HomeMy WebLinkAboutSEC CONTAINMENT TESTING RESULTS 2-10-15p
February 10, 2015
Shane Gardner / Ernie Medina
BAKERSFIELD FIRE DEPARTMENT
2101 H Street
Bakersfield, CA 93301
SB989 3YR SECONDARY COMPLIANCE TEST
SUBJECT: SB 989 3YR COMPLIANCE TESTING AT COSTCO FUELING STATION —
3800 ROSEDALE HWY, BAKERSFIELD, CA 93308 — FACILITY NO. 688
Below please find the secondary containment testing results for the above - referenced site. These results are being sent to
you per the requirement of SB 989. The initial testing performed by Wayne Perry, Inc., in the presence of Inspector
Gardner, on 2/04/2015 resulted in some components failing. Please see attached report for further details.
CONTRACTOR:
License No:
Technician:
Sincerely,
Wayne Perry, Inc.
Nary young
Mary Young
Program Coordinator
Wayne Perry, Inc.
300345
Leonard Alan Evans — ICC #8221154
Attachments — Testing Results
Cc: Dennis Bock — Costco Wholesale
Costco Site #688
8281 Commonwealth Avenue Buena Park, California 90621 Phone (714) 826 -0352 Fax (714) 523 -9735
Page 1 of 18
Secondary Containment Testing Report Form
This form is intended for use by contractors performing periodic testing of UST secondary containment systems. Use the
appropriate pages of this form to report results for all components tested. The completed form, written test procedures, and
printouts from tests (if applicable), should be provided to the facility owner /operator for submittal to the local regulatory agency.
1. FACILITY INFORMATION
Facility Name: COSTCO #688
Date of Testing: 2/04/2015
Facility Address: 3800 ROSEDALE HWY, BAKERSFIELD, CA 93308
Facility Contact:
I Phone:
Date Local Agency Was Notified of Testing: 1/19/2015
Name of Local Agency Inspector (if present during testing): Shane Gardner
Company Name: Wayne Perry, Incorporated
Technician Conducting Test: Leonard Alan Evans — ICC #8221154
Credentials: X CSLB Licensed Contractor SWRCB Licensed Tank Tester
License Type: A, HAZ, C21, C10, B , C61, D40 L
License Number: 300345
Manufacturer Training
Manufacturer Component(s) Date Training Expires
Furnished on request
ITS '
Component
Component
• MM /1 0 00
=1 M00
Prod Sec; - 1/ ��0■ /1 X
87 Aux Prod Sec Line
MEN
9-1-Prod - - F1 M■ 00 $ C1
1 X00
- - ' . • - - �Q ►1 0 �� /1
Vapor Additive Sec Line W1 w M
87 Syphon Sec Line 87 Fill Sump FAR, "M
M Mm
- - MCI 87Aux Fill Surnp---- ►1 00'
�� /1 u
Diesel Tank Vent Se
. „ 00
Additive ►1
91 STP „ • � 1 MM - ►_I X00
Diesel STP Sump M ►� o00 87 Aux Fill Bucket ►� o00
If hydrostatic testing was performed, describe what was done with the water after completion of tests:
Three (3) 55- gallon drums were left on site
CERTIFICATION OF TECHNICIAN RESPONSIBLE FOR CONDUCTING THIS TESTING
To the best of my knowledge, e facts stated in this document are accurate and in full compliance with legal requirements
Technician's Signature: Date:_2 /04/2015
If hydrostatic testing was performed, describe what was done with the water after completion of tests:
Three (3) 55- gallon drums were left on site
CERTIFICATION OF TECHNICIAN RESPONSIBLE FOR CONDUCTING THIS TESTING
To the best of my knowledge, e facts stated in this document are accurate and in full compliance with legal requirements
Technician's Signature: Date:_2 /04/2015
Page 2 of 18
Secondary Containment Testing Report Form.
This form is intended for use by contractors performing periodic testing of UST secondary containment systems. Use the
appropriate pages of this form to report results for all components tested. The completed form, written test procedures, and
printouts from tests (if applicable), should be provided to the facility owner /operator for submittal to the local regulatory agency.
Facility Name: COSTCO #688 Date of Testing: 2/04/2015
Facility Address: 3800 ROSEDALE HWY, BAKERSFIELD, CA 93308
Facility Contact:
I Phone:
Date Local Agency Was Notified of Testing: 1/19/2015
Name of Local Agency Inspector (ifpresent during testing): Shane Gardner
5. TESTING CONTRACTOR INFORMATION
Company Name: Wayne Perry, Incorporated
Technician Conducting Test: Leonard Alan Evans — ICC #8221154
Credentials: X CSLB Licensed Contractor SWRCB Licensed Tank Tester
License Type: A, HAZ, C21, C109 B , C619 D40 License Number: 300345
Manufacturer Training
Manufacturer Component(s) Date Training Expires
Furnished on request
Component
MM
Component
91 Fill Bucket
91 Vapor Bucket
Diesel -
MM00
��00
If hydrostatic testing was performed, describe what was done with the water after completion of tests:
CERTIFICATION OF TECHNICIAN RESPONSIBLE FOR CONDUCTING THIS TESTING
To the best of my knowledge, the fa is s re accurate and in full compliance with legal requirements
Technician's Signature: Date:_2 /04/2015
Page 3 of 18
M
KIM ,NFV1131U"
Test Method Developed By: ❑ Tank Manufacturer ®Industry Standard ❑Professional Engineer
❑Other (Specify)
Test Method Used: ❑Pressure ®Vacuum ❑Hydrostatic
❑Other (Spec)
Test Equipment Used: See attached testing procedures
Equipment Resolution:
,. ...... ...i .. ,. .., y. v .h n...•: . . a... .,.. t ei:: :I
.:..:. .v.M.h'SS_ T^' -`, (•.v ti 'p Y i:..cc ' -,: ..d xJ .S
Tank # 87
9.i� :.Sr,e.';x"»R'•F .';A 6 .t 4i.i"±�'s'.«t4:,, 3.C:_'.
