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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 />Test Method Developed by Manufacturer Industry Standard Professional Engineer <br />Test Type Pressure Vacuum Hydrostatic <br />Test Equipment Used: <br />Sump/UDC ID <br />Sump Manufacturer <br />Sump Depth (inches) <br />Sump Bottom to Top of <br />Highest Pipe Penetration <br />(inches) <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 />Sump/UDC ID <br />Sump Manufacturer <br />Sump Depth (inches) <br />Sump Bottom to Top of <br />Highest Pipe Penetration <br />(inches) <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 />8. SUMP/UDC TEST <br />UDC 19 19 SAT UDC 20 UDC 21 <br />Bravo Bravo Bravo Bravo <br />30" 20" 30" 29" <br />9" 8" 10" 8" <br />11:01am 11:01am 11:01am 2:09pm <br />2.1592 3.0255 3.9247 1.9914 <br />11:16am 11:16am 11:16am 2:24pm <br />2.1583 3.0251 3.9253 1.9915 <br />0.0009 0.0004 -0.0006 -0.0001 <br />+/- 0.002 +/- 0.002 +/- 0.002 +/- 0.002 <br />20 SAT UDC 22 21 SAT UDC 23 <br />Bravo Bravo Bravo Bravo <br />21" 30" 19" 30" <br />12" 11" 9" 10" <br />2:09pm 2:09pm 4:10pm 4:10pm <br />3.7722 3.8978 3.6000 3.9979 <br />2:24pm 2:24pm 4:25pm 4:25pm <br />3.7719 3.8974 3.5986 3.9978 <br />0.0003 0.0004 0.0014 0.0001 <br />+/- 0.002 +/- 0.002 +/- 0.002 +/- 0.002