HomeMy WebLinkAboutSB989 5/21/15DISPENSER SUMP TEST
LINE ANNULAR TEST
SPILL BUCKET TEST
STP SUMP TEST
TANK ANNULAR TEST
11000 N. MoPac Expressway, Suite 500
Austin, Texas 78759
Phone: (512) 451-6334
Fax: (512) 459-1459 Date Printed and Mailed: 6/1/2015
7-Eleven UST Report
P.O. Box 711
Dallas, TX 75221
Test Date: 5/21/2015
Order Number: 3424792
Dear Regulator,
Enclosed are the results of recent testing performed at the following facility:
7-ELEVEN #16329, MKT 2368
1701 PACHECO ROAD
BAKERSFIELD, CA 93307
Testing performed:
Sincerely,
Dawn Kohlmeyer
Manager, Field Reporting
SWRCB, January 2002 Page 1 of 1
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: 7-ELEVEN #16329, MKT 2368 Date of Testing: 5/21/2015
Facility Address: 1701 PACHECO ROAD , BAKERSFIELD, CA 93307
Facility Contact: Preet Phone: 661-549-1711
Date Local Agency Was Notified of Testing: 5/12/2015
Name of Local Agency Inspector (if present during testing): Shane Gardner
2. TESTING CONTRACTOR INFORMATION
Company Name: TANKNOLOGY INC.
Technician Conducting Test: Jeffrey Crisostomo
Credentials: CSLB Licensed Contractor SWRCB Licensed Tank Tester
License Type: A-UT License Number: 743160-8199847
Manufacturer
Manufacturer Training
Component(s)Date Training Expires
vplt/secondary contaiment Sump tester 4/7/2016
3. SUMMARY OF TEST RESULTS
Component Pass Fail Not
Tested
Repairs
Made
Tank Annular# 1 X
Tank Annular# 2 X
Tank Annular# 3 X
Secondary Pipe Test (Tank T2 RUL MAIN - rul) X
Secondary Pipe Test (Tank T2 RUL MAIN - rul) X
STP Containment for Tank T3 PUL pul - 1 X
STP Containment for Tank T2 RUL MAIN rul - 1 X
STP Containment for Tank T2 RUL MAIN rul - 2 X
STP Containment for Tank T1 RUL SIPHON rul
2 - 1 X
STP Containment for Tank T3 PUL pul - 1 X
STP Containment for Tank T2 RUL MAIN rul - 1 X
STP Containment for Tank T2 RUL MAIN rul - 2 X
Component Pass Fail Not
Tested
Repairs
Made
STP Containment for Tank T1 RUL SIPHON rul
2 - 1 X
UDC # 1/2 X
UDC # 3/4 X
UDC # 1/2 X
UDC # 3/4 X
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 facts stated in this document are accurate and in full compliance with legal requirements
Technician's Signature:Date:5/21/2015
WO: 3424792
Replaced 87 Main secondary Product line, re-test pass. H20 removed from site by Nieto and Sons.All test pass.
SWRCB, January 2002 Page 1 of 1
4. TANK ANNULAR TESTING
Test Method Developed By: Tank Manufacturer Industry Standard Professional Engineer
Other (Specify)
Test Method Used By: Pressure Vacuum Hydrostatic
Other (Specify)
Test Equipment Used: Vacuum Equipment Resolution: 0 loss
Is Tank Exempt From Testing?1
Tank Capacity:
Tank Material:
Tank Manufacturer:
Product Stored:
Wait time between applying
pressure/vacuum/water and starting
test:
Test Start Time:
Initial Reading (RI):
Test End Time:
Final Reading (RF):
Test Duration:
Change in Reading (RF-RI) :
Pass/Fail Threshold or Criteria:
Test Result:
Was sensor removed for testing?
Was sensor properly replaced and
verified functional after testing?
