HomeMy WebLinkAbout6504 014657 015 01-27-2021 CPTEST WDB CORROSION PROTECTION TEST RESULTS 61002.23 ' I
Facility LQ# CPTEST
ALABAMA OEPAkTMENT OF ENVIRONMENTAL MANAGEMENT
CATHODIC PROTECTION
MONITORING�FORM FOR GALVANfCSYSFEMS
Ouestloeson hav to cum lataah ions shouldba tllredetl to M§'�rbundw a Bran USTCom 4,ince:3e02 R,5655
1.Galvanic cathotlic prole SYsystems must be tested:
a,In accordance with the latest edltlon code of practice established by the National Association of Corrosion Engineers(Tf40101),
b.By a qualified cathodic protection tester within 1 month of Installation and repair of any portion of the UST system,and every 3 years,
2.Please use photocopies of the appropriate pages If you have more than 4 tanks at any one location.
3.Planes remove all pages that do not apply to the site,
4.Summit a completed form for ail tanks and piping using cathodic protection within 30 days or completing the test by fax to(334)279-Rah,
by a-mall to david.batcheloroadere.alabame.gov or by mall to: Alabama Department of Envirmamareaf Managemen4 Groundwater
emncovusT Compltance section,Post OMce Bor 301463,Montgomery,AL 361301463.
S.The UST owner Is required m keep a record of moss team for 3 yes from the date of the teat on a form acts lots to the D rtmenL
Faehl" IptoiYnatl?iri - - Reasptj'Tesdn Was Lund et d meriloN .One
Facility Name: A/ ❑ outiretest within 1 month of installation
Address: 8 8 6✓ 7 Routine 3 eartesi
City, County: ❑. Testwithin t month of repair
Owner ipfo'matio» SaeneiW(lit" mtaifrin
Owner. Date of Testing: -a '7 a. a
Address: Temperature:
. City, State, Zip Code: Weather Conditions:
Phone Number: a,$'- - $ Tank Backfill Material: S
.s".: h ergfp!iffd'Storage".TArIE;Fadigty fftt"Ur@tvdrig •:, .. .:; '' .'
�1.10 Me space below,sketch me important pads of.the acuity such as tanks,manways,1111 plpea,datlk monitor,vapor recovery connections,.piping,
Wind,edlled test pore,anodes,pump Islands,and buildings.
2.Indicate reference cell locations using location code•R"and sequential numbers(e.g.RI,R2)and structure contact polms using the location
code'T and sequential numbers(e.g.$t,82)as used In the tables on the Rhrel pages.
3.For each tank,Include ADEM unique tank number and/or product stored. Use the later and number designations here the tables on the following
pages to Indicate reference call locations and structure contact location used for"ch measurement.
�
i
ADEM Form#545:revised 2/12 Pee 1 ,i.•
f
J �
j
'i
7-4
� f
;; S 3a
- a ORA
i
sy s6° D a
o Sys .
se .
533 i�t
PR IB "Tv, 513 ; R9 X4 3 F
Sit, Sig
Alt °
R13
Facility LD.# CPTEST
Uik er found S.t4rd a .aii s nu R' T t Ikesuits -- aWa'iic S to s .... . . .
iR ae"Location Code"t Mel be used to bate me d Coll, a tali end and Toocontact prime on the drawing of the local dkassad T cape i.
2 Record continuity the
test Calsaanng rising"Fixed Call,Moving ra Ground Tamest e',or the In the 011Ma location
io"Potential Difference Technique".
9,When thinp one'Fixed cell,of a Moving es or shielded ieec byather tankrersre cell must n leftplaced
undisturbed
In the soil at a locahion remote from the nand system
(not continuity
lhodlenl of entitlesorlyhobyothertanksareother method anti kky be used[ emitoshow r perIs la completed,
A.IP one ao tmetur method feik d an th '6show sops/Isolation,fere Me mh aranI maybe used to try to show proper Isolation.
n.
B.des single
ere Iwall tl when the s o uld a lantlarisolate from
between Iwo sintooms Isto greater than 10 a life
e a tithe bank..
when 10 my or lass.
6.All ho cathodic
and double wall metal tanks should be isolatetl'from all other metallic structures m maximize the Ilfe of me tenkp$eNenlc
cathodic roYedion system
.
