HomeMy WebLinkAboutSamco Union 7-17-2017 Secondary Containment Testing Report FormSWRCB, January 2002 Page ____ of ____
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: Samco Union Date of Testing: 7/17/2017
Facility Address: 10 Union Ave. Bakersfield, Ca 93307
Facility Contact: Phone:
Date Local Agency Was Notified of Testing :
Name of Local Agency Inspector (if present during testing):
2. TESTING CONTRACTOR INFORMATION
Company Name: Advanced Compliance
Technician Conducting Test: Brandon W. Hinsley
Credentials: X CSLB Licensed Contractor SWRCB Licensed Tank Tester
License Type: C61/D40 License Number: 971259
Manufacturer Training
Manufacturer Component(s) Date Training Expires
Incon TS-STS 11/30/2017
3. SUMMARY OF TEST RESULTS
Component Pass Fail Not
Tested
Repairs
Made Component Pass Fail Not
Tested
Repairs
Made
87S STP Sump X UDC #1-2 X
91 STP X UDC #3-4 X
DSL STP X UDC #5-6 X
87 Fill Sump X UDC #7-8 X
91 Fill Sump X UDC #9-10 X
Diesel Fill Sump X UDC #11-12 X
87 Fill Bucket X 87 Annular X
91 Fill Bucket X 91/DSL Annular X
DSL Fill Bucket X 87 Vapor Bucket X
87 Product Line X 91 Vapor Bucket X
91 Product Line X
DSL Product Line X
If hydrostatic testing was performed, describe what was done with the water after completion of tests:
Containments were clean, water was removed from site and be used in future testing.
DSL STP, Diesel Line, 87 Fill Bucket, & 91 Fill Bucket were tested on 7/31/2017 .
Due to inability to test on 7/17/2017.
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: 7/17/2017
SWRCB, January 2002 Page ____ of ____
TANK ANNULAR TESTING
Test Method Developed By: Tank Manufacturer X Industry Standard Professional Engineer
Other (Specify)
Test Method Used: Pressure X Vacuum Hydrostatic
Other (Specify)
Test Equipment Used: Equipment Resolution:
87 S UL 91/DSL
Is Tank Exempt From Testing?1 Yes x No Yes x No Yes No Yes No
Tank Capacity: 20,000 10,000/10,000
Tank Material: DW FIBERG DW FIBERG
Tank Manufacturer: DW FIBERG DW FIBERG
Product Stored: 87 UL 91/DSL
Wait time between applying
pressure/vacuum/water and
starting test:
10 Min. 10 Min.
Test Start Time: 09:15 09:15
Initial Reading (RI): 10” Hg. 10” Hg.
Test End Time: 10:15 10:15
Final Reading (RF): 10” Hg. 10” Hg.
Test Duration: 1 Hr. 1 Hr.
Change in Reading (RF-RI): 0” Hg. 0” Hg.
Pass/Fail Threshold or Criteria: 2.0” Hg. 2.0” Hg.
Test Result: X Pass Fail X Pass Fail Pass Fail Pass Fail
Was sensor removed for testing? X Yes No NA X Yes No NA Yes No NA Yes No NA
Was sensor properly replaced and
verified functional after testing? X Yes No NA X 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 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 ____ of ____
SECONDARY PIPE TESTING
Test Method Developed By: Piping Manufacturer X Industry Standard Professional Engineer
Other (Specify)
Test Method Used: X Pressure Vacuum Hydrostatic
Other (Specify)
Test Equipment Used: Nitrogen / Pressure Gauge Equipment Resolution:
Piping Run # 87 UL Piping Run # 91 UL Piping Run #Diesel
Piping Material: DWFIBERG DWFIBERG DWFIBERG
Piping Manufacturer: DWFIBERG DWFIBERG DWFIBERG
Piping Diameter: 3” 3” 3”
Length of Piping Run: 200’ 200’ 200’
Product Stored: 87 UL 91 UL Diesel
Method and location of
piping-run isolation: Boot Boot Boot
Wait time between applying
pressure/vacuum/water and
starting test:
10 Min. 10 Min. 10 Min.
Test Start Time: 11:00 11:00 11:00
Initial Reading (RI): 5.0 Psi. 5.0 Psi. 5.0 Psi.
Test End Time: 12:00 12:00 12:00
Final Reading (RF): 5.0 Psi. 5.0 Psi. 5.0 Psi.
Test Duration: 1 Hr. 1 Hr. 1 Hr.
Change in Reading (RF-RI): 0.0 Psi. 0.0 Psi. 0.0 Psi.
Pass/Fail Threshold or
Criteria: 0.2 Psi. 0.2 Psi. 0.2 Psi.
