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HomeMy WebLinkAboutSB989 2011SWRCB, January 2002 Page-A, of Secondary Containment Testing Report Form This form is intendedfor use by contractors performingperiodic testing ofUST secondary containment systems. Use the appropriate pages ofthisform to report resultsfor all components tested The completedform, written testprocedures, and printouts from tests (ifapplicable), should be provided to thefacility owner /operatorfor submittal to the local regulatory agency. 1. FACILITY INFORMATION Facility Name: GOSFORD SHELL Date ofTesting: 6/2/11 Facility Address: 4050 GOSFORD ROAD, BAKERSFIELD Facility Contact: j Phone: Date Local Agency Was Notified of Testing: 4/28/11 Name of Local Agency Inspector (fpresent during testing): 2. TESTING CONTRACTOR INFORMATION Company Name: Rich Environmental Pass Technician Conducting Test: RICH PHiLLMS Not Tested Credentials: X CSLB Licensed Contractor SWRCB Licensed Tank Tester License Type: C61/D40 A HAZ Manufacturer License Number. 809850 Manufacturer Training Component(s) Date Training Expires INCON TS -STS 6/11/2012 UNL87 #1 ANNULAR C X UNL87 #1 STP 3. SUMMARY OF TEST RESULTS Component Pass Fail Not Tested Repairs Made Component pass Fail Not Tested Repairs Made UNL87 #1 ANNULAR C X UNL87 #1 STP X UNL87 #2 ANNULAR X UNL87 #2 STP X PREM91 ANNULAR 1 X PREM91 STP X DIESEL ANNULAR X DIESEL STP X 10 G UNL87 #1 SEC. PIPE X UDC #1/2 X UNL87 #2 SEC. PIPE X UDC. #3 /4 X PREM91 SEC. PIPE X UDC #5/6 X1 1 1 DIESEL SEC. PIPE X UDC #7/8 X VR SEC. PIPE X UNL87 #1 FILL SUMP X 87 #l, 87 42, 91 VENT SEC X UNL87 42 FILL SUMP X DIESEL VENT SEC PIPE X PREM91 FILL SUMP X 1 DIESEL FILL SUMP X I 1 1 if hydrostatic testing was performed, describe what was done with the water after completion oftests: CERTIFICATION OF TECHN161AN RESPONSIBLE FOR CONDUCTING THIS TESTING To the best ofmy knowledge, thefacts scat n this document are accurate and infull compliance with legal requirements Technician's Signature: Date: 6/2/11 Rich Environmental Service Station Services 5643 Brooks Ct. Bakersfield, CA 93308 661326-8402 Fax 661.588 -7808 Ca. Lic4 C61 /D40 809850 Bill To GOSFORD SHELL (HENG) 4050 GOSFORD RD, BAKERSFIELD, CA. 93309 AM: FIENG K. & SING CHAO Location Invoice Date Invoice # 6!212011 42917 GOSFORD SHELL 4050 GOSFORD RD. BAKERSFIELD, CA. 93309 ATTN: HENG K. & SING CHAO 1, (print) to pay in full upon completion of this job. agree Signature Date PAST DUE ACCOUTS ARE SUBJECT TO A FINANCE CHARGE OF 1.5% PER MONTH OR A 5.00 CHARGE WHICH EVER IS MORE. BOUNCED CHECK FEE $25 & YOU CAN BE, LIABLE FOR UP TO 3 TIMES THE AMOUNT OF THIS INVOICE. Subtotal 1,79200 Sales Tax (7.25°/x) $0.00 Tots 1 1 $ 1,792.00 r, P.O. No.. Terms Tech. Due on receipt RLP Quantity Description Inspected Month Price Rate Amount 3 -YEAR S8989 SECONDARY 0.00 CONTAINMENT TESTING 0 TANK ANNULAR SPACE TESTING ONLY 100.00 0.00 7 SECONDARY PIPING TESTING ONLY 100.00 700.00 4 PIPING SUMP CONTAINMENT TESTING 