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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 M Industry Standard ❑ Professional Engineer <br /> Test Type ❑ Pressure M Vacuum ❑ Hydrostatic <br /> Test Equipment Used: 0-30inHg. 4" Vacuum Gauges w/ 0.05 graduations <br /> Tank ID T-1 Diesel T-2 87 T-3 91 Waste Oil <br /> Tank Manufacturer Owens Corning Owens Corning Owens Corning Owens Corning <br /> Tank Capacity <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 /> 7. PIPE SECONDARY CONTAINMENT TEST <br /> Test Method Developed by ® Manufacturer N Industry Standard ❑ Professional Engineer <br /> Test Type ® Pressure ❑ Vacuum ❑ Hydrostatic <br /> Test Equipment Used: Dual 0-15psi 4" Pressure Gauges w/0.05 graduations <br /> Pipe Run ID T-1 DSL Product T-2 87 Product T-3 91 Product <br /> Pipe Manufacturer A.O. Smith A.O. Smith A.O. Smith <br /> Test Start Time 10:00am 10:00am 10:00am <br /> Initial Reading 5psi 5psi 5psi <br /> Test End Time 11:00am 11:00am 11:00am <br /> Final Reading 5psi 5psi 5psi <br /> Change in Reading 0.00 0.00 0.00 <br /> Pass/Fail Criteria No Loss No Loss No Loss <br /> Tightness Test Results ® Pass ❑ Fail ® Pass ❑ Fail ® 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 ❑ Pass ❑ Fail ❑ Pass ❑ Fail ❑ Pass ❑ Fail <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 />