-.:x1 . t 'E.::. � _....,y
het' V F. � ., 'k Y... i_ ' ..,._. `a a.
- '...w. . .� d k f+. f":i'
... �..}.. - . �'t '" ..',S m .'j Nm...
.'F ^ iR . i... h+•"'.u.:'
`� . e..-. &. /, d:
Tank # 87 Aux
Tank # 91
Tank # Diesel
Is Tank Exempt From Testing?'
❑ Yes ❑No
® Yes ❑No
® Yes ❑No
® Yes ❑ No
Tank Capacity:
209000
209000
20,000
159000
Tank Material:
Fiberglass
Fiberglass
Fiberglass
Fiberglass
Tank Manufacturer:
Product Stored:
Regular
Regular
Premium
Diesel
Wait time between applying
pressure /vacuum/water and
starting test:
30 minutes
30 minutes
30 minutes
30 minutes
Test Start Time:
Initial Reading (Rj):
Test End Time:
Final Reading (RF):
Test Duration:
Change in Reading (RF -R,):
Pass/Fail Threshold or Criteria:
0.00
0.00
0.00
0.00
Test Result:
❑ Pass ❑ Fail
❑ Pass ❑ Fail
❑ Pass ❑ Fail
❑ . Pass ❑ Fail
Was sensor removed for testing?
❑Yes ❑No ❑NA
❑Yes ❑No ❑NA
❑Yes ❑No ❑NA
❑Yes ❑No DNA
Was sensor properly replaced
and verified functional after
testing?
❑Yes ❑No DNA
❑Yes ❑No ❑NA
❑Yes ❑No ❑NA
❑Yes ❑No ❑NA
Comments — (include information on repairs made prior to testing, and recommended follow -up for failed tests)
Hydrostatically Monitored
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)1
Page 4 of 18
Test Method Developed By: ❑ Piping Manufacturer ® Industry Standard ❑ Professional Engineer
Other (Specify)
Test Method Used: ® Pressure ❑ Vacuum ❑ Hydrostatic
❑ Other (Specify)
Test Equipment Used: See attached testing procedures
Equipment Resolution:
..
Piping Run # 8
Piping Run # 8
Piping Run 9
#
Piping Run # 9
Piping Material:
Poly
Poly
Poly
Poly
Piping Manufacturer:
Environ
APT
Environ
APT
Piping Diameter:
2"
2"
2"
2"
Length of Piping Run:
Approx 400'
Approx 100'
Approx 400'
Approx 100'
Product Stored:
Regular
Regular
Premium
Regular
Method and location of
piping -run isolation:
Test boot in sump
Test fittings
Test boot in sump
Test fittings
Wait time between applying
pressure /vacuum/water and
starting test:
30 minutes
30 minutes
30 minutes
30 minutes
Test Start Time:
10:00am
10:00am
1:00pm
10:00am
Initial Reading (RI):
5 psi
5 psi
5 psi
5 psi
Test End Time:
11:00am
11:00am
2:00pm
11:00am
Final Reading (RF):
5 psi
5 psi
5 psi
5 psi
Test Duration:
1 hour
1 hour
1 hour
1 hour
Change in Reading (RF -RI):
0
0
0
0
Pass/Fail Threshold or
Criteria:
0.00
0.00
0.00
0.00
Test Result:
® Pass [:]Fail
® Pass ❑ Fail
1 ® Pass ❑ Fail
® Pass ❑ Fail
Comments — (include information on repairs made prior to testing, and recommended follow -up for failed tests)
"* " — main piping run, existing piping
"* * " — dispenser expansion from UDC 9110 & 11112 to 13114 & 15116
Diesel under vacuum
Page 5 of 18
19 1 U-06 Upfi�
Test Method Developed By: ❑ Piping Manufacturer ® Industry Standard ❑ Professional Engineer
Other (Specify)
Test Method Used: ® Pressure ❑ Vacuum ❑ Hydrostatic
❑ Other (Sped)
Test Equipment Used: See attached testing procedures
Equipment Resolution:
a
.w.R....: .ex ..e ,.. ...>
e#
..,. C.. ,.,.
Piping Run #
Piping Run 87
Additive
Piping Run # Vapor
Syphon
Piping Run #
Piping Material:
Fiberglass
Fiberglass
Fiberglass
Piping Manufacturer:
Smith
Smith
Smith
Piping Diameter:
2 99/3"
2 91/3 99/4"
2 99/3"
Length of Piping Run:
Approx 100'
Approx 400'
Approx 20'
Product Stored:
Additive
Vapors
Regular
Method and location of
Test Fitting
Test Boots in Sump
Test Boots in Sump
piping -run isolation:
Wait time between applying
30 minutes
30 minutes
30 minutes
30 minutes
pressure /vacuum/water and
starting test:
Test Start Time:
1:OOpm
10:00am
Visual Fail
Initial Reading (RI):
5 psi
5 psi
Test End Time:
2:OOpm
11:OOam
Final Reading (RF):
5 psi
5 psi
Test Duration:
1 hour
1 hour
1 hour
1 hour
Change in Reading (RF -RI):
0
0
Pass/Fail Threshold or
0.00
0.00
0.00
0.00
Criteria:
Test Result:
® Pass ❑ Fail
1 ® Pass ❑ Fail
❑ Pass ® Fail
I ❑ Pass ❑ Fail
Comments — (include information on repairs made prior to testing, and recommended follow -up for failed tests)
*Diesel Tank Vent under vacuum
*87 Syphon line failed inside 87 Aux STP Sump at entry fitting
Page 6 of 18
Test Method Developed By: ❑ Sump Manufacturer ® Industry Standard ❑ Professional Engineer
❑ Other (Specify)
Test Method Used: ❑ Pressure ❑ Vacuum ® Hydrostatic
❑ Other (Specify)
Test Equipment Used: See attached testing procedures
Equipment Resolution:
r�
err .: r ,
za, i m , 'rj s,�' 4 fifl`
<e ` n }
+,. .,..,.s, ;i- ,.K. ,...,,.. ..,......:,
....,.. ...W
.. 1.
