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HomeMy WebLinkAbout2014 FMC RESULTSATG IMPACT VALVE LEAK DETECTOR LINE TEST 11000 N. MoPac Expressway, Suite 500 Austin, Texas 78759 Phone: (512) 451-6334 Fax: (512) 459-1459 Date Printed and Mailed: 7/18/2014 BAKERSFIELD FIRE DEPARTMENT OFFICE OF ENVIRONMENTAL SERVICES INSPECTOR ERNIE MEDINA 1501 TRUXTUN AVE. BAKERSFIELD, CA 93301 Test Date: 6/24/2014 Order Number: 2314770 Dear Regulator, Enclosed are the results of recent testing performed at the following facility: CORNER STORE 3074 3225 BUCK OWENS BLVD. HWY 99/HWY 58 BAKERSFIELD, CA 93301 Testing performed: Sincerely, Dawn Kohlmeyer Manager, Field Reporting Product Line Tightness Test Page 1 of 1 Work Order: 2314770 Date: 6/24/2014 Site Name/ID: CORNER STORE 3074 / 3074 Address: 3225 BUCK OWENS BLVD. HWY 99/HWY 58 City: BAKERSFIELD State: CA Zip: 93301 Tank Information Test Method Customer Tank ID Product Name Delivery Type Test Pressure Test Start Time Test End Time Final Leak Rate Test Result(P/F/I) Test was performed per 3rd party certifications as specified in 40 CFR parts 280 and 281 Tank # 1 Line # 1 TLD-1 T-1 REGULAR Pressure 50 8:40 09:40 0.00 Pass Yes Tank # 2 Line # 1 TLD-1 T-2 PREMIUM Pressure 50 8:40 09:40 0.00 Pass Yes Tank # 4 Line # 1 TLD-1 T-4 Diesel Pressure 75 11:37 12:17 0.00 Pass Yes Tank # Line # Tank # Line # Tank # Line # Technician Comments: Technician Name:Darren Sciume Certification #:103642 exp: 7/28/2016 Technician Signature: Environmental Compliance for Petroleum Systems ©2014 Tanknology Inc., Austin, TX.    All rights reserved.    tanknology.com LDT 5000 Field Test Apparatus Line Leak Detector Test Page 1 of 1 Work Order:2314770 Date:6/24/2014 Site Name / ID:CORNER STORE 3074 / 3074 Address:3225 BUCK OWENS BLVD. HWY 99/HWY 58 City:BAKERSFIELD State:CA Zip:93301 Tank ID Product Product Line Tested From Existing/New Mechanical/Electronic Manufacturer/Model Serial No. Pump Operating Pressure (psi) Calibrated Leak (ml/min) Calibrated Leak (gph) Holding PSI *N/A for Electronic LD's Resiliency (ml) *N/A for Electronic LD's Metering PSI *N/A for Electronic LD's Opening Time (sec) *N/A for Electronic LD's Test Results T-1 REGULAR 1 6 Existing Mechanical Veeder Root FX1V 20508-3195 30.00 189.0 3.00 13.00 150.00 10 5 Pass T-2 PREMIUM 1 6 Existing Mechanical Veeder Root FX1V 30208-9410 29.00 189.0 3.00 15.00 120.00 10 3 Pass T-4 Diesel 1 13 Existing Mechanical Veeder Root FX1DV 30204-7281 50.00 189.0 3.00 12.00 250.00 12 4 Pass Technician Comments: Technician Name:Darren Sciume Certification #:103637 Technician Signature:Expire Date:7/28/2016 Environmental Compliance for Petroleum Systems © 2014 Tanknology Inc., Austin, TX.    All rights reserved.    tanknology.com Impact Valve Inspection Impact Valve Operational Inspection Work Order:2314770 Date:6/24/2014 Site Name/ID:CORNER STORE 3074 Address:3225 BUCK OWENS BLVD. HWY 99/HWY 58 City:BAKERSFIELD State:CA Zip:93301 Dispenser Number Grade Secure Mount? Valve Lock?Pass/ Fail Comments 1/2 87 Pass Fail Not Tested 1/2 91 Pass Fail Not Tested 3/4 87 Pass Fail Not Tested 3/4 91 Pass Fail Not Tested 5/6 87 Pass Fail Not Tested 5/6 91 Pass Fail Not Tested 7/8 87 Pass Fail Not Tested 7/8 91 Pass Fail Not Tested 9/ 40 Pass Fail Not Tested none/ 40 Pass Fail Not Tested 9 Sat/10 40 Pass Fail Not Tested 10 Sat/11 40 Pass Fail Not Tested 11 Sat/12 40 Pass Fail Not Tested 12 Sat/13 40 Pass Fail Not Tested 13 Sat/ 40 Pass Fail Not Tested Technician Comments: Technician Name:Darren Sciume Signature: Environmental Compliance for Petroleum Systems ©2014 Tanknology Inc., Austin, TX. All rights reserved. tanknology.com Appendix VI (Copies of Monitoring System Certification form and UST Monitoring Plot Plan available at http://www.swrcb.ca.gov.) MONITORING SYSTEM CERTIFICATION For Use By All Jurisdictions Within the State of California Authority Cited: Chapter 6.7, Health and Safety Code; Chapter 16, Division 3, Title 23, California Code of Regulations This form must be used to document testing and servicing of monitoring equipment. A separate certification or report must be prepared