Laserfiche WebLink
Underground Storage Tank <br /> Secondary Containment Testing Report Form <br /> 6. TANK SECONDARY CONTAINMENT TEST <br /> Test Method Developed by ❑ Manufacturer 0 Industry Standard ❑ Professional Engineer <br /> Test Type ❑ Pressure 0 Vacuum ❑ Hydrostatic <br /> Test Equipment Used:0-30 IN HG gauge <br /> Tank ID T-1 W.O. Near Rack T-2 W.O. Near Gate T-3 Anti Freeze T-4 Gear Oil <br /> Tank Manufacturer Owens Corning Owens Corning Owens Corning Owens Corning <br /> Tank Capacity 4000 G 1000 G 6000 G 6000 G <br /> Test Start Time N/A Tank Exempt. N/A Tank Exempt. N/A Tank Exempt. N/A Tank Exempt. <br /> Initial Reading Wet Annular Wet Annular Wet Annular Wet Annular <br /> Test End Time <br /> Final Reading <br /> Change in Reading <br /> Pass/Fail Criteria <br /> Tightness Test Results ❑ Pass ❑ Fail I ❑ Pass ❑ Fail I ❑ Pass ❑ Fail I ❑ Pass ❑ Fail <br /> 7. PIPE SECONDARY CONTAINMENT TEST <br /> Test Method Developed by ❑ Manufacturer 0 Industry Standard ❑ Professional Engineer <br /> Test Type 0 Pressure ❑ Vacuum ❑ Hydrostatic <br /> Test Equipment Used:0-15 PSI Gauge <br /> Pipe Run ID T-1 W.O. Near rack T-2 W.O. Near Gate T-3 Anti Freeze T-4 Gear Oil <br /> Pipe Manufacturer AO Smith AO Smith AO Smith AO Smith <br /> Test Start Time 4:40 PM 4:19 PM 10:50 AM 10:52 AM <br /> Initial Reading 5.2 PSI 5.2 PSI 5.2 PSI 5.0 PSI <br /> Test End Time 5:40 PM 5:19 PM 11:50 AM 11:52 AM <br /> Final Reading 5.2 PSI 5.2 PSI 5.2 PSI 5.0 PSI <br /> Change in Reading 0 PSI 0 PSI 0 PSI 0 PSI <br /> Pass/Fail Criteria +/-0 PSI +/-0 PSI +/-0 PSI +/-0 PSI <br /> Tightness Test Results 0 Pass ❑ Fail 0 Pass ❑ Fail 0 Pass ❑ Fail 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 ❑ Pass ❑ Fail ❑ Pass ❑ Fail ❑ Pass ❑ Fail ❑ 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 />