Sump # 87
Sump # 87
Sump # 87 Aux
Sump # 87 Aux
,
Sump Diameter:
48"
48"
48"
48"
Sump Depth:
64"
64"
62"
62"
Sump Material & Manufacturer:
Fiberglass
Fiberglass
Fiberglass
Fiberglass
Height from Tank Top to Top of
26"
26"
26"
26"
Highest Piping Penetration:
Height from Tank Top to Lowest
2299
22"
24"
24"
Electrical Penetration:
Condition of sump prior to testing:
Fair
Fair
Fair
Fair
Portion of Sump Tested'
Above highest
Above highest
Above highest
Above highest
penetration
penetration
penetration
penetration
Does turbine shut down when
sump sensor detects liquid (both
❑ Yes ❑ No ® NA
❑Yes ❑ No ® NA
❑Yes ❑ No ® NA
❑ Yes ❑ No ® NA
product and water) ?*
Turbine shutdown response time
Is system programmed for fail -safe
❑ Yes ❑ No ® NA
❑Yes ❑ No ® NA
❑Yes ❑ No ® NA
❑ Yes ❑ No ® NA
shutdown ?*
Was fail -safe verified to be
❑ Yes ❑ No ® NA
❑Yes ❑ No ® NA
❑Yes ❑ No ® NA
❑ Yes ❑ No ® NA
operational ?*
Wait time between applying
pressure /vacuum/water and starting
30 minutes
30 minutes
30 minutes
30 minutes
test:
Test Start Time:
11:13am
11:32am
11:18am
Initial Reading (Rj):
0.6836
0.6841
4.3000
Test End Time:
11:28am
11:47am
11:33am
Final Reading (RF):
0.6839
0.6841
4.4400
Test Duration:
15 min
15 min
15 min
15 min
Change in Reading (RF -R,):
0.00022
0.00004
0.13742
Pass/Fail Threshold or Criteria:
0.002
0.002
0.002
0.002
Test Result:
® Pass ❑ Fail
® Pass ❑ Fail
❑ Pass ® Fail
❑ Pass ® Fail
Was sensor removed for testing?
® Yes ❑ No ❑ NA
®Yes ❑ No ❑ NA
®Yes ❑ No ❑ NA
® Yes ❑ No ❑ NA
Was sensor properly replaced and
® Yes ❑ No ❑ NA
®Yes El No ❑ NA
EYes ❑ No ❑ NA
® Yes [:1 No ❑ NA
verified functional after testing?
Comments — (include information on repairs made prior to testing, and recommended follow -up for failed tests)
*87 Aux STF Sump failed due to leak at 87 Syphon Sec Line entry
1 If the entire depth of the sump is not tested, specify how much was tested. If the answer to Apy of the questions indicated with an
asterisk(*) is "NO" or "NA ", the entire sump must be tested. (See SWRCB LG -160)
Page 7 of 18
Test Method Developed By: ❑ Sump Manufacturer ® Industry Standard ❑ Professional Engineer
❑ Other (Specify)
Test Method Used: ❑ Pressure ❑ Vacuum Hydrostatic
❑ Other (Specify)
Test Equipment Used: See attached testing procedures
Equipment Resolution:
.y, 1 .. ' 1iY { . t
t
'+F M
u.'c 4
.rd't.. S+
,.:4f `i:. 5 i'. ,W:.s, .t
k .%%' ,✓+u . S
Su mp # 91
Su mp # 91
Su mp #
Su mp #
Sump Diameter:
4899
4899
Sump Depth:
6279
6299
Sump Material & Manufacturer:
Fiberglass
Fiberglass
Height from Tank Top to Top of
2699
2699
Highest Piping Penetration:
Height from Tank Top to Lowest
2299
2299
Electrical Penetration:
Condition of sump prior to testing:
Fair
Fair
Portion of Sum Tested'
Sump
Above highest
Above highest
Above highest
Above highest
penetration
penetration
penetration
penetration
Does turbine shut down when
sump sensor detects liquid (both
❑ Yes ❑ No N NA
❑Yes ❑ No N NA
[]Yes ❑ No N NA
❑ Yes ❑ No N NA
product and water) ?*
Turbine shutdown response time
Is system programmed for fail -safe
shutdown ?*
❑ Yes ❑ No N NA
❑Yes ❑ No N NA
❑Yes ❑ No N NA
❑ Yes ❑ No N NA
Was fail -safe verified to be
operational ?*
❑ Yes ❑ No N NA
❑Yes ❑ No N NA
❑Yes ❑ No N NA
❑ Yes ❑ No N NA
Wait time between applying
pressure /vacuum/water and starting
30 minutes
30 minutes
30 minutes
30 minutes
test:
Test Start Time:
11:18am
Initial Reading (RI):
1.1250
Test End Time:
11:33am
Final Reading (RF):
1.1750
Test Duration:
15 min
15 in
15 min
15 min
Change in Reading (RF -RI):
0.04842
Pass/Fail Threshold or Criteria:
0.002
0.002
0.002
0.002
Test Result:
❑ Pass N Fail
❑ Pass N Fail
❑ Pass ❑ Fail
❑ Pass ❑ Fail
Was sensor removed for testing?
