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Underground Storage Tank <br /> Secondary Containment Testing Report Form <br /> 6. TANK SECONDARY CONTAINMENT TEST <br /> Test Method Developed by 0 Manufacturer 0✓ Industry Standard © Professional Engineer <br /> Test Type 0 Pressurex❑ Vacuum ❑I— Hydrostatic <br /> Test Equipment Used: vacuum Gages <br /> Tank ID Gasoline -87-1 Gasoline -87-2 Gasoline-91 <br /> Tank Manufacturer Modern (FRP) Modern (FRP) Modern (FRP) <br /> Tank Capacity 10,000 10,000 10,000 <br /> Test Start Time 11:30 10:02 9:48 <br /> Initial Reading 10 10 10 <br /> Test End Time 12:30 11:02 10:48 <br /> Final Reading 10 10 10 <br /> Change in Reading 0 0 0 <br /> Pass/Fail Criteria 0 0 0 <br /> Tightness Test Results 0✓ Pass 0 Fail ® Pass © Fail ® Pass 0 Fail ❑ Pass C Fail <br /> 7. PIPE SECONDARY CONTAINMENT TEST <br /> Test Method Developed by El Manufacturer 0 Industry Standard © Professional Engineer <br /> Test Type © Pressure 0 Vacuum © Hydrostatic <br /> Test Equipment Used: Pressure Gages <br /> Pipe Run ID Gasoline -87-1 Gasoline -87-2 Gasoline-91 <br /> Pipe Manufacturer Smith Smith Smith <br /> Test Start Time 9:30 Manifolded 10:10 <br /> Initial Reading 5 5 <br /> Test End Time 10:30 11:10 <br /> Final Reading 5 5 <br /> Change in Reading 0 0 <br /> Pass/Fail Criteria 0 0 <br /> Tightness Test Results Pass © Fail Pass 0 Fail Pass ID 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 0 Pass 0 Fail C Pass r] Fail I 0 Pass 0 Fail C Pass 0 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 />