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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 x Industry Standard ❑ Professional Engineer <br /> Test Type ❑ Pressure x Vacuum ❑ Hydrostatic <br /> Test Equipment Used: Vacuum Pump/Vacuum Gauges in Hg. <br /> ❑ Check this box if Appendix 8.1 continuation page is attached. <br /> Tank ID 1&2-87/91 <br /> Tank Manufacturer XERXES <br /> Test Start Time 12:15 <br /> Initial Reading -10" Hg. <br /> Test End Time 1:15 <br /> Final Reading -10" Hg. <br /> Change in Reading 0" Hg. <br /> Pass/Fail Criteria No Loss <br /> Tightness Test Results P a s s <br /> 7. PIPE SECONDARY CONTAINMENT TEST <br /> Test Method Developed by ❑ Manufacturer x Industry Standard ❑ Professional Engineer <br /> Test Type x Pressure ❑ Vacuum ❑ Hydrostatic <br /> Test Equipment Used: Pressure Gauges in Psi/Nitrogen I <br /> ❑ Check this box if Appendix 8.2 continuation page is attached. <br /> Pipe Run ID 1-Regular 87 2-Super 91 I <br /> Pipe Manufacturer Smith Smith <br /> Test Start Time 8.35 8.40 <br /> Initial Reading 5 Psi 5 Psi <br /> Test End Time 9.35 9.40 <br /> Final Reading 5 Psi 5 Psi <br /> Change in Reading 0 Psi 0 Psi <br /> Pass/Fail Criteria No Loss No Loss <br /> Tightness Test Results P a s s P a s s <br /> Continuity Test Results P a s s P a s s <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 /> Continuity Test Results <br /> Describe in Section 9 all tests marked "Fail'and any repairs made during the test. Page 2 of 4 <br />