N Yes ❑ No ❑ NA
NYes ❑ No ❑ NA
NYes ❑ No ❑ NA
N Yes ❑ No ❑ NA
Was sensor properly replaced and
® Yes ❑ No ❑ NA
NYes ❑ No ❑ NA
NYes ❑ No ❑ NA
N Yes ❑ No ❑ NA
verified functional after testing?
Comments -- (include information on repairs made prior to testing, and recommended follow -up for failed tests)
*91 STP Sump — no visible issues /leaks — need to investigate
' If the entire depth of the sump is not tested, specify how much was tested. If the answer to M of the questions indicated with an
asterisk ( *) is "NO" or "NA ", the entire sump must be tested. (See SWRCB LG -160)
Page 8 of 18
7. UNDER- DISPENSER CONTAINMENT (UDC) TESTING
Test Method Developed By: ❑ UDC Manufacturer ® Industry Standard ❑ Professional Engineer
❑ Other (Specify)
Test Method Used: ❑ Pressure ❑ Vacuum ® Hydrostatic
❑ Other (Specify)
Test Equipment Used: See attached testing procedures.
Equipment Resolution:
yak dji'y!+xi TSB -'t ;+it
..kv.,: -,,, ) _ ii'.
_w>k, .... t •T. -.ry, ,.r
..,1u .:.:.'.,, z,_
.r ^3.
UDC # 1/2
UDC # 1/2
UDC}# 3/4
UDC # 3/4
UDC Manufacturer:
Environ
Environ
Environ
Environ
UDC Material:
Plastic
Plastic
Plastic
Plastic
UDC Depth:
30"
36"
36"
36"
Height from UDC Bottom to Top
8"
12"
12"
12"
of Highest Piping Penetration:
Height from UDC Bottom to
6"
5"
5"
5"
Lowest Electrical Penetration:
Condition of UDC prior to
Fair
Fair
Fair
Fair
Peron testing:
ri of UDC Tested
Above highest
Above highest
Above highest
Above highest
penetration
penetration
penetration
penetration
Does turbine shut down when
UDC sensor detects liquid (both
❑ Yes ❑ No ® NA
❑Yes ❑ No ® NA
❑ Yes ❑ No ® NA
❑ Yes ❑ No ® NA
product and water) ?*
Turbine shutdown response time
Is system programmed for fail -
❑ Yes ❑ No 0 N
❑Yes ❑ No 0 N
❑Yes ❑ No 0 N
F] Yes F1 No ®NA
safe shutdown ?*
Was fail -safe verified to be
F-1 Yes 1:1 No ® NA
❑Yes El No ® NA
❑ Yes ❑ No ® NA
El Yes El No 0 NA
operational ?*
Wait time between applying
pressure /vacuum/water and
30 minutes
30 minutes
30 minutes
30 minutes
starting test
Test Start Time:
7:58am
8:17am
7:03am
7:20am
Initial Reading (R1):
3.3435
3.3433
4.3213
4.3215
Test End Time:
8:13am
8:32am
7:18am
7:35am
Final Reading (RF):
3.3436
3.3430
4.3214
4.3219
Test Duration:
15 min
15 min
15 min
15 min
Change in Reading (RF -RI):
0.00003
0.00018
0.00017
0.00040
Pass/Fail Threshold or Criteria:
0.002
0.002
0.002
0.002
Test Result:
® Pass ❑ Fail
® Pass ❑ Fail
® Pass ❑ Fail
® Pass ❑ Fail
Was sensor removed for testing?
®Yes ❑No ❑ NA
®Yes ❑No ❑NA
®Yes ❑No ❑ NA
®Yes ❑No ❑ NA
Was sensor properly replaced and
®.Yes ❑No ❑ NA
®Yes ❑No ❑NA
I ®Yes ❑No ❑ NA
I ®Yes ❑No ❑ NA
verified functional after testing?
Comments — (include information on repairs made prior to testing, and recommended follow -up for failed tests)
1 If the entire depth of the UDC is not tested, specify how much was tested. If the answer to M of the questions indicated with an
asterisk ( *) is "NO" or "NA ", the entire UDC must be tested. (See SWRCB LG -160)
Page 9 of 18
Test Method Developed By: ❑ UDC Manufacturer ® Industry Standard ❑ Professional Engineer
❑ Other (Specify)
Test Method Used: ❑ Pressure ❑ Vacuum ® Hydrostatic
❑ Other (Specify)
Test Equipment Used: See attached testing procedures.
Equipment Resolution:
:+J':.?
