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Underground Storage Tank <br /> Secondaty Containment Testing Report Form <br /> 6 . TANK SECONDARY CONTAINMENT TEST <br /> Test Method Developed by [:] Manufacturer EIndustry Standard ❑ Professional Engineer <br /> Test Type ❑ Pressure ZVacuum ❑ Hydrostatic <br /> Test Equipment Used : 0 to 30 inch hg . glycerin filled vacuum gauge ( s ) . <br /> Tank ID T1 Diesel <br /> Tank Manufacturer Xerxes <br /> Tank Capacity 550 <br /> Test Start Time 23 : 45 <br /> Initial Reading 10 <br /> Test End Time 12 : 45 <br /> Final Reading 10 <br /> Change in Reading 0 <br /> Pass/ Fail Criteria 0 <br /> Tightness Test Results ZPass [] Fail ❑ Pass ❑ Fail ❑ Pass ❑ Fail ❑ Pass ❑ Fail <br /> 7 . ` PIPE SECONDARY CONTAIsctMENT TEST <br /> Test Method Developed by ❑ Manufacturer ZIndustry Standard ❑ Professional Engineer <br /> Test Type ZPressure ❑Vacuum ❑ Hydrostatic <br /> Test Equipment Used : 0 to 15 psi glycerin filled pressure gauge (s) . <br /> Pipe Run ID Supply Return Vent <br /> Pipe Manufacturer Environ Environ Environ <br /> Test Start Time 11 : 30 11 : 30 23 : 30 <br /> Initial Reading 5 5 5 <br /> Test End Time 12 : 30 12 : 30 12 : 30 <br /> Final Reading 5 5 5 <br /> Change in Reading 0 0 0 <br /> Pass/ Fail Criteria 0 0 0 <br /> Tightness Test Results ZPass ❑ Fail ZPass ❑ Fail ZPass ❑ 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 test must be described in <br /> the COMMENTS section . <br /> f <br /> Page 2 of 5 <br /> l <br />