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UNDERGROUND STORAGE TANK SECONDARY CONTAINMENT TESTING REPORT FORM (Page 4 of s) XIII . VAPOR RECOVERY PIPING CONTAINMENT TESTING INFORMATION Manufacturer Identify Tank ID from Section III for each Manufacturer Smith FRP A ❑X BL c ❑ D ❑ A ❑ B ❑ C ❑ D Test Method Used : ❑ Manufacturer Guidelines (Specify) : 9 Industry Code or Engineering Standard (Specify) : PEI / RP1200 - 17/Fiberglass Pipe/5 Psi 1 hour ❑ Engineered Method (Specify) : # of Attached Pages Attach the testing procedures and all documentation required to determine the results. 2 Vapor Recovery Piping Containment Testing Training and Certifications (List applicable certifications.) Expiration Date ICC UST Service Technician #5246802- UT 3/21 /2021 Underground Storage Tank Tester License #90- 1120 12/31 /2022 Interstitial Communication Verification Method Used : Release pressure at end of Piping Runs at UDC's where applicable . XIV. COMMENTS Provide any additional comments here. Note : Vapor Recovery Piping is Manifolded between Tank A, & B , at this UST Facility . Note : NA- Section III : No Vapor Recovery Piping connected to Tank C Diesel XV. TURBINE / PRODUCT PIPING SUMP TESTING INFORMATION Manufacturer Identify Tank ID from Section III for each Manufacturer Unknown Fiberglass A 0 B ❑x Cm D ❑ i A ❑ B ❑ C ❑ I D ❑ Test Method Used : I] Manufacturer Guidelines (Specify) : i ❑ Industry Code or Engineering Standard (Specify) : Z Engineered Method (Specify) : Caldwell Systems/ Hydrostatic 30 Minutes # of Attached Pages Attach the testing procedures and all documentation required to determine the results. 2 Turbine / Product Piping Sump Testing Training and Certifications (List applicable certifications.) Expiration Date Caldwell Level Change Indicator 7/5/2020 ICC Service Technician #5246802- UT 3/21 /2021 Underground Storage Tank Tester License #90 - 1120 1 12/31 /2022 XVI . COMMENTS Provide any additional comments here. ID = Identification