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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 rl Professional Engineer <br /> Test Type [r] Pressure ❑ Vacuum 0 Hydrostatic <br /> Test Equipment Used : <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 © Pass rl Fail © Pass © Fail © Pass rj Fail ❑ Pass n Fail <br /> 7 . PIPE SECONDARY CONTAINMENT TEST <br /> Test Method Developed by Manufacturer FZ] Industry Standard ❑I Professional Engineer <br /> Test Type F1 Pressure Vacuum © Hydrostatic <br /> Test Equipment Used : Caldwell Sump Tester <br /> Pipe Run ID New Oil/Antifreeze New Oil/Air UDC 1 /2 -to UDC 1 UDC 1 /2 to UDC 2 <br /> Pipe Manufacturer AOS AOS AOS AOS <br /> Test Start Time 11 : 00 am 11 : 00 am <br /> Initial Reading 1st Line 1st Line <br /> Test End Time 11 : 30 am 11 : 30 am <br /> Final Reading 1st Line 1st Line <br /> Change in Reading 0 0 <br /> Pass/Fail Criteria Pass Pass <br /> Tightness Test Results ® Pass ® Fail ® Pass M Fail ® Pass rl Fail ❑x Pass © Fail <br /> Pipe Run ID UDC 3/4 to UDC4 <br /> Pipe Manufacturer AOS <br /> Test Start Time 11 :45 am <br /> Initial Reading 1st Line <br /> Test End Time 12 : 15 pm <br /> Final Reading 1st Line <br /> Change in Reading 0 <br /> Pass/Fail Criteria Pass <br /> Tightness Test Results M Pass r! Fail M Pass rl Fail I rl Pass © Fail r Pass rj 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 />