100.00 400.00 ONLY 4 SECONDARY PIPING TESTING ONLY 100.00 400.00 3 DISPENSER SECONDARY CONTAINMENT 100.00 300.00 TESTING ONLY 3 SPILL/OVERFILL CONTAINMENT BOXES 50.00 150.00 SUBTOTAL 1,950.00 DISCOUNT APPLIED ( PER CUSTOMER) 350.00 350.00 SUBTOTAL 1,600.00 BAKERSFIELD CITY FIRE DEPARTMENT 192.00 192.00 PERMIT FEE 1, (print) to pay in full upon completion of this job. agree Signature Date PAST DUE ACCOUTS ARE SUBJECT TO A FINANCE CHARGE OF 1.5% PER MONTH OR A 5.00 CHARGE WHICH EVER IS MORE. BOUNCED CHECK FEE $25 & YOU CAN BE, LIABLE FOR UP TO 3 TIMES THE AMOUNT OF THIS INVOICE. Subtotal 1,79200 Sales Tax (7.25°/x) $0.00 Tots 1 1 $ 1,792.00 r, Rich Environmental Service Station Services 5643 Brooks Ct. Bakersfield, CA 93308 661 326 -8402 Fax 661588-7808 Ca. Lie# C61/D40 809850 Bill To GOSFORD SHELL (HENG) 4050 GOSFORD RD. BAKERSFIELD, CA. 93309 ATTN: HENG K. & SING CHAO Location Invoice Date Invoice # 612/2011 42917 GOSFORD SHELL 4050 GOSFORD RD. BAKERSFIELD, CA. 93309 ATTN: HENG K: & SING CHAO P.O. No.. Terms Tech Due on receipt RLP Quantity Description Inspected Month Price Rate Amount 3 -YEAR SB989 SECONDARY 0.00 CONTAINMENT TESTING 0 TANK ANNULAR SPACE TESTING ONLY 100.00 0.00 7 SECONDARY PIPING TESTING ONLY 100.00 700.00 4 PIPING SUMP CONTAINMENT TESTING 100.00 400.00 ONLY 4 SECONDARY PIPING TESTING ONLY 100.00 400.00 3 DISPENSER SECONDARY CONTAINMENT 100.00 300.00 TESTING ONLY 3 SPILL /OVERFILL CONTAINMENT BOXES 50.00 150.00 SUBTOTAL 1,950.00 DISCOUNT APPLIED ( PER CUSTOMER) 350.00 350.00 SUBTOTAL 1,600.00 BAKERSFIELD CITY FIRE DEPARTMENT 192.00 192.00 PERMIT FEE 1, (print) agree to pay in full upon completion of this job. Signature Date Subtotal 1,792.00 PAST DUE ACCOUTS ARE SUBJECT TO A FINANCE CHARGE OF 1.5% PER MONTH OR A 5.00 CHARGE WHICH EVER IS MORE. BOUNCED CHECK FEE $25 & YOU CAN BE Sales Tax (7.25 %) 0.00LIABLEFORUPTO3TIMESTHEAMOUNTOFTHISINVOICE. Total 1,792.00 LWIV ,I SWRCB, January 2002 Page Z of Secondary Containment Testing Report Form Thisform is intendedfor use by contractors performingperiodic testing ofUSTsecondary containment systems. Use the appropriate pages ofthisform to report resultsfor all components tested The completedform, written test procedures, and printoutsfrom tests (ifapplicable), should be provided to thefacility owner /operatorfor submittal to the local regulatory agency. 1. FACILITY INFORMATION Facility Name: Date ofTesting: Facilit}. Address: i .. Facility Contact: Phone: Date Local Agency Was Notified of Testing: Name of Local Agency Inspector (fpresent during testing): 2. TESTING CONTRACTOR INFORMATION Name: Rich EnvironmentalCompany Technician Conducting Test: RICH PHILLIPS Credentials: X CSLB Licensed Contractor 0 SWRCB Licensed Tank Tester License Type: C61 /D40 A HAZ Manufacturer License Number: 809850 Manufacturer Training Component(s) Date Training Expires INCON TS-STS. 6/11/2012 3. SUMMARY OF TEST RESULTS Component 2 VPR PREM91 VPR BOX a oo oo otaoo oo r:. o000 n If