HomeMy WebLinkAbout2012 RESULTS59' SEC P :PF i L® HSLttY
S WRCB, January 2002 Page -L— of
Secondary Containment Testing Report Form
Thisform is intendedfor use by contractors performing periodic testing of USTsecondary containment systems. Use the
appropriate pages ofthisform to report resultsfor all components tested The completedform, written testprocedures, and
printoutsfrom tests (ifapplicable), should be provided to thefacility owner /operator for submittal to the local regulatory agency.
1. FACILITY INFORMATION
Facility Name: MIKE'S FOOD & LIQUOR Date of Testing: 2/23/12
Facility Address: 2300 PANAMA LANE, BAKERSFIELD
Facility Contact: I Phone:
Date Local Agency Was Notified of Testing: 11/30/11
Name ofLocal Agency Inspector (ifpresent during testing):
2. TESTING CONTRACTOR INFORMATION
Company Name: Rich Environmental
Pass
Technician Conducting Test: RICH PHILLIPS
Not
Tested
Credentials: X CSLB Licensed Contractor SWRCB Licensed Tank Tester
License Type: C61/D40 A HAZ License Number: 809850
Manufacturer
Manufacturer Training
Component(s) Date Training Expires
INCON TS -STS 6/11/2012
El UNL87 FILL SUMP El
3. SUMMARY OF TEST RESULTS
Component Pass Fail Not
Tested
Repairs
Made Component Pass Fail Not
Tested
Repairs
Made
UNL87 ANNULAR X El UNL87 FILL SUMP El X
PREM91/DSL ANNULAR X PREM91 FILL SUMP X
UNL87 SECONDARY PIPE 0 X DIESEL FILL SUMP X
PREM91 SEC PIPE X UNL87 VAPOR BUCKET X
DIESEL SEC PIPE X PREM91 VAPOR BKT X 0
UNL87 STP X 0 0
PREM91 STP X 0 0 0
DIESEL STP X
UDC #1/2 X
UDC #3/4 X 0
UDC #5/6 X 0 0
UDC #7/8 X
If hydrostatic testing was performed, describe what was done with the water after completion oftests:
CERTIFICATION OF TECHH),WCIAN RESPONSIBLE FOR CONDUCTING THIS TESTING
To the best ofmy knowledge, thefacts sta iut this document are accurate and in full compliance with legal requirements
Technician's Signature: jt Date: 2/23/12
r -",Nq
SWRCB, January 2002
A- TANK ANNTFLAR TF.STTKG
g5gq 1
Pa ' Page IL ofg .
Test Method Developed By: 0 Tank Manufacturer X industry Standard 0 Professional Engineer
Other (Specify)
Test Method Used: Pressure X Vacuum 0 Hydrostatic
Other (Specify)
Test Equipment Used: 4" DIAL GAUGE Equipment Resolution:
Tank #87 Tank #91/DSL Tank # Tank #
Is Tank Exempt From Testing ?' Yes X No Yes X No Yes No Yes No
Tank Capacity: 12000 12000
Tank Material: STEEL STEEL
Tank Manufacturer. UNKNOWN UNKNOWN
Product Stored: UNL87 PREM91
Wait time between applying
pressure /vacuum /water and
starting test:
30MIN 30MIN
Test Start Time: 9:30 9:30
Initial Reading (Rj): l OHG 1 OHG
Test End Time: 10:30 10:30
Final Reading (RF): 10HG IOHG
Test Duration: 60 MIN 60 MIN
Change in Reading (RF -Ri): 0 0
Pass/Fail Threshold or Criteria: 0 0
Test Result: X Pass 0 Fail X Pass 0 Fail Pass 0 Fail Pass 0 Fail
Was sensor removed for testing? X Yes No NA X Yes 0No 0 NA Yes 0 No 0 NA 0 Yes 0 No 0 NA
Was sensor properly replaced and
verified functional after testin ? X Yes No 0 NA X Yes 0No NA Yes No NA Yes 0 No DNA
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. lCalifomia Code ofRegulations, Title 23, Section 2637(a)(6))
SWRCB, January 2002 Page _"L) _ of
5. SECONDARY PIPE TESTING
Test Method Developed By: Piping Manufacturer X Industry Standard Professional Engineer
Other (Specify)
Test Method Used: X Pressure Vacuum Hydrostatic
Other (Spec)
Test Equipment Used: 4" DIAL GAUGE Equipment Resolution: .5%
Piping Run #87 Piping Run #91 Piping Run #DSL Piping Run #
Piping Material: PLASTIC PLASTIC PLASTIC
