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I <br />UNDERGROUND STORAGE TANK <br />SECONDARY CONTAINMENT TESTING REPORT FORM (Page 2 of 6) <br />V. TANK CONTAINMENT TESTING INFORMATION <br />Manufacturer Identify Tank ID from section III for each Manufacturer <br />Xerxes A [S] B Z C 0 D 0 <br />AD B 0 CD D 0 <br />Test Method Used: <br />0 Manufacturer Guidelines: (Specify) <br />[S] Industry Code or Engineering Standard: (Specify) PEI RP1200 <br />0 Engineered Method: (Specify) <br />Attach the testing procedures and all documentation required to determine the results. <br />P of Attached Pages <br />Tank Containment Testing Training and Certifications (List applicable certifications.) Expiration Date <br />Xerxes <br />VI. COMMENTS <br />Provide any additional comments here. <br />VII. PRODUCT PIPING CONTAINMENT TESTING INFORMATION <br />Manufacturer Identify Tank ID from section III for each Manufacturer <br />NOV/Smith A IZ B IZ CL] D ID <br />AD BE C 0 D E <br />Test Method Used: <br />1:1 Manufacturer Guidelines: (Specify) <br />El Industry Code or Engineering Standard: (Specify) PEI RP1200 <br />0 Engineered Method: (Specify) <br />Attach the testing procedures and all documentation required to determine the results. <br />11 of Attached Pages <br />Product Piping Containment Testing Training and Certifications (List applicable certifications.) Expiration Date <br />NOV/Smith 11/09/2019 <br />Interstitial Communication Verification Method Used: <br />VIII. COMMENTS <br />Provide any additional comments here. <br />* Replaced (1) 3"x2" test boot in 87 STP sump, Icon #ISR3.5x2.4A <br />ID = Identification