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HomeMy WebLinkAbout9600 BRIMHALL-SB989-2015DISPENSER SUMP TEST LINE ANNULAR TEST Other Sump 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: 10/7/2015 BAKERSFIELD FIRE DEPARTMENT OFFICE OF ENVIRONMENTAL SERVICES INSPECTOR ERNIE MEDINA 1501 TRUXTUN AVE. BAKERSFIELD, CA 93301 Test Date: 9/17/2015 Order Number: 3426905 Dear Regulator, Enclosed are the results of recent testing performed at the following facility: 7-ELEVEN #32376, MKT 2368 9600 BRIMHALL RD. BAKERSFIELD, CA 93312 Testing performed: Sincerely, Dawn Kohlmeyer Manager, Field Reporting SWRCB, January 2002 Page 1 of 2 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 #32376, MKT 2368 Date of Testing: 9/17/2015 Facility Address: 9600 BRIMHALL RD. , BAKERSFIELD, CA 93312 Facility Contact: Joseph or Kuldip 3/26/15 Phone: 661-588-4059 Date Local Agency Was Notified of Testing: 9/9/2015 Name of Local Agency Inspector (if present during testing): Shane Garner 2. TESTING CONTRACTOR INFORMATION Company Name: TANKNOLOGY INC. Technician Conducting Test: WILBERT CRISOSTOMO Credentials: CSLB Licensed Contractor SWRCB Licensed Tank Tester License Type: A-UT License Number: 743160-5282036 Manufacturer Manufacturer Training Component(s)Date Training Expires Incon SECONDARY TESTER 10/9/2016 incon SECONDARY TESTER 10/9/2016 3. SUMMARY OF TEST RESULTS Component Pass Fail Not Tested Repairs Made Tank Annular# T2 RUL X Tank Annular# T3 PUL X Secondary Pipe Test (Tank T2 RUL - rul) X Secondary Pipe Test (Tank T2 RUL - rul) X Secondary Pipe Test (Tank T3 PUL - pul) X Secondary Pipe Test (Tank T3 PUL - pul) X STP Containment for Tank T2 RUL rul - 1 X STP Containment for Tank T2 RUL rul - 1 X STP Containment for Tank T3 PUL pul - 1 X STP Containment for Tank T3 PUL pul - 1 X UDC # 1/2 X UDC # 1/2 X Component Pass Fail Not Tested Repairs Made UDC # 3/4 X UDC # 3/4 X UDC # 5/6 X UDC # 5/6 X UDC # 7/8 X UDC # 7/8 X UDC # 9/10 X UDC # 9/10 X UDC # 11/12 X UDC # 11/12 X Fill Containment for Tank: T2 RUL rul - 1 X Fill Containment for Tank: T2 RUL rul - 1 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:9/17/2015 WO: 3426905 TEST WATER REMOVE FROM THE SITE BY NIETO AND SON. SWRCB, January 2002 Page 2 of 2 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 #32376, MKT 2368 Date of Testing: 9/17/2015 Facility Address: 9600 BRIMHALL RD. , BAKERSFIELD, CA 93312 Facility Contact: Joseph or Kuldip 3/26/15 Phone: 661-588-4059 Date Local Agency Was Notified of Testing: 9/9/2015 Name of Local Agency Inspector (if present during testing): Shane Garner 2. TESTING CONTRACTOR INFORMATION Company Name: TANKNOLOGY INC. Technician Conducting Test: WILBERT CRISOSTOMO Credentials: CSLB Licensed Contractor SWRCB Licensed Tank Tester License Type: A-UT License Number: 743160-5282036 Manufacturer Manufacturer Training Component(s)Date Training Expires Incon SECONDARY TESTER 10/9/2016 incon SECONDARY TESTER 10/9/2016 3. SUMMARY OF TEST RESULTS Component Pass Fail Not Tested Repairs Made Fill Containment for Tank: T3 PUL pul - 1 X Fill Containment for Tank: T3 PUL pul - 1 X Component Pass Fail Not Tested Repairs Made 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:9/17/2015 WO: 3426905 TEST WATER REMOVE FROM THE SITE BY NIETO AND SON. 