Piping Manufacturer: TCI TCI TCI
Piping Diameter: 4" 4" 4"
Length of Piping Run: 150' 150' 150'
Product Stored: UNL87 UNL91 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. 10:00 9:45 9:45
Initial Reading (111): 0 6.0 6.5
Test End Time: 11:00 10:45 10:45
Final Reading (RF): 0 6.0 6.5
Test Duration: 60 MIN 60 MIN 60 MIN
Change in Reading (RF -&): 5 0 0
Pass/Fail Threshold or
Criteria: 0 0 0
Test Result: Pass X Fail X Pass Fail X Pass Fail Pass Fail
Comments — (include information on repairs made prior to testing, and recommendedfollow -upforfailed tests)
87 NOT HOLDING PRESSURE. FLOODED ALL UDC'S AND 87 STP SUMP. NO BUBBLES ON
UDC SIDE OR STP
ALL GAS GRADES RUN FROM STP DISP #1/2 END DISP #3/4
DIESEL RUNS TO DISP #3/4 THEN TO DISP #7/8
NO JUMPERS
SWRCB, January 2002
6. PIPING SUMP TESTING
Page 4— of
Test Method Developed By: 0 Sump Manufacturer X Industry Standard 0 Professional Engineer
0 Other (Spec)
Test Method Used: 0 Pressure 0 Vacuum X Hydrostatic
Other (Spec)
Test Equipment Used: INCON TS -STS Equipment Resolution:
Sump #91 Sump #DSL Sump # Sump #87
Sump Diameter: 37" 37" 37"
Sump Depth: 51" 51" 51"
Sump Material: FIBERGLASS FIBERGLASS FIBERGLASS
Height from Tank Top to Top of
Highest Piping Penetration: 32" 23" 25"
Height from Tank Top to Lowest
Electrical Penetration: 32" 23" 29"
Condition of sump prior to testing: DIRTY DIRTY DIRTY
Portion ofSump Tested' 34" 25" 27"
Does turbine shut down when
sump sensor detects liquid (both
product and water )?'
D Yes No X NA Yes 0 No X NA Yes 0No XNA Yes No NA
Turbine shutdown response time
Is system IT for fail -safe
shutdown ?
I D Yes D No X NA Yes No X NA Yes No X NA Yes 0 No D NA
Was fail -safe verified to be
operational?* Dyes No X NA Yes No X NA 0 Yes No X NA Yes No NA
Wait time between applying
pressure /vacuum/water and starting
test:
30 MIN 30 MIN 30 MIN
Test Start Time: 11:42 12:06 1:13 1:29 10:58 11:17
Initial Reading (Rj): 3.590 3.591 3.039 3.039 2.887 2.887
Test End Time. 11:57 12:21 1:28 1:54 11:13 11:32
Final Reading (RF): 3.591 3.591 3.039 3.039 2.887 2.886
Test Duration: 15MIN 15MIN 15MIN 15MIN 15MIN 15MIN
Change in Reading (RF -R,): 001 000 000 000 000 001
Pass/Fail Threshold or Criteria: 002 002 002 002 002 002
Test Result: X Pass Fail X Pass Fail X Pass Fail Pass 0 Fail
Was sensor removed for testing? X Yes No NA X Yes No NA X Yes No DNA Yes No NA
Was sensor properly replaced and
verified functional after testing? X Yes No D NA X Yes No DNA X Yes D No NA D Yes No DNA
Comments — (include information on repairs made prior to testing, and recommendedfollow -upforfailed tests)
Ifthe entire depth ofthe sump 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 sump must be tested. (See SWRCB LG -160)
SWRCB, January 2002
7. TINDER- DISPENSER CONTAINMENT WDC) TESTING
L4SL/99
Page of V
Test Method Developed By: UDC Manufacturer X Industry Standard Professional Engineer
0 Other (Spec)
Test Method Used: Pressure Vacuum X Hydrostatic
Other (Specify)
Test Equipment Used: INCON TS -STS Equipment Resolution:
OEM
UDC Manufacturer:
UDC #1/2
UNKNOWN
UDC #3/4 UDC #5/6 UDC #7/8
UNKNOWN UNKNOWN UNKNOWN
UDC Material: FIBERGLASS FIBERGLASS FIBERGLASS FIBERGLASS
UDC Depth: 32" 32" 32" 32"
Height from UDC Bottom to Top
of Highest Piping Penetration:
9" 9" 9" 9"
Height from UDC Bottom to
Lowest Electrical Penetration:
13" 13" 13" 13"
Condition ofUDC prior to
testing:
GOOD GOOD GOOD GOOD
Portion ofUDC Tested'
Does turbine shut down when
UDC sensor detects liquid (both
and water) ?'
