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Underground Storage Tank <br /> Secondary Containment Testing Report Form <br /> 6. TANK SECONDARY CONTAINMENT TEST <br /> Test Method Developed by © Manufacturer M Industry Standard i❑ Professional Engineer <br /> Test Type ❑Q Pressure 0 Vacuum © Hydrostatic <br /> Test Equipment Used: <br /> Tank ID 87 91 Diesel <br /> Tank Manufacturer Xerxes Xerxes Xerxes <br /> Tank Capacity 10K 10K 8K <br /> Test Start Time 09:16 09:17 09:18 <br /> Initial Reading -7 Hg -7 Hg -7 Hg <br /> Test End Time 10:16 10:17 10:18 <br /> Final Reading -7 Hg -7 Hg -7 Hg <br /> Change in Reading 0 0 0 <br /> Pass/Fail Criteria +/-0 +/-0 +/-0 <br /> Tightness Test Results E Pass [M Fail 0 Pass © Fail 0 Pass ❑ Fail ❑ Pass ❑ Fail <br /> 7. PIPE SECONDARY CONTAINMENT TEST <br /> Test Method Developed by ❑ Manufacturer ❑✓ Industry Standard r] Professional Engineer <br /> Test Type 0 Pressure ❑ Vacuum © Hydrostatic <br /> Test Equipment Used: <br /> Pipe Run ID 87 91 Diesel <br /> Pipe Manufacturer Smith Smith Smith <br /> Test Start Time 09:00 09:01 09:02 <br /> Initial Reading 5 Psig 5 Psig 5 Psig <br /> Test End Time 10:13 10:17 <br /> Final Reading 5 Psig 5 Psig 5 Psig <br /> Change in Reading 0 0 0 <br /> Pass/Fail Criteria +/-0 +/-0 +/-0 <br /> Tightness Test Results Pass © Fail E Pass 0 Fail F 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 0 Pass ❑ Fail C Pass 0 Fail 0 Pass 0 Fail 0 Pass ❑ 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 />