Laserfiche WebLink
Underground Storage Tank <br /> Secondary Containment Testing Report Form <br /> 6. TANK SECONDARY CONTAINMENT TEST <br /> Test Method Developed by ❑ Manufacturer 18Z Industry Standard ❑ Professional Engineer <br /> Test Type ❑ Pressure N Vacuum ❑ Hydrostatic <br /> Test Equipment Used: W <br /> Tank I® <br /> i <br /> Tank Manufacturer <br /> Tank Capacity 1® � ® 000 <br /> Test Start Time .30 30 Avh <br /> Initial Reading -10.0 d10,0 <br /> 01 <br /> Test End Time to, 10:30 <br /> Final Reading - 10, /14 -to.0"M <br /> Change in Reading 0 <br /> Pass/Fail Criteria 0 <br /> Tightness Test Results ® Pass ❑ Fail ® Pass ❑ Fail ❑ Pass ❑ Fall ❑ Pass ❑ Fail <br /> 7, 'PIPE SECONDARY CONTAINMENT TEST <br /> Test Method Developed by ❑ Manufacturer I Industry Standard ❑ Professional Engineer <br /> Test Type 19 Pressure ❑ Vacuum ❑ Hydrostatic <br /> Test Equipment Used: <br /> Pipe Run ID /, 9 / <br /> Pipe Manufacturer Awe tov-+ bmw v vA <br /> Test Start Time :00 ." t0:00 a,• <br /> Initial Reading 0 5,v125' ; <br /> Test End Time t :od Q0 �, 4 <br /> Final Reading 6,0 0 <br /> Change in Reading <br /> Pass/Fail Criteria kf <br /> Tightness Test Results 0 Pass ❑ Fail I-Pass ❑ Fail UK Pass ❑ Fail ❑ 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 fest must be described in <br /> the COMMENTS section. <br /> Page 2 of 5 <br />