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Underground Storage Tank <br />Secondary Containment Testing Report Form <br />16. TANK SECONDARY CONTAINMENT TEST <br />Test Method Developed by ❑ Manufacturer ❑ Industry Standard ❑ Professional Engineer <br />Test Type ❑ Pressure 0 Vacuum ❑ Hydrostatic <br />Test Equipment Used: 4" Dial Gauge <br />Tank ID <br />Diesel <br />Unleaded <br />Waste Oil <br />Waste Oil Vent <br />Tank Manufacturer <br />Modern Welding <br />Modern Welding <br />Modern Welding <br />AO Smith <br />Tank Capacity <br />10,081 <br />10,081 <br />1,000 <br />1:19 PM <br />Test Start Time <br />9:01 AM <br />9:01 AM <br />11:58 AM <br />5 PSI <br />Initial Reading <br />-10 HG <br />-10 HG <br />-10 HG <br />2:19 PM <br />Test End Time <br />10:01 AM <br />10:01 AM <br />12:58 PM <br />5 PSI <br />Final Reading <br />-10 HG <br />-10 HG <br />-10 HG <br />0 <br />Change in Reading <br />0 <br />0 <br />0 <br />0 <br />Pass/Fail Criteria <br />0 <br />0 <br />0 <br />❑✓ Pass ❑ Fail <br />Tightness Test Results <br />❑✓ Pass ❑ Fail <br />I ❑✓ Pass ❑ Fail <br />I ❑✓ Pass ❑ Fail <br />I ❑ Pass ❑ Fail <br />7. PIPE SECONDARY CONTAINMENT TEST <br />Test Method Developed by ❑ Manufacturer ❑✓ Industry Standard ❑ Professional Engineer <br />Test Type ❑✓ Pressure ❑ Vacuum ❑ Hydrostatic <br />Test Equipment Used: 4" Dial Gauge <br />Pipe Run ID <br />Diesel <br />Unleaded <br />Waste Oil Supply <br />Waste Oil Vent <br />Pipe Manufacturer <br />AO Smith <br />AO Smith <br />AO Smith <br />AO Smith <br />Test Start Time <br />9:01 AM <br />9:01 AM <br />12:54 PM <br />1:19 PM <br />Initial Reading <br />5 PSI <br />5 PSI <br />5 PSI <br />5 PSI <br />Test End Time <br />10:01 AM <br />10:01 AM <br />1:54 PM <br />2:19 PM <br />Final Reading <br />5 PSI <br />5 PSI <br />5 PSI <br />5 PSI <br />Change in Reading <br />0 <br />0 <br />0 <br />0 <br />Pass/Fail Criteria <br />0 <br />0 <br />0 <br />0 <br />Tightness Test Results <br />❑✓ Pass ❑ Fail <br />❑✓ Pass ❑ Fail <br />10 Pass ❑ Fail <br />❑✓ 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 <br />❑ Pass ❑ Fail <br />❑ Pass ❑ Fail <br />I ❑ Pass ❑ Fail <br />❑ 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 />