HomeMy WebLinkAboutUST-TESTING REPORT 5/17/2011us6
S WRCB, January 2002 Page of
Secondary Containment Testing Report Form
Thisform is intendedfor use by contractors performingperiodic testing ofUSTsecondary containment systems. Use the
appropriate pages ofthisform to report results for all components tested. The completedform, written test procedures, and
printouts from tests (ifapplicable),. should beprovided to thefacility owner /operatorfor submittal to the local regulatory agency.
1. FACILITY INFORMATION
Facility Name: BASHAARS CHEVRON Date ofTesting: 5/17111
Facility Address: 2301 PANAMA LANE, BAKERSFIELD
Facility Contact: Phone:
Date Local Agency Was Notified ofTesting: 3/25/11
Name of Local Agency Inspector (rfpresent.during testing):
TESTING CONTRACTOR INFORMATION
Company Name: Rich Environmental
Technician Conducting Test: RICH PHIILLLIPS
Credentials: X CSLB Licensed Contractor SWRCB Licensed Tank Tester
License Type: C61/D40 A HAZ License. Number: 809850
Manufacturer Training
Manufacturer Component(s) Date Training Expires
INCON TS -STS 6/11/2012
3. SUMMARY OF TEST RESULTS
Component Pass Fail Not
Tested
Repairs
Made Component Pass Fail Not
Tested
Repairs
Made
91 SEC (TURBINE - TRANS) X DISP #7/8 X
87 SEC (TURBINE - TRANS) X 11 p 91 VPR BUCKET X
89 SEC (TURBINE - TRANS) X 87 VPR BUCKET X
91 SEC (TRANS -UDC) X 89 VPR BUCKET X
87 SEC (TRANS -UDC) X TRANSITION SUMP X
89 SEC (TRANS -UDC) X
91STP X
87 STP X
89 ST? X
DISP #1/2 X
DISP #3/4 X
DISP #5/6 X
If hydrostatic testing was performed, describe what was done with the .water after completion oftests:
CERTIFICATION OF TE AN RESPONSIBLE FOR CONDUCTING THIS TESTING
To the best ofmy knowledge, thefacts slat in this document are accurate and infull compliance with legal requirements
Technician's Signature: Date: 5 /17 /11
SWRCB, January 2002
4. TANK ANNULAR TESTING
LE?.c10
Page `7i of
Test Method Developed By: Tank Manufacturer X Industry Standard Professional Engineer
Other (Sped)
Test Method Used: Pressure X Vacuum Hydrostatic
Other (Specify)
Test Equipment Used: 4" DIAL GAUGE Equipment Resolution:
Is Tank Exempt From Testing ?l
Tank # Tank # Tank # Tank #
Yes No Yes No Yes No Yes No
Tank Capacity:
Tank Material:
Tank Manufacturer:
Product Stored:
Wait time between applying
pressure /vacuum/water and
starting test:
30MIN 30MIN 30MIN 30MIN
Test Start Time:
Initial Reading (Rj):
Test End Time:
Final Reading (RF):
Test Duration: 60 MIN 60 MIN 60 MIN 60MIN
Change in Reading (RF -Rj):
Pass/Fail Threshold or Criteria:
011
Was sensor removed for testing? Yes No NA Yes No NA Q Yes No NA Yes No NA
Was sensor properly replaced and
verified functional after testing? lees D No DNA Yes No DNA Yes No D NA Yes No NA
Comments — (include information on repairs made prior to testing, andrecommendedfollow -up forfailed tests)
SINGLE WALL TANKS
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. {California Code of Regulations, Title 23, Section 2637(a)(6))
SWRCB, January 2002
5. SECONDARY PIPE TESTING
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Page -3 of )
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 (Spec)
Test Equipment Used: 4" DIAL GAUGE Equipment Resolution: .5%
Piping Material:
Piping Run ##1 Piping Run 42 Piping Run #3 Piping Run #4
PLASTIC PLASTIC PLASTIC FIBERGLASS
Piping Manufacturer. TCI TCI TCI SMITH
Piping Diameter: 2" 2" 2" 2"
Length of Piping Run: 15' 15' 15' 75'
Product Stored: UNL91 UNL87 UNL89 UNL91
Method and location of
piping-run isolation: TEST BOOT TEST BOOT TEST BOOT TEST BOOT
Wait time between applying
pressure /vacuum/water and
starting test:
30 MIN 30 MIN 30 MIN 30 MIN
Test Start Time: 9:30 11:30 930 2:00
Initial Reading 5.5 6.0 5.5 6.0
Test.End Time: 10:30 2:30 10:30 3:00
Final Reading (RF): 5.5 6.0 5.5 6.0
Test Duration: 60 MIN 60 MIN 60 MIN 60 MIN
Change in Reading (RF -R4): 0 0 0 0
Pass/Fail Threshold or
Criteria: 0 PSI 0 PSI 0 PSI 0 PSI
i , .,
i...
