HomeMy WebLinkAboutCircle K 5600 Auburn SB-989 repair reportb Is {~
environmental services, inc.
25971 Towne Centre Drive, Foothill Ranch, CA 92610
Tel: (949) 460-5200 Fax: (949) 460-5210
Date:
To:
From:
Sent Via:
4/14/2014
Ernie Medina
Bakersfield Fire Dept.
1500 Truxtun Ave
Bakersfield, CA 93301
Billy Moothart
Email
Re: Repairs
Circle K Store #2708605
5600 AUBURN ST
BAKERSFIELD, CA 93306
TRANSMITTAL
The following test report(s) are included:
Repairs
Comments:
Please do not hesitate to call me at (949) 460-5200 if you have any questions or concerns regarding this work.
987228
SWRCB, January 2002 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
~
Facility Name: Circle K Store #2708605 I Date of Testing: 4/10/2014
Facility Address: 5600 AUBURN ST, BAKERSFIELD, CA 93306
Facility Contact: Piceno, Tonya I Phone: (661) 871-6273
Date Local Agency Was Notified of Testing: 4/4/2014
Name of Local Agency Inspector (if present during testing):
2. TESTING CONTRACTOR INFORMATION
Company Name: Belshire Environmental Services, Inc.
Teclmician Conducting Test: Saul Gonzalez
Credentials: l:2l CSLB Licensed Contractor D SWRCB Licensed Tank Tester
License Type: A -General Engineering Contractor I License Number: 808313
Manufacturer Training
Manufacturer Compu nent( s) Date Training Expires
See Attached
3. SUMMARY OF TEST RESULTS
Component Pass Fail Not Repairs Component Pass Fail Not Repairs
Tested Made Tested Made
Tank Annulars D D D D D D D D
Secondary Pipe D D D D D D D D
Piping Sump 2 ~ D D D D D D D
UDC D D D D D D D D
Fill Sump D D D D D D D D
Spill Bucket 4 ~ D D D D D D D
If hydrostatic testing was performed, describe what was done with the water after completion of tests:
0 Placed in drums left on site for proper disposition.
~ Transported to next site for use in additional testing.
CERTIFICATION OF TECHNICIAN RESPONSIBLE FOR CONDUCTING THIS TESTING
To the best of my knowledge, the facts stated in this document are accurate and in full compliance with legal requirements
"-~it-;
Technician's Signature: Jciif< ------------~~~~~/~~~~----------------Date: __ ____:4"'-/"'"'10"""'/2,_,0"""1""'4 ___ _
6. PIPING SUMP TESTING
Test Method Developed By: D Sump Manufacturer J:8l Industry Standard D Professional Engineer
D Other (SpecifY)
Test Method Used: D Pressure D Vacuum [81 Hydrostatic
D Other (SpecifY)
Test Equipment Used: Incon Sump Tester Equipment Resolution: +/-0.002"
Sump# 89 Sump# 91 Sump# Sump#
Sump Diameter: 42" 42"
Sump Depth: 55" 53"
Sump Material: Fiberglass Fiberglass
Height from Tank Top to Top of 14" 14" Hi1:1:hest Piping Penetration:
Height from Tank Top to Lowest 10" 10" Electrical Penetration:
Condition of sump prior to testing: Good Good
Portion of Sump Tested1 2' Above Pen. 2" Above Pen.
Does turbine shut down when
sump sensor detects liquid (both DYes D No J:8lNA D Yes D No J:8l NA DYes D No J:8lNA DYes D No J:8lNA
product and warer p'
Turbine shutdown response time N/A N/A
Is system programmed for fail-safe
shutdown?* DYes D No J:8l NA DYes D No J:8l NA DYes D No J:8lNA DYes D No J:8lNA
Was fail -safe verified to be DYes D No J:8lNA DYes D No J:8lNA DYes D No J:8lNA DYes D No J:8l NA UJ tal?*
Wait time between applying
pressure/vacuum/water and starting 30 minutes 30 minutes
test:
Test Start Time: 01:24PM 01:41PM 12:33 PM 12:49 PM
Initial Reading (Rr): 5.1026 5.1041 6.9897 6.9874
Test End Time: 01:40PM 01:56PM 12:48 PM 01:04PM
Final Reading (RF): 5.1043 5.1033 6.988 6.9892
Test Duration: 15 min. 15 min. 15 min. 15 min,
Change in Reading (RF-Rr): -0.0017 0.0008 0.0017 -0.0018
Pass/Fail Threshold or Criteria: +/-0.002" +/-0.002
Test Result: Pass Pass
Was sensor removed for testing? Yes Yes
Was sensor properly replaced and Yes Yes verified functional after testing'Z_
Comments-(include information on repairs made prior to testing, and recommended follow-up for failed tests)
Sensor functionality was not confirmed. This procedure is not part of the Secondarv Containment Testin2: scope of work.
1 If the entire depth of the sump is not tested, specify how much was tested. If the answer to fillY of the questions indicated with an
asterisk(*) is "NO" or "NA", the entire sump must be tested. (See SWRCB LG-160)
9. SPILL/OVERFILL CONTAINMENT BOXES
Facility is Not Eqwwt:d With Spill/Overfill Cont:-1inment Boxes Q
. Spill/Overfill C:ont:-JimnP.nt Boxes are Present, but were Not Tested D
Test Method Developed By: D Spill Bucket Manufacturer [2] Industry Standard D Professional Engineer
D Other (SpecifY)
Test Method Used: D Pressure D Vacuum t2l Hydrostatic
D Other (SpecifY)
Test Equipment Used: lncon Sump Tester Equipment Resolution: +/-0.002"
I Spil~Box # ~B ~llBox# ~VB Spill Box# 91 111! SJ!ill Box# _21 VB
Bucket Diameter: 12" 12" 12" 12"
Bucket Depth: 14" 14" 14" 14"
Wait time between applying
pressure/vacuum/water and 30 minutes 30 minutes 30 minutes 30 minutes
starting test:
Test Start Time: 01:24PM 01:41PM 01:24PM 01:41PM 12:49 PM 01:05PM 12:33 PM 12:49 PM
Initial Reading (R1): 6.417 6.476 6.5691 6.5707 6.4481 6.447 7.1811 7.1808
Test End Time: 01:40PM 01:56PM 01:40PM 01:56PM 01:04PM 01:20PM 12:48 PM 01:04PM
Final Reading (RF): 6.4177 6.479 6.5708 6.5706 6.4472 6.4471 7.1807 7.1806
Test Duration: 15 min. 15 min. 15 min. 15 min. 15 min. 15 min. 15 min. 15 min.
