HomeMy WebLinkAboutSB989 2013 FAILSWRCB, January 2002 Page_of_
Secondary Containment Testing Report Form
This fonn is intended for use by contractors pe1jorming periodic testing of UST secondaiJI containment systems. Use the
appropriate pages of this fonn to report results for all components tested. The completedform, wrillen test procedures, and
primoutsfrom tests (if applicable), should be provided to the facility ownerloperatorfor submillal to the local regulat01y agency.
1. FACILITY INFORMATION
Facility Name: #3367 Fastrip #640 I Date ofTesting: 1117/2013
Facility Address: 8001 White Lane, Bakersfield, CA 93309
Facility Contact: Omero Garica/Craig Lincoln I Phone: 661-393-7000
Date Local Agency Was Notified of Testing : 11/4/2013
Name of Local Agency Inspector (if present during testing): Ernie Medina
2. TESTING CONTRACTOR INFORMATION
Company Name: Confidence UST Services
Technician Conducting Test: Frank Landa
Credentials: x CSLB Licensed Contractor SWRCB Licensed Tank Tester
License Type: CSLB I License Number:804904 TCC# 8180171/8018524 ------. ·-
Manufacturer Training
Manufacturer Component(s) Date Training Expires
UST 11/22/2013
I nstallaton/Retro tit
UST Service ICC 1-28-2015
technician
Star. Smith. Fibercast Fiber Glass Systems N.A.
3. SUMMARY OF TEST RESULTS
Component Pass Fail Not Repairs Component Pass Fail Not Repairs
Tested Made Tested Made
DSL Annular X 0 n 0 91 STP J X l
87 Annular X ll u 0 UDC 13-14 X 0 u r-•
" 91 Annular 0 X u 0 UDC 15-16 X u u []
DSL Secondary X _] 0 0 UDC17-l8 X L c []
DSL Vent Secondary X u 0 0 UDC 19-20 X n J ~
87 Secondary ::::J lJ X u UDC 21-22 X u 0 J
87 Vent Secondary X [] 0 0 UDC 23-24 X c n []
91 Secondary ::::J X 0 0 DSL Fill Sump X u l r l
91 Vent Secondary X 'J 0 [ J 87 Fill Sump X 0 0 .I
Vapor Return Secondary X 0 0 0 91 Fill Sump X n n u
DSL STP l X 0 0 DSL Fill Spill Bucket X u 0 .-.. .
87 STP J 0 X u 87-1 Fill Spill Bucket X Q_ u fl
If hydrostatic testing was performed, describe what was done with the water after completion of tests:
Water was gut back into test trailer and waste drum
ONSffiLE FOR CONDUCTING THIS TESTING
To the best of my kuowledo umeut are accurate and in full compliance with legal requiremellfs
Technician's Signature: Date: 1117/2013
•
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I
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SWRCB, January 2002 Page __ of __
Secondary Containment Testing Report Form
This fonn is intended for use by contractors pelfOJming periodic testing of UST secondcuy containment systems. Use the
appropriate pages ofthisform to report results for all components tested. The completed form, written test procedures, and
printoutsji·om tests (if applicable), should be provided to the .facility ownedoperator.for submittal to the local regulat01y agency.
1. FACILITY INFORMATION
Facility Name: #3367 Fastrip #640 I Date ofTesting: 1117/2013
Facility Address: 800 I White Lane, Bakersfield, CA 93309
Facility Contact: Omero Garica/Craig Lincoln I Phone: 661-393-7000
Date Local Agency Was Notified of Testing : 11/4/2013
Name of Local Agency Inspector (!{present during testing): Ernie Medina
2. TESTING CONTRACTOR INFORMATION
Company Name: Confidence UST Services
Technician Conducting Test: Frank Landa
Credentials: x CSLB Licensed Contractor SWRCB Licensed Tank Tester
License Type: CSLB I License Number:804904 ICC# 8180171/8018524
-. .. . -·----.
Manufacturer Training
Manufacturer Component(s) Date Training Expires
UST 11122/2013
Installaton/Retro fit
UST Service ICC 1-28-2015
technician
Star. Smith. Fibercast Fiber Glass Systems N.A.
3. SUMMARY OF TEST RESULTS
Component Fail Not Repairs Component Pass Fail Not Repairs Pass Tested Made Tested Made
87-1 Vapor Spill Bucket X 0 0 n 0 u lJ ll
87-2 Fill Spill Bucket X 0 0 0 0 CJ D 0
87-2 Vapor Spill Bucket u X 0 lJ 0 0 CJ 0
91 Fill Spill Bucket X 0 0 0 0 0 0 l
91 Vapor Spill Bucket 0 X 0 0 0 n n ']
Vent Box 0 X 0 0 0 u u 0
0 0 0 0 0 0 0 0
u 0 0 0 0 0 [J u
0 0 0 0 0 0 0 0
0 0 u 0 0 0 0 C")
J
0 n 0 0 u [J [J J
0 0 0 0 0 0 n n
If hydrostatic testing was performed, describe what was done with the water after completion of tests:
Water was £_Ut back into test trailer and waste drum
SWRCB, January 2002 Page __ of __
4. TANK ANNULAR TESTING
Test Method Developed By: D Tank Manufacturer x Industry Standard D Professional Engineer
0 Other (Spec[fy)
Test Method Used: DPressure x Vacuum ll Hydrostatic
D Other (Specify)
Test Equipment Used: Calibrated Gages Equipment Resolution:0.0625"
Tank# DSL Tank# 87 Tank #91 Tank#
Is Tank Exempt From Testing?' DYes X No UYcs X No :::J Yes X No llYes X No
Tank Capacity: Unknown Unknown Unknown
Tank Material: Steel Steel Steel
Tank Manufacturer: Unknown Unknown Unknown
Product Stored: DSL Regular Premium
Wait time between applying
pressure/vacuum/water and 5min. 5 min. 5 min.
