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Underground Storage Tank <br /> Secondary Containment Testing Report Form <br /> 8. SUMP/UDC TEST (continued) <br /> Test Method Developed by ❑ Manufacturer ❑ Industry Standard ® Professional Engineer <br /> Test Type ❑ Pressure ❑ Vacuum 0 Hydrostatic <br /> Test Equipment Used: Caldwell Level Change Indicator <br /> Sump/UDC ID 1-87-FS 2-91-FS 3-Diesel-FS <br /> Sump Manufacturer Western FG Western FG Western FG <br /> Sump Depth (inches) 48 1/2" 51 1/2" 52" <br /> Sump Bottom to Top of 11" 34" 29" <br /> Highest Pipe Penetration <br /> (inches) <br /> Test Start Time 8:52 9:32 10:12 <br /> Initial Reading .001 .001 .001 <br /> Test End Time 9:22 10:02 10:42 <br /> Final Reading .001 .001 .001 <br /> Change in Reading 0 0 0 <br /> Pass Fail Criteria > .002 > .002 > .002 <br /> Tightness Test Results ® Pass ❑ Fail ® Pass ❑ Fail ® Pass ❑ Fail ❑ Pass ❑ Fail <br /> Sump/UDC ID <br /> Sump Manufacturer <br /> Sump Depth (inches) <br /> Sump Bottom to Top of <br /> Highest Pipe Penetration <br /> (inches) <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 ❑ 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 4of5 <br />