HomeMy WebLinkAboutLEAK DETECTOR TEST 8/11/2015RICHENVIR
5643 BROOKS CT. BAKERSFIELD, CA. 93308
OFFICE (661)392-8687 FAX (661)392-0621
PRODUCT LINE LEAK DETECTOR TEST
WORK SHEET
W/O#:
FACILITY NAME: - RIO BRAVO MOBIL
FACILITY ADDRESS: 3200 'IF" STREET. BAKERSFIELD
PRODUCT LINE TYPE: PRESSURE
PRODUCT
' LEAK DETECTOR TYPE
TEST
TRIP
PASS
BELOW
P.S.I.
OR
SERIAL NUMBER
Ty
3 G.F'n .H.
FAIL
pREM91
LAD TYPE: RED JACKET
YES
15
PASS
SERIAL # FXlV
LAD TYPE
YES
PASS
SERIAL #
NO
FAIL
L/D TYPE
YES
PASS
SERIAL#
NO
FAIL
L/D TYPE
YES
PASS
SERIAL 4
NO
FAIL
I CERTIFY THE ABOVE TESTS WERE CONDUCTED ON THIS DATE ACCORDING TO RED
JACKET PUMPS FIELD TEST APPARATUS TESTING PROCEDURE AND LIMITATIONS.
THE MECHANICAL LEAK DETECTOR TEST PASS / FAIL IS DETERMINED BY USING A
LOW FLOW THRESHOLD TRIP RATE OF 3 GALLONS PER HOUR OR LESS AT 10 P.S.I. I
ACKNOWLEDGE' THAT ALL DATA COLLECTED IS TRUE AND CORRECT TO THE BEST
OF MY KNOWLEDGE.
TECHNICIAN: JAMES RICH
SIGNATURE : DATE: 8111115
I
MONITOR CERT. FAILURE REPORT
SITE NAME: RIO BRAVO MOBIL DATE: 8/11/15
ADDRESS: 3200 "F" STREET TECEMCLAN: JAMES RICH
CITY: BAKERSFIELD SIGNATURE:
REPAIRS:
NONE
PARTS INSTALLED:
NONE
THE ABOVE NAMED PERSON TAKES FULL RESPONSIBILITY OF NOTIFYING
THE APPROPRIATE PARTY TO HAVE CORRECTIVE ACTION TAKEN TO REPAIR
THE ABOVE LISTED PROBLEMS AND NOTIFYING RICH ENVIIRONMANTAL FOR
ANY NEEDED RETESTING. THIS ALSO RELEASES RICH ENVIRONMENTAL OF
ANY FINES OR PENALTIES OCCURING FROM NON-COWLLâ–ºNCE.
A COPY OF THIS DOCUMENT HAS BEEN LEFT ON-SITE FOR YOUR
CONVIENENCE.