COMPLIANCE INFO_2012 - 2014 - Laserfiche WebLink

Home Browse Search

Secondary Containment Testing Report Form - Page 2 of 5 D. Testing of Tank Annular SpacesNaults ❑ N/A (No tanks have secondary containment) Test Method Developed By: E]Tank Manufacturer; ® Industry Standard; ❑`i'E; ❑Other (Specify): m Test Method Used: Q Pressure; ® Vacuum; ❑ Hydrostatic; ❑ Other (Specify): Test Equipment Used: gauge Equipment Resoluti«n: 0.5" HG Tank #: DSL Tank#: Tank #: Tank #• Is Tank Exempt From Testing? ; ® No F-1Yes; [:1No ❑ Yes; [:]No ❑ Yes; ❑ No �I Tank Capacity (-all ns o )20,000 Enviroflex Enviroflex _ Diesel Product/Grade Stored in Tank: DSL Wait time between applying pressure/vacuum/water and 30 Min. starting test (minutes): 30 Min. 30 Min. Tank Manufacturer: Unknown 10:37 1:40 1:40 Tank Model: Unknown 5.1 PSI 5.0 PSI Test End DatelTime: 10:45 Wait time between applying pressure/vacuum/water and starting test (minutes): 30 Min 2:40 _ 5.2 PSI5.1 _ Test Start Time: 8:10 Change in Reading (RF — R): 0.0 PSI 0.0 PSI 0.0 PSI Initial Reading (RO: 10" HG 0.0 PSI 0.0 PSI _ Test End Time: 10:10 ® Pass; ❑ Fail ❑ Pass; ® Fait Final Reading (RF): 10" HG Change in Reading (RF — R,): 0.0" HG Pass/Fail Threshold or Criteria. 0.0" HG Test Result: ® Pass; ❑ Fail ❑ Pass; ❑ Fail ❑ Pass; ❑ Fail ❑ Pass; ❑ Fail Was leak detection sensor properly replaced and verified as functional ager testing? i ®Yes; ❑ No; ❑ NIA (Not Removed) ❑Yes; ❑ No; ❑ N/A (Not Removed) F-1 Yes; ❑ No; ❑ N!A (Nut Removed) ❑Yes; ❑ No; I ❑ N/A (t*So[ Removed) E. Testing of Secondary Piping or Containment Trenches ❑ N/A (No piping 2° containment) Test Method Developed By: ❑ Pipe/Trench Manufacturer; ® Industry Standard; ❑ PE; ❑ Other (.Specib): Test Method Used: ® Pressure; ❑ Vacuum; ❑ Hydrostatic; ❑ Other (Spec): Test Equipment .men Used: gauge \ Pipe Run #: DSL Pipe Run #. DSL 1/3 Equipment Resolution: 0.2 PSI g p gang � p { Pipe Run #. Sat #3 � Pipe Run #: Sat #1 lz Sec. to Dis r 2/4 Sec. to Dis pipe''Trench Manufacturer: Environ Environ Environ Environ Pipe/Trench Model: Enviroflex Enviroflex Enviroflex Enviroflex Product/Grade in Line: Diesel Diesel Diesel Diesel Wait time between applying pressure/vacuum/water and 30 Min. starting test (minutes): 30 Min. 30 Min. 30 Min. Test Start Date/Time: 9:45 10:37 1:40 1:40 Initial Reading (Rj): 5.1 PSI 5.2 PSI. 5.1 PSI 5.0 PSI Test End DatelTime: 10:45 11:37 2:40 2:40 Final Reading (RF): 5.1 PSI 5.2 PSI5.1 _ PSI 0.0 PSI Change in Reading (RF — R): 0.0 PSI 0.0 PSI 0.0 PSI 0.0 PSI Pass/Fail Threshold or Criteria: 0.0 PSI I 0.0 PSI 0.0 PSI 0.0 PSI Test Result: ❑ Pass; ❑ Fail ® Pass; ❑ Fail ® Pass; ❑ Fail ❑ Pass; ® Fait 1 1-054-''5 02/26/02