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UNDERGROUND STORAGE TANK <br /> SECONDARY CONTAINMENT TESTING REPORT FORM (Page 2 of s) <br /> V. TANK SECONDARY CONTAINMENT INFORMATION <br /> Manufacturer ?entity Tank ID from Section III for each Manufacturer <br /> A❑ B C D El <br /> A❑ I B C❑ D <br /> Test Method Used: ❑Manufacturer Guidelines(Specify): <br /> ®industry Code or Engineering Standard(Specify):Vacuum <br /> ❑Engineered Method(Specify): <br /> Attach the testingq fi of Attached Pages <br /> procedures and all documentation required to determine the results. <br /> Tank Containment Testing Training and Certifications(List applicable certifications.) Expiration Date <br /> ICC UST Certification#8819839 10/25/2019 <br /> VI. COMMENTS <br /> Provide any additional comments here. <br /> Wet Annulars <br /> "Note`No Inspector present on 0412119. <br /> Vii. PRODUCT PIPING CONTAINMENT TESTING INFORMATION <br /> Manufacturer I Identi Tank ID from Section III for each Manufacturer <br /> Smith A ® B ® C ZD <br /> A El I B I C ❑ D <br /> Test Method Used: ❑Manufacturer Guidelines(Specify): <br /> m Industry Code or Engineering Standard(Specify): Pressure <br /> El Engineered Method(Specify): <br /> Attach the testing procedures and all documentation required to determine the results. #of Attached Pages <br /> Product Piping Containment Testing Training and Certifications(List applicable certifications.) Expiration Date <br /> ICC UST Certification#8819839 10/25/2019 <br /> Interstitial Communication Verification Method Used: <br /> VIII. COMMENTS <br /> Provide any additional comments here. <br /> 87,89,91 product lines failed.Needs further investigation. <br /> Diesel product line failed due to torn test boots. <br /> ID=klermfication <br />