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