HomeMy WebLinkAboutELD RESULTS 2016Exclusive Providers for MDleak® and
PHDleak® Testing Technologies
Page 1 of 3
Test Type:
Facility Name: Job #: 3376
Prepared For:
Site Address:
City: Primary Test Leak Rate: 0.005
State and Zip: CA 93307 Secondary Test Leak Rate: NA
Start Date:End Date:
SYSTEM Tk-1 87 TK-2 91 Tk-3 DSL
Product Primary:PASSPASSPASS
Product Secondary:NANANA
Vent Primary:PASSPASSPASS
Vent Secondary:NANANA
VR Primary:PASSPASSPASS
VR Secondary:NANANA
Tank:PASSPASSPASS
Turbine Sump:PASSPASSPASS
Turbine Sump Elect:PASSPASSPASS
Turbine Head:PASSPASSPASS
Fill/Vapor Sump:NANANA
Fill Sump Elect:NA NA NA
Fill & Vapor Poppet:PASSPASSNA
UDC's:PASSPASSPASS
Fill Spill Bucket:PASSPASSPASS
Vapor Spill Bucket:PASSPASSPASS
Certifying Field Technician: Ricardo Gonzalez State Lic. # :
Certification Leak Rate: 0.005 gph
Certifying Technician Signature: Date:
Statement Confirmed by: Date:
1889 N Oracle Road Tucson, AZ 85705 Phone 855-255-5325 FAX: 1-520.509-3720
Sam's Liquor and Gas
Facility Certification CONFIDENTIAL
California ELD Well Proximity Test
Sam's Liquor and Gas
801 E. California Ave.
Bakersfield
Thisisastatementtoconfirmthatthecomponentslistedabove,atthetimeoftesting,havebeentestedtoaleak
sensitivitylistedaboveusingthe MDleak®and PHDleak®Method.TheMDleak®andPHDleak®Methodisoneofthe
mostversatileandcomprehensivetestingprocedureofferedtothepetroleumindustry.Allpetroleumownersand
contractorswhichutilizetheMDleak®andPHDleak®MethodcanbeassuredthattheirfacilityhaspassedtheNation's
highest standard in preventative leak detection.
7/7/2016
7/7/20166/21/2016
10/26/2016
Office use only
IdeclareunderpenaltyofperjurythatIamalicensedtanktesterintheMDleak®andPHDleak®method,amethodlisted
bytheNWGLDEorganizationandthattheinformationcontainedinthisreportistrueandcorrecttothebestofmy
knowledge.
If you have any questions on the testing please do not hesitate to call. @ 520-207-4878.
04-1695
Exclusive Providers for MDleak® and
PHDleak® Testing Technologies
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801 E. California Ave.Log of Repaired Leak/s
CONFIDENTIAL
Tk-1 87TK-2 91Tk-3 DSL
Tank Volume:
Manufacture: Unknown33
Interstice: Onsite Lab
Depth To Tank:
Tank Dia:
Depth to Fuel:
Tank SumpBootsTurbine
4
EVR:
Reference #Date Time Status System Component Manufacture
None
Reference #Date Time Status System Component Manufacture
None
1889 N Oracle Road Tucson, AZ 85705 Phone 855-255-5325 FAX: 1-520.509-3720
Vapor Return / Vent:
UDC/Dispensers Information
Depth to Ground Water:
Manufacture:
Log of Repaired Leaks
Log of Unrepaired Leaks
Tank Information
Containment Boots:
Piping Information
Manufacture
Spill Buckets:
Number of Dispensers:
Manufacture:
Shear Valve Manufacture:
Flex:
Product Lines:
Exclusive Providers for MDleak® and
PHDleak® Testing Technologies
Page 3 of 3
801 E. California Ave.Reference AddendumCONFIDENTIAL
Site Map
1889 N Oracle Road Tucson, AZ 85705 Phone 855-255-5325 FAX: 1-520.509-3720