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Underground Storage Tank <br /> Secondary Containment Testing Report Form <br /> 6. TANK SECONDARY CONTAINMENT TEST <br /> Test Method Developed by ❑ Manufacturer ❑ Industry Standard El Professional Engineer <br /> Test Type ❑ Pressure ❑ Vacuum ❑ Hydrostatic <br /> Test Equipment Used: <br /> Tank ID <br /> Tank Manufacturer <br /> Tank Capacity <br /> Test Stat Time <br /> Initial Reading <br /> Test End Time <br /> Final Reading <br /> Change in Reading <br /> PasslFail Criteria <br /> Tightness Test Results ❑ Pass ❑ Fa#I ❑ Pass ❑ Fail ❑ Pass ❑ Fail ❑ Puss ❑ Fail <br /> 7. PIPE SECONDARY CONTAINMENT TEST <br /> Test Method Developed by ❑ Manufacturer 14 Industry Standard ❑ Professional Engineer <br /> Test Type 0 Pressure ❑ Vacuum ❑ Hydrostatic <br /> Test Equipment Used: gauge <br /> Pipe Ru n i D TT4:UNLEADED L1(RUL)STP T MPREMIUM L1(PUL)STP <br /> Containment 1 to 1/2,3/4 Containment 1 to 1/2,3/4 <br /> Pipe Manufacturer smith smith <br /> Test Start Time 8:53 8:53 <br /> Initial Reading 5psi 5psi <br /> Test End Time 9:53 9:53 <br /> Final Reading 5psi 5psi <br /> Change in Reading 0 0 <br /> Pass/Fail Criteria 0 0 <br /> Tightness Test Results 0 Pass D Fail 0 Pass ❑ Fail ❑ Pass Ll Fail L2 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 /> PasslFail Criteria <br /> Tightness Test Results ❑ Pass ❑ Fail ❑ Pass ❑ Fail ❑ Pass ❑ Fail ❑ Pass ❑ Fail <br /> Additional copies of this page may be attached. <br /> AI! tests merked '`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 />