Yes No X NA 0 Yes 0 No X NA Yes No X NA Yes No X NA
product
Turbine shutdown response time
Is system programmed for fail-
safe shutdown? 0 Yes No X NA 0 Yes No X NA 0 Yes No X NA Yes No X NA
Was fail -safe verified to be
operational?* C yes No X NA Yes No X NA Yes No XNA Yes No X NA
Wait time between applying
pressure /vacuum /water and
starting test
30MIN 30MIN 30MIN 30MIN
Test Start Time: 2:12 2:29 2:12 2:29 2 :12 2:29 2:12 2:29
Initial Reading (Rj): 3.396 3.394 2.827 2.826 2.017 2.017 5.042 5.043
Test End Time: 2 :28 2:44 2:28 2:44 3:28 2:44 2:28 2:44
Final Reading (RF): 3.394 3.395 2.826 2.825 2.017 2.017 5.072 5.043
Test Duration: 15MTN 15MIN 15MIN 15MIN 15MIN 15MIN 15MIN 15MIN
Change in Reading (RF -R,): 002 001 001 001 000 000 000 0011Pass/Fail Threshold or Criteria: 002 002 0002 002 002 002 002 002
Test Result: X Pass Fail X Pass Fail X Pass Fail X Pass Fail
Was sensor removed for testing? X Yes No NA X Yes No 0 NA X Yes 0 No NA X Yes No 0NA
Was sensor properly replaced and
verified functional after testis ? X Yes 0 No 0 NA X Yes 0 No NA X Yes No NA X Yes 0 No 0NA
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 any ofthe questions indicated with an
asterisk ( *) is "NO" or "NA ", the entire UDC must be tested. (See SWRCB LG -160)
SWRCB, January 2002
S. FILL RISER CONTAINMENT SUMP TESTING
Lq5L`19 IPagejp _ of
Facility is Not Equipped With Fill Riser Containment Sumps
Fill Riser Containment Sumps are Present, but were Not Tested 0
Test Method Developed By: Sump Manufacturer X Industry Standard Professional Engineer
Other (Spec)
Test Method Used: 0 Pressure 0 Vacuum X Hydrostatic
0 Other (Spec)
Test Equipment Used: INCON TS -STS Equipment Resolution:
Fill Sump # Fill Sump # Fill Sump # Fill Sump#
Sump Diameter:
Sump Depth:
Height from Tank Top to Top of
Highest Piping Penetration:
Height from Tank Top to Lowest
Electrical Penetration:
Condition of sump prior to
testing:
Portion ofSump Tested
Sump Material:
Wait time between applying
pressure /vacuum/water and
starting test:
NOT TESTED
Test Start Time:
Initial Reading (R):
Test End Time:
Final Reading (RF):
Test Duration: 15MIN 15MIN 15MIN 15MIN 15MIN 15MIN 15MIN 15MIN
Change in Reading (RF -R,):
Pass/Fail Threshold or Criteria:
Test Result: 0 Pass 0 Fail 0 Pass 0 Fail 0 Pass 0 Fail 0 Pass 0 Fail
Is there a sensor in the sump? 0 Yes No Yes C No Yes No Yes No
Does the sensor alarm when
either product or water is
detected?
