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<br />CERS = California Environmental Reporting System, ID = Identification, UST = Underground storage tank, ICC = International Code Council, <br />NA = Not applicable, UDC = Under-dispenser containment <br /> <br />UNDERGROUND STORAGE TANK <br />SECONDARY CONTAINMENT TESTING REPORT FORM (Page 2 of 6) <br />V. TANK CONTAINMENT TESTING INFORMATION <br />Manufacturer Identify Tank ID from section III for each Manufacturer <br />Containment Solutions T-1 87 <br /> <br />T-2 91 <br /> <br />T-3 Diesel <br /> <br />T-4 Waste <br />Oil <br /> <br />Test Method Used: <br /> Manufacturer Guidelines: (Specify) <br /> Industry Code or Engineering Standard: (Specify) RP-1200 / Guidelines Adopted by CAL CUPA Forum <br /> Engineered Method: (Specify) <br />Attach the testing procedures and all documentation required to determine the results. <br /># of Attached Pages <br />1 <br />Tank Containment Testing Training and Certifications (List applicable certifications.) Expiration Date <br />ICC California Service Technicain UT Cert. #5254736 11/03/2020 <br />ICC Tank Tightness Testing U3 Cert. #5254736 03/08/2020 <br />Containment Solutions Installer 11/09/2020 <br />VI. COMMENTS <br />Provide any additional comments here. <br />1. T-1 87, T-2 91, T-3 Diesel and T-4 Waste Oil are all brine filled tank annulars. <br /> <br /> <br /> <br /> <br /> <br /> <br />VII. PRODUCT PIPING CONTAINMENT TESTING INFORMATION <br />Manufacturer Identify Tank ID from section III for each Manufacturer <br />NOV A.O. Smith T-1 87 <br /> <br />T-2 91 <br /> <br />T-3 Diesel <br /> <br />T-4 Waste <br />Oil <br /> <br />Test Method Used: <br /> Manufacturer Guidelines: (Specify) <br /> Industry Code or Engineering Standard: (Specify) RP-1200 / Guidelines Adopted by CAL CUPA Forum <br /> Engineered Method: (Specify) <br />Attach the testing procedures and all documentation required to determine the results. <br /># of Attached Pages <br />1 <br />Product Piping Containment Testing Training and Certifications (List applicable certifications.) Expiration Date <br />ICC California Service Technicain UT Cert. #5254736 11/03/2020 <br />NOV Fiberglass Systems 12/03/2020 <br /> <br />Interstitial Communication Verification Method Used: Visual drop @ test gauge when pressure released at piping furthest most ends. <br />VIII. COMMENTS <br />Provide any additional comments here. <br />1. Repairs made to T-1 87, T-2 91 & T-3 Diesel product line termination test boots. Replaced with Icon <br />ISR 3.5 X 2.4OSA. All lines passed. <br /> <br /> <br /> <br />