hydrostatic testing was performed, describe what was done with the water after completion oftests: CERTIFICATION OF TECHNI AN RESPONSIBLE FOR CONDUCTING THIS TESTING To the best ofmy knowledge, the facts state this document are accurate andinfull compliance with legal requirements Technician's Signature: Date: 6/2/11 SWRCB, January 2002 4. TANK ANNULAR TESTING LAIAM Page, of Test Method Developed By: Tank Manufacturer X Industry Standard Professional Engineer Other (Specify) Test Method Used: Pressure X Vacuum Hydrostatic C Other (Spec) Used: 4" DIAL GAUGE Equipment Resolution: Equipment 0 Tank #87 #1 Tank #87 #2 Tank #91 Tank #DSL From X Yes No X Yes No X Yes No X Yes No o apacity: 12K 12K 12K 12K 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 (Rr): Test Duration: 60 MIN 60 MIN 60 MIN 60MIN Change in Reading (RF -R,): Pass /Fail Threshold or Criteria: ai I i t Rif Yes No NA Yes No NA t Yes No 0N i 1 Yes No NAWassensorremovedfor T or properly replaced and verified functional after Yes 11 No 0N Yes ONO DNA Yes No 0N 0Yes 0N 0N testing? Comments - (include information on repairs madeprior to testing, and recommendedfollow -upforfailed tests) WET ANNULARS 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 Li Page A- of Test Method Developed By: Piping Manufacturer X Industry Standard Professional Engineer Other (Specify) Test Method Used: X Pressure Vacuum 0 Hydrostatic Other (Spec) Test Equipment Used: 4" DIAL GAUGE Equipment Resolution: .5% Piping Material: Piping Run #87 #1 Piping Run #87 #2 Piping Run #91 Piping Run #DSL FIBERGLASS FIBERGLASS FIBERGLASS FIBERGLASS Piping Manufacturer: SMITH SMITH SMITH SMITH Piping Diameter: 3" 3" 3" 3" Length of Piping Run: 200' 200' 200' 180' Product Stored: UNL87 UNL87 PREM91 DIESEL Method and location of piping-run isolation: BOOT IN SUMP BOOT IN SUMP BOOT IN SUMP BOOT IN SUMP Wait time between applying pressure/vacuum/water and 30 MIN 30 MIN 30 MIN 30 MIN 31time#@stime: 10:45 10:45 10:45 12:00 Initial Reading (Rj): 6.0 6.0 6.0 5.5 Test End Time: 11:45 11:45 11:45 1:00 Final Reading (RF): 6.0 6.0 6.0 5.5 Test Duration: 60 MIN 60 MIN 60 MIN 60 MIN Change in Reading (RF -Rj): 0 0 0 0 Pass /Fail Threshold or Criteria: 0 PSI 0 PSI 0 PSI 0 PSI i.. ..vlkiSr;: 'Ir:i 'tis 7::;::: „i';,; .., 1• ^ :+ ': r i' i .r u M dj G:•• a' t t q! • t . i' j , 1r -. -ui, , i;ci u•: t i #. `5`E r.' cr:• Comments — (include information on repairs made prior to testing, andrecommendedfollow -upforfailed tests) Lk c"' SWRCB, January 2002 Page <, of q 5. SECONDARY PIPE TESTING Test Method Developed By: 0 Piping Manufacturer X Industry Standard Professional Engineer 0 Other (Spec) Test Method Used: X Pressure Vacuum Hydrostatic 0 Other (Spec) Test Equipment Used: 4" DIAL GAUGE Equipment Resolution: .5% Piping Run #VR Piping Run #87 #1, 87#2191 VENT Piping Run #DSL VENT Piping Run # Piping Material: FIBERGLASS FIBERGLASS FIBERGLASS Piping Manufacturer: SMITH SMITH SMITH Piping Diameter 41' 4" 3" Length