Yes 0 No 0 NA Yes 0 No NA Yes No NA Yes No NA
Was sensor removed for testing? 0 Yes 0 No 0 NA Yes 0 No NA Yes No NA Yes No NA
Was sensor properly replaced and
verified functional after testin ? yes No 0 NA Yes No NA 0 Yes No NA Yes No NA
Comments — (include information on repairs made prior to testing, and recommended, follow -upforfailed tests)
NO FILL SUMPS
SWRCB, January 2002
9. SPILL/OVERFILL CONTAINMENT BOXES
Facilitv is Not EQUiDDed With Soill/Overfill Containment Boxes
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Page —1— of
Spill/Overfill Containment Boxes are Present, but were Not Tested 0
Test Method Developed By: Spill Bucket Manufacturer X Industry Standard 0 Professional Engineer
Other (Specify)
Test Method Used: 0 Pressure 0 Vacuum X Hydrostatic
Other (Spec)
Test Equipment Used: INCON TS -STS Equipment Resolution:
Spill Box #87 VPR Spill Box #91 VPR 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: 10:58 11 :17 10:58 11:17
Initial Reading (R,): 2.918 2.917 4.221 4221
Test End Time: 11:13 11:32 11:13 11:32
Final Reading (RF): 2.917 2.917 4.221 4.221
Test Duration: 15MIN 15MIN 15MIN 15MIN
Change in Reading (RF -R,): 001 -.000 000 000
Pass/FaiI 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 testing and recommendedfollow -upforfailed tests)
MIKES F=OOD N LIQUOR
2309 PAMANA LN
BAKERSFIELD CA
02/23/2012 228 PM
SUMP LEAK TEST REPORT
UDC1 -2
TEST SWTED 2:12 PM
TEST STARTED 02/23/2012
BEGIN LEVEL 3.3967 IN
END TIME 2:28 PM
END DATE 02/23/2012
END LEVEL 3.3945 IN
LEAK THRESHOLD 0.002 IN
TEST RESULT M9
I iDC3 -4
TEST STARTED 2:12 PM
TEST STARTED 02/23/2012
BEGIN LEVEL 2.8271 IN
END TIME 2:28 PM
END DATE 02/23/2012
END LEVEL 2.8267 IN
LEAK THRESHOLD 0.002 IN
TEST RESULT PASSED
UDC5 -6
TEST STARTED 2:12 PM
TEST STARTED 02/23/2012
BEGIN LEVEL 2.6176 IN
END TIME 2:28 PM
END DATE 02/23/2012
END LEUEL 2.0175 LN
LEAK THRESHOLD 0.002 IN
TEST RESULT PASSED
UDC7 -8
TEST STARTED 2:12 PM
TEST STARTED 02/23/2012
BEGIN LEVEL 5.0423 IN
END TIME 2:28 PM
END DATE 02/23/2012
END LEVEL 5.0425 IN
LEAK THRESHOLD 0.002 IN
TEST RESULT PASSED
LIKES FOOD N LIQUORAriPAMANAN
BAKERSFIELD CA
02/23/2012 2:44 PM
SUMP LEAK TEST REPORT
UDC1 -2
TEST STARTED 2:29 PM
TEST STARTED 02/23/2012
BEGIN LEVEL 3.,,T947
PMENDTIME
END DATE 02/23/2012
END LEVEL 3.3950 IN
LEAK THREESiOLD 0.002 N
TEST RESULT
UDC3 -4
TEST STARTED 2:29 PM
TEST
BEGIN
LEVELD
0
2.8263 IN
ND TIME 2:44 PM
END DATE 02/23/2012
END LEVEL 2.8258 IN
LEAK THRESHOLD 0.002 IN
Tri T RESULT PASSED
UDC °r6
TEST STARTED 2:29 PM
TEST
BEGINSLEVELD
G2.0175gIN
END TIME 2:44 PM
END DATE 02/23/2012
END LEVEL 2.0175 IN
INLEAKTHRESHOLD0• PASSEDTESTRESULT
UDC7-8
TEST STARTED 2:29 PM
