HomeMy WebLinkAboutSB989 2014SWRCO. Januaf) 2002 Pagc __ of
Secondary Containment Testing Report Form
171i.<(or111 is i111e111/ed for use by co111ractor1 pe1forminfl. peri<ldic resting of US1' secondary co11111mmenr sys rem". Use the
opprapriore pafl.•.t oft/11sform to report re\u/tsfor oil ctm1po11ems tested 7111! tYJnrp/eted/orm, wr111en test pr<N:ed11res. and
pr111t<>1t1s from le\t.Y (1f upplicob/e). sho11/d he provided to the facility owner't1p<rator for s11b111/t1t1l to the local rt1'11lntory agm<r
FACILITY INFORMATION
Facility Name: JBI Shell I Date of Testing: 9/2912014
Facility Address: 4700 Coffee Road. Bakersfield, CA 93308
I acili1y Contact: \fan Jeffries I Phone: 661-496-7006
Date Local Agency Was Notified of lcsting : 9· 18•2014
Name of Local Agency lnspecwr (ijpresent during tes1111g): Stmne Gardner
2. TF.STING CONTRACTOR INFORMATION
Company Name: Confidence U S'I Services
T<.-chnician Conducting Tes1: U!)an A Self
Crcdcn1ials: 'CSLB Licensed Contmc1or X SWRCO Liccn,ed Tank Te~tcr
I .iccnsc Type: CSLU I License Numbcr:804904 !CCII ~022804 TT/I t 1-1756
Munufncturer Trninin&:
Manufac1urcr Coml!!!nenl(s) Dale Tminin2 Exoires
UST ICC 0511212016
I nsta llatonfRetro Ii t
UST Service ICC 1-28-2015
technician
Star. Smith. Fibcrcast Fiber Glass Systems N.A.
Fmnklin Fueling -TS-sts #7247063702 8122/2015
I neon
3. SUMMARY OF TEST RESULTS
Con1poncnt Pass Fail Nol H.epnirs C:ornponent Pass Fnil Not Repairt
Tested Made Test rd \ladt
87 Annular x -UDC 1-2 x -
87-2 Annular x u UDC 3-4
•
x ' I " _; ~
91 Annular x 0 [ UDC 5-6 0 x ] []
Diesel Annular x 0 11 [ UDC 7-8 x l] 0
87 Secondar) Linc x r 87 Fill Sump x L -, [1 •
87-2 Secondal) Line x 0 87-2 Fill Sump ·x
91 Secondary Linc x fl 91 Fill Sump x -
Diesel Secondary I .ine . x 11 [] Diesel Fill Sump 0 x
87 STP Sump x 11 87 Fill Spill Bucket x 11 ., r _; • 87-2 STP Sump x ' L] -87-2 Fill Spill Bucket x J -
91 STPSump x ' [! 91 Fill Spill Bucket x '
Diesel STP Sump x I I Diesel Fill Spill Buc~cl x ~ " --' ~
If hydrostatic 1cs1ing wa~ performed, describe whal was done wi1h the water 111\cr completion of 1cs1s:
Water was put back into test trailer and waste d_ru_1_n __ _ ------
SWRCB. January 2002 Page of
4. TANK ANNULAR TESTING
I es1 \'1clhod De•clop..'d 0): lank Manufac1urer x lndusrry S1andard Professional I ngineer
.... Other {Spectjy)
Test Method Used: Pressure x Vacuurn l Hydrostatic
I Other (SpecifY~ ,__
Test Fquipmcnt Used: Calibrated Gages Equipmelll Resolution: 0.0 I"
Tank# 87 Tank# 87-2 Tank #91 1 Tank # Diesel
Is lank Excmpl From Tes1ing?' C. Yes x No :J Yes x No ~Yes x No Yes xNo
Tank Capacity: 10.000 10.000 10,000 10.000
Tank Malerial: S1ccl !)tccl S1ccl S1ccl
>--Tank \fanufacturer: Unl.nown Unkno"n Unknown Unknown ....._
Producl SIOned: Regular Regular Super OiC\CI
Wail 1imc between applying
pressure/vacuum/wmcr und 5 min. 5 1nin. 5 rnin. 5 rnin.
stnriin~ ICSI:
Tcs1 Stan Time: 9:30 am 9:30 am 9:30 am 9:30am
lni1ial Reading (R1) -10 Ilg -10 Hg -10 Hg -10 Ilg
Tcsl l::nd Time: 10:30 am 10:30 am 10:30 nm 10:30 am
Finni Reading (R1 ): --10 I lg -10 Hg -10 Hg -10 Ilg
Tcs1 Oura1ion: I hour I hour I hour I hour
Change in Reading (R,-R1): 0.00 .. 0.00 .. 0.00 .. 0.00 ..
