HomeMy WebLinkAboutSB-989 Results 12/5/2011PO -S
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lvSWRCB, January 2002 Page 4- of
Secondary Containment Testing Report Form
Thisform is intendedfor use by contractors performing periodic testing of UST secondary containment systems. Use the
appropriatepages ofthisform to report resultsfor all components tested The completedform, written testprocedures, and
printoutsfrom tests (cfapplicable), should be provided to thefacility owner /operatorfor submittal to the local regulatory agency.
1. FACILITY INFORMATION
Facility Name: OAK STREET MOBIL Date of Testing: 12/5/11
Fail
Facility Address: 2 OAK STREET, BAKERSFIELD
Repairs
Made
Facility Contact Phone:
Fail
Date Local Agency Was Notified ofTesting: 10/31/11
Repairs
Made
Name of Local Agency Inspector (ifpresent during testing:
X
2. TESTING CONTRACTOR INFORMATION
Company Name: Rich Environmental
Technician Conducting Test: RICH PHILLIPS
Credentials: X CSLB Licensed Contractor SWRCB Licensed Tank Tester
License Type: C61040 A HAZ License Number. 809850
Manufacturer Trainina
Manufacturer Component(s) Date Trainin& Expires
INCON TS -STS
3. SUMMARY OF TEST RESULTS
Component Pass Fail Not
Tested
Repairs
Made Component Pass Fail Not
Tested
Repairs
Made
87REG ANNULAR X UDC #7/8 X
91PREM ANNULAR X UDC #9 /10 X
DIESEL ANNULAR X 87REG FILL SUMP X 1
87REG SECONDARY PIPE X 91PREM FILL SUMP X
91PREM SEC PIPE X DIESEL FILL SUMP X
DIESEL SEC PIPE X 0 87REG VAPOR BUCKET X 0 0
87REG STP X 0 91PREM VAPOR BKT X
91PREM STP X 0 0
DIESEL STP X 0
UDC #1/2 X
UDC #3/4 X D
UDC #5/6 X 7C
Ifhydrostatic testing was performed, describe what was done with the water after completion of tests:
RECYCLE AND REUSED
CERTIFICATION OF TECHNIC40 RESPONSIBLE FOR CONDUCTING THIS TESTING
To the best ofmy knowledge, thefacts stated is document are accurate and infull compliance with legal requirements
Technician's Signature: Date: 12/5/11
SWRCB, January 2002
4. TANK TESTING
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Page yof '5
Test Method Developed By: Tank Manufacturer X Industry Standard Professional Engineer
Other (Spec)
Test Method Used: Pressure X Vacuum Hydrostatic
Other (Spec)
Test Equipment Used: 4" DIAL GAUGE Equipment Resolution:
Tank # REG87 Tank # PREM91 Tank # DIESEL Tank #
Fis Tank Exempt From Testing?' Yes X No Yes X No D Yes X No Yes No
ank Capacity: 10000GAL 10000GAL I OOOOGAL
Tank Material: STEEL STEEL STEEL
Tank Manufacturer: UNKNOWN UNKNOWN UNKNOWN
Product Stored: REG87 PREM91 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 (R1): 10HG IOHG 10.5HG
Test End Time: 10:30 10:30 11:45
Final Reading (RF): l OHG lOHG 10.5HG
Test Duration: 60 MIN 60 MIN 60 MIN
Change in Reading (RF -R,): 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 NA Yes No NA
Was sensor properly replaced and
verified functional after testing? X Yes No NA X Yes No NA X Yes No NA Yes No NA
Comments — (include information on repairs made prior to testing, and recommendedfollow -upforfailed 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. {California Code of Regulations, Title 23, Section 2637(ax6)1
SWRCB, January 2002
5. SECONDARY PIPE TESTING
Page 3 of
Test Method Developed By: Piping Manufacturer X industry Standard Professional Engineer
Other (Spec)
Test Method Used: X Pressure Vacuum Hydrostatic
Other (Spec)
Test Equipment Used: 4" DIAL GAUGE Equipment Resolution: .5%
Piping Run # REG87 Piping Run # Piping Run # PREM91 Piping Run # DSL