# 7/8
UDC # 7/8
UDC Manufacturer:
Environ
Environ
Environ
Environ
UDC Material:
Plastic
Plastic
Plastic
Plastic
UDC Depth:
30"
36"
36"
36"
Height from UDC Bottom to Top
of Highest Piping Penetration:
8"
12"
12"
12"
Height from UDC Bottom to
Lowest Electrical Penetration:
6"
5"
5"
5"
Condition of UDC prior to
testing:
Fair
Fair
Fair
Fair
Portion of UDC Tested
Above highest
penetration
Above highest
penetration
Above highest
penetration
Above highest
penetration
Does turbine shut down when
UDC sensor detects liquid (both
product and water) ?`
❑ Yes ❑ No ® NA
❑Yes ❑ No ® NA
❑ Yes ❑ No ® NA
❑ Yes ❑ No ® NA
Turbine shutdown response time
Is system programmed for fail -
safe shutdown ?*
El Yes F-1 No ® NA
❑Yes El No ® NA
❑ Yes ❑ No ® NA
❑ Yes F1 No ® NA
Was fail -safe verified to be
operational ?*
F] Yes ❑ No NA
®
Yes No NA
❑ ❑ ®
Yes No NA
❑ ®
Yes
❑ ❑ No ® NA
Wait time between applying
pressure /vacuum/water and
starting test
30 minutes
30 minutes
30 minutes
30 minutes
Test Start Time:
7:04am
7:20am
6:58am
7:1 am
Initial Reading (Rj):
4.4880
4.4886
2.5735
2.5743
Test End Time:
7:19am
7:35am
7:13am
7:30am
Final Reading (RF):
4.4880
4.4889
2.5742
2.5748
Test Duration:
15 min
15 min
15 min
15 min
Change in Reading (RF -R,):
0.00029
0.00032
0.00065
0.00047
Pass/Fail Threshold or Criteria:
0.002
0.002
0.002
0.002
Test Result:
® Pass ❑ Fail
® Pass ❑ Fail
® Pass El Fail
0 Pass ❑ Fail
Was sensor removed for testing?
®Yes ❑No ❑ NA
®Yes ❑No DNA
®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
Comments -- (include information on repairs made prior to testing, and recommended follow -up for failed tests)
1 If the entire depth of the UDC is not tested, specify how much was tested. If the answer to M of the questions indicated with an
asterisk ( *) is "NO" or "NA ", the entire UDC must be tested. (See SWRCB LG -160)
Page 10 of 18
Test Method Developed By: ❑ UDC Manufacturer ® Industry Standard ❑ Professional Engineer
❑ Other (Specify)
Test Method Used: ❑ Pressure ❑ Vacuum ® Hydrostatic
❑ Other (Specify)
Test Equipment Used: See attached testing procedures.
Equipment Resolution:
. -..N, . r
� ; t Y3,.,
say Ya + R s'
MyM
xr,cN♦: ': n
,
UDC # 9/10
UDC # 9/10
UDC # 11/12
UDC # 11/12
UDC Manufacturer:
Environ
Environ
Environ
Environ
UDC Material:
Plastic
Plastic
Plastic
Plastic
UDC Depth:
24"
24"
24"
24"
Height from UDC Bottom to Top
of Highest Piping Penetration:
8"
8"
8"
8"
Height from UDC Bottom to
Lowest Electrical Penetration:
6"
6"
6"
6"
Condition of UDC prior to
testing:
Fair
Fair
Fair
Fair
Portion of UDC Tested
Above highest
penetration
Above highest
penetration
Above highest
penetration
Above highest
penetration
Does turbine shut down when
UDC sensor detects liquid (both
product and water) ?*
❑ Yes ❑ No ® NA
❑Yes ❑ No ® NA
❑ Yes ❑ No ® NA
❑ Yes ❑ No ®NA
Turbine shutdown response time
Is system programmed for fail -
safe shutdown ?*
❑ Yes ❑ No ® NA
❑Yes ❑ No ® NA
❑ Yes ❑ No ® NA
❑ Yes ❑ No ® NA
Was fail -safe verified to be
operational ?*
❑ Yes ❑ No ® NA
❑Yes ❑ No ® NA
❑ Yes ❑ No ® NA
❑ Yes ❑ No ® NA
Wait time between applying
pressure /vacuum/water and
starting test
30 minutes
30 minutes
30 minutes
30 minutes
Test Start Time:
9:20am
9:38am
9:20am
9:38am
Initial Reading (RI):
4.9244
4.9237
2.6499
2.6494
Test End Time:
9:35am
9:53am
9:35am
9:53am
Final Reading (RF):
4.9237
4.9235
2.6497
2.6490
Test Duration:
15 min
15 min
15 min
15 min
Change in Reading (RF -RI):
0.00069
0.00017
0.00019
0.00041
Pass/Fail Threshold or Criteria:
0.002
0.002
0.002
0.002
Test Result:
® Pass ❑ Fail
® Pass ❑ Fail
® Pass ❑ Fail
® Pass ❑ Fail
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 DNA
®Yes [—]No ❑ NA
®Yes ❑No ❑ NA
Comments — (include information on repairs made prior to testing, and recommended follow -up for failed tests)
' If the entire depth of the UDC is not tested, specify how much was tested. If the answer to Apy of the questions indicated with an
asterisk ( *) is "NO" or "NA ", the entire UDC must be tested. (See SWRCB LG -160)
Page 11 of 18
1► 1 1' ► \ Y.F,11
Test Method Developed By: ❑ UDC Manufacturer N Industry Standard ❑ Professional Engineer
❑ Other (Specify)
Test Method Used: ❑ Pressure ❑ Vacuum N Hydrostatic
❑ Other (Specify)
Test Equipment Used: See attached testing procedures.
Equipment Resolution:
ee.W
�f
x`{ 5 .- 4s.h..:uN' a g F ..,tr!1•.«r ....,
..2.e1', ..."'F ..., �i Ja:,�_.
