HomeMy WebLinkAbout989 RESULTS 2011SWRCB, January 2002
Secondary Containment Testing Deport Form
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This form is intendedfor use by coratr-actors perfor-niingperiodic testing ofUST secondcuy containment systems. Use the
appropriate pages ofthis form to report results for all components tested. The completedform, written test procedures, and
printouts from tests (ifapplicable), should be provided to the facility owner /operator• for submittal to the local regulatwy agency.
1. FACILITY INFORMATION
Facility Name: PENSKE BAICERSFIELD I Date of Testing:
Facility Address: 2929 E. BRUNDAGE BLVD. BAKERSFIELD , CA 93307
Facility Contact: Phone:
Date Local Agency Was Notified of Testing:
Name of Local Agency Inspector (ifpresent during testing):
2. TESTING CONTRACTOR INFORMATION
Compalry Tank Specialists of California
Pass
Technician Conducting Test: Javier Soto
Not
Tested
Credentials: X CSLI3 Licensec Contractor SWRC13 Licensed Tank Tester
License Type: A -B, IIA%
Fail
License Number: 745065
Manufacturer
Manufacturer Training
Com onent(s ) Date Training Expires
Incon Incon Sump Testing Monitor System Nov. -23 -2012
X SATELITE DISPENSER # 2
3. SUMMARY OF TEST RESULTS
Component Pass Fail Not
Tested
Repairs
Made Component Pass Fail Not
Tested
Repairs
Macle
NORTH DIESEL ANNULAR SPACE X SATELITE DISPENSER # 2 X
NORTH DIESEL SPILL BUCI:ET x MAS TO SAT #I SEC. LINE X
NORTH DIESEL PIPING SUN91' x MAS TO SAT #2 SEC. LINE X
NORTH DIESEL SECONDARY LINE X
SOUTH DIESEL ANNULAR SPACE X
SOUTH DIESEL FILL SPILL BUCKET X
SOUTH DIESEL PIPING SUi10P X
SOUTH DIESEL SECONDARY LINE X r 9
MASTER DISPENSER PAN # 1 -2 T
SATE LI "I E DISPENSER PAN # I X il 1, 4
v,
If hyclrostatie testing was performecl, clescribe what was clone with the water after completion of tests:
CERTIFICATION GIB TECHNICIAN RESPONSIBLE FOR CONDUCTING THIS TESTING
To the hest ofmy knowledge, the facts stated in this document are accurate and in full compliance with legal requirements
Technician's Signature: ,!' "
Yea
Date: 19/9219011
SWRCB, January 2002
4. 'TANK ANNULAR ')TESTING
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Test Method Developed By: Tank Manufacturer Industry Standard Professional Engineer
Other (Specify) SGVRCB
Test Method Used: Pressure X Vacuum Hydrostatic
Other (Specify)
Test Equipment Used: 0 -30 HGV Gauge Equipment Resolution:
l ,o }_ ct1„i..- ij'2 ` v- .' "sf '"' •u d4l +'.
