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UNDERGROUND STORAGE TANK <br /> SECONDARY CONTAINMENT TESTING REPORT FORM (Page 4 of 6) <br /> XIII. VAPOR RECOVERY PIPING CONTAINMENT TESTING INFORMATION <br /> Manufacturer Identify Tank ID from Section III for each Manufacturer <br /> Smith ABW1 IC ❑ D ❑ <br /> A ❑ B ❑ 1 C ❑ I D ❑ <br /> Test Method Used: ❑ Manufacturer Guidelines(Specify): <br /> ® Industry Code or Engineering Standard (Specify): Pressure <br /> ❑ Engineered Method (Specify): <br /> Attach the testing procedures and all documentation required to determine the results. #of Attached Pages <br /> Vapor Recovery 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 /> XIV. COMMENTS <br /> Provide any additional comments here. <br /> Vapor return line tested at 10:30 am at 2 psi ended at 11:30 am at 0 psi failed unable to reach 5 psi. Due to torn test boot. <br /> XV. TURBINE /PRODUCT PIPING SUMP TESTING INFORMATION <br /> Manufacturer Identify Tank ID from Section III for each Manufacturer <br /> Fiberglass A © B © C ❑ I D ❑ <br /> A ❑ B ❑ C ❑ I D ❑ <br /> Test Method Used: ❑ Manufacturer Guidelines(Specify): <br /> ® Industry Code or Engineering Standard (Specify): Hydrostatic <br /> ❑ Engineered Method (Specify): <br /> #of Attached Pages <br /> Attach the testing procedures and all documentation required to determine the results. <br /> Turbine/Product Piping Sump Testing Training and Certifications(List applicable certifications.) Expiration Date <br /> ICC UST Certification#8819839 10/25/2019 <br /> INCON TS-STS L4-Certification# 1019623710 9/24/2020 <br /> XVI. COMMENTS <br /> Provide any additional comments here. <br /> ID=Identification <br />