry Code or Engineering Standard (Specify) : Vacuum <br /> ❑ Engineered Method (Specify) : <br /> # of Attached Pages <br /> Attach the testing procedures and all documentation required to determine the results. <br /> Tank Containment Testing Training and Certifications (List applicable certifications) Expiration Date <br /> ICC UST Certification # 8819839 10/ 15/2021 <br /> VI . COMMENTS <br /> Provide any additional comments here. <br /> Started 87 annular at 9 : 30 am at 7 hg ended at 10 : 30 am at 7 hg . <br /> Started 91 /Diesel annular at 9 : 00 am at 7 hg ended at 10: 00 am at 7 hg . <br /> VII . PRODUCT PIPING CONTAINMENT TESTING INFORMATION <br /> Manufacturer Identify Tank ID from Section III for each Manufacturer <br /> Western Fiberglass A © B ❑✓ C 0 D ❑ <br /> A ❑ B ❑ C I D ❑ <br /> Test Method Used : ❑ Manufacturer Guidelines (Specify) : <br /> ® Industry Code or Engineering Standard (Specify): Pressure <br /> ❑ Engineered Method (Specify): <br /> # of Attached Pages <br /> Attach the testing procedures and all documentation required to determine the results. <br /> Product Piping Containment Testing Training and Certifications (List applicable certifications) Expiration Date <br /> ICC UST Certification # 8819839 10/15/2021 <br /> Interstitial Communication Verification Method Used : <br /> VIII . COMMENTS <br /> Provide any additional comments here. <br /> 87 North , 91 North product piping failed due to torn test boots in UDC's . <br /> Diesel North product piping started at 8 : 20 am at 5 psi ended at 9 : 20 am at 5 psi . <br /> ID = Identification <br />