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Underground Storage Tare Secondary Containment Testing Report Fora r Test l leth d Developed by ❑ Manufacturer X Industry Standard ❑ Professional Engineer Test Type ❑ Pressure X Vacuum ❑ Hydrostatic Test Equipment Used-vacuum motor., gauges in -Hg, stop watch i timer Tank ID Regular Supreme Diesel Tank Manufacturer Xexes Xexes Xexes Tank Capacity Test Start Time Initial Reading Test End Time Final Reading Change in Reading I Pass/Fail Criteria Tightness Test Results ❑ Pass ❑ Fail ❑ Pass ❑ Fail ❑ Pass ❑ Fail ❑ Pass ❑ Fail 7. PIPE SECONDARY CONTAINMENT TEST Test Method Developed by ❑ Manufacturer X Industry Standard ❑ Professional Engineer Test Type X Pressure ❑ Vacuum ❑ Hydrostatic Test Equipment Used: PSI pressure gauges, air, stop watch 1 timer Pipe Run ID j Regular line Supreme line Diesel line Regular gent Pipe Manufacturer turer mer n Ameron Ameron Ameron Test Start Time 60minutes 60minutes 9 : 0 minutes 60minutes Initial Reading psi 5psl 5psi 5PS1 Test End Time 0 minutes 0 m1nutes 0 minutes 0 minutes Final Reading 5psi 5psi 5psi 5PS11 Change in Reading 0 0 0 0 I Pas /Fail Criteria 0160 minutes 0/60 minutes 0/60 minutes 0160 minutes i Tightness Test Results X Pass ❑ Fail ' X Pass ❑ Fall X Vass ❑ Fail X Pass ❑ Fail Pipe Faun ID Supreme vent Diesel gent vapor return Pipe Manufacturer nufaeturer AmerO AmerOn � Ameron Test Start Time 60minutes 60minutes 60minutes Initial Reading 5PS11 5psi spsi - -- Test End Time 0 minutes 0 minutes ': 0 minutes r Final Leading 5psi 5psi 5psi Charge in Reading 0 0 0 Pass/Fail Criteria 0/60 minutes 0160 minutes 0160 minutes 0160 minutes Tightness Test Results X Pass ❑ Fall X Pass ❑ Fair X Pass ❑ Fal ❑ Pass ❑ Fail Additional copies of this pogo may be attached. . SUMPIUDC TEST All tests marked "Fail'' and any repairs made before or daring the tightness test most be described in the COMMFNTS section. Page 2of