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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: (C) ,� <br /> Tank ID -1—9) A+mgc, <br /> Tank Manufacturer -ems h , <br /> Tank Capacity ' �� � <br /> Test Start Time q.,30 cvvr <br /> Initial Reading <br /> Test End Time 0; <br /> Final Reading _1 r► _1 ,6 t/ <br /> Change in Reading © ' <br /> Pass/Fail Criteria 010 010 <br /> Tightness Test Results M Pass ❑ Fail ECDOd� ass ❑ Fail ❑ Pass ❑ Fail ❑ Pass ❑ Fail <br /> 7. PIPE SECONDARY CONTAINMENT TEST <br /> Test Method Developed by ❑ Manufacturer Industry Standard ❑ Professional Engineer <br /> Test Type W Pressure ❑ Vacuum ❑ Hydrostatic <br /> Test Equipment Used: <br /> Pipe Run ID W <br /> Pipe Manufacturer 4he <br /> Test Start Time QAn 0:60 ctkn <br /> Initial Reading ,a ; <br /> Test End Time CLyn ! ;apavvo ,, 0 va•1, <br /> Final Reading n �j. <br /> Change in Reading (� <br /> Pass/Fail Criteria Q • 0- 0 0. (� <br /> Tightness Test Results Pass ❑ Fail Pass ❑ Fail Pass ❑ Fail ❑ 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 ❑ 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 />