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Underground Storage Tank <br />Secondary Containment Testing Report Form <br />8. SUMP/UDC TEST <br />TC TC <br />Test Method Developed by ❑ Manufacturer ❑ Industry Standard ® Professional Engineer <br />Test Type ❑ Pressure ❑Vacuum ®Hydrostatic <br />Test Equipment Used: Caldwell Level Change Indicator <br />Sump/UDC ID <br />UDC 1&2 <br />UDC 3&4 <br />UDC 5&6 <br />UDC 7&8 <br />Sump Manufacturer <br />TC <br />TC <br />TC <br />Sump/UDC ID <br />1 -87 -PS <br />2 -91 -PS <br />26" <br />34" <br />27" <br />Sump Manufacturer <br />Western FG <br />Western FG <br />11" <br />14 <br />14" <br />Sump Depth (inches) <br />39" <br />39" <br />9:32 <br />9:37 <br />9:42 <br />Sump Bottom to Top of <br />Highest Pipe Penetration <br />(inches) <br />17" <br />15" <br />.001 <br />.001 <br />.001 <br />Test Start Time <br />8:42 <br />8:47 <br />10:02 <br />10:07 <br />10:12 <br />Initial Reading <br />Final Reading <br />.001 <br />.001 <br />.001 <br />Test End Time <br />9:12 <br />9:17 <br />0 <br />0 <br />0 <br />Final Reading <br />.001 <br />.001 <br />> .002 <br />> .002 <br />> .002 <br />Change in Reading <br />0 <br />0 <br />® Pass ❑ Fail <br />® Pass ❑ Fail <br />® Pass ❑ Fail <br />Pass/Fail Criteria <br />> .002 <br />> .002 <br />Tightness Test Results <br />®Pass ❑Fail <br />®Pass ❑Fail <br />❑Pass ❑Fail <br />❑Pass ❑Fail <br />Additional copies of this page maybe 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 3 of 5 <br />Sump/UDC ID <br />UDC 1&2 <br />UDC 3&4 <br />UDC 5&6 <br />UDC 7&8 <br />Sump Manufacturer <br />TC <br />TC <br />TC <br />TC <br />Sump Depth (inches) <br />26" <br />34" <br />27" <br />34" <br />Sump Bottom to Top of <br />Highest Pipe Penetration <br />(inches) <br />11" <br />14 <br />14" <br />14" <br />Test Start Time <br />9:32 <br />9:37 <br />9:42 <br />9:47 <br />Initial Reading <br />.001 <br />.001 <br />.001 <br />.001 <br />Test End Time <br />10:02 <br />10:07 <br />10:12 <br />10:17 <br />Final Reading <br />.001 <br />.001 <br />.001 <br />.001 <br />Change in Reading <br />0 <br />0 <br />0 <br />0 <br />Pass/Fail Criteria <br />> .002 <br />> .002 <br />> .002 <br />> .002 <br />Tightness Test Results <br />® Pass ❑ Fail <br />® Pass ❑ Fail <br />® Pass ❑ Fail <br />® Pass ❑ Fail <br />Additional copies of this page maybe 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 3 of 5 <br />