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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 ❑ Vacuum 0 Hydrostatic <br />Test Equipment Used: 0-30 INHG Gauges <br />Tank ID <br />87 <br />91 / Diesel <br />Test Equipment Used: o-10 PSI Gauges <br />Pipe Run ID <br />Tank Manufacturer <br />Modern Welding <br />Modern Welding <br />Diesel <br />Pipe Manufacturer <br />Tank Capacity <br />20,000 <br />20,000 <br />NOV Smith <br />Test Start Time <br />Test Start Time <br />10:10 am <br />10:10 am <br />11:00 am <br />Initial Reading <br />Initial Reading <br />10 hg <br />10 hg <br />5 psi <br />Test End Time <br />Test End Time <br />12:10 pm <br />12:10 pm <br />12:00 pm <br />Final Reading <br />Final Reading <br />10 hg <br />10 hg <br />5 psi <br />Change in Reading <br />Change in Reading <br />0 <br />0 <br />0 <br />Pass/Fail Criteria <br />Pass/Fail Criteria <br />0 <br />0 <br />0 <br />Tightness Test Results <br />Tightness Test Results <br />p Pass ❑ Fail <br />0 Pass ❑ Fail <br />❑ Pass ❑ Fail <br />❑ Pass ❑ Fail <br />7. 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: o-10 PSI Gauges <br />Pipe Run ID <br />87 North <br />87 South <br />91 <br />Diesel <br />Pipe Manufacturer <br />NOV Smith <br />NOV Smith <br />NOV Smith <br />NOV Smith <br />Test Start Time <br />11:00 am <br />11:00 am <br />11:00 am <br />11:00 am <br />Initial Reading <br />5 psi <br />5 psi <br />5 psi <br />5 psi <br />Test End Time <br />12:00 pm <br />12:00 pm <br />12:00 pm <br />12:00 pm <br />Final Reading <br />5 psi <br />5 psi <br />5 psi <br />5 psi <br />Change in Reading <br />0 <br />0 <br />0 <br />0 <br />Pass/Fail Criteria <br />0 <br />0 <br />0 <br />0 <br />Tightness Test Results <br />p Pass ❑ Fail <br />0 Pass ❑ Fail <br />0 Pass ❑ Fail <br />0 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 <br />❑ Pass ❑ Fail <br />❑ Pass ❑ Fail <br />❑ 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 />