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IlIe <br /> N � R+SRC3UND sTORAC TANi�C <br /> SEC+ )Nt ARY' CONTgiNM AT TESTING REPORT 11 eeFORM MeIv <br /> ell <br /> 2 ofs) <br /> iv e ell lleTANK SCONbAR� CONTAINMENT INFORI Ile ell <br /> MATION <br /> Identi Tank ID from Section III for each Manufacturer <br /> Manufacturer A C1 <br /> Modern Weldin A s <br /> Test Method Used: d Manufacturer Guidelines (Specify): <br /> m Hg . 1 hr . <br /> Industry Code or Engineering Standard (Specify) : <br /> PEI / RP 1200- 17 /Glass Steel Tank/- 10 <br /> Engineered' Method (Specify): # of Attached Pages <br /> Attach the testing procedures and all documentation required to determine the results. 2 <br /> p Expiration Date <br /> Tank Containment Testing Training and Certifications (List applicable certifications.) 3/21 /2021 <br /> ICC Service Technician #5246802- UT12131 /2022 <br /> Under round Storage Tank Tester License #90 - 1120 <br /> UI: COMMENTS <br /> Provide any additional comments here. ` <br /> desi <br /> Tank A is a 10K Double Wall Glass Steel , gnated for Regular St Octane Gasoline . K Super 91 Octane <br /> Tank t8 & Tank C is a 12K Two Compartment, Double Wall Glass Steel , Tank I3 is designated for 8 <br /> Gasollne . Tank Cr Is designated for 4K Diesel . <br /> Note : Tank S , and Tank C , have a common Tank Secondary Containment. <br /> ellSII. PRODUCT PIPING CONTAINMEN ea� ManuG INturQ pRIVIATION <br /> I Ile Id Tank ID from Sect B (� <br /> Manufacturer A <br /> Advanced P01 mer Technolo A C <br /> Test Method Used' rl Manufacturer Guidelines (Specify) :ii ; liiiiiii ill ; 111 <br /> - <br /> S Industry Code or Engineering standard (Specify) : PEI / RP 1200- 17/Plexable Pipe/5 Psi 1 hr . <br /> Engineered Method (Specify): # of Attached Pages <br /> Attach the testing procedure and all documentation required to determine the results. Expiration Date <br /> Product Piping Containment Testing Training and Certifications (List applicable certifications.) 3/21 /2021 <br /> ICC Service Technician #5246802- UT 12/3112022 <br /> Under round Stora e Tank Tester License #90- 1120 <br /> Interstitial Communication Verification Method Used : Icable .low <br /> Release pressure at end of Product Piping Containment runs at UDCs where appi <br /> COMMENTS , <br /> ell I ' ll <br /> Provide any additional comments hare. <br />