Piping Material: FIBERGLASS FIBERGLASS FIBERGLASS
Piping Manufacturer. UNKNOWN UNKOWN UNKNOWN
Piping Diameter: 2" 2" 2"
Length ofPiping Run: 75' 65' 50'
Product Stored: REG87 PREM91 DIESEL
Method and location of
i in -run isolation: 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
Test Start Time: 9:15 9:15 9:15
Initial Reading (Ri): 6.0 5.0 5.0
Test End Time: 10:15 10:15 10:15
Final Reading (RF): 6.0 5.0 5.0
Test Duration: 60 MIN 60 MIN 60 MIN
Change in Reading (RF-R ): 0 0 0
Pass/Fail Threshold or
Criteria: 0 0 0
Test Result: X Pass Fail X Pass Fail X Pass Fail Pass Fail
Comments — (include information on repairs made prior to testing, and recommended. follow -upforfailed tests)
SWRCB, January 2002
6. PIPING SUMP TESTING
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Test Method Developed By: Sump Manufacturer X Industry Standard Professional Engineer
Other (Spec)
Test Method Used: Pressure Vacuum X Hydrostatic
Other (Specify)
Test Equipment Used: INCON TS -STS Equipment Resolution:
Sump Diameter:
Sump # 87 Sump # 91 Sump # DIESEL Sump #
39" 39" 39"
Sump Depth: 57" 57" 57"
Sump Material: FIBERGLASS FIBERGLASS FIBERGLASS
Height from Tank Top to Top of
Highest Piping Penetration: 20" 17" 17"
Height from Tank Top to Lowest
Electrical Penetration: 21" 24" 22"
Condition ofsump prior to testing: GOOD GOOD GOOD
Portion of Sump Tested' 22" 19" 19"
Does turbine shut down when
sump sensor detects liquid (both
product and water)? .
Yes No X NA Yes No XNA Yes No X NA Yes No NA
Turbine shutdown response time
Is system programmed for fail -safe
shutdown ?*
Yes 0 No X NA Yes 0 No X NA Yes No X NA 0 Yes No 0 NA
Was fail -safe verified to be
operational?* Yes 0 No X NA Yes 0 No X NA Yes No XNA 0 Yes No NA
Wait time between applying
pressure/vacuum /water and starting
test:
30 MIN 30 MIN 30 MIN
Test Start Time: 12:37 12:53 12:37 12:53 11:30 11:46
Initial Reading (R): 5.316 5.315 3.780 3.780 4.611 4.611
Test End Time: 12:52 1:08 12:52 1:08 11:45 12:01
Final Reading (RF): 5.315 5.314 3.781 3.782 4.610 4.610
Test Duration: 15MIN 15MIN 15MIN 15MIN 15MIN 15MIN
Change in Reading (RF -Ri): 001 001 001 002 001 001
Pass/Fail Threshold or Criteria: 002 002 002 002 002 002
Test Result: X Pass Fail X Pass Fail X Pass Fail Pass Fail
Was sensor removed for testing? X Yes 0 No NA X Yes No NA X Yes No NA 0e No NA
Was sensor properly replaced and
verified functional after testin ? X Yes No NA X Yes No NA X Yes No 0 NA Yes No 0 NA
Comments — (include information on repairs made prior to testing, and recommendedfollow -upforLailed tests)
If the entire depth ofthe sump is not tested, specify how much was tested. Ifthe answer to any ofthe 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 (UDCI TESTING
y
Page 6 of
Test Method Developed By: 0 UDC Manufacturer X Industry Standard 0 Professional Engineer
0 Other (Specify)
Test Method Used: Pressure 0 Vacuum X Hydrostatic
Other (Spec)
Test Equipment Used: INCON TS -STS Equipment Resolution:
UDC #1/2 UDC #3/4 UDC #5/6 UDC #7/8
UDC Manufacturer. UNKNOWN UNKNOWN UNKNOWN UNKNOWN
UDC Material: FIBERGLASS FIBERGLASS FIBERGLASS FIBERGLASS
UDC De 28" 28" 28" 28" t: Height from UDC Bottom to Top
of Highest Piping Penetration:
10" 10" 10" 10"
Height from UDC Bottom to
Lowest Electrical Penetration:
4" 4" 4" 4"
Condition ofUDC prior to
testing:
GOOD GOOD GOOD GOOD
Portion ofUDC Tested 12" 12" 12" 12"
Does turbine shut down when
UDC sensor detects liquid (both
product and water)'?
