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1 03/13/2012 15:24 0000040 0@t`@�@t`t`@fit`@t`@(� PAGE 03/06 <br /> Secondary Containment Testing Report Form-Page 2 of 5 <br /> D. Testing of Tank Annular Spaces/Vaults ®N/A(No tanks have secondary containment) <br /> Test Method Developed By: ❑Tank Manufacturer;®Industry Standard;❑PE;❑Other(Specify): <br /> Test Method Used: ❑Pressure; ®Vacuum; ❑Hydrostatic; ❑Other(Specify): <br /> Test Fiquipment Used:gauge Equipment Resolution:0.5"HG <br /> Tank#:87/Red ASL Tank#: Tank#: Tank#: <br /> Is Tank Exempt From Testing? ❑Yes; ®No ❑Yes; ❑No ❑Yes; ❑No ❑Yes; ❑No <br /> Tank Capacity(gallons): 12000 <br /> I;oduct/Grade Stored in Tank: 87/Red Diesel <br /> Tank Manufacturer: Unknown <br /> Tank Model: Unknown <br /> Wait time between applying <br /> pressure/vacuum/water and 30 Min. <br /> starting test(minutes): <br /> Test Start Time: 9:00 <br /> Initial Reading(RI): 10"HG <br /> Test End Time: 10:00 <br /> Final Reading(RF): 10"HG <br /> Change in Reading(Rt.—R,): 0.0"HG <br /> Pass/Fail Threshold or Criteria: 0.0"HG <br /> Test Result: ®Pass; []Fail ❑ Pass; ❑Fail ❑Pass; ❑Fail Paas; Fail <br /> Was leak detection sensor <br /> properly replaced and verified ®NN//A El No; [j Yes;Ll No; ❑Yes;❑No; E3 Yes; ❑Nt <br /> as functional attar testing? 0 A(Mot Removed) ❑N/A(Not Rnvcd) E]NIA(Na Removed) ❑N/A(Not Removed) <br /> E. Testing of Secondary Piping or Containment Trenches ❑N/A(No piping 2°containment) <br /> Test Method Developed By: ❑PWrcnch Manufacturer; ®industry Standard;❑ PE;❑other(Specify): <br /> Test Method Used: ®Pressure; ❑Vacuum; ❑Hydrostatic; 0 Other(Specify): <br /> Test Equipment Used:gauge Equipment Resolution:0.2 PSI <br /> Pipe Run#:Red <br /> Diesel Pipe Run#:87 Pipe Run#: Pipe Run#: <br /> PipWFronch Manufacturer: Ameron Ameron <br /> Pipe/Irench Model: Dualloy Dualloy <br /> Product/Grade in Line: Red Diesel 87 <br /> Wait time between applying <br /> pressure/vacuum/water and 30 Min. 30 Min. <br /> starting test(minutes): <br /> Test Start Date/Time: 9:00 9:00 <br /> Initial Reading(RI): 5.2 PSI 5.1 PSI <br /> Test End Datc/Pimc: 10:00 10:00 <br /> Final Reading(RF): 5.2 PSI 1 5.1 PSI <br /> Change in Reading CRF—Rt): 0.0 PSI 0.0 PST <br /> Pass/Fail Threshold or Criteria: 0.0 Psi 0.0 PSI <br /> Test Result: ®Pass;'❑F211 ®Pass; ❑Fail I ❑Pass; ❑Fail ❑Pass; ❑Fail <br /> IIN-1154.7/5 w .enidncsoq Oyj(M <br />