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Underground Storage Tank <br /> Secondary Containment Testing Report Form <br /> 6. TANK SECONDARY CONTAINMENT TEST <br /> Test Method Developed by ❑ Manufacturer ❑ Industry Standard ❑ Professional Engineer <br /> Test Type ❑ Pressure M Vacuum ❑ Hydrostatic <br /> Test Equipment Used: <br /> Tank ID regular premium diesel <br /> Tank Manufacturer owen corning owen corning owen corning <br /> Tank Capacity 10,000 10,000 10,000 <br /> Test Start Time 2:05pm 12:45pm 11:15am <br /> Initial Reading -15 inhg -15 inhg -15 inhg <br /> Test End Time 3:05pm 1:45pm 12:15pm <br /> Final Reading -15 inhg -15 inhg -15 inhg <br /> Change in Reading 0 0 0 <br /> Pass/Fail Criteria <br /> Tightness Test Results M Pass ❑ Fail I ® Pass ❑ Fail ® Pass ❑ Fail ❑ Pass ❑ Fail <br /> 7. PIPE SECONDARY CONTAINMENT TEST <br /> Test Method Developed by ❑ Manufacturer ❑ Industry Standard ❑ Professional Engineer <br /> Test Type M Pressure O Vacuum ❑ Hydrostatic <br /> Test Equipment Used: compressed air <br /> Pipe Run ID regular premium diesel dsl spare <br /> Pipe Manufacturer smith smith smith smith <br /> Test Start Time 11:30pm 11:30pm 11:30pm 11:30pm <br /> Initial Reading 5psi 5psi 5psi 5psi <br /> Test End Time 12:30pm 12:30pm 12:30pm 12:30pm <br /> Final Reading 5psi 2psi 5psi 0 psi <br /> Change in Reading 0 -3psi 0 -5 <br /> Pass/Fail Criteria <br /> Tightness Test Results ® Pass ElFail ❑ Pass ® Fail ® Pass ❑ Fail El 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 IF 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 /> Page 2 of 5 <br />