The URL can be used to link to this page

Home My WebLink About2012 RESULTSF2; / SWRCB, January 2002 t151'-r1:) Page —�— of Secondary Containment Testing Report Form This form is intended for use by contractors performing periodic testing of UST secondary containment systems. Use the appropriate pages of this form to report results for all components tested The completed form, written test procedures, and printouts from tests (if applicable), should be provided to the facility owner /operator for submittal to the local regulatory agency. 1. FACILITY INFORMATION 2_ TFSTTNG CONTRACTOR TNFORMATTON Company Name: RICH ENVIRONMENTAL OF Technician Conducting Test: RICH PHILLIPS RESULTS Credentials: X CSLB Licensed Contractor ❑ SWRCB Licensed Tank Tester License Type: C61/1340 A HAZ Not Tested License Number: 809850 Manufacturer Training Manufacturer Component(s) Date Training Expires INCON TS -STS 6/11/2012 Not Tested Repairs Made 87REG ANNULAR X ❑ ❑ 3. SUMMARY OF TEST RESULTS Component Pass Fail Not Tested Repairs Made Component Pass Fail Not Tested Repairs Made 87REG ANNULAR X ❑ ❑ ❑ UDC #3/4 ❑ ❑ X ❑ 91PREM ANNULAR X ❑ ❑ ❑ UDC #5/6 ❑ ❑ X 0 DIESEL ANNULAR X ❑ ❑ I ❑ UDC #7/8 ❑ X ❑ ❑ 87 #1 REG SECONDARY ❑ ❑ X 1 ❑ UDC #9/10 X ❑ ❑ ❑ 87 #2 REG SECONDARY ❑ ❑ X ❑ UDC #11/12 ❑ ❑ X 0 91 #1 PREM SECONDARY ❑ ❑ X ❑ 87REG FILL SUMP X ❑ 0 ❑ 91 #2 PREM SECONDARY ❑ ❑ X ❑ 91PREM FILL SUMP X ❑ ❑ ❑ DIESEL SECONDARY n n X n DIESEL FILL SUMP X n n n 87REG STP X ❑ ❑ ❑ 87REG VAPOR BKT X ❑ ❑ ❑ 91PREM STP X ❑ ❑ ❑ 91 PREM VAPOR BKT X ❑ 0 ❑ DIESEL STP X 0 ❑ ❑ ❑ ❑ ❑ ❑ UDC #1/2 X ❑ ❑ ❑ ❑ ❑ 0 ❑ If hydrostatic testing was performed, describe what was done with the water after completion of tests: CERTIFICATION OF TECRN CIAN RESPONSIBLE FOR CONDUCTING THIS TESTING To the best of my knowledge, the facts state n this document are accurate and in full compliance with legal requirements Technician's Signature: Date: 315/12 LF5n45 SWRCB January ?2002 Page 7/ of , k 4. TANK ANNULAR TESTING Test Method Developed By: ❑ Tank Manufacturer ❑ Industry Standard ❑ Professional Engineer ❑ Other (Spec) Test Method Used: ❑ Pressure ❑ Vacuum ❑ Hydrostatic ❑ Other (Specify) Test Equipment Used: Equipment Resolution: Tank #87 Is Tank Exempt From Testing ?' ❑ Yes X No 0 Tank #DSL Tank # Tank #91 ❑ Yes X No ❑ Yes X No ❑ Yes ❑ No Tank Capacity: 20K 15K 8K Tank Material: FIBERGLASS FIBERGLASS FIBERGLASS Tank Manufacturer: UNKNOWN UNKNOWN UNKNOWN Product Stored: 87 91 DIESEL Wait time between applying pressure/vacuum/water and starting test: 30MIN 30MIN 30MIN Test Start Time: 9:30 9:30 10:45 Initial Reading (R,): 10.0 