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Underground Storage Tank <br /> Secondary Containment Testing Report Form <br /> 6. TANK SECONDARY CONTAINMENT TEST <br /> Test Method Developed by ® Manufacturer ❑ Industry Standard ❑ Professional Engineer <br /> Test Type ❑ Pressure ® Vacuum ❑ Hydrostatic <br /> Test Equipment Used: Gast Vacuum Pump /Vacuum Gauges in Hg <br /> Tank ID T1:87 Slave T2:87 Master T3: Diesel T4: 91 <br /> Tank Manufacturer XERXES XERXES XERXES XERXES <br /> Tank Capacity 9490 9490 9490 9490 <br /> Test Start Time 1:30 p.m. 1:45 p.m. 2:10 p.m. 2:25 p.m. <br /> Initial Reading 12" Hg 12" Hg 12" Hg 12" Hg <br /> Test End Time 2:30 p.m. 2:45 p.m. 3:10 p.m. 3:25 p.m. <br /> Final Reading 12" Hg 12" Hg 12" Hg 12" Hg <br /> Change in Reading 0" Hg 0" Hg 0" Hg 0" Hg <br /> Pass/Fail Criteria No loss No loss No loss No loss <br /> Tightness Test Results M Pass ❑ Fail ® Pass ❑ Fail M Pass ❑ Fail I ® Pass ❑ Fail <br /> 7. 'PIPE SECONDARY CONTAINMENT TEST <br /> Test Method Developed by ® Manufacturer ❑ Industry Standard ❑ Professional Engineer <br /> Test Type ® Pressure ❑ Vacuum ❑ Hydrostatic <br /> Test Equipment Used: Pressure Gauges in Psi/ Nitrogen <br /> Pipe Run ID #1 87 #2 91 #3 Diesel #4 87 Syphon <br /> Pipe Manufacturer Smith Smith Smith Smith <br /> Test Start Time 11:00 a.m. 11:10 a.m. 11:25 a.m. 11:40 p.m. <br /> Initial Reading 5 Psi 5 Psi 5 Psi 5 Psi <br /> Test End Time 12:00 p.m. 12:10 p.m. 12:25 p.m. 12:40p.m. <br /> Final Reading 5 Psi 5 Psi 5 Psi 5 Psi <br /> Change in Reading 0 Psi 0 Psi 0 Psi 0 Psi <br /> Pass/Fail Criteria No loss No loss No loss No loss <br /> Tightness Test Results ® Pass ❑ Fail M Pass ❑ Fail ® Pass ❑ Fail ® Pass ❑ Fail <br /> Pipe Run ID #5 87M/87S #6 87M/Diese <br /> Pipe Manufacturer Smith Smith <br /> Test Start Time 11:45 p.m. 11:55 P.M. <br /> Initial Reading 5 Psi 5 Psi <br /> Test End Time 12:45 p.m. 12:55 p.m. <br /> Final Reading 5 Psi 5 Psi <br /> Change in Reading 0 Psi 0 Psi <br /> Pass/Fail Criteria No loss No loss <br /> Tightness Test Results ® Pass ❑ Fail ® Pass ❑ Fail ❑ Pass ❑ Fail ❑ 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 />