Tank# 1 RUL 2
Yes No
9600
Steel
unknown
RUL 2
15 min
10:00:00
-10.00000 in. HG
11:00:00
-10.00000 in. HG
1 hr
0.00000 in. HG
+/- 0.00000
Pass
Yes No NA
Yes No NA
Tank# 2 RUL
Yes No
9600
Steel
unknown
RUL
15 min
10:00:00
-10.00000 in. HG
11:00:00
-10.00000 in. HG
1 hr
0.00000 in. HG
+/- 0.00000
Pass
Yes No NA
Yes No NA
Tank# 3 PUL
Yes No
9600
Steel
unknown
PUL
15 min
10:00:00
-10.00000 in. HG
11:00:00
-10.00000 in. HG
1 hr
0.00000 in. HG
+/- 0.00000
Pass
Yes No NA
Yes No NA
Tank#
Yes No
min
+/-
Yes No NA
Yes No NA
Comments ? (include information on repairs made prior to testing, and recommended follow-up for failed tests)
All annular pass.
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.
SWRCB, January 2002 Page 1 of 1
5. SECONDARY PIPE TESTING
Test Method Developed By: Piping Manufacturer Industry Standard Professional Engineer
Other (Specify)
Test Method Used By: Pressure Vacuum Hydrostatic
Other (Specify)
Test Equipment Used: gauge 1-15psi Equipment Resolution: 0 loss
Piping Material:
Piping Manufacturer:
Piping Diameter:
Length of Piping Run:
Product Stored:
Method and location of
piping-run isolation:
Wait time between applying
pressure/vacuum/water and
starting test:
Test Start Time:
Initial Reading (RI):
Test End Time:
Final Reading (RF):
Test Duration:
Change in Reading (RF-RI):
Pass/Fail Threshold or
Criteria:
Test Result:
(Tank T2 RUL MAIN -
RUL) STP
Containment 1 to STP
Containment 2
frg
frg
2.5 in.
100 ft.
RUL
boot
15 min
09:30:00
5.00000 PSI
10:30:00
0.00000 PSI
1 hr
-5.00000 PSI
+/- 0.00000
Fail
(Tank T2 RUL MAIN -
RUL) STP
Containment 1 to STP
Containment 2
frg
frg
2.5 in.
100 ft.
RUL
boot
15 min
10:45:00
5.00000 PSI
10:45:00
5.00000 PSI
1 hr
0.00000 PSI
+/- 0.00000
Pass
in.
ft.
min
+/-
in.
ft.
min
+/-
Comments - (include information on repairs made prior to testing, and recommended follow-up for failed tests)
WO: 3424792
87 Syphon and 91 product line are single wall pipe. Replaced 87 main secondary product line due to damaged boot, re-test pass.
SWRCB, January 2002 Page 1 of 2
6. PIPING SUMP TESTING
Test Method Developed By: Tank Manufacturer Industry Standard Professional Engineer
Other (Specify)
Test Method Used By: Pressure Vacuum Hydrostatic
Other (Specify)
Test Equipment Used: VPLT Equipment Resolution: 0.00001 in.
Sump Diameter/Dimensions:
Sump Depth:
Sump Material:
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 Tested1
Does turbine shut down when
sump sensor detects liquid (both
product and water)?*
Turbine shutdown response time
Is system programmed for fail-safe
shutdown?*
Was fail-safe verified to be
operational?*
Wait time between applying
pressure/vacuum/water and
starting test
Test Start Time:
Initial Reading (RI):
Test End Time:
Final Reading (RF):
Test Duration:
Change in Reading (RF-RI) :
Pass/Fail Threshold or Criteria:
Test Result:
Was sensor removed for testing?
Was sensor properly replaced and
verified functional after testing?
STP Containment for Tank
T3 PUL PUL - 1
46 in.
37.00 in.
Polyethylene
8.00
5.00
good
2' ABOVE HIGHEST PIPING
Yes No NA
00:00:00 sec
Yes No NA
Yes No NA
15 min
09:11:00
0.20830 in. H20
09:26:00
0.20950 in. H20
15 min
0.00120 in. H20
+/- 0.00200
Pass
Yes No NA
Yes No NA
STP Containment for Tank
T2 RUL MAIN RUL - 1
46 in.
37.00 in.
Polyethylene
8.00
5.00
good
2' ABOVE HIGHEST PIPING
Yes No NA
00:00:00 sec
Yes No NA
Yes No NA
15 min
09:11:00
0.67200 in. H20
09:26:00
0.67150 in. H20
15 min
-0.00050 in. H20
+/- 0.00200
Pass
Yes No NA
Yes No NA
STP Containment for Tank
T2 RUL MAIN RUL - 2
46 in.
37.00 in.