Pas'l.'Fail Threshold or Cri1eria: 0.00" 0.00" o.oo· o.oo··
Test Result: X Pass OFaif X Pass n Fail X Pass 0 Fail X Puss D Fail
Was sensor ren1ovcd lb1· tc~aing? X Yes C'No JN/\ X Yes JNo r N/\ X Yes I No NA X Yes LlNo
Was sensor properly replaced and X Yes L No 'IA X Yes '1 No [NA X Ye' 'lo NA X Yes No •crificd functional after testini:?
Comments -(include m{orma1io11 tm repairs made prior tu testing. and remmmendedfelloll'·llP for failed te\/\)
1 Secondary comainmen1 systems where 1hc con1inuous moniloring automa1ically monitors both 1hc primary and secondary
contllinment. such as S}Slems thal are h)dro>1a1ically moni1orcd or under con>lanl •acuwn. are exempl from periodic containmcm
le!>ling. (California Code of Regulations. I ille 23. Section 2637(aX6)J
NA
NA
S WRCB, January 2002 Page of
5. SECONDARY PIPE TESTING
Test Method Developed By: Piping Manufacturer ' Industry Standard r Protessional Engineer
Other (Specifi')
Test Method U'ed: >.. Prc~sure Vacuum Hydrostatic
J 01her (Specijj•)
Test Equipment Used: Calibrated Gages Equipment Resolution: 0.0 I"
.
~:."':'_:~'. .. ~ ' · ..... -, '. Piping Run # 87 Piping Run # 87-2 Piping Run# 91 Piping Run# diesel
Piping Maicrial: l'la!>lic Plastic Plastic Pia.tic
Piping Mnnuracturer: Al>T APT APT APr
Piping Diameter. 2.00·· 2.00" 2.00" 2.00"
Length of Piping Run: 155' 155' 155' 75'
Product Stored: Regular Regulnr Super Oic~cl
Method and location or Tc.i Boot Test Boot rest Boot Tes1 Boot pipinc.-run holaiion:
Wait time between appl) ing
pressutt'vacuun11water and NIA N.A. l\.A. N.A.
starting test:
Test Start Time: 12:30 am 12:30 am 12:30 am 12:30 am
Initial Reading (R1): NIA NIA NIA NIA
Te:.1 End lime: NIA N•A 'If A t-;1A
Final Reading (RF): NIA NIA NIA NIA
Test Durnlion: NIA NIA NIA NIA
Change in Reading (R,-R1): NIA NIA NIA NIA
Pass/Fail Thn.-shold or 0.()()" o.oo· 0.00" o.oo· Criteria:
Test Result: o Pas> X Fail O Pass X Fail I] Pass X Fail 0 Pa'IS X Fail
Comments -(include i11formC1tion 011 repair.. made prior to testing. and recommemkdjollow-11p/or fmled tests)
All the lines_are failing. There is at least one leak in eve1y UDC. The lines"'"'a"'r°"e __
leaking out just as fast as ram flowing_in_. ____ _
SWRCB. January 2002 Page_ of
6. PIPING SUMP TESTING
Test Me1hod Developed By: Sump Manufac1urcr x lndumy Standard l Professional engineer
Other (Specify)
1--I es1 \11clhod Used: Pressure Vncuurn ' Hydrostatic
01hcr (Specifj') ....._
Tcs1 Equipme111 Used: Ts.sis Equipmc111 Rcsolulion: 0.000 I"
··,,~.; ..... ry>: 1' ..
