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Underground Storage Tank <br /> Secondary Containment Testing Report Form <br /> 6. TANK SECONDARY CONTAINMENT TEST <br /> Test Method Developed by N Manufacturer M Industry Standard ❑ Professional Engineer <br /> Test Type ❑ Pressure M Vacuum ❑ Hydrostatic <br /> Test Equipment Used: 0-30inHg. 4" Vacuum Gauges w/ 0.05 graduations <br /> TanklD <br /> Tank Manufacturer <br /> Tank Capacity <br /> Test Start Time <br /> Initial Reading <br /> Test End Time <br /> Final Reading <br /> Change in Reading <br /> Pass/Fail Criteria No Loss No Loss No Loss No Loss <br /> Tightness Test Results ❑ Pass ❑ Fail ❑ Pass ❑ Fail ❑ Pass ❑ Fail ❑ Pass ❑ Fail <br /> 7. PIPE SECONDARY CONTAINMENT TEST <br /> Test Method Developed by ® Manufacturer N Industry Standard ❑ Professional Engineer <br /> Test Type N Pressure ❑ Vacuum ❑ Hydrostatic <br /> Test Equipment Used: Dual 0-15psi 4" Pressure Gauges w/ 0.05 graduations <br /> Pipe Run ID 87 Product <br /> Pipe Manufacturer A.O. Smith <br /> Test Start Time 8:00am <br /> Initial Reading 5 psi <br /> Test End Time 9:00am <br /> Final Reading 5 psi <br /> Change in Reading 0.00 <br /> Pass/Fail Criteria No Loss No Loss No Loss No Loss <br /> Tightness Test Results E Pass ❑ Fail ❑ Pass ❑ Fail ❑ Pass ❑ Fail ❑ Pass ❑ Fail <br /> Pipe Run ID <br /> Pipe Manufacturer <br /> Test Start Time <br /> Initial Reading <br /> Test End Time <br /> Final Reading <br /> Change in Reading <br /> Pass/Fail Criteria No Loss No Loss No Loss No Loss <br /> Tightness Test Results ❑ Pass ❑ Fail ❑ Pass ❑ Fail ❑ Pass ❑ Fail ❑ Pass ❑ Fail <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 2of5 <br />