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Underground Storage Tank <br /> Secondary Containment Testing Report Form <br /> 6. TANK SECONDARY CONTAINMENT TEST <br /> Test Method Developed by 0 Manufacturer C✓ Industry Standard C Professional Engineer <br /> Test Type 0 Pressurex❑ Vacuum ❑I— Hydrostatic <br /> Test Equipment Used: vacuum Gages <br /> Tank ID Gasoline -87/91 Diesel East Diesel West <br /> Tank Manufacturer Modern (Steel) Modern (Steel) Modern (Steel) <br /> Tank Capacity 20,000 20,000 20,000 <br /> Test Start Time 9:45 9:45 9:45 <br /> Initial Reading 7 7 7 <br /> Test End Time 11:45 11:45 11:45 <br /> Final Reading 7 7 7 <br /> Change in Reading 0 0 0 <br /> Pass/Fail Criteria 0 0 0 <br /> Tightness Test Results 0✓ Pass 0 Fail ® Pass C Fail ® Pass 0 Fail ❑ Pass C Fail <br /> 7. PIPE SECONDARY CONTAINMENT TEST <br /> Test Method Developed by El Manufacturer 0 Industry Standard © Professional Engineer <br /> Test Type © Pressure 0 Vacuum C Hydrostatic <br /> Test Equipment Used: Pressure Gages <br /> Pipe Run ID Gasoline-87 Gasoline -91 Diesel Retail Diesel Siphon <br /> Pipe Manufacturer Smith Smith Smith Smith <br /> Test Start Time 9:45 9:45 10:20 10:20 <br /> Initial Reading 5 5 5 5 <br /> Test End Time 10:45 10:45 11:20 11:20 <br /> Final Reading 5 5 5 5 <br /> Change in Reading 0 0 0 0 <br /> Pass/Fail Criteria 0 0 0 0 <br /> Tightness Test Results M Pass C Fail E Pass C Fail Pass IC Fail ❑x Pass C Fail <br /> Pipe Run ID Diesel East Diesel West <br /> Pipe Manufacturer Smith Smith <br /> Test Start Time 10:20 10:20 <br /> Initial Reading 5 5 <br /> Test End Time 11:20 11:20 <br /> Final Reading 5 5 <br /> Change in Reading 0 0 <br /> Pass/Fail Criteria 0 0 <br /> Tightness Test Results 0✓ Pass C Fail (✓ Pass C Fail I 0 Pass C Fail ED Pass 0 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 />