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Underground Storage Tank <br /> Secondary Containment Testing Report Farm <br /> 6. TANK SECONDARY CONTAINMENT TEST <br /> Test Method Developed by ❑ Manufacturer 9) Industry Standard ❑ Professional Engineer <br /> Test Type ❑ Pressure ® Vacuum ❑ Hydrostatic- <br /> Test Equipment Used: - <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 /> Charge in Reading <br /> Pass/Fail Criteria 0 0 0 0 <br /> Tightness Test Results 0 Pass 0 Fail 0 Pass ❑ Fail 0 Pass 0 Fail ❑ Pass ❑ Fail <br /> 7. PIPE SECONDARY CONTAINMENT TEST <br /> -rest Method Developed by ❑ Manufacturer 0 Industry Standard ❑ Professional Engineer <br /> Test Type 99 Pressure 0 Vacuum ❑ Hydrostatic <br /> Test Equipment Used: <br /> ❑ Check this box if Appendix 8.2 continuation page is attached- <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/Pail Criteria 0 0 0 0 <br /> Tightness Test Results ❑ Pass ❑ Fail ❑ Pass Q Fail ❑ Pass ❑ Fail ❑ Pass ❑ Fait <br /> Continuity Test results I ❑ Pass ❑ Fail ❑ Pass ❑ Fail ❑ Pass ❑ Fail ❑ Pass ❑ Fail <br /> Pipe Run ID_ <br /> Pipe Manufacturer <br /> Test Stark Time <br /> Initial Reading <br /> Test End Time <br /> Final Reading <br /> Change in Reading <br /> Pass/Fail Criteria 0 0 0 0 <br /> Tightness Test Results ❑ Pass ❑ Fail ❑ Pass Q Fail C] Pass ❑ Fail ❑ Pass ❑ Fail <br /> Continuity Test Results ❑ Pass p Fail 0 Pass ❑ Fail ❑ Pass ❑ Fail ❑ Pass D Fail <br /> Describe in Section 9 all tests marked "Fail and any repairs made daring the test. Page 2 of 4 <br />