Yes No X NA 0 Yes 0 No X NA 0 Yes 0 No X NA Yes 0 No X NA
Turbine shutdown response time
Is system programmed for fail-
safe shutdown ?*
Yes No X NA 0 Yes 0No X NA Yes No XNA Yes No XNA
Was fail -safe verified to be
operational?*
Yes No X NA Yes No X NA Yes 0 No XNA Yes 0 No X NA
Wait time between applying
pressure/vacuum/water and
starting test
30MIN 30MIN 30MIN 30MIN
Test Start Time: 2 :05 2:28 2:05 2:28 2:05 2:55 2:55 3:11
Initial Reading (RO: 2.348 2.349 4.537 4.536 4.760 4.627 3.123 3.123
Test End Time: 2:20 2:41 2:20 2:41 2:20 3:10 3:10 3:27
Final Reading (RF): 2.349 2.848 4.536 4.536 4.760 4.687 3.123 3.123
Test Duration: 15MIN 15MIN 15MIN 15MIN 15MIN 15MIN 15MIN 15MIN
Change in Reading RF-Ri : 001 001 001 001 000 000 000 -.0001Pass/Fail Threshold or Criteria: 002 002 002 002 002 1 -.002 002 -.002
Test Result: X Pass Fait X Pass 0 Fail X Pass 0 Fail X Pass 0 Fail
Was sensor removed for testing? X Yes 0 No 0 NA X Yes 0No 0NA X Yes No NA X Yes 0 No DNA
Was sensor properly replaced and
verified functional after testin ? X Yes 0 No NA X Yes 0No 0NA X Yes No 0 NA X Yes No NA
Comments - (include information on repairs made prior to testing, andrecommendedfollow-upforfailed tests)
Ifthe entire depth of the UDC is not tested, specify how much was tested. If the answer to MX 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_ iiNnFR- niSPENSER CONTAINMENT (UDC) TESTING
Page of
Test Method Developed By: UDC Manufacturer X Industry Standard Professional Engineer
Other (Spec)
Test Method Used: 0 Pressure Vacuum X Hydrostatic
Other (Spec)
Test Equipment Used: INCON TS -STS Equipment Resolution:
UDC Manufacturer:
UDC # 9/10 UDC # UDC # UDC #
UNKNOWN
UDC Material: FIBERGLASS
UDC Depth: 28"
Height from UDC Bottom to Top
of Highest Piping Penetration:
10"
Height from UDC Bottom to
Lowest Electrical Penetration:
4"
Condition of UDC prior to
testing:
GOOD
Portion of UDC Tested 12"
Does turbine shut down when
UDC sensor detects liquid (both
product and water)?*
0 Yes 0 No X NA Yes 0No NA 0 Yes 0 No 0 NA 0 Yes 0 No 0 NA
Turbine shutdown response time
Is system programmed for fail-
safe shutdown ?* Yes 0 No X NA 0 Yes 0No 0 NA Yes 0 No 0 NA 0 Yes No NA
Was fail -safe verified to be
operational?*
0 Yes No X NA 0 Yes No NA 0 Yes 0 No 0 NA 0 Yes 0No NA
Wait time between applying
pressure/vacuum /water and
starting test
30MIN
Test Start Time: 2:26 2:55
Initial Reading 2.350 2.352
Test End Time: 2:41 3:10
Final Reading F): 2.350 2.353
Test Duration: 15MIN 15MIN
Change in Reading F-R): 000 001
Pass/Fail Threshold or Criteria: 002 002
Test Result: X Pass Fail Pass Fail 0 Pass D Fail 0 Pass 0 Fail
Was sensor removed for testing? X Yes 0 No DNA 0 Yes 0No 0 NA 0 Yes No NA 0 Yes 0 No 0 NA
Was sensor properly replaced and