of Piping Run: 400' 75' 50' Product Stored: GASOLINE GASOLINE DIESEL Method and location of piping-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: 1: l5 1:15 1:15 Initial Reading (RO: 5.5 6.0 5.5 Test End Time: 2:15 2:15 2:15 Final Reading (RF): 5.5 6.0 5.5 Test Duration: 60 MIN 60 MIN 60 MIN Change in Reading (RF -Rj: 0 0 0 Pass/Fail Threshold or Criteria: 0 PSI 0 PSI 0 PSI ss:.ry ; Qt:: - sr: ii;, "•:: I r a: t . L. r >.! Nt;kHt1 ,11 x i 4 r 1 . 1. n I i ! I ,rIr,^•s z({ srepjn °•a; e i •1 yf Comments — (include information on repairs madeprior to testing, and recommendedfollow -upforfailed tests) 87 #1- 87 #2 -91 VENT LINE MANIFOLDED 3" VENT PIPE LAIAki SWRCB, January 2002 Page (10 of Q 6. PIPING SUMP TESTING / Test Method Developed By: Sump Manufacturer X Industry Standard Professional Engineer Other (Specify) Test Method Used: D Pressure Vacuum X Hydrostatic Other (Spec) Test Equipment Used: iNCON TS -STS Equipment Resolution: Sump Diameter: Sump #87 #1 87M Sump #87 #2 87S Sump #91 Sump #DSL 42" 42" 42" 42" Sump Depth: 74" 74" 74" 74" Sump Material: FIBERGLASS FIBERGLASS FIBERGLASS FIBERGLASS Height from Tank Top to Top of Highest Piping Penetration: 22" 22" 22" 22" Height from Tank Top to Lowest Electrical Penetration: 26" 26" 26" 26" Condition ofsump prior to CLEAN CLEAN CLEAN CLEAN iii of Sump Tested` 24" 24" 24" 24" Does turbine shut down when sump sensor detects liquid (both product and water)?* Yes No X NA DYes No X NA Yes No XNA Yes DNo XNA Turbine shutdown response time Is system programmed for fail- safe shutdown ?` Yes 0N X NA Yes 11No XNA Yes 0N XNA Yes No XNA Was fail-'safe verified to be operational?* 11 Yes No X NA Yes 0N XNA Yes 0N XNA Yes No XNA Wait time between applying pressure /vacuum /water and starting test: 30 MIN 30 MIN 30 MIN 30 MIN Test Start Time: 1:42 1:59 2:44 3:02 1:42 1:59 2:44 3:02 Initial Reading (Ri): 3.091 3.089 2.892 2.892 3.760 3.761 4.412 4.411 Test End Time: 1:58 2:15 2:59 3:12 1:58 2 :15 2:59 3:17 Final Reading (Rr): 3.090 3.087 2.892 2.892 3.761 3.761 4.412 4.411 Test Duration: 15MIN 15MIN 155M 15MIN 15MIN 15MIN 15MIN 15MIN Change in Reading (RF -Ri): 001 002 000 000 001 000 000 -.000 Pass/FaifThreshold or Criteria: 002 002 002 002 002 002 002 -.002 c- , ,i {?: , t i rl1 , ;1 i .. n 1 , S • ; , i. ' f y • t p r^ ry . E Was sensor removed for testing? X Yes No NA X Yes D No NA X Yes No NA X Yes No NA Was sensor properly replaced and verified functional after X Yes No NA X Yes No NA X Yes No NA X Yes No D NA testing'? Comments - (include information on repairs made prior to testing, and recommendedfollow -upforfailed tests) If the entire depth of the sump is not tested, specify how much was tested. If the answer to an of the questions indicated with an asterisk ( *) is "NO" or "NA ", the entire sump must be tested. (See SWRCB LG -160) livAt t SWRCB, January 2002 Page T__ of 7. UNDER- DISPENSER CONTAINMENT DC TESTING Test Method Developed By: UDC Manufacturer X Industry