starting test:
Test Start Time: !O:OOam I O:OOam I O:OOam
Initial Reading (R1): 10 Hg 10 Hg 10 Hg
Test End Time: !1:00am !1:00am II :OOam
Final Reading(~): IOHg 10 Hg 0 Hg
Test Duration: 1 hour I hour 15 min.
Change in Reading (~-R1): 0.00" 0.00" 10 Hg
Pass/Fail Threshold or Criteria: 0.00" 0.00" 0.00"
Test Result: X Pass D Fail X Pass 0 Fail D Pass X Fail 0 Pass X Fail
Was sensor removed for testing? X Yes DNo DNA X Yes DNo DNA X Yes DNo DNA X Yes DNo NA
Was sensor properly replaced and X Yes DNo DNA X Yes DNo DNA X Yes UNo DNA X Yes ONo ~NA verified functional after testing?
Comments -(include if!formation on repairs made prior to testing, and rec_ommendedfollow-upforfailed tests)
91 Annular failed. Needs to break concrete and redo Riser.
1 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 fi·om periodic contairunent
testing. {California Code of Regulations, Title 23, Section 2637(a)(6)}
SWRCB, January 2002 Page_ of_
5. SECONDARY PIPE TESTING
Test Method Developed By: 0 Piping Manufacturer x Industry Standard II Professional Engineer
0 Other (Specify)
Test Method Used: x Pressure 0 Vacuum 0 Hydrostatic
D Other (Specify)
Test Equipment Used: Calibrated Gages Equipment Resolution:0.0625"
·r. Piping Run # DSL Piping Rtm # DSL Vent Piping Rm1 # 87 Piping Run# 87 Vent
Piping Material: Fiberglass Fiberglass Fiberglass Fiberglass
Piping Manufacturer: Smith Smith Smith Smith
Piping Diameter: 3.00" 3.00" 3.00" 3.00"
Length of Piping Run: 50.00' 80.00' 100.00' 50.00'
Product Stored: DSL Vent Regular Vent
Method and location of Boot in STP Boot in STP Boot in STP Boot in STP piping-run isolation:
Wait time between applying
pressure/vacuum/water and 5 min. 5 min. 5 min.
starting test:
Test Start Time: 9:00am 9:00am 9:00am
Initial Reading (R1): 5 psi 5 psi 5 psi
Test End Time: !O:OOam !O:OOam l O:OOam
Final Reading (RF): 5 psi 5 psi 5 psi
Test Duration: I hour 1 hour I hour
Change in Reading (~-R1): 0.00" 0.00" 0.00"
Pass/Fail1l1reshold or 0.00" 0.00" 0.00" Criteria:
Test Result: X Pass 0 Fail X Pass OFail NOT TESTED X Pass 0 Fail
Comments-(include if!formation on repairs made prior to lesting, and_recommendedfol!ow-upfor.failed tes1s)
Had to install shear shrader valves in all boots in UQC_'_s.
87 Seconadrv unable to test, need to install boot.
SWRCB, January 2002 Page __ of __
5.SECONDARY PIPE TESTING
Test Method Developed By: 0 Piping Manufacturer x Industry Standard 0 Professional Engineer
L Other (Specify)
Test Method Used: x Pressure n Vacuum U Hydrostatic
0 Other (Specify)
Test Equipment Used: Calibrated Gages Equipment Resolution:0.0625"
. -
Piping Run# 91 Piping Run# 91 Vent Piping Run# Vapor Piping Run # Extra
Return Vent
Piping Material: Fiberglass Fiberglass Fiberglass Fiberglass
Piping Manufacturer: Smith Smith Smith Smith
Piping Diameter: 3.00" 3.00" 4.00" 3.00"
Length of Piping Run: 100.00' 50.00' 100.00' 50.00'
Product Stored: Premium Vent Vapor Retum Vent
Method and location of Boot in STP Boot in STP Boot in STP Boot in STP piping-run isolation:
Wait time between applying
pressure/vacuum/water and 5 min. 5 min. 5 min. 5 min.
starting test:
Test Start Time: 9:00am 9:00am 9:00am !1:00am
Initial Reading (R1): 5 psi 5 psi 5 psi 5 psi
Test End Time: 9:30am I O:OOam I O:OOam !2:00pm
Final Reading(~): 3 psi 5 psi 5 psi 5 psi
Test Duration: 30 min. 1 hour I hour I hour
Change in Reading (RF-R1): 2 psi 0.00" 0.00" 0.00"
Pass/Fail Threshold or 0.00" 0.00" 0.00" 0.00" Criteria:
Test Result: 0 Pass X Fail X Pass OFail X Pass OFail X Pass 0 Fail
Comments -(include i'!formation__()_n repairs made prior to testing, and recommendedfol/ow-upforfai/ed tes/5)
Vapor Return Line in DSL STP has no communication to dispensers, but has
Communication to 91 STP and 87 STP. Need to remove line fr01n system,
Per Ins~_e_tn_r_EmieMedina.
