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HomeMy WebLinkAboutMITIGATION (2) , "",., .. '\ ~,. 10/18/2084 18:21 6613928621 PAGE 87/09 S\\iRca. Jamooy 2002 ~-Lof~. Secondary Containment Testing Report Form Thf$ form is In.terukd/oF JlS' b)J contra¡; ørl pæ:f01'mlng putDdlc tØ8fln¡¡ of UST 81lt:Dnåary CC1Iltal1J1Mnt ßJJAtUll4. Us. t~ lIþpr;;priatl! p '~l!1J of ¡his form to report re.mll! /Dt' all aonJ}JClnants ruNd. The cømpÙlte4f(Jl'tn, 'WI'1Iten tut J'l'ocedW'u. and pr Ù7WIIl3 from tests (if appllCi2ble). .thowd be prt:1V~ to t1f8 fl;t:Uiry ~n8J'/( pertlltJ7' for s~bm~ tD the local repJmø", agønO)'. 1. FACJLttY tNBOBMATION luting): ~ " 2. TESTING CONTBAcrOa. INFORMAT1:ON' - CMnpany'Na.me: R.ICt! ENVIRONMENTAL ï;¡;:hnicisl1 Conductiñl!: test: e. ~A..v -- JLI J , C reL1~lltia1.$: IX CSLB Licensed Contractor o SWRCB Licensed Tank Te,rer -- \ Li.c~~ Nuxnbe~ 809850 Lict1\se Type. C611D40 - Mil.,.fA.IJ1'1 fer 'l'raiDit\i . . , B-xoÚ'eS Manufacturer Comnonmms) Date 1-'" INCON INCON' TS-STS 8/04 ----- --~ COlßponent Pass 'SLIt Not lbpaits Co.pOlant Pa&s Pair Not R.pain tested Made. i 'fested Made 1---- 0 0 [j 0 .º~l:-_1'J 1-'- ~ ØI~ ;I 0 0 0 ,QS.h ¡:/U l't.~ II 0 0 0 {] 0 0 0 0 0 Q 0 0 0 0 0 1-. . 0 0 0 0 0 0 0 0 -. 0 0 0 0 .,. 0 0 0 ,0 --.-....-.. 0 0 0 0 0 0 0 0 -~ 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1-- ..... r:J 0 0 0 t:) 0 0 0 ...-~- 0 0 0 0 Q C) 0 0 1-.' 0 0 0 0 0 0 IJ 0 --- 0 0 0 0 0 0 '0 a 3. SUMMARY OF TEST lŒSULTS If hydl'O!tatic testing w~ pet~ deScribe whaz ~as clone with the water after campl~ of tests: RECYCLE AND REUSED.. CRRTlFICATION Olt' TECHNICIAN BESPONSlBLE I'OR CONDtJCTIl"fG TS1S TJlS'I'IriG Tu iM b<Jt 0¡0'1 MowIøI¡¡<Z- - ÎJI iRis - "'" oCJ:Mttt/l< IUId "'þu ~ - ~.....- r"hnicion', Si¡¡nalure: /? ð Doto..Jd I J-Ø/ ;~-1: . ,. 10/18/2004 18:21 6613920621 PAGE 8a/ø9 ~,^"RCB. J~\}tUll)' 200:2. 1'. .....tbr ~_. iI. Indas1:ry Standard. Q Prdssional Bn.ginoer -...'''.-.--- QVacuum II Hyð.roslati~ '1't:st M~th<)d Used: -.---.-.......- .ooain. Box#: 5 x# 13L1ç~r Dia.n'~l:l:r: -- ~u¡;:ket ùepth: i;:\ÎÚim;t;tween appLyù)g. pr¢S$l.IreJv~uLLm/w¡tt8r a¡}d S 0 ~'V . ~.~~:~~l1.!ltÐs:t: l'ð$r St;:ut Ti.me: - lo.itìal R.eat;ii ng (R¡); 1'e~t End Time: finnllteadit\g (R¡:): T ,"st Pl11"a.tiOI1: ChàUgt'J in 'ReaåÛ1g (:R.F'"Rð; ¡;;ssJFail Threshold. or Ç.r~..:..- Test Reswt: .11~"'" . .~'IJ .~."" . ðOð~~ .~. "Ù Jl Pass 0 Fill 8' Pass 0 Fail IJ Paø Q Fail o Pus [J Fan C omment$ - (iI'Jcluu iJifot'mat!.Dn on repaiJoJ Made P".lor to i88rJ~ 1Zn4 "Bc()~dfplllYW-~ Jo,. fQ J.M bAsta) ------.... -.-...-- .--......... ....-..-- -.- ...-'---