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Underground Storage Tank <br />Secondary Containment Testing Report Form <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 />Additional copies of this page may be attached. <br />Test Method Developed by ☒ Manufacturer ☒ Industry Standard ☐ Professional Engineer <br />Test Type ☐Pressure ☐Vacuum ☒Hydrostatic <br />Test Equipment Used: F.F.S. Incon TS-STS Sump Tester w/ + or – 0.002” graduations <br />Sump/UDC ID UDC 5-6 Diesel STP 91 STP UDC 7-8 <br />Sump Manufacturer Bravo Total Containment Total Containment Bravo <br />Sump Depth (inches) 12” 72” 72” 12” <br />Sump Bottom to Top of <br />Highest Pipe Penetration <br />(inches) <br />Piping comes <br />from bottom of <br />UDC <br />28” 28” Piping comes <br />from bottom of <br />UDC <br />Test Start Time 9:45am 9:45am 9:45am <br />Initial Reading 1.7276” 3.8459” 5.0850” <br />Test End Time 10:00am 10:00am 10:00am <br />Final Reading 1.7274” 3.8459” 5.0843” <br />Change in Reading -0.0002”0.00” -0.0007”Visual Fail <br />Pass/Fail Criteria + or – 0.002”+ or – 0.002”+ or – 0.002”+ or – 0.002” <br />Tightness Test Results ☒Pass ☐ Fail ☒Pass ☐ Fail ☒Pass ☐ Fail ☐Pass ☒ Fail <br />Sump/UDC ID UDC 1-2 UDC 3-4 87 STP W.O. <br />Sump Manufacturer Bravo Bravo Total Containment Total Containment <br />Sump Depth (inches) 12” 12” 72” 74” <br />Sump Bottom to Top of <br />Highest Pipe Penetration <br />(inches) <br />Piping comes <br />from bottom of <br />UDC <br />Piping comes <br />from bottom of <br />UDC <br />28” 22” <br />Test Start Time 10:18am 10:18am 12:45pm <br />Initial Reading 2.1747” 4.0490” 4.0792” <br />Test End Time 10:33am 10:33am 1:00pm <br />Final Reading 2.1749” 4.0479” 4.0795” <br />Change in Reading +0.0002”-0.0011”Not tested +0.0003” <br />Pass/Fail Criteria + or – 0.002”+ or – 0.002”+ or – 0.002”+ or – 0.002” <br />Tightness Test Results ☒Pass ☐ Fail ☒Pass ☐ Fail ☐Pass ☒ Fail ☒Pass ☐ Fail <br />Additional copies of this page may be attached. <br />8. SUMP/UDC TEST