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Spill Prevention Compliance Corporation <br /> Tank Inspection/Evaluation and Periodic Integrity Test Certificate <br /> P.O.Box 1289........Waterford,CA 95386 Telephone: (209)969-0851 <br /> Email: soccoM(ad)hotmail.com <br /> Client Contact Person: <br /> Address Telephone#: <br /> City/State/Zip <br /> Location of Tank(s) if different from Client Address-- <br /> Tank Information (brand/product stored/gals/UL#) <br /> Description of Secondary Containment <br /> Date of Test Test Supervisor(s) <br /> METHOD OF PERIODIC INTEGRITY TEST-Primary—Secondary_ <br /> 1. Steel Thickness Test(in accordance with Chapter 7-Regional Inspector Guide of US EPA and industry <br /> standards including UL/ULC)-readings<instrumentationTM-8810 ultrasonic microprocessor>: <br /> minimum end/wall thickness(_) minimum bottom/wall thickness <br /> corrosion-choose one(significant or nominal)... <br /> pitting-choose one(significant or nominal) <br /> Coating required(explain) <br /> Detailed wall thickness readings are held in the SPC Corp client-file...total readings( <br /> 2. Nitrogen Blanket_Y N(document psi readings) Duration_ <br /> 3. CO2 Blanket_Y N (document psi readings) Duration_ <br /> 4. Tracer Gas_Y_N (document inert gas used) Duration_ <br /> Tracer Gas compatibility factors (describe) <br /> 5. Pressure-Test_Y N (document psi readings) Duration_ <br /> 6. Vacuum Test_Y N(document inches of Mercury readings_Duration_ <br /> 7. Sonar-Test_Y_N(document db readings) Duration_ <br /> 8. Camera(visual)model Lorex MC81845/interstitial YN(findings) <br /> 9. Hydro-Carbon Sensor(probe) model OMNTEC BOA-PDS _Y N (findings) <br /> 10.Hydrology (Water Column)Y N (document inches of water column <br /> readings) Duration_ <br /> TEST RESULTS <br /> 1�-Stage: <br /> Pass_Fail_(quantify) <br /> 2' -Stage: <br /> Pass Fail_(quantify) <br /> Comments section <br /> Next Scheduled Tank Inspection/Evaluation/Periodic Integrity Test <br /> If primary/secondary containment passes test, schedule next onsite appointment no later than 5 years from date <br /> of initial test <br /> Date of Next Scheduled Test <br /> (Certificate) <br /> SPC Corp Representative <br />