A , ' ' ; Tank Taal. #
i. 'I ,.'ai c 'r ...5 .' ':Li,; vi'.`
Tank # Tank #
1s Tank Exempt From Testing?' X Yes No X YES X No X YES X No X YES No
lank Capacity:
Tank Material:
Tank Manufacturer:
Product Stored:
Wait time between applying
pressure /vacuum /water and
starting test:
30 Minutes 30 Minutes 30 Minutes 30 Minutes
Test Start Time:
Initial Reading (RI): HGV IIGV I-I'GV HGV
Test End Time:
Final Reading (RF): lIGV HGV IIGV IIGV
Test Duration: 60 MlnuteS 60 Minutes 60 Minutes 60 Minutes
Change in Reading (Rj. -R,): HGV IIGV HGV HGV
Pass/Fail Threshold or Criteria: HGV IIGV HGV HGV
YaSS F ii: I. 1.,s FAi. Pass )ii'`ilt_ i ZSs >1hiI
Was sensor removed for testing? Yes No NA Yes No NA Yes No NA Yes No NA
Was sensor properly replaced and
verified functional after testing? Yes No NA Yes No NA Yes No NA Yes No NA
CO711111P11tS — (include information on repairs made prior to testing, mud recom mended follow -up for failed 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(a)(6)}
SWRCB, January 2002
5. SECONDARY PIPE TESTING
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Test Method Developed By: Piping Mall LlFaehn'el' Industry Standard Professional Engineer
Other ( Specify;) SPVCRB
Test Method Used: X Pressure Vacuum Hydrostatic
Other (Specify)
Test Equipment Used: 0-5 P.S.I. Equipment Resolution:
dF-''Sw. x ,; as'' Fi _' a'v _,., i.::4r i. ..a.,' - {;gem. :F ,.; _.S'. 4 'swrr' ^G. isal..t;5 . - ' "it .sc a*?,.z a E•..4..... €,:' ."aia..z'i.. ,,rbr a"F. 9Y .. . __A.Y; i,i:, ..
NORT14 SYPIIONE SOUTH PRODUCT MAS TO SAT I 1VMAS TO SAT 2
Piping Material: FIBERGI =,ASS FIBERGLASS FIBERGLASS FIBERGLASS
Piping Manufacturer: SMITH SMITH SMITH SMITH
Piping Diameter: 3 IN 3 IN 31N 3 1N.
Length of Piping Run: Approx. Approx. Approx. Approx.
Product Stored: DIESEL DIESEL DIESEL DIESEL
Method and location of
piping -run isolation:
Term. Boot Term. Boot Term. Boot Term. Boot
Wait time between applying
pressure /vacuum /water and
starting test:
30 Minutes 30 Minutes 30 Minutes 30 MinuteS
Test Start Time: 9:23 AM 9:23 AM 10:21 AM 10:21 AM
Initial Reading (Rj): 5 PSI 5 PSI 5 PSI 5 PSI
Test End Time: 10:23 AP ,/1 10:23 AM 11:21 AM 11:21 AM
Final Reading (R,:): 5 PSI 5 PSI 5 PSI 5 PSI
Test Duration: 60 Minutes 60 Minutes 60 Minutes 60 Minutes
Change in Reading (R,: -R,): 0 PSI 0 PSI 0 PSI 0 PSI
Pass /.Fail Threshold or
Criteria: 5 psi =pass 5 psi =pass 5 psi =pass 5 psi =pass
re"A Re511H., X Pass Fall i pa"', Fail X Pass Fail. X'.P ass I,afl
inclucle information on repairs made prior to testing, and recomniendedfollow- z.q).for(iled tests)
SWRCB, January 2002
6. PIPING SUMP TESTING
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Test Method Developed By: Sump Manufacturer Industry Standard Professional Engineer
Other ( Specif ) STVCPB
Test Method Used: Pressure Vacuum X Hydrostatic
Other (Specify)
Test Equipment Used: Incon Sump Testing Monitor System Equipment Resolution:
rcY' t,\,r r F_, —.a. ,.,. ti '; ` .' °K' ate .,s id Y,..,,.,"t• ?"'C; "i
NORTH M ,SEE UO'UTH DIE, SEL Sump #
umpY#
Sump Diameter: 2 42' IN. LEI.
Sump Depth: 56' 55' IN.
Sump Material: FIBERE.GLASS FIBERGLASS
Height from Tank Top to Top of
Highest Piping Penetration: 3wi II' 1. Za IN. IN. IN.
I-Ieight from Tank Top to Lowest
Electrical Penetration: IJ III' 17. IN. IN. IN.
Condition of sump prior to testing: fah. fair fair fair
Portion ol'Sump Tested' Bottom nottosu Bottom Bottom
Does turbine shut clown when
SUMP sensor detects liquid (both
product and water) ?`
Yes No FINA Yes No MINA Yes No g NA Yes No NA
Is system programmed for fail-safe
shutdown?
