HomeMy WebLinkAbout2015 RESULTS REPAIRSConfidence UST Services, Inc.
16250 Meacham Road, Bakersfield, CA 93314 800-339-9930 or 661-631-3870
FINAL TEST RESULTS
ALERT 1000 / ALERT 1050 / TEI LT-3 / VMI LDT-890
CUSTOMER ADDRESS:WORK ORDER: SITE ADDRESS:
TEST DATE:
SITE CONTACT: PHONE:
TECHNICIAN: PHONE: LICENSE:
WATER IN BACKFILL: DATE & TIME OF LAST FUELDELIVERY:
____________________________________________________________________________
TANK INFORMATION:
(WETTED) TANK 1 TANK 2 TANK 3 TANK 4
PRODUCT TYPE:
TOTAL GALLONS:
PRODUCT LEVEL:
PERCENT FULL:
TEST METHOD:
WATER IN TANK:
TANK MATERIAL:
P.S.I. @ BOTTOM:
TEST DURATION:
FINAL LEAK RATE:
TEST RESULT:
TANK
INFORMATION
(ULLAGE) U/F ONLY
ALERT 1050XALERT 1050X ALERT 1050X ALERT 1050X
ULLAGE GALLONS:
START PRESSURE:
END PRESSURE:
TEST RESULT:
PRODUCT LINES:TEI LT-3TEI LT-3TEI LT-3 TEI LT-3
LINE TYPE:
START TIME:
END TIME:
TEST PRESSURE:
FINAL LEAK RATE:
TEST RESULT:
MECHNICAL LINE
LEAK DETECTORS:VMI LDT-890VMI LDT-890VMI LDT-890 VMI LDT-890
MODEL:
SERIAL NUMBER:
CHECK VALVE PSI:
BLEED OFF ml:
LEAK RATE TESTED:
TEST RESULT:
A) These systems and methods meet or exceed the criteria in USEPA 40CFR parts 280, NFPA 329-87 and all
applicable state codes.
B) Any failure listed above may require further action, check with all regulatory agencies.
TECHNICIAN SIGNATURE:DATE:MANUFACTURER CERTIFICATION NO:
Franzen-Hill,Inc.
1100NorthJStreet
Tulare,CA93274
35675
12/11/2015
Mike'sFood
2300PanamaLane
Bakersfield,CA
Darren (559)804-1529
BryanSelf (661)631-3870 11-1756
0.0024 hours +
87 91 Diesel
Pressure
1:10 pm
1:25 pm
55 PSI
.017
Pass
Pressure
12:15 pm
12:30 pm
55 PSI
.002
Pass
Pressure
12:35 pm
12:50 pm
55 PSI
.005
Pass
12/11/2015 TEILT-3:TMI-146