Sump 1187 Sump# 87-2 Sump# 91 Sump II Diesel
Sump Diameter: 40.00" ' 40.00 .. 40.00" 40.00"
Sump Oeplh: 44.00'' 46.00" 44.00" 44.oo-·
Sump Malcrial: FRP FRI' rnr FRP
I leighl from Tank Top to Top of s.oo·· 5.oo·· 9.50" 4.50" lli1:hes1 Piping Pene1ra1ion:
Hcigh1 from Tank Top 10 Lo"est 3.oo-5.00" 2.00'' 2.00··
Elec1rical Penetration:
Condition of sump prior to 1csting: Dry Ory Ory Dry
Pon ion of Sump Tes1ed1 Pipe Pcnc1ra1ion Pipe Penc1n11ion Pipe Pcncm11ion Pipe Pcne1ra1ion
Does 1urbine shut down when
sump sensor de1ects liquid (both
product and water)?°
Ye'> ::J No X !\A Yes No XNA Yes No XNA Yes No X 'IA
Turbine shu1down response 1ime NA NA NA NA
f--Is sys1em programmed for fail-safe X Yes l No X NA X Yes r No X NA X Yes I No X NA X Ye~ J No X NA shu1down?'
Was lllil-safe verified lo be XYc~ "JNo XNA X Yes J 'Jo X 'IA X Yes r No X NA X Yes LNo X NA ooera1ional? •
Wait time between applying
prcs-,urcl\'acuum.''~ater and starting NA NA NA NA
~I:
Tesl Srnrt Time:
lnilial Reading (R1): .... --.--~--..... ~ '" .
TeSt l:nd Time: .. .. -' -·· I -~ .... _
Finni Reading (Rr): I ---......... I . ...
Tes1 Duration:
Change in Reading (R1.-R1): --Passlfail 'lltreshold or Criteria:
Test Result: X Pass 0 Fail X Pass 0 Fail x ra.s O Fail X Pass 0 Fail
Wn; >ensor removed for testing? -X Yes J No LNA X Yes \lo NA X Yes No LNA X Ye; No -NA
Wns sensor properly replaced and X Yes lNo rNA X Yes lNo NA X Yes No rNA X Yes l No NA verified functional ancr le.sting,?
Comments -(inc/11elc infar111ation 011r1tpairs111ade prior 10 testin& a11d rc'""!nnctndedfo//ou•-up/or faUed 1e.~1tj
1 lf1he entire depLl1 of the sump is no11estcd, specify how much was tested. If the answer to ill!)' of1hc questions indicaled wilh an
aslcrisk (")is ··NO" or .. 'IA", lhc cn1irc ~ump muSt be 1ested. (See SWRCB I G·160)
SWRCB. January 2002 Pa(\e of
.. 'W"O•_.._. .................. _,..,.._..-.,. --~•• .. o••.••,,•--•• •, ___ I-•·••••••·~
fest Mctl1od Developed By: UDC Manufaclurcr ' Industry Siandard I Professional Engineer
-01her (Specifyi -Te" Method Used: -Pressure f Vacuum ' Hydrostalic
Olhcr (Specif>~
l'cs1 Equipment Used: Ts-sts Equipmcni Resolution: 0.0 I .. ·-
UOC# 1-2 uoc # J--1 UDC II S.6 uoc # 7-8
UDC Manufac1urer: Western Western Western Wes1cm -UDC' Maicrial: FRP FRP FRI' FRP ----27.00" -UDC Dcp1h: 27.00" 27.00" 27.00"
llcighl from UDC Bottom 10 Top -"' --12.00" 12.00·· 12.00" 12.00"
of _l:l.i!!hcsl Pioin~ Pene1ra1ion: -Ueiglll from UDC Bottom 10 0.00" 0.00" 0.00" 0.00"
Lo"c>t Llecirical Penetralion: -Co11di1io11 of UDC prior to Clean& Dry Ckan & OJ) Clean & DJ) Clean & Dry
1cstin2:
Ponion ofUDC Tested' Pioe Penetra1ion l'ioe Penetralion Pipe Penetralion Pioe Pcnctralion
Docs 1urbinc shul down when
UDC: sensor de1ec1s liquid (bolh
oroducl and wa1er)?'