Polyethylene
8.00
5.00
good
2' ABOVE HIGHEST PIPING
Yes No NA
00:00:00 sec
Yes No NA
Yes No NA
15 min
09:11:00
0.57250 in. H20
09:26:00
0.57220 in. H20
15 min
-0.00030 in. H20
+/- 0.00200
Pass
Yes No NA
Yes No NA
STP Containment for Tank
T1 RUL SIPHON RUL 2 - 1
46 in.
37.00 in.
Polyethylene
8.00
5.00
good
2' ABOVE HIGHEST PIPING
Yes No NA
00:00:00 sec
Yes No NA
Yes No NA
15 min
09:11:00
0.26380 in. H20
09:26:00
0.26380 in. H20
15 min
0.00000 in. H20
+/- 0.00200
Pass
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 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.
WO: 3424792
SWRCB, January 2002 Page 2 of 2
6. PIPING SUMP TESTING
Test Method Developed By: Tank Manufacturer Industry Standard Professional Engineer
Other (Specify)
Test Method Used By: Pressure Vacuum Hydrostatic
Other (Specify)
Test Equipment Used: VPLT Equipment Resolution: 0.00001 in.
Sump Diameter/Dimensions:
Sump Depth:
Sump Material:
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 Tested1
Does turbine shut down when
sump sensor detects liquid (both
product and water)?*
Turbine shutdown response time
Is system programmed for fail-safe
shutdown?*
Was fail-safe verified to be
operational?*
Wait time between applying
pressure/vacuum/water and starting
test
Test Start Time:
Initial Reading (RI):
Test End Time:
Final Reading (RF):
Test Duration:
Change in Reading (RF-RI) :
Pass/Fail Threshold or Criteria:
Test Result:
Was sensor removed for testing?
Was sensor properly replaced and
verified functional after testing?
STP Containment for
Tank T3 PUL PUL - 1
46 in.
37.00 in.
Polyethylene
8.00
5.00
good
2 inch above
Yes No NA
00:00:00 sec
Yes No NA
Yes No NA
15 min
09:28:00
0.20960 in. H20
09:43:00
0.20970 in. H20
15 min
0.00010 in. H20
+/- 0.00200
Pass
Yes No NA
Yes No NA
STP Containment for
Tank T2 RUL MAIN
RUL - 1
46 in.
37.00 in.
Polyethylene
8.00
5.00
good
2' above
Yes No NA
00:00:00 sec
Yes No NA
Yes No NA
15 min
09:28:00
0.67150 in. H20
09:43:00
0.67130 in. H20
15 min
-0.00020 in. H20
+/- 0.00200
Pass
Yes No NA
Yes No NA
STP Containment for
Tank T2 RUL MAIN
RUL - 2
46 in.
37.00 in.
Polyethylene
8.00
5.00
good
2' above
Yes No NA
00:00:00 sec
Yes No NA
Yes No NA
15 min
09:28:00
0.57220 in. H20
09:43:00
0.57210 in. H20
15 min
-0.00010 in. H20
+/- 0.00200
Pass
Yes No NA
Yes No NA
STP Containment for
Tank T1 RUL SIPHON
RUL 2 - 1
46 in.
37.00 in.
Polyethylene
8.00
5.00
good
2' above highest piping
Yes No NA
00:00:00 sec
Yes No NA
Yes No NA
15 min
09:28:00
0.26380 in. H20
09:43:00
0.26380 in. H20
15 min
0.00000 in. H20
+/- 0.00200
Pass
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 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.
WO: 3424792
SWRCB, January 2002 Page 1 of 1
7. UNDER-DISPENSER CONTAINMENT (UDC) TESTING
Test Method Developed By: UDC Manufacturer Industry Standard Professional Engineer
Other (Specify)
Test Method Used By: Pressure Vacuum Hydrostatic
Other (Specify)
Test Equipment Used: VPLT Equipment Resolution: 0.00001 in.