UDC # 13/14
UDC # 13/14
UDC # 15/16
UDC # 15/16
UDC Manufacturer:
Bravo
Bravo
Bravo
Bravo
UDC Material:
Fiberglass
Fiberglass
Fiberglass
Fiberglass
UDC Depth:
30"
30"
30"
30"
Height from UDC Bottom to Top
of Highest Piping Penetration:
12"
12"
12"
12"
Height from UDC Bottom to
Lowest Electrical Penetration:
n/a
n/a
n/a
n/a
Condition of UDC prior to
testing:
Fair
Fair
Fair
Fair
Portion of UDC Tested
Above highest
penetration
Above highest
penetration
Above highest
penetration
Above highest
penetration
Does turbine shut down when
UDC sensor detects liquid (both
product and water) ?*
❑ Yes ❑ No N NA
❑Yes ❑ No N NA
❑ Yes ❑ No N NA
❑ Yes ❑ No N NA
Turbine shutdown response time
Is system programmed for fail -
safe shutdown ?*
❑ Yes ❑ No N NA
❑Yes ❑ No N NA
❑ Yes ❑ No N NA
❑ Yes ❑ No N NA
Was fail -safe verified to be
operational ?*
❑Yes ❑ No ®NA
❑Yes ❑ No 0 N
❑Yes ❑ No ®NA
❑Yes ❑ No 2 N
Wait time between applying
pressure /vacuum/water and
starting test
30 minutes
30 minutes
30 minutes
30 minutes
Test Start Time:
Initial Reading (Rl):
Test End Time:
Final Reading (RF):
Test Duration:
15 min
15 min
15 min
15 min
Change in Reading (RF -R,):
Pass/Fail Threshold or Criteria:
0.002
0.002
0.002
0.002
Test Result:
❑ Pass ❑ Fail
❑ Pass ❑ Fail
❑ Pass ❑ Fail
❑ Pass ❑ Fail
Was sensor removed for testing?
®Yes ❑No ❑ NA
NYes ❑No ❑NA
Eyes ❑No ❑ NA
®Yes ❑No ❑ NA
Was sensor properly replaced and
verified functional after testing?
Eyes ❑No ❑ NA
Eyes ❑No ❑NA
Eyes ❑No ❑ NA
NYes ❑No ❑ NA
Comments — (include information on repairs made prior to testing, and recommended follow -up for failed tests)
*UDC 13114 & 15116 continuously monitored
1 If the entire depth of the UDC is not tested, specify how much was tested. If the answer to ggy of the questions indicated with an
asterisk ( *) is "NO" or "NA ", the entire UDC must be tested. (See SWRCB LG -160)
Page 12 of 18
ansia a Dj ta a 61 w pi ,
Test Method Developed By: ❑ UDC Manufacturer ® Industry Standard ❑ Professional Engineer
❑ Other (Specify)
Test Method Used: ❑ Pressure ❑ Vacuum ® Hydrostatic
❑ Other (Sped)
Test Equipment Used: See attached testing procedures.
Equipment Resolution:
�.... v, 'v k i^s'.: s ,i'a 1,7• *t 1r
�,. �,.. ..- •n.. ,..
..
"' -. -�ws 'i `+4_ x..
-.. x �c. .4: ,.n ...n
x
. !� S E .:; :i i1v
... �. ^.:::_
•# f
.�.. .z, ..
UDC #Additive
UDC # Additive
UDC
UDC #
Transition
Transition
UDC Manufacturer:
Bravo
Bravo
UDC Material:
Fiberglass
Fiberglass
UDC Depth:
30"
30"
Height from UDC Bottom to Top
18"
18"
of Highest Piping Penetration:
Height from UDC Bottom to
n/a
n/a
Lowest Electrical Penetration:
Condition of UDC prior to
Fair
Fair
testing:
Portion of UDC Tested
Above highest
Above highest
Above highest
Above highest
penetration
penetration
penetration
penetration
Does turbine shut down when
UDC sensor detects liquid (both
❑ Yes ❑ No ® NA
❑Yes ❑ No ® NA
❑ Yes ❑ No ® NA
❑ Yes ❑ No ®NA
product and water) ?*
Turbine shutdown response time
Is system programmed for fail-
*
❑ Yes El No ® NA
❑Yes El No ® NA
❑ Yes ❑ No ®NA
El Yes ❑ No ® NA
safe shutdown ?
Was fail -safe verified to be
❑ Yes ❑ No ® NA
❑Yes ❑ No ® NA
❑ Yes ❑ No ® NA
❑ Yes ❑ No ® NA
operational?*
Wait time between applying
pressure /vacuum/water and
30 minutes
30 minutes
30 minutes
30 minutes
starting test
Test Start Time:
1:26 pm
1:46 pm
Initial Reading (Rj):
0.6984
0.6987
Test End Time:
1:41pm
2:01pm
Final Reading (RF):
0.6990
0.6985
Test Duration:
15 min
15 min
15 min
15 in
Change in Reading (RF -R1):
0.00059
0.00021
Pass/Fail Threshold or Criteria:
0.002
0.002
0.002
0.002
Test Result:
® Pass ❑ Fail
Z Pass ❑ Fail
❑ Pass ❑ Fail
❑ Pass ❑ Fail
Was sensor removed for testing?
®Yes ❑No ❑ NA
®Yes ❑No ❑NA
®Yes ❑No ❑ NA
®Yes ❑No ❑ NA
Was sensor properly replaced and
®yes ❑No ❑ NA
®Yes ❑No ❑NA
®Yes ❑No ❑ NA
®Yes ❑No ❑ NA
verified functional after testing?