10.5 10.0 Test End Time: 10:30 10:30 11:45 Final Reading (RF): 10.0 10.5 10.0 Test Duration: 60 MIN 60 MIN 60 MIN Change in Reading (RF -Rj): 0 0 0 Pass/Fail Threshold or Criteria: 0 0 0 Test Result: X Pass ❑ Fail X Pass ❑ Fail X Pass ❑ Fail ❑ Pass ❑ Fail Was sensor removed for testing? X Yes ❑ No ❑ NA X Yes ❑ No ❑ NA X Yes ❑ No C NA ❑ Yes ❑ No DNA Was sensor properly replaced and X Yes ❑ No ❑ NA X Yes ❑No ❑ NA X Yes ❑ No ON A D Yes ❑ No DNA verified functional after testis ? Comments — (include information on repairs made prior to testis& and recommendedfollow -up for failed tests) ' Secondary containment systems where the continuous monitoring automatically monitors both the primary and secondary containment, such as systems that are hydrostatically monitored or under constant vacuum, are exempt from periodic containment testing. (Califomia Code of Regulations, Title 23, Section 2637(a)(6)) SWRCB, January 2002 5. SECONDARY PIPE TESTING —L., Ay Page -.5 of '1 Test Method Developed By: ❑ Piping Manufacturer ❑ Industry Standard ❑ Professional Engineer ❑ Other (Spec) Test Method Used: ❑ Pressure ❑ Vacuum D Hydrostatic ❑ Other (Sped) Test Equipment Used: Equipment Resolution: Piping Run #87 #1 Piping Run #87 #2 Piping Run 491 #1 Piping Run #91 #2 Piping Material: PLASTIC PLASTIC PLASTIC PLASTIC Piping Manufacturer: TCI TCI TCI TCI Piping Diameter: 2" 2" 2" 2" Length of Piping Run: 75" 75" 75" 75" Product Stored: 87 87 91 91 Method and location of piping-run isolation: BOOT IN SUMP BOOT IN SUMP BOOT IN SUMP BOOT IN SUMP Wait time between applying pressure/vacuum /water and starting test: 30 MIN 30 MIN 30 MIN 30 MIN Test Start Time: Initial Reading (Rj): Test End Time: Final Reading (RF): Test Duration: 60 MIN 60 MIN 60 MIN 60 MIN Change in Reading (RF -Rj): Pass/Fail Threshold or Criteria: 0 PST 0 PSI 0 PSI 0 PSI Test Result: ❑Pass ❑Fail ❑ Pass ❑ Fail ❑ Pass ❑ Fail ❑ Pass ❑ Fail Comments — (include information on repairs made prior to testing, and recommended follow -up for failed tests) UNABLE TO TEST DUE TO DONUTS IN UDC WERE REMOVED. WE DID REINSTALL ON DISP #1/2, #9/10. NEED TO GO BACK TO REMOVE PIPING TO GET TO DONUTS. SWRCB, January 2002 5. SECONDARY PIPE TESTING Ti 514,3 Page � of Test Method Developed By: ❑ Piping Manufacturer X Industry Standard ❑ Professional Engineer ❑ Other (Spec) Test Method Used. X Pressure ❑ Vacuum ❑ Hydrostatic ❑ Other (Specify) Test Equipment Used: 4" DIAL GAUGE Equipment Resolution: .5% INPiping Run #DSL Piping Run # Piping Run # Piping Run # Piping Material: PLASTIC Piping Manufacturer: TCI Piping Diameter. 