SWRCB, January 2002 Page __ of __
6. PIPING SUMP TESTING
Test Method Developed By: D Sump Manufacturer x Industry Standard D Professional Engineer
n Other (Specify)
Test Method Used: DPressure U Vacuum x Hydrostatic
U Other (Spec[fy)
Test Equipment Used: Ts-sts Equipment Resolution:
Sump #DSL Sump# 87 Sump# 91 Sump#
Sump Diameter: 38.00" 38.00" 38.00"
Sump Depth: 55.00" 57.00" 55.00"
Sump Material: Fiberglass Fiberglass Fiberglass
Height from Tank Top to Top of 16.00" 36.00" 18.00" Highest Piping Penetration:
Height from Tank Top to Lowest 14.00" 14.00" 13.00" Electrical Penetration:
Condition of sump prior to testing: Clean Clean Clean
Portion of Sump Tested1 18.00" 18.00" 20.00"
Does turbine shut down when
sump sensor detects liquid (both
product and water)?•
DYes DNo XNA DYes flNo XNA DYes DNo XNA DYes DNo XNA
Turbine shutdown response time NA NA NA
Is system programmed for fail-safe
shutdown?' DYes DNo XNA DYes DNo XNA DYes DNo XNA []Yes rJNo X NA
Was fail-safe verified to be DYes DNo XNA DYes DNo XNA DYes DNo XNA DYes ~No X NA operational?'
Wait time between applying
pressure/vacuum/water and starting 5 min. 5min. 5min.
test:
Test Start Time:
Initial Reading (R1):
Test End Time:
Final Reading(~,):
Test Duration:
Change in Reading (~-R1):
Pass/Fail Threshold or Criteria:
Test Result: 0 Pass X Fail NOT TESTED 0 Pass X Fail X Pass D Fail
Was sensor removed for testing? XYes nNo DNA X Yes ONo DNA X Yes []No 'l NA X Yes DNo UNA
Was sensor properly replaced and X Yes DNo DNA X Yes UNo DNA X Yes DNo DNA X Yes UNo LINA verified functional after testing?
Comments -(include in(onnation on repairs made prior to testing, and recommended(ollow-upforfailed tests)
87 STP not tested, unable to get boot on. Will need to dismantle filter s_y_s_t_etn_to
Get boot on.
DSL/91 STP possible problem with piping/electrical penetrations.
1 If the entire depth of the sump is not tested, specify how much was tested. If the answer to ill:!Y of the questions indicated with an
asterisk (*) is "NO" or "NA", the entire sump must be tested. (See SWRCB LG-I 60)
SWRCB, January 2002 Page __ of __
.. -·· -----. ·--------' . -.. -. , -
Test Method Developed By: 0 UDC Manufacturer x Industry Standard ::J Professional Engineer
0 Other (Specify)
Test Method Used: 0 Pressure ll Vacuum x Hydrostatic
0 Other (Specify)
Test Equipment Used: Ts-sts Equipment Resolution:
UDC # 13-14 UDC # 15-16 UDC # 17-18 UDC # 19-20
UDC Manufacturer: Unknown Unknown Unknown Unknown
UDC Material: Fiberglass Fiberglass Fiberglass Fiberglass
UDC Depth: 32.00" 32.00" 32.00" 32.00"
Height from UDC Bottom to Top 10.00" 10.00" 10.00" 10.00"
of Highest Piping Penetration:
Height from UDC Bottom to 7.00" 7.00" 7.00" 7.00"
Lowest Electrical Penetration:
Condition ofUDC prior to Clean Clean Clean Clean
testing:
Portion ofUDC Tested 12.00" 12.00" 12.00" 12.00"
Does turbine shut down when
UDC sensor detects liquid (both
product and water)?"
DYes ONo XNA DYes DNo XNA DYes DNo XNA LJ Yes DNo X NA
Turbine shutdown response time NA NA NA NA
Is system programmed for fail-
safe shutdown?' DYes nNo XNA lJYes DNo XNA DYes flNo X NA DYes DNo XNA
Was fail-safe verified to be DYes DNo XNA lJYes UNo XNA DYes DNo XNA DYes IJNo X NA operational?'
Wait time between applying 5 min. 5 min. 5 min. 5 min.
pressure/vacuum/water and
starting test
Test Start Time:
Initial Reading (R1):
Test End Time:
Final Reading (RF):
Test Duration:
Change in Reading (RF-R1):
Pass/Fail Threshold or Criteria:
Test Result: X Pass D Fail X Pass D Fail X Pass D Fail X Pass D Fail
Was sensor removed for testing? XYes DNo DNA X Yes DNo DNA X Yes DNo DNA X Yes DNo tNA
Was sensor properly replaced and X Yes ONo DNA X Yes DNo DNA XYes DNo DNA X Yes D No DNA verified fi.mctional after testing?
Comments -(include information on repairs made prior to testing, and recommended.follow-up.for.failed tests)
All UDC's Passed. No reQairs needed at this time.