Comments — (include information on repairs made prior to testing, and recommended follow -up for failed tests)
*Additive AST Transition Sump
1 If the entire depth of the UDC is not tested, specify how much was tested. If the answer to gM of the questions indicated with an
asterisk ( *) is "NO" or "NA ", the entire UDC must be tested. (See SWRCB LG -160)
Page 13 of 18
Facility is Not Equipped With Fill Riser Containment Sumps 1:1
Fill Riser Containment Sumps are Present, but were Not Tested ❑
Test Method Developed By: ❑ Sump Manufacturer Industry Standard ❑ Professional Engineer
❑ Other (Specify)
Test Method Used: F-1 Pressure ❑ Vacuum Z Hydrostatic
❑ Other (Specify)
Test Equipment Used: See attached testing procedures
Fill Sump # 87 FM Sump # 87
Equipment Resolution:
Fill Sump # 87 Aux
Fill Sump # 87 Aux
Sump Diameter:
4899
4899
4899
4819
Sump Depth:
6299
6299
6299
6299
Height from Tank Top to Top of
Highest Piping Penetration:
2299
2299
2299
2299
Height from Tank Top to Lowest
Electrical Penetration:
2479
24"
2499
2499
Condition of sump prior to
testing:
Fair
Fair
Fair
Fair
Portion of Sump Tested
Above highest
penetration
Above highest
penetration
Above highest
penetration
Above highest
penetration
Sump Material & Manufacturer:
Fiberglass
Fiberglass
Fiberglass
Fiberglass
Wait time between applying
pressure/vacuum/water and
starting test:
30 minutes
30 minutes
30 minutes
30 minutes
Test Start Time:
4:02pm
4:18pm
2:48pm
3:04pm
Initial Reading (RI):
5.1005
5.1003
0.2644
0.2650
Test End Time:
4:17 pm
4:33pm.
3:03 pm
3:19 pm
Final Reading (RF):
5.1005
5.0998
0.2649
0.2653
Test Duration:
15 min
15 min
15 nun
15 min
Change in Reading (RF-R,):
0
0.00049
0.00054
0.00025
Pass/Fail Threshold or Criteria:
0.002
0.002
0.002
0.002
Test Result:
0 Pass OFail
0 Pass ❑ Fail
Z Pass ❑ Fail
0 Pass ❑ Fail
Is there a sensor in the sump?
Z Yes [:]No
— 0 —Yes ❑ No
Z Yes [:1 No
Z Yes ❑ No
Does the sensor alarm when
either product or water is
detected?
Eyes ONo ❑NA
ZYes ❑ No ❑NA
ZYes ON6 ❑NA
Eyes ❑ No ❑NA
Was sensor removed for testing?
ZYes ❑ NoE]NA
OYes ❑ NoEINA
ZYesE1 NoEINA
ZYesE] No ❑NA
Was sensor properly replaced and
verified functional after testiLilg-�-
Eyes ❑ No EINA
ZYes ❑ No ❑NA
ZYes, ❑ No ❑NA
Eyes ❑ No EINA
Comments — (include information on repairs made prior to testing, and recommended follow -up for failed tests)
Page 14 of 18
Facility is Not Equipped With Fill Riser Containment Sumps [:]
Fill Riser Containment Sumps are Present, but were Not Tested ❑
Test Method Developed By: ❑ Sump Manufacturer Z Industry Standard F-1 Professional Engineer
❑ Other (Specify)
Test Method Used: ❑ Pressure ❑ Vacuum Z Hydrostatic
❑ Other (Specify)
Test Equipment Used: See attached testing procedures
Equipment Resolution:
Fill Sump # 91
Fill Sump # 91
Fill Sump #
Fill Sump #
Sump Diameter:
4819
48"
Sump Depth:
621,
621,
Height from Tank Top to Top of
Highest Piping Penetration:
2211
2211
Height from Tank Top to Lowest
Electrical Penetration:
2411
24"
Condition of sump prior to
testing:
Fair
Fair
Portion of Sump Tested
Above highest
I penetration
Above highest
penetration
Above highest
penetration
Above highest
penetration
Sump Material & Manufacturer:
Fiberglass
Fiberglass
Wait time between applying
pressure/vacuum/water and
starting test:
30 minutes
30 minutes
30 minutes
30 minutes
Test Start Time:
1:36pm
1:52pm
Initial Reading (R,):
2.4664
2.4651
Test End Time:
1:51pm
2:07pm
Final Reading (RF):
2.4648
2.4644
Test Duration:
15 min
15 min
15 min
15 min
Change in Reading (RF-R,):
0.00158
0.00075
Pass/Fail Threshold or Criteria:
0.002
0.002
0.002
0.002
Test Result:
0 Pass ❑ Fail
Z Pass ❑ Fail
❑ Pass ❑ Fail
'—M
❑ Pass ❑ Fail
—Yes
Is there a sensor in the sump?
Z Yes ❑ No
Z Yes ❑ No
0 Yes ❑ No
❑ No
Does the sensor alarm when
either product or water is
detected?
Eyes ❑ No ❑NA
ZYes ❑ NoONA
ZYes ❑ No RNA
ZYes [--1 NoEINA
Was sensor removed for testing?
ZYes [--] NoEINA
ZYes ❑ No ❑NA
Eyes ❑ No ❑NA
Eyes ❑ No ❑NA
Was sensor properly replaced and
verified functional after testing?