Yes No `ANA Yes No ENA Yes No NA Yes No NEB,
Was fail -safe verified to be
operational'?
p
Yes No -!NA Yes No ntiNA Yes No NA Yes No NA
Wait time between applying
pressure /vacuum / water and starting
test:
60 Minutes 60 \Minutes 60 Minutes 60 Minutes
Test Stall Time: 10:28) 2I7i1 10:20 nm
Initial Reading (R,): 1.615 5.4059 IN. ITt.
Pest End Time: 10:43 am 10:43 a.m
Final I:eacling (RA 1.6161 1.069 IN.
Test Duration: 15 Minutes 15 Minutes 15 Minutes 15 Minutes
Chenge in Reading (R[: -R,): OXIM 0.9000 IN.
Pass/Fail Threshold or Criteria: 0.002 In. 0.002 In. 0.002 In. 0.002 In.
Test RC's,01: 1'1'a s fail YI' r, nit Pass Vail I' ,.:5 r aS'
Was sensor removed for testing? Yes No NA Yes No NA Yes No NA Yes No NA
Was sensor properly replaced and
verified functional after testing? Yes No NA Yes No NA Yes No NA Yes No NA
r'Q: ?331UPMtS — (i»clUde inforluation on repairs made prlor to teyiug, and 7-ec•rnl7n7ei?rledfolloiv -ttp for f(tiled tests)
I If the entire depth of the 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 must be tested. (See SWRCB LG -160)
SWRCB, January 2002
6B. PIPING SUMP TESTING
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Test Method Developed By: S1.11111) Mall URICtUl-el' Industry Standard Professional Engineer
Other (Sj?ecrfj) SFVCRB
Test Method Used: PreSSUI•C VacUL1111 X Hydrostatic
Other (SI-)ecif
Test Equipri-ic nt Used: Incon Sump Testing Monitor System Equipment Resolution:
ITH DIESEL SOUTH DIESEL Sump # 1i 313I3 #
Sump Diameter: IN. IN. IN. IN.
Sump Depth: IN. IN. P11. IN.
SUMP Material:
Height from Tank Top to Top of
Highest Piping Penetration: IN. IN. IN. IN.
Height from Tank Top to Lowest
Electrical Penetration: IN. IN. IN. IN.
Condition Of SUMP prior to testing: fa `91 - fair fair fair
J'Ol'ti011 Of Sump Tested' Bottom Bottom Bottom Bottonl,
Does turbine shut down when
SU1111) SellSOt- detects liquid (both Yes No 1\1 A Yes No O, NA Yes No NA Yes No NA
product and water)?*
TI-11-bille ShUtdOWll response time NIA N/A N12-1, NIA
Is system programmed for fail-safe
Yes No NAI-J Yes No U NA Yes No NA Yes T40 NAshutClOwll?*
Was fail -safe verified to be
Yes No !'-.I A Yes No 1, 1A Yes No IiNA NoYes NAoperational'.
time between applying
pt-esSLli-e/%'aCLlttiii/\vatei-and starting 60 Minutes 60 MillLltCS 60 Minutes 60 Minutes
test:
Test Start "Time: 10:49 ATA 10:49 AM
Initial Reading (Rl): 4.6162 5.4068 IN. IN.
Test End Time: 11:04 AlVi 11:04 AIM
Final Reading (Rl): 4.6160 5.4066 IN. 3N.
Test Duration: 15 Minutes 15 Minutes 15 MillUtCS 15 Minutes
Change in Reading (1117-Ri): 0.0006 0.0092 IN. AN.
Pass/Fail Threshold or Criteria: 0,002 1n. 1- 0.002 Ili. 0.002 1:n. 0.002 111.