Yes o No X NA I Ye, No X NA 1 Yes No X NA L Yes I No X NA
-Turbine shu1down rcsnonse 1 irne NA NA NA NA
Is sys1cn1 programmed for fail-
<afc shuldown?' Ye> No X NA Yes No XNA Yes No XNA 1 YL.,, 'lNo XNA
~ Was fail-safe verified 10 be Yes No XNA Ye> No X 'IA Yes No XNA CYes No XNA onera1ional?'
Wait time between applying S Minuels S Minuets 5 \4inucts 5 Minuets
prcssurclvacuurn/""·ater and
~lurtinlr! tct;t
·1 cs1 S1an Time: ico;~ --'"'~"' f"\lll
liii1iol Rcadine fR1): -• 11 ---.... --...
~st End Time: ..... ·ults .IJl s • Finni Readin2 (Rr): .
Tes1 Oum1ion:
Chani:.e in Readine. (R.-R1):
Pass.'Fail Threshold or Criteria: _
Test Result: -0 Pass X Fail 0 Pass X Fail D Poss X Fail D Pass X fall
~as sensor removed for 1cs1ing'! X Yes No NA L Yes XNo C NA Yes XNo NA X Yes J1'o _NA
Was sensor properly replaced nnd X Yes No NA r Yes No XNA Yes No XNA XYcs l No lNA verified functional after 1esring?
Comrnents -(lncludc i11/0r11u.11Jon 011repairs111adc prior to 1esting. ancl reco11111u!1uletl [olloH1-11p (or /Oiled tests)
UDC 1-2 was a visual fail. There is a bi!! hole in the penetration. There is also a
leak in everv UDC on one boot or anoth._..,e""r~--------------
1 If the enlirc depth of the UDC is not tesled. specif). how much wa; lcslcd. If the answer 10 ~of the questions indicated wi1h nn
asterisk (") is "NO" Of' .. NA", 1he cn1irc UOC mus1 be 1e<1c'<l. (S..-c SWRCB LG-160)
SWRCll. January 2002 Page of
H. FILL RISER CONTAINMENT SUMP TESTING
Facilitv is Not Equipped With rill Riser Containment Surn1is I
Fi II Riser Containment Sumps are 1>resen1. but were Not Tested l
lc-.t Method Developed By: J Sump Manufacturer X Industry Standard Profe~ional Engineer
Other (Specify) --Test Method Used: Pressure Vacuum X ll}droslatic
Other (Specif>~
TcSI Equipment Used: Equipmem Resolution: 0.0001''
Fill Sump II 87 Fill Sump 1187-2 Fill Sump 1191 Fill Sump II Diesel
~Diameter: 37.00" 37.00'' 37.00" 37.00"
Sump Depth: 44.00" 43.00" 44.00" 43.00"
lleight from Tank Top to lop of 7.00" 8.00" 800" 6.50"
lli1thcsl Pioine Penetration:
llci~ht from Tank Top 10 1..o .. cst 0.50 .. 0.50" 0.50" 0.50"
rtcctrical Penetration:
Condition of sump prior 10 Dry Dry 01') Dr}
testini.:: -Pon ion of Sumo Tested Pirw Penetration Pipe Penetration Pioc Penetration Pin.:• Pcnc1rnt-ion
--Sump Material: FRP FRP FRP FRI'
Wail time between applying 5 Minucls 5 Minuets 5 Minuets 5 Minuets
prcssurclvacuum/wa1er and
~tanina 1cs1:
Test Stan Time:
St:t: ii~'---Initial Reading (R1): 11 II • ·-..:. Lil'4
Test End Time: .... _ -ult~ I a--·~ ·-Final Reading, (R,): . ---. ---
J:cst Duration:
Chan~e in Read in~ (R,-R1):
Pas.'l/Fail Threshold or Criteria: -
Tcsl Result: X Pass OFail X Pass D Fail -D Pass X Fail D Pass X Fail
Is there a sensor in the sump? X Yes No X Yes ONo X Yes I No X Yes LNo
Doc~ the sensor alann when
cit.her product or \\1ller is X Yes No J 1'.A X Ye~ No NA I X Yes r No NA X Yes -No NA
detected?
\v_a.~ >CO>Or removed for tc,tin_g? X Yes _No INA X Yes -No r l\A X Yes :... l\o -.NA X y,.,. __ l\o NA
Was sensor proper!} replaced and X Yes _No _J l\A X Yes No NA X Ye' I No NA XYcs No NA verified functional after testing?
