Laserfiche WebLink
Underground Storage Tank <br /> Secondary Containment Testing Report Form <br /> Test Method Developed by ❑ Manufacturer ❑ Industry Standard ❑ Professional Engineer <br /> Test Type ❑ Pressure ❑ Vacuum ❑ Hydrostatic <br /> Test Equipment Used:vacuum motor, gauges in -Hg, stop watch /timer <br /> Tank ID Super Regular Diesel <br /> Tank Manufacturer Xexes Xexes Xexes <br /> Tank Capacity 8000 20000 12000 <br /> Test Start Time n/a n/a n/a <br /> Initial Reading n/a n/a n/a <br /> Test End Time n/a n/a n/a <br /> Final Reading n/a n/a n/a <br /> Change in Reading n/a n/a n/a <br /> Pass/Fail Criteria n/a n/a n/a <br /> Tightness Test Results ❑ Pass ❑ Fail 1 ❑ Pass ❑ Fail I ❑ Pass ❑ Fail ❑ Pass ❑ Fail <br /> 7. PIPE SECONDARY CONTAINMENT TEST <br /> Test Method Developed by ❑ Manufacturer X Industry Standard ❑ Professional Engineer <br /> Test Type X Pressure ❑ Vacuum ❑ Hydrostatic <br /> Test Equipment Used: PSI pressure gauges, air, stop watch / timer <br /> Pipe Run ID Super Regular Diesel <br /> Pipe Manufacturer AO Smith AO Smith AO Smith <br /> Test Start Time 60 minutes 60 minutes 60 minutes <br /> Initial Reading 5psi 5psi 5psi <br /> Test End Time 0 minutes 0 minutes 0 minutes <br /> Final Reading 5psi 5psi 5psi <br /> Change in Reading 0 0 0 <br /> Pass/Fail Criteria 0/60 minutes 0/60 minutes 0/60 minutes <br /> Tightness Test Results X Pass ❑ Fail X Pass ❑ Fail X 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 0/60 minutes 0/60 minutes 0/60 minutes 0/60 minutes <br /> Tightness Test Results ❑ Pass ❑ Fail ❑ Pass ❑ Fail ❑ Pass ❑ Fail ❑ Pass ❑ Fail <br /> Additional copies of this page may be attached. <br /> 8. SUMP/UDC TEST <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 />