verified functional after testin ? X Yes 0 No 0 NA 0 Yes 0No 0 NA Yes No DNA 0 Yes No NA
COmmentS — (include information on repairs madeprior to testing, and recommendedfollow -upforfailed tests)
If the entire depth of the UDC is not tested, specify how much was tested. If the answer to any ofthe 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
Page -1 of e I
Facility is Not Equipped With Fill Riser Containment Sumps
Fill Riser Containment Sumps are Present, but were Not Tested
Test Method Developed By: Sump Manufacturer X Industry Standard 0 Professional Engineer
Other (Spec)
Test Method Used: Pressure 0 Vacuum X Hydrostatic
0 Other (Specify)
Test Equipment Used: INCON TS -STS Equipment Resolution:
Fill Sump # 87 Fill Sump # 91 Fill Sump # DSL Fill Sump #
Sum Diameter: 39" 39" 39"
Sump De the 57" 57' 57"
Height from Tank Top to Top of
Highest Piping Penetration:
20" 18" 19"
Height from Tank Top to Lowest
Electrical Penetration:
22" 24" 23"
Condition of sump prior to
testing:
GOOD GOOD GOOD
Portion ofSump Tested 22" 20" 21"
Sump Material: FIBERGLASS FIBERGLASS FIBERGLASS
Wait time between applying
pressure /vacuum/water and
starting test:
30MIN 30MIN 30MIN
Test Start Time: 12:37 12:53 12:37 12:53 11:30 11:46
Initial Reading (RD-. 2.559 2.559 5.845 5.845 2.389 2.389
Test End Time: 12:52 1:08 12:52 1:08 11:45 12:01
Final Reading
Test Duration: 15MIN 15MIN 15MIN 15MIN 15M1N 15MIN
Change in Reading (RF -R,): 000 -.000 001 001 000 000
Pass/Fail Threshold or Criteria: 002 -.002 002 002 002 002
Test Result: X Pass 0 Fail X Pass Fail X Pass Fail 0 Pass Fail
Is there a sensor in the sump? 0 Yes X No Yes X No 0 Yes X No 0 Yes 0 No
Does the sensor alarm when
either product or water is
detected?
0 Yes No X NA 0 Yes 0 No X NA Yes No X NA 0Yes No DNA
Was sensor removed for testing? 0 Yes No X NA Yes 0 No X NA Yes No X NA 0Yes No NA
Was sensor properly replaced and
verified functional after testin ? Yes No X NA Yes No X NA 0 Yes No X NA Yes No NA
Comments — (include information on repairs made prior to testing, and recommendedfollow -upforfailed tests)
2.559 2.559 5.844 5.844 2.389 2.389
SWRCB, January 2002
9. SPILL/OVERFILL CONTAINMENT BOXES
Page q of q
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 0 Professional Engineer
Other (Spec)
Test Method Used: Pressure Vacuum X Hydrostatic
Other (Spec)
Test Equipment Used: INCON TS-STS Equipment Resolution:
Spill Box #87VPR Spill Box #91VPR Spill Box # Spill Box #
Bucket Diameter. 12" 12"
Bucket Depth: 16" 16"
Wait time between applying
pressure/vacuum/water and
starting test:
30MIN 30MIN
Test Start Time: 11:30 11:46 11:30 11:46
Initial Reading (R): 1.493 1.473 1.218 1.218
Test End Time: 11:45 12:01 11:45 12:01
Final Reading (RF): 1.473 1.474 1.218 1.2I8
