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Home My WebLink AboutSB-989 Results 9-24-16SWRCB, January 2002 Secondary Containment Testing Report Form Page 1 of 6 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: White Lane Chevron Date of Testing: 09/24/2016 Facility Address: 2525 White Lane, Bakersfield, CA 93304 Facility Contact: Nidal Azzi or Bassem Azzi Phone: (805) 217 -0610 Date Local Agency Was Notified of Testing : 09/15/2015 Name of Local Agency Inspector (if present during testing): Kris Karns 2. TESTING CONTRACTOR INFORMATION Company Name: Confidence UST Services, Inc. Technician Conducting Test: Cameron Mason Credentials: ® CSLB Licensed Contractor ❑ SWRCB Licensed Tank Tester License Type: A -Haz, C61 -D40 License Number: 804904 Manufacturer Training Manufacturer Component(s) Date Training) ICC Service Technician 10/13/2016 INCON ST -STS 10/16/2016 Z CTT1V4MA12V "F TFCT RFCTTT,TC Component Pass Fail Not Tested Repairs Made Component Pass Fail Not Tested Repairs Made 87 Annular ® ❑ ❑ ❑ 87 Vapor Spill Bucket ® ❑ ❑ ❑ 91 Annular ® ❑ ❑ ❑ 91 Vapor Spill Bucket ® ❑ ❑ ❑ Diesel Annular ® ❑ ❑ ❑ UDC 1/2 ❑ ® 1 ❑ ❑ 87 Secondary ❑ ® ❑ ❑ UDC 3/4 ❑ ® ❑ ❑ 91 Secondary ❑ ® ❑ ❑ UDC 5/6 ❑ ® ❑ ❑ Diesel Secondary ❑ ® ❑ ❑ UDC 718 ❑ ® ❑ ❑ 87 STP ® ❑ ❑ ❑ ❑ ❑ ❑ ❑ 91 STP ® ❑ ❑ ❑ ❑ ❑ ❑ 1 ❑ Diesel STP ® ❑ ❑ ❑ ❑ ❑ ❑ ❑ 87 Fill Spill Bucket ® ❑ ❑ ❑ ❑ ❑ ❑ ❑ 91 Fill Spill Bucket ® 1 ❑ ❑ ❑ ❑ ❑ 1 ❑ ❑ Diesel Fill Spill Bucket ® 1 ❑ ❑ 1 ❑ j ❑ ❑ 1 ❑ 1 ❑ If hydrostatic testing was performed, describe what was done with the water after completion of tests: Water was returned to test tank. 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: 09/24/2016 SWRCB, January 2002 4. TANK ANNULAR TESTING Page 2 of 6 [] Industry Standard ❑ Professional Engineer E] Vacuum ❑ Hydrostatic Equipment Resolution: 0.0625" Tank # 91 Tank # Diesel Tank # Is Tank Exempt From Testing ?' ❑ Yes 0 No ❑ Yes El No ❑ Yes 0 No ❑ Yes ❑ No Tank Capacity: 12,000 12,000 12,000 Tank Material: Steel Steel Steel Tank Manufacturer: Unknown Unknown Unknown Product Stored: 87 91 Diesel Wait time between applying pressure /vacuum /water and starting test: 5 min. 5 min. 5 min. Test Start Time: 10:00 am 10:00 am 10:00 am Initial Reading (RI): -10.00 hg -10.00 hg -10.00 hg Test End Time: 11:00 am 11:00 am 11:00 am Final Reading (RF): -10.00 hg -10.00 hg -10.00 hg Test Duration: 1 hour 1 hour 1 hour Change in Reading (RF -RI): 0.00 hg 0.00 hg 0.00 hg Pass/Fail Threshold or Criteria: 0.00 hg 0.00 hg 0.00 hg Test Result: ❑ Pass ❑ Fail Q Pass ❑ Fail ❑ Pass ❑ Fail ❑ Pass ❑ Fail Was sensor removed for testing? E] Yes ❑No DNA DYes ❑No DNA E]Yes ❑No DNA ❑Yes ❑No DNA Was sensor properly replaced an d' verified functional after testin ? 