1 If the entire depth of the UDC is not tested, specify how much was tested. If the answer to illlY of the questions indicated with an
asterisk (*) is "NO" or "NA", the entire UDC must be tested. (See SWRCB LG-160)
I
!
SWRCB, January 2002 Page_ of_
7. UNDER-DISPENSER CONTAINMENT (lJDC) TESTING
Test Method Developed By: D UDC Manufacturer x Industry Standard n Professional Engineer
[l Other (Specify)
Test Method Used: DPressure [l Vacuum x Hydrostatic
[)Other (Spec[fy)
Test Equipment Used: Ts-sts Equipment Resolution:
UDC # 21-22 UDC # 23-24 UDC# UDC#
UDC Manufacturer: Unknown Unknown
UDC Material: Fiberglass Fiberglass
UDC Depth: 32.00" 32.00"
Height from UDC Bottom to Top 10.00" 10.00"
of Highest Piping Penetration:
Height from UDC Bottom to 7.00" 7.00"
Lowest Electrical Penetration:
Condition of UDC prior to Clean Clean
testing:
Portion ofUDC Tested 12.00" 12.00"
Does turbine shut down when
UDC sensor detects liquid (both
product and water)?*
DYes DNo XNA DYes DNo XNA DYes DNo DNA (J Yes DNo DNA
Turbine shutdown response tin1e NA NA
Is system programmed for fail-
safe shutdown?· UYes DNo XNA DYes DNo XNA DYes ONo DNA ll Yes ONo UNA
Was fail-safe verified to be DYes DNo XNA 0 Yes flNo XNA UYes DNo DNA n Yes IJNo UNA operational?•
Wait time between applying 5 min. 5 min.
pressure/vacuum/water and
starting test
Test Start Time:
Initial Reading (R1):
Test End Time:
Final Reading (RF):
Test Duration:
Change in Reading (RF-R1):
Pass/Fail Threshold or Criteria:
Test Result: X Pass OFail X Pass D Fail 0 Pass OFail 0 Pass OFaiJ
Was sensor removed for testing? X Yes DNo DNA XYes ONo DNA UYes ONo LNA DYes D No ~NA
Was sensor properly replaced and X Yes DNo llNA XYes DNo DNA DYes DNo UNA LJ Yes No flNA verified functional after testing?
Comments-(include if!formation on repairs made prior to testing, and recommencledfollow-upforfailecltests)
1 If the entire depth of the UDC is not tested, specify how much was tested. If the answer to i!!!.Y of the questions indicated with an
asterisk(*) is "NO" or "NA", the entire UDC must be tested. (See SWRCB LG-160)
SWRCB, January 2002 Page_ of_
8. FILL RISER CONTAINMENT SUMP TESTING
Facility is Not Equipped With Fill Riser Containment Sumps [l
Fill Riser Containment Sumps are Present, but were Not Tested u
Test Method Developed By: [J Sump Manufacturer x Industry Standard U Professional Engineer
0 Other (Specify)
Test Method Used: D Pressure D Vacuum x Hydrostatic
[..:; Other (Spec{(y)
Test Equipment Used: Equipment Resolution:
~ -----·· -~ . ---·· --·-
Fill Smnp # DSL Fill Sump # 87 Fill Sump # 91 Fill Sump#
Sump Diameter: 46.00" 46.00" 46.00"
Sump Depth: 63.00" 60.00" 48.00"
Height from Tank Top to Top of 16.00" 18.00" 16.00"
Highest Piping Penetration:
Height from Tank Top to Lowest 11.00" 16.00" 10.00"
Electrical Penetration:
Condition of sump prior to Clean Clean Clean
testing:
Portion of Sump Tested 18.00" 20.00" 18.00"
Sump Material: Fiberglass Fiberglass Fiberglass
Wait time between applying 5 min. 5 min. 5 min.
pressure/vacuum/water and
starting test:
Test Start Time:
Initial Reading (R1):
Test End Time: i
Final Reading (RF):
Test Duration:
Change in Reading (RF-R1):
Pass/Fail TI1reshold or Criteria:
Test Result: X Pass DFail X Pass D Fail X Pass D Fail D Pass DFaiJ
Ts there a sensor in the sump? X Yes DNo X Yes IJ No X Yes LJ No L Yes DNo
Does the sensor alam1 when
either product or water is DYes DNo XNA DYes DNo XNA DYes DNo XNA DYes DNo DNA
detected?
Was sensor removed for testing? X Yes flNo DNA XYes DNo DNA X Yes CNo DNA DYes ['No DNA
Was sensor properly replaced and X Yes DNo DNA X Yes DNo DNA X Yes DNo JNA D Yes [J No [ NA verified functional after testing?
Comments-(include information on repairs made prior to tes1ing, and recommendedfollow-up.forfailed tests)
SWRCB, January 2002 Page __ of __
9. SPILL/OVERFILL CONTAINMENT BOXES
1'-Facility is Not Equipped With Spill/Overfill Containment Boxes f l
Spill/Overfill Containment Boxes arc Present, but were Not Tested .
