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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: <br /> Tank ID 1-Waste Oil 2-Waste Oil 3-Anti Frez 4-Gear Oil <br /> Tank Manufacturer CSI CSI CSI CSI <br /> Tank Capacity 3,918 Gal 1,000 Gal 5,929 Gal 5,929 Gal <br /> Test Start Time Exempt Exempt Exempt Exempt <br /> Initial Reading See page 5 See page 5 See page 5 See page 5 <br /> Test End Time NA NA NA NA <br /> Final Reading NA NA NA NA <br /> Change in Reading NA NA NA NA <br /> Pass/Fail Criteria NA NA NA NA <br /> Tightness Test Results ❑ Pass ❑ Fail 1 ❑ Pass ❑ Fail 1 ❑ Pass ❑ Fail 1 ❑ 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: Pressure Gauge in Psi/Nitrogen <br /> Pipe Run ID 1-Waste Oil 2-Waste Oil 3-Anti Frez 4-Gear Oil <br /> Pipe Manufacturer Smith Smith Smith Smith <br /> Test Start Time 11:10 11:30 10:40 10:45 <br /> Initial Reading 5 Psi 5 Psi 5 Psi 5 Psi <br /> Test End Time 12:10 12:30 11:40 11:45 <br /> Final Reading 5 Psi 5 Psi 5 Psi 5 Psi <br /> Change in Reading 0 Psi 0 Psi 0 Psi 0 Psi <br /> Pass/Fail Criteria No Loss No Loss No Loss No Loss <br /> Tightness Test Results ® Pass ❑ Fail ® Pass ❑ Fail ® Pass ❑ Fail ® Pass ❑ Fail <br /> Pipe Run ID 5-Motor Oil 6-Waste Oil 7-Soap <br /> Pipe Manufacturer Smith Smith Smith <br /> Test Start Time 10:50 10:55 10:35 <br /> Initial Reading 5 Psi 5 Psi 5 Psi <br /> Test End Time 11:50 11:55 11:35 <br /> Final Reading 5 Psi 5 Psi 5 Psi <br /> Change in Reading 0 Psi 0 Psi 0 Psi <br /> Pass/Fail Criteria No Loss No Loss No Loss <br /> Tightness Test Results IN 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 />