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UNDERGROUND STORAGE TANK <br /> SECONDARY CONTAINMENT TESTING REPORT FORM (Page a of 6) <br /> XIII. VAPOR RECOVERY PIPING CONTAINMENT TESTING INFORMATION <br /> Manufacturer Identify Tank ID from section III for each Manufacturer <br /> AO Smith AS B ® C ® D ❑ <br /> A ❑ B❑ C ❑ D❑ <br /> Test Method Used: <br /> ❑ Manufacturer Guidelines: (Specify) <br /> ® Industry Code or Engineering Standard: (Specify) Pressure <br /> ❑ Engineered Method:(Specify) <br /> Attach the testing procedures and all documentation required to determine the results. #of Attached Pages5 <br /> Vapor Recovery Piping Containment Testing Training and Certifications(List applicable certifications.) Expiration Date <br /> CSLB Licensed Contractor 12/31/2019 <br /> Interstitial Communication Verification Method Used: <br /> XIV. COMMENTS <br /> Provide any additional comments here. <br /> XV. TURBINE I PRODUCT PIPING SUMP TESTING INFORMATION <br /> Manufacturer Identify Tank ID from section III for each Manufacturer <br /> Unknown A ® B ® C ® D ❑ <br /> A ❑ B ❑ C ❑ D ❑ <br /> Test Method Used: <br /> ❑ Manufacturer Guidelines: (Specify) <br /> ® Industry Code or Engineering Standard: (Specify) Hydrostatic <br /> ❑ Engineered Method: (Specify) <br /> # <br /> Attach the testing procedures and all documentation required to determine the results. of Attached Pages <br /> 5 <br /> Turbine/Product Piping Sump Testing Training and Certifications(List applicable certifications.) Expiration Date <br /> Caldwell Level Change Indicator 12/31/2020 <br /> XVI. COMMENTS <br /> Provide any additional comments here. <br /> ID=Identification <br />