TEST STARTED 02/23/2012•
BEGIN LEVEL 5.0434 P
IN
END TIME
END DATE 02/23/2912
END LEVEL 5.0445 IN
LEAK THRESHOLD 0.0025EDTESTRESULT
MIKES FOOD N LIQUOR
2300 PAMANA LN
BAKERSFIELD CA
02/275/2012 11:14 AM
SUMP LEAK TEST REPORT
87UPR
TEST STARTED 1058 AM
TEST STARTED 02/23/2012
BEGIN LEVEL 2.9186 IN
END TIME 11:13 AM
END DATE. 02/23/2012
END LEVEL. 2.9178 IN
LEAK THRESHOLD 0.002 IN
TEST RESULT PASSED
91UPR
TEST STARTED 10:58 AM
TEST STARTED 02/23/2012
BEGIN LEVEL 4.2218 IN
END TIME 11:13 AM
END DATE 02/23/2012
END LEVEL 4.2217 IN
LEAK THRESHOLD 0.002 IN
TEST RESULT PASSED
DSLSTP
TEST STARTED 10;58 AM
TEST STARTED 02/23/2012
BEGIN LEVEL 2.8879 IN
END TIME 11:13 AM
END DATE 82/23/2012
END LEVEL 2.8872 IN
LEAK THRESHOLD 0.002 IN
TEST RESULT PASSED
MIKES OD N LIQUORMIKESFOLIKESFOODNLIQUORpRMHNALN ="
2300 PAMANA LN BAKERSFIELD CA
BAKERSFIELD CA u11:57 Am
02/23/2012 11:32 AN 02/2
SUM[' LEAK TEST REPORT wl
SUMP LEAK TEST REPORT,
87STP
87UPR
STARTED 11:42 AM r
TEST STARTED 11:17 AM TESTTEST STARTED 02/23/2012IN. TEST STARTED 02/23/2012 BEGIN LEVEL 3.5909
11:57 AMBEGINLEUEL2.9176 IN END TIMEENDTIME11:32 AM END DRTE 02/23/2012
3.5915 INENDDATE
END LEVEL
02/23/2012
2.9171 IN LCRKLTHREBHOLD 0.002 IN
LEAK THRESHOLD 0.002 IN TEST RESULT
PASSED
TEST RESULT PASSED
91UPR LIKES FooD N LIQUOR
230ry PAMANA L11
TEST STARTED 11:17 AM gAKjr,SFIELD CA
TEST. STARTED 02/2223/2012 12:21 Ph'iBEGINLEVEL4.2215 IN 02/23/2012 f
END TIME
END DATE
11:32 AM
02/23 /2012 SUMP LEAK TEST REPORT
END LEVEL 4.2216 IN 875TPLEAK-THRESHOLD 0.002 IN
TEST RESULT PASSED
S; 12 :06 PMTESTARTED
TEST STARTED
DSLSTP
32012
591BEGINLEVEL3.5916 IN
11:21 PVIENDTIME02/23/2012TESTSTARTED11:17 At4 Ef DRTE x.5916 INTESTSTARTED02/23/2012 END LEVELTHRESHOLD 0.0021BEGINLEVEL2.N72 IN PASSE.
END TIME 11:32 AM TEST RESULT ,
END DATE 02f23i2012
END LEVEL 2.8361 IN
LEAK THRESHOLD 0.002 IN
DSLSTPTESTRESULTPASSED
TEST 12:06 PMTESTSTARTED
91STP
02/23/2012. BEGIN LEVEL 0.0000 IN, END TIME 12:21 PA7. END DATETESTSTARTED1:13 Ph'i 02/23/2012ENGLEVELTESTSTARTED02/23/2012 LEAK THRESHOLD 0.0808 INTHRESHOLD8.882BEGINLEVEL3.0397 IN TEST INRESULTENDTIME1:28 PM PASSED
END DATE 02/23/2012
END LEVEL 3:0397 IN
LEAK THRESHOLD 0.082 IN
TEST RESULT PASSED
LAsL119
SB989 TESTING FAILURE REPORT
SITE NAME A1',Lf'J / 0 0 - 4 /Ja,-ol- DATE: -,/;2-
ti3vaPAi --A)"* L.,v
THE FOLLOWING COMPONENTS WERE REPLACED/REPAIRED TO COMPLETE
TESTING.
REPAIRS: f'2 Z-
j---e J T /fJ 7 6 7
ra '/p '7 -r, ns A T any
f1-
J47
D P Ta
1.1
LABOR: I ' /l A p , N %3 Az-,,--
PARTS D: t y J rn p 4z-S v J'CJ) j1
eTr i re-"11-
10A
NAME: TTTLE:
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 ENVTRONMANTAL 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.