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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 FRP A xQ IB 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): <br /> ❑ Engineered Method (Specify): <br /> #of Attached Pages <br /> Attach the testing procedures and all documentation required to determine the results. <br /> Tank Containment Testing Training and Certifications(List applicable certifications.) Expiration Date <br /> Xerxes UST Installation Seminar 1/15/2020 <br /> ICC-UT UST - Service Technician 8/30/2019 <br /> VI. COMMENTS <br /> Provide any additional comments here. <br /> VII. PRODUCT PIPING CONTAINMENT TESTING INFORMATION <br /> Manufacturer Identify Tank ID from Section III for each Manufacturer <br /> A ❑ B ❑ I C ❑ I D ❑ <br /> A ❑ B ❑ I C I D <br /> Test Method Used: ❑ Manufacturer Guidelines(Specify): <br /> ❑ Industry Code or Engineering Standard(Specify): <br /> ❑ Engineered Method (Specify): <br /> #of Attached Pages <br /> Attach the testing procedures and all documentation required to determine the results. <br /> Product Piping Containment Testing Training and Certifications(List applicable certifications) Expiration Date <br /> Interstitial Communication Verification Method Used: <br /> VIII. COMMENTS <br /> Provide any additional comments here. <br /> ID=Identification <br />