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Recommended Practices for the Testing and Verification of Spill,Overfill,Leak Detection and Secondary Containment Equipment at UST Facilities <br /> APPENDIX C-2 <br /> PIPING SECONDARY CONTAINMENT INTEGRITY TESTING <br /> Facility Name: Owner: <br /> Address: Address: <br /> City,State,Zip Code: City,State,Zip Code: <br /> Facility I.D.#: Phone#: <br /> Testing Company: Phone#: Date: <br /> This procedure is to test the integrity of the interstitial space of double-walled piping.See PEI/RP1200 Section 5 for the test <br /> procedure. <br /> Tank Number <br /> Piping Run <br /> Piping Material <br /> Product Stored <br /> Test Start Time <br /> Initial Test Pressure,psig <br /> (fest procedure specifies <br /> 5 psig.) <br /> Test End Time <br /> Final Test Pressure,psig <br /> Pressure Change(No <br /> reduction in pressure <br /> allowed for pass.) <br /> Test Results ❑Pass ❑Fail ❑Pass ❑Fail ❑Pass ❑Fail ❑Pass ❑Fail ❑Pass ❑Fail ❑Pass ❑Fail <br /> Comments: <br /> Tester's Name(print) Tester's Signature <br /> peLorg <br />