0 Yes ❑ No ❑ NA []Yes ❑ No DNA Yes ❑No ❑NA ❑Yes ❑No DNA Comments — (include information on repairs made prior to testing, and recommended follow -up for failed tests) Replaced all 3 annular sensors with Veeder -Root 420 sensors. ' 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 3 of 6 5. SECONDARY PIPE TESTING Test Method Developed By: ❑ Piping Manufacturer E] Industry Standard ❑ Professional Engineer ❑ Other (Spec) Test Method Used: 0 Pressure ❑ Vacuum ❑ Hydrostatic ❑ Other (Spec) Test Equipment Used: Calibrated Gauges Equipment Resolution: 0.0625" Piping Run # 87 Piping Run # 91 Piping Run # DSL Piping Run # VR Piping Material: Fiberglass Fiberglass Fiberglass Fiberglass Piping Manufacturer: Smith Smith Smith Smith Piping Diameter: 3.00" 3.00" 3.00" 4.00" Length of Piping Run: 100.00' 100.00' 100.00' 100.00' Product Stored: 87 91 Diesel Gasoline Vapor Method and location of Boot in STP Boot in STP Boot in STP Boot in STP piping-run isolation: Wait time between applying pressure /vacuum /water and 5 min. 5 min. 5 min. 5 Min. starting test: Test Start Time: 10:00 am 10:00 am 10:00 am 10:00 am Initial Reading (RI): 5.00 PSI 5.00 PSI 5.00 PSI 5.00 PSI Test End Time: 11:00 am 11:00 am 11:00 am 11:00 am Final Reading (RF): 0.00 PSI 0.00 PSI 0.00 PSI 0.00 PSI Test Duration: 1 hour 1 hour 1 hour 1 hour Change in Reading (RF -RI): 5.00 PSI 5.00 PSI 5.00 PSI 5.00 PSI Pass/Fail Threshold or 0.00 PSI 0.00 PSI 0.00 PSI 0.00 PSI Criteria: Test Result: ❑- Pass ❑ Fail ❑ Pass ❑ Fail ❑ Pass - ❑ Fail ❑ Pass El Fail Comments — (include information on repairs made prior to testing, and recommended follow -up for failed tests) Replaced bad test boot on 87 product secondary. 2.4" x 3.5" Icon split repair test boot. SWRCB, January 2002 Page 4 of 6 6. PIPING SUMP TE STING Test Method Developed By: ❑ Sump Manufacturer D Industry Standard ❑ Professional Engineer ❑ Other (Spec) Test Method Used: ❑ Pressure ❑ Vacuum D Hydrostatic ❑ Other (Spec) Test Equipment Used: TS -STS Equipment Resolution: Sump # 87 Sump # 91 Sump # DSL Sump # Sump Diameter: 37.00" 37.00" 37.00" Sump Depth: 64.00" 64.00" 64.00" Sump Material: Fiberglass Fiberglass Fiberglass Height from Tank Top to Top of Highest Piping Penetration: 12.00" 12.00" 12.00" Height from Tank Top to Lowest Electrical Penetration: 36.00" 36.00" 36.00" Condition of sump prior to testing: Clean Clean Clean Portion of Sump Tested' A.P.P. A.P.P. A.P.P. Does turbine shut down when sump sensor detects liquid (both product and water)? * ❑ Yes 0 N DNA ❑Yes ❑No DNA ❑Yes ❑No DNA ❑Yes ❑No ❑NA Turbine shutdown response time N/A N/A N/A Is system programmed for fail -safe shutdown ?* ❑'Yes ❑No DNA ❑Yes ❑No DNA ❑Yes [I No 0 N ❑Yes ❑No ❑NA Was fail -safe verified to be o erational?