Comments -(il1cl11de infor111n1/011 011 repairs mode prior 10 1esli11g, tmtl reco111111e11ded/ol/11w-1pji1r/i~u~il~e:::d.:.11::::"S:::1s,,,')'-------
S IVRCB, Junuary 2002 Page _of
9. SPILL/OVERFILL CONTAINMENT BOX~:s
Faciliiy is Not Equipped With SpilllO\crfill Containment 13oxes -
Spil~O•crfill Containment Bo\es are Present. bul "ere Nol Tested -
rest Method Developed Oy: Spill Bucket Mnnu fiicturer x lnduStr) Siandard Professional Engineer
01hcr (Specify)
Test Melhod Used: 1 Prc!>SUTI! '1 Vacuum x 1 lydrostatic
Other (Specify)
Test Equipmcnl Used: Ts·SIS f.quiprnenl Resolution:0.0625"
Spill llox # 87 f<ill S1Jill Box II 87·2 Fill Spill Box# 91 Fill Spill Box# Diesel
Fill
Buckel Dinme1er: 12.00· 12.00· 12.00· 12.00·
Bucket Depth: 12.00· 12.00· 12.00" 12.00·
Wait lime be1ween applying
pressure/vacuurn/\vater ;ind S Min 5 Min 5 Min 5Min
stanine. tesl: .
fest Start Time: 11:30 am 11 :30 nm 11:30 am 11:30 am
Initial Reading (R1): 11.50" 11.75" 11.50" 11.50"
rest End Time: 12:30 pm 12:30 pm 12:30 pm 12:30 pm
Final Reading {Rr): 11.50" 11.75" 11.50" 11.50"
Test Duration: I llour I llour I llour I llour
Change in Reading {R.-R1): 0.00" 0.00" 0.00" o.oo·
Pass/Fail Threshold or 0.0625 0.0625 0.0625 0.0625 Criteria:
Test Result: X Pa<s OFail X Pass 0 Fail X Pass a Fail X Pas< OFail
Comn1cnts -(include. inj(Jr111ali()_~~ on r~palf'.'i 111ade prior 10 testinx, and rcconnuended fbllolv ... upfor/aUed U!§IS)
JI! Rll'ERlJJ(ES
4700 IWll£tl RD
BAkERSFIB.O CA
09/29/2014 11:16 M
SIW I.EAi( TEST REPIRT
8111SIP
TES! STMtro 1):00 1./1
TEST S1M1£0 09/29/2014
ea;111 ma s. 0110 111
Ell) llltE • • • ·11: 15 1./1
Ell> o~Te:·t-: 09.i2Mo10
00 ~-~;!,91ro'lffr~-_, •. I.EA~ T1ffSlllO .0\002 'Ill
TEST RESU.T· ., ~
8lSSIP
TEST STAATEO 11:00 1./1
TEST SIAATED 00/29/2010
6!lllll LEV0. 5. 0595 Ill
Elll.l.lllL . .,.. 1]!16 NI
E!ll OolTE t' rfl/?IJ/2010
Elll LEVE!. , 5. 0079 Ill
LEA'< TllRESllB.O 0, 002 Ill
TEST RESLlT• I PASSED
91 SIP :
TEST STMTED 11:00 NI
TEST STA.qreo 09/29/2014
BEGlll LOO 2.5355 Ill
E!ll TlltE 11: 16 All
BO OolTE 09/29/2014
SD l.£'IEL 2. 5364 UI
l.El.K Tll\ESlllO o. 002 m
TEST RESU.T PASSED
OS SIP
TEST STHUED 11:00 A1
TEST STMTED 00/2!Jfl010
IH Ill l.E\'a. 3. 6071 Ill
E!IJ TlltE 11: 16 NI
00 DAIE 09/"d/2010
ell LE\'a 15512 111
I.EN( lll'IESlill.O 0, 002 Ill
TEST lliSU. T PASSED
,.