Change in Reading (RF-Rr): -0.0007 -0.0030 -0.0017 0.0001 0.0009 -0.0001 0.0004 0.0002
Pass/Fail Threshold or
Criteria: +/-0.002" +/-0.002" +!-0.002" +/-0.002"
Test Result: Pass Pass Pass Pass
Comments-(include information on repairs made prior to testing, and recommended follow-up for failed tests)
Name
Gonzalez, Saul
Gonzalez, Saul
Gonzalez, Saul
Gonzalez, Saul
Gonzalez, Saul
Gonzalez, Saul
Gonzalez, Saul
Gonzalez, Saul
Manufacturer Training
Training
OPW Fueling Containment Systems-FlexWorks
OPW EVR Phase I
Phil Tite Spill Collectors & Associated Hardware
FiberGlass Systems Piping (Formerly AO Smith)
Modern Welding Tank Installation
Containment Solutions Installation Contractor
Xerxes UST Installation Training Seminar
INCON Level4-Franklin Sump Test System
Completed
8/9/2012
7/31/2012
6/18/2013
10/28/2011
7/20/2012
3/15/2013
12/21/2012
6/15/2012
Expires
8/9/2014
7/31/2014
6/18/2015
10/28/2014
7/20/2015
3/15/2015
12/21/2015
6/15/2014
89TS 89TS 91TS 91TS
TEST STARTED 1:24 PM TEST STARTED 1:41 PM TEST STARTED 12:33 PM TEST STARTED 12:49 PM
TEST STARTED 04/10/2014 TEST STARTED 04/10/2014 TEST STARTED 04/10/2014 TEST STARTED 04/10/2014
BEGIN LEVEL 5, 1026 IN BEGIN LEVEL 5, 1041 IN BEGIN LEVEL 6, 9897 IN BEGIN LEVEL 6,9874 IN
END TIME 1 :4o PM END TIME 1:56 PM END TIME 12:48 PM END TIME 1:04 PM
END DATE 04/10/2014 END DATE 04/10/2014 END DATE 04/10/2014 END DATE 04/10/2014
END LEVEL 5, 1043 IN END LEVEL 5, 1033 IN END LEVEL 6,9880 IN END LEVEL 6,9892 IN
LEAK THRESHOLD 0,002 IN LEAK THRESHOLD 0,002 IN LEAK THRESHOLD 0, 002 IN LEAK THRESHOLD 0,002 IN
TEST RESULT PASSED TEST RESULT PASSED TEST RESULT PASSED TEST RESULT PASSED
89VB 89VB 91VB 91VB
TEST STARTED 1:24 PM TEST STARTED 1:41 PM TEST STARTED 12:33 PM TEST STARTED 12:49 PM
TEST STARTED 04/10/2014 TEST STARTED 04/10/2014 TEST STARTED 04/10/2014 TEST STARTED 04/10/2014
BEGIN LEVEL 6, 5691 IN BEGIN LEVEL 6,5707 IN BEGIN LEVEL 7, 1811 IN BEGIN LEVEL 7, 1808 IN
END TIME 1:40 PM END TIME 1:56PM END TIME 12:48 PM END TIME 1:04 PM
END DATE 04/10/2014 END DATE 04/10/2014 END DATE 04/10/2014 END DATE 04/10/2014
END LEVEL 6,5708 IN END LEVEL 6,5706 IN END LEVEL 7, 1807 IN END LEVEL 7, 1806 IN
LEAK THRESHOLD 0,002 IN LEAK THRESHOLD 0,002 IN LEAK THRESHOLD 0,002 IN LEAK THRESHOLD 0, 002 IN
TEST RESULT PASSED TEST RESULT PASSED TEST RESULT PASSED TEST RESULT PASSED
89FB 89FB 91FB 91FB
TEST STARTED 1:24 PM • TEST STARTED ·1 :41 PM TEST STARTED 12:49 PM TEST STARTED 1:05 PM
TEST STARTED 04/10/2014 TEST STARTED 04/10/2014 TEST STARTED 04/10/2014 TEST STARTED 04/10/2014
BEGIN LEVEL 6, 4170 IN BEGIN LEVEL 6,4176 IN BEGIN LEVEL 6,4481 IN BEGIN LEVEL 6,4470 IN
END TIME 1 :4o PM END TIME 1:56 PM END TIME 1:04 PM END TIME 1:20PM
END DATE 04/10/2014 END DATE 04/10/2014 END DATE 04/10/2014 END DATE 04/10/2014
END LEVEL 6,4177 IN END LEVEL 6,4179 IN END LEVEL 6,4472 IN END LEVEL 6, 4471 IN
LEAK THRESHOLD 0,002 IN LEAK THRESHOLD 0,002 IN LEAK THRESHOLD 0,002 IN LEAK THRESHOLD 0,002 IN
TEST RESULT PASSED TEST RESULT PASSED TEST RESULT PASSED TEST RESULT PASSED