Comments — (include information on repairs made prior to testing; and recommendedfollow -upforfailed tests)
INSTALLED TEST PORT ON DISP ##4 IN TRANSITION SUMP
SWRCB, January 2002
5. SECONDARY PIPE TESTING
L47AS(
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Q8
Test Method Developed By: 0 Piping Manufacturer X Industry Standard 0 Professional Engineer
0 Other (Spec)
Test Method Used: X Pressure 0 Vacuum 0 Hydrostatic
0 Other (Spec)
Test Equipment Used: 4" DIAL GAUGE Equipment Resolution:
Piping °Material:
Piping Run #5 Piping Run #6 Piping Run # Piping Run #
FIBERGLASS FIBERGLASS
Piping Manufacturer: SMITH SMITH
Piping Diameter. 3" 3"
Length ofPiping Run: 75' 75'
Product Stored: UNL87 UNL89
Method and location of
piping-run isolation: TEST BOOT TEST BOOT
Wait time between applying
pressure/vacuum/water and
startle test:
30 MIN 30 MIN
Test Start Time: 2:00 2.00
Initial Reading (111): 5.0 6.0
Test End Time: 3:00 3:00
Final Reading (RF): 5.0 6.0
Test Duration: 60 MIN 60 MIN
Change in Reading (RF-R,): 0 0
Pass/Fail Threshold or
Criteria: OPSI OPSI
COMMents — (include information on repairs made prior to testing, and recommendedfollow -upforfailed tests)
INSTALLED TEST PORT ON DISP #5 & #6 IN TRANSITION SUMP
SWRCB, January 2002
6. PIPING SUMP TESTING
41A%
Page -5 of
Test Method Developed By: Sump Manufacturer X Industry Standard Professional Engineer
Other (Spec)
Test Method Used: Pressure Vacuum X Hydrostatic
Other (Spec)
Test Equipment Used: INCON TS -STS Equipment Resolution:
Sump Diameter.
Sump #iINL91 Sump #UNL87 Sump #UNL89 Sump #TRANS SUMP
36" 36" 36" 36"
Sump Depth: 27" 27" 27" 36"
Sump Material: FIBERGLASS FIBERGLASS FIBERGLASS FIBERGLASS
Height from Tank Top to Top of
Highest Piping Penetration: 13" 13" 20"
Height from Tank Top to Lowest
Electrical Penetration: 17" 17" 22"
Condition of sump prior to testing: 15" 15" 22"
Portion of Sump Tested'
Does turbine shut down when
sump sensor detects liquid (both
product and water) ?.