UDC Manufacturer:
UDC Material:
UDC Depth:
Height from UDC Bottom to Top
of Highest Piping Penetration:
Height from UDC Bottom to
Lowest Electrical Penetration:
Condition of UDC prior to
testing:
Portion of UDC Tested1
Does turbine shut down when
UDC sensor detects liquid (both
product and water)?*
Turbine shutdown response time
Is system programmed for fail-
safe shutdown?*
Was fail-safe verified to be
operational?*
Wait time between applying
pressure/vacuum/water and
starting test
Test Start Time:
Initial Reading (RI):
Test End Time:
Final Reading (RF):
Test Duration:
Change in Reading (RF-RI) :
Pass/Fail Threshold or Criteria:
Test Result:
Was sensor removed for testing?
Was sensor properly replaced and
verified functional after testing?
UDC #1/2
polly
Fiberglass
30.00
12.00
8.00
good
2' ABOVE HIGHEST PIPING
Yes No NA
00:00:00 sec
Yes No NA
Yes No NA
15 min
10:34:00
0.06210 in. H20
10:49:00
0.06100 in. H20
15 min
-0.00110 in. H20
+/- 0.00200
Pass
Yes No NA
Yes No NA
UDC #3/4
polly
Fiberglass
30.00
12.00
8.00
good
2' ABOVE HIGHEST PIPING
Yes No NA
00:00:00 sec
Yes No NA
Yes No NA
15 min
10:39:00
0.28980 in. H20
10:49:00
0.28900 in. H20
15 min
-0.00080 in. H20
+/- 0.00200
Pass
Yes No NA
Yes No NA
UDC #1/2
polly
Fiberglass
30.00
12.00
8.00
good
2' ABOVE HIGHEST PIPING
Yes No NA
00:00:00 sec
Yes No NA
Yes No NA
15 min
10:58:00
0.06100 in. H20
11:13:00
0.06100 in. H20
15 min
0.00000 in. H20
+/- 0.00200
Pass
Yes No NA
Yes No NA
UDC #3/4
polly
Fiberglass
30.00
12.00
8.00
good
2' ABOVE HIGHEST PIPING
Yes No NA
00:00:00 sec
Yes No NA
Yes No NA
15 min
10:58:00
0.28890 in. H20
11:13:00
0.28880 in. H20
15 min
-0.00010 in. H20
+/- 0.00200
Pass
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 any of the questions indicated with an asterisk (*) is "NO" or "NA", the entire UDC must be tested.
WO: 3424792
SWRCB, January 2006
Spill Bucket Testing Report Form
This form is intended for use by contractors performing annual testing of UST spill containment structures. The completed form 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: 7-ELEVEN #16329, MKT 2368 Date of Testing:5/21/2015
Facility Address: 1701 PACHECO ROAD , BAKERSFIELD, CA 93307
Facility Contact:Preet Phone: 661-549-1711
Date Local Agency Was Notified of Testing:5/12/2015
Name of Local Agency Inspector (if present during testing):Shane Gardner(Bakersfield fire)
2. TESTING CONTRACTOR INFORMATION
Company Name: TANKNOLOGY INC.
Technician Conducting Test: Jeffrey Crisostomo
Credentials1: CSLB Contractor ICC Service Tech. SWRCB Tank Tester Other (Specify)
License Number(s):743160-8199847
3. SPILL BUCKET TESTING INFORMATION
Test Method Used By: Hydrostatic Vacuum Other
Test Equipment Used: VPLT Equipment Resolution: 0.00001 in.
Identify Spill Bucket (By Tank
Number, Stored Product, etc.)
Bucket Installation Type:
Bucket Diameter:
Bucket Depth:
Wait time between applying
vacuum/water and start of test
Test Start Time (TI):
Initial Reading (RI):
Test End Time(TF):
Final Reading (RF):
Test Duration(TF–TI):
Change in Reading (RF–RI) :
Pass/Fail Threshold or Criteria:
Test Result:
Spill Box #Tank T2 RUL
MAIN RUL - Vapor 1 -
Direct - Grade level
Direct Bury
Contained in Sump
11.00
14.00
15 min
09:50:00
0.5231 in. H20
10:05:00
0.5232 in. H20
15 min
0.00 in. H20
+/- 0.0020
Pass
Spill Box #Tank T2 RUL
MAIN RUL - Fill 1 - Direct -
Grade level
Direct Bury
Contained in Sump
11.00
13.50
15 min
09:50:00
0.7964 in. H20
10:05:00
0.7961 in. H20
15 min
0.00 in. H20
+/- 0.0020
Pass
Spill Box #Tank T1 RUL
SIPHON RUL 2 - Vapor 1 -
Direct - Grade level
Direct Bury
Contained in Sump
11.00
14.00
15 min
09:50:00
0.0075 in. H20
10:05:00
0.0077 in. H20
15 min
0.00 in. H20
+/- 0.0020
Pass
Spill Box #Tank T1 RUL
SIPHON RUL 2 - Fill 1 -
Direct - Grade level
Direct Bury
Contained in Sump
11.00
13.50
15 min
09:50:00
0.7318 in. H20
10:05:00
0.7315 in. H20
15 min
0.00 in. H20
+/- 0.0020
Pass
Comments - (include information on repairs made prior to testing, and recommended follow-up for failed tests)
CERTIFICATION OF TECHNICIAN RESPONSIBLE FOR CONDUCTING THIS TESTING
I hereby certify that all the information contained in this report is true, accurate, and in full compliance with legal requirements.
