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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 ✓ Industry Standard Professional Engineer <br /> Test Type Pressure 1,( Vacuum JHydrostatic <br /> Test Equipment Used:Vacuum Gauge <br /> Tank ID 87-1 87-1/91 <br /> Tank Manufacturer Xerxes Xerxes <br /> Tank Capacity Dnk. unk. <br /> Test Start Time 9:10AM 9:20AM <br /> Initial Reading -10psi -iopsi <br /> Test End Time 10:10AM 10:z0AM <br /> Final Reading -iopsi -10psi <br /> Change in Reading opsi oapi <br /> Pass/Fail Criteria +/- opsi +/- opsi <br /> Tightness Test Results ✓ Pas Fai! Pass Fail Pass Fail Pass Fail <br /> 7. PIPE SECONDARY CONTAINMENT TEST <br /> Test Method Developed by Manufacturer ✓ industry Standard Professional Engineer <br /> Test Type ✓ Pressure Vacuum Hydrostatic <br /> Test Equipment Used:Pressure Gauge <br /> Pipe Run ID 87 91 DSL <br /> Pipe Manufacturer Smith Smith Smith <br /> Test Start Time 8:3oAM 0:3SAM <br /> Initial Reading spsi spsi <br /> Test End Time 9:3OAM 9:3SAM <br /> Fina! Reading spsi Spsi <br /> Change in Reading opsi Opsi <br /> ass ail Criteria +/- Opsi +/- opsi <br /> Tightness Test Results j[—]Passl jFacil I IPasslFail 11 ✓ jPassj rail I jPassjFail <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 I JPassjFail Pass ailPass IFail Pas 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 />