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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: <br /> Tank ID 1&3-91/Dsl 2-87 <br /> Tank Manufacturer CSI CSI <br /> Tank Capacity 20K 2 Compt 20K <br /> Test Start Time *Exempt *Exempt <br /> Initial Reading <br /> Test End Time <br /> Final Reading <br /> Change in Reading <br /> Pass/Fail Criteria <br /> Tightness Test Results ❑ Pass ❑ Fail I ❑ 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: Pressure Gauges in Psi/Nitrogen <br /> Pipe Run ID 1-91-Product 2-91-Vent 3-87-Product 4-87-Vent <br /> Pipe Manufacturer Smith Smith Smith Smith <br /> Test Start Time 9:15 9:15 10:15 10:15 <br /> Initial Reading 5 Psi 5 Psi 5 Psi 5 Psi <br /> Test End Time 10:15 10:15 11:15 11:15 <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 ® Pass ❑ Fail ® Pass ❑ Fail ® Pass ❑ Fail <br /> Pipe Run ID 5-Dsl-Prodt 6-Dsl-Vent 7-Gas Vapor <br /> Pipe Manufacturer Smith Smith Smith <br /> Test Start Time 9:20 9:20 10:15 <br /> Initial Reading 5 Psi 5 Psi 5 Psi <br /> Test End Time 10:20 10:20 11:15 <br /> Final Reading 5 Psi 5 Psi 5 Psi <br /> Change in Reading 0 Psi 0 Psi 0 Psi <br /> Pass/Fail Criteria No Loss 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 />