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Underground Storage Tank Secondary Containment Testing Report Form 6. TANK SECONDARY CONTAINMENT TEST Test Method Developed by ❑ Manufacturer © Industry Standard ❑ Professional Engineer Test Type ❑ Pressure © Vacuum ❑ Hydrostatic Test Equipment Used: Vacuum Pump/Vacuum Gauge in Hg. Tank ID 1 &2-87-91 2-91 Tank Manufacturer K&T Steel Smith Tank Capacity 12K 2 Compt. 11:40 Test Start Time 11:45 5 Psi Initial Reading -10" Hg. 12:40 Test End Time 12:45 5 Psi Final Reading -10" Hg. 0 Change in Reading 0 No Loss Pass/Fail Criteria No Loss © Pass ❑ Fail ❑ Pass ❑ Fail ❑ Pass ❑ Fail Tightness Test Results ® Pass ❑ Fail I ❑ Pass ❑ Fail I ❑ Pass ❑ Fail I ❑ Pass ❑ Fail 17. PIPE SECONDARY CONTAINMENT TEST Test Method Developed by ❑ Manufacturer ® Industry Standard ❑ Professional Engineer Test Type ® Pressure ❑ Vacuum ❑ Hydrostatic Test Equipment Used: Pressure Gauges in Psi/Nitrogen Pipe Run ID 1-87 2-91 Pipe Manufacturer Smith Smith Test Start Time 11:35 11:40 Initial Reading 5 Psi 5 Psi Test End Time 12:35 12:40 Final Reading 5 Psi 5 Psi Change in Reading 0 0 Pass/Fail Criteria No Loss No Loss Tightness Test Results © Pass ❑ Fail © Pass ❑ Fail ❑ Pass ❑ Fail ❑ Pass ❑ Fail Pipe Run ID Pipe Manufacturer Test Start Time Initial Reading Test End Time Final Reading Change in Reading Pass/Fail Criteria Tightness Test Results ❑ Pass ❑ Fail ❑ Pass ❑ Fail ❑ Pass ❑ Fail ❑ Pass ❑ Fail Additional copies of this page may be attached. All tests marked "Fail' and any repairs made before or during the tightness test must be described in the COMMENTS section. Page 2of5