for each monitoring system control panel by the technician who performs the work. A copy of this form must be provided to the tank system owner/operator. The owner/operator must submit a copy of this form to the local agency regulating UST systems within 30 days of test date. A. General Information Facility Name:CORNER STORE 3074 Bldg. No.: Site Address:3225 BUCK OWENS BLVD.HWY 99/HWY 58 City:BAKERSFIELD Zip:93301 Facility Contact Person:MANAGER-JOEL Contact Phone No.:661-324-9481 Make/Model of Monitoring System:Gilbarco EMC Date of Testing/Servicing:6/24/2014 B. Inventory of Equipment Tested/Certified Check the appropriate boxes to indicate specific equipment inspected/serviced: Tank ID:T-1 - REGULAR In-Tank Gauging Probe.Model:Mag Annular Space or Vault Sensor.Model:794390-420 Piping Sump / Trench Sensor(s).Model:794380-208 Fill Sump Sensor(s).Model:794380-208 Mechanical Line Leak Detector.Model:Veeder Root FX1V Electronic Line Leak Detector.Model: Tank Overfill / High-Level Sensor.Model:Exterior Alarm Other (specify equipment type and model in Section E on Page 2). Tank ID:T-2 - PREMIUM In-Tank Gauging Probe.Model:Mag Annular Space or Vault Sensor.Model:794390-420 Piping Sump / Trench Sensor(s).Model:794380-205 Fill Sump Sensor(s).Model:794380-208 Mechanical Line Leak Detector.Model:Veeder Root FX1V Electronic Line Leak Detector.Model: Tank Overfill / High-Level Sensor.Model:Exterior Alarm Other (specify equipment type and model in Section E on Page 2). Tank ID:T-4 - Diesel In-Tank Gauging Probe.Model:Mag Plus Annular Space or Vault Sensor.Model:794390-420 Piping Sump / Trench Sensor(s).Model:794380-208 Fill Sump Sensor(s).Model:794380-208 Mechanical Line Leak Detector.Model:Veeder Root FX1DV Electronic Line Leak Detector.Model: Tank Overfill / High-Level Sensor.Model:Exterior Alarm Other (specify equipment type and model in Section E on Page 2). Tank ID: In-Tank Gauging Probe.Model: Annular Space or Vault Sensor.Model: Piping Sump / Trench Sensor(s).Model: Fill Sump Sensor(s).Model: Mechanical Line Leak Detector.Model: Electronic Line Leak Detector.Model: Tank Overfill / High-Level Sensor.Model: Other (specify equipment type and model in Section E on Page 2). Dispenser ID:1/2 Dispenser Containment Sensor(s).Model: Shear Valve(s). Dispenser Containment Float(s) and Chain(s). Dispenser ID:3/4 Dispenser Containment Sensor(s).Model: Shear Valve(s). Dispenser Containment Float(s) and Chain(s). Dispenser ID:5/6 Dispenser Containment Sensor(s).Model: Shear Valve(s). Dispenser Containment Float(s) and Chain(s). Dispenser ID:7/8 Dispenser Containment Sensor(s).Model: Shear Valve(s). Dispenser Containment Float(s) and Chain(s). Dispenser ID:9 Dispenser Containment Sensor(s).Model: Shear Valve(s). Dispenser Containment Float(s) and Chain(s). Dispenser ID:9 Sat/10 Dispenser Containment Sensor(s).Model: Shear Valve(s). Dispenser Containment Float(s) and Chain(s). *If the facility contains more tanks or dispensers, copy this form. Include information for every tank and dispenser at the facility. C. Certification - I certify that the equipment identified in this document was inspected/serviced in accordance with the manufacturers’ guidelines. Attached to this Certification is information (e.g. manufacturers' checklists) necessary to verify that this information is correct and a Plot Plan showing the layout of monitoring equipment. For any equipment capable of generating such reports, I have also attached a copy of the report; (check all that apply): System set- up Alarm history report Technician Name (print):Darren Sciume Signature: Certification No.:103635 License. No.:743160 Class 'A' Testing Company Name:Tanknology Phone No.:(800) 800-4633 Testing Company Address:11000 N. MoPac Expressway Suite 500 Date of Testing/Servicing:6/24/2014 Monitoring System Certification Page 1 of 4 12/07 Appendix VI (Copies of Monitoring System Certification form and UST Monitoring Plot Plan available at http://www.swrcb.ca.gov.) MONITORING SYSTEM CERTIFICATION For Use By All Jurisdictions Within the State of California Authority Cited: Chapter 6.7, Health and Safety