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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 0 Industry Standard ❑ Professional Engineer <br /> Test Type ❑ Pressure 0 Vacuum ❑ Hydrostatic <br /> Test Equipment Used:vacuum Gauge <br /> Tank ID 87 91 Diesel <br /> Tank Manufacturer Xerexes Xerxes Xerxes <br /> Tank Capacity 10K 10K 8K <br /> Test Start Time 9:45 9:50 10:10 <br /> Initial Reading -10lnHg -10lnHg -10lnHg <br /> Test End Time 10:45 10:50 11:10 <br /> Final Reading -10lnHg -10lnHg -10lnHg <br /> Change in Reading 0 0 0 <br /> Pass/Fail Criteria +i-0 +i-0 +i-0 <br /> Tightness Test Results 0 Pass ❑ Fail 0 Pass ❑ Fail 0 Pass ❑ Fail ❑ Pass ❑ Fail <br /> 7. PIPE SECONDARY CONTAINMENT TEST <br /> Test Method Developed by ❑ Manufacturer El Industry Standard ❑ Professional Engineer <br /> Test Type 0 Pressure ❑ Vacuum ❑ Hydrostatic <br /> Test Equipment Used:Pressure Gauge <br /> Pipe Run ID 87 91 Diesel <br /> Pipe Manufacturer Smith Smith Smith <br /> Test Start Time 10:10 10:10 10:10 <br /> Initial Reading 5PSI 5PSI 5PSI <br /> Test End Time 11:10 11:10 11:10 <br /> Final Reading 5PSI 5PSI 5PSI <br /> Change in Reading 0 0 0 <br /> Pass/Fail Criteria +i-0 +i-0 +i-0 <br /> Tightness Test Results p Pass ❑ Fail 0 Pass ❑ Fail 0 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 /> 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 />