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UNDERGROUND STORAGE TANK <br /> SECONDARY CONTAINMENT TESTING REPORT FORM ( Page 3 of s) <br /> IX. REMOTE FILL PIPING CONTAINMENT TESTING INFORMATION <br /> Manufacturer I Identify Tank ID from Section III for each Manufacturer <br /> A ❑ B ❑ C ❑ D ❑ <br /> A ❑ B ❑ C ❑ 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 /> Remote Fill Piping Containment Testing Training and Certifications (List applicable certifications.) Expiration Date <br /> Interstitial Communication Verification Method Used : <br /> X. COMMENTS <br /> Provide any additional comments here. <br /> No Remote Fill Piping Containment at this UST Facility. <br /> XI . VENT PIPING CONTAINMENT TESTING INFORMATION <br /> Manufacturer Identify Tank ID from Section III for each Manufacturer <br /> Smith FRP A ❑x I B ❑X I C 0 D ❑ <br /> A ❑ B ❑ C ❑ I D ❑ <br /> Test Method Used : ❑ Manufacturer Guidelines (Specify): <br /> X Industry Code or Engineering Standard (Specify): PEI / RP1200 - 17/Fiber Glass 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 /> Vent Piping Containment Testing Training and Certifications (List applicable certifications.) Expiration Date <br /> ICC Service Technician #524680MT 4/3/2019 <br /> Underground Storage Tank Tester License #90 - 1120 12/31 /2019 <br /> Interstitial Communication Verification Method Used : <br /> Release pressure at end of piping run by loosing clamps on Test/Seal off Boots at Vent Box Sump . <br /> XII . COMMENTS <br /> Provide any additional comments here. <br /> Vent Piping Containment and Vapor Recovery Piping Containment for Regular 87 and Super 91 is manifolded together. <br /> ID = Identification <br />