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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 /> XERXES A 0 I B x❑ I C 0 D ❑ <br /> A ❑ I B ❑ I C 1 D ❑ <br /> Test Method Used : ❑ Manufacturer Guidelines (Specify) : <br /> X Industry Code or Engineering Standard (Specify) : PEI / RP1200 - 17/Fiberglass Tank/- 10" Hg . *2Hours <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 #524680MT 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 35 , 000 Gallon , Double Wall Fiberglass , designated for Diesel <br /> Tank B is a 15 , 000 Gallon , Double Wall Fiberglass , designated for Regular 87 Octane Gasoline . <br /> Tank C is a 2 , 500 Gallon , Double Wall Fiberglass , designated for Used Oil . <br /> * Note : Tank A test time extended to 2 hours due to total volume exceeding 20 , 000 Gallons . <br /> Tank B & Tank C tested for 1 hour. Capacities less than 20 , 000 Gallons . <br /> VII . PRODUCT PIPING CONTAINMENT TESTING INFORMATION <br /> Manufacturer Identify Tank ID from Section III for each Manufacturer <br /> Smith FRP A ❑xB x❑ 1 C ❑ 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 / RP1 200 - 1 7/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 /> Product Piping Containment Testing Training and Certifications (List applicable certifications.) Expiration Date <br /> ICC Service Technician #524680MT 3/21 /2021 <br /> Underground Storage Tank Tester License #90 - 1120 12/31 /2022 <br /> Interstitial Communication Verification Method Used : <br /> Release pressure at end of Piping Runs at UDC's and Bulk Fuel Rack , where applicable . <br /> VIII . COMMENTS <br /> Provide any additional comments here. <br /> Product Piping A is Diesel to UDC 's 1 &2 and 3 &4 . <br /> Product Piping B is Diesel to Bulk Fuel Rack North . <br /> Product Piping C is Diesel to Bulk Fuel Rank South . <br /> Product Piping D is Diesel Return from Fuel Rack . <br /> Product Piping E is Regular 87 Octane Gasoline to UDC's 1 &2 and 3 &4 . <br /> ID = Identification <br />