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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: NIA <br /> ❑ Check this box if Appendix 8.1 continuation page is attached. <br /> Tank ID <br /> Tank 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 /> 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: 0-10 Psi Gauges <br /> ❑ Check this box if Appendix 8.2 continuation page is attached. <br /> Pipe Run ID 87 East 87 West 91 East 91 West <br /> Pipe Manufacturer Western Fiberglass Western Fiberglass Western Fiberglass Western Fiberglass <br /> Test Start Time 11:00 am 11:05 am 11:10 am 11:15 am <br /> Initial Reading 5 psi 5 psi 5 psi 5 psi <br /> Test End Time 12:00 pm 12:05 pm 12:10 pm 12:15 pm <br /> Final Reading 5 psi 5 psi 5 psi 5 psi <br /> Change in Reading 0 0 0 0 <br /> Pass/Fail Criteria 0 0 0 0 <br /> Tightness Test Results ❑✓ Pass❑ Fail ❑✓ Pass❑ Fail ❑✓ Pass❑Fail ❑✓ Pass❑ Fail <br /> Continuity Test Results ❑✓ Pass ❑Fail ❑✓ Pass❑Fail ❑✓ Pass ❑Fail ❑✓ Pass ❑Fail <br /> Pipe Run ID Diesel East Diesel West Vapor Return <br /> Pipe Manufacturer Western Fiberglass Western Fiberglass Western Fiberglass <br /> Test Start Time 11:20 am 11:25 am 11:30 am <br /> Initial Reading 5 psi 5 psi 5 psi <br /> Test End Time 12:20 pm 12:25 pm 12:30 pm <br /> Final Reading 5 psi 5 psi 0 psi <br /> Change in Reading 0 0 5 <br /> Pass/Fail Criteria 0 0 0 <br /> Tightness Test Results ❑✓ Pass ❑Fail ❑✓ Pass❑ Fail ❑Pass ❑✓ Fail ❑Pass❑Fail <br /> Continuity Test Results ❑✓ Pass ❑Fail ❑✓ Pass❑Fail ❑✓ Pass ❑Fail ❑Pass ❑Fail <br /> Describe in Section 9 all tests marked "Fail'and any repairs made during the test. Page 2 of 4 <br />