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03/22/2012 07:31 0000000000 <br />Secondary Containment Testing Report Form - Page 2 of 5 <br />0tLtttLtttttttt0N <br />PAGE 02/07 <br />D. Testing of Tank Annular SpacesNau its <br />❑ N/A (No tanks have secondary containment) <br />Test Method Used: (Z Pressure; <br />, y <br />(Spec y): <br />❑ vacuum; 0 Hydrostatic; ❑ Other (Specify <br />(p J�')� <br />Test Method Developed $y: ❑ Tank Manufacturer; Industry Standard ❑ PF; ❑ Other <br />Test .Method Used: ❑ Pressure; <br />+ <br />® Vacuum; ❑ Tiydrostatic; ❑ Otlter (Specify): <br />(Spec,): <br />Test Equipment Used: gauge <br />Equipment. Resolution: 0.2 PST <br />1✓quipment Resolution: 0.5" HG <br />Is Tank Exempt I rom Testing? <br />Tank#: DSL Tank #;.. <br />❑Yes, ® No ❑ Yes; ❑ No <br />Tank ft: Tank #' <br />❑ Yes; <br />Tank Capacity (gallons): <br />20}000 <br />❑ No ❑Yes; El No <br />Product/Grade Stored in Tank: <br />DSL <br />Pipe .Run #: Sat #.l <br />Tank Manufacturer: <br />Unknown <br />Environ <br />Tank Model; <br />Unknown <br />Pipe/Trench Model: <br />Wait time between applying <br />Enviroflex <br />Envirofiex <br />pressure/vacuum/water and <br />30 Min <br />Diesel <br />startiue test minutes ; <br />Test Start Time: <br />8:10 <br />Initial Reading (R): <br />10" kTG <br />pressure/vacuum/neater and <br />,rest End Time: <br />10:10 <br />30 <br />Final Reacting (RT,-): <br />10" HG <br />Change in Reacting (Rt: — R,): <br />0.0" TSG <br />30 M.in. <br />Pass/Fail Threshold or Criteria: <br />0.0" HG <br />] 0:37 <br />Test Resilit: <br />Was leak detection sensor <br />1 © Pass; ❑ Fail ❑ Pass; ❑ Fail <br />❑ .pass; 0 rail ❑Pass; ❑rail <br />properly replaced and verified <br />as functional after testing? <br />Yes., E3 No; ❑ Yes; ❑ No; <br />❑ N/A (Not Removcd ) ❑ N/A (Not Ikcmovcd) <br />❑ Yes; ❑ No; ❑ Yes; ❑ No; <br />❑ N/A (Not Fcmovcd) <br />1:40 <br />Test End Datc/Time: <br />❑ N/A (Not Rontoved) <br />�. TestIng Of Secondary Piping Or Containment Trenches <br />S.0 PS.T <br />❑ N/A (No piping 2° containment <br />Test Method Developed By: ❑ <br />Pipe/Trench Manufacturer; Z Industry Standard; PE <br />❑ El <br />Test Method Used: (Z Pressure; <br />, y <br />(Spec y): <br />❑ vacuum; 0 Hydrostatic; ❑ Other (Specify <br />(p J�')� <br />Test Equipment Uscd; gauge <br />Equipment. Resolution: 0.2 PST <br />Pipe Rina #: DSL <br />Pipe Run ##:.USL I/3 <br />- <br />See. to Dis 2/4 <br />Sec. to Ais <br />Pipe Run #: Sat ##3 <br />Pipe .Run #: Sat #.l <br />Pipe/Trench Manufacturer: <br />Fnviron <br />Environ <br />Environ <br />Pipe/Trench Model: <br />Enviroflex <br />Enviroflex <br />Envirofiex <br />Environ <br />Product/Grade in 1 ine:Enviroflcx <br />Diesel <br />Diesel <br />Wait time between applying <br />Diesel <br />Diesel <br />pressure/vacuum/neater and <br />3p .Anti. <br />30 Min. <br />30 <br />starting test minutes): <br />.Min. <br />30 M.in. <br />Test Start Date/Time: <br />9:45_ <br />] 0:37 <br />1:40 <br />Initial.Rcadin g (R T: <br />S,1 PST <br />5.2 PST <br />5.1 PSI <br />1:40 <br />Test End Datc/Time: <br />X0:45 <br />11:37 <br />S.0 PS.T <br />Final Reading (R}): <br />5.1 PSI <br />5.2 PST <br />2:40 <br />5.1 PST <br />2:40 <br />Change in Reading (Rr — RI), <br />t 0,0 PST <br />0.0 PS��y <br />Pass/rail Threshold or Criteria: <br />0.0 PS.1 <br />0.0 PSI <br />0.0 PST <br />0.0 PS.I <br />0.0 PST <br />Test Result! <br />Z Pass; ©Fail <br />Pass; ❑Fail <br />0.0 PSI <br />® Pass; Ll Fail <br />0.0 PST <br />❑ Pass; ®Fail <br />UN -0$4.2/s <br />n1—muidocs.org <br />02/2G/02 <br />