Test Method Developed By: Spill Bucket Manufacturer x industry Standard Professional Engineer
Other (Specify)
Test Method Used: Pressure Vacuum x llydrostatic
Other (Spec[fj)
Test Equipment Used: Ts-sts Equipment Resolution:
~ -
' ---Spill Box # DSL Fill Spill Box# 87-1 Fill Spill Box# 87-1 Spill Box #87-2 Fill ! Vae£_r -1
Bucket Diameter: 12.00" 12.00" 12.00" 12.00" -Bucket Depth: 14.00'' 14.00" 14.00" 14.00"
t-w31t time between applying---
pressure/vacuum/water and 5 min. 5 min. 5 min. 5 min.
starting test: 1-Test Start Time:
'----
Initial Reading (RJ):
Test End Time:
Final Reading(~):
Test Duration:
Change in Reading (~-R1):
Pass/Fail TI1rcshold or
Criteria:
Test Result: X Pass 0 Fail X Pass 0 Fail X Pass 0 Fail X Pass 0 Fail
Comments-(include i'!formation 011 repairs made prior to testing, and recommendedfollow-upfor(ailed test.\) ~~~~--~------------
SWRCB. January 2002 Page __ or
9.SPILL/OVERFILL CONTAINMENT BOXES
Facility is Not Equipped With Spill/Overfill Containment Boxes
Spill/Overfill Containment Boxes are Present. but were Not Tested ,_
~.
Test Method Developed By: c Spill Bucket Manufacturer x Industry Standard Professional Engineer
1-
'l Other (Spec[(l')
Test Method Used: nPressure [J Vacuum x Hydrostatic
0 Other (Spec[(y)
Test Equipment Used: Ts-sts I Equi?!~ent Resolution: -----------------. ~
Spill Box# 87-2 Vapor Spill Box # 91 Fill Spill Box# 91 Vapor Spill Box#
...
Bucket Diameter: 12.00" 12.00" 12.00"
Buckel Depth: 14.00" 14.00" 14.00"
Wait time between applying
pressure/vacuum/water and 5 min. 5 min. 5 min.
starting test:
Test Start Time: -Initial Reading (R1):
Test End Time:
Final Reading (Rt:):
1-Test Duration:
Change in Reading (~-R1):
Pass/Faillllreshold or
Criteria:
Test Result: 0 Pass X Fail X Pass 0 Fail 0 Pass X Fail 0 Pass 0 Fail -
Comments-(include information on repair.\ made prior 10 testin_¥,. and recommendedfollow-up forfai/ed tests)
87-2 Vapor Bucket Failed. Needs to be repla_,.,_ce""'d~·------------
91 Vapor Bucket Failed. Needs to be replace~d:.:..... ____________ _
Name:
Street:
~fiDE'+. CJo C'f\ \us~~ "~uc1\0
"1!UILD WITH CONFIDENCE"
Lic.970703
~fiDE'+.
CJo ~
~UST(J. -.,,CES•~
"COMPLIANCE WITH CONFIDENCE"
Lic.804904
Toll Free #: 1-800-339-9930
Confidence UST
16250 Meacham Road
City: Bakersfield, CA 93314
Terms: ~
Description of ~ormed:
~ __ _____?____L2 /1 ~ /}
317:?() Job Order /Invoice #:
I ToWhom I1~E71? Time Date Called
Site Name: "3 :?/o 7
Street: ~~ (jJ1\. I~ Z--A J
City: £K/~9('~~ State: Zip:
Store No: 3 86 ~
/ ~
/~ 1 ~ r--t::::>/7 J>y_ ~~ L_ _007/77 fi. ·-~. v ~~ I ~ \ _rL zi : , 1 7//1 I ==:?':
l
( J H ( ~fl fi1 l ) -:-( C)rl1 JJI.JJ.JJ'lY"~()y] -VII v lr I~ , \l --Q'bfr2i . =iiXi ~-. lil/d/: ~
~ /" ----
TRAVEL and LABOR (0.5 Hour Minimum Labor Charge) OVERTIME (5:00 PM -7:00AM)
Date Technician(s) Name Start End Total OTStart OTEnd OTTotal
lJJ.-J2-(i ::Y\e -PU f J.l.. {-ftJ! ~ Travel ~2b 1/30
~/G~-,YJI'kraJv Labor
Travel
Date Technician{s) Name Start End Total OT Start OTEnd OTTotal
Travel
Labor
Travel
Date Technician(s) Name Start End Total OT Start OTEnd OTTotal
Travel
Labor
Travel
SUPPLIES-MATERIALS-RENTALS Check One
Qty. r.. UST Parts I _Ye Parts
_l _{..i._)Y._J~ J) ~ll/t L.........-\. 'Uo'
COMMENTS
Store Employee Print Name: Technician Print Name: .~k-~ _ _., c..,rc..--L
Store E~ature: I Date Technician Signature: I Date -----
INVOICE • WHITE SITE -CANAA"
3357 FASTRIP
8001 IIHITE Ul
I!AKERSFI ELD
11/12/2013 12:24 Pll .