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: Guage Equipment Resolution: 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# T2 RUL Yes No 10028 Steel DWsteel RUL 15 min 09:30:00 -10.00000 in. HG 10:30:00 -10.00000 in. HG 1 hr 0.00000 in. HG +/- 0.00000 Pass Yes No NA Yes No NA Tank# T3 PUL Yes No 10028 Steel DWsteel PUL 15 min 09:30:00 -10.00000 in. HG 10:30:00 -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 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) 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: Guage 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 - RUL) STP Containment 1 to 1/2 DWFLEX DWFLEX 1.5 in. 175 ft. RUL Secondary Line 15 min 10:00:00 5.00000 PSI 11:00:00 5.00000 PSI 1 hr 0.00000 PSI +/- 0.00000 Pass (Tank T2 RUL - RUL) STP Containment 1 to 7/8 DWFLEX DWFLEX 1.5 in. 175 ft. RUL Secondary Line 15 min 10:00:00 5.00000 PSI 11:00:00 5.00000 PSI 1 hr 0.00000 PSI +/- 0.00000 Pass (Tank T3 PUL - PUL) STP Containment 1 to 1/2 DWFLEX DWFLEX 1.5 in. 175 ft. PUL Secondary Line 15 min 10:00:00 5.00000 PSI 11:00:00 5.00000 PSI 1 hr 0.00000 PSI +/- 0.00000 Pass (Tank T3 PUL - PUL) STP Containment 1 to 7/8 DWFLEX DWFLEX 1.5 in. 175 ft. PUL Secondary Line 15 min 10:00:00 5.00000 11:00:00 5.00000 1 0.00000 +/- 0.00000 Pass Comments - (include information on repairs made prior to testing, and recommended follow-up for failed tests) WO: 3426905 SWRCB, January 2002 Page 1 of 1 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: INCON Equipment Resolution: 0.002 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 T2 RUL RUL - 1 48 in. 56.00 in. Polyethylene 9.00 8.00 Clean 2"Above Yes No NA 00:00:00 sec Yes No NA Yes No NA 15 min 11:36:00 5.16590 in. H20 11:51:00 5.16720 in. H20 15 min 0.00130 in. H20 +/- 0.00200 Pass Yes No NA Yes No NA STP Containment for Tank T2 RUL RUL - 1 48 in. 56.00 in. Polyethylene 9.00 8.00 Clean 2"Above Yes No NA 00:00:00 sec Yes No NA Yes No NA 15 min 11:53:00 5.16900 in. H20 12:08:00 5.17020 in. H20 15 min 0.00120 in. H20 +/- 0.00200 Pass Yes No NA Yes No NA STP Containment for Tank T3 PUL PUL - 1 48 in. 56.00 in. Polyethylene 9.00 8.00 Clean 2"Above Yes No NA 00:00:00 sec Yes No NA Yes No NA 15 min 11:36:00 3.68490 in. H20 11:51:00 3.68460 in. H20 15 min -0.00030 in. H20 +/- 0.00200 Pass Yes No NA Yes No NA STP Containment for Tank T3 PUL PUL - 1 48 in. 56.00 in. Polyethylene 9.00 8.00 Clean 2"Above Yes No NA 00:00:00 sec Yes No NA Yes No NA 15 min 11:53:00 3.68450 in. H20 12:08:00 3.68420 in. H20 15 min -0.00030 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: 3426905 SWRCB, January 2002 Page 1 of 3 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: INCON Equipment Resolution: 0.002 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 POLY Polyethylene 28.00 12.00 5.00 Clean 2" Above Yes No NA 00:00:00 sec Yes No NA Yes No NA 15 min 11:32:00 4.00110 in. H20 11:47:00 3.99940 in. H20 15 min -0.00170 in. H20 +/- 0.00200 Pass Yes No NA Yes No NA UDC #1/2 POLY Polyethylene 28.00 12.00 5.00 Clean 2" Above Yes No NA 00:00:00 sec Yes No NA Yes No NA 15 min 11:51:00 3.99920 in. H20 12:06:00 3.99750 in. H20 15 min -0.00170 in. H20 +/- 0.00200 Pass Yes No NA Yes No NA UDC #3/4 POLY Polyethylene 28.00 12.00 5.00 Clean 2" Above Yes No NA 00:00:00 sec Yes No NA Yes No NA 15 min 11:32:00 1.90570 in. H20 11:47:00 1.90550 in. H20 15 min -0.00020 in. H20 +/- 0.00200 Pass Yes No NA Yes No NA UDC #3/4 POLY Polyethylene 28.00 12.00 5.00 Clean 2" Above Yes No NA 00:00:00 sec Yes No NA Yes No NA 15 min 11:51:00 1.90490 in. H20 12:06:00 1.90300 in. H20 15 min -0.00190 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: 3426905 SWRCB, January 2002 Page 2 of 3 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: INCON Equipment Resolution: 0.002 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 #5/6 Poly Polyethylene 28.00 12.00 5.00 Clean 2"Above Yes No NA 00:00:00 sec Yes No NA Yes No NA 15 min 11:32:00 2.68960 in. H20 11:47:00 2.68960 in. H20 15 min 0.00000 in. H20 +/- 0.00200 Pass Yes No NA Yes No NA UDC #5/6 Poly Polyethylene 28.00 12.00 5.00 Clean 2"Above Yes No NA 00:00:00 sec Yes No NA Yes No NA 15 min 11:51:00 2.68960 in. H20 12:06:00 2.68950 in. H20 15 min -0.00010 in. H20 +/- 0.00200 Pass Yes No NA Yes No