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Underground Storage Tank Secondary Containment Testing Report Form 6. TANK SECONDARY CONTAINMENT TEST Test Method Developed by ❑ Manufacturer ® Industry Standard ❑ Professional Engineer Test Type ❑ Pressure ® Vacuum ❑ Hydrostatic Test Equipment Used: Vacuum Pump/Vacuum Gauges in Hg. Tank ID 1-87/91 2-Diesel Tank Manufacturer Joor Joor Tank Capacity 10K 2 Compt. 12K Test Start Time 9:00 9:10 Initial Reading -10" Hg. -10" Hg. Test End Time 10:00 10:10 Final Reading -10" Hg. -10" Hg. Change in Reading 0" Hg. 0" Hg. Pass/Fail Criteria No Loss No Loss Tightness Test Results ® Pass ❑ Fail I ® Pass ❑ Fail ❑ Pass ❑ Fail ❑ Pass ❑ Fail 7. PIPE SECONDARY CONTAINMENT TEST Test Method Developed by ❑ Manufacturer ® Industry Standard ❑ Professional Engineer Test Type ❑x Pressure ❑ Vacuum ❑ Hydrostatic Test Equipment Used: Pressure Gauges in Psi/Nitrogen Pipe Run ID 1-87 Product 2-87 Vent 3-91 Product 4-91-Vent Pipe Manufacturer Smith Smith Smith Smith Test Start Time 8:45 8:45 8:50 8:50 Initial Reading 5 Psi 5 Psi 5 Psi 5 Psi Test End Time 9:45 9:45 9:50 9:50 Final Reading 5 Psi 5 Psi 5 Psi 5 Psi Change in Reading 0 Psi 0 Psi 0 Psi 0 Psi Pass/Fail Criteria No Loss No Loss No Loss No Loss Tightness Test Results ® Pass ❑ Fail ® Pass ❑ Fail ® Pass ❑ Fail ® Pass ❑ Fail Pipe Run ID Gas Vapor Dsl Product Dsl Vent Pipe Manufacturer Smith Smith Smith Test Start Time 8:50 8:55 8:55 Initial Reading 5 Psi 5 Psi 5 Psi Test End Time 9:50 9:55 9:55 Final Reading 5 Psi 5 Psi 5 Psi Change in Reading 0 Psi 0 Psi 0 Psi Pass/Fail Criteria No Loss No Loss No Loss Tightness Test Results ® Pass ❑ Fail ® Pass ❑ Fail ® Pass ❑ Fail ❑ Pass ❑ Fail Additional copies of this page may be attached. All tests marked "Fail"and any repairs made before or during the tightness test must be described in the COMMENTS section. Page 2 of 5