2" Length of Piping Run: 75' Product Stored: DIESEL Method and location of piping-run isolation: BOOT IN SUMP Wait time between applying pressure/vacuum/water and starting test: 30 MIN Test Start Time: Initial Reading (R,): Test End Time: Final Reading (RF): Test Duration: 60 MIN Change in Reading (RF -R,): Pass/Fail Threshold or Criteria: 0 PSI 0 PSI 0 PSI 0 PSI Test Result: ❑ Pass ❑ Fail ❑ Pass ❑ Fail ❑ Pass ❑ Fail ❑ Pass ❑ Fail COmmellb — (include information on repairs made prior to testing and recommended follow- up_for failed tests) UNABLE TO TEST DUE TO DONUTS REMOVED. NEED TO REMOVE PIPING TO GET TO DONUTS AND REINSTALL. SWRCB, January 2002 6. PIPING SUMP TESTING X143 Page iie" of Test Method Developed By: 0 Sump Manufacturer 0 Industry Standard 0 Professional Engineer ❑ Other (Spec) Test Method Used: 0 Pressure ❑ Vacuum 0 Hydrostatic 0 Other (Specify) Test Equipment Used: Equipment Resolution: MOM Sump #87 Sump #91 Sump #DSL Sump # Sump Diameter. 46" 46" 46" Sump Depth: 62" 62" 62" Sump Material: FIBERGLASS FIBERGLASS FIBERGLASS Height from Tank Top to Top of Highest Piping Penetration: 27" 27" 27" Height from Tank Top to Lowest Electrical Penetration: 17" 17" 17" Condition of sump prior to testing: GOOD GOOD GOOD Portion of Sump Tested' 29" 29" 29" Does turbine shut down when sump sensor detects liquid (both product and water) ?* 0 Yes 0 No X NA 0 Yes 0 No X NA ❑ Yes 0 No X NA 0 Yes 0 No ❑ NA Turbine shutdown response time Is system programmed for fail -safe shutdown ?' 0 Yes 0 No X NA 0 Yes ❑ No X NA ❑ Yes D No X NA 0 Yes 0 No 0 NA Was fail -safe verified to be operational?* 0 Yes 0 No X NA 0 Yes 0 No X NA ❑ Yes ❑ No X NA 0 Yes D No 0 NA Wait time between applying pressure /vacuum/water and starting test: 30 MIN 30 MIN 30 MIN Test Start Time: 11:47 12:29 11:47 12 :29 11:47 12:29 Initial Reading (Rj): 6.447 6.442 2.084 2.084 1.768 1.768 Test End Time: 12:02 12:45 12:02 12:45 12:02 12:45 Final Reading (RF): 6.447 6.442 2.084 2.084 1.767 1.767 Test Duration: 15MIN 15MIN 15MIN ISMIN ISMIN 15MIN Change in Reading (RF -R,): -.000 -.000 -.000 -.000 -.00I -.001 Pass/Fail Threshold or Criteria: -.002 i 502 -.002 -.002 -.002 -.002 Test Result: X Pass 0 Fail X Pass 0 Fail X Pass 0 Fail ❑ Pass 0 Fail Was sensor removed for testing? X Yes 0 No ❑ NA X Yes D No DNA X Yes D No ❑ NA D Yes 0 No ❑ NA Was sensor properly replaced and verified functional after testin ? X Yes 0 No ❑ NA X Yes ❑ No ❑ NA X Yes 0 No DNA ❑ Yes 0 No 0 NA COMMWAS — (include information on repairs made prior to testing, and recommended follow -up for failed tests) ' if the entire depth of the sump is