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UndOg round Storage Tank <br /> Primaly Integrity Testing Report Form <br /> . . ... ... .. ..... ..... <br /> 6. <br /> PRi1VI;LF Y INTMRITY TEST <br /> Test Method Developed by ❑ Manufacturer ❑ Industry Standard 11 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 10 <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.0 Fail ❑ Pass El Fall C] Pass❑Fail <br /> .................. ...... . ..... ..... ........ <br /> ?. 1PE PRIMARY`INTS ITY TEST. <br /> Test Method Developed b ❑ Manufacturer Industry Standard ❑ Professional Engineer <br /> Test T pe 'cd Pressure 13 Vacuum ❑ Hydrostatic <br /> Test Equipment Used: Gauge 1 Soap and Water <br /> ❑ Check this box if Appendix 8.2 continuation page is attached. <br /> Pipe Run ID 87 <br /> Pipe Manufacturer NaV <br /> Test Start Time 1 D:Qa <br /> Initial Reading 150 PSI <br /> Test End Time 11:00 <br /> Final Reading 150 PSI <br /> Change in Reading �- —, <br /> PasstFail Criteria .. ._ Pass <br /> Tightness Test Results Pass ❑ Fail ❑ Pass ❑ Fair ❑ Pass ❑ Fail ❑ Pass❑Fail <br /> MReading <br /> Test Results ❑ Pass ❑ Fail ❑ Pass ❑ Fail ❑ Pass p Fail ❑ Pass ❑ Fail <br /> to <br /> facturer <br /> Time <br /> ingime <br /> Finat Reading <br /> Change in Reading <br /> Pass/Fail Criteria <br /> Tightness Test Results ❑ Pass G Fait ❑ Pass❑ Fail d Pass❑ Fail ❑ Pass❑.Fail <br /> Continuity Test Results ❑ Pass CI Fail ❑ Pass ❑ Fail ❑ Pass❑ Fail ❑ Pass#1 Fail <br /> Describe in Sectiorr 9 all tests marked"Fail"and any repairs made during the test Page 2 of 4 <br />