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Underground Storage Tank <br /> Secondary Containment Testing Report Form <br /> Test Method Developed by ® Manufacturer ® Industry Standard ❑ Professional Engineer <br /> Test Type ❑ Pressure ® Vacuum ❑ Hydrostatic <br /> Test Equipment Used: 0-30inHg. 4" Vacuum Gauges w/ 0.05 graduations <br /> Tank ID T1:87 T2:Diesel <br /> Tank Manufacturer Modern Weldi g Modern Weldi g <br /> Tank Capacity 12K 12K <br /> Test Start Time 10:OOam 10:OOam <br /> Initial Reading -10hg -10hg <br /> Test End Time 11:00am 11:00am <br /> Final Reading -10hg -10hg <br /> Change in Reading 0 0 <br /> Pass/Fail Criteria No Loss No Loss <br /> Tightness Test Results ® Pass ❑ Fail ® Pass ❑ Fail ❑ Pass ❑ Fail ❑ Pass ❑ Fail <br /> 7. PIPE SECONDARY CONTAINMENT TEST <br /> Test Method Developed by ® Manufacturer ® Industry Standard ❑ Professional <br /> Engineer <br /> Test Type ® Pressure ❑ Vacuum ❑ Hydrostatic <br /> Test Equipment Used: Dual 0-15psi 4" Pressure Gauges w/ 0.05 graduations <br /> Pipe Run ID T1:87 Prod T2:Diesel Prod <br /> Pipe Manufacturer A.O. Smith A.O. Smith <br /> Test Start Time 8:30am 8:30am <br /> Initial Reading 5 psi 5 psi <br /> Test End Time 9:30am 9:30am <br /> Final Reading 5 psi 5 psi <br /> Change in Reading 0 0 <br /> Pass/Fail Criteria No Loss No Loss <br /> Tightness Test Results ® Pass ❑ Fail ® Pass ❑ Fail ❑ Pass ❑ Fail ❑ 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 ❑ Pass ❑ Fail ❑ Pass ❑ Fail ❑ Pass ❑ Fail ❑ Pass ❑ Fail <br /> All tests marked "Fail"and any repairs made before or during the tightness test must be described in the <br /> COMMENTS section. <br /> Page 2 of 5 <br />