not tested, specify how much was tested. If the answer to gny of the questions indicated with an asterisk ( *) is "NO" or "NA", the entire sump must be tested. (See SWRCB LG -160) SWRCB, January 2002 7. UNDER- DISPENSER CONTAINMENT (UDQ TESTING Page —to of Or Test Method Developed By: ❑ UDC Manufacturer ❑ Industry Standard ❑ Professional Engineer ❑ Other (Specify) Test Method Used: ❑ Pressure ❑ Vacuum ❑ Hydrostatic ❑ Other (Spec) Test Equipment Used: Equipment Resolution: UDC #1/2 UDC #3/4 UDC #516 UDC #7/8 UDC Manufacturer. UNKNOWN UNKNOWN UNKNOWN UNKNOWN UDC Material: FIBERGLASS FIBERGLASS FIBERGLASS FIBERGLASS UDC Depth: 36" 36" 36" 36" Height from UDC Bottom to Top of Highest Piping Penetration: 19" 19" 16" IT, Height from UDC Bottom to Lowest Electrical Penetration: 20" 20" 19" 21" Condition of UDC prior to testing: GOOD GOOD GOOD GOOD Portion of UDC Tested 21" Does turbine shut down when UDC sensor detects liquid (both product and water) ?' ❑ Yes ❑ No X NA ❑ Yes ❑ No ❑ NA ❑ Yes ❑ No ❑ NA ❑ Yes ❑ No ❑ NA Turbine shutdown response time Is system programmed for fail - safe shutdown ?* ❑ Yes ❑ No X NA ❑Yes ❑ No ❑ NA ❑Yes 0 No ❑ NA ❑Yes ❑ No ❑ NA Was fail -safe verified to be operational?* ❑ Yes ❑ No X NA ❑ Yes ❑ No ❑ NA ❑ Yes ❑ No ❑ NA ❑ Yes D No ❑ NA Wait time between applying pressure /vacuum/waterand starting test 30MIN� /V / Test Start Time: 6:17 6:45 Initial Reading j): 3.570 3.571 Test End Time: 6:32 7:00 Final Reading (RF): 3.571 3.571 Test Duration: 15MIN 15MIN Change in Reading RF -RI). -.002 -.002 Pass/Fail Threshold or Criteria: .0021N .002rN .0021N .002IN .0021N .002IN 002IN .0021N Test Result: I X Pass ❑ Fail ❑ Pass ❑ Fail ❑ Pass ❑ Fail ❑ Pass Fail Was sensor removed for testing? X Yes ❑ No ❑ NA ❑ Yes ❑ No ❑ NA D Yes D No ❑ NA ❑ Yes ❑ o ❑ NA Was sensor properly replaced and verified functional after testing?. X Yes ❑ No ❑ NA ❑ Yes ❑ No ❑ NA ❑ Yes p No ❑ NA ❑ Yes ❑ No ❑ NA Comments — (include information on repairs made prior to testing; and recommended follow -up for failed tests) UNABLE TO TEST DUE TO DONUTS REMOVED FROM DISP #3/4,5/6,11/12. DISP #7/8 HAS TORN PENETRATION 91 LINE — DISP #7 SIDE If the entire depth of the UDC is not tested, specify how much was tested. If the answer to any of the questions indicated with an asterisk ( *) is "NO" or "NA ", the entire UDC must be tested. (See SWRCB LG -160) SWRCB, January 2002 7. UNDER- DISPENSER CONTAINMENT (UDC) TESTING ria3 Page l of y Test Method Developed By: 0 UDC Manufacturer X Industry Standard 0 Professional Engineer 0 Other (Specify) Test Method Used: ❑ Pressure ❑ Vacuum X Hydrostatic ❑ Other (Spec) Test Equipment Used: INCON TS -STS Equipment Resolution: UDC #9/10 UDC Manufacturer. UNKNOWN UDC #11/12 UDC # UDC # UNKNOWN UDC Material: FIBERGLASS FIBERGLASS UDC Depth: 36" 36" Height from UDC Bottom to Top of Highest Piping Penetration: 12" 10" Height from UDC Bottom to Lowest Electrical Penetration: 16" 16" Condition of UDC prior to testing: GOOD GOOD Portion of UDC Tested 14" Does turbine shut down when UDC sensor detects liquid (both product and water)?* ❑ Yes ❑ No X NA ❑ Yes ❑ No ❑ NA 0 Yes 0 No 0 NA ❑ Yes ❑ No ❑ NA Turbine shutdown response time Is system programmed for fail- safe shutdown ?' ❑Yes ❑No XNA OYes DNo DNA ❑Yes ONo DNA 0Yes 0 N 0 N Was fail -safe verified to be operational?* 0 Yes 0 No X NA 0 Yes 0 No ❑ NA ❑ Yes ❑ No ❑ NA ❑ Yes 0 No ❑ NA Wait time between applying pressure /vacuum/water and starting test 30MIN / N 1 30M 4% Y✓� Test Start Time: 4:57 5:15 Initial Reading R,): 2.071 2.072 Test End Time: 5:12 5:36 Final Reading (RF ): 2.073 2.073 Test Duration: 15MIN 15MIN Change in Reading (RF -Rj): +,002 +.001 Pass/Fail Threshold or Criteria: .002 .002 Test Result: X Pass Cl Fail 0 Pass ❑ Fail 0 Pass ❑ Fail 0 Pass 0 Fail Was sensor removed for testing? X Yes 0 No 0 NA 0 Yes ❑ No ❑ NA 0 Yes 0 No ❑ NA ❑ Yes 0 No ❑ NA Was sensor properly replaced and verified functional after testin ? X Yes 0 No ❑ NA ❑ Yes 0 No DNA 0 Yes 0 No 0 NA ❑ Yes ❑ No ❑ NA Comments — (include information on repairs made prior to testing, and recommendedfollow -up for failed tests) DISP #11/12 UNABLE TO INSTALL DONUT WITHOUT REMOVING PIPE TO TEST. 1 If the entire depth of the UDC is not tested, specify how much was tested. If the answer to any of the questions indicated with an asterisk (*) is "NO" or "NA ", the entire UDC must be tested. (See SWRCB LG -160) SWRCB, January 2002 8. FILL RISER CONTAINMENT SUMP TESTING L45 1 Page -,b of O� // Facility is Not Equipped With Fill Riser Containment Sums ❑ Fill Riser Containment Sumps are Present, but were Not Tested ❑ Test Method Developed By: ❑ Sump Manufacturer ❑ Industry Standard ❑ Professional Engineer ❑ Other (Specify) Test Method Used: ❑ Pressure ❑ Vacuum ❑ Hydrostatic ❑ Other (Specify) Test Equipment Used: Equipment Resolution: Sum Diameter: MKOURNMOM Fill Sump #87 Fill Sump #91 Fill Sump #DSL Fill Sump # 37" 37" 3T' Sum De the 61" 61" 61" Height from Tank Top to Top of Piping Penetration: 0 0 0 -Highest Height from Tank Top to Lowest Electrical Penetration: 0 0 0 Condition of sump prior to testing: GOOD GOOD GOOD Portion of Sump Tested 10" 10" 10" Sump Material: FIBERGLASS FIBERGLASS FIBERGLASS