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Underground Storage Tank Secondary Containment Testing Report Form 6, TANK SECONDARY CONTAINMENT TEST -- - _ _.� ------ - Test Method Developed by ❑ Manufacturer ® Industry Standard ❑ Professional Engineer Test Type ❑ Pressure ® Vacuum ❑ Hydrostatic Test Equipment Used, Vacuum Pump/Vacuum Gauges in Hg. Tank ID 1 -87 -Main 2 -87 -Siphon 3 -Diesel - Tank Manufacturer Perkins Perkins Perkins Tank Capacity 10K 2K 5K Test Start Time 1:40 1:50 2.00 Initial Reading -6" Hg. -6" Hg. -6" Hg. Test End Time 2:40 2:50 3:00 Final Reading -6" Hg. -6" Hg. -6" Hg. Change in Reading 0" Hg. 0" Hg. 0" Hg- Pass/Fail Criteria No Loss No Loss No Loss Tightness Test Results ® Pass ❑ Fail ® Pass ❑ Fail ® Pass ❑ Fail ❑ Pass ❑ Fail 7. PIPE SECONDARY CONTAINMENT TEST Test Method Developed by ❑ Manufacturer ® Industry Standard ❑ Professional Engineer Test Type ® Pressure ❑ Vacuum ❑ Hydrostatic Test Equipment Used: Pressure Gauges in Psi/Nitrogen Pipe Run ID 1 -87 -Main 2 -87 -Siphon 3 -Diesel Pipe Manufacturer Smith Smith Smith Test Start Time 2:15 1:20 1:35 Initial Reading 5 Psi 5 Psi 5 Psi Test End Time 3:15 2:20 2:35 f=inal Reading 5 Psi 5 Psi 5 Psi Change in Reading 0 Psi 0 Psi 0 Psi Pass/Fail Criteria No Loss No Loss No Loss Tightness Test Results ® Pass ❑ Fail ® Pass ❑ Fail ® Pass ❑ Fail ❑ Pass ❑ Fail Pipe tun ID Pipe Manufacturer Test Start Time Initial Reading Test End Time Final Reading Change in Reading Pass/Fail Criteria Tightness Test Results W� ass ❑ Fail ❑ Pass-l---]Fail— ❑ Pass ❑ Fail ❑ Pass ❑ Fail ❑ Pass ❑ Fail Additional copies of this page may be attached. All tests marked "Fail" and any repairs made before or during the tightness test must be described in the COMMENTS section. Page 2 of 5