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Underground Storage Tank <br /> Secondary Containment Testing Report Form <br /> 6. TANK SECONDARY CONTAINMENT TEST <br /> Test Method Developed by ® Manufacturer ® Industry Standard ❑ Professional Engineer <br /> Test Type ❑ Pressure ® Vacuum ❑ Hydrostatic <br /> Test Equipment Used: 10 inch HG vacuum gauge <br /> Tank ID Diesel - T1 <br /> Tank Manufacturer Owens Cornng <br /> Tank Capacity 12,000 <br /> Test Start Time 8:OOam <br /> Initial Reading -10 HG <br /> Test End Time 9:OOam <br /> Final Reading -10 HG <br /> Change in Reading 0 Change <br /> Pass/Fail Criteria 0 Chnge 1 hr <br /> Tightness Test Results ® Pass ❑ Fail 1 ❑ Pass ❑ Fail ❑ Pass ❑ Fail ❑ Pass ❑ Fail <br /> 7. PIPE SECONDARY CONTAINMENT TEST <br /> Test Method Developed by ® Manufacturer ® Industry Standard ❑ Professional Engineer <br /> Test Type ® Pressure ❑ Vacuum ❑ Hydrostatic <br /> Test Equipment Used: 5 psi pressure gauge <br /> Pipe Run ID DSL- Supply DSL - Return <br /> Pipe Manufacturer Total Cont. Total Cont. <br /> Test Start Time 8:OOam 8:OOam <br /> Initial Reading 5 psi 5 psi <br /> Test End Time 9:OOam 9:OOam <br /> Final Reading 5 psi 5 psi <br /> Change in Reading 0 Change 0 Change <br /> Pass/Fail Criteria 0 Change 1 hr 0 Change 1 hr <br /> Tightness Test Results ® Pass ❑ Fail ® Pass ❑ Fail ❑ Pass ❑ 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 ❑ Pass ❑ Fail ❑ Pass ❑ Fail ❑ Pass ❑ Fail ❑ 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 />