Test Result: X Pass Fail X Pass Fail X Pass Fail Pass Fail
Comments – (include information on repairs made prior to testing, and recommended follow-up for failed tests)
4.
SWRCB, January 2002 Page ____ of ____
5. PIPING SUMP TESTING
Test Method Developed By: Sump Manufacturer X Industry Standard Professional Engineer
Other (Specify)
Test Method Used: Pressure Vacuum X Hydrostatic
Other (Specify)
Test Equipment Used: Incon TS-STS Equipment Resolution: 0.0002
87 UL 91 UL Diesel
Sump Diameter: 48” 48” 48”
Sump Depth: 58” 58” 58”
Sump Material: FIBERG FIBERG FIBERG
Height from Tank Top to Top of
Highest Piping Penetration: 12” 12” 12”
Height from Tank Top to Lowest
Electrical Penetration: 20” 20” 20”
Condition of sump prior to testing: Clean Clean Clean
Portion of Sump Tested1 50% 50% 50%
Does turbine shut down when
sump sensor detects liquid (both
product and water)?*
X Yes No NA X Yes No NA X Yes No NA Yes No NA
Turbine shutdown response time 3 Sec. 3 Sec. 3 Sec.
Is system programmed for fail-safe
shutdown?* X Yes No NA X Yes No NA X Yes No NA Yes No NA
Was fail-safe verified to be
operational?* X Yes No NA X Yes No NA X Yes No NA Yes No NA
Wait time between applying
pressure/vacuum/water and starting
test:
10 Min. 10 Min.
10 Min.
Test Start Time: 12:18 13:58 08:53
Initial Reading (RI): 5.5637 3.3515 5.7605
Test End Time: 12:33 14:13 09:09
Final Reading (RF): 5.5637 3.3513 5.7594
Test Duration: 15 Min. 30 Min. 15 Min.
Change in Reading (RF-RI): 0.0000 0.0002 0.0011
Pass/Fail Threshold or Criteria: 0.002 0.002 0.002
Test Result: X Pass Fail X Pass Fail X Pass Fail Pass Fail
Was sensor removed for testing? X Yes No NA X Yes No NA X Yes No NA Yes No NA
Was sensor properly replaced and
verified functional after testing? X Yes No NA X Yes No NA X 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 ____ of ____
6. UNDER-DISPENSER CONTAINMENT (UDC) TESTING
Test Method Developed By: UDC Manufacturer X Industry Standard Professional Engineer
Other (Specify)
Test Method Used: Pressure Vacuum X Hydrostatic
Other (Specify)
Test Equipment Used: Incon TS-STS Equipment Resolution: 0.0002
UDC # 1-2 UDC # 3-4 UDC # 5-6 UDC # 7-8
UDC Manufacturer: FIBERG FIBERG FIBERG FIBERG
UDC Material: FIBERG FIBERG FIBERG FIBERG
UDC Depth: 34” 34” 34” 34”
Height from UDC Bottom to Top
of Highest Piping Penetration:
9” 9” 9” 9”
Height from UDC Bottom to
Lowest Electrical Penetration:
8” 8” 8” 8”
Condition of UDC prior to
testing:
Clean Clean Clean Clean
Portion of UDC Tested1 25% 25% 25% 25%
Does turbine shut down when
UDC sensor detects liquid (both
product and water)?*
X Yes No NA X Yes No NA X Yes No NA X Yes No NA
Turbine shutdown response time 3 Sec 3 Sec 3 Sec 3 Sec
Is system programmed for fail-
safe shutdown?* X Yes No NA X Yes No NA X Yes No NA X Yes No NA
Was fail-safe verified to be
operational?* X Yes No NA X Yes No NA X Yes No NA X Yes No NA
Wait time between applying
pressure/vacuum/water and
starting test
10 Min.
10 Min.
10 Min.
10 Min.
Test Start Time: 13:15 13:15 11:52 11:52
Initial Reading (RI): 3.0936 5.7328 6.3571 5.6703
Test End Time: 13:30 13:30 12:07 12:07
Final Reading (RF): 3.0937 5.7319 6.3576 5.6689
Test Duration: 15 Min. 15 Min. 15 Min. 15 Min.
