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Underground Storage Tank <br /> Secondary Containment Testing Report Form <br /> 6. TANK SECONDARY CONTAINMENT TEST <br /> Test Method Developed by ❑ Manufacturer ❑ Industry Standard ❑ Professional Engineer <br /> Test Type ❑ Pressure 0 Vacuum ❑ Hydrostatic <br /> Test Equipment Used: Gauge <br /> Tank ID UE020U001 <br /> Tank Manufacturer Modern Welding <br /> Tank Capacity 8,000 gallons <br /> Test Start Time 09:00 A.M. <br /> Initial Reading -10"hg <br /> Test End Time 10:00 A.M. <br /> Final Reading -10"hg <br /> Change in Reading 0.00° hg <br /> Pass/Fail Criteria Pass <br /> Tightness Test Results ❑✓ Pass ❑ Fail ❑ Pass ❑ Fail ❑ Pass ❑ Fail ❑ Pass ❑ F2LJj <br /> 7. PIPE SECONDARY CONTAINMENT TEST <br /> Test Method Developed by ❑ Manufacturer ❑ Industry Standard ❑ Professional Engineer <br /> Test Type ❑✓ Pressure ❑ Vacuum ❑ Hydrostatic <br /> Test Equipment Used: 0-10 P.S.I. Gauge <br /> Pipe Run ID UE020U001 Supply UE020U001 Return <br /> Pipe Manufacturer Total Containment Western Fiberglass <br /> Test Start Time 09:00 A.M. 09:00 A.M. <br /> Initial Reading 5 psi 5 psi <br /> Test End Time 10:00 A.M. 10:00 A.M. <br /> Final Reading 5 psi 5 psi <br /> Change in Reading 0 psi 0 psi <br /> Pass/Fail Criteria Pass Pass <br /> Tightness Test Results ❑✓ Pass ❑ Fail ❑✓ Pass ❑ Fail ❑ Pass ❑ Fail ❑ Pass ❑ Fail <br /> Pipe Run ID vent <br /> Pipe Manufacturer 4" Poly Rock Guard <br /> Test Start Time 09:00 A.M. <br /> Initial Reading 5 psi <br /> Test End Time 10:00 A.M. <br /> Final Reading 5 psi <br /> Change in Reading 0.00 psi <br /> Pass/Fail Criteria Pass <br /> Tightness Test Results ❑✓ Pass ❑ Fail ❑ Pass ❑ Fail ❑ Pass ❑ Fail ❑ 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 />