Laserfiche WebLink
PEI/RM 200 - 17 <br /> APPENDIX <br /> WDROSTATIC TEST IMETHOD <br /> SINGLIEo I DO1 VACUUM TESTMETHOD <br /> Facility Name: Owner: <br /> Address: Address: <br /> City, State, Zip Code: City, State, Zip Code: <br /> Facility I.D. #: Phone #: <br /> Testing Company: Phone #: Date: <br /> This procedure is to test the leak integrity of single- and double-walled spill buckets. See PEVRP1200 Section 6 . 2 for hydrostatic test <br /> method, Section 6.3 for single-walled vacuum test method and Section 6.4 for double-walled vacuum test method. <br /> Tank Number <br /> Product Stored <br /> Spill Bucket <br /> Capacity <br /> Manufacturer <br /> Construction ❑ Single-walled ❑ Single-walled ❑ Single-walled ❑ Single-walled ❑ Single-walled ❑ Single-walled <br /> ❑ Double-walled ❑ Double-walled ❑ Double-walled ❑ Double-walled ❑ Double-walled ❑ Double-walled <br /> Test Type ❑ Hydrostatic ❑ Hydrostatic ❑ Hydrostatic ❑ Hydrostatic ❑ Hydrostatic ❑ Hydrostatic <br /> ❑ Vacuum ❑ Vacuum ❑ Vacuum ❑ Vacuum ❑ Vacuum ❑ Vacuum <br /> ❑ Single-walled ❑ Single-walled ❑ Single-walled El Single-walled ❑ Single-walled ❑ Single-walled <br /> ❑ Double-walled ❑ Double-walled ❑ Double-walled ❑ Double-walled ❑ Double-walled ❑ Double-walled <br /> Spill Bucket Type ❑ Product ❑ Product ❑ Product ❑ Product ❑ Product ❑ Product <br /> ❑ Vapor ❑ Vapor ❑ Vapor ❑ Vapor ❑ Vapor ❑ Vapor <br /> Liquid and debris <br /> removed from ❑ Yes ❑ No [] Yes ❑ No ❑ Yes ❑ No ❑ Yes ❑ No ❑ Yes ❑ No ❑ Yes ❑ No <br /> spill bucket? * <br /> Visual Inspection <br /> (No cracks, loose <br /> parts or separa- ❑ Pass ❑ Fail ❑ Pass ❑ Fail ❑ Pass ❑ Fail ❑ Pass Cl Fail ❑ Pass ❑ Fail ❑ Pass ❑ Fail <br /> tion of the bucket <br /> from the fill pipe.) <br /> Tank riser cap ❑ Yes ❑ No ❑ Yes ❑ No ❑ Yes ❑ No ❑ Yes ❑ No ❑ Yes ❑ No ❑ Yes [] No <br /> included in test? ❑ NA ❑ NA ❑ NA ❑ NA ❑ NA ❑ NA <br /> Drain valve ❑ Yes ❑ No ❑ Yes ❑ No ❑ Yes ❑ No ❑ Yes ❑ No ❑ Yes ❑ No ❑ Yes ❑ No <br /> included in test? ❑ NA ❑ NA ❑ NA ❑ NA ❑ NA ❑ NA <br /> Starting Level <br /> Test Start Time <br /> Ending Level <br /> Test End Time <br /> Test Period <br /> Level Change <br /> Pass/fail criteria: Must pass visual inspection . Hydrostatic: Water level drop of less than 1/8 inch; Vacuum single-walled only: <br /> Maintain at least 26 inches water column; Vacuum double-walled : maintain at least 12 inches water column . <br /> Test Results 11 Pass 11 Fail ❑ Pass ❑ Fail ❑ Pass ❑ Fail 11Pass 11Fail ❑ Pass ❑ Fail 13Pass El Fall <br /> Comments: <br /> *All liquids and debris must be disposed of properly. <br /> Tester's Name (print) Tester's Signature <br /> pel .org <br /> f <br /> i <br />