Test Duration: 15MIN 15MIN 15MIN 15MIN
Change in Reading (RF -&): 000 001 000 000
Pass/Fail Threshold or
Criteria 002 002 002 002
Test Result: X Pass Fail X Pass Fail Pass Fail Pass Fail
Comments — (include information on repairs made prior to tesft and recommendedfollow -upforfailed tests)
n
MOBIL IGB IL i90B I L
2 OAK Si 2 OAK Si 2 OAK ST
BAKERSFIELD CA BAKERSFIELD CA JBAKERSFIELDCA'
12 %05/2011 11:45 AN 12/05/2011 12:01 Phi 12/05/2011 12 :52 PM
SUMP LEAK TEST REPORT SUMP LEAK TEST REPORT SUMP LEAK TEST REPORT
87VPR 87VPR 87FILS
TEST STARTED 11:30 AM TEST STARTED 11:46 AM TEST STARTED 12:37 PM
TEST STARTED 12/05/2011 TEST STARTED 12/05/2011 TEST STARTED 12/05/2011
BEGIN LEVEL 1.4736 IN BEGIN LEVEL 1.4736 .IN BEGIN LEVEL 2.5594 IN
END TIME 11:45 AM END TIME 12:01 PM END TIME 12:52 FM
END DATE s, 12/05/2011 END DATE 12/05/2011 END DATE 12/05/2011
END LEVEL 1.4739 IN ERA LEVEL 1.4743 IN
0.002 END LEVEL 2..5596 IN
LEAK THRESHOLD 0.002 IN LEAK THRESHOLD IN LEAK THRESHOLD 0.002 IN
TEST RESULT PASSED TEST RESULT PASSED TEST RESULT PASSED
91VPR 91VPR 91FILS
TEST STARTED 11:30 AM TEST STARTED ii: 46 AM TEST STARTED 12 :37 PM
TEST STARTED 12/05/2011 TEST STARTED 12/05/2011 TEST STARTED 12/05/2011
BEGIN LEVEL 1.2185 IN BEGIN LEVEL 1.2188 IN BEGIN LEVEL 5.8453 IN
END TIME 11:45 Am END TIME
END DATE
12:0i'PM
12/05/2011 END TIME 12:52 PM
END DATE
END LEVEL
12/05/2011
1.2187 IN END LEVEL 1.2186 IN END LEVEL
END DATE 01112/05/22/05/2
IN
LEAK THRESHOLD 9,602 IN LEAK THRESHOLD 0.002 IN LEAK THRESHOLD 0.002 IN
TEST RESULT PASSED TEST RESULT PASSED TEST RESULT PASSED
DSLFILS DSLFILS
TEST STARTED 11:30 AM TEST STARTED 11 :46 AM 91STP
TEST STARTED 12/05/2011 TEST STARTED
BEGIN LEVEL
201112/05/ /65/
IN2 TEST STARTED 12:37 PMBEGINLEVEL
END TIME
2.3892 IN
11:45 AM END TIME 12:01 Phi TEST STARTED
BEGIN 12/05/2011
END DATE 12/05/2011 END DATE 12/65/2011 LEVEL
END TIME
3.7809 IN
12:52 PllENDLEVEL
LEAK THRESHOLD
2.3891 IN
0.002 IN
END LEVELEND
THRESHOLD
2.3890 IN
0.002 IN END DATE 12/05/2011
TEST RESULT PASSED TEST RESULT PASSED END LEVEL 3.7810 IN
LEAK THRESHOLD 0.002 IN
TEST RESULT PASSED
DSLSTP DSLSTP
TEST STARTED 11 :30 AM TEST STARTED 11:46 AM
TEST STARTED 12/05/2011 TEST STARTED 12/05/2011
BEGIN LEVEL 4.6112 IN BEGIN LEVEL 4.6113 IN
END TIME 11:45 AM END TIME 12:01 PM
END DATE 12/05/2011 END DATE 12/05/2011
END LEVEL 4.6109 IN END LEVEL 4.6107 IN
LEAK THRESHOLD 0.002 IN LEAK THRESHOLD 0.002 IN
TEST RESULT PASSED TEST RESULT PASSED
n
108IL
MOBIL 2 OAK ST
2 OAK ST BAKERSFIELD CA
BAKERSFiELD LA 12/05/2011 2:20 Rhl
12/05/2011 1:09 Ph
SUMP LEAK TEST REPORT
JUMP LEAK TEST REPORT uDC1 -2 Vroe IL
37FILS TEST STARTED 2:05 PM
2 OAK ST
BAKERWIELD CA
TEST STARTED 12;53 PM TEST STARTED 12. .,05/2011 1 ?/05/201/. TEST STARTED 12/05/2611 BEGIN LEVEL 2.34$3 IN I6 Ph