Teslt Result- X Pass FniI x 'Pass Pass 'Pas, , , F i3,, Pass
Was sellsol, removed for testing? XYes No NA XYes No NA Yes 1,10 NA Yes No T\JA
Was sensor properly replaced and
verified functional after testing? XYes No NA XYes No NA Yes No NA Yes No NA
COIRRIIe3lts — (include information on rcimtirs mmle prior to testing, and i-ecoiiiii?eii(lecl.folloit,,-iij).foi-.fctiled tests)
I If the ClItil-e depth Of the SUMP is not tested, specify how 111LIC11 was tested, If the answer to any of the qL1eSti011S indicated with all
asterisk (*) is "NO" or "NA", the entire SUMP 111LISt be tCStCCI. (See SWRC13 LG-I 60)
SWRCB, January 2002
7. UNDER - DISPENSER CONTAINMENT (UDC) TESTING
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Test Method Developed By: UDC Manufacturer X Industry Standard Professional Engineer
Other (Specifj;)STCRB
Test Method Used: Pressure Vacuum X Hydrostatic
Other (Speciif )
Test Equipment Used: Incon Sump Testing Monitor System Equipment Resolution:
UDC
MASTER 3 -'l SAT1E'LITiE 1 SATELITE 2 UDC #_
Manufacturer::
UDC Material: FIBERGLASS FIBERGLASS FIBERGLASS
UDC Depth: 30" 29" 29" lN.
Height from UDC Bottom to Top
of Highest Piping Penetration:
12 ". 8" 8" IN.
Height from UDC Bottom to
Lowest Electrical Penetration:
6" 1 " IV, " 1N.
Condition of UDC prior to
testing:
CLEAN CLEAN CLEAN CLEAN
Portion of UDC Tested Bottom Bottom Bottom Bottom
Does turbine shirt clown when
UDC sensor detects liquid (both
product and water) ?*
Yes No X NA Yes No X NA Yes No X NA Yes No X NA
Turbine shutdown response time N/A N/A N/A N/A
Is system programmed for fail-
safe shutdown ?"
7YesNo NA Yes No X NA Yes No X NA Yes No X NA
Was fail -safe verified to be
operational?
Yes No X NA Yes No X NA Yes No X NA Yes No X NA
Wait time between applying
pressure /vacuum /water and
starting test
60 Minutes 60 Minutes 60 Minutes 60 Minutes
Test Start Time: 1 1:14 AM 1 ] :14 AM 1 ] :14 AM
Initial Reading (Ri): 4.5391 1.6056 3.5624 IN,
Test End Time: 11:29 AM 11:29 AM 11:29 AM.
Final Reading (Rr): 4.5387 1.6054 3.5626 IN.
Test Duration: 15 MlnUteS 15 Minutes 15 Minutes 15 Minutes
Change in Reading (Ri: -Rj): 0.0004 0.0002 0.0002 IN.
Pas; /t=ail Threshold or Criteria: 0.00? In. 0.002 In. 0.002 In. 0.002 In.
e,st Resui : X Psi s Fail X Pass „Fail ` X"' Piss 'nil I's ss eil
Was sensor removed for testing? X Yes No NA 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
Con , mezgts — (include inforu otion on relmirs 117CICIC p1•i01-10 testing, and i•econin7endecl follotin -uj-) forfailed tesl.)
Test Method Developed By:
7D. Ui',iDER- DISP1sN ER CONTAIN114EN'I' (UDC) VES'T'ING
UDC Manufacturer Industry Standard Professional Engineer
1 If the entire depth of the UDC 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 UDC must be tested. (See SWRCB LG -160)
SWRCB, January 2002 Page — of
Other (Specify)SPVCRB
Test Method Used: PresSLII-C VacULII-n X Hydrostatic
Other (Specify)
Test Equipment Used: Incon Sump Testing Monitor System EqUipmentResolution:
A
T MASTER I -2 SATELITE I SATELITE 2 UDC #
UDC ManLII`,ICtL1I-eI-:
UDC Material:
UDC Depth: IN. IN. IN. IN.