Yes No X NA Yes No NA Yes No X NA Yes No X NA
Turbine shutdown response time
Is system programmed for fail -safe
shutdown ?*
Yes No X NA Yes No NA Yes No X NA Yes No X NA
Was fail -safe verified to be
o rational ?*
Yes No X NA Yes No NA Yes No X NA Yes No X NA
Wait time between applying
pressure /vacuum/water and starting
test:
30 MIN 30 MIN 30 MIN 30 MIN
Test Start Time: 10:36 10:58 1:33 2:01 10:36 10:58 12:07 12:22
Initial Reading (RO: 3.538 3.538 2.322 2.321 2.946 2.946 2.049 2.049
Test End Time: 10:51 11:13 1:48 2:16 10:51 11:13 12:22 12:37
Final Reading (RF): 3.538 3.537 2.3211 2.321 2.946 2946 2.049 2.050
Test Duration: 15MIN 15MIN I5MM 15MIN 15MIN 15MIN 15MIN 15MIN
Change in Reading (RF-R,): 001 -.001 001 000 000 000 000 +.001
Pass/Fail Threshold or Criteria: 002 .002 002 002 002 002 002 +.002
On
X Yes No NAWassensorremovedfortesting? X Yes No NA. X Yes No NA X Yes No NA
Was sensor properly replaced and
verified functional after testing? X Yes No NA X Yes No NA X Yes No NA X Yes No NA
Comments — (include information on repairs made prior to testing, and recommendedfollow -upfor failed tests)
Ifthe entire depth ofthe sump 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 sump mustbe tested. (See SWRCB LG -160)'
SWRCB, January 2002
7. UNDERDISPENSER CONTAINMENT fUDC1 TESTING
Page 6 of
Test Method Developed By: UDC Manufacturer X Industry Standard Professional Engineer
0 Other (Spec)
Test Method Used: Pressure Vacuum X Hydrostatic
0 Other (Spec)
Test Equipment Used: INCON TS -STS Equipment Resolution:
UDC Manufacturer:
UDC #1/2 UDC #3/4 UDC #5/6 UDC #7 /8
UNKNOWN UNKNOWN UNKNOWN UNKNOWN
UDC Material: FIBERGLASS FIBERGLASS FIBERGLASS FIBERGLASS
UDC Depth: 27' 27" 27" 27"
Height from UDC Bottom to Top
ofHighest Piping Penetration:
11" 11" 11" 11"
Height from UDC Bottom to
Lowest Electrical Penetration:
4" 4" 4" 4"
Condition of UDC prior to
testing:
GOOD GOOD GOOD GOOD
Portion ofUDC Tested 13" 13" 13" 13"
Does turbine shut down when
UDC sensor detects liquid (both
product and water)?*
0 Yes 0 No X NA Yes No X NA 0 Yes 0 No XNA Yes No XNA
Turbine shutdown response time
Is system programmed for fail-
safe shutdown ?* safe
11 No X NA 0 Yes []No X NA Yes No X NA Yes No X NA
Was fail -safe verified to be
operational?*
Yas 0 No X NA Yes 0No XNA 0 Yes 0 No XNA 0 Yes 0 No X NA
Wait time between applying
pressure/vacuum/water and
starting test
30MIN 30MIN 30MIN 30MIN
Test Start Time: 3:53 4:14 5:29 5:46 4:51 5:11 5:29 5:46
Initial Reading (Rj): 5.350 5.351 2.719 2.719 3.151 3.152 2.497 2.497
Test End Time: 4:09 4:29 5:45 6:02 5:07 5:26 5:45 6 :02
Final Reading (RF): 5.350. 5.3511 2.719 2.719 3.I51 3.152 2.497 2.497
Test Duration: 15MIN 15MIN 15M1N 15MIN 15MIN 15MIN 15MIN 15MIN
Chan e.in Reading RF-&): 000 000 000 000 000 1 000 000 -.000
Pass/Fail Threshold or Criteria: 002 002 002 002 002 002 002 -.002
i i i3
Was sensor removed for testing? X Yes 0 No NA XYes 0No 0 NA X Yes 0No NA XYes No NA
Was sensor properly replaced and
verifed,functional after tes6n ? X Yes No DNA X Yes No NA X Yes 0 No NA X Yes No NA
Comments - (include information on repairs made prior to testing, andrecommendedfollow -up forfailed tests
Ifthe entire depth ofthe UDC is not tested, specify how much was tested. Ifthe answer to My 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 I of
8. FILL. RISER CONTAINMENT SUMP TESTING
Facility is Not Equipped With Fill Riser Containment Sums
Fill Riser Containment Sumps are Present, but were Not Tested 0
Test Method Developed By: 0 Sump Manufacturer X Industry Standard 0 Professional Engineer
Other (Spec)
Test Method Used: 0 Pressure Vacuum X Hydrostatic
0 Other (Specify)
Test Equipment Used: INCON TS -STS
Fill Sump # Fill Sump #
Equipment Resolution:
Fill Sump # Fill Sump#
Sump Diameter.
