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Underground Storage Tank <br /> Secondary Containment Testing Report Form <br /> S. SUMPiUDC TEST <br /> Test Method Developed by Ll Manufacturer 0 Industry Standard L] Professional Engineer <br /> Test Type Ll Pressure Ll Vacuum 0 Hydrostatic <br /> Test Equipment Used: lake test <br /> SumpfUDC ID reg stp plus stp sup stp udc 1/2 <br /> Sump Manufacturer unknown unknown unknown environ <br /> Sump Depth (inches) 67 63 62 30 <br /> Sump Bottom to Top of 23 23 22 10 <br /> Highest Pipe Penetration <br /> (inches) <br /> Test Stark Time 11:36 9:48 9:48 11:21 <br /> Initial Reading 27in 27in 26in 14in <br /> Test End Time 12:36 10:48 10:48 12:21 <br /> Final Reading 27in 27in 26in 14in <br /> Change in Reading o 0 0 0 <br /> Pass/Fail Criteria .125in .125in .125in .125in <br /> Tightness Test Results A Pass Ll Fail 0 Pass J Fail 14 Pass Ll Fail 0 Pass Ll Fail <br /> Sump/111.111113C ID udc 3/4 udc 5/6 udc 7/8 udc 9/10 <br /> Sump Manufacturer environ environ environ environ <br /> Sump Depth (inches) 30 30 30 30 <br /> Sump Bottom to Top of 10 10 10 110 <br /> Highest Pipe Penetration <br /> (inches) <br /> Test Start Time 11:21 9:48 11:21 11:21 <br /> Initial Reading 14in 14in 14in 14in <br /> Test End Time 12:21 10:48 12:21 12:21 <br /> Final Reading 14in 14in 14in 14in <br /> Change in Reading o 0 0 0 <br /> Pass/Fail Criteria .125in .125in .125in .125in <br /> Tightness Test Results ® Pass Ll Fail �OPass Ll Fail ® Pass Ll Fail ® Pass Ll 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 3 of 5 <br />