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Underground Storage Tank Secondary Containment Testing Report Form 6. TANK SECONDARY CONTAINMENT TEST Test Method Developed by ❑ Manufacturer © Industry Standard ❑ Professional Engineer Test Type ❑ Pressure © Vacuum ❑ Hydrostatic Test Equipment Used: Vacuum Pump/Vacuum Gauges in Hg. Tank ID 1-CD 2-DD 3-DD 4-Kerosine Tank Manufacturer Trusco Trusco Trusco Stockton Tank Capacity 20K 10K 10K 2K Test Start Time 9:45 10:05 9:55 8:40 Initial Reading -10" Hg. -10" Hg. -10" Hg. -6" Hg. Test End Time 11:45 11:05 10:55 9:40 Final Reading -10" Hg. -10" Hg. -10" Hg. -6" Hg. Change in Reading 0" Hg. 0" Hg. 0" Hg. 0" Hg. Pass/Fail Criteria No Loss No Loss No Loss No Loss Tightness Test Results ® Pass ❑ Fail I ® Pass ❑ Fail I ® Pass ❑ Fail I ® Pass ❑ Fail 7. PIPE SECONDARY CONTAINMENT TEST Test Method Developed by ❑ Manufacturer ® Industry Standard ❑ Professional Engineer Test Type ® Pressure ❑ Vacuum ❑ Hydrostatic Test Equipment Used: Pressure Gauges in Psi/Nitrogen Pipe Run ID 1-CD 2-DD 3-DD-Siphon 4-Kerosene Pipe Manufacturer Smith Smith Smith Smith Test Start Time 9:40 9:45 9:50 8:35 Initial Reading 5 Psi 5 Psi 5 Psi 5 Psi Test End Time 10:40 10:45 10:50 9:35 Final Reading 5 Psi 5 Psi 5 Psi 5 Psi Change in Reading 0 Psi 0 Psi 0 Psi 0 Psi Pass/Fail Criteria No Loss No Loss No Loss No Loss Tightness Test Results © Pass ❑ Fail © Pass ❑ Fail ® Pass ❑ Fail ® Pass ❑ Fail Pipe Run ID 5-Race 110 6-CD-S-11 7-CD-S-10 8-CD-S-9 Pipe Manufacturer Smith Smith Smith Smith Test Start Time 8:30 10:00 9:55 10:05 Initial Reading 5 Psi 5 Psi 5 Psi 5 Psi Test End Time 9:30 11:00 10:55 11:05 Final Reading 5 Psi 5 Psi 5 Psi 5 Psi Change in Reading 0 Psi 0 Psi 0 Psi 0 Psi Pass/Fail Criteria No Loss No Loss No Loss No Loss Tightness Test Results © Pass ❑ Fail © Pass ❑ Fail ® Pass ❑ Fail ® Pass ❑ Fail Additional copies of this page may be attached. All tests marked "Fail'and any repairs made before or during the tightness test must be described in the COMMENTS section. Page 2 of 6