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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 _ 0 Hydrostatic <br /> Test Equipment Used: <br /> Tank ID <br /> Tank Manufacturer <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 i <br /> 7. PIPE SECONDARY CONTAINMENT TEST <br /> Test Method Developed by ❑ Manufacturer la Industry Standard ❑ Professional Engineer <br /> Test Type ® Pressure ❑ Vacuum ❑ Hydrostatic <br /> Test Equipment Used: Presure Gage I Nitrogen <br /> Pipe Run ID Diesel <br /> Pipe Manufacturer Smith J NOV <br /> Test Start Time 0 mins <br /> Initial Reading 2 PSI _ <br /> Test End Time 60 mins <br /> Final Reading 2 PSI <br /> Change in Reading 0 <br /> Pass/Fail Criteria Pass _ <br /> Tightness Test Results B 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 I <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 "Fait"and any repairs made before or during the tightness test must be described in <br /> the COMMENTS section. <br /> Page 2 of 5 <br />