Laserfiche WebLink
Underground Storage Tank <br />Secondary Containment Testing Report Form <br />16. TANK SECONDARY CONTAINMENT TEST <br />Test Method Developed by ❑ Manufacturer 0 Industry Standard ❑ Professional Engineer <br />Test Type ❑ Pressure 0 Vacuum ❑ Hydrostatic <br />Test Equipment Used: vacuum cuage <br />Tank ID <br />87 <br />91 / Diesel <br />91 East <br />91 West <br />Tank Manufacturer <br />Modern Welding <br />Modern Welding <br />Western Fiberglass <br />Western Fiberglass <br />Tank Capacity <br />20,000 <br />20,000 <br />N/A <br />N/A <br />Test Start Time <br />9:30 am <br />9:50 am <br />N/A <br />N/A <br />Initial Reading <br />10 hg <br />10 hg <br />N/A <br />N/A <br />Test End Time <br />10:30 am <br />10:50 am <br />N/A <br />N/A <br />Final Reading <br />10 hg <br />10 hg <br />N/A <br />N/A <br />Change in Reading <br />0 <br />0 <br />0 <br />0 <br />Pass/Fail Criteria <br />0 <br />0 <br />❑ Pass 0 Fail <br />❑ Pass 0 Fail <br />Tightness Test Results <br />0 Pass ❑ Fail <br />0 Pass ❑ Fail <br />❑ Pass ❑ Fail <br />❑ Pass ❑ Fail <br />17. PIPE SECONDARY CONTAINMENT TEST <br />Test Method Developed by ❑ Manufacturer 0 Industry Standard ❑ Professional Engineer <br />Test Type 0 Pressure ❑ Vacuum ❑ Hydrostatic <br />Test Equipment Used: Pressure guage <br />Pipe Run ID <br />87 East <br />87 West <br />91 East <br />91 West <br />Pipe Manufacturer <br />Western Fiberglass <br />Western Fiberglass <br />Western Fiberglass <br />Western Fiberglass <br />Test Start Time <br />9:30 am <br />9:30 am <br />N/A <br />N/A <br />Initial Reading <br />5 psi <br />5 Psi <br />N/A <br />N/A <br />Test End Time <br />1030 am <br />1030 am <br />N/A <br />N/A <br />Final Reading <br />5 psi <br />5 psi <br />N/A <br />N/A <br />Change in Reading <br />0 <br />0 <br />N/A <br />N/A <br />Pass/Fail Criteria <br />0 <br />0 <br />0 <br />0 <br />Tightness Test Results <br />0 Pass ❑ Fail <br />0 Pass ❑ Fail <br />❑ Pass 0 Fail <br />❑ Pass 0 Fail <br />Pipe Run ID <br />Diesel East <br />Diesel West <br />Diesel vent <br />Pipe Manufacturer <br />Western Fiberglass <br />Western Fiberglass <br />Smith <br />Test Start Time <br />9:30 am <br />9:30 am <br />10:30 am <br />Initial Reading <br />5 psi <br />5 psi <br />5 psi <br />Test End Time <br />10:30 am <br />10:30 am <br />11:30 am <br />Final Reading <br />5 psi <br />5 psi <br />5 psi <br />Change in Reading <br />0 <br />0 <br />0 <br />Pass/Fail Criteria <br />0 <br />0 <br />0 <br />Tightness Test Results <br />0 Pass ❑ Fail <br />0 Pass ❑ Fail <br />I 0 Pass ❑ Fail <br />❑ 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 />