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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 /> Address : 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 ❑ Fill Riser Containment <br /> DW Tanks (Annular Testing ) <br /> Tank # Assigned T1 -91 JT2w89 T3-87 74-Diesel <br /> Test Method Used Vacuum Vacuum Vacuum 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 . 0 . 0 inHg . 0 . 0 inHg . 0 . 0 inHg . <br /> Pass/Fail Threshold/Criteria No Loss No Loss No Loss No Loss No Loss No Loss <br /> Result Pass Pass Pass Pass <br /> DW Piping (Secondary Testing) <br /> Tank # Assigned T1 -91 JT2w89 JT3w87 =T4mblesel <br /> Test Method Used Pressure I Pressure I Pressure I 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 . NA 0 . 0 inHg . <br /> Pass/Fail Threshold/Criteria No Loss No Loss NA 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 />