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Underground Storage Tank <br />Secondary Containment Testing Report Form <br />TANK SECONDARY CONTAINMENT TEST <br />Test Method Developed by GI Manufacturer CI Industry Standard 0 Professional Engineer <br />Test Type 12 Pressure 0 Vacuum 0 Hydrostatic <br />Test Equipment Used: <br />Tank ID <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 <br />Tightness Test Results 0 Pass 0 Fail 0 Pass 0 Fail LI Pass 0 Fail 0 Pass El Fail <br />PIPE SECONDARY CONTAINMENT TEST <br />Test Method Developed by 0 Manufacturer El Industry Standard 111 Professional Engineer <br />Test Type El Pressure 0 Vacuum CI Hydrostatic <br />Test Equipment Used: 0-15 PSI GAUGES & COMPRESSED NITROGEN <br />Pipe Run ID 87-A 91-A DSL-A <br />Pipe Manufacturer COFLEX COFLEX COFLEX <br />Test Start Time 2:15 2:20 2:25 <br />Initial Reading 5 PSI 5 PSI 5 PSI <br />Test End Time 3:15 3:20 3:25 <br />Final Reading 5 PSI 5 PSI 5 PSI <br />Change in Reading 0 0 0 <br />Pass/Fail Criteria NO LOSS NO LOSS NO LOSS <br />Tightness Test Results IE Pass 0 Fail El Pass 0 Fail 23 Pass 0 Fail CI Pass CI Fail <br />Pipe Run ID 87-B 91-B DSL-B <br />Pipe Manufacturer COFLEX COFLEX COFLEX <br />Test Start Time 2:15 2:20 2:25 <br />Initial Reading 5 PSI 5 PSI 5 PSI <br />Test End Time 3:15 3:20 3:25 <br />Final Reading 5 PSI 5 PSI 5 PSI <br />Change in Reading 0 0 0 <br />Pass/Fail Criteria NO LOSS NO LOSS NO LOSS <br />Tightness Test Results IZ Pass 1=1 Fail 1:8:1 Pass CI Fail LE Pass DI Fail CI Pass El 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