HomeMy WebLinkAboutSB-989 Repairs report 2014SWRCB, January 2002 Page __ of __
Secondary Containment Testing Report Form
This form is intended for use by contractors performing periodic testing ofUSTsecondary 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
Facility Name: #3362 Fastrip #633 I Date of Testing: 3/2112014
Facility Address: 6401 South H St Bakersfield, CA 93304
Facility Contact: Omero Garcia ·1 Phone: (661)393-7000
Date Local Agency Was Notified of Testing: 3/19/2014
Name of Local Agency Inspector (if present during testing): Ernie Medina
2. TESTING CONTRACTOR INFORMATION
Company Name: Confidence UST Services
Technician Conducting Test: Bryan A Self
Credentials: x CSLB Licensed Contractor X SWRCB Licensed Tank Tester
License Type: CSLB I License Number:804904 ICC# 8022804-UT TT#11-1756
Manufacturer Training
Manufacturer Component(s) Date Training Expires
UST 1012112015
Installaton!Retrofi t
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
Vapor Return Secondary X 0 0 0 0 0 0 0
87 Vent Secondary X 0 0 0 0 0 0 0
87 STP Sump X 0 0 0 0 0 0 0
Diesel Fill Spill Bucket X 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 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
If hydrostatic testing was performed, describe what was done with the water after completion of tests:
Water was put back into test trailer and waste drum
To tile best of my knowledg e and in full compliance with legal requirements
Technician's Signature~:~-~4~~~p_:::::::;:.._~~~~~~~b:::...._ _ _1D~a~te;_;_: Q032J../~2.!.!11~2.\L01li4
SWRCB, January 2002 Page __ of __
5 SECONDARY PIPE TESTING
Test Method Developed By: 0 Piping Manufacturer x Industry Standard 0 Professional Engineer
0 Other (Specify)
Test Method Used: x Pressure 0 Vacuum 0 Hydrostatic
0 Other (Specify)
Test Equipment Used: Calibrated Gages Equipment Resolurion:0.0625"
Piping Run # Piping Run # Piping Run # Piping Run #
87 Vent Vapor Return
Piping Material: FRP FRP
Piping Manufacturer: Smith Smith
Piping Diameter: 3.00" 4.00"
Length of Piping Run: !50' 170'
Product Stored: 87 Vent Secondary Vapor Return
Secondary
Method and location of Test Boot Test Boot piping-run isolation:
Wait time between applying
pressure/vacuum/water and 5 Min 5 Min
starting test:
Test Start Time: I 0:15AM I 0:1 5AM
Initial Reading (R1): 5.00" PSI 5.00" PSI
Test End Time: !1 :15AM !1 :15AM
Final Reading (RF): 5.00" PSI 5.00" PSI
Test Duration: I Hour I Hour
Change in Reading (RF-R1): 0.00" 0.00"
Pass/Fail Threshold or 0.00" 0.00" Criteria:
Test Result: X Pass D Fail X Pass 0 Fail 0 Pass 0 Fail 0 Pass 0 Fail
Comments-(include information on repairs made prior to testing, and recommended follow-up for .failed tests)
SWRCB, January 2002 Page __ of __
6 PIPING SUMP TESTING
Test Method Developed By: D Sump Manufacturer x Industry Standard D Professional Engineer
D Other (Specify)
Test Method Used: D Pressure D Vacuum x Hydrostatic
D Other (Specify)
Test Equipment Used: Ts-sts Equipment Resolution:
Sump # 87 Sump # Sump # Sump #
Sump Diameter: 36.00"
Sump Depth: 50.00"
Sump Material: FRP
Height from Tank Top to Top of 28.00" Highest Piping Penetration:
Height from Tank Top to Lowest 15.00" Electrical Penetration:
Condition of sump prior to testing: Clean &Dry
Portion of Sump Tested1 NA
Does turbine shut down when
sump sensor detects liquid (both
product and water)?•
D Yes D No XNA D Yes DNo D NA D Yes D No D NA D Yes DNo D NA
Turbine shutdown response time NA
Is system programmed for fai l-safe
shutdownf D Yes DNo XNA D Yes D No DNA DYes DNo D NA D Yes D No DNA
Was fail -safe verified to be D Yes D No XNA D Yes D NoD NA DYes DNo D NA operational?' D Yes D No DNA
Wait time between applying
pressure/vacuum/water and starting NA
test:
Test Start Time:
Initial Reading (R1):
Test End Time:
Final Reading (Rr):
Test Duration:
Change in Reading (RF-R1):
Pass/Fail Threshold or Criteria:
Test Result: X Pass D Fail D Pass D Fail D Pass D Fail D Pass D Fail
Was sensor removed for testing? D Yes DNo XNA D Yes D No D NA D Yes DNo DNA D Yes DNo D NA
Was sensor properly replaced and D Yes DNo XNA D Yes D No D NA D Yes DNo DNA D Yes DNo D NA verified functional after testing?