StR1P LEA'< TEST REPORT
UllC1516
TEST STAATEO 12:09 Pll
TEST STAATEO 11/12/2013
BEG Ill LEVEL 2. 6153 Ill
810 TillE 12:24 Pll
EIIO DATE 11/12/2013 am LEVEL 2. 6158 111
lE'AK THRESHOLD 0, 002 Ill
TEST REStJLT PASSED
3367 FASTRIP
8001 IIHITE Ul
BAKER SFI ElO
11/12/2013 12:110 Pll
SUI1P LEAl( TEST REI'(RT
lllC1516
TEST STARTED 12:25 P/1
TEST STARTED 11/12/2013
BEGIII LEVEL 2,6156 Ill
E/0 TIHE 12:110 P/1
EIIJ DATE 11/12/2013
E/0 LEVEL 2, 6156 Ill
LE'AK THRESOOLD 0. 002 Ill
TEST RESULT PASSEO
~
I I
I I
I I
3357 FASTr<iP
8001 Vl11 IE Ul
BACXERSF JElD
11/12/2013 12:50 Pll
SIJI\P LEAA TEST REPORT
lllC1920
UOC2122
TEST STAATEO 12:35 Pll
TEST STAATEO 11/12/2013
BEGIII LEVEL 2.8264 Ill
Elll TilE 12:50 PH
BID DATE 11/12/2013
am LEVEL 2.8265 Ill
lEAK TlfiE510.0 0, 002 Ill
TEST PESlA..T PASSED
lllC2324
TEST STARTED 12:35 Pll
TEST STAATED 11/12/2013
BEGIII LEVa o. 5306 Ill
EIO TIME 12:50 Pll
EIIO DATE 11/12/2013
EIO LEVEL o. 5301 Ill
LEA'< TlflEml.O 0, 002 lll
TEST REstll.T PASSED
UOC1314
3367 FASTRIP
8001 IIHJTE Ul
eAO<ERSFIELD
11/12/2013 1:20 Pll
SUIIP LEAK TEST REPORT
lllC1920
UOC2122
TEST STARTED 1:04 Pll
TEST STAATEO 11/12/2013
BEGIIILEVa 2,8268 Ill
Elltl TillE 1:20 Pll
E/10 OATE 11/12/2013
Elll LEVEL 2, 8280 Ill
LEAK Tlt=!ESIII.O 0, 002 Ill
TEST RESU. T PASSI'..O
UOC23211
TEST STARTED 1:04 Pll
TEST STARTED 11/12/2013
BEG Ill LEVEL 0, 5300 Ill
EIO TilE 1:20 P/1
EIO DATE 11/12/2013
EIO l.E\R 0, 5291 Ill
LEAK TlflESHilO 0, 002 Ill
TEST RESULT PASSED
IJJC131Q
~-
-.......
3367 FASTRIP
8001 1/HITE Ul
BACKER SF lElD
11/12/2013 1:56 PH
SIJi1> LEVEL REPORT
SUMP UOC1920
Slll1P OS STP
Slll1P uoc 1718
SUNP UOC1314
1. 161 Ill
6, 115 Ill
2, 105 Ill
3. 763 Ill
3367 FASTRIP
8001 1/HITE Ul
BACKERSF I E1.D
11/12/2013 2:18 PH
Slt\P LEAK TEST REPOOT
UOC1920
TEST STARTED 2:03 PH
TEST STARTED 11/12/2013
BEGIII LEVEL 1, 1614 Ill
El/0 TillE 2:18 PH
EliO DATE 11/12/2013
EliO LEVEL 1, 1620 Ill
LEAK THRESiltlO 0, 002 Ill
TEST RESULT PASSED
OS STP
TEST STARTED 2:03 PH
TEST STARTED 11/12/2013 ' BEGIU LEVEL 6, 1103 Ill
BID TillE 2:18 PH
BlD DATE 11/12/2013
EIID LEVEL 6, 0911 Ill •
LEAK THRESHll.D 0, 002 Ill
TEST REStn.T FAILED
UllC1118
TEST ST(IRTED
TEST STll!tJED
BEG Ill
EJ() TIHE
El() DATE
Elll LEVEL
LEAK TmESI
TEST RESI.l.