Height from UDC Bottom to Top
of Highest Piping Penetration:
IN. IN. IN. IN.
Height from UDC Bottom to
Lowest Electrical Penetration:
IN. IN. IN. IN.
Condition of UDC prior to
testing:
CLEAN CLEAN CLEAN CLEAN
Portion of UDC Tested Bottom Bottom Bottom Bottom
Does turbine shut down when
UDC sensor detects liquid (both
product and water)? .
Yes No X NA Yes No X NA Yes No XNA Yes No X NA
Turbine SlILItdOWII FeSI)OIlSe tillIC N/A N/A N/A N/A
Is system programmed for fail
safe shutdown?*
Yes No XNA Yes No XNA Yes No XNA Yes No X NA
Was fail-safe verified to be
operational?"
Yes No XNA Yes No X NA Yes No XNA Yes No XNA
Wait time between applying
pressure /vacuum /water and
starting test
60 Minutes 60 MiIILItCS 60 Minutes 60 Minutes
Test Start Time: 11:30 AM 11:30 AM 11:30 AM
Initial Reading (RI): 4.5383 1.6058 3.5623 IN.
Test End Time: 11:45 AM 11:45 AM 11:45 AM
Final Reading (R, ): 4.5377 1.6069 I3.5621 IN.
Test DLII-ati011: 15 MiIIMCS 15 Minutes 15 MiIILItCS 15 MillUtCS
Change in Reading (Rj:-Rj): 0.000 5 0.0011 0.0002 IN.
Pass/Fail Threshold or Criteria: 0.002 1n. 0.002 111. 0.002 111. 1- 0.002 In.
Tcst Relvi-,h: Pa S S T, aiI pass , Fail pns,,; :Fail, Pass 4.H,
Was sensor I X YcS No NA X Yes No NA X Yes No t,,TA X Yes No NA
Was sensor properly replaced and
verified functional after test No NA X Yes No NA X Yes No PTA: Yes No NA
Comments — (inclucle in 1- oration on repairs made prior to testing, qn(l i-ecoiiiiiieiide(ljblloii,-iii).foi-.f(iilecI tests) fo
If the entire depth of the UDC is not tested, SpCCi Fy IIONV much was tested. Jf the answer to, lily of the qLIeStiOIIS indicated with all
asterisk ("') is'WO" or "NA", the entire UDC 111LISt be tested. (See SWRCB LG-I 60)
SWRCB, January 2002
9. SPILL/OVERFILL CONTAINMENT BOXES
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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 Industry Standard Professional Engineer
Other (Speciifi) SYVCRB
Test Method Used: Pressure Vacuum X Hydrostatic
Other (Specify)
Test Equipment Used: Incon Sump Testing Monitor System Equipment Resoltltioil:
sC9iJB'11 DIESEL SOUTH DU `S.iLrdpl'.TIi DIE, Id 9?T JIES>^,
ucket Diameter: 12" 12" rucket Depth: 13" 13"
Wait time between applying
pressure /vacuum /water and 60 Minutes 60 Minutes
starting test:
Test Start Time: 9:24 AM 9:41 AM 9:24 AM 9:41 AM
Initial Reading (Ri): 0.8389 0.8387 1.1441 1.1437
Test End Tillie: 9:39 AM 9:56 AM 9:39 AM 9:56 AM
Final Reading (Rr): 0.8388 0.8384 1.1438 1.1432