NA UDC #7/8 Poly Polyethylene 28.00 12.00 5.00 Clean 2"Above Yes No NA 00:00:00 sec Yes No NA Yes No NA 15 min 11:32:00 5.31640 in. H20 11:47:00 5.31610 in. H20 15 min -0.00030 in. H20 +/- 0.00200 Pass Yes No NA Yes No NA UDC #7/8 Poly Polyethylene 28.00 12.00 5.00 Clean 2"Above Yes No NA 00:00:00 sec Yes No NA Yes No NA 15 min 11:51:00 5.31620 in. H20 12:06:00 5.31600 in. H20 15 min -0.00020 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: 3426905 SWRCB, January 2002 Page 3 of 3 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: INCON Equipment Resolution: 0.002 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 #9/10 Poly Polyethylene 28.00 12.00 5.00 Clean 2"Above Yes No NA 00:00:00 sec Yes No NA Yes No NA 15 min 13:15:00 4.73210 in. H20 13:30:00 4.73180 in. H20 15 min -0.00030 in. H20 +/- 0.00200 Pass Yes No NA Yes No NA UDC #9/10 Poly Polyethylene 28.00 12.00 5.00 Clean 2"Above Yes No NA 00:00:00 sec Yes No NA Yes No NA 15 min 13:32:00 4.73170 in. H20 13:47:00 4.73170 in. H20 15 min 0.00000 in. H20 +/- 0.00200 Pass Yes No NA Yes No NA UDC #11/12 Poly Polyethylene 28.00 12.00 5.00 Clean 2"Above Yes No NA 00:00:00 sec Yes No NA Yes No NA 15 min 12:18:00 1.91420 in. H20 12:33:00 1.91370 in. H20 15 min -0.00050 in. H20 +/- 0.00200 Pass Yes No NA Yes No NA UDC #11/12 Poly Polyethylene 28.00 12.00 5.00 Clean 2"Above Yes No NA 00:00:00 sec Yes No NA Yes No NA 15 min 12:37:00 1.91360 in. H20 12:53:00 1.91350 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: 3426905 SWRCB, January 2002 Page 1 of 1 8. FILL RISER CONTAINMENT SUMP TESTING 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 Industry Standard Professional Engineer Other (Specify) Test Method Used By: Pressure Vacuum Hydrostatic Other (Specify) Test Equipment Used: INCON Equipment Resolution: 0.002 in. Sump Diameter: Sump Depth: 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 (RI): Test End Time: Final Reading (RF): Test Duration: Change in Reading (RF-RI) : Pass/Fail Threshold or Criteria: Test Result: Is there a sensor in the pump? Does the sensor alarm when either product or water is detected? Was sensor removed for testing? Was sensor properly replaced and verified functional after testing? Fill Containment for Tank T2 RUL RUL - 1 36.00 in. 50.00 in. 10.00 14.00 Clean 2" Above Fiberglass 15 min 13:14:00 4.33820 in. H20 13:29:00 4.33980 in. H20 15 min 0.00160 in. H20 +/- 0.00200 Pass Yes No Yes No NA Yes No NA Yes No NA Fill Containment for Tank T2 RUL RUL - 1 36.00 in. 50.00 in. 10.00 14.00 Clean 2" Above Fiberglass 15 min 13:30:00 4.34000 in. H20 13:45:00 4.34070 in. H20 15 min 0.00070 in. H20 +/- 0.00200 Pass Yes No Yes No NA Yes No NA Yes No NA Fill Containment for Tank T3 PUL PUL - 1 36.00 in. 50.00 in. 10.00 14.00 Clean 2" Above Fiberglass 15 min 11:36:00 5.54470 in. H20 11:51:00 5.54430 in. H20 15 min -0.00040 in. H20 +/- 0.00200 Pass Yes No Yes No NA Yes No NA Yes No NA Fill Containment for Tank T3 PUL PUL - 1 36.00 in. 50.00 in. 10.00 14.00 Clean 2" Above Fiberglass 15 min 11:53:00 5.54410 in. H20 12:08:00 5.54390 in. H20 15 min -0.00020 in. H20 +/- 0.00200 Pass Yes No 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) WO: 3426905 7-Eleven Test Water Log Work Order: Site Name/ID: Address: City: 3426905 7-ELEVEN #32376, MKT 2368 9600 BRIMHALL RD. BAKERSFIELD Date: 9/17/2015 State: CA Zip: 93312 Work Performed:Disp Sump, Line Interstitials, SB989 or Sumps, 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?pump out by Nieto and son/750 gallon Technician Signature: Date: 9/17/2015 WO: 3426905 Site Diagram (This site diagram is for reference only and is not drawn to scale) Work Order:3426905 Site ID / Name:32376 / 7-ELEVEN #32376, MKT 2368 Address:9600 BRIMHALL RD. City:BAKERSFIELD State:CA Zip:93312