HomeMy WebLinkAboutProduct Line Test Results 4/21/2016Confidence 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:
Pacific Coast Sightseeing & Charters
2001 South Manchester Avenue
Anaheim, CA 92802
36414
04/21/2016
PaciifcCoastSightseeing &Charters
1800 Golden State Avenue
Bakersfield, CA 93301
Haney Hana (714) 507-3101
Bryan Self (800) 339-9930 15-1763
Pressure
11:00am
11:15am
60PSI
0.001
Pass
04/21/2016 TMI-150