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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 I Industry Standard Professional Engineer <br /> Test Type Pressure Vacuum Hydrostatic <br /> Test Equipment Used: <br /> Tank ID <br /> Tank Manufacturer <br /> Tank Capacity <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 F—[P—asT JFail Lj iI_J jPassr]tail—L jPassj IFail <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: <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 jPass Fail JFail Pass FailPass 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 11 jPassjFail Pass IFail Pass Fail I JPasAFail <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 2of5 <br />