Code; Chapter 16, Division 3, Title 23, California Code of Regulations This form must be used to document testing and servicing of monitoring equipment. A separate certification or report must be prepared for each monitoring system control panel by the technician who performs the work. A copy of this form must be provided to the tank system owner/operator. The owner/operator must submit a copy of this form to the local agency regulating UST systems within 30 days of test date. A. General Information Facility Name:CORNER STORE 3074 Bldg. No.: Site Address:3225 BUCK OWENS BLVD.HWY 99/HWY 58 City:BAKERSFIELD Zip:93301 Facility Contact Person:MANAGER-JOEL Contact Phone No.:661-324-9481 Make/Model of Monitoring System:Gilbarco EMC Date of Testing/Servicing:6/24/2014 B. Inventory of Equipment Tested/Certified Check the appropriate boxes to indicate specific equipment inspected/serviced: Tank ID: In-Tank Gauging Probe.Model: Annular Space or Vault Sensor.Model: Piping Sump / Trench Sensor(s).Model: Fill Sump Sensor(s).Model: Mechanical Line Leak Detector.Model: Electronic Line Leak Detector.Model: Tank Overfill / High-Level Sensor.Model: Other (specify equipment type and model in Section E on Page 2). Tank ID: In-Tank Gauging Probe.Model: Annular Space or Vault Sensor.Model: Piping Sump / Trench Sensor(s).Model: Fill Sump Sensor(s).Model: Mechanical Line Leak Detector.Model: Electronic Line Leak Detector.Model: Tank Overfill / High-Level Sensor.Model: Other (specify equipment type and model in Section E on Page 2). Tank ID: In-Tank Gauging Probe.Model: Annular Space or Vault Sensor.Model: Piping Sump / Trench Sensor(s).Model: Fill Sump Sensor(s).Model: Mechanical Line Leak Detector.Model: Electronic Line Leak Detector.Model: Tank Overfill / High-Level Sensor.Model: Other (specify equipment type and model in Section E on Page 2). Tank ID: In-Tank Gauging Probe.Model: Annular Space or Vault Sensor.Model: Piping Sump / Trench Sensor(s).Model: Fill Sump Sensor(s).Model: Mechanical Line Leak Detector.Model: Electronic Line Leak Detector.Model: Tank Overfill / High-Level Sensor.Model: Other (specify equipment type and model in Section E on Page 2). Dispenser ID:10 Sat/11 Dispenser Containment Sensor(s).Model: Shear Valve(s). Dispenser Containment Float(s) and Chain(s). Dispenser ID:11 Sat/12 Dispenser Containment Sensor(s).Model: Shear Valve(s). Dispenser Containment Float(s) and Chain(s). Dispenser ID:12 Sat/13 Dispenser Containment Sensor(s).Model: Shear Valve(s). Dispenser Containment Float(s) and Chain(s). Dispenser ID:13 Sat Dispenser Containment Sensor(s).Model: Shear Valve(s). Dispenser Containment Float(s) and Chain(s). Dispenser ID: Dispenser Containment Sensor(s).Model: Shear Valve(s). Dispenser Containment Float(s) and Chain(s). Dispenser ID: Dispenser Containment Sensor(s).Model: Shear Valve(s). Dispenser Containment Float(s) and Chain(s). *If the facility contains more tanks or dispensers, copy this form. Include information for every tank and dispenser at the facility. C. Certification - I certify that the equipment identified in this document was inspected/serviced in accordance with the manufacturers’ guidelines. Attached to this Certification is information (e.g. manufacturers' checklists) necessary to verify that this information is correct and a Plot Plan showing the layout of monitoring equipment. For any equipment capable of generating such reports, I have also attached a copy of the report; (check all that apply): System set- up Alarm history report Technician Name (print):Darren Sciume Signature: Certification No.: 103635 License. No.:743160 Class 'A' Testing Company Name:Tanknology Phone No.:(800) 800-4633 Testing Company Address:11000 N. MoPac Expressway Suite 500 Date of Testing/Servicing:6/24/2014 Monitoring System Certification Page 2 of 4 12/07 D. Results of Testing/Servicing Software Version Installed:20.04 Complete the following checklist: Yes No*Is the audible alarm operational? Yes No*Is the visual alarm operational? Yes No*Were all sensors visually inspected, functionally tested, and confirmed operational? Yes No*Were