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Underground Storage Tank <br />Secondary Containment Testing Report Form <br />rTest <br />. SUMP/UDC TEST —est Method Developed by ❑ Manufacturer ❑ Industry Standard ❑ Professional Engineer <br />est Type ❑ Pressure ❑ Vacuum 0 Hydrostatic <br />Equipment Used: ancon Tester <br />JDC ID <br />UDC 5/6 <br />UDC 7/8 <br />anufacturer <br />Bravo <br />Bravo <br />)epth (inches) <br />12 <br />1zottom <br />to Top of <br />Pipe Penetration <br />F <br />4•• <br />4••rt <br />Time <br />9:58 am <br />9:58 am <br />eading <br />1.0488 <br />1.0446 <br />Test End Time <br />10:14 am <br />'10:14 am <br />1.0486 <br />1.0445 <br />0.0002 <br />0.002 <br />0.0001 <br />0.002 <br />0 Pass ❑ Fail ❑ Pass ❑ Fail ❑ Pass ❑ Fail <br />in Reading <br />L2Finalading <br />l Criteria <br />s Test Results <br />EI Pass ❑ Fail <br />Sump/UDC ID <br />❑Pass El Fail ❑Pass ❑Fail ❑Pass <br />Sump Manufacturer <br />Sump Depth (inches) <br />Sump Bottom to Top of <br />Highest Pipe Penetration <br />(inches) <br />Test Start Time <br />Initial Reading <br />Test End Time <br />Final Reading <br />Change in Reading <br />Pass/Fail Cril:eria <br />o vrss o <br />Ti htness Test Results ❑Pass ❑ Fail <br />i n ss resp Results <br />Additional copies of this page may be attached. <br />D Fail <br />All tests marked "Fail" and any repairs made before or during the tightness test must be described in <br />the COMMENTS section. Page 3 c <br />