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Home My WebLink About989 5-29-15 RetestSWRCB, January 2002 Secondary Containment Testing Report Form Page of 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: USA LIQUOR I Date of Testing: 5/29/15 Facility Address: 1720 S. UNION AVE BAKERSFIELD CA. Facility Contact: Phone: (661) 832 -0457 Date Local Agency Was Notified of Testing: Name of Local Agency Inspector (fpresent during testing): 2. TESTING CONTRACTOR INFORMATION Company Name: LC SERVICES Pass Technician Conducting Test: EIVIND BYE Not Tested Credentials: ❑ CSLB Licensed Contractor ❑ SWRCB Licensed Tank Tester License Type: ucc :� •nx.. �.� .•a:?�:x Manufacturer License Number:706992 xaa. xxe.�.: • �;xs� <.as:' >;.:.'. , • ^apt: a`.,. • x • •`+ Manufacturer Training Component(s) Date Training Expires INCON SUMP TESTER 9 -24 -16 87 STP X ❑ ❑ ❑ UDC 3 -4 3. SUMMARY OF TEST RESULTS Component Pass Fail Not Tested Repairs Made Component Pass Fail Not Tested Repairs Made 87 STP X ❑ ❑ ❑ UDC 3 -4 ❑ X ❑ ❑ 87 SEC. PRODUCT X ❑ ❑ ❑ ❑ ❑ ❑ 87 ANNULAR X ❑ ❑ ❑ ❑ ❑ ❑ ❑ 87 VAPOR BUCKET X ❑ ❑ ❑ ❑ ❑ ❑ ❑ 91STP X ❑ ❑ ❑ ❑ ❑ ❑ ❑ 91 SEC. PRODUCT X ❑ ❑ ❑ ❑ ❑ ❑ 91 ANNULAR X ❑ ❑ ❑ 1 ❑ ❑ ❑ ❑ 91 VAPOR BUCKET X ❑ ❑ ❑ ❑ ❑ ❑ ❑ DSL STP X ❑ ❑ ❑ ❑ ❑ ❑ ❑ DSL SEC. PRODUCT X ❑ ❑ ❑ ❑ ❑ ❑ ❑ DSL ANNULAR X ❑ ❑ ❑ ❑ ❑ El El UDC 1 -2 I Xf ❑ ❑ ❑ ❑ ❑ ❑ If hydrostatic testing was performed, describe what was done with the water after completion of tests: RETURNED TO HOLDING TANK. CERTIFICATION OF TECHNICIAN RESPONSIBLE FOR CONDUCTING THIS TESTING To the best of my knowledge, the facts stated in this meat are accurate and in full compliance with legal requirements % , Technician's Signature: ` _ Date:5 /29/15 SWRCB, January 2002 4. TANK ANNULAR TESTING Page of Test Method Developed By: ❑ Tank Manufacturer ❑ Industry Standard ❑ Professional Engineer ❑ Other (Spec) Test Method Used: ❑ Pressure X Vacuum ❑ Hydrostatic ❑ Other (Sped) Test Equipment Used: Equipment Resolution: Tank # 87 Tank # 91 TTank # DSL 17Tank # Is Tank Exempt From Testing ?' ❑ Yes X No ❑ Yes X No ❑ Yes X No ❑ Yes ❑ No Tank Capacity: 103000 10,000 10,000 Tank Material: FIBERGLASS FIBERGLASS FIBERGLASS Tank Manufacturer: UNKNOWN UNKNOWN UNKNOWN Product Stored: 87 91 DSL Wait time between applying pressure /vacuum /water and starting test: 15 MINUTES 15 MINUTES 15 MINUTES Test Start Time: 1:OOPM 2:OOPM 3:OOPM Initial Reading (RI): -10 -10 -10 Test End Time: 2:OOPM 3:OOPM 4:OOPM Final Reading (RF): -10 -10 -10 Test Duration: 1 HR 1 HR 1 HR Change in Reading (RF -Ri): 0 0 0 Pass /Fail Threshold or Criteria: 0 0 1 0 Was sensor removed for testing? X Yes ❑ No ❑ NA X Yes ❑ No ❑ NA X Yes ❑ No ❑ NA ❑ Yes ❑ No ❑ NA Was sensor properly replaced and X Yes ❑ No ❑ NA X Yes ❑ No ❑ NA X Yes ❑ No ❑ NA ❑ Yes ❑ No ❑ NA verified functional after testing? Comments — (include information on repairs made prior to testing, and recommended follow -up for failed tests) ' 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. {California Code of Regulations, Title 23, Section 2637(a)(6)) SWRCB, January 2002 Page of 5. SECONDARY PIPE TESTING Test Method Developed By: ❑ Piping Manufacturer ❑ Industry Standard ❑ Professional Engineer ❑ Other (Specify) Test Method Used: X Pressure ❑ Vacuum ❑ Hydrostatic ❑ Other (Specify) Test Equipment Used: Equipment Resolution: Piping Run# 87 Piping Run# 91 Piping Run #DSL Piping Run# Piping Material: FIBERGLASS FIBERGLASS FIBERGLASS Piping Manufacturer: AMARON AMARON AMARON Piping Diameter: T) 2" 2" Length of Piping Run- 50' 50' 10, Product