Location Reference Cell Location Voltage ResulthdCommenta
Code and Potential ,(Mark the one that does NOT apply)
Structure Contact Points (negative
Check all ava/kblBpoints) mllilvoks
R 1 1x` "A.• ' .:i': rrt'.', 'a` ».g.,:.:-:'a''" £� s`a?'*I.:evs.,_
Tank # ,ADEM UM ue Tank#sndlor Grade of Product Stored Size In Gallons to U12V
S ank bottom fix Head - O my iaenthroees Isolated
S aar I Submersible my I fe0irillim s Isolated
S S FBI pipe - 9 Set my I (Isolated)
S Tank monitor my s isolated
S Ve rrecova connection my Isolated
5 Ventllne my continuous Isolated
S Other mu cpntlrtaeae solatetl
S Other my continuous solated
S Other my continuous Isolated
S I Other my, .continuous isoleted
Tank # W,ADEM Unkfal Tank#anWer Grads Of Product SPorad V�.'r-- S/ze M Gallons
S ank bottom D Wr my solated
S 9 Submersible um my popes artefact
S FIII dive my s lated
S jo I Tank monitor my isolated
5 I I I Voom rocoverry connection my Isolated
S I Van"kne my contlnuoua isolated
OfnercaNlnuous haolated
S Other my continuous taoletetl I
S Other my continuous isolated
S I Omer my I formllnuous) solaced
Tanir # ADEM Unique Tank#and/or Grade Elf
Scored Shzain*J.
5 Tank bottom my eenpneeees solated
S Submersible um 7 my, isolaletl
S / FIII my GBeaaaeas isolated
-S-' Tank monitor " " my isolated
.S Vapor removal connection 4,yu_my I. _ solaced
S Vent lne my .continuous 16oiate
S Other r my isolated
S Other my oonlinuous solaced
S Omer my I hoardinuousVisolatoo -
S Omer my I froontinuouslteoteled
Tank.# ADEM Unl as Tank#and/or Grade of Product Stored Size In Gaf o
Qfb&C 4jV
S ank bottom my I heemia,,l isolated
S Submersible u my I ewtham edged
S FIII my otmtMeees tsolatetl_
S Tank monitor my aaatNtaeac isolated
a fi'ectkfi"`-"`...._.-- -ink- s -Isohae
S Vent line my continuous soleted -
S Other r my cselinaer3 sdafed
S Omer mv. continuous toted
S Omer _ my cominuous Isolated
S Omer my I' continuous solatetl
lescdbe remote location of reference poll for"Fixed Cep,Moing Ground Technique-, N/A forsirshae-ro-slmrsure'PofamlalDMerence TecMrlWe^,
Wloste base structure confegpolm for both techniques.Mark all that do NOT so".Mateo sure rankis nMMtemaly/k ad'basse UOV mnkboaom.
)e veribe location otany other wMadt points measured.
-a.
Facility I.D.# /.2 / V! - 01 O/ cF 6 7 CPTEST
Virt.cferiground Stoea a Tanks ConOnuft Test Aesults Galvsnic Sys tems
1..The t=uon Cade'must W used to locate the reference cell and structure contact points on the drawing arhe Imillty as tllaaresed on page 7.
P.Formal continuity test mesauremema using'Fixed Cell Moving Gmum Technique',a the sWcture lostmdure'PoIeMJaI Diff xonoe Txbdque.
3.When using the"Fixed Call,Moving Ground Technique•;the reference cell must be placed In the soli at a location remote from the UST system
(not within potential gradient of enures or Shielded by other tanks or structures)and left undisturbed and continuity testing a compbted.
4.If ona continuity method falls to conclusively show proper holation,the other method may,be used to by to show proper Isolation
6.Metallic structures are Agate when the Voltage PotenOel'difference between hen structures Is greater than 10 my,cpp(Ipdous ehen 10 my or less.
