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Underground Storage Tank Secondary Containment Testing Report Form c 6 . 1 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 -Regular 87 2 -Super 91 3 - D1esel -W 4-Diesel -E Tank Manufacturer Trusco GST Trusco GST Trusco GST Trusco GST Tank Capacity 12K 8K 20K 20K Test Start Time 8 : 30 8 : 30 8 : 40 8 : 50 Initial Reading - 10 Hg . - 10 Hg . - 10 Hg . - 10 Hg . Test End Time 10 : 30 10 : 30 10 : 40 10 : 50 Final Reading - 10 Hg . - 10 Hg . - 10 Hg . - 10 Hg . Change in Reading 0 0 0 0 Pass/Fail Criteria No Loss No Loss No Loss No Loss Tightness Test Results ® Pass ❑ Fail M Pass ❑ Fail ® Pass ❑ Fail ® Pass ❑ Fail 7 . PIPE SECONDARY CONTAINMENT TEST Test Method Developed by ❑ Manufacturer M Industry Standard ❑ Professional Engineer Test Type ® Pressure ❑ Vacuum ❑ Hydrostatic C Test Equipment Used : Pressure Gauges in Psi/ Nitrogen Pipe Run ID 1 -87 2 =91 3 -Dsl -Auto 4- Dsl -Siphon Pipe Manufacturer Ameron FRP Ameron FRP Ameron FRP Ameron FRP Test Start Time 8 : 35 8 : 45 8 : 55 9 : 05 Initial Reading 5 Psi 5 Psi 5 Psi 5 Psi Test End Time 9 : 35 9 : 45 9 : 55 10 : 05 Final Reading 5 Psi 5 Psi 5 Psi 5 Psi Change in Reading 0 Psi 0 Psi 0 Psi 0 Psi Pass/ Fail Criteria No Loss No Loss No Loss No Loss Tightness Test Results ® Pass ❑ Fail M Pass ❑ Fail ® Pass ❑ Fail M Pass ❑ Fail Pipe Run ID 5- Ds1 -M -E - HF Pipe Manufacturer Ameron FRP Test Start Time 9 : 15 Initial Reading 5 Psi Test End Time 10 : 15 Final Reading 5 Psi Change in Reading 0 ( Pass/ Fail Criteria No Loss Tightness Test Results ® Pass ❑ 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 . Paqe 2 of 5