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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 4 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 (continued) <br />22 SAT UDC 24 23 SAT 24 SAT <br />Bravo Bravo Bravo Bravo <br />22" 31" 18" 19" <br />12"15"10"10" <br />4:10pm 5:52pm 5:52pm 6:34pm <br />2.5487 5.1650 5.2180 3.7749 <br />4:25pm 6:07pm 6:07pm 6:50pm <br />2.5486 5.1654 5.2183 3.7740 <br />0.0001 -0.0004 -0.0003 0.0009 <br />+/- 0.002 +/- 0.002 +/- 0.002 +/- 0.002 <br />UDC 25 UDC 26 25 SAT UDC 27 <br />Bravo Bravo Bravo Bravo <br />30" 30" 20" 31" <br />8"12"9"13" <br />10:24am 11:24am 11:24am 1:09pm <br />2.2906 4.6659 4.4072 1.0541 <br />10:39am 11:39am 11:39am 1:24pm <br />2.2905 4.6660 4.4074 1.0539 <br />0.0001 -0.0001 -0.0002 0.0002 <br />+/- 0.002 +/- 0.002 +/- 0.002 +/- 0.002