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Underground Storage Tank <br /> Secondary Containment Testing Report Farm <br /> 6. TANK SECONDARY CONTAINMENT TEST <br /> Test Method Developed by ❑ Manufacturer ❑ Industry Standard ❑ Professional Engineer <br /> Test Type ❑ Pressure ❑ Vacuum ❑ Hydrostatic <br /> Test Equipment Used: <br /> Tank ID <br /> Tank Manufacturer <br /> Tank Gapacity <br /> Test Start Time <br /> Initial Reading <br /> Test End Time <br /> Final Reading <br /> Change in Reading <br /> PasslFail Criteria <br /> Tightness Test Results ❑ Pass ❑ Fall ❑ Pass ❑ Fail ❑ Pass ❑ Fail ❑ Pass ❑ Fail <br /> 7. PIPE SECONDARY CONTAINMENT TEST <br /> Test Method Developed by ❑ Manufacturer Z Industry Standard ❑ Professional Engineer <br /> Test Type ® Pressure ❑ Vacuum ❑ Hydrostatic <br /> Test Equipment Used: gauge <br /> Pipe Ryan ID reg a reg b plus a plus b <br /> Pipe Manufacturer environ environ environ environ <br /> Test Start Time 9:39 9:39 9:39 9:39 <br /> Initial Reading 5psi 5psi 5psi 5psi <br /> Test End Time 10:39 10:39 10:39 10:39 <br /> Final Reading 0 3psi 5psi 1 psi <br /> Change in Reading 5 2psi 0 4psi <br /> PassfFail Criteria 0 0 0 0 <br /> Tightness Test Results ❑ Pass 0 Fait ❑ Pass ® Fail J Pass ❑ Fail ❑ Pass ✓❑ Fail <br /> Pipe Run ID sup a sup b <br /> Pipe Manufacturer environ environ <br /> Test Start Time 10:47 10:47 <br /> Initial Reading 5psi 5psi <br /> Test End Time 11:47 11:47 <br /> Final Reading 2psi 5psi <br /> Change in Reading 3psi 0 <br /> PassfFail Criteria 0 0 <br /> Tightness Test Results ❑ Pass B Fail 0 Pass ❑ Fail ❑ Pass ❑ Fail ❑ Pass ❑ Fail <br /> Additional copies of this page may be attached. <br /> All tests marked"Fall'and any repairs made before or during the tightness test must be described in <br /> the COMMENTS section. <br /> Page 2 of 5 <br />