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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 Dq Industry Standard ❑ Professional Engineer <br /> Test Type ❑ Pressure ® Vacuum ❑ Hydrostatic <br /> Test Equipment Used : to <br /> Tank ID <br /> Tank Manufacturer <br /> qhs; v� b g CAm <br /> Tank Capacity 1® uae 0 000 <br /> Test Start Time <br /> Initial Reading <br /> Test End Time W36 10 : 3U a� <br /> Final Reading _ t V , " _ 10 . 0 / /ft, <br /> Change in Reading 0 <br /> Pass/Fail Criteria 0 <br /> Tightness Test Results ® Pass ❑ Fail ® Pass ❑ Fail ❑ Pass ❑ Fail ❑ Pass ❑ Fail <br /> 7, PIPE SECONDARY CONTAINMENT TEST <br /> Test Method Developed by ❑ Manufacturer X Industry Standard ❑ Professional Engineer <br /> Test Type M Pressure ❑ Vacuum ❑ Hydrostatic <br /> Test Equipment Used : K <br /> Pipe Run ID /, ,� q / <br /> Pipe Manufacturer Aww row Amm vi AwnW <br /> Test Start Time ,„, : 00 C, . t0 : 00 a" <br /> Initial Reading 00 , v <br /> Test End Time W04 w, # 4000 fl 00 q `a <br /> Final Reading SO 0 <br /> Change in Reading 0 <br /> Pass/Fail Criteria <br /> Tightness Test Results 9 Pass ❑ Fail ILPass ❑ Fail A 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 />