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UNDERGROUND STORAGE TANK <br /> SECONDARY CONTAINMENT TESTING REPORT FORM (Page a of 6) <br /> XIII . VAPOR RECOVERY PIPING CONTAINMENT TESTING INFORMATION <br /> Manufacturer Identify Tank ID from Section IN for each Manufacturer <br /> N/A A ❑ I B ❑ C ❑ D ❑ <br /> A ❑ B ❑ I C 1 D ❑ <br /> Test Method Used : ❑ Manufacturer Guidelines (Specify): <br /> ❑ Industry Code or Engineering Standard (Specify): <br /> ❑ Engineered Method (Specify): <br /> Pages <br /> Attach the testing procedures and all documentation required to determine the results. # of Attached d <br /> Vapor Recovery Piping Containment Testing Training and Certifications (List applicable certifications.) Expiration Date <br /> Interstitial Communication Verification Method Used : <br /> XIV. COMMENTS <br /> Provide any additional comments here. <br /> XV. TURBINE / PRODUCT PIPING SUMP TESTING INFORMATION <br /> Manufacturer identify Tank ID from Section III for each Manufacturer <br /> Unknown A ❑x B ❑x C ❑ DN <br /> AQ B ❑ C ❑ I D <br /> Test Method Used : ❑ Manufacturer Guidelines (Specify): <br /> ❑X Industry Code or Engineering Standard (Specify) : Hydrostatic test using incon test Unit ( 15 Minute test) <br /> ❑ Engineered Method (Specify) : <br /> Attach the testing procedures and all documentation required to determine the results. # of Attached Pages <br /> 1 <br /> Turbine / Product Piping Sump Testing Training and Certifications (List applicable certifications) Expiration Date <br /> Service Tech 8338858- UT 2/ 14/2021 <br /> Incon Sump Tester Cert# 1009763709 3/ 1 /2021 <br /> XVI . COMMENTS <br /> Provide any additional comments here. <br /> ID = Identification <br />