Standard Professional Engineer 0 Other (Spec) Test Method Used: Pressure Vacuum X Hydrostatic Other (Sped) Test Equipment Used: INCON TS -STS Equipment Resolution: UDC #1/2 UDC Manufacturer: UNKNOWN UDC #3/4 UDC #5/6 UDC #7/8 UNKNOWN UNKNOWN UNKNOWN UDC Material. FIBERGLASS FIBERGLASS FIBERGLASS FIBERGLASS UDC Depth: 30" 30" 30" 30" Height from UDC Bottom to Top of Highest Piping 16" 1" 16" 16" Pk igbt*om UDC Bottom to Lowest Electrical Penetration: 12" 12" 12" 12" Condition of UDC prior to testing: CLEAN CLEAN. CLEAN CLEAN Portion ofUDC Tested 18" 18" 1 8" 18" Does turbine shut down when UDC sensor detects liquid (both product and water)?* Yes No X NA Yes No XNA Yes No XNA Yes No X NA Turbine shutdown response time Is system programmed for fail- safe shutdown ?` Oyes 0 No XNA Yes No XNA Yes No X NA 0 Yes No X NA Was fail -safe verified to be operational?* 0 Yes No X NA Yes 0 N XNA Yes El No XNA Yes 0 N XNA Wait time between applying pressure /vacuum /water and starting test 30MIN 30MIN 30MIN 30MIN Test Start Time: 4:24 4:40 4:24 4:40 5:30 5:46 5:30 5:46 Initial -Reading Rf): 3.422 3.422 2.322 2.323 4.894 4.894 5.239 5.239 Test End Time: 4 :39 4:55 4:39 4:55 5:45 6:02 5:45 6:02 Final Reading (RF): 3.422 3.422 2.323 2.323 4.894 4.894 5.239 5.239 Test Duration: 15MIN 15MIN 15MIN 15MIN 15MIN 15MIN 15MIN 15MIN Change in Reading (RF -R, ): 000 -.000 001 000 000 000 000 -.000 Pass /Fail Threshold or Criteria: 002 -.002 002 000 002 002 002 -.002tINNINNI, si ixjbLa Was sensor removed for uis i .. i. x XYes 0 N NA I: il!'. XYes ONo NA I..c _ XYes t' 0N NA t3 XYes 0N 0 N R%kVlsor properly replaced and verified functional after X Yes O No NA X Yes No DNA X Yes O No NA X Yes No DNA testing? Comments - (include information on repairs made prior to testing, and recommendedfollow -upforfailed tests) If the entire depth ofthe UDC is not tested, specify how much was tested. If the answer to a y 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 41AQ Page (& ofg Facility is Not Equipped With Fill Riser Containment OHMer Containment Sumps are Present, but were Not Tested Test Method Developed By: Sump Manufacturer X Industry Standard 0 Professional Engineer Other (Specify) Test Method Used: Pressure Vacuum X Hydrostatic Other (Specify) Test Equipment Used: INCON TS -STS MEEMM11M=Fil1=S=um= pp487ffi# T Fill SumE 487 #2 Sump Diameter: 42" 42" Equipment Resolution: Fill Sump #91 Fill Sum #DSL . 42" 42" Depth: 74" 74" 74" 74" Sump Height from Tank Top to Top of Highest Piping Penetration: 16" 32". 32" 16" Height from Tank Top to Lowest; Electrical Penetration: 30" 30" 30" 30" Condition of sump prior to testing: CLEAN CLEAN CLEAN CLEAN Portion of Sump Tested 18" 34" 34" 18" Sump Material: FIBERGLASS FIBERGLASS FIBERGLASS FIBERGLASS Wait time between applying pressure /vacuum /water and starting test: 30MIN 30MIN 30MIN 30MIN Test'Start Time: 12:00 12:21 12:21 12 :40 12 :21 12:40 2:44 3:27 Initial Reading (Ri): 3.906 3.906 4.976 4.976 5.097 5.098 