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Underground Storage Tank Secondary Containment Testing Report Form s• TANK SECONDARY CONTAINMENT�TES�� Test Method Developed by ❑ Manufacturer ® Industry Standard ❑ Professional Test Type ssional Engineer Test Equipment Used: Vacuum PUMP/Vacuum a acuum Hydrostatic ID Tank ages in Hg. LJ Tank Manufacturer 1-87191 2-Diesel Joor Joor Tank Capacity 10K 2 Compt. 12K Test Stark Time 11:45 Initial Reading 11:55 Test End Time -6 Hg.12:45 12:55 -6" Hg. Final Reading -6" H g• -6" Hg. Change in Reading 0" Hg. rig Pass/Fail Criteria No Loss Tinht—ccTo No Loss .�.......,.., �t Rltg 141 Dr. c.y uovov El Fail Iq D000 r1 Foil 7. PIPES uvv un n D.�oo n D. H n D- ECONDARY CONTAINMENT TEST u uvv u n Fait �-- uvv u . un Test Method Developed by ❑ Manufacturer N Ind Test Type ustry Standard Professionalacuuru Engineer Test Equipment Used: Pressure Gauges in Psi❑/N t ogen LJ Hydrostatic Pine Run ID 187 Product Vent Pipe - Manufacturer 2'87 V 3-91 Product Smith Smith 4-91-Vent Test Start Time Smith Smith 11:48 11:30 11:51 Initial Reading 5 Psi 11:33 Test End Time 5 Psi 5 Psi 12:48 12:30 5 Psi Final Reading 5 Psi 12:51 12:33 5 Psi Change in Reading u Psi 5 Psi 5 Psi rassir=aii Criteria � Psi u Psi U No LOSS No LOSS i-si Tightness Test Results No Loss ® Pass ❑ Fail ® Pass ❑ Fail No Loss Pipe Run ID ® Pass ❑ Fail ® Pass ❑ Fail Pipe Manufacturer Gas Vapor Dsl Product Smith Dsl Vent TPst Start Time Smith Smith 11:36 Initial Reading 5 Psi 11:54 11:39 i 5 Ps Test End Time 5 Psi Final Reading 12.36 12:54 5 Psi12:39 Change in Reading 0 Psi 5 Psi 5 Psi Pass/Fail Criteria 0 Psi 0 Psi Tightness Test Results No Loss No Loss ® Pass ❑ Fail No Loss Additionai copies of this page may be attached. Pass ❑ Fail ® Pass ❑ Fail ❑ Pass ❑ Fail All tests marked "Fail'and any repairs made before or during the tightness the COMMENTS section. test must be described in Paso 7 .,s e