Technician's Signature:Date:5/21/2015
1State laws and regulations do not currently require testing to be performed by a qualified contractor. However, local requirements may be more stringent.
WO: 3424792
SWRCB, January 2006
Spill Bucket Testing Report Form
This form is intended for use by contractors performing annual testing of UST spill containment structures. The completed form 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: 7-ELEVEN #16329, MKT 2368 Date of Testing: 5/21/2015
Facility Address: 1701 PACHECO ROAD , BAKERSFIELD, CA 93307
Facility Contact: Preet Phone: 661-549-1711
Date Local Agency Was Notified of Testing: 5/12/2015
Name of Local Agency Inspector (if present during testing): Shane Gardner(Bakersfield fire)
2. TESTING CONTRACTOR INFORMATION
Company Name: TANKNOLOGY INC.
Technician Conducting Test: Jeffrey Crisostomo
Credentials: CSLB Contractor ICC Service Tech. SWRCB Tank Tester Other (Specify)
License Number(s): 743160-8199847
3. SPILL BUCKET TESTING INFORMATION
Test Method Used By: Hydrostatic Vacuum Other
Test Equipment Used: VPLT Equipment Resolution: 0.00001 in.
Identify Spill Bucket (By Tank
Number, Stored Product, etc.)
Bucket Installation Type:
Bucket Diameter:
Bucket Depth:
Wait time between applying
vacuum/water and start of test
Test Start Time (TI):
Initial Reading (RI):
Test End Time(TF):
Final Reading (RF):
Test Duration(TF–TI):
Change in Reading (RF–RI) :
Pass/Fail Threshold or Criteria:
Test Result:
Spill Box #Tank T2 RUL
MAIN RUL - Vapor 1 -
Direct - Grade level
Direct Bury
Contained in Sump
11.00
14.00
15 min
10:10:00
0.5232 in. H20
10:25:00
0.5234 in. H20
15 min
0.00 in. H20
+/- 0.0020
Pass
Spill Box #Tank T2 RUL
MAIN RUL - Fill 1 - Direct -
Grade level
Direct Bury
Contained in Sump
11.00
13.50
15 min
10:10:00
0.7961 in. H20
10:25:00
0.7951 in. H20
15 min
0.00 in. H20
+/- 0.0020
Pass
Spill Box #Tank T1 RUL
SIPHON RUL 2 - Vapor 1 -
Direct - Grade level
Direct Bury
Contained in Sump
11.00
14.00
15 min
10:10:00
0.0077 in. H20
10:25:00
0.0079 in. H20
15 min
0.00 in. H20
+/- 0.0020
Pass
Spill Box #Tank T1 RUL
SIPHON RUL 2 - Fill 1 -
Direct - Grade level
Direct Bury
Contained in Sump
11.00
13.50
15 min
10:10:00
0.7315 in. H20
10:25:00
0.7315 in. H20
15 min
0.00 in. H20
+/- 0.0020
Pass
Comments - (include information on repairs made prior to testing, and recommended follow-up for failed tests)
CERTIFICATION OF TECHNICIAN RESPONSIBLE FOR CONDUCTING THIS TESTING
I hereby certify that all the information contained in this report is true, accurate, and in full compliance with legal requirements.
Technician's Signature:Date:5/21/2015
1State laws and regulations do not currently require testing to be performed by a qualified contractor. However, local requirements may be more stringent.