Test Duration: 15 Minutes 15 Minutes 15 i\4i11 utes 15 Minutes
Change in Reading (P- -Ri): N. IN. IN. 1.111,
Pass /Fail Threshold or 0.002 In. 0.002 In. 0.002 Ill. 0.002 In. Criteria:
il as z ail s ' ,., r nil pass r <a.iR
corm -i!fis — (inchick information ai repairs mark prior to testing, and recommended follocn -up for failed tests)
PENSKE BAKERSFIELD
2929 E, BRUNDAGE LN,
BAKERSFIELD CA
12/22/2011 11:29 AM
SUMP LEAK TEST REPORT
MAS 1 -2
TEST STARTED 11:14 All
TEST STARTED 12/22/2011
BEGIN LEVEL 4,5391 IN
END TIME 11:29 AM
END DATE 12/22/2011
END LEVEL 4.5387 IN
LEAK THRESHOLD 0,002 Ill
TEST RESULT PASSED
SAT 1
TEST STARTED 11:14 All
TEST STARTED 12/22/2011
BEGIN LEVEL 1,6056 IN
END TIME 11:29 AM
END DATE 12/22/2011
END LEVEL 1, 6058 IN
LEAI( THRESHOLD 0, 002 IN
TEST RESULT PASSED
SAT 2
TEST STARTED 11:14 All
TEST STARTED 12/22/2011
BEGIN LEVEL 3,5628 IN
END TIME 11:29 All
END DATE 12/22/2011
END LEVEL 3.5626 IN
LEAK THRESHOLD 0,002 IN
TEST RESULT PASSED
PENSKE BAKERSFIELD
2929 E,BRUNDAGE A
BAKERSFIELD CA
12/22/2011 11:45 AM
SUMP LEAK TEST REPORT
MAS 1 -2
TEST STARTED 11:30 All
TEST STARTED 12/22/2011
BEGIN LEVEL 4,5383 IN
END TIME 11:45 AM
END DATE 12/22/2011
END LEVEL a,5377 IN
LEAF( THRESHOLD 0,002 IN
TEST RESULT PASSED
SAT
TEST STARTED 11:30 AM
TEST STARTED 12/22/2011
BEGIN LEVEL 1,6058 IN
END TIME 11:45 All
END DATE 12/22/2011
END LEVEL . 1,6069 IN
LEAK THRESHOLD 0,002 IN
TEST RESULT PASSED
SAT 2
ZEST STARTED 11:30 AM
TEST SIARTED 12/22/2011
BEGIN LEVEL 3,5623 IN
END TINE 11:45 All
PEfNSKE BAKERSFIELD
2929 E,BRUNDAG'E LN, PENSKE BAKERSFIELD
BAKERSFIELD CA 2929 E,BRUINDAGE LN,
12/22/2011 9:40 AM
BAKERSFIELD CA
SUMP LEAK TEST REPORT
12/22 /2011 9:56 AM
SUMP LEAK TEST REPORT
FILBKTI
TEST STARTED 9:24 AN
FILB1lT1
TEST STARTED 1212212011 TEST STARTED 9:41 AMBEGINLEVELG1, 83,;9 IN TEST STARTED 12/22/2011ENDTIME0 :.39 AMENDDATE BEGIN LEVEL 0,8387 IN
1212212011 END TIME 9:56 ANENDLEVEL0, 238x; IIN END DATE 12/22/2011
LEAH THRESHOLD 0,002 IN END LEVEL 0, 8344 INTESTRESULTPASSEDLEAKTHRESHOLD0,002 IN
TEST RESULT PASSED
FILBKT2
TEST STARTED 9:24 All
FILB'KT2
TEST STARTED 1212212011 TEST STARTED 9:41 AMBEGINNLEVEL1,1441 IP! TEST SMARTED 12/22/2011ENDI'TmE 9:39 AM BEGIN LEVEL 1, 1437 INENDDATE12/22/2011 END TIME 9:56 AMENDLEVEL1,1438 IN END DATE 12,/22/2011LEAlITHRESHOLD0, 002 IPN LEVEL. 1,122 INTESTRESULTPASSEDPASSEDLEAKTHRESHOLDn.nnD T ?d
PENSKE BAKERSFIELD
2929 E, BRUNDAGE LH,
BAKERSFIELD CA
12/22/2011 10:43 AM
SUMP LEAK TEST REPORT
PIPShIPI
TEST STARTED 10:28 AM