-.-A-·· -\,
Jiii Rl\'ElllAXES
4100 HIWElt RO
llAKERSf IElO CA
09/29/2010 11:331./1
SUP LEA~ TEST REPQ.~T
81HSTP
TEST STMllD 11: 17 NI
TEST STAAllD 113/29/2014
!££1U 1.£\'El 3. 0099 Ill
Elll TlltE 11:32 ,.~
Ell> DAT~ 00(29/2014
E!ll l.E\U :l.0097 Ill
l.EIJ( llll£Slll.D 0. 002 Ill
TEST l'.£SU. T PASSED
87SSIP '
TEST STAAtro 11: 17 NI
TEST STAATEO 09/29/2010
BEG Ill l£VEI. 5, 0518 Ill
Bil Tl l1E 11 :32 All
EIO O~TE . 09/29/2014
Elll LE\'EL 5, 0576 Ill
LEAA THRESl«l.O 0, 002 Ill
TEST RESU.T PASSED
91 SIP
TEST STllRIEO 11:17 All
TEST STllRTEO 00/29/2014
1Ei Ill LEVEi. 2. 5J62 Ill
Elll TlltE 11 :32 All
Bil OolTE llJ/29/2014
Elll 1.£'1El. 2. 5JS3 Ill
I.EM T~ O. 002 Ill
1£ST RESU.T Pt.SSED
llS SIP
TEST STMTEO 11:17 Hi
TEST STMllD rP.(29/2014
IEilll 1.£\U 3.6672 Ill
Bil TUE 11:32 Hi
Bil OolTE 09/29/2014
00 1.£\'El 3. 6670 Ill
l.EIJ( nt\ES1ll.O 0. 002 Ill
TEST RE5u.T P~
:· '
.. ~":;-. ~ -. --
J!I Rll/ERLMES ' .St Rl~lMES I mo HtWEtlRD I 4700 HK8fll lill .; B/.XERSFIElD CA BM!RSFIELD CA
09/29/2014 12:06 PK C9129/2014 12:24 FH
!UP LEA~ TEST llS'OlT !UP l.EAX TEST P.!P!l!T \
8l1Flll 811flll
TEST STAAIED 11:s1 /.II TES! STAAllO 12:09 fH
TEST STAAIUl 09/29/2014 TES! STAATED 09/29/201'
1&111 LE\a 0.<&6 Ill f.mlU LE'IEl. 0.0629 Ill
Ell) 111£ 12:(16 Pit BO 111£ 12:24 Pll
BDIJlllE 09/29/2010 BDMTE 09/29/201'
EID 1.£\R 0. C629 Ill DD l.EVB. 0,0629 Ill
l.fl,IC llflESIQD 0. 002 111 w.~ TlflESlll.D 0. 002 Ill
!EST llfSU.T p~ TEST llESU.T ~
87SFILL 87SFILL
!EST STARIEO 11:51 A.~ TEST STAATED 12:09 PH
TEST STARTED "09/29/2014 TEST STAAIED 09129/2014
BElilll lE\'EI. 0, )9s4 Ill B!ll 111 LEVEL o. 7989 Ill
EID Tll!E 12:06 P~ Dill TIHE 12:24 PH
DO DATE . 09/29l2014, DD DATE Ol/29/2014
EID i.mr--o:'ig9Qfii DD LEVEL O. 7984 Ill
LEAK llfiESIO.O 0,002 Ill LEAK THRESltlD O, 002 Ill
TEST Rt:Sll T PASSED TEST RESll.T PASSED
91 FILL 91 FILL
!EST STAAlED 11:51 N1 TEST STMIEO 12:09 PH
TEST STAATED 09/29/2014 TEST STAATED 09129/2014
BEGlll LEVEL I. 5675 Ill 6EGlll LEVa 1.4621 Ill
BO Tll'E 12:06 PH EJ,D TIHE 12:24 FH
EID DATE 09/29/2014 EID DATE 09/29/2010
EID LE\'El. 1. 4855 Ill EID l.£'IR 1.m1111
W.~ TlmlDJ> 0,002 Ill LEN< 11flfSlllO o. 002 Ill
TES! R£SllT FAILED TEST llfSU.T FAILED
OS FILL OS Fill
TEST STAATED 11!51 f.Jt TEST STMttD 12:09 PH
TEST STkqlED 09/29/2015 TEST STMttD 09/29/2014
BElilll LEVEL 0,'530 Ill ee;111 lE'IEl. 0.31SG Ill
BO TllE 12:06 Pit oo m.:: 12:20 Pft
EID llllE 09/2912014 00 DllTE 09/29/2014
EID LM1. 0.3519 Ill EID l.E\9. o.m2 m
1.£1,1( llff!mO -0. 002 IU I.EM llmlW> 0, 002 UI
