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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 identifyTank ID from Section III for each Manufacturer p ❑ <br /> Joor A x0 B x� C p <br /> A ❑ B ❑ Li I LJ <br /> Test Method Used : ❑ Manufacturer Guidelines (Specify) : <br /> 0 Industry Code or Engineering Standard (Specify) : PEURP 900/Steel Tank/.6 Hg . I hour <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 /> VI . COMMENTS <br /> Provide any additional comments here. <br /> Tank is a 20K Split Compartment , 12K Regular 87 and 8K Super 91 , with Single Tank Secondary Containment . <br /> I <br /> E <br /> VII . PRODUCT PIPING CONTAINMENT TESTING INFORMATION <br /> Manufacturer Identify Tank ID from Section III for each Manufacturer D ❑ <br /> OPW A � BD C ❑ D ❑ <br /> AD B ❑ <br /> Test Method Used : ❑ Manufacturer Guidelines (Specify): <br /> Z Industry Code or Engineering Standard (Specify): PEI / RP900/ FleX 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. <br /> Product Piping Containment Testing Training and Certifications (List applicable certifications.) Expiration Date <br /> Interstitial Communication Verification Method Used : <br /> Release pressure at end of Piping Run by removing plug on Test/Seal off hoses at UD <br /> C' s when applicable . <br /> VIII . COMMENTS <br /> Provide any additional comments here. <br /> ID = Identification <br />