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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 I Pressure ✓ Vacuum Hydrostatic <br />Test Equipment Used: vacuum Gauae <br />Tank ID <br />87-1 <br />87-2 <br />91 <br />Tank Manufacturer <br />Xerxes <br />Xerxes <br />Xerxes <br />Tank Capacity <br />12000 <br />12000 <br />12000 <br />Test Start Time <br />8:4oAM <br />9:00AM <br />9:5oAM <br />Initial Reading <br />-10psi <br />-lopsi <br />-10psi <br />Test End Time <br />9:4oAM <br />10:ooAM <br />10:50AM <br />Final Reading <br />-10psi <br />-10psi <br />-10psi <br />Change in Reading <br />opsi <br />opsi <br />opsi <br />Pass/Fail Criteria <br />+/-opsi <br />+/-opsi <br />+/-opsi <br />Tightness Test Results <br />✓ Pas Fail <br />✓ <br />Pass Fail <br />I ✓ Pass <br />Fail lFail <br />7.; PIPE SECONDARY CONTAINMENT TEST <br />Test Method Developed by I Manufacturer ✓ <br />Test Type Iv I Pressure <br />Test Equipment Used: Pressure Gauae <br />Industry Standard Professional Engineer <br />Vacuum I lHvdrostatic <br />Pipe Run ID <br />87-1 Prod. <br />87-2 Prod. <br />91 Prod. <br />Pipe Manufacturer <br />Ameron <br />Ameron <br />Ameron <br />Test Start Time <br />9:10AM <br />9:25AM <br />10: OOAM <br />Initial Reading <br />5psi <br />5psi <br />5psi <br />Test End Time <br />10: 10AM <br />10:25AM <br />11: ooAM <br />Final Reading <br />5psi <br />5psi <br />5psi <br />Change in Reading <br />opsi <br />opsi <br />opsi <br />Pass/Fail Criteria <br />+/-opsi <br />+/-opsi <br />+/-opsi <br />Tightness Test Results <br />✓ Pass Fail <br />,,/ IPassl IFail <br />11 jPass FailI jPassjFail <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 <br />Pass <br />Fail <br />Pass <br />Fail <br />Pass <br />Fail <br />Pas <br />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 2 of 5 <br />