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Underground Storage Tank Secondary Containment Testing Report Form 6. TANK SECONDARY CONTAINMENT TEST Test Method Developed by ❑ Manufacturer 0 Industry Standard ❑ Professional Engineer Test Type ❑ Pressure 0 Vacuum ❑ Hydrostatic Test Equipment Used:vacuum cuage Tank ID 87 91 /Diesel Tank Manufacturer Modern Welding Modern Welding Tank Capacity 20,000 20,000 Test Start Time 9:30 am 9:50 am Initial Reading 10 hg 10 hg Test End Time 10:30 am 10:50 am Final Reading 10 hg 10 hg Change in Reading 0 0 Pass/Fail Criteria 0 0 Tightness Test Results 0 Pass ❑ Fail 0 Pass ❑ Fail ❑ Pass ❑ Fail ❑ Pass ❑ Fail 7. PIPE SECONDARY CONTAINMENT TEST Test Method Developed by ❑ Manufacturer 0 Industry Standard ❑ Professional Engineer Test Type 0 Pressure ❑ Vacuum ❑ Hydrostatic Test Equipment Used:Pressure guage Pipe Run ID 87 East 87 West 91 East 91 West Pipe Manufacturer Western Fiberglass Western Fiberglass Western Fiberglass Western Fiberglass Test Start Time 9:30 am 9:30 am N/A N/A Initial Reading 5 psi 5 Psi N/A N/A Test End Time 1030 am 1030 am N/A N/A Final Reading 5 psi 5 psi N/A N/A Change in Reading 0 0 N/A N/A Pass/Fail Criteria 0 0 0 0 Tightness Test Results 0 Pass ❑ Fail 0 Pass ❑ Fail ❑ Pass 0 Fail ❑ Pass 0 Fail Pipe Run ID Diesel East Diesel West Diesel vent Pipe Manufacturer Western Fiberglass Western Fiberglass Smith Test Start Time 9:30 am 9:30 am 10:30 am Initial Reading 5 psi 5 psi 5 psi Test End Time 10:30 am 10:30 am 11:30 am Final Reading 5 psi 5 psi 5 psi Change in Reading 0 0 0 Pass/Fail Criteria 0 0 0 Tightness Test Results 0 Pass ❑ Fail 0 Pass ❑ Fail I 0 Pass ❑ Fail ❑ Pass ❑ Fail Additional copies of this page may be attached. All tests marked "Fail"and any repairs made before or during the tightness test must be described in the COMMENTS section. Page 2 of 5