UlC1314
TEST START ED 2: 03 PH
TEST STARTED 11/12/2013
BEG Ill LEVEL 3, 7641 Ill
BID TillE 2:18 PH
BID DATE 11/12/2013
BID LEVEL 3. 7636 Ill
LEAK THRESHOLD 0, 002 Ill
TEST RES\Jt. T PASSED
3367 FASTRIP
8001 1/H!TE Ul
BACKERSFIELO
11/12/2013 2:45 PH
SllHP LEAK TEST REPORT
lllC1920
TEST STARTED 2:2~PH
TEST STFI TED 11/12/201
BEGJIILEV 1, 1~ Ill
EliD TillE ./'f:44 PH
BID DATE 12/2013
BID LEVEL 1, Ill
LEA'< lllRESI«:lLO 0. 002 Ill
TEST RES\Jt.T ltlCREASEO
OS STP
TEST STARTED 2:29 PH
TEST STARTED 11/12/2013
BEG Ill lEVEl. 6, 0875 Ill
EliO TillE 2:44 PH
EIID DATE 11/12/2013
EJID LEVEL 6, 0717 Ill
LEM THRESH!X.D 0, 002 Ill
TEST REStn.T FAILED
lllC1718
UOC1314
TEST STARTED 2:29 PH
TEST STARTED 11/12/2013
BEGJII LEVEL 3, 7345 Ill
EJIO TillE 2:44 Pll
EJIO DATE 11/12/2013
EJD LEVEL 3, 7342 Ill
LEAK THRESH!X.D 0, 002 Ill
TEST RESULT PASSED
J
3367 FASTRIP 3367 FASTRIP
8001 1/HITE Ul 8001 1/HITE Ul 3367 FASTRIP
BACKERSFIEI.D BACXERSFIELD 8001 IIHITE Ul
BACKERSFIRO
11/12/2013 3:44 PH 11/12/2013 4:00 PH 11/12/2013 4:17 Pt1
SUP l£AK TEST REPORT StJf l£AX TEST 1\EPmT SlW LEAK TEST REPORT
UOCI920 OOC1920
TEST STARTED TEST STARTED 3:45 PH
TESTS TEO TEST STARTED 11/12/2013 TEST STARTED 4:01 PH
BEG Ill BEGIII LEVEL 1. 1387 Ill TEST STARTED 11/12/2013
Elll TIHE Elll TillE 4:00 PH BEiilll LEVEL 1, 1390 Ill
Elll DATE Elll DATE 11/12/2013 Elll TillE 4:17 PH
EJO LEVEL 1, 1394 Ill Elll DATE 11/12/2013
LEAK THRESHOLD 0, 002 Ill Ell! LEVEL 1, 1368 Ill
TEST RESULT PASSED lEA.'< THRESaJLO 0, 002 Ill
TEST REStlT PASSED
91 STP 91 STP 91 STP
TEST STARTED 3:29 Pll TEST STARTED 3:45 PH
TEST STARTED 1 t/12/2013 TEST STARTED 11/12/2013 TEST STARTED 11:01 Pll
BEGIII lEVEl 4.6958 Ill BEGIII lEVEl 4.4113 Jtl TEST STARTED 11/12/2013
Elll TIHE 3:114 PH Elll TIHE 11:00 PH BEG Ill LEVEl 4,2268 Ill
EJID DATE 11/12/2013 EJll DATE 11/12/2013 Elll TIHE 4:17 PH
EIIO lEVEl 11,114115 Jtl EIID LEVEL 4. 2573 Ill BID DAlE 11/12/2013
LEAK TI!RESHllD 0, 002 Ill LEAK TlflESOOLO o. 002 Ill El/0 LEVEL 4, 0935 Til
TEST RESULT FAILED TEST REStLT FA !lED lEA.'< TltllESHOLD 0.002 Ill
TEST RESIJL T FAILED
UOC1718 LOC1718 UOCl718
TEST STARTED 3:29 PH TEST STARTED 3:45 PH
TEST STARTED 11/12/2013 TEST STARTED 11/12/2013 TEST STARTED 11:01 PH
BEGIII LEVEL 2. 1032 Ill BEGIII LEVEL 2. 1023 Ill TEST STARTED 11/12/2013
ElfJ TIHE 3:44 PH EJID TltE 4:00 PH BEG Ill lEVEl 2. 1021 Ill
EJ[) DATE 11/12/2013 EliD DATE 11/12/2013 El:O TIHE 4:17 PH
ElllLEVEl. 2. 1023 Ill EIID lEVEl 2. 1022 Ill EIID DATE 11/12/2013
LEAK TlflESOOLO 0, 002 Til LEAK TlflES!IllD 0, 002 ltl EIIO lEVEl 2. 1018 Ill
TEST RESULT PASSED TEST RESll. T PASSED
LEAK THlESH!l.O 0,002 Ill
TEST RESULT PASSED
3361 FASTRIP
8001 III!ITE Ul
BAKERSF !El.D
11/1212013 2:26 PH
ALARH REPORT
11/12/2013 12:49 PH
PROBE FLOAT HISSIIXJ
SIJ1P llO, 1
3367 FASTRIP
8001 VHITE Ul
BAXERSF I El.D
11/12/2013 4:28 PH
StJHP LEA'< TEST REPORT
87FLSB
TEST STAATED 4:13 PH
TEST STARTED 11/12/2013
BEG Ill lEVEL 7, 6012 Ill
00 TillE LJ: 28 PH
Elll DATE 11/12/2013
Elll LEVEL 7, 6003 1!1
LEAl< TlflESIIllD o. 002 Ill
TEST REStl.T PASSED
91FlS8
TEST STARTED 4:13 PH
TEST STARTED 11/12/2013
BEGIII lEVEl s. 1454 Ill
Elll TillE 4:28 PH
910 DATE 11/12/2013
910 LEVEL s. 1055 ltl
lEAl< THRESHOLD o. 002 Ill
TEST RESIA. T PASSED
3357 FASTRIP
8001 VHITE Ul
BAAERSF I ELD
11/12/2013 4:114 PI!