TEST STARTED 12/22/2011
B -GIN LEVEL 4,6153 IN
Et!O TIME 10: 43 AM
END DATE 12/22/2011
END LEVEL 4, 6161 IN
LEAK THRESHOLD 0, 002 IN
TEST RESULT PASSED
PIPSMP2
7ESi STARTED 10:28 AN
TEST STARTED 12/22/2011
BEGTPI LEVEL 5,4069 IN
END TIME 10:43 AM
END DATE 12/22/2011
END LEVEL 5,4069 IN
LEAK THRESHOLD 0,002 Ill
TEST RESULT PASSED
PENSKE BAKERSFIELD
2929 E,BRUNDAGE LN,
BAKERSFIELD CA
12/22/2011 11:04 AM
SUMP LEAK TEST REPORT
PIPSMPI
TEST STARTED 10:49 All
TEST STARTED 1212212011
BEGIN LEVEL 4,6162 IN
END TIME 11:04 All
END DATE 12/22/2011
END LEVEL 4.6168 IN
LEAK THRESHOLD 0,002 IN
TEST RESULT PASSED
PIPSMP2
TEST STARTED 10:49 AM
IES-i STARTED 12/22/2011
BEGIN LEVEL 5,4068 IN
END TINE 11:04 AM
END DATE 12/22/2011
END LEVEL. 5,6066 IN
LEAI( 11- IRESHOLD 0, 002 IN
TEST RESULT PASSED
Tank Specialists of California
560 Birch Street, Building #3 Lake Elsinore, CA 92530
1000% DAlf-I "RIAN10.41 1?'A%V in L'A\ nAC -%nn^
WORK OF ER
212-78
juuop uuu- of-mmm ko/-Uz)) kua 0) Z-ZD-Aoour
n"' License 045065 A, B-FIAZ
DATE
AMOUNT
TOTAL
A.M.
P.M.
BILL TO PHONE
TECHNIC IAN @
ADDRESS TECHNICIAN Y9 U
I —Ty
LABORER @
C j
TOTAL
LABORER
JOB NAME AND LOCATION
LABOR
CONTACT NAME &
I hereby acknowledge the ,satis "'f actory
DESCOIPTION 0 WORK mj
TAXcompletionoftheaboved6scribedwork.
QUANTITY DESCRIPTION OF WORK PERFORMED
SIGNATURE
j j opt 101
TOTAL
JwL
V
ADDITIONAL WORK REQUIRED
LABOR AMOUNT
TOTAL
TECHNIC IAN @ MATERIALS
LABORER @ TOTAL
LABOR
I hereby acknowledge the ,satis "'f actory TOTAL LABORI TAXcompletionoftheaboved6scribedwork. I
SIGNATURE E COMPLETED
TOTAL
January 9, 1012
2P SS
1000I'Z 111 1
YOUR PARTNER IN A GREENER ENVIRONMENT
Bakersfield Fire Prevention Services
Attn: Inspector Ernie Medina
2101 "H" Street
Bakersfield, CA 93301
Re: Test Results
Please find attached test results for the following facilities housing fuel storage systems:
TSOC Client Name Results for this testing: bate of Test
Penske Truer Leasing SB909 Test. 12/2212011
2929 E. Brundage Lane
Bakersfield, CAA 93307
lease note we will mail the original copies of these results to our customers for them to have on
site at their facility if you should need to review the results during your inspections.
If you have any questions or concerns, please give me a call.
Thank you,
TANK SPECIALISTS OF CALIFORNIA
George Agittilar
Testing and Maintenance Coordinator
WWW.TANK- SPECIALISTS.COM
LIC. 0 745065 A. D -HAZ
P: (888) 606 -TANK (8265) - F: (951) 676 -0688 - 27570 COMMERCE CENTER DR., STE 129 - TEMECULA, CA 92590