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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,(1 Vacuum I JHydrostatic <br /> Test Equipment Used:Vacuum Gauge <br /> Tank 1D 87-1 87-1/91 <br /> Tank Manufacturer Xerxes Xerxes <br /> Tank Capacity unk. Unk. <br /> Test Start Time 9:10AM 9:20AM <br /> Initial Reading -10psi -10psi <br /> Test End Time 10:10AM 10:20AM <br /> Final Reading -10psi -10psi <br /> Change in Reading opsi ospi <br /> Pass/Fail Criteria +/- opsi +/- Opsi <br /> Tightness Test Results ✓ Pas Fail ss"Fail Pass Fail Pass Fail <br /> 7. PIPE SECONDARY CONTAINMENT TEST <br /> Test Method Developed by I I Manufacturer ✓ I Industry Standard Professional Engineer <br /> Test Type 14 Pressure I Vacuum I jHydrostatic <br /> Test Equipment Used:Pressure Gauge <br /> Pipe Run ID 87 91 <br /> Pipe Manufacturer Smith Smith <br /> Test Start Time 8:30AM <br /> Initial Reading 5psi <br /> Test End Time 9:30AM <br /> Final Reading 5psi <br /> Change in Reading opai <br /> Pass/Fail Criteria +/- Opsi <br /> Tightness Test Results I jPassj✓ IFail I ✓ IPassl IFail I IPasslailjPassj 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 Pass FailPass 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 />