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Underground Storage Tank <br />Secondary Containment Testing Report Form <br />16. 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 <br />87A Product Line <br />87B Product Line <br />87C Product Line <br />87A Vent Line <br />Tank Manufacturer <br />Ameron <br />Ameron <br />Ameron <br />Tank Capacity <br />9:OOam <br />9:OOam <br />10:30am <br />Test Start Time <br />5 PSI <br />5 PSI <br />5 PSI <br />Initial Reading <br />10:OOam <br />10:00am <br />11:30am <br />Test End Time <br />5 PSI <br />5 PSI <br />0 PSI <br />Final Reading <br />0 PSI <br />0 PSI <br />0 PSI <br />Change in Reading <br />0 PSI <br />0 PSI <br />0 PSI <br />Pass/Fail Criteria <br />® Pass ❑ Fail <br />2 Pass ❑ Fail <br />hel Pass ❑ Fail <br />❑ Pass 5? Fail <br />Tightness Test Results <br />❑ Pass ❑ Fail <br />❑ Pass ❑ Fail <br />❑ Pass ❑ Fail <br />❑ Pass ❑ Fail <br />17. PIPE SECONDARY CONTAINMENT TEST <br />Test Method Developed by 52 Manufacturer ❑ Industry Standard ❑ Professional Engineer <br />Test Type 52 Pressure ❑ Vacuum ❑ Hydrostatic <br />Test Equipment Used: <br />Pipe Run ID <br />87A Product Line <br />87B Product Line <br />87C Product Line <br />87A Vent Line <br />Pipe Manufacturer <br />Ameron <br />Ameron <br />Ameron <br />Test Start Time <br />9:OOam <br />9:OOam <br />10:30am <br />Initial Reading <br />5 PSI <br />5 PSI <br />5 PSI <br />Test End Time <br />10:OOam <br />10:00am <br />11:30am <br />Final Reading <br />5 PSI <br />5 PSI <br />0 PSI <br />Change in Reading <br />0 PSI <br />0 PSI <br />0 PSI <br />Pass/Fail Criteria <br />0 PSI <br />0 PSI <br />0 PSI <br />Tightness Test Results <br />® Pass ❑ Fail <br />2 Pass ❑ Fail <br />hel Pass ❑ Fail <br />❑ Pass 5? Fail <br />Pipe Run ID <br />87B Vent Line <br />87C Vent Line <br />87A - 87B Siphon Line <br />87B - 87C Siphon Line <br />Pipe Manufacturer <br />Ameron <br />Ameron <br />Ameron <br />Ameron <br />Test Start Time <br />10:30am <br />10:30am <br />11:40am <br />11:40am <br />Initial Reading <br />5 PSI <br />5 PSI <br />5 PSI <br />5 PSI <br />Test End Time <br />11:30am <br />11:30am <br />12:40pm <br />12:40pm <br />Final Reading <br />5 PSI <br />5 PSI <br />5 PSI <br />5 PSI <br />Change in Reading <br />0 PSI <br />0 PSI <br />0 PSI <br />0 PSI <br />Pass/Fail Criteria <br />0 PSI <br />0 PSI <br />0 PSI <br />0 PSI <br />Tightness Test Results <br />® Pass ❑ Fail <br />2 Pass ❑ Fail <br />[0 Pass ❑ Fail <br />hel 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 />