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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 0 Industry Standard ® Professional Engineer <br />Test Type ® Pressure ® Vacuum Hydrostatic <br />Test Equipment Used: PEI-RP1200-Vac-10Hg/1 <br />hr <br />Tank ID <br />91 ANNULAR <br />Tank Manufacturer <br />N/A <br />Tank Capacity <br />N/A <br />Test Start Time <br />2:30 <br />Initial Reading <br />-10 <br />Test End Time <br />3:30 <br />Final Reading <br />-10 <br />Change in Reading <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 />® Pass ® Fail <br />® Pass ® Fail <br />7. PIPE SECONDARY CONTAINMENT <br />TEST <br />Test Method Developed by Q Manufacturer Industry Standard ® Professional Engineer <br />Test Type ® Pressure Vacuum 0 Hydrostatic <br />Test Equipment Used: PEI-RP1200-Press-5psi/1 hr <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 />0 <br />0 <br />0 <br />0 <br />Tightness Test Results 10 <br />Pass ® Fail 1 <br />® Pass Fail I <br />© 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 />0 <br />0 <br />0 <br />0 <br />Tightness Test Results <br />Q Pass ® Fail <br />r! Pass ® Fail <br />® Pass Ej 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 3 <br />