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Underground Storage Tank Secondary Containment Testing Report Form 6. TANK SECONDARY CONTAINMENT TEST Test Method Developed by ❑ Manufacturer 0 Industry Standard ❑ Professional Engineer Test Type ❑ Pressure 0 Vacuum ❑ Hydrostatic Test Equipment Used:0-30 IN HG gauge Tank ID T-5 Motor Oil T-6 W.O.Tank Field T-7 Soap Tank Tank Manufacturer Owens Corning Owens Corning Owens Corning Tank Capacity 10,000 G 6000 G 10,000 G Test Start Time 12:07 PM 12:28 PM 9:29 AM Initial Reading 10.2 IN HG 10.2 IN HG 10.2 IN HG Test End Time 1:07 PM 1:28 PM 10:29 AM Final Reading 10.2 IN HG 10.2 IN HG 10.2 IN HG Change in Reading 0 IN HG 0 IN HG 0 IN HG Pass/Fail Criteria +/-0 IN HG +/-0 IN HG +/-0 IN HG Tightness Test Results 0 Pass ❑ Fail Z Pass ❑ Fail 0 Pass ❑ Fail ❑ Pass ❑ Fail 7. PIPE SECONDARY CONTAINMENT TEST Test Method Developed by ❑ Manufacturer 0 Industry Standard ❑ Professional Engineer Test Type 0 Pressure ❑ Vacuum ❑ Hydrostatic Test Equipment Used:0-15 PSI Gauge Pipe Run ID T-5 Motor Oil T-6 W.O.Tank Field T-7 Soap Tank Pipe Manufacturer AO Smith AO Smith AO Smith Test Start Time 10:54 AM 10:55 AM 9:09 AM Initial Reading 5.0 PSI 5.0 PSI 5.2 PSI Test End Time 11:54 AM 11:55 AM 10:09 AM Final Reading 5.0 PSI 5.0 PSI 5.2 PSI Change in Reading 0 PSI 0 PSI 0 PSI Pass/Fail Criteria +/-0 PSI +/-0 PSI +/-0 PSI Tightness Test Results 0 Pass ❑ Fail 0 Pass ❑ Fail 0 Pass ❑ Fail ❑ Pass ❑ Fail Pipe Run ID Pipe Manufacturer Test Start Time Initial Reading Test End Time Final Reading Change in Reading Pass/Fail Criteria Tightness Test Results ❑ Pass ❑ Fail ❑ Pass ❑ Fail ❑ Pass ❑ Fail ❑ Pass ❑ Fail Additional copies of this page may be attached. All tests marked "Fail"and any repairs made before or during the tightness test must be described in the COMMENTS section. Page 2 of 5