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HomeMy WebLinkAbout12727 003964 101 03-04-2021 CPTEST WDB CORROSION PROTECTION TEST RESULTS 59015.41 Faeiii I.D.k TEST ALABAMA DEPARTMENT OF ENVIRONMENTAL MANAGEMENT CATHODIC PROTECTION MONITORING FORM FOR IMPRESSED CURRENTSYSTEMS Glesdons on Mwbm tlYa loon elmuM fxdireded to tipcnolaMeapr&arch.UGT once Ultitffi Ty65855 1.ImPlessod Combat cathodic protection systems must he twbd: a In accordance who the Wheat edition code of practice wtabl9had by the National Association of Contusion Enginsam(1111010f), 2 ye use po d copksiolmisappropriate taster within 6 months of Inswomon and repair of any potion of the UST sysWn,and ovary a Ya Pk pages if you have mom man a boas at anyone worded. S Pieria nvmove ell pages that do but apply to the site. l Submit a completed 1mm for all pairs and piping using cathodic prolsomn within W days of completing tip test by fm to(d )270E6a1, by ail to ctllQ;atlem.vep 4I.Morbymasro: Abbama De Hr tofEMWenmenpl Manag MAGmun"ma onnchvsT LbnUST lla2 Fn8!t o toBoa tip o Mwganery,I fa6f.9 am i S TM UST owwrpn ulretl to Fw e�ecotd atn.ae bete lord eed lmm me dine of tie irtonafoM aces blebtlp Mier✓. Fact] Information ftemonT Was CorMucted mina dine Facility Name. ❑ RONine by within 6 monms of installation Address: Routine 1 eartest lY.minty: ❑ Test within 6 months of it Inform General Infomlatfon O'a Date of Testing: Atltlress: Temperature: - Uly, State,Zip Code I W¢atha Contlit"my Phone Number Tank Sackfill Material: Underground Storage Tank Facility Site Drawing d_6 Nr soap bero«.axetm the nnpodaapaMs of the fadlily such as prks,meways,fie pipes pox nlwaa,vaporremrcy wants,deed real pap,indeed,mother boa,ahead shunt bop,pump Islands,and building mranertvc.PP9 2 posses reWentE a9leoaMas using tampon wde'R'and sees mixl numbers(a g.on. 112)sod simdde mraao ponds ubg the bmem rode'8'and sequs4al wrappers(e.g.St.S2)as used in Me tables on me following pages. i FOedtllp nY:xlde AD IPYeuetanknumberaMorpryudstoR . 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I Ce"mat ale Or a"structures at m;;lac;hiy'A;l.Me slrvcYure-f65a;1 caPMic proteCLM tesWy aDd rn MY be#jdbement adequate CembdC Manhattan has NOT been prov;Ced to me U$Tsystem The ❑ Fail Ca1wMdlC PggCyon eyabm must M ranked!In accordance wlm a code of prmcpx dewnopa era nstioa4 mean hand aancladon or Independent hWrabM,and n-Wbs attain 6 mmNn IdlowlM en lapaw. Nare Neme otCanpatry: roughen: T 9e d Cendrawpn' Chat.State,ZurCadO: Date o`CeddCetkn OI P1rore Number: ' y S'9nelure: _ Date � 0 of CaMotlk ProteWon Re Irm amdr Cammnb ate etrsuReper4avi.WVXwmrdnher mdNetl cenxmd wraeaatdU aftImam aG dmNdryrcwscao. a.a eykabN,ar:aae wears m mmaw m vex a 1 f Trs ae maY peawt tln wM d PaS®ulMmatim ttlwr wT a Xe NFCE 5 W 6aN 0.mRY Re1R.'61 W nd RemrmntlM Pra6x. CmaplCElnWd TaYr CaNnlGRtlenm'. Or Code dPrmO¢Nanie Cpdecf Hem®Nuroer Code dPrarbrm Deb: Underground!Soar age Tank PrdecUon Owwr CeNMciaon I oodonndazppnaltydhw Pat l am PmnazwrP Peinlamation m mid bran argmdbesetl m myirpu�ry ortMue+idnavab imMmadialeryreynna3le brafanwg the Inrormesan lbdhve PMMe;nbmbim is true amram,«amrnphn Signature of Omer Date: