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Underground Storage Tank <br /> Secondary Containment Testing Report Form <br /> 6. TANK SECONDARY CONTAINMENT TEST <br /> Test Method Developed byManufacturer */ Industry Standard Professional Engineer <br /> Test Type EPressure ✓ Vacuum Hydrostatic <br /> Test Equipment Used:Vacuum Gauge <br /> Tank ID <br /> Tank Manufacturer <br /> Tank Capacity <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 IPasdFail Pass Fail I JPassjFail IF—]Passl JLail <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 <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 _j Passl IFail 11 jPassjFailPass ail IPassl jFailj <br /> Pipe Run ID 87 Prod. <br /> Pipe Manufacturer Smith <br /> Test Start Time 12:45PM <br /> Initial Reading 5psi <br /> Test End Time 1:46PM <br /> Final Reading spsi <br /> Change in Reading opei <br /> Pass/Fail Criteria +/- apai <br /> Tightness Test Results ✓ Pass Fail Pass ail Pass Fail 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 />