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Underground Storage Tank <br /> Secondary Containment Testing Report Form <br /> Test Method Developed by ❑ Manufacturer X Industry Standard ❑ Professional Engineer <br /> Test Type ❑ Pressure ❑ Vacuum X Hydrostatic <br /> Test Equipment Used: Incon STS <br /> Sump/UDC ID UST STP Reel UDC Trans Sump <br /> Sump Manufacturer Cont Solutio Cont Solutio Western Fibe <br /> Sump Depth (inches) 32 36 48 <br /> Sump Bottom to Top of 18 16 32 <br /> Highest Pipe Penetration <br /> (inches) <br /> Test Start Time 12:11 12:11 12:11 <br /> Initial Reading 2.0840 1.4132 4.6341 <br /> Test End Time 12:43 12:43 12:43 <br /> Final Reading 2.0841 .9884 4.6338 <br /> Change in Reading .0001 .4248 .0003 <br /> Pass/Fail Criteria .002 .002 .002 <br /> Tightness Test Results X Pass ❑ Fail ❑ Pass X Fail X Pass ❑ Fail ❑ Pass ❑ Fail <br /> Sump/UDC ID <br /> Sump Manufacturer <br /> Sump Depth (inches) <br /> Sump Bottom to Top of <br /> Highest Pipe Penetration <br /> (inches) <br /> Test Start Time <br /> Initial Reading <br /> Test End Time <br /> Final Reading <br /> Change in Reading <br /> ass ail 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 3 of 5 <br />