HomeMy WebLinkAboutSB989 RESULTS 2014SWRCB, January 2002 Page of
Secondary Containment Testing Report Form
This form is intended for use by contractors performing periodic testing of UST secondary conlainmenl systems. Use the
appropriate pages of this form to report results for all components tested. The completedform, wrillen test procedures, and
printouts from tests (if applicable), should be provided to the facility owner/operator for submittal to the local regulato1y agency.
1. FACILITY INFORMATION
Facility Name: Bill Wright Toyota -, Date ofTesting: 7/11/2014
Facility Address: 5100 Gasoline Alley Dr Bakersfield, CA 93313
Facility Contact: Summer I Phone: 661-398-8697
Date Local Agency Was Notified of Testing: 6/26/2014
Name of Local Agency Inspector (ifpresenl during testing): · Shane Gardner
2. TESTING CONTRACTOR INFORMATION
Company Name: Confidence UST Services
Technician Conducting Test:
Credentials: x CSLB Licensed Contractor X SWRCB Licensed Tank Tester
License Type: CSLB I License Number:804904 ICC# 8022804 TT# 11-1756
Manufacturer Training
Manufacturer Component(s) Date Training Expires
UST ICC 05/12/2016
lnstallaton/Retrofit
UST Service ICC l-28-2015
technician
Star. Smith. Fibercast Fiber Glass Systems N.A.
3. SUMMARY OF TEST RESULTS
Component Pass Fail Not Repairs Component Pass Fail Not Repairs
Tested Made Tested Made
87 Annular X u 0 0 0 u 0
87 Secondary X 0 0 0 0 0 0 .-,
LJ
87 STP X 0 0 0 0 0 n 0
UDC 1 X 0 0 0 u u 0 0
87 Fill Spill Bucket X 0 0 0 0 0 0 0
0 0 ll 0 0 0 0 0
0 0 0 0 u 0 0 0
0 0 0 0 0 (] 0 0
[l 0 0 0 0 0 0 0
::J 0 0 0 u 0 0 0
0 0 ] 0 r 0 0 0
u ,...., 0 0 0 c ,...., 0 0 0 ..J
If hydrostatic testing was performed, describe what was done with the water after completion of tests:
Water was Eut back into test trailer and waste drum
P NSIBLE FOR CONDUCTING THIS TESTING
To tile best of my kllowledge, tare accurate a11d ill full complia11ce witll legal requirements
Technician's Signature: .r-:; Date: 7/11/2014
I
SWRCB, January 2002 Page of
4. TANK ANNULAR TESTING
Test Method Developed By: D Tank Manufacturer x Industry Standard 0 Professional Engineer
D Other (Specify)
Test Method Used: D Pressure x Vacuum 0 Hydrostatic
0 Other (Specify)
Test Equipment Used: Calibrated Gages Equipment Resolution:0.0625"
Tank# Tank# Tank# Tank#
Is Tank Exempt From Testing?1 Yes X No DYes ONo DYes DNo DYes CNo
Tank Capacity: 10,000
Tank Material: Steel
Tank Manufacturer: Unknown
Product Stored: 87
Wait time between applying
pressure/vacuum/water and 5 Min
starting test:
Test Start Time: 9:30am
Initial Reading (R1): -10.00 Hg
Test End Time: 10:30 am
Final Reading (RF): -10.00 Hg
Test Duration: I !lour
Change in Reading (Rr-R1): 0.00"
Pass/Fail Threshold or Criteria: 0.00"
Test Result: X Pass DFail D Pass DFail D Pass 0 Fail D Pass DFail
Was sensor removed for testing? X Yes No .... NA DYes ;]No DNA DYes 8No :='NA Yes 1No DNA
Was sensor properly replaced and X Yes ONo DNA Yes DNo CNA DYes DNo JNA ;JYes LJNo DNA verified functional after testing?
Comments-{include information on repairs made prior to testing, and recommendedfollow-upfor.failed tests)
1 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 Page_ of_
5. SECONDARY PIPE TESTING
Test Method Developed By: 0 Piping Manufacturer x Industry Standard 0 Professional Engineer
[]Other (Specify)
Test Method Used: x Pressure 0 Vacuum [] Hydrostatic
:J Other (Specify)
Test Equipment Used: Calibrated Gages Equipment Resolution:0.0625"
Piping Run# I Piping Run# Piping Run# Piping Run#
Piping Material: FRP
Piping Manufacturer: Smith
Piping Diameter: 3.00"
Length of Piping Run: 80'
Product Stored: 87
Method and location of Test Boot piping-run isolation:
Wait time between applying
pressure/vacuum/water and 5 Min
starting test:
Test Start Time: 9:30am
Initial Reading (R1): 5.00" PSI
Test End Time: 10:30 am
Final Reading (RF): 5.00" PSI
Test Duration: I Hour
Change in Reading CRF-R1): 0.00"
Pass/Fail Threshold or 0.00" Criteria:
Test Result: X Pass OFail 0 Pass 0 Fail 0 Pass 0 Fail 0 Pass 0 Fail -----------------------··----··---·-·-
Comments-(include information on repairs made prior to testing, and recommended follow-up for failed tests)
SWRCB, January 2002 Page _of_
6. PIPING SUMP TESTING
Test Method Developed By: IJ Sump Manufacturer x Industry Standard D Professional Engineer
D Other (Specify)
Test Method Used: .J Pressure Ll Vacuum x Hydrostatic
'1 Other (Specify)
Test Equipment Used: Ts-sts Equipment Resolution:
Sump# 87 Sump# Sump# Sump#
Sump Diameter: 38.00"
Sump Depth: 60.00"
Sump Material: FRP
Height from Tank Top to Top of 14.00" Hi~hest Pipin~ Penetration:
Height from Tank Top to Lowest 17.00" Electrical Penetration:
Condition of sump prior to testing: Clean & Dry
Portion of Sump Tested 1 Pipe Penetration
Does turbine shut down when
sump sensor detects liquid (both
product and water)?•
DYes DNo X NA 0 Yes DNoXNA DYes DNoXNA DYes DNo DNA
Turbine shutdown response time NA NA NA
Is system programmed for fail-safe
shutdown?· DYes DNo XNA DYes DNoXNA DYes DNoXNA DYes ~""~No DNA
Was fail-safe verified to be C Yes 1No XNA DYes DNoXNA operational?• DYes CNoX NA U Yes DNo :=NA
Wait time between applying
pressure/vacuum/water and starting 5 Min 5 Min 5Min
test:
Test Start Time:
Initial Reading (R1):
Test End Time:
Final Reading (RF):
Test Duration:
Change in Reading (RF-Rr):
Pass/Fail Threshold or Criteria:
Test Result: X Pass D Fail D Pass D Fail D Pass D Fail D Pass D Fail
Was sensor removed for testing? X Yes DNo DNA DYes DNo DNA DYes DNo DNA 0 Yes DNo DNA
Was sensor properly replaced and X Yes DNo DNA OYesDNo DNA DYes DNo DNA 0 Yes DNo DNA verified functional after testing?
