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Saill Prevention Compliance Corporation <br />P.O. Box 1289........ Waterford, CA 95386 Telephone: (209) 969-0851 <br />Email: spccoru�ii hounail.com <br />Website: www.speplan cpm <br />Certified Assessment Form (PE) for AST Systems <br />Assessor: Spill Prevention Compliance Corporation Onsite Assessor.Todd McWhorter <br />P.O. Box 1289 Telephone: (209)969-0851 <br />Waterford, CA 95386 email: §pccorp@,botmail.com <br />Client: Nissan -Kia of Stockton Contact Person: Ron Azuiar, Service Manager <br />Address: 3077 E. Hammer Lane 2nd Contact: <br />City/State/Zip; Stockton, CA 95212 Date of Test: 8-6-15 <br />Assessment Data -Waste Coolant AST <br />1. AST Configuration & age (describe) Vertical Doublewall Poly IS09000/9014 compliance with 40CFR- <br />264 193/ 450 gals./ approx 7 Yrs old <br />Ia. Useful Life Remaining of AST AST has approximately 23 years of remaining life (Subsection kl-k10)-No <br />(IV exposure <br />2. AST Primary vessel construction (describe) Doublewall Poly IS09000/9014 in compliance with 40CFR- <br />264.193 — Vertical Poly AST <br />3. AST piping (describe) )_ 1 in hydraulic flex hose %in copper piping from Graco Husky 1040 Pump to 2 <br />in opening w/fitting from pump for supply to top of AST. <br />4. Internal/External pump description external Graco Husky 1040 pump w/2 solenoid 12volt-10-200psi-w/tank <br />monitor (Bi 007 Sensor -Alarm) -External pump which pumas waste coolant from service areas (see pic) <br />5. AST drawing (provided/drawn: source) (see attached) <br />6. Design Standard (ASN E, UL, etc.) Poly IS09000/9014 comnliance with 40CFR-264.193 DoubleWall AST <br />7. AST foundation (describe) concrete sub -floor, Base of AST under UL 142 adequate to withstand the load <br />of a full tank -Tank is anchored to floor <br />S. AST anchoring (seismic zone/floatation risk)AST is anchored to the floor slab, with 3/8 in. expansion <br />anchors into the concrete floor. Stockton is a (groundshaking) seismic region . The AST is situated in <br />secured lubricants room within a concrete 6 in curb forming a berm. The AST is unlikely to move outside the <br />room in an even nor a risk of flotation in such an event. <br />9. AST will withstand frost -heave XX Yes No AST sits in secured lubricants room. <br />10. AST previously relocated? _Yes XX No <br />11, AST Corrosion Protection AST is located inside bldg (7a concrete sub -floor removed from weather -Poly <br />tank not subject to corrosion -No UV exposure <br />12. AST Spill Prevention Equipment AST has product is placed into AST via pumping from external Graco <br />13. Overfill Protection: AST has BJ 007 monitor alarm to notify personnel of any overfill dangers. <br />