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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 ❑ Professional Engineer <br /> Test Type ❑ Pressure ❑ Vacuum ❑ Hydrostatic <br /> Test Equipment Used: <br /> Tank ID <br /> Tank Manufacturer r �- <br /> Tank Capacity /Z. Uo0 Uuo <br /> Test Start Time : G d q,,,., 00 q,,,., <br /> Initial Reading <br /> Test End Time o;0 <br /> Final Reading _10.0 11H, _ l0 1' .f <br /> Change in Reading d <br /> Pass/Fail Criteria <br /> Tightness Test Results X Pass ❑ Fail Xf Pass ❑ Fail ❑ Pass ❑ Fail ❑ 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: <br /> Pipe Run ID ��- <br /> Pipe Manufacturerk>240,IC4 <br /> Test Start TimeRt 3 v a� q: 3 v <br /> Initial Reading 0 5; r,.O ; <br /> Test End Time 10:00 �,,,,, /6:00 <br /> avr <br /> Final Reading 5-0 � <br /> Change in Reading <br /> Pass/Fail Criteria4t/__0 <br /> Tightness Test Results D. ass ❑ Fail Ed Pass ❑ Fail ❑ Pass ❑ Fail ❑ 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 ❑ Pass ❑ Fail 1 ❑ Pass ❑ Fail ❑ Pass ❑ Fail ❑ 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 />