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RI ® <br /> 11 14 2017 <br /> S ill Pravenfiwan Cam Banca Car aratlan <br /> Periodic integrity Test Certificate La"'4vI�-«INiENTALHEALTH <br /> P.O.Box 1289........Waterford,CA 95386 Telephone: (209)969-0851 IEPARTMENT <br /> Email: s. eco a llotma1com <br /> ClientBrown Sand and Gravel Contact Person:_Timok Clezxaent�� <br /> Address 800Mossdale Road Telephone:_2 31 21-OQ46 <br /> City/State/Zip-LAKM-CA CA 95330 <br /> Location of Tank(s)if different from Client Addrcss—Sho2 Arca <br /> Tank Info (brand/product stored/gals/UL#)unbranded UST/Mrox 8000 gals/diesel/No <br /> UL# <br /> Description of Secondary Containment Qen metallic dike <br /> Date of Test 4/20/17& 6/19/17 Test Supervisors) MaM'Paul McWhorter <br /> METHOD OF pERJODIC INTEGRITY TEST-Primary X Secondary X <br /> 1. Steel Tbickness Test(in accordance with API-653 and/or STY P001 (5t'edition)- <br /> readings(instrumentationTM-8810 ultrasonic microprocessor: <br /> minimum end/wall thielmess(,)minimum bottom/wall thickness <br /> corrosion-circle one(significant or nominal)...pittir►g-circle one(significant or nominal) <br /> Coating required(explain) <br /> Detailed wall ti-ticlmess readings are held in the SPC Corp client-file(total readings--) <br /> 2. Nitrogen Blanket Y N(document psi readings) . _Duration <br /> 3. CO2 Blanket Y_N(document psi readings) Duration . <br /> 4. Tracer Gas YN(document inert gas used) Duration <br /> Tracer Gas carnpatibility factors(describe) <br /> 5. Pressure-Test Y N(document psi readings) Duration <br /> 6. Vacuum Test Y N(document inches of Mercury readings Duration <br /> 7. Sonar-Test Y N(document db readings) Duration <br /> 8_ Camera(visual)model Lorex MC81845/interstitial N Y_N(findings)fuel in amlulus <br /> 9. Hydro-Carbon Sensor(probe)model Oly1N'TEC BOA.-PDS X Y N fuel i s <br /> 10.Hydrology(Water Colunm) Y N(document inches of water column <br /> readings) Duration <br /> TEST RESULTS <br /> 1"-Stage: <br /> Pass X Fail_(quantify)6/19/17-camera confirms no fuel in interstice corrective acfi n <br /> 2"d-Stage: <br /> Pass X Fail___,_(quantify) 6/19/17-sensor confirms no fuel in interstice corrective <br /> Comments section <br /> Next Scheduled Periodic Integrity Test <br /> If primary/secondary containment passes test, schedule next periodic integrity test n <br /> later than 3 years from of initial test dl <br /> Date of Next Scheduled Test <br /> (Certificate) <br /> N SPC Corp Representative <br /> 8/t7:a"8 M7289b:01 :wOJA 62:2i LT02-bti--1nf <br />