6.All single and double wall metal tanks should be Jacketed from all other metallic structures to maximize the life of the tank's galvanic
cathodic Protectionastem. --
Location Reference Cell Location Voltage Results/Comments
Code and Potential ,(Mark the one that does NOT apply)
Structure Contact Pointe (nagatwe
Check all an1hab/epoints) mill/pods
Tank ADEM Unl m Tank#andbr Grade of Product Show Size in Gallons at CO
S — (rank bottom my GaRi aueus isolate
S a5 I Submersible ( v Ia a etl
S FIII my mlated
S Tank monitor 0.5 my a8gsteeus solatsd
6 Va rrecove mnnectlon my ' mntlnmus soleted
S Vent Pros my mngnuous Isle
S I Other my continuous mlatetl
S I Other my mminuous Iaolatetl
S I Other mb confnuous Isolated
S Other my minuous isolated
Tank ADEM Un' ue Tank#dnrildrGMW of Product Stored SID i ISlse'th Galons D
S a'7 (Tank botom - /031 my I lisolartoct
S I Submersible DUITID I - my mnffnuous lated
S FIII plike my (isolated)
S Tank manftor my sxmlkresaa solete
S TA NI
mnnecdon my mntlnuous solaced
S Vent line I my I foorrimuchis) Isola
S Other my mntlnmus Isolate'
S Other my bontinuous Isolated
S Other Inv mnanuws' solace
S Other my mntlnu01M Isolated
Tank # ,ADEM Unl m Tank#andbr Grade ofprodmt Stomtl Jn� I Simin Gelfons
S Tank bottom NeWeed my saaNntiew Isolacetl
S Submersible pumpmy I (Isolated) -
S 3 FIII a D a my mlafa
'S"'" 'Tank monitor 4 .29- my I isolatetl
.S Va company connection nIV continuous soletetl
S Vent Hne mv , continuous soletetl
S Other mu mntlnuoua Imlatetl
S Other my mntlnmus solaced
S Other _ my continuous mlate-
S Other my mminums isolated
Tank. ADEM Un1 us Tank#and/or Grade of Product Stored She In Ga#ons
S Tank bottom at lee my otntinuma Isolate
a SubmemILI m my continuous Isola
5 Fill I e my (continuous)(isolated)
S Tank monitor my mntlnuoua misted
.--�_.--5 -va rremve canneoticn_ -- ---._Inv _cantiriudu ' soTatad
S Vent line my continuous (Isolated
S er my continuous isolate
S Other mv. mntlnmus Isolated j '..
S -Other my continuous mlateci i
S ONer my I' cantinums imleled 1 '
'Describe remote location of reference cell an Thad Cell,MONag Ground Technique'. WA forskerfu elo-aa natay Potential mrshonce Technique'
-Indicate base structure contact paint for both techniques.Mark all that do NOT apply.Make sure tank Is trot Mtamally lined balms uafrrg mnkboaom.
"`Describe location of any other contact points maaeumd.
Facility I.D.# -Z - 0 7 CPTEST
... . _. nda Nnd fora e"dagk9 Strpdture�;n-Soil Test Resuhs 6alYanlcS a;ems), ..: . . �,
T The-Location Cade°must be used to loome the reference call and structure contact points on we drawing of the Marty,as discussed on page 1,
2.A minimum of 3 tank votlepe measurements moat be taken;orre while the reference cog is placed In the Boll as cbse to the middle of the look as
passible and the others while the reference cep Is placed In the soli es close as possible to each end of the lank(but not directly over anodes).
3.All single and double wall metal ranks using a galvanic cathodic protection system,must have all voltage measurements equal to or more
nersative than-A60 my to be rapatacted from corrosion and pan the structure "oil test. _
Location Structure Contact Point Vbllege - -:Reauits/Comments
:Coals good faegptNa (kfark Vuroae 11W'foes Je07 apply)
Reference Cell Locations mflllwita
Tank
S ank bohomr�
R Soll near submersible DUMD Maloney = mvsI meant
R Soil near tankmonHor manwa - 4/frt my ass
R I Soil near va or Moovery manwa r my ss
R Soil near vem doer my ass Lail
R Omer - f my ass
R Olher my ass fail
R Other my ass fei
R I Other I my ass fat
Tank 1#
S 17 1 Crank bottom ' .... - - '.... .`_ ._.
. R Sol near aubmomlble um manwe my W
R son near tank monitor matronly my R Soll near ve or iecove memva v R S II ear vent er Illyft Other 1' - 9 my ROhermy R Other my
R Other my (pass
irtain
TeMr
S Tank bottomMasWoMM 1.
R 9 1 Soil near submersible dump manwe 06 m, .y(pass)lam esda as koamsdiesSocs,
R Soil near tank monitor manwa -r p5107my ass
R Soli near vapor recovery manes'
:. mv ass flap
_...
R it
SoffOth near vent riser my ass fat -
R Older
R I Other my sa tail
R I Other I my estr fall
R I Other my ass fell
Tank. .... . ... ....... .
S Tank bottom - •' .
R Soll near submersible pump mamve o ?- mv ass
R Sall near tank monitor m6rovay I -/bftr. :mv I rn.ssrPlains
R Soil near va maivery manwe
R Soll near vent riser my ass .fat
R OMer - O O my easNMI
R Other my ass (fall)
R Other my eas fe
R Other my ss fgi
-101
Indicate base structure Corned point Mark all that do NOT apply, Melee aura tanks not lnlenwky.11netl WON using.tank bottom.
Describe location of any other reference onkIggmiaaused.
i
t
I1
it
i
-3
Facility I.D.# / a. / sF4 - O Id CPTEST
Under round Storage Tanks Strudture4o-$011 Test Restdts ,Gagrgnla S' frsrps ...: .. .
