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Secondary Containment and Spill Prevention Equipment Tightness Testing <br /> Facility CERS ID : 10180781 Testing Date : l -&2020 <br /> Facility Information Testing Company ' s Information <br /> Facility Name: United Pacific #5447 Company Name : CGRS , Inc . <br /> ddress : 1469 E Hammer Ln , Address : 5444 Dry Creek Rd . <br /> City/State/ZIP : Stockton , CA 95210 City/State/ZIP: Sacramento , Ca . 95838 <br /> Phone #: 209-478-1522 Phone #: (916 ) 991 -1100 <br /> Secondary Containment Present at Site (check all that apply) <br /> ® DW Tanks ® DW Piping ❑ Spill Buckets/Spill Containers <br /> ® STP/Piping Sump Containment ® Under-Dispenser Containment E] Fill Riser Containment <br /> DW Tanks (Annular Testing ) <br /> Tank # Assigned T1 -91 JT2=89 JT3=87 IT4wDiesel <br /> Test Method Used Vacuum I Vacuum IVacuum Vacuum Vacuum Vacuum <br /> Test Equipment Mfr. /Model Single 4" 0 -30 inHg . gauges w/ 0 . 05 graduations <br /> Test Start Time 9 : 00 am 9 : 00 am 9 : 00 am 9 : 00 am <br /> Initial Reading -10 inHg . -10 inHg . -10 inHg . -10 inHg . <br /> Test End Time 10 : 00 am 10 : 00 am 10 : 00 am 10 : 00 am <br /> Final Reading -10 inHg . -10 inHg . -10 inHg . -10 inHg . <br /> Change in Readings 0 . 0 inHg . 10 . 0 inHg . 10 . 0 inHg . 10 . 0 inHg . <br /> Pass/Fail Threshold/Criteria No Loss No Loss No Loss No Loss No Loss No Loss <br /> Result Pass Pass jPass IPass <br /> DW Piping (Secondary Testing) <br /> Tank # Assigned T1 -91 T2-89 JT3=87 T4-Diesel <br /> Test Method Used Pressure Pressure Pressure Pressure Pressure Pressure <br /> Test Equipment Mfr. /Model Dual 4" 0 - 15 PSI gauges w/ 0 . 05 graduations <br /> Test Start Time 9 : 30 am 9 : 30 am 9 : 30 am 9 : 30 am <br /> Initial Reading 5 psi 5 psi Visual Fail 5 psi <br /> Test End Time 10 : 30 am 10 : 30 am NA 10 : 30 am <br /> Final Reading 5 psi 5 psi NA 5 psi <br /> Change in Readings 0 . 0 inHg . 0 . 0 inHg . INA 10 . 0 inHg . <br /> Pass/Fail Threshold/Criteria No Loss No Loss INA No Loss No Loss No Loss <br /> Result <br /> Spill ' Buckets/Spill Containers <br /> Tank # Assigned <br /> Test Method Used Hydrostatic Hydrostatic Hydrostatic Hydrostatic Hydrostatic Hydrostatic <br /> Test Equipment Mfr. /Model Tape Measure @ 1 hour with + or — 1 /6 " <br /> Test Start Time <br /> Initial Reading <br /> Test End Time <br /> Final Reading <br /> Change in Readings <br /> Pass/Fail Threshold/Criteria + or — 0 . 002" + or — 0 .002" + or — 0 .002 " + or — 0 . 002 + or — 0 . 002" + or — 0. 002" <br /> Result <br /> CERS = California Environmental Reporting System, ID = Identification , UST = Underground storage tank, ICC = International Code Council, <br /> NA = Not applicable, UDC = Under-dispenser containment <br />