all sensors installed at lowest point of secondary containment and positioned so that other equipment will not interfere with their proper operation? Yes No* N/A If alarms are relayed to a remote monitoring station, is all communications equipment (e.g. modem) operational? Yes No* N/A For pressurized piping systems, does the turbine automatically shut down if the piping secondary containment monitoring system detects a leak, fails to operate, or is electrically disconnected? If yes: which sensors initiate positive shut-down? (Check all that apply) Sump/Trench Sensors; Dispenser Containment Sensors. Did you confirm positive shut-down due to leaks and sensor failure/disconnection? Yes; No Yes No* N/A For tank systems that utilize the monitoring system as the primary tank overfill warning device (i.e. no mechanical overfill prevention valve is installed), is the overfill warning alarm visible and audible at the tank fill point(s) and operating properly? If so, at what percent of tank capacity does the alarm trigger? 90% Yes* No Was any monitoring equipment replaced? If yes, identify specific sensors, probes, or other equipment replaced and list the manufacturer name and model for all replacement parts in Section E, below. Yes* No Was liquid found inside any secondary containment systems designed as dry systems? (Check all that apply) Product; Water. If yes, describe causes in Section E, below. Yes No*Was monitoring system set-up reviewed to ensure proper settings? Attach set up reports, if applicable Yes No*Is all monitoring equipment operational per manufacturer's specifications? * In Section E below, describe how and when these deficiencies were or will be corrected. E. Comments: Monitoring System Certification Page 3 of 4 12/07 F. In-Tank Gauging / SIR Equipment: Check this box if tank gauging is used only for inventory control. Check this box if no tank gauging or SIR equipment is installed. This section must be completed if in-tank gauging equipment is used to perform leak detection monitoring. Complete the following checklist: Yes No*Has all input wiring been inspected for proper entry and termination, including testing for ground faults? Yes No*Were all tank gauging probes visually inspected for damage and residue buildup? Yes No*Was accuracy of system product level readings tested? Yes No*Was accuracy of system water level readings tested? Yes No*Were all probes reinstalled properly? Yes No*Were all items on the equipment manufacturer's maintenance checklist completed? * In the Section H, below, describe how and when these deficiencies were or will be corrected. G. Line Leak Detectors (LLD): Check this box if LLDs are not installed. Complete the following checklist: Yes No* N/A For equipment start-up or annual equipment certification, was a leak simulated to verify LLD performance? (Check all that apply) Simulated leak rate: 3 g.p.h.; 0.1 g.p.h; 0.2 g.p.h. Yes No*Were all LLDs confirmed operational and accurate within regulatory requirements? Yes No*Was the testing apparatus properly calibrated? Yes No* N/A For mechanical LLDs, does the LLD restrict product flow if it detects a leak? Yes No* N/A For electronic LLDs, does the turbine automatically shut off if the LLD detects a leak? Yes No* N/A For electronic LLDs, does the turbine automatically shut off if any portion of the monitoring system is disabled or disconnected? Yes No* N/A For electronic LLDs, does the turbine automatically shut off if any portion of the monitoring system malfunctions or fails a test? Yes No* N/A For electronic LLDs, have all accessible wiring connections been visually inspected? Yes No*Were all items on the equipment manufacturer's maintenance checklist completed? * In the Section H, below, describe how and when these deficiencies were or will be corrected. H.Comments: Page 4 of 4 12/07 Site Diagram (This site diagram is for reference only and is not drawn to scale) Work Order:2314770 Site ID / Name:3074 / CORNER STORE 3074 Address:3225 BUCK OWENS BLVD. HWY 99/HWY 58 City:BAKERSFIELD State:CA Zip:93301 W.O.# NW1-2314770 W.O.# NW1-2314770 W.O.# NW1-2314770