Wait time between applying pressure/vacuum /water and starting test: 30MIN 30MIN 30MIN Test Start Time: 10:29 10:47 10:29 10 :47 11:47 12:04 Initial Reading (R,): 7.067 7.068 7.017 7.024 2.720 7.722 Test End Time: 10:44 11:02 10:44 11:02 12:02 12:19 Final Reading (RF : 7.067 7.068 7.017 7.027 2.722 2.722 Test Duration: 15MIN 15MIN 15MIN 15MIN 15MIN 15MIN Chan &e in Reading (RF -Rj): -.000 -.000 -.000 1 -.000 +.002 -.000 Pass/Fail Threshold or Criteria: -.002 1 -.002 -.002 1 -.002 -.002 1 -.002 Test Result: X Pass ❑ Fail X Pass ❑ Fail X Pass ❑ Fail ❑ Pass ❑ Fail Is there a sensor in the sump? ❑ Yes X No ❑ Yes X No ❑ Yes X No ❑ Yes ❑ No Does the sensor alarm when either product or water is detected? ❑ Yes ❑ No X NA ❑ Yes ❑No XNA ❑ Yes ❑ No XNA ❑ Yes 0 No ❑ NA Was sensor removed for testing? ❑ Yes ❑ No X NA ❑Yes ❑No XNA []Yes ❑No XNA ❑ Yes ❑No DNA Was sensor properly replaced ? and verified functional after testin ❑ Yes ❑ No X NA ❑ Yes ❑No XNA ❑ Yes ❑ No XNA ❑ Yes ❑ No DNA CCOMMell S — (include information on repairs made prior to testing, and recommended follow -up for failed tests) SWRCB, January 2002 9. SPHAJOVERFILL CONTAINMENT BOXES L)ISILF3 �/ Page �[__ of Facility is Not Equipped With Spill/Overfill Containment Boxes ❑ Spill/Overfill Containment Boxes are Present, but were Not Tested 0 Test Method Developed By: 0 Spill Bucket Manufacturer ❑ Industry Standard ❑ Professional Engineer 0 Other (Spec) Test Method Used: 0 Pressure 0 Vacuum 0 Hydrostatic 0 Other (Spec) Test Equipment Used: Equipment Resolution: Spill Box #87 VPR Boom Spill Box # Spill Box 991 VPR Spill Box # Bucket Diameter: 12" 12" Bucket Depth: 10" 10" Wait time between applying pressure/vacuum /water and starting test: 30MIN 30MIN Test Start Time: 10:29 10:47 10:29 10:47 Initial Reading (Rj): 1.165 1.165 1.676 1.675 Test End Time: 10:44 11:02 10:44 11:02 Final Reading (RF): 1.165 1.165 1.676 1.675 Test Duration: 15MIN 15MIN 15MIN 15MIN Change in Reading (RF -Ri): -.000 -.000 -.000 -.000 Pass/Fail Threshold or Criteria: -.002 -.002 -.002 -.002 Test Result: X Pass ❑ Fail X Pass 0 Fail ❑ Pass 0 Fail 0 Pass ❑ Fail Comments — (include in on repairs made prior to testing and recommended follow -up for falled tests) CHEVRON 1999 TAFE HWY SAKERSFIELD CA 03/05/2012 10:45 AM SUMP LEAK TEST REPORT 87VPR TEST STARTED 10:29 AM TEST STARTED 03/05/2012 BEGIN LEVEL 1.1659 IN END TIME 10:44 AM END DATE 03/05/2012 END LEVELS 1.1650 IN LEAK THRESHOLD 0.002 IN TEST RESULT PASSED 91VPR TEST STARTED 10:29 AM TEST STARTED 03/05/2012 BEGIN LEVEL 1.6768 IN END TIME 10:44 AM END DATE 03/05/2012 END LEVEL 1.6767 IN