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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 Q Industry Standard U Professional Engineer <br /> Test Type El Pressure ® Vacuum Hydrostatic <br /> Test Equipment Used: PEI-RP1200-Vac-10Hg/1 hr <br /> Tank ID DSL1/DSL2 ANNULAR <br /> Tank Manufacturer N/A <br /> Tank Capacity N/A <br /> Test Start Time 10:24 <br /> Initial Reading -10 <br /> Test End Time 11:24 <br /> Final Reading -10 <br /> Change in Reading 0 <br /> Pass/Fail Criteria 0 0 0 0 <br /> Tightness Test Results ® Pass ® Fail I ® 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: PEI-RP1200-Press-5psi/1 hr <br /> Pipe Run ID DSL 1 STP SEC LINE DSL 2 STP SEC LINE <br /> Pipe Manufacturer N/A N/A <br /> Test Start Time 10:30 10:30 <br /> Initial Reading 5 5 <br /> Test End Time 11:30 11:30 <br /> Final Reading 5 5 <br /> Change in Reading 0 0 <br /> Pass/Fail Criteria 0 0 0 0 <br /> Tightness Test Results ® Pass ® Fail Pass Fail I © 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 0 0 0 0 <br /> Tightness Test Results ® Pass ® Fail Pass ® Fail ® Pass R7 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 />