StJ!'i' LEA'< TEST REPalT
87FLS6
TEST STAATED 4:29 Pll
TEST STARTED 11/12/2013
BEG Ttl LEVEl 7, 5998 Ill
EIID TillE 4:44 P11
81> DATE 11/12/2013
Elll LEVEL 7,5993 Ill
LEAK TlfiES!fJLO 0, 002 111
TEST REru.T PASSED
91FLSB
TEST STARTED 4:29 PH
TEST STARTED 11/12/2013
BEG Ill LEVEl 5. 1453 Ill
910 TillE 4:44 PH
90 DATE 11/12/2013
EIIO LEVEL 5. 1454 Ill
LEAl< Tl!RESHOC.D o. 002 Ill
TEST RESULT PASSED
3367 FASTRIP
8001 III!JTE Lll
BACKERSF I El.D
11/12/2013 5:24 Pll
SU!'.P LEA!< TEST REPORT
ost.SB
TEST STARTED 5:09 PH
TEST STARTED 11/12/2013
BEGIII LEVEL 4, 7920 1U am TII1E 5:24 PH
Ellll OATE 11/12/2013
EIIO LEVEL 4, 7932 Ill
LEAK THRESHOLD 0, 002 Ill
TEST RESil.T PASSED
81FILl
TEST STAATED 5:09 P/1
TEST STAATED 11/12/2013
BEG !II ma 4, 0506 Ill
EIID liKE 5:24 PH
EllD DATE 11/12/2013
EJIO LEVEL 4, 0499 Ill
LEAl( ~D 0, 002 Ill
TEST RESU.T PASSED
91Fill
ostflll
TEST STARTED 5:09 PI!
TEST STARTED 11/12/2013
BEG Ill LEVEL a. 5876 111
911 TIHE 5:24 PH
EIIO DATE 11/12/2013
EllO LEVEL 11,5879 IU
LEAK TK{ES!IlLO o. 002 Ttl
TEST RESil. T PASSED
3357 FASTRIP
8001 \'I!ITE Ul
BACXERSF IB.O
11/12/2013 5:42 PH
S!.IIP LEAl< TEST REPIRT
DSLSB
TEST STARTED 5:26 PH
TEST STARTED 11/12/2013
BEG Ill LEVa 4, 7931 Ill
E!O TlltE 5:42 PH
Elll DATE ll/12/2013
EID LEVEL 4, 7929 Ill
LEAK TlfiESH!l.D 0, 002 Ill
TEST RESIJL T PASSED
87Fill
TEST STARTED 5:26 PH
TEST STARTED ll/12/2013
BEG Ill LEVa 4, 0500 Ill em TJHE 5:42 PH em DATE 1T/12/2013
BID LEVEL G, 0496 Ill
lEAK THRESOOLO 0. 002 Ill
TEST RESULT PASSED
91Fill
TEST STARTED 5:26 PI!
TEST STARTED 11/12/2013
BEGIIILEVB. VOLUHE ERR
Elll TIHE 5:30 PH
E/10 DATE 11/12/2013
E!ID LEVEL 0.0000 Ill
LEM TlfiE5n'OI.O 0.004 Ill
TEST RESULT ERROR
OSLFILL
TEST STARTED 5:26 PH
TEST STARTED 11/12/2013
BEG Ill LEVEL 4, 5877 Ill
Ell> TitlE 5:42 PH
Elll DATE 11/12/2013
Elll lEVEl 4, 5875 Ill
LEN< THRES!nD 0, 002 Ill
TEST RESllT PASSED
--~---·················-
3367 FASTRIP
8001 Vl!lTE U I
BAKER SF 18.0
11/12/2013 6:40 PH
SlJf' LEAl< TEST REPORT
872FLSB
TEST STARTED 6:25 PI\
TEST STARTED ll/12/2013
BEGIII LEVEL 3. 9143 Ill
EJIO TillE s:ao PH
E/10 DATE 11/12/2013
El/0 LEVEL 3. 9151 Ill
LEAK THRESH!l.D 0, 002 Ill
TEST RESULT PASSED
VEl IT BOX
TEST STARTED 6:25 PI!
TEST STARTED 11/12/2013
BEG Ill LEVa 3, 7849 Ill
ElD Til£ 6:40 PI!
ell DATE 11/12/2013
Elal LEVEL 3, 4988 Ill
lEAK THRESHOLD 0. 002 Ill
TEST RESULT FAILED
91Fill
TEST STARTED 6:25 PH
TEST STARTED 11/12/2013
·.iEGIII LEVEl. G. 0775 Ill .-10 T111E 6:110 PH
· «l DATE 11/12/2013
1J LEVEL 4.0775 Ill
' EAK TlfiES!O.D 0, 002 Ill
EST RESIJL T PASSED
'
•:
3367 FASTRIP
8001 \IlliTE Ul
BAKERSFIELD
1/12/2013 6:56 Pl1
: StiiP LEAl< TEST REPCRT
~: 872FLSB .,
'. EST STARTED 6:41 PH
• · EST STARTED 11/12/2013
:'."1 EGIIILEVEL 3. 9153 Ill
D TIME 6:56 PH
aJ DATE 11/12/2013 .~
mLEVEL 3, 9156 Ill
n,!ESHOLD 0, 002 Ill
STIRESllT PASSED
.. ,
;~~ES~ STARTED 6:41 Pl1
. EST STARTED 11/12/2013
Gill lEVEL 3, 5114 Ill
10 TII1E 6:56 Pl1
· 10 DATE 11/12/2013
10 LEVEL 3.5112 HI
, K Tl\llESH!l.O 0, 002 HI
EST REStl.T FAILED
91FILL
~· EST STARTED 6:111 P11
EST STARTED 11/12/2013
Gill LEVEL ll, 0776 Ill
!iJ TillE 6:56 PH
l!l DATE 11/12/2013
I!! LEVEL 4.0776 Ill
EAK THRESH!l.D 0. 002 Ill
EST REStl. T PASSED