3.495 4:515 Test End Time: 12:15 12:36 12:36 12:55 12:36 12:55 2:59 3:42 Final Reading (RF): 3.906 3.906 4.976 4.976 5.098 5.098 3.497 4.515 Test Duration: 15MIN 15MIN 15MIN 15MIN 15MIN 15MIN 15MIN 15MIN Change in Reading RF -R,): 000 -.000 000 000 001 000 002 -,000 Pass /Fail Threshold or Criteria: 002 .002 002 002 002 002 002 -.002 Is there a sensor in the sump? X Yes No X Yes 0 No X Yes No X Yes No Does the sensor alarm when either product or water is detected? Yes No X NA Yes No X NA Yes No XNA Yes No X NA Was sensor removed for X Yes No NA X Yes []No NA XYes No NA X Yes No. NA Wiwi sor properly replaced and verified functional after X Yes 0N NA X Yes No NA XYes No NA X Yes No NA testing? Comments — (include information on repairs madeprior to testing, and recommendedfollow -upforfailed tests) SWRCB, January 2002 Page a 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 C Test Method Developed By: 0 Spill Bucket Manufacturer X Industry Standard Professional Engineer Other (Specify) Test Method Used: Pressure Vacuum X Hydrostatic Other (Spec) Test Equipment Used: INCON TS -STS Equipment Resolution: Bucket Diameter: Spill Box 487 #1 VPR Spill Box #87 #2 VPR Spill Box #91 VPR Spill Box # 12" 12" 12" Bucket Depth; 16" 16" 16" Wait time between applying pressure/vacuum/water 30MIN 30MIN 30MrN 30MIN 444twAngiffto: 11:24 11:41 11:44 12:06 11:41 12:00 1:42 1 :59 Initial Reading (R,): 4.100 4.100 5.106 5.160 5.290 5.290 5.163 5.163 Test Eif& Time: 11:39 11:57 11:57 12:15 11:57 12:15 1:58 2:15 Final Reading (RF): 4.100 4.100 5.106 5.106 1 5.290 5.290 5.163, 5.163 Test Duration: 15MIN 15MIN 15MIN 15MIN 15MIN 15MIN 15MIN 15MIN Change in Reading (RF- 000 000 000 000 000 000 000 000 Fail Threshold or Criteria: 002 002 002 002 002 002 002 002 l{ 8$tlilti 'l::, dl « fit' c;u• (;, : [• • !. ... , 1Fly, ; 1. { !jti i a i S i iai r Comments -- (include information on repairs made prior to.testing, and recommendedfollow -upforfailed tests) arURD gHELLI4SAKGOSFORDAUFRSFIELDCA OEi r2 /i911 i' 11:30 AMSLrM+' LEAK TEST REPOR7' 8 ? -1VPR rEST STARTEDEST ' 11:24BEGIN `LEVEED 06ig2 11 END TIME L 1.INATE 06_,@2i2@139AMENDLEVEL1TEST. THRESHOLD 41094 INRESULT A0" 2 ED 41 OOSFORU .SHELL`: j50Gr7SFORD- A RKERSFIELD CfAk 1 06/02 /2011„ 11:5 SUMP LEAK-.TEST RB4'OPIT E7 —IUPR TEST STARTED 11:'4Y TEST STARTED 06102/2011 BEGIN LEVEL 411 06 END TIME END DATE 06/02/2011 END LEVEL 4.1086 IN.. LEAK THRESH TEST RESULT OLD 0.002 PRSSED 87-261.4 8 ` • TEST STARTED 11° TEST STARTED 06/02`W1 "1 BEGIN LEVEL` 5.1064 14s1. END TIME END DATE. 06/021,20fiI END LEVEL. 5.1061., TN LEAK THRESHOLD 0.002:11 TEST RESULT PASSED 91VPR TEST STARTED TEST STARTED BEGIN LEVEL END TIME END DATE END LEVEL LEAK THRESHG TEST RESULT 11: 41 !AM 06/02/2011 5.2902 IN 11:57 AM 06/02/2011 5.2905 IN LD 0.002 IN PASSED GOSFORD SHELL 4050 GOSFORD AVE BAKERSFIELD CA 06/02/2011 12:16 PM' SUMP LEAK TEST REPORT 871FILS TEST STARTED 12:00 PM TEST STARTED .06/02/2011 BEGIN LEVEL 3.9066 IN END TIME 12:15 PM END DATE 06/02/2011 .. END..LEVEL. 