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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 0 Industry Standard ❑ Professional Engineer <br /> Test Type ❑ Pressure 0 Vacuum ❑ Hydrostatic <br /> Test Equipment Used:vacuum guage <br /> Tank ID 87 91/Diesel <br /> Tank Manufacturer Owens corning Owens corning <br /> Tank Capacity 12,000 12,000 <br /> Test Start Time 10:30 am 10:30 am <br /> Initial Reading 10 hg 10 hg <br /> Test End Time 11:30 am 11:30 am <br /> Final Reading 10 hg 10 hg <br /> Change in Reading 0 0 <br /> Pass/Fail Criteria 0 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 ❑ Manufacturer 0 Industry Standard ❑ Professional Engineer <br /> Test Type 0 Pressure ❑ Vacuum ❑ Hydrostatic <br /> Test Equipment Used:Pressure guage <br /> Pipe Run ID 87 product 91 product Diesel product <br /> Pipe Manufacturer Smith Smith Smith <br /> Test Start Time 10:00 am 10:00 am 10:00 am <br /> Initial Reading 3 psi 3 psi 3 psi <br /> Test End Time 11:00 am 11:00 am 11:00 am <br /> Final Reading 0 3 3 <br /> Change in Reading 3 0 0 <br /> Pass/Fail Criteria 0 0 0 <br /> Tightness Test Results ❑ Pass 0 Fail 0 Pass ❑ Fail 0 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 <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 />