Comments -(include information on repairs made prior to testing. and recommended.fol/ow-upfor failed tests)
1 if the entire depth of the sump is not tested, specify how much was tested. Tfthe answer to~ of the questions indicated with an
asterisk(*) is "NO" or "NA", the entire sump must be tested. (See SWRCB LG-160)
SWRCB, January 2002 Page __ of __
9 SPILL/OVERFILL CONTAINMENT BOXES .
Facility is Not Equipped With Spill/Overfill Containment Boxes 0
SpilVOverfill Containment Boxes are Present, but were Not Tested 0
Test Method Developed By: 0 Spill Bucket Manufacturer x Industry Standard 0 Professional Engineer
0 Other (SpecifY)
Test Method Used: 0 Pressure 0 Vacuum x Hydrostatic
0 Other (SpecifY)
Test Equipment Used: Ts-sts I Equipment Resolution:
Spill Box # Diesel Fill Spill Box# Spill Box# Spill Box#
Bucket Diameter: 12.00"
Bucket Depth: 12.00"
Wait time between applying
pressure/vacuum/water and 5 Min.
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 0 Fail 0 Pass OFail 0 Pass 0 Fail 0 Pass 0 Fail
Comments -(include if!formation on repairs made prior to testing, and recommended follow-up for.failed tests)
/
stlliP 87 STP 0,795 Ill
SUMP OS FSB 6, 380 Ill
3362 FASiRIP
6401 SOUTH H ST
BAKERSFIB.D CA 93304
03/21/2014 to:o4 A!1
SU11P LEAK TEST REPORT
87 STP
TEST STARTED !1:49 At!.
TEST STARTED 03/i'l/20111 I
BEGIII LEVa 0, i9Q3 Ill
Elll TillE 10:011 Al1
DD DATE 03/21/20111
EJI) l£VEl. 0, 7901 Ill
. lEAK ~0 0,002 Ill
TEST REStA.T FAilED
..,.___. -. -~._....._~ --_, .
OSF.SS
TEST STARTED·'' 9jq9 Al1
TEST STARTEO 03/21/20111
BEGIIILEVa \6,3803 Ill
EIIO TIHE · 10:04 Al1
EIIO DATE • 03/21/20111
EJIO ~-~ j .~. 379"4 m
L£AI( lliRESHOLDi~ 0, 002 Ill
TEST REStl.T \~.~EO
3362 FASTRIP
6401 SOUTH H ST
BAKERSFIELD CA 93304
03/21/2014 10:20 AH
SUH? LEAK TEST REPORT
87 STP
TEST STARTED 10:05 AH
TEST STARTED 03/21/2014
BEGitl lEVEl tl, 7889 JU
EJIO TIHE 10:20 AH
810 DATE 03/21/2014
810 LEVEL 4, 7874 IU
LEAK THRESHOLD 0,002 IU
TEST RESULT PASSED
OS FSB
TEST STARTED 10:05 AH
TEST ST.f\~T;D,_ OV.21/201~
BEGUHEVB.. 5;3793 IU
810 TIHE 10:20 AH
810 DATE 03/21/2014
810 LEVEL 6, 3793 IU
LEAK THRESHOLD 0, 002 IU
TEST RESULT PASSED
3362 FASTRIP
6401 SOUTH H ST
BAKERSFIELD CA 93304
03/21/2014 10:57 At1
SUHP LEAK TEST REPORT
87 STP
TEST STARTED 10:42 At1
TEST STARTED 03/21/2014
BEGIU lEVEL 4.8701 W
EtiO TIME 10:57 AH
EliO DATE 03/21/2014
EliD LEVEL 4. 8708 W
lEAK THRESHOLD 0.002 Ill
TEST RESULT PASSED
OS FSB
TEST STARTED 10:42 AH
TEST STARTED 03/21/2014
BEGW LEVEL 6. 3789 W
EllD TIHE 10:57 AH
EliO DATE 03/21/2014
EtlO LEVEL 6. 3788 W
lEAK THRESHOLD o. 002 W
TEST RESULT PASSED
. . . .
3362 FASTRIP
6401 SOUTH H ST
BAKERSFIELD CA 93304
03/21/2014 10:39 AH
SUHP LEAK TEST REPORT
OS FSB
TEST STARTED 10:23 AH
TEST STARTED 03/21/2014
BEG Ill LEVa 6, 3791 Ill
EtlO TIME 10:39 AH
EtlO OATE 03/21/201/l
EllD lEVEl 6, 3788 Ill
lEAK THRESHOLD 0, 002 W
TEST RESULT PASSED