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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 Joor A Q B x❑ C x❑ I D ❑ A ❑ I B ❑ 1 C ❑ I D ❑ Test Method Used : ❑ Manufacturer Guidelines (Specify) : px Industry Code or Engineering Standard (Specify) : PEI / RP1 200 - 1 7/Steel Tank/- 6 " Hg . 1 Hour ❑ Engineered Method (Specify) : # of Attached Pages Attach the testing procedures and all documentation required to determine the results. 2 Tank Containment Testing Training and Certifications (List applicable certifications) Expiration Date ICC Service Technician #5246802 - 1.! T 3/20/2021 Underground Storage Tank Tester License #90- 1120 1 12/31 /2019 VI . COMMENTS Provide any additional comments here. Tank A is a 12K , designated for Clear Diesel Tank B & C is a 10K , Double Compartment Split 6K/4K , 6K designated for Regular 87 and 4K designated Super 91 . Tank B & C have a Common Tank Secondary Containment . VII . PRODUCT PIPING CONTAINMENT TESTING INFORMATION Manufacturer Identify Tank ID from Section III for each Manufacturer Smith FRP A x❑ IB x❑ CxQ D ❑ A ❑ I B I C ❑ I 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): # of Attached Pages Attach the testing procedures and all documentation required to determine the results. 2 Product Piping Containment Testing Training and Certifications (List applicable certifications.) Expiration Date ICC Service Technician #5246802 - UT 3/20/2021 Underground Storage Tank Tester License #90 - 1120 12/31 /2019 Interstitial Communication Verification Method Used : Release pressure at end of Piping Runs at UDC' s where applicable . VIII . COMMENTS Provide any additional comments here. i i ID = Identification i E