* ❑ Yes ❑ No 0 NA ❑ Yes ❑ No 0 NA ❑ Yes ❑ No El NA ❑ Yes ❑ No ❑ NA Wait time between applying pressure /vacuum/water and starting test: Test Start Time: Initial Reading (RI): SEE INCON RESULTS Test End Time: Final Reading (RF): Test Duration: Change in Reading (RF -RI): Pass/Fail Threshold or Criteria: Test Results [] Pass ' ❑ Fail ' D Pass - ❑ Fail 0 Pass ❑ Fail ❑ Pass ❑ Fail Was sensor removed for testing? D Yes ❑No ❑NA QYes ❑No ❑NA DYes ❑No ❑NA ❑Yes 0 N 0 N Was sensor properly replaced and verified functional after testin ? � Yes ❑ No ❑ NA DYes []No ❑ NA B Yes ❑ No ❑ NA ❑Yes ❑ No ❑ NA Comments — (include information on repairs made prior to testing, and recommended follow -up for failed tests) ' If the entire depth of the sump is not tested, specify how much was tested. If the answer to My 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 5 of 6 7. UNDER- DISPENSER CONTAINMENT DC TESTING Test Method Developed By: ❑ UDC Manufacturer ® Industry Standard ❑ Professional Engineer ❑ Other (Spec) Test Method Used: ❑ Pressure ❑ Vacuum ❑ Hydrostatic ❑ Other (Spec) Test Equipment Used: TS -STS Equipment Resolution: 0.002" UDC # 1 -2 UDC # 3 -4 UDC # 5 -6 UDC # 7 -8 UDC Manufacturer: Bravo Bravo Bravo Bravo UDC Material: Steel Steel Steel Steel UDC Depth: 4.00" 4.00" 4.00" 4.00" Height from UDC Bottom to Top N/A N/A N/A N/A of Highest Piping Penetration: Height from UDC Bottom to N/A N/A N/A N/A Lowest Electrical Penetration: Condition of UDC prior to Clean Clean Clean Clean testing: Portion of UDC Tested' A.P.P. A.P.P. A.P.P. A.P.P. Does turbine shut down when UDC sensor detects liquid (both ❑ Yes 0 N El NA ❑Yes ❑No E]NA ❑Yes ❑No EINA ❑Yes ❑No EINA product and water)?* Turbine shutdown response time N/A N/A N/A N/A Is system programmed for fail- safe shutdown? ❑ yes 0 N El NA ❑Yes ❑No EINA ❑Yes ❑No EINA ❑Yes ❑No EINA Was fail -safe verified to be operational?* ❑ Yes 0 N El NA ❑Yes []No EINA ❑Yes ONO EINA ❑Yes ❑No EINA Wait time between applying pressure /vacuum /water and 5 Min. 5 Min. 5 Min. 5 Min. starting test Test Start Time: Initial Reading RI): Test End Time: NCON RESULTS Final Reading (RF): Test Duration: Change in Readin (RF -RI): Pass/Fail Threshold or Criteria: Test Result: ❑ Pass 0 Fail ❑ Pass 0 Fail ❑ Pass E Fail ❑: Pass [) Fail Was sensor removed for testing? ❑ Yes ❑No EINA ❑Yes ❑No ETNA ❑Yes ❑No EINA ❑Yes ❑No ONA Was sensor properly replaced and ❑ Yes ❑No EINA ❑Yes ❑No EINA ❑Yes ❑No EINA ❑Yes ❑No EINA verified functional after testing? Comments — (include information on repairs made prior to testing, and recommended follow -up for failed tests) Visual fail on all 4 dispenser pans. Suspected bad penetrations. ' If the entire depth of the UDC is not tested, specify how much was tested. If the answer to a_y of the questions indicated with an asterisk ( *) is "NO" or "NA ", the entire UDC must be tested. (See SWRCB LG -160) SWRCB, January 2002 Page 6 of 6 9. SPILL /OVERFILL CONTAINMENT BOXES 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 E] Industry Standard ❑ Professional Engineer ❑ Other (Spec) Test Method Used: ❑ Pressure ❑ Vacuum Hydrostatic ❑ Other (Spec) Test Equipment Used: lake Test I Equipment Resolution: 0.00" Spill Box # 87 F Spill Box # 91 F Spill Box # DSl F