TEST RESllT FAILED TEST RESl.LT FAILED
.181 RIVCWX£S
e7tO ~°'91 liD
BAAWFlaD CA
09/29/201' 1:03 Pll
SUf LEVEL REl'IRT
SlJ'I> lf)C 3·4
SlJ'I> lf)C 5-6
SUP lllC 1 ~
5,013 Ill
3.448 Ill
3.581 Ill
.181 RllUW:ES
4700 IWCllBI RD
8l>WISFlaD CA
09/2?/2014 1: 18 Pll -· .. -' SW l£AI< lESJ RmRI
llX: 3-4
TEST SIAATED 1:03 Pll
TEST Sl'-~TED 09/29/2014
llEGlll LE\9. 5, 0124 Ill
EJI) TINE 1:18 P11
EJI) OAIE 09/29/2014 ao Leva 5. om 111
I.EAi( M:ESIO.D o. 002 Ill
1ES1 WU.T llWIQED
lf)C 5-6
lESJ SIAAIEO 1:03 PH
TEST STAAIEO 09/29/2014
Ba: Ill LEl'tl. 3. 4019 Ill
EM> Tll'E l: 18 Pll
Ell> DATE CS/29/2011
Ell> LOO. 3. 1120 Ill
LEM llfflHlO 0.002 Ill
lESI RESll.T FAILED
l.OC 1-8
lESI Sl~TED 1:03 Pll
!EST Slt.RTED .00~14
&Slll'l.00--3.5729-1~ ·--
90 11/E-1:18 Pll
EJI) IMIE 09/29/2014 aw ma 3. sm 111
LEM llf\WO.O O. 002 Ill
!EST RESU.T FAILED
.181 RIMMES
4700 l>\lllEll liO
&.1BISFIBD OI
09/29/2014 1:00 Pll
iiUf> LEHI !EST REPU!T
UIC 3·4
TEST SIAATED 1:24 FH resr SIAAIED 011129/21)14
161111.E\U S. CGi IH
EID lll'E 1: 33 Pll
Ell> OlllE 0S/29/2011
DO LEVEL S. 0165 1H
LEAK TllRESHJl.0 O. 002 Ill
lESl RESU.T FAILED
LOC 5-6
TEST STAATEO 1:24 Pll
TEST STAAlEO rll/'l9/201e
116DI LOO. 2.9118 Ill
Ell!l !lllE 1:391'11
Ell!l DATE 09/29/20M
EJ.O LEVEL Z ~ Ill
WK lllS!l.O 0.C02 Ill
lESI RESU.T FAILED
UXH
JEST STAAIEO 1:24 I'll
TEST STAAIEO 09/211/2014
SEGlll LEl'EI. 3,5173 Ill
Bil m.E 1:33 fl1
Ell> DAIE 09/29/2011
Ell) LE\'!I. 3.4159 Ill
l.£AI( 1lRSIQJ) o. 002 m
TEST llf.IU.T FAILED
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~O WITH CONADENCE"
Uc. 970703
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Uc. 804904
Toll Free #: 1-800-339·9930
Date Caled l1me To Whom i,~-,~r
Name: Confidence UST Site Name: TL-: I I 121 v.t!Zl...~i<"'< \
Street: 16250 Meacham Jload Street: U'.lA"
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Ctty: Bakersfield CA 93314 City: ~,. -_ ...... r-,1 ~, n State,_."' Zip: Cl "?: ~,-,8
Terms: Slore No: 12:-1U£~, ....... ,,,..,,..
Oescrinlion of work nArformed: f"vU-.~ ..... -=--,
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TRAVEL and LABOR (0.6 Hour Minimum labor Chat'go) OVERTIME (5;00 PM • 7:00 AM)
Date Technician(&) Name •-. ··'-Start End Total OT Start OT End OTTC>ml
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SUPPLIES· MATERIALS· RENTALS Check One
Qty. UST Parts Site Parts
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COMMENTS
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INVOICE -WHITE SITE-CANARY