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<br />Underground Storage Tank <br />Secondary Containment Testing Report Form <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 />Test Method Developed by ☐ Manufacturer ☒ Industry Standard ☐ Professional Engineer <br />Test Type ☐ Pressure ☒ Vacuum ☐ Hydrostatic <br />Test Equipment Used: Vacuum Pump/Vacuum Gauges in Hg. <br /> <br />Tank ID 1-Regular 87 2-Super 91 3-Diesel <br />Tank Manufacturer Trusco Trusco Trusco <br />Tank Capacity 12K 6K 6K <br />Test Start Time 9:40 9:50 9:50 <br />Initial Reading -10" Hg. -10" Hg. -10" Hg. <br />Test End Time 10:40 10:50 10:50 <br />Final Reading -10" Hg. -10" Hg. -10" Hg. <br />Change in Reading 0 0 0 <br />Pass/Fail Criteria No Loss No Loss No Loss <br />Tightness Test Results ☒ Pass ☐ Fail ☒ Pass ☐ Fail ☒ Pass ☐ Fail ☐ Pass ☐ Fail <br /> <br />Test Method Developed by ☒ Manufacturer ☐ Industry Standard ☐ Professional Engineer <br />Test Type ☒ Pressure ☐ Vacuum ☐ Hydrostatic <br />Test Equipment Used: Pressure Gauges in Psi/Nitrogen <br /> <br />Pipe Run ID 1-Regular 87 2-Super 91 3-Diesel <br />Pipe Manufacturer FGS Red Thd. FGS Red Thd. FGS Red Thd. <br />Test Start Time 9:45 10:20 9:55 <br />Initial Reading 3 Psi 3 Psi 3 Psi <br />Test End Time 10:45 11:20 10:55 <br />Final Reading 3 Psi 3 Psi 3 Psi <br />Change in Reading 0 0 0 <br />Pass/Fail Criteria No Loss No Loss No Loss <br />Tightness Test Results ☒ Pass ☐ Fail ☒ Pass ☐ Fail ☒ Pass ☐ Fail ☐ Pass ☐ Fail <br /> <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 ☐ Pass ☐ Fail ☐ Pass ☐ Fail ☐ Pass ☐ Fail ☐ Pass ☐ Fail <br />Additional copies of this page may be attached. <br />6. TANK SECONDARY CONTAINMENT TEST <br />7. PIPE SECONDARY CONTAINMENT TEST