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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 Ilk Industry Standard ❑ Professional Engineer <br /> Test Type ❑ Pressure ® Vacuum ❑ Hydrostatic <br /> Test Equipment Used: Aln <br /> Tank ID <br /> Tank Manufacturer <br /> Tank Capacity 12 ooa i 2, o o0 <br /> Test Start Time 011.3o A^ <br /> Initial Reading _10• -to.o <br /> Test End Timelo,. a 10;3 �e <br /> Final Reading _r _10-d"fy <br /> Change in Reading 0 <br /> Pass/Fail Criteria <br /> 11 Tightness Test Results ® Pass ❑ Fail ® Pass ❑ Fail ❑ Pass ❑ Fail ❑ Pass ❑ Fail <br /> 7. PIPE SECONDARY CONTAINMENT TEST <br /> Test Method Developed by ❑ Manufacturer 21 Industry Standard ❑ Professional Engineer <br /> Test Type 9 Pressure ❑ Vacuum ❑ Hydrostatic <br /> Test Equipment Used: <br /> Pipe Run ID §1 C q I fJc <br /> Pipe Manufacturer Awv fa v% AoNm ei n <br /> Test Start Time /0-.00 0:00 a.- <br /> Initial Reading , .d <br /> Test End Timet '06 &% #:00 am 4 <br /> Final Reading So 04; G-6 d . <br /> Change in Reading <br /> Pass/Fail Criteria <br /> Tightness Test Results X Pass ❑ Fail ILPass ❑ Fail M 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 />