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Underground Storage Tank <br /> SecondM Containment Testing Report Form <br /> SUMPI.Un <br /> Test Method Developed by ❑ Manufacturer 0 Industry Standard ❑ Professional Engineer <br /> Test Type ❑ Pressure ❑ Vacuum 0 Hydrostatic <br /> Test Equipment Used: <br /> Sump/UDC ID UDC 9110 UDC 11112 <br /> Sump Manufacturer <br /> Sump Depth (inches) <br /> Sump Bottom to Top of <br /> Highest Pipe Penetration <br /> (inches) <br /> Test Start Time 10:69 10:37 <br /> Initial Reading 4.2031 4.2451 <br /> Test End Time 11:14 10;52 <br /> Final Reading 4.2019 4.2450 <br /> Change in Reading 0.0012 0.0001 <br /> Pass/Fall Criteria 0.002 0.002 <br /> Tightness Test Results N Pass ❑ Fail 0 Pass ❑ Fall ❑ Pass ❑ Fail ❑ Pass ❑ Fail <br /> Sump/UDC ID <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 Criteria <br /> Tightness Test Results ❑ Pass ❑ Fail ❑ Pass❑ Fail ❑ Pass © Fail ❑ Pass ❑ Fail <br /> Additional copies of this page may be attached <br /> Ail tests marked"Fail"and any repairs made before or during the tightness test must be described in <br /> the COMMENTS section. <br /> Page 4 of 5 <br />