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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 Gauges in Hg. Tank ID 1-87-Main 2&3-87S-91 4,5,&6-R-D-R Tank Manufacturer Modrn. Wld. Modrn. Wld. Modrn. Wld. Tank Capacity 12K 12K-2 comprt 12k-3 comprt Test Start Time 8:55 8:59 8:50 Initial Reading -10 Hg. -10 Hg. -10 Hg. Test End Time 9:55 9:59 9:50 Final Reading -10 Hg. -10 Hg. -10 Hg. Change in Reading 0 0 0 Pass/Fail Criteria No Loss No Loss No Loss Tightness Test Results ® Pass ❑ Fail I ® Pass ❑ Fail I ® Pass ❑ Fail ❑ Pass ❑ Fail 7. 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-Main 2-87-Siphon 3-91 4-110 Race Pipe Manufacturer Ameron Ameron Ameron Ameron Test Start Time 8:48 8:56 9:08 8:49 Initial Reading 5 Psi 5 Psi 5 Psi 5 Psi Test End Time 9:48 9:56 10:08 9:49 Final Reading 5 Psi 5 Psi 5 Psi 5 Psi Change in Reading 0 0 0 0 Pass/Fail Criteria No Loss No Loss No Loss No Loss Tightness Test Results © Pass ❑ Fail © Pass ❑ Fail ® Pass ❑ Fail ® Pass ❑ Fail Pipe Run ID 5-Diesel 6-100 Race Pipe Manufacturer Ameron Ameron Test Start Time 8:45 8:40 Initial Reading 5 Psi 5 Psi Test End Time 9:45 9:40 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 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