HomeMy WebLinkAboutSB989 RESULTS 2016SWRCB, January 2002 Page __1_ of __7_
Secondary Containment Testing Report Form
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: American Gas Date of Testing: 12/07/16
Facility Address: 402 S. Chester Ave., Bakersfield, CA 91364
Facility Contact: Nick Nickakhtar Phone: (805) 479-8564
Date Local Agency Was Notified of Testing : 12/05/16 @ 12:48pm via email
Name of Local Agency Inspector (if present during testing): Shane Gardner @ Bakersfield F.D.
2. TESTING CONTRACTOR INFORMATION
Company Name: CGRS, Inc.
Technician Conducting Test: Richard Thomas
Credentials: CSLB Licensed Contractor SWRCB Licensed Tank Tester
License Type: C61/D40/D64 803616 (CSLB Lic.) License Number: 803616 (CSLB Lic.) 06-1672 (SWRCB Lic.)
Manufacturer Training
Manufacturer Component(s) Date Training Expires
ICC CA UST SERVICE TECHNICIAN: #5254736 11/17/2018
ICC UST TANK TIGHTNESS TESTING: #5254736 03/08/2018
SCWRCB TANK TESTER LICENSE: #06-1672 06/30/2018
FRANKLIN FUELING INCON SUMP TESTER: #5012133701 02/02/2017
3. SUMMARY OF TEST RESULTS
Component Pass Fail Not
Tested
Repairs
Made Component Pass Fail Not
Tested
Repairs
Made
87 Tank Annular UDC# 1-2
87 #1 Product Line UDC# 3-4
87 #2 Product Line
87 STP Sump
87 Fill Spill Bucket
87 VR Spill Bucket
91 Tank Annular
91 #1 Product Line
91 #2 Product Line
91 STP Sump
91 Fill Spill Bucket
91 VR Spill Bucket
If hydrostatic testing was performed, describe what was done with the water after completion of tests:
TECHNICIAN CARRIES A 535 GALLON TANK FOR TESTING WATER
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: 12/07/16
SWRCB, January 2002 Page __2_ of __7_
4. TANK ANNULAR TESTING
Test Method Developed By: Tank Manufacturer Industry Standard Professional Engineer
Other (Specify)
Test Method Used: Pressure Vacuum Hydrostatic
Other (Specify)
Test Equipment Used: 15PSI-30” compound gauges Equipment Resolution: 0.002”
Tank #87 Tank #91 Tank # Tank #
Is Tank Exempt From Testing?1 Yes No Yes No Yes No Yes No
Tank Capacity: 12,000 gal 8,000 gal
Tank Material: Fiberglass/Steel Fiberglass/Steel
Tank Manufacturer: Joor Joor
Product Stored: 87 unleaded 91 Supreme
Wait time between applying
pressure/vacuum/water and
starting test:
10 min. 19 min.
Test Start Time: 2:30pm 3:30pm
Initial Reading (RI): 2.0PSI 2.0PSI
Test End Time: 3:30pm 4:30pm
Final Reading (RF): 2.0PSI 2.0PSI
Test Duration: 1hr 1hr
Change in Reading (RF-RI): 0 PSI 0 PSI
Pass/Fail Threshold or Criteria: NO LOSS NO LOSS NO LOSS NO LOSS
Test Result: Pass Fail Pass Fail Pass Fail Pass Fail
Was sensor removed for testing? Yes No NA Yes 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)
1. 87 & 91 tank annulars would not equalize under vacuum performed pressure testing and passed.
1 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 __7_
5. SECONDARY PIPE TESTING
Test Method Developed By: Piping Manufacturer Industry Standard Professional Engineer
Other (Specify)
Test Method Used: Pressure Vacuum Hydrostatic
Other (Specify)
Test Equipment Used: 0 – 15 PSI GAUGES Equipment Resolution: 0.002”
Piping Run #87 #1 Piping Run #87 #2 Piping Run #91 #1 Piping Run #91 #2
Piping Material: Polyethylene Polyethylene Polyethylene Polyethylene
Piping Manufacturer: APT APT APT APT
Piping Diameter: 2” 2” 2” 2”
Length of Piping Run: 35’ 40’ 35’ 40’
Product Stored: 87 unleaded 87 unleaded 91 supreme 91 supreme
Method and location of
piping-run isolation: Test Boot @ STP Test Boot @ STP Test Boot @ STP Test Boot STP
Wait time between applying
pressure/vacuum/water and
starting test:
10 min 10 min 10 min 10 min
Test Start Time: 12:30pm 12:30pm 12:30pm 12:30pm
Initial Reading (RI): 5.0 PSI 5.0 PSI 5.0 PSI 5.0 PSI
Test End Time: 1:30pm 1:30pm 1:30pm 1:30pm
Final Reading (RF): 5.0 PSI 5.0 PSI 5.0 PSI 5.0 PSI
Test Duration: 1 hr 1 hr 1 hr 1 hr
Change in Reading (RF-RI): 0 PSI 0 PSI 0 PSI 0 PSI
Pass/Fail Threshold or
Criteria: NO LOSS NO LOSS NO LOSS NO LOSS
Test Result: Pass Fail Pass Fail Pass Fail Pass Fail
Comments – (include information on repairs made prior to testing, and recommended follow-up for failed tests)
1. 87 #1 & 91 #1 lines feed UDC #1-2 and 87 #2 & 91 #2 feed UDC #3-4. Communication confirmed at far ends of
piping.
