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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 M Industry Standard ❑ Professional Engineer <br /> Test Type ❑ Pressure M Vacuum ❑ Hydrostatic <br /> Test Equipment Used: Vacuum Gauge <br /> Tank ID 87 Annular 91 Annular <br /> Tank Manufacturer Unknown Unknown <br /> Tank Capacity 15000 Gal 10000 Gal <br /> Test Start Time 11:00 AM 11:05 AM <br /> Initial Reading 5 HG 5 HG <br /> Test End Time 12:00 PM 12:05 PM <br /> Final Reading 5 HG 5 HG <br /> Change in Reading 0 HG 0 HG <br /> Pass/Fail Criteria 0 HG 0 HG <br /> Tightness Test Results M Pass ❑ Fail 1 M Pass ❑ Fail ❑ Pass ❑ Fail ❑ 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: <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 /> 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 />