Sum De the
Height from Tank Top to Top of
lfighest Piping ' Penetration:
Height from Tank Top to Lowest
Electrical Penetration:
Condition of sump prior to
testing:
Portion of Sump Tested
Sump Material:
Wait time between applying
pressure /vacuum/water and
starting test:
30MIN 30MIN 30MIN 30MIN
Test Start Time:
Initial Reading (Rj):
Test End Time:
Final Reading (RO:
Test Duration: 15MIN 15MIN' 15MM 15MIN 15MIN 15MIN 15MIN 15MIN
Change in Reading 1; :
Pass/Fail Threshold or Criteria:
E.* 8,:
Is there a sensor in the sump? 0 Yes No 0 Yes No Yes a No0Yes No
Does the sensor alarm when
either, product or water is
detected?
Yes No DNA Yes 0 No 0NA Yes Q No DNA 0Yes a No NA
Was sensor removed for testing? Yes 0 No 0 NA Yes 0No 0NA D Yes No NA Yes No NA
Was sensor properly replaced and
verified functional after testin . Yes 0 No 0 NA 0 Yes 0No 0NA 0 Yes 0 No 0 NA Yes No NA
Comments —_(include information on repairs made prior to testing•, and recommendedfollow -upforfailed tests)
NO FILL SUMPS
SWRCB, January 2002 Page b of
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: Spill Bucket Manufacturer X Industry Standard Professional Engineer
Other (Spec)
Test Method Used: Pressure Vacuum X Hydrostatic
0 Other (Specify)
Pest Equipment. Used: INCON TS -STS Equipment Resolution:
9:28 9:47
NNINNEWN
5.575
9 ;43
Spill Bog #91 VPR I Spill Box #87 VPR I Spill Box #89 VTR Spill Box #
Bucket Diameter:
Bucket Depth:
Wait time between applying
pressure /vacuum/water and
starting test:
Test StartTime:
Initial Reading (111):
Test End Time:
Final Reading (RF):
Test Duration:
Change in Reading (Rr-R,):
Pass/Fail Threshold or
Criteria:
12"
14"
30MIN
9:28
4.451
9:43
4.451
I MN
000
002
9:47
4.451
10:02
4.45 .
15MIN
000
1'1
12"
14"
30MIN
9:28 9:47
5.514 5.575
9 ;43 10:02
5.514 5.515
15MIN 15MIN
000 000
002" 002
12"
14"
30MIN
9:28 9:47
2.469 2.470
9:43 10:02
2.469 2.470
15MIN 15MM
000 000
002 002
Comments — (include information on repairs made prior to testing, andrecommendedfollow -up forfailed tests)
FASHAARS CHEVRON
2301 PANAMA LN
BAKERSFIELD CA
05/17/2011 9:43'AM
SUMP LEAK TEST REPORT
91UPR
TEST STARTED 9:28 AM
TEST STARTED 05/17/2011
BEGIN LEVEL •4.4511 IN
END TIME 9:43 AM
END DATE 05/17/2011
END LEVEL 4,4514 IN
LEAK THRESHOLD 0,002 IN
TEST RESULT PASSED
LASHAAW CHEVRON
2301 PANAMA LN
BAKERSFIELD CA
05/17/2011 10:02 AM
SUMP LEAK TEST REPORT
91UPR
TEST STARTED 9:47 AM
TEST STARTED 05/17/2011
BEGIN LEVEL 4.4513,IN
END TIME
END DATE G5/17/201A1
END LEVEL 4.45.15 IN
LEAK THRESHOLD 01.007 IN
TEST RESULT . PASSED
87VPR
10:58 AM
87UPR
05/17/2011
TEST STARTED 9:28 AM TESS STARTED 95/17/2011TESTSTARTED
BEGIN LEVEL
05 /17/201.1
5.5143 I
END LEVEL
5,5153
END TIME 43
SNDJ.