3 9065 IN LEAK THRESHOLD 0N. TEST .RESULT 87 -2VPR At TEST .STARTED 12:'00 TEST STARTED 06/11., ., BEGIN LEVEL 5.16b2'IN END TIME 12 15 PM END DATE 06/022011 END LEVEL 5.1065 IN LEAK THRESHOLD 0.002 IN TEST RESULT PASSED 91VPR TEST STARTED TEST STARTED 12:00 PM j TEST STARTED 06/02/2011 BEGIN LEVEL .. 5.2907 IN END TIME 12:15 PM: END DATE 06/02/201.1 END .LEVEL 5.2905 IN LEAK THRESN_P 0. ,.IN PASSED GOSFORD SHELL 4050 GGSFORD AVE BAKERSFIELD CA 06/02/20.11 12:36 PM SUMP LEAK TEST REPORT 871FILS ... TEST STARTED 12:21 PM TEST STARTED 06/02/2011 BEGIN t FUEL 3.903. PM IN TIME 1 END DATE /201,1 END. LEVEL.. ' IN L : THRESHOI p 8 `I1+1:. RESU 1 h TEST'' ' b r17 21 PMiTESTSTARTED06i02i2011 BEGIN LEVEL 4.9765 36 PMEND, TIME, END DATE 06/02/2011 END LEVEL 4.768 IN LEAK THRESHOLD 0. 002 IN TEST RESULT PASSED 91FILS TEST STARTED 12:21 PM TEST STARTED 06/02/2011 BEGIN LEVEL. 5.0978 IN END TIME PM. END GATE 06/02/2011 END LEVEL 5.0984 IN LEAK THRESHOLD . 0.002 IN TEST RESULT PASSED GOSFORD SHELL . 4050 GOSFORD AUE. BAKERSFIELD CA 06/02!2011 12:55 PM SUMP LEAK TEST REPORT 871FILS TEST STARTED 12:40 PM TEST STARTED 06/02/2011 BEGIN LEVEL 3.9064 IN END TIME 12:55 PM END DATE 06/02/2011 END '., LE14EL 3.91360 IN LEA'iC"FF tSHOLD :0;802 °IN: TEST RESULT PASSED 872FILS TEST STARTED r2--40 PM TEST STARTED 06/02./201.1 BEGIN LEVEL 4.9765 IN END-TIME 1255 PM END DATE 06/02/2011 END LEVEL 4.9765 IN LEAK THRESHOLD 0.0162 IN TEST RESULT . PASSED GOSFORD SHEL).. 4050 GOSFORD AUE BAKERSFIELD CA. 06/02/2011 1:58 PM SUMP LEAK TEST REPORT 871STP TEST STARTED 1:42 PM TEST STARTED 06/02/2011 BEGIN LEVEL 3.0910 IN END TIME 1:58 PM END DATE @6/ok2011 i END LEVEL I 3; "IN,j LEAK T.HRESHt'lL0 8 $ 2: IN TEST RESULT P tSSED 91.STP TEST STARTED Z 1:42 PM 1 TEST STARTED 06/02/2011,, BEGIN LEVEL 3.7600.IN END TIME 1:58 PM END DATE 06/02/2011 END LEVEL 3.7610 IN LEAK THRESHOLD 0.002 IN TEST RESULT PASSED 91FILS TEST STARTED 12:40 PM TEST STARTED 06/02/2011 BEGIN LEVEL 5.0985 IN END TIME 12:55 PM END DATE 06/02/2011,, END LEVEL 5x0986 IN '. LEAK THRESHOLD 0.002 IN TEST RESULT PASSED. TEST ST` ; D' h DSLFILS- 7- TEST. STARTED 3 P. ,ITESTSTARTED06/02/11 BEGIN LEVEL 4.5151 :1H END TIME 314$ PP1 END DATE 06102/2011 END LEVEL. 4.5153 IN LEAK THRESHOLD 0.002 IN ." TEST RESULT PASSED GOSFORD SHELL ! 4050 GOSFORD AUE BAKERSFIELD CA 06/02/21 2:59 PM SUMP LEAK TEST REPORT 872STP TEST STARTED 2:44 PM TEST STARTED 06/02/2011 BEGIN LEVEL 2.8921 IN END TIME 2:59 PM END DATE 06/02/2011 END LEVEL 2.5927 IN LEAK THRESHOLD 0.002 IN TEST RESULT PASSED DSLUPR TEST STARTED 1 :42 PM TEST STARTED 06/02/2011 BEGIN LEVEL 5.1635 IN END TIME 1:58 PM END DATE 06/02/201.1 END LEVEL 5..1638 IN LEAK THRESHOLD 0.002 IN TEST RESULT PASSED.. } i GOSFORD;.SHELL f4050G15F010AVE BAKERSFIELD qA 06/02/2011 3:17 PM SUMP LEAK TEST REPORT 872STP TEST -STARTED TEST STARTED BEGIN LEVEL END TIME END DATE END LEVEL LEAK THRESHOI TEST RESULT 3:02 PM 06/02/2011 2.8922 IN 3:'17 PM 06/02/2011 2.3917 IN D 0,002 IN PASSED DSLSTP j TEST STARTED 3:02 PM TEST. STARTED 06/02x2 ! BEGIN LEVEL. 