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UNDERGROUND STORAGE TANK SECONDARY CONTAINMENT TESTING REPORT FORM (Page 2 of 6) V. TANK SECONDARY CONTAINMENT INFORMATION Manufacturer Identify Tank ID from Section III for each Manufacturer XERXES Ax❑ B 21 1C 0 D ❑ A ❑ 8L I C ❑ I D ❑ Test Method Used: ❑Manufacturer Guidelines(Specify): ❑X Industry Code or Engineering Standard(Specify): PEI/RP1200-17/Fiberglass Tank/-10" Hg. 1 Hour ❑Engineered Method(Specify): Attach the testing procedures and all documentation required to determine the results. #of Attached Pages2 Tank Containment Testing Training and Certifications(List applicable certifications.) Expiration Date ICC Service Technician #5246802-UT 3/21/2021 Underground Storage Tank Tester License #90-1120 12/31/2022 VI. COMMENTS Provide any additional comments here. Tank A is a 19,700 Gallon, Double Wall Fiberglass designated for Regular 87 Octane Gasoline. Tank B is a 10,369 Gallon, Double Wall Fiberglass designated for Super 91 Octane Gasoline. Tank C is a 11,849 Gallon, Double Wall Fiberglass designated for Plus 89 Octane Gasoline. VII. PRODUCT PIPING CONTAINMENT TESTING INFORMATION Manufacturer Identify Tank ID from Section III for each Manufacturer Ameron FRP A ❑x B ❑x C ❑x D ❑ A ❑ B ❑ C ❑ D ❑ Test Method Used: ❑Manufacturer Guidelines(Specify): ❑x Industry code or Engineering standard (Specify): PEI/RP1200-17/Fiberglass Pipe/5 Psi 1 hour ❑Engineered Method (Specify): Attach the testing procedures and all documentation required to determine the results. #of Attached Pages2 Product Piping Containment Testing Training and Certifications(List applicable certifications.) Expiration Date ICC Service Technician #5246802-UT 3/21/2021 Under round 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. VIII. COMMENTS Provide any additional comments here. ID=Identification