TIMEVEL
END DATE
10102 AM
05/17 /2011ENDDATE
END LEVEL
05/17/2011
5.5148 IN '. ELENDLEVEL 5.5157 IN
LEAK THRESHOLD 0.002 IN Oe2 IN
TEST
THRESTOLD 0•
PRSSED
TEST RESULT PASSED
89UPR
TEST STARTED 9:28 AM
T.EST STARTED 05/17/2011
BEGIN LEVEL 2,4694 IN
END TIME 9:43 AM
END DATE 05/17/2011
END LEVEL 2.4699 PH
LEAK THRESHOLD 0.002 IN
TEST RESULT I PASSED
M
89STP
TEST STARTED 10:58 AM
TEST STARTED 05/17/2011
BEGIN LEVEL 2.9465 IN
END TIME 11:13 AM
END DATE 05/17x2011
END LEVEL 2.9466 IN
LEAK THRESHOLD 0.002 IN
TEST RESULT PASSED
89STP
TEST STARTED 10:36 AM
TEST STARTED 05/17 /2011
IN
BEGIN LEVEL 2.9465
1 AMENDTIME /17/2011ENDDATE2.9466 INENDLEVELLEAKTHRESHOLD0-002 IN
PASSEDTESTRESULT
89UPR
TEST STARTED
TEST STARTED
BEGIN LEVEL
END TIME
END DATE
END LEVEL
LEAK THRESHOI
TES's RESULT
9=.47 AM
05/17;1011
2.4702 IN
10:02 AM
05/17/2011
2:4704 IN
D 0.002 IN
PASSED
t
B . SHAARSu..:.
BAKERSFIELD UA
05/1711
10:51 AM
SUMP LEAK TEST REPORT
91STP
TEST STARTED 10'36 AM;
TEST STARTED t!5/17/2911
530IN
BEGIN LEVE).: 1051 AM
END 'TIME 05/17x2011ENDDATE3.5397 INENDLEVEL .0.002 114
TEST
THRESHOLD
T PASSED
SHAARS CHEVRON
N1 PANAMA LN
iA. RSFIELD CA
05/17/201 12:22 PM
SIJMF LEAK EST REPORT
TEST STARTED \ 12:07 PM
TEST STARTED /17/2011
BEGIN, LEVEL 0498 IN
END '"IME 2:22 PM
END C;ATE 05/ 7/2011
END (,EVEL 2. 97 IN
LEAK THRESHOLD 0. 2 IN
TEST RESULT P SSED
ASHAARS CHEVRON
2501 PANAMA LN
9AKERSFIELD CA
17/2011 12:37 PM
SUMP LEAK TEST REPORT
TRANSMP
TEST STARTED 12:22 PM
TEST STARTED 05/17/2011
BEGIN; LEUEL 2.0497 IN
END TIME 12:37 PM
END DATE 05/1712011
END LEVEL 2,0500 IN
LEAK THRESHOLD 0.002 IN
TEST RESULT PASSED
gASHAARa CHEVRON
2301 PANAVIA 04BAKERSFIELDCA
05/17/2011 11:13 AM
SUMP LEAK TEST REPORT
91STP
TEST STARTED 10:.58 AM
TEST STARTED 05/17/2011
BEGIN LEVEL 3113813 AM
END TIME 95/17/2011ENDDATE -3.5376 INENDLEVEL8.002 INLEAKTHRESHOLDPASSED
TEST RESULT
DISP5 -6
ASHAARS CHEVRON 9ASHAARS CHEVRON 4:51 PM2301PANAMALN2381PANAMALNTESTSTARTED05/17/2011BAYERSFIELDCABAKERSFIELDCATESTSTARTED3.1519 IN
05/1 ?/2011 :1.1 48 PM 05/17/2011 4:09 PM
BEGIN LEVEL
END TIME 5:07 Poi
05/17/2011
SUMP LEAK TEST REPORT SUMP LEAK TEST REPORT
END [SATE
END LEVEL 0.002
IN
0• LEAK THRESHOLD PASSED87STPDISPI -2 TEST RESULT
TEST STARTED 1 :33 PM TEST STARTED 3:53 PM
TEST STARTED 05/17/201.1 TEST STARTED 05/17/2011
BEGIN LEVEL 2.3224 IN BEGIN LEVEL 5.3503 ININ- END TIME 1:48 PM END TIME 4 :09 PM DISP5 -6
fEND gTE 0S/17/2011 END C-gTE 05/17./ 2011.