WO: 3424792
SWRCB, January 2006
Spill Bucket Testing Report Form
This form is intended for use by contractors performing annual testing of UST spill containment structures. The completed form 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: 7-ELEVEN #16329, MKT 2368 Date of Testing: 5/21/2015
Facility Address: 1701 PACHECO ROAD , BAKERSFIELD, CA 93307
Facility Contact: Preet Phone: 661-549-1711
Date Local Agency Was Notified of Testing: 5/12/2015
Name of Local Agency Inspector (if present during testing): Shane Gardner(Bakersfield fire)
2. TESTING CONTRACTOR INFORMATION
Company Name: TANKNOLOGY INC.
Technician Conducting Test: Jeffrey Crisostomo
Credentials: CSLB Contractor ICC Service Tech. SWRCB Tank Tester Other (Specify)
License Number(s): 743160-8199847
3. SPILL BUCKET TESTING INFORMATION
Test Method Used By: Hydrostatic Vacuum Other
Test Equipment Used: VPLT Equipment Resolution: 0.00001 in.
Identify Spill Bucket (By Tank
Number, Stored Product, etc.)
Bucket Installation Type:
Bucket Diameter:
Bucket Depth:
Wait time between applying
vacuum/water and start of test
Test Start Time (TI):
Initial Reading (RI):
Test End Time(TF):
Final Reading (RF):
Test Duration(TF–TI):
Change in Reading (RF–RI) :
Pass/Fail Threshold or Criteria:
Test Result:
Spill Box #Tank T3 PUL
PUL - Fill 1 - Direct - Grade
level
Direct Bury
Contained in Sump
11.00
13.50
15 min
09:30:00
0.7368 in. H20
09:45:00
0.7361 in. H20
15 min
0.00 in. H20
+/- 0.0020
Pass
Spill Box #Tank T3 PUL
PUL - Vapor 1 - Direct -
Grade level
Direct Bury
Contained in Sump
11.00
14.00
15 min
09:30:00
0.57 in. H20
09:45:00
0.5691 in. H20
15 min
0.00 in. H20
+/- 0.0020
Pass
Spill Box #Tank T3 PUL
PUL - Fill 1 - Direct - Grade
level
Direct Bury
Contained in Sump
11.00
13.50
15 min
09:52:00
0.7361 in. H20
10:07:00
0.7362 in. H20
15 min
0.00 in. H20
+/- 0.0020
Pass
Spill Box #Tank T3 PUL
PUL - Vapor 1 - Direct -
Grade level
Direct Bury
Contained in Sump
11.00
14.00
15 min
09:52:00
0.5691 in. H20
10:07:00
0.5691 in. H20
15 min
0.00 in. H20
+/- 0.0020
Pass
Comments - (include information on repairs made prior to testing, and recommended follow-up for failed tests)
CERTIFICATION OF TECHNICIAN RESPONSIBLE FOR CONDUCTING THIS TESTING
I hereby certify that all the information contained in this report is true, accurate, and in full compliance with legal requirements.
Technician's Signature:Date:5/21/2015
1State laws and regulations do not currently require testing to be performed by a qualified contractor. However, local requirements may be more stringent.
WO: 3424792
7-Eleven Test Water Log
Work Order:
Site Name/ID:
Address:
City:
3424792
7-ELEVEN #16329, MKT 2368
1701 PACHECO ROAD
BAKERSFIELD
Date: 5/21/2015
State: CA Zip: 93307
Work Performed:Disp Sump, Line Interstitials, SB's, STP Sump, Tank
Interstitials
Was Test Water left on site?
Yes
Test Fluid Transported Off Site by Tanknology
Transported off Site by Other Company
No Water used
If Yes describe how much water and how contained?
If Yes who and when did you contact from site to report the water?
If Transported Off Site by Tanknology how much was hauled?
If Transported Off Site by Other Company what company and how much water?H20 pump out by
Nieto and sons and its about 500-700 gallons.
Technician Signature: Date: 5/21/2015
WO: 3424792
Site Diagram
(This site diagram is for reference only and is not drawn to scale)
Work Order:3424792
Site ID / Name:16329 / 7-ELEVEN #16329, MKT 2368
Address:1701 PACHECO ROAD
City:BAKERSFIELD State:CA Zip:93307