LEAK THRESHOLD 0.002 IN TEST RESULT PASSED 87FILS TEST STARTED 10:29 AM TEST STARTED 03/05/2012 BEGIN LEVEL 7.0675 IN END TIME 10:44 AM END DATE 03/05/2012 END LEVEL 7.0671 IN LEAK THRESHOLD 0.002 IN TEST RESULT PASSED 91FILS TEST STARTED 10:29 AM TEST STARTED 03/05/2012 BEGIN LEVEL 7,0175 IN END TIME 10:44 AM END DATE 03/05/2012 END LEVEL 7.0172 IN LEAK THRESHOLD 0,002 IN TEST RESULT PASSED CHEURON 1999 TAFT HWY BAKERSFIELD CA 03/05/2012 11:02 AM SUMP LEAK: TEST REPORT 87VPR TEST STARTED 10:47 AM TEST STARTED 03/05/2012 BEGIN LEVEL 1.1650,IN ENE) TIME 11:02 AM END DATE 03/05/2012 END LEVEL 1.1653 IN LEAK THRESHOLD 0.002 IN TEST RESULT PASSED 91VPR TEST STARTED 10:47 AM TEST STARTED 03/05/2012 BEGIN LEVEL 1.6759 IN END TIME 11:02 AM END.DATE 03/05 /2012 END LEVEL 1.6758 IN LEAK THRESHOLD 0.002 IN TEST RESULT PASSED 87FILS TEST STARTED 10:47 AM TEST STARTED 03/05/2012 BEGIN LEVEL 7.0668 IN END TIME 11:02 AM END DATE 03/05/2012 END LEVEL 7.0669 IN LEAK THRESHOLD 0,002 IN TEST RESULT PASSED 91FILS TEST STARTED 10:47'AM TEST STARTED 03/05/2012 BEGIN LEVEL 7.0240 IN END TIME 11:02 All ENti DATE 03/05/2012 END 1_EVEL 7.0240 IN LEAK THRESHOLD 0.002 IN TEST RESULT PASSED - LrDILL5 CHEVRON 1'?99 �Ai=7 bA BAKERSFIELD CA . 03/05/2012 12:02 PM SUMP LEAK; TEST REPORT 87STR TEST STARTED 11 :47 AM TEST STARTED 03/05/2012 BEGIN LEVEL 6.4479 IN END TIME 12:02 PM END DATE 03/05/2012 END LEVEL 6.4478 IN LEAK THRESHOLD 0.002 IN TEST RESULT PASSED 91 STP TEST STARTED 11:47 AM TEST STARTED 03/05/2012 BEGIN LEVEL 2.0847 IN END TIME 12:02 PM END DATE 03/05/2012 END LEVEL 2.0844 IN LEAK: THRESHOLD 0.002 IN TEST RESULT PASSED DSLFILS TEST STARTED 11:47 AM TEST STARTED 03/05/2012 BEGIN LEVEL 2.7202 IN END TIME 12:02 PM END DATE 03/05/2012 END LEVEL 2.7228 IN LEAK, THRESHOLD 0.002 IN TEST RESULT INCREASED L)SLSTP TEST STARTED 11 :47 AM TEST STARTED 03/05/2012 BEGIN LEVEL 1.7680 IN END TIME 12:02 PM END DATE 03/05/2012 END LEVEL 1.7676 IN LEAK THRESHOLD 0.002 IN TEST RESULT PASSED 91STP 0- iEijPON • 1999 TAPT TAP HOY' TEST STARTED 12:04 P11 BAKERSFIELD CA TEST STARTED 03/05/2012 BEGIN LEVEL 2.0843 IN 03/05/2012 i2:ev5 Pr-l- END TIME 12:19 PM END DATE 03/05/2012 SUMP i_EHK TEST REPORT END LEVEL 2.0845 IN LEAK THRESHOLD 0.002 Iry 87STF TEST RESULT PASSED TEST STARTED 12:29 PM TEST STARTED 03/05 /2012 DSLFILS BEGIN LEVEL 6.4429 iN TEST STARTED 12:04 PM END TIME END DATE 12:45 PM 03/05/2012 TEST STARTED BEGIN 03/05/2012 END LEVEL 6.4423 IN LEVEL" 2.7225 IN LEAK THRESHOLD 0.002 IN END TIME 12 :19 PM TEST RESULT PASSED END DATE 03/05/2012 END LEVEL 2.7227 IN LEAK THRESHOLD 0.002 IN 918TP