1.The"Locagon Code'must so now to locate the reference cell and structure canted points on the drawing of the facllky es discussed an page 1.
2.A minimum DIE tank voltage measurements must be taken;one while the reference cell Is placed in the soil as dose to the middle ofthe tsik as
possible and the others while the reference cell Is placed in the loll as dose as possible to each and of the tank(but not directly over anodes).
a.All single and double wall metal tanks using a galvanic cathodic protection system,must have all voltage measurements equal to or more
ative then-880 my to be protected from corrosion and now the structure-o"oll teat.
Location Structure Contact Point voltage -.Results/Comments
.Coda aad (negative (gfarklhe.onerUetdowk10?apply)
Reference Cell Locations millivolts) -
Tank #
5 (Tank bottom easNo d + € 3r„r. :rse ;: ^•-fi"_.49.a �'^ ' e:'�;ra ,#1,..;r.
R Sol near submersible Dump mamma - /n 9 my ass
R I Soil near tank monitor mamma my ass fail
R I Sail near vapor recove mamma my ass fail
R I Sol]near vent riser my ass tail
R ! Other - /o my ass
R / Other - _ - / dtl my ass
R I Other my ss fall
R Other my ass fail
Tank
S (Tank bodom itallflbad „.._..-... . ... .- - .,:�: . ::..:.-
R Soil near submersible pump manwa my asa fall
R Soil near tank monitor monarchy my I (Dasa)(fail
R Soil near varoor recovery marina ss fall
R I Soil near vent clear my tat
R 7 Omer u k y. my ass
R Other t ' ,r my ass IPI
R Iq Other a 6'7 into ass
R Other my I imins) fail
Tank
S (rank bottornMerlianiM
R Soil nearsubmersible um manwa my as (fall)
R Soil mar tank monitor manwa 7. sae fail
R Soil near vapor recoverymamma my ass fall
R Soil near vent riser my ese fail
R Other u T mY ass
R Other ri my ass
R Other oR C - ! my ass
R Omer my asa fall
.- ... .Tank
S ank bottom teat Wulf I.
R Soilnearsubneralble um manwa - my ass fail
R Soil near tank monitor n anway my I as fal
R Soil near va or recteve manwa my ees fat
R Soli near vent riser my ass .fall
R Other - my ass II
R . Omer my ass (falit
R Omer my ss fa t
R I Other May ssifiell
•indkate base structure confect point. Maid all Chet do NOT apply. we aura is norinlemely.@wd before asingoink below. t
-Describe location of any other reference cell lacalpn used.
h
t
h
f
� I
Facility I.D.# /a/seq O - 'O/ CPTEST
Cathodic Protection Teat.Results. 6alyanic'S sterns .. .,.
1.If an orllon of the system falls the system tails,and"Far should be marked below,
I c9/tf/y that a#structures at this facility'pass"the cathodic protection testing and in my bestfudgement,
Elr�paaa adequate cathodic protection has been provided to the USTsystem. No further action is necessary at
this time.
1 cerlffy that one or more structures at this fachilty Yafl`the cathodic protection testing andin my best
judgement
, adequate caf ailoprotecdon has/�Tbeen provided to the USTsystem. The cathodic
C7 Fallprotection system must be repaired in accordance with a code of practice developed by a nationally
recognized association or independent laboratory,and re-testad within 1 month following the repair.
Name: t ti u R tr`$ Name of Compan. :
CertifyingOrganization: L G Address:-. BXI,
Type of Certification: 6 v R cs- City,State, ZI Code: d.74
Data of Certification: Phone Number. X2,$3 - 4a_ &1 37
Signature: Date: a-8-cT O3 ( ,
' fscFi EpnofCattic. Ic-Prate YlGnS stem Reairs'and/or Cofiiiiients '
1.If applicable,describe the repairs In detail below end provide a sketch of the location ant depth of any new anodes.
z.If repairs are made,provide the code of pradks information below such as the Steel Tank nature Standard R-972-2010"Recommended pradlce for
the.Adddiorr VSupplameadW.Anod.to STI-Pa.Ur s'.
Association or Inds ndent Laboratory:
Code of practice Name:
Code of Practice Number: Code of Practice Date:
' - `" '" ' utl2 pu A' toles a Tank,Pxbtecttpn alronerGertigoafiom��: nM '••'- x
. l.cemfy underpenag,of law that/am famOlarwith the informadoo on this form and thafbased on my inquiry of those fntliulduals -
tmmadiately msponsicle for,obfafning the information fbetiew.thaf the information is true,accurate,apd complate.
Signature of Owner: tie; !