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UNDERGROUND STORAGE TANK <br /> SECONDARY CONTAINMENT TESTING REPORT FORM (Page 2 of s) <br /> V. TANK SECONDARY CONTAINMENT INFORMATION <br /> Manufacturer Iden ify Tank ID from Section III for each Manufacturer <br /> Trusco A © B ✓❑ C ❑ D ❑ <br /> A ❑ B ❑ C ❑ I D ❑ <br /> Test Method Used: ❑ Manufacturer Guidelines(Specify): <br /> ® Industry Code or Engineering Standard (Specify): Vacuum <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 /> ICC UST Certification#8819839 10/25/2019 <br /> VI. COMMENTS <br /> Provide any additional comments here. <br /> 87/91 manifolded tank annular test at 8:30 am at 7 hg ended at 9:30 am at 7 hg. <br /> Note: No inspector present <br /> VII. PRODUCT PIPING CONTAINMENT TESTING INFORMATION <br /> Manufacturer Identify Tank ID from Section III for each Manufacturer <br /> Environ A © B 1 C ❑ D ❑ <br /> A ❑ B I C ❑ I D ❑ <br /> Test Method Used: ❑ Manufacturer Guidelines(Specify): <br /> ® Industry Code or Engineering Standard (Specify): Pressure <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 /> ICC UST Certification#8819839 10/25/2019 <br /> Interstitial Communication Verification Method Used: <br /> VIII. COMMENTS <br /> Provide any additional comments here. <br /> 87 and 91 product piping test at 10:30 am at 2 psi end at 11:30 am at 0 psi. Failed unable to reach 5 psi due to no jumper lines installed <br /> in UDC 3/4 and 5/6. <br /> ID=Identification <br />