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UNDERGROUND STORAGE TANK <br /> SECONDARY CONTAINMENT TESTING REPORT FORM (Page 4 of 6) <br /> X111 . VAPOR RECOVERY PIPING CONTAINMENT TESTING INFORMATION <br /> Manufacturer Identify Tank ID from Section III for each Manufacturer <br /> Smith FRP AN B 0 C I D ❑ <br /> A ❑ B ❑ I C ❑ I D ❑ <br /> Test Method Used : ❑ Manufacturer Guidelines (Specify): <br /> ❑x Industry Code or Engineering Standard (Specify): PEI /RP1200 - 17/Fiberglass 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. 2 <br /> Vapor Recovery Piping Containment Testing Training and Certifications (List applicable certifications) Expiration Date <br /> ICC UST Service Technician #5246802- UT 3/20/2021 <br /> Under round Storage Tank Tester License #90- 1120 12/31 /2019 <br /> Interstitial Communication Verification Method Used : <br /> Release pressure at end of Piping Runs at UDC's where applicable . <br /> XIV. COMMENTS <br /> Provide any additional comments here. <br /> Note : Vapor Recovery Piping is Manifolded between Tank A, B & C , at this UST Facility. <br /> Note : NA-Section III : Tank D-Vapor Recovery Piping Containment-No Vapor Recovery Piping connected to Diesel Tanks . <br /> XV. TURBINE / PRODUCT PIPING SUMP TESTING INFORMATION <br /> Manufacturer I Identify Tank ID from Section III for each Manufacturer <br /> Unknown Fiberglass A XB ❑x C ❑x D 0 <br /> A ❑ I B ❑ I C ❑ D ❑ <br /> Test Method Used : El Manufacturer Guidelines (Specify) : <br /> I <br /> i <br /> ❑ Industry Code or Engineering Standard (Specify): <br /> i <br /> p Engineered Method (Specify): Caldwell Systems/ Hydrostatic 30 Minutes <br />{ # of Attached Pages <br /> Attach the testing procedures and all documentation required to determine the results. 2 <br /> Turbine / Product Piping Sump Testing Training and Certifications (List applicable certifications.) Expiration Date <br /> Caldwell Level Change Indicator 7/5/2020 <br /> ICC Service Technician #5246802 - UT 3/20/2021 <br /> Underground Storage Tank Tester License #90 - 1120 12/31 /2019 <br /> XVI , COMMENTS <br /> Provide any additional comments here, <br /> t <br /> i <br />[I ID = Identification <br /> c' <br /> f; <br />