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o <br /> 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 Cornin AZ B Q I C 0 I D ❑ <br /> A ❑ I B ❑ I C ❑ D ❑ <br /> Test Method Used : ❑ Manufacturer Guidelines (Specify) : <br /> ❑ Industry Code or Engineering Standard (Specify) : <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 /> VI . COMMENTS <br /> Provide any additional comments here. <br /> NA-Section III -Tanks A, B & C have Brine Filled Tank Secondary Containment and are exempt from periodic testing . <br /> Tank A & Tank C is a 20K , Double Compartment, Double Wall Fiberglass designated for 12K Super 91 Octane Gasoline <br /> and 8K Diesel . <br /> Tank B is a 20K , Double Wall Fiberglass designated for Regular 87 Octane Gasoline . <br /> VII . PRODUCT PIPING CONTAINMENT TESTING INFORMATION <br /> Manufacturer Identify Tank ID from Section III for each Manufacturer <br /> Smith FRP A ❑x B C 0 D <br /> A ❑ I B ❑ I C I D ❑ <br /> Test Method Used : ❑ Manufacturer Guidelines (Specify) : <br /> Z Industry Code or Engineering Standard (Specify): <br /> PEI /RP1200- 17/Fiberglass Pipe/5 Psi 1 hour <br /> ❑ Engineered Method (Specify): <br /> # of Attached Pages <br /> Attach the testing procedures and all documentation required to determine the results. 2 <br /> i <br /> Product Piping Containment Testing Training and Certifications (List applicable certifications.) Expiration Date <br />! ICC Service Technician #5246802 - UT 3/21 /2021 <br /> i <br /> Underground Storage Tank Tester License #90 - 1120 12/31 /2022 <br /> f <br /> Interstitial Communication Verification Method Used : <br /> Release pressure at end of Piping Runs at UDC 's where applicable . <br /> VIII . COMMENTS <br /> Provide any additional comments here. <br /> I' <br /> ID = Identification <br /> f <br />