Spill Box # 87 V Bucket Diameter: 12.00" 12.00" 12.00" 12.00" Bucket Depth: 12.00" 12.00" 12.00" 12.00" Wait time between applying pressure /vacuum /water and 5 min. 5 min. 5 min. 5 min. starting test: Test Start Time: 11:30 am 11:30 am 11:30 am 11:30 am Initial Reading (Rj): 11.00" 11.00" 11.00" 11.00" Test End Time: 12:30 pm 12:30 pm 12:30 pm 12:30 pm Final Reading (RF): 11.00" 11.00" 11.00" 11.00" Test Duration: 1 Hour 1 Hour 1 Hour 1 Hour Change in Reading (RF -RI): 0.001, 0.001, 0.001, 0.001, Pass/Fail Threshold or 0.00" 0.00" 0.00" 0.00" Criteria: Test Res ult: Pass ❑ Fail 0 Pass ❑ Fail D Pass ❑ Fail E Pass ' ❑ Fail 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 6 of 6 Facility is Not Equipped With Spill /Overfill Containment Boxes ❑ Spill /Overfill Containment Boxes are Present, but were Not Tested [I Test Method Developed By: ❑ Spill Bucket Manufacturer E] Industry Standard ❑ Professional Engineer ❑ Other (Spec) Test Method Used: ❑ Pressure ❑ Vacuum El Hydrostatic ❑ Other (Spec) Test Equipment Used: Lake Test Equipment Resolution: 0.00" Spill Box # 87 v Spill Box # Spill Box # Spill Box # Bucket Diameter: 12.00" Bucket Depth: 12.00" Wait time between applying pressure /vacuum /water and 5 min. starting test: Test Start Time: 11:30 am Initial Reading (Rj): 11.00" Test End Time: 12:30 pm Final Reading (RF): 11.00" Test Duration: 1 Hour Change in Reading (RF -R,): 0.00" Pass/Fail Threshold or 0.001, Criteria: Test Res ult: El Pass ❑ Fail 0 Pass ❑ Fail ❑ Pass ❑ Fail ❑ Pass ❑ Fail Comments — (include information on repairs made prior to testing, and recommended follow -up for failed tests) WHITE LANE CHEVRON 2525 WHITE LANE BAKERSEIELD CA 93304 09/24/2015 11 :52 AM SUMP LEAK TEST REPORT 87 STP TEST STARTED 11 :36 AM TEST STARTED 09/24/2015 BEGIN LEVEL 2,7398 IN END TIME 11:51 AM END DATE 09/24/2015 END LEVEL 2,7402 IN LEAK THRESHOLD 0,002 IN TEST RESULT PASSED 91 STP TEST STARTED 11:36 AM TEST STARTED 09/24/2015 BEGIN LEVEL 4,7722 IN END TIME 11:51 AM END DATE 09/24/2015 END".LEVEL 4, 7721 IN LEAK THRESHOLD 0,002 IN TEST RESULT PASSED DSL STP TEST STARTED 11:36 AM TEST STARTED 09/24/2015 BEGIN LEVEL 5,0684 IN END TIME 11:51 AM END DATE 09/24/2015 END LEVEL 5.0685 IN LEAK THRESHOLD 0,002 IN TEST RESULT PASSED WHITE LANE CHEVRON 2525 WHITE LANE BAKERSEIELD CA 93304 t G t 09/24/2015 12:11 PM SUMP LEAK TEST REPORT 3 i 87 STP TEST STARTED 11 :56 AM TEST STARTED 09/24/2015 BEGIN LEVEL 2,7400 IN END TIME 12:11 PM END DATE 09/24/2015 END LEVEL 2.7397 IN LEAK THRESHOLD 0,002 IN TEST RESULT PASSED 91 STP TEST STARTED 11:56 AM TEST STARTED 09/24/2015 BEGIN LEVEL 4,7720 IN END TIME 12 :11 PM END DATE 09/24/2015 END LEVEL 4.7719 IN LEAK THRESHOLD 0,002 IN TEST RESULT PASSED DSL STP TEST STARTED 11 :56 AM TEST STARTED 09/24/2015 BEGIN LEVEL 5,0688 IN END TIME 12 :11 PM END DATE 09/24/2015 i END LEVEL 510686 IN j LEAK THRESHOLD 0,002 IN TEST RESULT PASSED