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Underground Storage Tank <br />Secondary Containment Testing Report Form <br />6. TANK SECONDARY <br />CONTAINMENT TEST <br />Test Method Developed <br />by © Manufacturer <br />© Industry Standard <br />© Professional Engineer <br />Test Type <br />Test Equipment Used: <br />® Pressure <br />® Vacuum <br />Hydrostatic <br />87 Gasoline <br />89 Gasoline <br />91 Gasoline <br />facturer <br />Fffkl <br />Xerxes <br />Xerxes <br />Xerxes <br />city <br />10K <br />10K <br />8K <br />Test Start Time <br />09:09 <br />09:16 <br />09:23 <br />Initial Reading <br />10Hg <br />10H <br />10Hg <br />Test End Time <br />10:09 <br />10:16 <br />10:23 <br />Final Reading <br />10Hg <br />10Hg <br />10Hg <br />Change in Reading <br />0 <br />0 <br />0 <br />Pass/Fail Criteria <br />Tightness Test Results <br />+/- 0 <br />© Pass © Fail <br />+/- 0 <br />© Pass © Fail <br />+/- 0 <br />© Pass © Fail <br />© Pass © Fail <br />7. PIPE SECONDARY <br />CONTAINMENT TEST <br />Test Method Developed <br />Test Type <br />Test Equipment Used: <br />Pipe Run ID <br />by © Manufacturer <br />Pressure <br />87 Product <br />0 Industry Standard © Professional Engineer <br />© Vacuum © Hydrostatic <br />89 Product 91 Product <br />Pipe Manufacturer <br />Smith <br />Smith <br />Smith <br />Test Start Time <br />09:20 <br />09:23 <br />09:26 <br />Initial Reading <br />Test End Time <br />Final Reading <br />5 psig <br />10:20 <br />5 psig <br />5 psig <br />10:23 <br />5 psig <br />5 psig <br />10:26 <br />5 psig <br />Change in Reading <br />0 <br />0 <br />0 <br />Pass/Fail Criteria <br />Tightness Test Results <br />+/- 0 <br />® Pass © Fail <br />+/- 0 <br />® Pass © Fail <br />+/- 0 <br />© Pass © Fail <br />0 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 <br />Pass © Fail <br />�) Pass © Fail <br />© Pass © Fail <br />© Pass © Fail <br />Additional copies of this page maybe 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 />