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Underground Storage Tank Secondary Containment Testing Report Form 6. TANK SECONDARY CONTAINMENT TEST Test Method Developed by ❑ Manufacturer ❑ Industry Standard ❑ Proffassionat Engineer Test Type ❑ Pressure ❑ Vacuum ❑ Hydrostatic Test Equipment Used. Tank ID Tank Manufacturer Teak Capacity Test Mart Time Initial Reading Test End Time Final Reading Change in Reading Pass/Fail Criteria Tightness Test Results ❑ Pass ❑ Fail ❑ Pass ❑ Fail ❑ Pass ❑ Fail ❑ Pass ❑ Fail 7. PIPE SECONDARY CONTAINMENT TEST Test Method Developed by ❑ Manufacturer 2 Industry Standard ❑ Professional Engineer Test Type 10 Pressure ❑ Vacuum ❑ Hydrostatic Test Equipment Used. Pressure Gauges ! Nitrogen Pipe Run ID 87 Product 91 Product T6 Auto Diesel T1 RV Diesel & 19-20 Pipe Manufacturer Smith J NOV Smith f NOV Smith ! NOVSmith i NOV Test Start Time 8:00am 8:00am 8:00am 8:00am Initial Pleading 5 Psi 5 Psi 5 Psi 5 Psi Test End Time 9:00arn 9:00am 9:00am 9:00am Final Reading ,5 Psi 5 Psi 5 Psi 5 Psi Change in Reading 10 psi 0 Psi 0 Psi 10 psi PasslFail Criteria 'Pass Pass Pass Pass Tightness Test Results El Pass ❑ Fail 2 Pass ❑ Fail ® Pass ❑ Fail 2 Pass ❑ Fail Pipe Runt ID iT2 6lodlesel Prod T3 6lodlesel Prod Diesel Syphons ,Blo Vacuum chase Pipe Manufacturer Smith 1 NOVSmith J NOV Smith 1 NOV 15mith 1 NO Test Mark Time 9:10am 9:10am 9:10am 9:10am Initial Reading 5 Psi 5 Psi 5 Psi 5 Psi Test End Time 10:10am 10:10am 10:10am 10:10am Final Reading 5 Psi 5 Psi 5 psi 5 Psi Change in Reading 0 Psi 0 Psi 0 Psi 0 psi Pass/FailCriteria Pass Pass Pass Pass Tightness Test Results . B Pass ❑ Fail 1 [0 Pass ❑ Fall 52 Pass El Fail 1 2 Pass Cl Fail Additional copies of this page may be attached. ,ill tests marked "i=arl"and any repairs ins de before or during the tightness test in List be described in the COMMENTS section. Page 2of