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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:0-30 inHG Gauge <br /> Tank ID 87/91 <br /> Tank Manufacturer Trusco <br /> Tank Capacity 20,000 <br /> Test Start Time 10:15 am <br /> Initial Reading 10 hg <br /> Test End Time 11:15 am <br /> Final Reading 10 hg <br /> Change in Reading 0 <br /> Pass/Fail Criteria 0 <br /> Tightness Test Results p Pass ❑ Fail ❑ Pass ❑ Fail ❑ Pass ❑ Fail ❑ Pass ❑ Fail <br /> -11 <br /> 7. PIPE SECONDARY CONTAINMENT TEST <br /> Test Method Developed by ❑ Manufacturer ID Industry Standard ❑ Professional Engineer <br /> Test Type 0 Pressure ❑ Vacuum ❑ Hydrostatic <br /> Test Equipment Used:0-10 PSI Gauges <br /> Pipe Run ID 87 Product 91 Product 87 Vent 91 Vent <br /> Pipe Manufacturer Environ Environ Smith Smith <br /> Test Start Time N/A N/A 10:25 am 10:25 am <br /> Initial Reading N/A N/A 3 psi 3 psi <br /> Test End Time N/A N/A 11:25 am 11:25 am <br /> Final Reading N/A N/A 3 psi 3 psi <br /> Change in Reading N/A N/A 0 0 <br /> Pass/Fail Criteria 0 0 0 0 <br /> Tightness Test Results ❑ Pass 0 Fail ❑ Pass 0 Fail 0 Pass ❑ Fail 0 Pass ❑ Fail <br /> Pipe Run ID Vapor Return <br /> Pipe Manufacturer Smith <br /> Test Start Time 10:25 am <br /> Initial Reading 5 psi <br /> Test End Time 11:25 am <br /> Final Reading 5 psi <br /> Change in Reading 0 <br /> Pass/Fail Criteria 0 <br /> Tightness Test Results p 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 />