BEGIN LEVEL 2.5595 IN
END TIME 1:08 PM
END TIME 2:20 PM
END DATE 12/05/2011 SUMP LEAK TEST REPORT
END DATE 12/05/2011 END LEUEL 2.3494 iN
END LEVEL 2.5595 IN LEAK THRESHOLD 0.002 IN UDC?-E;
LEAK THRESHOLD 0.002 IN TEST RESULT PASSED TEST STARTEDTESTRESULTPASSEDTESTSTARTED 12/05/226111, 25/
UDC3 -4 BEGIN LEVEL 3.1237 IN
91FILS TEST STARTED 2:05 PM
END TIME 3:10 PptENDDATE12/05/2011
TEST STARTED 12:53 PM TEST STARTED 12/05/201.1 END LEVEL 3.1236 INLEAKTESTSTARTED12/05/2011 BEGIN LEVEL 4.5373 IN THRESHOLD 0.002 INTESTBEGINLEUEL5.8450 IN END TIME 2:20 PM RESULT PASSED
END TIME 1:08 Ph1 END DATE 12/05/2011
END DATE 12/05/2011 END LEVEL 4.5369 IN
END LEVEL 5.8449 IN LEAK THRESHOLD 0.002 IN
LEAK THRESHOLD 0.002 IN TEST RESULT PASSED
TEST RESULT PASSED
UDC5 -6 UDC5 -6
87STP
TEST STARTED 2:05 PM TEST STARTED 2:55 PM
TEST STARTED 12:53 PM TEST STARTED 12/05/2011 TEST STARTED 12/05/2011
TEST STARTED 12/05/2011 BEGIN LEVEL 4.7607 IN BEGIN LEVEL 4.6875 IN
BEGIN LEVEL 5.3159 IN END TIME 2:20 PM END TIME 3:10 PM
END TIME 1:08 Ph END DATE 12/05/2011 END DATE 12f05/2011
END DATE 12/05/2011 END LEVEL 4.7604 IN END LEVEL 4.6875 IN
END LEVEL 5.3145 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
UDC9 -10
91STP I'1081L
2 OAK SF TEST STARTED 2 :55 PM
TEST STARTED 12:53 FM BAK[RSFIELp TEST STARTED 12/05/2011
TEST STARTED 12/05/2011
IN
CA
12/ 05'2011 BEGIN LEVEL 2.3523 IN
BEGIN LEVEL 3.7809
2 :41 END TIME 3:10 PM,
END TIME 1:68 PM PPiSUMP END DATE 12/05/2011
END DATE 12/05/2611 LEAD TEST REPORT END LEVEL 2.3532 IN
END LEVEL 3.7824 IN LEAK THRESHOLD 0.002 IN
LEAK THRESHOLD 0.002 IN UDC/ -2 TEST RESULT PASSED
TEST RESULT PASSED TEST STARTED 2:26 PMEDBEGINLIEU 2/20FNDTIME2.3496 INENDDATE
SDG9 -10 EI4D LEVEL 12/05/20 PM
i 1081L
TEST STARTED 2:26 PM EST RESULTOLD a 002 IN j OAK ST
TEST STARTED 12/05/2011 PASSEL) BAKERSFIELD CA
BEGIN LEVEL 2.3503 IN
2:41 PM t pi,3_4 12/05/2011 3:27 PMENDTIME1G/B5/2011ENDDATE2.3505 IN TEST STARTED SUMP LEAK TEST REPORTENDLEVELLEAKTHRESHOLD0-002 FGINSLEVELL) 12152011 UDC7 -8
TEST RESULT ASSED
END 7.iME 4.5367 INENDDATE2:41 PN TEST STARTED 3:11 PMkND112/951- TEST STARTED 12/05/2011LEAKTHEE4.5367tINOLD BEGIN LEVEL 3.1238 IN
UDCS-6 TEST kE$ULT 0.8e2 IN END TIME 3 :27 PhiENDDATE12/05/2011
3:11 PMTEST $TARTED / /2011
14.6875
END LEVEL 3.1239 IN
LEAK THRESHOLD 0.002 INTESTSTARTEDINTESTRESULTPASSEDBEGINLEVEL3.27 PMENDTIME12/05/2011NDDATE14.6875 INENDLEVEL0.602 INTHRESHOLDLEAKPASSED
TEST RESUL.TL
0-TI /
SB989 TESTING FAILURE REPORT
SITE NAME: OAK STREET MOBIL DATE: 12 /5/11
THE FOLLOWING COMPONENTS WERE REPLACED/REPAIRED TO COMPLETE
TESTING.
REPAIRS: dc--d 1-
LABOR:
PARTS INSTALLED:
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.