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Underground Storage Tank Secondary Containment Testing Report Form 6. TANK SECONDARY CONTAINMENT TEST Test Method Developed by ❑ Manufacturer © Industry Standard ❑ Professional Engineer Test Type ❑ Pressure © Vacuum ❑ Hydrostatic Test Equipment Used: Vacuum Pump/Vacuum Gauges in Hg. Tank ID 1-91 2-87-Master 3-87-Siphon 4-Diesel Tank Manufacturer CSI CSI CSI CSI Tank Capacity 12K 10K 10K 10K Test Start Time 9:30 9:40 9:50 10:00 Initial Reading -10" Hg. -10" Hg. -10" Hg. -10" Hg. Test End Time 10:30 10:40 10:50 11:00 Final Reading -10" Hg. -10" Hg. -10" Hg. -10" Hg. Change in Reading 0 0 0 0 Pass/Fail Criteria No Loss No Loss No Loss No Loss Tightness Test Results ® Pass ❑ Fail I ® Pass ❑ Fail ® Pass ❑ Fail I ® Pass ❑ Fail 7. PIPE SECONDARY CONTAINMENT TEST Test Method Developed by ❑ Manufacturer ® Industry Standard ❑ Professional Engineer Test Type ® Pressure ❑ Vacuum ❑ Hydrostatic Test Equipment Used: Pressure Gauges in Psi/Nitrogen Pipe Run ID 1-91-Product 2-91-Vent 3-87-M-Pro 4-87-Siphon Pipe Manufacturer Smith Smith Smith Smith Test Start Time 9:35 9:38 9:43 9:48 Initial Reading 5 Psi 5 Psi 5 Psi 5 Psi Test End Time 10:35 10:38 10:43 10:48 Final Reading 5 Psi 5 Psi 5 Psi 5 Psi Change in Reading 0 0 0 0 Pass/Fail Criteria No Loss No Loss No Loss No Loss Tightness Test Results © Pass ❑ Fail © Pass ❑ Fail ® Pass ❑ Fail ® Pass ❑ Fail Pipe Run ID 5-87M/S-Vent 6-Dsl Pro 7-Dsl Vent 8-Gas Vapor Pipe Manufacturer Smith Smith Smith Smith Test Start Time 9:50 9:53 9:58 9:46 Initial Reading 5 Psi 5 Psi 5 Psi 5 Psi Test End Time 10:50 10:53 10:58 10:46 Final Reading 5 Psi 5 Psi 5 Psi 5 Psi Change in Reading 0 0 0 0 Pass/Fail Criteria No Loss No Loss No Loss No Loss 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 2of5