TEST RESULT PASSED TEST 8TARTED 12:29 PPS TEST STARTED 03/05/2012 i)SLSTP BEGIN LEVEL 2.0843 IN TEST STARTED 12:04 PP1 END TIME END DATE 12:45 PM 03/05/2012 TEST STARTED 03/05/2012 END LEVEL 2.0841 IN BEGIN LEVEL 1.7678 IN LEAK THRESHOLD 0.002 IN END TIME 12:19 PM TEST RESULT PASSED END DATE 03/05/2012 END LEVEL 1.7684 IN LEAK THRESHOLD 0.002 IN DSLFILS TEST RESULT PASSED TEST STARTED 12:29 PM TEST STARTED 03/05/2012 BEGIN LEVEL 2.7231 IN END TIME 12:45 P9 END DATE 03/05/2012 END LEUEL 2.7232 IN LEAK THRESHOLD 0.002 IN TEST RESULT PASSED DSLSTP TEST STARTED 12:29 PM TEST STARTED 03/05/2012 BEGIN LEVEL 1.7683 IN END TIME 12:45 PM END DATE 03/05/2012 END LEVEL 1.7678 IN LEAK THRESHOLD 0.002 IN TEST RESULT PASSED CHEVRON 1999 TAFT HWY BAKERSFIELD CA 03/05/2012 6:32 PM SUMP LEAK. TEST REPORT UDC/ -2 TEST STARTED 6.17 PM TEST STARTED 0.3/05/2012 BEGIN LEUEL 3.5700 IN END TIME 6:32 PM END DATE 03/05/2012 END LEVEL 3.5713 IN LEAK THRESHOLD 0.002 IN TEST RESULT PASSED CHEVRON 1999 TAFT HWY BAKERSFIELD CA, 53/05/2012• 5 :12 PM SUMP LEAK TEST REPORT UDC9 -10 TEST STARTED TEST STARTED BEGIN LEVEL END TIME END DATE END LEVEL LEAK THRESHOI TEST RESULT 4:57 PM 03/05/2012 2.0717 IN 5:12 PM 03/05/2012 2.0730 IN .D 0.002 IN PASSED CHEVRON 1999 TAFT HWY BAKERSFIELD CA 03/05.12012 5:30 PM :SUMP LEAK TEST REPORT UDC9 --10 TEST STARTED 5:15 PM TEST STARTED 03/05/2012 BEGIN LEVEL 2.0729 IN END TIME 5:30 PM END DATE 03/05!2012 END LEVEL 2.0730 IN LEAK THRESHOLD 0.002 IN TEST RESULT PASSED CHEVRON 1999 TAFT HWY BAKERSFIELD CA &5/05/2012 7:00 PAt SUMP LEAK TEST REPORT UDC1 -2 TEST STARTED 6:45 PM TEST STARTED 03/05/2012 BEGIN LEVEL 3.5710 IN END TIME 7:00 PM END DATE 03/05/2012 END LEVEL 3.5714 IN LEAK THRESHOLD 0.002 IN TEST RESULT PASSED L+514�) t SB989 TESTING FAILURE REPORT SITE NAME: CHEVRON DATE: 3/5/12 THE FOLLOWING COMPONENTS WERE REPLACED/REPAIRED TO COMPLETE TESTING. REPAIRS: ALL ANNULARS PASSED, ALL VAPOR BUCKETS PASSED, ALL FILL SUMPS PASSED, ALL STP PASSED. UDC #7 /8 TORN PENETRATION ON 91 (ON #7 SIDE). NEED TO GET PENETRATION. UDC #9/10 PASSED, UDC #1/2 PASSED. UNABLE TO REACH DONUTS ON REST OF DISPENSERS WITHOUT MOVING PIPING. DISP #3/4.5/6,11/12. LABOR: PARTS INSTALLED: NAME • TITLE SIGNATURE: TAE ABOVE NAMED PERSON TAKES FULL RESPONSIBILITY OF NOTIFYING THE APPROPRIATE PARTY TO HAVE CORRECTIVE ACTION TAKEN TO REPAIR THE ABOVE LISTED PROBLEMS AND NOTIFYING RICH ENVIRONMENTAL FOR ANY NEEDED RETESTING. THIS ALSO RELEASES RICH ENVIRONMENTAL OF ANY FINES OR PENALTIES OCCURING FROM NON - COMPLIANCE. A COPY OF THIS DOCUMENT HAS BEEN LEFT ON -SITE FOR YOUR CONVIENENCE.