END !-FUEL 2,3219 IN END i_EVEL 5.3508 IN TEST STARTED 5 :11 PM
LEAK THRESHOLD 0.002 IN LEAK. THRESHOLD 0.002 IN TEST STARTED 05/17/2011TESTTHREATPASSEDTESTRESULTPASSEDBEGIN! LEVEL 3.1520 IN
END TIME 5 :26 PM
END DATE 05/17/2011
END !_EVEL 3.1520 IN
LEAK THRESHOLD 0.002 IN
A9 HF1AR8 CHEt1RpW TEST RESULT PASSED
LN2'v1
KERP7NELDA
CA
95/ 1 ?/2011
NCHEVRON !
4 :36 PM
vUMF• LEAK
DISP7 -8
JSH ARS
LN TEST REPORT TEST STARTED 5:29 PMRAKERSFIELDCAr
DISp1_2 TEST STARTED 05/17/2011
05/1 ?/2011 2: 16 .PM TEST S,TART BEGIN LEVEL
END TIME
2.4974 IN
5:45 PM
SUMP LEAK TEST REPORT TEST STARTED 0 X714 PmBEGINLEVEL END DATE
END LEVEL
05/17/2011
2.4975 IN5.351@Ijy29 LEAK THRESHOLD 0.002 IN
37STP pmEND (4)TE 05i TEST RESULT PASSED
TEST STARTED 2 :01 PM. LEAj< TH GHO 5.35 80INLDTESTSTARTED05/17/2011 TEST RESULT 0.002 IN
BEGIN LEVEL 2.3218 IN PASSED
END TIME 2 :16 PM
END DATE 05/17/2011 DISP7-8ENDLEVEL2.3219 IN
LEAK THRESHOLD 0.002 IN DISP3= 8:46 PM
TEST RESULT PASSED TEST STARTED 05/17 /2011
TEST STARTED 5:29 PM TEST
H
T.
EV BE01
2.4976 IN6:02 PMTESTSTARTED /17./2011
BEGIN EL •
5••
719-4 IN T''Rm
END 45 PM
END,DATE 05 17/2011
2.49770INEND1-EVEl- 8.002 INTHRESHOLD
END LEVEL 2. 192 IN LEAK
TEST RESULT
PASSED .
LEAK THRES LD 002 IN
TEST RESULT ASSED
DISP3 =4
TEST STARTED 5:46 PM
TEST STARTED 05/17/2011
BEGIN LEVEL 2.7193 IN
END TIM£ 6'02 PM
END DATE 05/17/2011
END LE'VEL 2.7193 IN
LEAK THRESHOLD 0.002 IN
TEST RESULT PASSED
4za56
SB989 TESTING FAILURE REPORT
SITE NAME: BASHAAR'S CHEVRON DATE: 4/21/11
THE FOLLOWING COMPONENTS WERE REPLACED/REPAIRED TO COMPLETE
TESTING.
LABOR:
PARTS INSTALLED: .14-0
NAME: . TITLE:
SIGNATURE:
THE 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 ENVIRONMANTAL 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.