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Underground Storage Tank <br /> Secondary Containment Testing Report Form <br /> 6 . TANK SECONDARY CONTAINMENT TEST <br /> Test Method Developed by M Manufacturer M Industry Standard M Professional Engineer <br /> Test Type M Pressure ® Vacuum © Hydrostatic <br /> Test Equipment Used : <br /> Tank ID 87 Gasoline 89 Gasoline 191 Gasoline <br /> Tank Manufacturer Xerxes Xerxes Xerxes <br /> Tank Capacity 10K 10K 8K <br /> Test Start Time 09 : 09 09 : 16 09 : 23 <br /> Initial Reading 10Hg 10Hg 10Hg <br /> Test End Time 10 : 09 10 : 16 10 : 23 <br /> Final Reading 10Hg 10Hg 10Hg <br /> Change in Reading 0 0 0 <br /> Pass/Fail Criteria +/- 0 +/- 0 +/- 0 <br /> Tightness Test Results Pass Fail © Pass © Fail © Pass M Fail Pass © Fail <br /> 7 . PIPE SECONDARY CONTAINMENT TEST <br /> Test Method Developed by © Manufacturer © Industry Standard © Professional Engineer <br /> Test Type ❑Q Pressure © Vacuum M Hydrostatic <br /> Test Equipment Used : <br /> Pipe Run ID 87 Product 89 Product 91 Product <br /> Pipe Manufacturer Smith Smith Smith <br /> Test Start Time 09 : 20 09 : 23 09 : 26 <br /> Initial Reading 5 psig 5 psig 5 psig <br /> Test End Time 10 : 20 10 : 23 10 : 26 <br /> Final Reading 5 psig 5 psig 5 psig <br /> Change in Reading 0 0 0 <br /> Pass/Fail Criteria +/- 0 +/- 0 +/- 0 <br /> Tightness Test Results ® Pass © Fail ® Pass © Fail ® Pass M Fail M Pass rl Fail <br /> Pipe Run ID <br /> Pipe Manufacturer <br /> Test Start Time <br /> Initial Reading <br /> Test End Time <br /> Final Reading <br /> Change in Reading <br /> Pass/Fail Criteria <br /> Tightness Test Results M Pass M Fail M Pass 0 Fail M Pass M Fail M Pass M Fail <br /> Additional copies of this page may be attached. <br /> All tests marked "Fail' and any repairs made before or during the tightness test must be described in <br /> the COMMENTS section . <br /> Page 2 of 5 <br />