Stored: 87 91 DSL Method and location of piping-run isolation: AIR VALVE AIR VALVE AIR VALVE Wait time between applying pressure/vacuum/water and starting test: 15 MINUTES 15 MINUTES 15 MINUTES Test Start Time: 2:OOPM 2:OOPM 2:OOPM Initial Reading (RI): 0 0 5 PSI Test End Time: 3:OOPM 3:OOPM 3:OOPM Final Reading (RF): 0 0 5 PSI Test Duration: I HR I HR I HR Change in Reading _5PSI -5 PSI 0 Pass/Fail Threshold or Criteria: NO DROP IN PSI NO DROP IN PSI NO DROP IN PSI Comments — (include information on repairs made prior to testing, and recommended follow -up for failed tests) BOTH LINES ARE LEAKING UNDER PIPING IN DISPENSER PAN IN -BETWEEN PIPING. DISP. 1-2 IS 91 AND DISP. 3-4 IS 87 SWRCB, January 2002 Page of 6. PIPING SUMP TESTING Test Method Developed By: ❑ Sump Manufacturer ❑ Industry Standard ❑ Professional Engineer ❑ Other (Sped) Test Method Used: ❑ Pressure ❑ Vacuum X Hydrostatic ❑ Other (Sped) Test Equipment Used: Equipment Resolution: .002 p Sump # 87 Sump # 91 Sump # DSL Sump # Sump Diameter: 46" 46" 46" Sump Depth: 55" 54" 53" Sump Material: FIBERGLASS FIBER GLASS FIBERGLASS Height from Tank Top to Top of Highest Piping Penetration: 24" 23" 23" Height from Tank Top to Lowest Electrical Penetration: 18" 16" 18" Condition of sump prior to testing: OK OK OK Portion of Sump Tested' HIGHEST HIGHEST HIGHEST Does turbine shut down when sump sensor detects liquid (both product and water) ?* X Yes ❑ No ❑ NA X Yes ❑ No ❑ NA X Yes ❑ No ❑ NA ❑ Yes ❑ No ❑ NA Turbine shutdown response time AUTOMATIC AUTOMATIC AUTOMATIC Is system programmed for fail -safe shutdown?* X Yes ❑ No ❑ NA X Yes ❑ No ❑ NA X Yes ❑ No ❑ NA ❑ Yes ❑ No ❑ NA Was fail -safe verified to be operational ?* X Yes ❑ No ❑ NA X Yes ❑ No ❑ NA X Yes ❑ No ❑ NA 0 Yes ❑ No ❑ NA Wait time between applying pressure /vacuum /water and starting test: 15 MINUTES 15 MINUTES 15 MINUTES Test Start Time: 4:37PM 4 :53PM 3:06PM 3:30PM 1:25PM 2:02PM Initial Reading (RI): 6.0945 6.0794 5.6707 5.6708 6.0246 5.9778 Test End Time: 4:52PM 5:08PM 3:21PM 3:45PM 1:40PM 2:17PM Final Reading (RF): 6.0949 6.0782 5.6708 5.6694 6.0252 5.9783 Test Duration: 15 MINUTES 15 MINUTES 15 MINUTES Change in Reading (RF -Ri): .0004 .0012 .0001 .0014 .0006 .0005 Pass /Fail Threshold or Criteria: .002 .002 .002 Tt Result: X P ass ❑Fail X Pass ❑ Fair Pass' D`aiI Pass ❑'Fail Was sensor removed for testing? X Yes ❑ No ❑ NA X Yes ❑ No ❑ NA X Yes ❑ No ❑ NA ❑ Yes ❑ No ❑ NA Was sensor properly replaced and verified functional after testing? X Yes ❑ No ❑ NA X Yes ❑ No ❑ NA X Yes ❑ No ❑ NA ❑ Yes ❑ No ❑ NA Comments — (include information on repairs made prior to testing, and recommended fallow -up for failed tests) ' If the entire depth of the sump is not tested, specify how much was tested. If the answer to a—X of the questions indicated with an asterisk ( *) is "NO" or "NA ", the entire sump must be tested. (See SWRCB LG -160) SWRCB, January 2002 Page of 7. UNDER- DISPENSER CONTAINMENT (UDC) TESTING Test Method Developed By: ❑ UDC Manufacturer ❑ Industry Standard ❑ Professional Engineer ❑ Other (Specify) Test Method Used: ❑ Pressure ❑ Vacuum X Hydrostatic ❑ Other (Spec) Test Equipment Used: Equipment Resolution: x. 5-0- UDC # 1/2 UDC # 3/4 UDC # UDC # UDC Manufacturer: BRAVO BRAVO UDC Material: METAL METAL UDC Depth: 10" 10" Height from UDC Bottom to Top of Highest Piping Penetration: N/A N/A Height from UDC Bottom to Lowest Electrical Penetration: N/A N/A Condition of UDC prior to testing: OK OK Portion of UDC Tested' HIGHEST HIGHEST Does turbine shut down when UDC sensor detects liquid (both product and water) ?