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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: Vacuum Pump/Vacuum Gauges in Hg. <br /> Tank ID 1-91 2-87-Master 3-87-Siphon 4-Diesel <br /> Tank Manufacturer CSI CSI CSI CSI <br /> Tank Capacity 12K 10K 10K 10K <br /> Test Start Time 10:50 11:00 11:10 11:20 <br /> Initial Reading -10" Hg. -10" Hg. -10" Hg. -10" Hg. <br /> Test End Time 11:50 12:00 12:10 12:20 <br /> Final Reading -10" Hg. -10" Hg. -10" Hg. -10" Hg. <br /> Change in Reading 0" Hg. 0" Hg. 0" Hg. 0" Hg. <br /> Pass/Fail Criteria No Loss No Loss No Loss No Loss <br /> Tightness Test Results ® Pass ❑ Fail I ® Pass ❑ Fail ® Pass ❑ Fail I ® 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: Pressure Gauges in Psi/Nitrogen <br /> Pipe Run ID 1-91-Product 2-91-Vent 3-87-M-Pro 4-87-Siphon <br /> Pipe Manufacturer Smith Smith APT Smith <br /> Test Start Time 10:45 10:48 10:52 10:55 <br /> Initial Reading 5 Psi 5 Psi 5 Psi 5 Psi <br /> Test End Time 11:45 11:48 11:52 11:55 <br /> Final Reading 5 Psi 5 Psi 5 Psi 5 Psi <br /> Change in Reading 0 Psi 0 Psi 0 Psi 0 Psi <br /> Pass/Fail Criteria No Loss No Loss No Loss No Loss <br /> Tightness Test Results © Pass ❑ Fail © Pass ❑ Fail ® Pass ❑ Fail ® Pass ❑ Fail <br /> Pipe Run ID 5-87M/S-Vent 6-Dsl Pro 7-Dsl Vent 8-Gas Vapor <br /> Pipe Manufacturer Smith Smith Smith Smith <br /> Test Start Time 10:58 11:03 11:05 10:56 <br /> Initial Reading 5 Psi 5 Psi 5 Psi 5 Psi <br /> Test End Time 11:58 12:03 12:05 11:56 <br /> Final Reading 5 Psi 5 Psi 5 Psi 5 Psi <br /> Change in Reading 0 Psi 0 Psi 0 Psi 0 Psi <br /> Pass/Fail Criteria No Loss No Loss No Loss No Loss <br /> Tightness Test Results © Pass ❑ Fail © 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 2of5 <br />