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Underground Storage Tank <br />Secondary Containment Testing Report Form <br />6. TANK SECONDARY CONTAINMENT TEST <br />Test Method Developed by 0 Manufacturer ❑ Industry Standard ❑ Professional Engineer <br />Test Type ❑ Pressure 0 Vacuum ❑ Hydrostatic <br />Test Equipment Used: Vacuum gauge (0-30 hg) <br />Tank ID <br />87 <br />91 <br />Diesel <br />Tank Manufacturer <br />Xerxes <br />Xerxes <br />Xerxes <br />Tank Capacity <br />12000 <br />12000 <br />12000 <br />Test Start Time <br />10:30 <br />11:45 <br />13:30 <br />Initial Reading <br />-10" hg <br />-10" hg <br />-10" hg <br />Test End Time <br />11:30 <br />12:45 <br />14:30 <br />Final Reading <br />-10" hg <br />-10" hg <br />-10" hg <br />Change in Reading <br />0 <br />0 <br />0 <br />Pass/Fail Criteria <br />0 <br />0 <br />0 <br />❑ Pass ❑ Fail <br />Tightness Test Results <br />0 Pass ❑ Fail <br />0 Pass ❑ Fail <br />El Pass ❑ Fail <br />❑ Pass ❑ Fail <br />17. PIPE SECONDARY CONTAINMENT TEST <br />Test Method Developed by ❑ Manufacturer 0 Industry Standard ❑ Professional Engineer <br />Test Type 0 Pressure ❑ Vacuum ❑ Hydrostatic <br />Test Equipment Used: Pressure Gauge (0-30 psi) <br />Pipe Run ID <br />87 <br />91 <br />Diesel <br />Pipe Manufacturer <br />Ameron <br />Ameron <br />Ameron <br />Test Start Time <br />10:00 <br />12:15 <br />14:00 <br />Initial Reading <br />5 psi <br />5 psi <br />5 psi <br />Test End Time <br />11:00 <br />13:15 <br />15:00 <br />Final Reading <br />5 psi <br />5 psi <br />5 psi <br />Change in Reading <br />0 <br />0 <br />0 <br />Pass/Fail Criteria <br />0 <br />0 <br />0 <br />Tightness Test Results <br />0 Pass ❑ Fail <br />0 Pass ❑ Fail <br />0 Pass ❑ Fail <br />❑ Pass ❑ 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 <br />❑ Pass ❑ Fail <br />❑ Pass ❑ Fail <br />❑ Pass ❑ Fail <br />❑ Pass ❑ 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 />