* ❑ Yes ❑ No X NA ❑ Yes ❑ No X NA ❑ Yes ❑ No ❑ NA ❑ Yes ❑ No ❑ NA Turbine shutdown response time N/A N/A Is system programmed for fail- safe shutdown ?* X Yes ❑ No ❑ NA X Yes ❑ No ❑ NA ❑ Yes ❑ No ❑ NA ❑ Yes ❑ No ❑ NA Was fail -safe verified to be operational ?* X Yes ❑ No 0 NA X Yes ❑ No ❑ NA ❑ Yes ❑ No ❑ NA ❑ Yes ❑ No ❑ NA Wait time between applying pressure /vacuum /water and starting test 15 MINUTES 15 MINUTES 15 MINUTES 15 MINUTES Test Start Time: 11:32AM 11:32AM Initial Reading (RI): 3.7034 2.5935 Test End Time: 11:47AM 11:47AM Final Reading (RF): 2.3769 2.3556 Test Duration: 15 MINUTES 15 MINUTES 15 MINUTES 15 MINUTES Change in Reading (RF -Ri): 1.3265 0.2379 Pass /Fail Threshold or Criteria: .002 .002 .002 .002 Test Result: Pass Fail ❑Pass X Fail ❑Pass ❑Fail 0 Pass ❑;Fall Was sensor removed for testing? ❑ Yes ❑ No X NA ❑ Yes ❑ No X NA ❑ Yes ❑ No ❑ NA ❑ Yes ❑ No ❑ NA Was sensor properly replaced and verified functional after testing? ❑ yes ❑ No X NA ❑ Yes ❑ No X NA ❑ Yes ❑ No ❑ NA 0 Yes ❑ No ❑ NA Comments — (include information on repairs made prior to testing, and recommended follow -up for failed tests) PANS ARE LEAKING FROM SECONDARY LINES UNDER PIPING GOING DOWN THROUGH PAN NOT FROM PLUGS. ' If the entire depth of the UDC is not tested, specify how much was tested. If the answer to aM of the questions indicated with an asterisk ( *) is "NO" or "NA ", the entire UDC must be tested. (See SWRCB LG -160) SWRCB, January 2002 S. FILL RISER CONTAINMENT SUMP TESTING Page of Facility is Not Equipped With Fill Riser Containment Sumps X 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: ❑ Pressure ❑ Vacuum ❑ Hydrostatic ❑ Other (Spec) Test Equipment Used: =WME Equipment Fill Sump # Fill Sump # Fill Sump # Fill Sump # 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: 15 MINUTES 15 MINUTES 15 MINUTES Test Start Time: Initial Reading (Rj): Test End Time: Final Reading (RF): Test Duration: 15 MINUTES 15 MINUTES 15 MINUTES Change in Reading (RF -RI): Pass /Fail Threshold or Criteria: .002 .002 .002 Test Result: D Pass ❑ Fail 0 Pass ❑Fail Pass ❑ `Faii Pass ❑ Fa: iY Is there a sensor in the sump? ❑ Yes ❑ No ❑ Yes ❑ No ❑ Yes ❑ No ❑ Yes ❑ No Does the sensor alarm when either product or water is detected? ❑ Yes ❑ No ❑ NA ❑ Yes ❑ No ❑ NA ❑ Yes ❑ No ❑ NA ❑ Yes ❑ No ❑ NA Was sensor removed for testing? ❑ Yes ❑ No ❑ NA ❑ Yes 0 No ❑ NA ❑ Yes ❑ No ❑ NA ❑ Yes ❑ No ❑ NA Was sensor properly replaced and verified functional after testing? ❑ Yes ❑ No ❑ NA ❑ 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) SWRCB, January 2002 9. SPILL/OVERFILL CONTAINMENT BOXES Page of Facility is Not Equipped With Spill/Overfill Containment Boxes ❑ Spill/Overfill Containment Boxes are Present, but were Not Tested ❑ Test Method Developed By: ❑ Spill Bucket Manufacturer X Industry Standard ❑ Professional Engineer ❑ Other (Specify) Test Method Used: ❑ Pressure ❑ Vacuum X Hydrostatic ❑ Other (Specify) Test Equipment Used: --�Equipment Resolution: Spill Box #87 VAPOR Spill Box#91 VAPOR Spill Box 4 T Spill Box # Bucket Diameter: 1211 12" Bucket Depth: 1451 1411 Wait time between applying pressure/vacuum/water and starting test: 15 MINUTES 15 MINUTES Test Start Time: 9:OOAM 9:OOAM Initial Reading (RI): 13" 13" Test End Time: 10:OOAM 10:OOAM Final Reading (RF): 13" 13" Test Duration: I HR I HR Change in Reading (RF-Ri)-. 0 0 Pass/Fail Threshold or Criteria: 002 .002 Comments — (include information on repairs made prior to testing, and recommended follow -up for failed tests)