4.4119 1 END TIME 3'.i7'PM ENb DATE 0922011 END.aEVEL: 3.0873. IN 1 LEAK. THRESHOLD 0.062 ,IN' TEST RESULTi PASSED GOSFORD SHELL 4050 GOSFORD AVE BAKERSFIELD CA 06/02/2011 2:15 PM SUMP LEAK.TEST REPORT S71'STP TEST STARTED 1?59.PM TEST STARTED 0642011 BEGIN.LEVEL 3.0893 IN END TIME 2:15 PM END DATE 06!02/2011 END LEVEL 3.0873. IN LEAK H.K -SHOLQ 0..Q02 IN TEST R SULT PASSED TEST ST` ; D' 1:59. PM TEST s ED 06/022011 BEGIN LEVEL 3.7612 IN MD'TIME 2:15 PM END;.,$0TE 06/92/201.1 END` LEVEL 3.7611 IN LEAK THRESHOLD 0.0 &2 IN TEST. RESULT PASSED DSLUPR TEST STARTED 1:59 PM TEST STARTED 06/82/2011 LEVEL 5.1639 ININ TIME 2:15 PM DATE 06/02/2811 END.LEVEL 5.1634 IN LEAK THRESHOLD .0.$02 IN TEST R SULT PASSED t ' TEST .. T 2 44 PM N 11EVEL ¢ X2,3117E2i fitDATE66i82BILE -L 4.4TES40LD0.002TRESULTPASSED DSLPILS TEST.STARTED °2 :44 PMTEST'STARTED 0 1BEGINLEVEL3.4952 INENDTIME2:59 PMENDDATE06/02x2011ENDLEVEL3.4971 INLEAKTHRESHOLD0,002 INTESTRESULTIts tti l 1 1 oO.SFORD SHELL 4350 GOSFORD AUE BAKERSFIELD CA, . Pr 46/92/2011 4:39 SUMP !EAK TEST REPORT DIS ?1 -2 j TEST STARTED 4 .2, PM. TEST 5TRRTE6.- 06/011 i BEGIN .: LEVEL .422-4 END TIME D-4D DATE b6!C' X11 END. LEUEL 2.4226 IIIwwH . AK THRESHOLD 0.002 TEST RESULT t DISPT -4 TEST STARTED 4:24 NM TEST STARTED 02.32229 / 2 11 . BEGIN LEVEL 4:39 PMENDTIME06/02/201" END DATE I END LEVEL 2.32g LEAK THRESHOLD 0.t 0 IN TEST RESULT PASSED 4RAKERRFIER6 ACVAE . s. 06/02/2011 4:55 PM BEAK. TES' REPORT DISP1-2 TEST STARTED 4:40 PM TEST •;TARTED 06/02/2011 T IrUEL 3.4223 IN. E!A. TIME 4:55 PM EN''! r?ATE 06/02/2011 END LEVEL 3.4223 IN LEAK THRESHOLD 0.002 IN TEST RESULT PASSED DISP3 -4 TEST STARTED TEST STARTED BEGIN LEVEL END TIME END DATE END LEVEL .: LEAK THRE843L TEST RESEILT 4.40 PM 06/02/2011 2.3233 IN 4:55 PM 06/02/2011 2.3231 -IN ; A , 0 90; <IN PASSED... GOSFORD SHELL 4050 GOS.ORD AVE ! BAKERSFIELD CA 06/02/2011 5:45 PM SUMP LEAK TEST REPORT DISP5 -6 TEST STARTED 5:30 PM TEST STARTED 06/02/2011 BEGIN LEVEL 4.8949 IN END TIME 5:45 PM END DATE 06/02/2011 END LEVEL 4.8944 IN. LEAK THRESHOLD 0.002 IN TEST RESULT PASSED DISP7 -2 TEST STARTED 5:30 PM TESTTRTED 06/02/2011j: Sol 1''ECi ..: 5 2:97 IN ENQM':$ PM END 9 7 06/A2 7_ j : 5:239.4 .I.N '. END TIME LEAK THRESiOI END DATE TEST RESULT PASSED COSFORD SHELL 4050 GOSFORD AVE BAKERSFIELD CA 06/02/2011 6:02 PM SUMP LEAK TEST REPORT DISP5 -6 D 5:46 AM 7` 06/02/2011 f ZM7t'y°4 .kJi° i D ' TEST STfil 46 ': PMTESTSTAR]' . ,..; 6/@2/201.1:: BEGIN LEVEL: :, 5:239.4 .I.N '. END TIME 6 :02 PfdENDDATE06i02011ENDLEVEL5.239 INLEAKTHRESHOLD0.062 INTESTRESULTPASSED SB989 TESTING FAILURE REPORT SITE NAME: GOSFORD SHELL DATE: 6/2/11 THE FOLLOWING COMPONENTS WERE REPLACED/REPAIRED TO COMPLETE TESTING. REPAIRS: /t/a/ -r 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 ENVIRONMENTAL 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.