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Underground Storage Tank <br /> Secondary Containment Testing Report Form <br /> 6. TANK SECONDARY CONTAINMENT TEST <br /> Test Method Developed by 0 Manufacturer C✓ Industry Standard C Professional Engineer <br /> Test Type 0 Pressure 0 Vacuum ❑Q Hydrostatic <br /> Test Equipment Used: <br /> Tank ID Gasoline-87 Gasoline-91 E85 Diesel <br /> Tank Manufacturer Modern Modern Modern Modern <br /> Tank Capacity 20,000 20,000 20,000 12,000 <br /> Test Start Time 10:28 9:52 10:08 9:33 <br /> Initial Reading 7 7 7 7 <br /> Test End Time 12:28 11:52 12:08 10:33 <br /> Final Reading 7 7 7 7 <br /> Change in Reading 0 0 0 0 <br /> Pass/Fail Criteria 0 0 0 0 <br /> Tightness Test Results 0✓ Pass 0 Fail ® Pass C Fail ® Pass 0 Fail ❑x Pass [ Fail <br /> 7. PIPE SECONDARY CONTAINMENT TEST <br /> Test Method Developed by El Manufacturer 0 Industry Standard © Professional Engineer <br /> Test Type © Pressure 0 Vacuum C Hydrostatic <br /> Test Equipment Used: <br /> Pipe Run ID Gasoline-87 Gasoline -91 E85 Diesel <br /> Pipe Manufacturer Smith Smith Smith Smith <br /> Test Start Time 9:33 9:46 9:40 9:42 <br /> Initial Reading 5 5 5 5 <br /> Test End Time 10:33 10:46 10:40 10:42 <br /> Final Reading 5 5 5 5 <br /> Change in Reading 0 0 0 0 <br /> Pass/Fail Criteria 0 0 0 0 <br /> Tightness Test Results M Pass C Fail E Pass C Fail Pass IC Fail ❑x Pass C 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 0 Pass 0 Fail 0 Pass C Fail I 0 Pass C Fail C Pass 0 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 />