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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 /> Owens Corning A ❑x JB x❑ I C ❑ D ❑ <br /> A ❑ I B ❑ I C ❑ I D ❑ <br /> Test Method Used : ❑ Manufacturer Guidelines (Specify) : <br /> ❑x Industry Code or Engineering standard (Specify) : PEI/ RP 1200- 17/Glass/Steel Tank/- 10 Hg . 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 /> Tank 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 1 12/31 /2022 <br /> VI . COMMENTS <br /> Provide any additional comments here. <br /> Tank A is a Double Wall Fiberglass , designated for 14 , 545 Gallons Dyed Diesel . <br /> Tank B is a Double Wall Fiberglass , designated for 19 , 951 Gallons Dyed Diesel <br /> VII . PRODUCT PIPING CONTAINMENT TESTING INFORMATION <br /> Manufacturer Identify Tank ID from Section III for each Manufacturer <br /> Smith FRP AN BN I cm D ❑X <br /> A ❑ B ❑ I C ❑ I 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 /> 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 /> NA-Section III -Sealed interface of Primary Piping/Secondary Piping , at Termination end of Piping Runs at Generators . <br /> VIII . COMMENTS <br /> Provide any additional comments here. <br /> Product Piping Containment A is from Tank A and is the Supply Piping . <br /> Product Piping Containment B is from Tank A and is the Return Piping . If Ilku = I <br /> Product Piping Containment C is from Tank B and is the Supply Piping . E � <br /> IZII <br /> Product Piping Containment D is from Tank B and is the Return Piping . <br /> E N1R 0i 's � <br /> I <br /> ID = Identification <br />