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i <br /> i <br /> ilj Prevention tom Dance Corp6 ation <br /> Periodic Integrity Test Certificate <br /> P.U. Box 1289........Waterford, CA 95386 Telephone: (209) 969-0851 A 14 2011 <br /> Email: --pccot'ncyhotn,ail.con� <br /> HONNiENTAL HEALTH <br /> ClientBrown Sand ajid Gravel contact Person: Timothy_Cle,nent. Shop <br /> DEPARTMENT <br /> Address 800Mossdale Road Telepbone: 209) 321-0046 <br /> City/Statc/Zip Lathrop,CA _95330 <br /> Location of Tank(s) if different from Client Address—Shop Area <br /> Tank.Info (brand/product stored/galsfUL#.)MJIvlcCutchean/6000 gaWdiesellUL#ti6�ti21 <br /> Description of Secondary Contaiz)inentUL-listed metal is secondaga <br /> Date of Test 4/2017 Test Supervisor(i) Mart/Paul McWhorter <br /> iVl)N;TII<Ull OF YERiOD1C INTEGRITY TEST-Primary NX Secondary X <br /> 1. Steel Thickness Test(in accordance with AN-653 and/or STI P001 (5th edition)- <br /> readings(instrumentationl'M-8810 ultrasonic inicroproeessor: <br /> ininimuin end/wall thid,-ness(!._)minimum bottoin/wall thickness — <br /> corrosion-circle one (significant or noininal)...pitting-circle one (significant or nominal) <br /> Coating required (explain) <br /> Detailed wall thickness readings are beld in the SPC Corp client-file(total readings ) <br /> 2. Nitrogen Blanket Y NT(document.psi readings) Duration <br /> 3. CO2 Blanket— N(docuinent psi readings) Duration <br /> Blanket-7--Y <br /> 4. 'tracer Gas� N Y (doctiment inert gas used) Duration. <br /> Tracer Gas compatibility factors(desr,6bc) <br /> 5. Pressure-TestY 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 /> S. Camera model Lorex MC81845/interstitial X Y N (fradings)no fuel in.annulus <br /> 9. Hydro-Carbon Sensor(probe) OMNTEC BOA-PDS X Y N no fuel in a"Duius <br /> 10. Hydrology (Water Cohmm-i)_Y N (document inches of water cohm <br /> readings) <br /> Duration <br /> 'PEST RESULTS <br /> 1`t-Stage: <br /> Pass X Dail (quantify)–camera confuna,;no fuel in interstice/2ndary <br /> rynd^Stage: <br /> Pass X Fail (quantify) sensor confirms no Cuel inl interstice/2nda. <br /> Comments section Vertical AST-check seismic stability <br /> Next Scheduled Periodic Integrity Test <br /> If primary/secondary containment passes test. schedule next periodic integrity test no <br /> later than 3 years from date of initial test 4/20/2022 <br /> Date of Ncxt Scheduled'rest <br /> (Certificate) <br /> c SPC Corp Representative <br /> 819:aepd 22b289b:01 :WOJ-d 62:2T 1 T02-t-T.-1Hf' <br />