SWRCB, January 2002 Page __4_ of __7_
6. PIPING SUMP TESTING
Test Method Developed By: Sump Manufacturer Industry Standard Professional Engineer
Other (Specify)
Test Method Used: Pressure Vacuum Hydrostatic
Other (Specify)
Test Equipment Used: INCON SUMP TESTER Equipment Resolution: 0.002”
Sump #87 Sump #91 Sump # Sump #
Sump Diameter: 42” 42”
Sump Depth: 61” 62”
Sump Material: Fiberglass Fiberglass
Height from Tank Top to Top of
Highest Piping Penetration: 12” 15”
Height from Tank Top to Lowest
Electrical Penetration: 28” 29”
Condition of sump prior to testing: Dry Dry
Portion of Sump Tested1 2”/Piping
Penetrations
2”/ Piping
Penetrations
Does turbine shut down when
sump sensor detects liquid (both
product and water)?*
Yes No NA Yes No NA Yes No NA Yes No NA
Turbine shutdown response time N/A N/A
Is system programmed for fail-safe
shutdown?* Yes No NA Yes No NA Yes No NA Yes No NA
Was fail-safe verified to be
operational?* Yes No NA Yes No NA Yes No NA Yes No NA
Wait time between applying
pressure/vacuum/water and starting
test:
10 min 10 min
Test Start Time: 2:08pm 2:08pm
Initial Reading (RI): 5.1353” 4.5408”
Test End Time: 2:23pm 2:23pm
Final Reading (RF): 5.1352” 4.5405”
Test Duration: 15 min 15 min
Change in Reading (RF-RI): -0.0001” -0.0003”
Pass/Fail Threshold or Criteria: +/- 0.002” +/- 0.002” +/- 0.002” +/- 0.002”
Test Result: Pass Fail Pass Fail Pass Fail Pass Fail
Was sensor removed for testing? Yes No NA Yes 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)
1 If the entire depth of the sump is not tested, specify how much was tested. If the answer to any 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 __7_
7. UNDER-DISPENSER CONTAINMENT (UDC) TESTING
Test Method Developed By: UDC Manufacturer Industry Standard Professional Engineer
Other (Specify)
Test Method Used: Pressure Vacuum Hydrostatic
Other (Specify)
Test Equipment Used: INCON SUMP TESTER Equipment Resolution: 0.002”
UDC #1-2 UDC #3-4 UDC # UDC #
UDC Manufacturer: APT APT
UDC Material: Polyethylene Polyethylene
UDC Depth: 27” 27”
Height from UDC Bottom to Top
of Highest Piping Penetration: 4” 4”
Height from UDC Bottom to
Lowest Electrical Penetration: 6” 6”
Condition of UDC prior to
testing: Dry Dry
Portion of UDC Tested1 2”/ Penetrations 2”/Penetrations
Does turbine shut down when
UDC sensor detects liquid (both
product and water)?*
Yes No NA Yes No NA Yes No NA Yes No NA
Turbine shutdown response time N/A N/A
Is system programmed for fail-
safe shutdown?* Yes No NA Yes No NA Yes No NA Yes No NA
Was fail-safe verified to be
operational?* Yes No NA Yes No NA Yes No NA Yes No NA
Wait time between applying
pressure/vacuum/water and
starting test
10 min 10 min
Test Start Time: 2:39pm 2:08pm
Initial Reading (RI): 3.9190” 4.5934”
Test End Time: 2:54pm 2:23pm
Final Reading (RF): 3.9178” 4.5922”
Test Duration: 15 min 15 min
Change in Reading (RF-RI): -0.0012” -0.0012”
Pass/Fail Threshold or Criteria: +/- 0.002” +/- 0.002”+/- 0.002”+/- 0.002”
Test Result: Pass Fail Pass Fail Pass Fail Pass Fail
Was sensor removed for testing? Yes No NA Yes 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)
1 If the entire depth of the UDC is not tested, specify how much was tested. If the answer to any 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 __7_
8. FILL RISER CONTAINMENT SUMP TESTING
Facility is Not Equipped With Fill Riser Containment Sumps
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 (Specify)
Test Equipment Used: INCON SUMP TESTER Equipment Resolution: 0.002”
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:
Test Start Time:
Initial Reading (RI):
Test End Time:
Final Reading (RF):
Test Duration:
Change in Reading (RF-RI):
Pass/Fail Threshold or Criteria: +/- 0.002” +/- 0.002” +/- 0.002” +/- 0.002”
Test Result: Pass Fail Pass Fail Pass Fail Pass Fail
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 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 Page __7_ of __7_
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 Industry Standard Professional Engineer
Other (Specify)
Test Method Used: Pressure Vacuum Hydrostatic
Other (Specify)
Test Equipment Used: Incon TS-STS Equipment Resolution: + or – 0.002”
Spill Box #87 Fill Spill Box #87 VR Spill Box #91 Fill Spill Box #91 VR
Bucket Diameter: 12” 12” 12” 12”
Bucket Depth: 14” 14” 14” 14”
Wait time between applying
pressure/vacuum/water and
starting test:
10 min 10 min 10 min 10 min
Test Start Time: 3:19pm 3:19pm 2:39pm 2:39pm
Initial Reading (RI): 4.9942” 6.0502” 6.5385” 7.3473”
Test End Time: 3:34pm 3:34pm 2:54pm 2:54pm
Final Reading (RF): 4.9941” 6.0494” 6.5381” 7.3475”
Test Duration: 15 min 15 min 15 min 15 min
Change in Reading (RF-RI): -0.0001” -0.0008” -0.0004” +0.0002”
Pass/Fail Threshold or
Criteria: + or – 0.002” + or – 0.002” + or – 0.002” + or – 0.002”
Test Result: Pass Fail Pass Fail Pass Fail Pass Fail
Comments – (include information on repairs made prior to testing, and recommended follow-up for failed tests)