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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 13 UDC 16 UDC 7/8 UDC 9/10 <br />Bravo Bravo Bravo Bravo <br />28" 29" 30" 30" <br />10" 9" 10" 9" <br />3:23pm 3:23pm 9:43am 9:43am <br />6.7579 6.2907 4.2386 6.6320 <br />3:38pm 3:38pm 9:58am 9:58am <br />6.7572 6.2911 4.2380 6.6301 <br />0.0007 -0.0004 0.0006 0.0019 <br />+/- 0.002 +/- 0.002 +/- 0.002 +/- 0.002 <br />UDC 11/12 UDC 1/2 UDC 3/4 UDC 5/6 <br />Bravo Bravo Bravo Bravo <br />32" 29" 30" 30" <br />12" 11" 10" 12" <br />9:43am 12:12pm 12:12pm 11:34am <br />6.7721 5.9518 3.2601 4.5669 <br />9:58am 12:27pm 12:27pm 11:49am <br />6.7716 5.9517 3.2600 4.5665 <br />0.0005 0.0001 0.0001 0.0004 <br />+/- 0.002 +/- 0.002 +/- 0.002 +/- 0.002