ZYes ❑ No RNA
Eyes F-1 No ❑NA
ZYes ❑ No ❑NA
Eyes [:1 No ❑NA
Comments — (include information on repairs made prior to testing, and recommended follow -up for failed tests)
Page 15 of 18
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 (Specify)
Test Method Used: ❑ Pressure ❑ Vacuum ® Hydrostatic
❑ Other (Specify)
Test Equipment Used: See attached testing procedures
Equipment Resolution:
Spill Box # 87 Fill
Spill Box # 87 Fill
Spill Box #87 Vapor
Spill Box #87 Vapor
Bucket Diameter & Brand:
12" Philtite
12" Philtite
12" Philtite
12" Philtite
Bucket Depth:
12"
12"
12"
12"
Wait time between applying
pressure /vacuum/water and
30 Minutes
30 Minutes
30 Minutes
30 Minutes
starting test:
Test Start Time:
11:06am
11:27am
2:46pm
3:02pm
Initial Reading (RI):
3.5726
3.5738
1.3200
1.3201
Test End Time:
11:21am
11:42am
3:01pm
3:17pm
Final Reading (RF):
3.5740
3.5736
1.3199
1.3200
Test Duration:
15 minutes
15 minutes
15 minutes
15 minutes
Change in Reading (RF -R,):
0.00154
0.00022
0.00002
0.00012
Pass/Fail Threshold or
0.002
0.002
0.002
0.002
Criteria:
____T
Test Result:
® Pass El Fail
-
r-®-Pass ❑ Fail
®P ass ❑ Fail
®Pass ❑Fail
Comments — (include information on repairs made prior to testing, and recommended follow -up for failed tests)
Page 16 of 18
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 (Sped)
Test Method Used: ❑ Pressure ❑ Vacuum ® Hydrostatic
❑ Other (Specify)
Test Equipment Used: See attached testing procedures
Equipment Resolution:
s,
t� x
Spill Box # 87 Aux
Spill Box #87 Aux
Spill Box #87 Aux Spill Box# 87Aux
ft,f
Fill
Fill
Vapor Va or
Bucket Diameter & Brand:
12" Philtite
12" Philtite
12" Philtite
12" Philtite
Bucket Depth:
12"
12"
12"
12"
Wait time between applying
pressure /vacuum/water and
30 Minutes
30 Minutes
30 Minutes
30 Minutes
starting test:
Test Start Time:
2:46pm
3:02pm
3:04pm
3:24pm
Initial Reading (RI):
1.3467
1.3468
1.1022
1.1048
Test End Time:
L 3:01pm
3:17pm
3:19pm
3:39pm
Final Reading (RF):
1.3468
1.3467
1.1036
1.1062
Test Duration:
15 minutes
15 minutes
15 minutes
15 minutes
Change in Reading (RF -R,):
0.00006
0.00001
0.00136
0.00133
Pass/Fail Threshold or
0.002
0.002
0.002
0.002
Criteria:
Test Result:
® Pass ❑ Fail
I ® Pass ❑ Fail
I ® Pass ❑ Fail
1 ® Pass [:]Fail
Comments — (include information on repairs made prior to testing, and recommended follow -up for failed tests)
Page 17 of 18
LIML4 , 1 M F111VID1 1 1► _ 1 ►1 ►�
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 (Spec)
Test Method Used: ❑ Pressure ❑ Vacuum ® Hydrostatic
❑ Other (Spec)
Test Equipment Used: See attached testing procedures
Equipment Resolution:
Spill Box # 91 Fill Spill Box # 91 Fill
Spill Box # 91 Vapor
Spill Box# 91 Vapor
Bucket Diameter & Brand:
12" Philtite
12" Philtite
12" Philtite
12" Philtite
Bucket Depth:
12"
12"
12"
12"
Wait time between applying
pressure /vacuum/water and
30 Minutes
30 Minutes
30 Minutes
30 Minutes
starting test:
Test Start Time:
1:26pm
1:46pm
1:26pm
1:46pm
Initial Reading (RI):
1.4866
1.4865
4.0880
4.0874
Test End Time:
1:41pm
2:01pm
1:41pm
2:01pm
Final Reading (RF):
1.4865
1.4864
4.0876
4.0876
Test Duration:
15 minutes
15 minutes
15 minutes
15 minutes
Change in Reading (RF -RI):
0.00010
0.00004
0.00039
0.00015
Pass/Fail Threshold or
0.002
0.002
0.002
0.002
Criteria:
Test Result:
® Pass ❑ Fail
® Pass ❑ Fail
0 Pass ❑ Fail
® Pass ❑ Fail
Comments — (include information on repairs made prior to testing, and recommended follow -up for failed tests)
Page 18 of 18
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 Z Industry Standard ❑ Professional Engineer
❑ Other (Specify)
Test Method Used: ❑ Pressure ❑ Vacuum Z Hydrostatic
❑ Other (Specify)
Test Equipment Used: See attached testing procedures Equipment Resolution:
g
g,
Box #Diesel Fill ll
Spill Box #Diesel Fill
Spill Box #
Spill Box#
.
..... . . . .
Bucket Diameter & Brand:
1211 Philtite
12" Philtite
Bucket Depth:
1299
12"
Wait time between applying
pressure/vacuum/water and
30 Minutes
30 Minutes
30 Minutes
30 Minutes
starting test:
Test Start Tune:
4:02pm
4:18pm
Initial Reading (R,):
0.2323
0.2327
Test End Time:
4:17pm
4:33pm
Final Reading (RF):
0.2332
0.2325
Test Duration:
15 minutes
15 minutes
Change in Reading (RF-R,):
0.00092
0.00023
Pass/Fail Threshold or
0.002
0.002
0.002
0.002
Criteria:
I
I
Test Result:
Z Pass ❑ Fail
E Pass ❑ Fail
❑ Pass ❑ Fail
❑ Pass
Comments — (include information on repairs made prior to testing, and recommended follow -up for failed tests)