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Underground Storage Tank <br /> Secondary Containment Testing Report Form <br /> s. SUMP/UDC TEST <br /> Test Method Developed by D Manufacturer 61 Industry Standard L) Professional Engineer <br /> Test Type D Pressure Ll Vacuum ® Hydrostatic <br /> Test Equipment Used: lake test <br /> SumplUDC ID reg sup 1/2 3/4 <br /> Sump.Manufacturer unknown uknnown environ environ <br /> Sump Depth (inches) 58 58 30 30 <br /> Sump Bottom to Top of 23 23 10 10 <br /> Highest Pipe Penetration <br /> (inches) <br /> Test Start Time 9:36 9:36 10:46 10:46 <br /> Initial Reading 27in 27in 14in 14in <br /> Test End Time 10:36 10:36 11:46 11:46 <br /> Final Reading 27in 27in 14in 14in <br /> Change in Reading 0 0 0 0 <br /> PasslFail Criteria .125in .125in .125in .125in <br /> Tightness Test Results R1 Pass Fail R1 Pass Fail Pass Fail ® Pass g Fail <br /> SumpfUDC 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 /> Pass/Fail Criteria <br /> Tightness Test Results LJ Pass 9 Fail J Pass LJ Fail Lj Pass L Fail g Pass LJ Fail <br /> Additional copies of this page may be attached. <br /> All tests marked "Farf°and any repairs made before or during the tightness test must be described in <br /> the C4WENTS section. <br /> Page 3of5 <br />