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i <br /> Underground Storage Tank <br /> Secondary Containment Testing Report Form <br /> UDC XST.. I <br /> Test Method Developed by ❑ Manufacturer ® Industry Standard ❑ Professional Engineer <br /> Test Type ❑ Pressure ❑ Vacuum 0 Hydrostatic <br /> Test Equipment Used; <br /> SumplUDC ID 87 STP 91 STP <br /> Sump Manufacturer <br /> Sump Depth (inches) <br /> Sump Bottom to Top of <br /> Highest Pipe Penetration <br /> (inches) <br /> Test Start Time 9:22 9:22 <br /> Initial Reacting 5.0292 4.0719 <br /> Test End Time 9:37 9:37 <br /> Final Reading 5.0292 4.0731 <br /> Change in Reading 0 0.0012 <br /> Pass/Fall Criteria 0.002 0,002 <br /> Tightness Test Results ® Pass ❑ Fail ® Pass ❑ Fail ❑ Pass ❑ Fail ❑ Pass ❑ Fail <br /> Sump1UDC ID UDC 112 UDC 314 UDC 616 UDC 718 <br /> Sump Manufacturer <br /> Sump Depth (inches) T <br /> Sump Bottom to Top of <br /> Highest Pipe Penetration <br /> (inches) <br /> Test Start Time 11:26 11:25 10:59 10.37 <br /> Initial Reading 0.8705 2.7070 2.9412 2.6323 <br /> Test End Time 11:40 11:40 11:14� 10:52 <br /> Final Reading 0.8724 2.7069 _ 2.9422 2.6304 <br /> Change in Reading 0.0019 0.0001 0.0010 0.0019 <br /> Pass/Fall Criteria 0.002 0.002 0.042 0.002 <br /> Tightness Test Results ® Pas�, Pass ❑ Fail0 Pass 11Fall 0 Pass Q Fail <br /> Additional copies of this page maybe attached. <br /> All tests marked"Fait"and any repairs made before or during the tightness test must be described in <br /> the COMMENTS section. <br /> Page 3 of 5 <br />