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UNDERGROUND STORAGE TANK SECONDARY CONTAINMENT TESTING REPORT FORM (Page 4 of s) XIII . VAPOR RECOVERY PIPING CONTAINMENT TESTING INFORMATION Manufacturer Identify Tank ID from Section III for each Manufacturer Smith FRP A ❑X 1 B ❑ c ❑ D ❑ A 1B ❑ C ❑ 1 D ❑ Test Method Used : ❑ Manufacturer Guidelines (Specify) : p Industry Code or Engineering Standard (Specify) : PEI / RP1200 - 17/Fiberglass Pipe/5 Psi 1 hour ❑ Engineered Method (Specify): # of Attached Pages Attach the testing procedures and all documentation required to determine the results. 2 Vapor Recovery Piping Containment Testing Training and Certifications (List applicable certifications) Expiration Date ICC Service Technician #5246802- UT 4/3/2019 Underground Stora e Tank Tester License #90- 1120 12/31 /2019 Interstitial Communication Verification Method Used : Release pressure at end of piping run by loosing clamps on Test/Seal off Boot at Vent Box Sump and UDC's where applicable . XIV. COMMENTS Provide any additional comments here. Vapor Recovery Piping Containment and Vent Piping Containment for Regular 87 and Super 91 is Manifolded together. XV. TURBINE / PRODUCT PIPING SUMP TESTING INFORMATION Manufacturer Identify Tank ID from Section III for each Manufacturer Unknown/Fiberglass Contruction A Q I B 0 Ic 0 D ❑ A ❑ B ❑ IC ❑ D ❑ Test Method Used : ❑ Manufacturer Guidelines (Specify) : ❑ Industry Code or Engineering Standard (Specify) : Engineered Method (specify): Caldwell Systems/Level Change Indicator # of Attached Pages E Attach the testing procedures and all documentation required to determine the results. 2 Turbine / Product Piping Sump Testing Training and Certifications (List applicable certifications.) Expiration Date Caldwell Level Change Indicator 7/5/2020 ICC Service Technician #5246802- UT 4/3/2019 Underground Storage Tank Tester License #90 - 1120 12/31 /2019 XVI . COMMENTS Provide any additional comments here. i" ID = Identification i