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Underground Storage Tank <br />Secondary Containment Testing Report Form <br />8. SUMPIUDC TEST (continued) <br />Test Method Developed by ❑ Manufacturer ❑ Industry Standard x Professional Engineer <br />Test Type ❑ Pressure ❑ Vacuum x Hydrostatic <br />Test Equipment Used:Caldwell Level Change Indicator <br />Sump/UDC ID <br />87 M FILL SU <br />87 S FILL SU <br />91 STP SUMP <br />91 FILL SUMP <br />Sump Manufacturer <br />XERXES <br />XERXES <br />XERXES <br />XERXES <br />Sump Depth (inches) <br />78 112" <br />77 112" <br />76" <br />77 112" <br />Sump Bottom to Top of <br />Highest Pipe Penetration <br />(inches) <br />33" <br />42 112" <br />60" <br />37" <br />Test Start Time <br />1:40 p.m. <br />2:30p.m. <br />4:20 p.m. <br />3:30 p.m. <br />Initial Reading <br />.001 <br />.001 <br />.001 <br />.001 <br />Test End Time <br />2:10 p.m. <br />3:00 p.m. <br />4:50 p.m. <br />4:00 p.m. <br />Final Reading <br />•001 <br />•001 <br />.001 <br />.001 <br />Change in Reading <br />0 <br />0 <br />0 <br />0 <br />Pass/Fail Criteria <br />.005/30 min. <br />.005130 min. <br />.005130 min. <br />.005130 min. <br />Tightness Test Results <br />x Pass ❑ Fail <br />x Pass ❑ Fail <br />x Pass ❑ Fail <br />x Pass ❑ Fail <br />Sump1UDC ID <br />Sump Manufacturer <br />Sump Depth (inches) <br />Sump Bottom to Top of <br />Highest Pipe Penetration <br />(inches) <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 4 of 5 <br />