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Underground Storage Tank <br /> Secondary Containment Testing Report Form <br /> 6. TANK SECONDARY CONTAINMENT TEST <br /> Test Method Developed by 0 Manufacturer ❑ Industry Standard ❑ Professional Engineer <br /> Test Type ❑ Pressure 0 Vacuum ❑ Hydrostatic <br /> Test Equipment Used: Vacuum Gage <br /> Tank ID 87 91 /Diesel <br /> Tank Manufacturer Modern Welding Modern Welding <br /> Tank Capacity 20,000 20,000 <br /> Test Start Time 9:00 am 9:00 am <br /> Initial Reading 7 Hg 7 Hg <br /> Test End Time 10:00 am 10:00 am <br /> Final Reading 7 Hg 7 Hg <br /> Change in Reading o 0 <br /> Pass/Fail Criteria o 0 <br /> Tightness Test Results p Pass ❑ Fail 0 Pass ❑ Fail ❑ Pass ❑ Fail ❑ Pass ❑ Fail <br /> 7. PIPE SECONDARY CONTAINMENT TEST <br /> Test Method Developed by 0 Manufacturer ❑ Industry Standard ❑ Professional Engineer <br /> Test Type 0 Pressure ❑ Vacuum ❑ Hydrostatic <br /> Test Equipment Used:Pressure Gage <br /> Pipe Run ID 87 East 87 West 91 East 91 West <br /> Pipe Manufacturer Western Fiberglass Western Fierglass Western Fiberglass Western Fiberglass <br /> Test Start Time N/A N/A N/A N/A <br /> Initial Reading N/A N/A N/A N/A <br /> Test End Time N/A N/A N/A N/A <br /> Final Reading N/A N/A N/A N/A <br /> Change in Reading N/A N/A N/A N/A <br /> Pass/Fail Criteria o 0 0 0 <br /> Tightness Test Results ❑ Pass 0 Fail ❑ Pass 0 Fail ❑ Pass 0 Fail ❑ Pass 0 Fail <br /> Pipe Run ID Diesel East Diesel West 87 Vent 91 Vent <br /> Pipe Manufacturer Western Fiberglass Western Fiberglass Ameron Ameron <br /> Test Start Time N/A N/A 10:30 am 10:30 am <br /> Initial Reading N/A N/A 5 psi 5 psi <br /> Test End Time N/A N/A 11:30 am 11:30 am <br /> Final Reading N/A N/A 5 psi 5 psi <br /> Change in Reading N/A N/A 0 0 <br /> Pass/Fail Criteria o 0 0 0 <br /> Tightness Test Results ❑ Pass 0 Fail ❑ Pass 0 Fail 0 Pass ❑ Fail 0 Pass ❑ Fail <br /> Additional copies of this page may be attached. <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 2 of 5 <br />