Comments-(include information on repairs made prior to testing, and recommendedfollow-up[or[ailed tests)
1 If the entire depth of the sump is not tested, specify how much was tested. If the answer to ill!Y of the questions indicated with an
asterisk(*) is "NO" or "NA", the entire sump must be tested. (See SWRCB LG-160)
SWRCB, January 2002 Page __ of __
. --. -----. ~----
Test Method Developed By: D UDC Manufacturer x Industry Standard D Professional Engineer
D Other (Specify)
Test Method Used: DPressure D Vacuum x Hydrostatic
D Other (Specify)
Test Equipment Used: Ts-sts Equipment Resolution:
UDC#l UDC# UDC# UDC#
UDC Manufacturer: Western
UDC Material: FRP
UDC Depth: 30.00"
Height from UDC Bottom to Top 9.00"
of Highest Piping Penetration:
Height from UDC Bottom to 4.00"
Lowest Electrical Penetration:
Condition ofUDC prior to Clean & Dry
testing:
Portion ofUDC Tested Pipe Penetration
Does turbine shut down when
UDC sensor detects liquid (both
product and water)?*
DYes DNo XNA DYes DNoXNA DYes DNo XNA DYes DNo XNA
Turbine shutdown response time NA NA NA NA
Is system programmed for fail-
safe shutdown?· DYes DNo XNA DYes DNoXNA DYes DNo XNA DYes DNo XNA
Was fail-safe verified to be DYes DNo XNA DYes DNoX NA DYes DNo XNA DYes DNo XNA operational?•
Wait time between applying 5 Min 5 Min 5 Min 5 Min
pressure/vacuum/water and
starting test
Test Start Time:
Initial Reading (R1):
Test End Time:
Final Reading (RF):
Test Duration:
Change in Reading (RF-R1):
Pass/Fail Threshold or Criteria:
Test Result: X Pass DFail D Pass D Fail D Pass D Fail D Pass D Fail
Was sensor removed for testing? XYes DNo DNA DYes DNo DNA DYes DNo DNA DYes DNo DNA
Was sensor properly replaced and XYes DNo DNA DYes DNo DNA DYes DNo DNA DYes D No DNA verified functional after testing? -
Comments -(include information on repairs made prior to testing, and recommendedfollow-up.forfailed tests)
1 If the entire depth of the UDC is not tested, specify how much was tested. If the answer to~ 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_
8. FlLL RISER CONTAINMENT SUMP TESTING
Facility is Not Equipped With Fill Riser Containment Sumps X I
Fill Riser Containment Sumps are Present, but were Not Tested '-' !
'
Test Method Developed By: D Sump Manufacturer Industry Standard D Professional Engineer .
D Other (Specify) j
Test Method Used: D Pressure D Vacuum D Hydrostatic !
D Other (Specify) I
Test Equipment Used: Equipment Resolution: I
Fill Sump# Fill Sump# Fill Sump# Fill Sump#
Sump Diameter:
Sump Depth: i
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 of Sump Tested
Sump Material:
Wait time between applying
pressure/vacuum/water and
starting test:
Test Start Time:
Initial Reading (R1):
Test End Time:
Final Reading (RF):
Test Duration:
Change in Reading (RF-R1):
Pass/Fail Threshold or Criteria:
Test Result: D Pass D Fail D Pass D Fail D Pass DFail D Pass DFail
Is there a sensor in the sump? DYes DNo DYes DNo DYes DNo DYes DNo
Does the sensor alarm when
either product or water is DYes ONo DNA DYes ONo DNA DYes DNo DNA DYes DNo DNA
detected?
Was sensor removed for testing? DYes UNo "NA CYes DNo DNA DYes DNo :JNA DYes CNo _,NA
Was sensor properly replaced and DYes DNo DNA DYes wNo DNA u Yes DNo DNA L Yes :JNo :JNA verified functional after testing?
Comments-(include information on repairs made prior to testing, and recommendedfol/ow-upfor failed tests)