Change in Reading (RF-RI): 0.0001 0.0009 0.0005 0.0014
Pass/Fail Threshold or Criteria: 0.002 0.002 0.002 0.002
Test Result: X Pass Fail X Pass Fail X Pass Fail X Pass Fail
Was sensor removed for testing? X Yes No NA X Yes No NA X Yes No NA X Yes No NA
Was sensor properly replaced and
verified functional after testing? X Yes No NA X Yes No NA X Yes No NA X Yes No NA
Comments – (include information on repairs made prior to testing, and recommended follow-up for failed tests)
SWRCB, January 2002 Page ____ of ____
7. UNDER-DISPENSER CONTAINMENT (UDC) TESTING
Test Method Developed By: UDC Manufacturer X Industry Standard Professional Engineer
Other (Specify)
Test Method Used: Pressure Vacuum X Hydrostatic
Other (Specify)
Test Equipment Used: Incon TS-STS Equipment Resolution: 0.0002
UDC # 9-10 UDC # 11-12 UDC # UDC #
UDC Manufacturer: FIBERG FIBERG
UDC Material: FIBERG FIBERG
UDC Depth: 34” 34”
Height from UDC Bottom to Top
of Highest Piping Penetration:
9” 9”
Height from UDC Bottom to
Lowest Electrical Penetration:
8” 8”
Condition of UDC prior to
testing:
Clean Clean
Portion of UDC Tested1 25% 25%
Does turbine shut down when
UDC sensor detects liquid (both
product and water)?*
X Yes No NA X Yes No NA Yes No NA Yes No NA
Turbine shutdown response time 3 Sec 3 Sec
Is system programmed for fail-
safe shutdown?* X Yes No NA X Yes No NA Yes No NA Yes No NA
Was fail-safe verified to be
operational?* X Yes No NA X 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: 11:52 11:52
Initial Reading (RI): 5.7485 3.4681
Test End Time: 12:07 12:07
Final Reading (RF): 5.7478 3.4668
Test Duration: 15 Min. 15 Min.
Change in Reading (RF-RI): 0.0008 0.0013
Pass/Fail Threshold or Criteria: 0.002 0.002
Test Result: X Pass Fail X Pass Fail Pass Fail Pass Fail
Was sensor removed for testing? X Yes No NA X Yes No NA Yes No NA Yes No NA
Was sensor properly replaced and
verified functional after testing? X Yes No NA X 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 ____ of ____
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 X Industry Standard Professional Engineer
Other (Specify)
Test Method Used: Pressure Vacuum X Hydrostatic
Other (Specify)
Test Equipment Used: Incon TS-STS Equipment Resolution: 0.0002
87 UL 91 UL Diesel
Sump Diameter: 48” 48” 48”
Sump Depth: 50” 50” 50”
Height from Tank Top to Top of
Highest Piping Penetration:
0 0 0
Height from Tank Top to Lowest
Electrical Penetration:
16” 16” 16”
Condition of sump prior to
testing:
Clean Clean Clean
Portion of Sump Tested 35% 35% 35%
Sump Material: FIBERG FIBERG FIBERG
Wait time between applying
pressure/vacuum/water and
starting test:
10 Min.
10 Min.
10 Min.
Test Start Time: 13:14 13:58 13:14
Initial Reading (RI): 3.1336 3.3515 1.1115
Test End Time: 13:30 14:13 13:30
Final Reading (RF): 3.1335 3.3513 1.1117
Test Duration: 15 Min. 30 Min. 15 Min.
Change in Reading (RF-RI): 0.0001 0.0002 0.0002
Pass/Fail Threshold or Criteria: 0.002 0.002 0.002
Test Result: X Pass Fail X Pass Fail X Pass Fail Pass Fail
Is there a sensor in the sump? X Yes No X Yes No X Yes No Yes No
Does the sensor alarm when
either product or water is
detected?
X Yes No NA X Yes No NA X Yes No NA Yes No NA
Was sensor removed for testing? X Yes No NA X Yes No NA X Yes No NA Yes No NA
Was sensor properly replaced and
verified functional after testing? X Yes No NA X Yes No NA X 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 ____ of ____
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 X Industry Standard Professional Engineer
Other (Specify)
Test Method Used: Pressure Vacuum X Hydrostatic
Other (Specify)
Test Equipment Used: Incon TS-STS Equipment Resolution: 0.0002
87 FB 91 FB Diesel FB Bucket Diameter: 12” 12” 12” Bucket Depth: 14” 14” 14” Wait time between applying
pressure/vacuum/water and
starting test:
10 Min. 10 Min. 10 Min.
Test Start Time: 08:53 08:53 12:10
Initial Reading (RI): 2.5778 2.2845 4.6496
Test End Time: 09:09 09:09 12:33
Final Reading (RF): 2.5769 2.2837 4.6499
Test Duration: 15 Min. 15 Min. 15 Min. Change in Reading (RF-RI): 0.0009 0.0008 0.0003 Pass/Fail Threshold or
Criteria: 0.002 0.002 0.002
Test Result: X Pass Fail X Pass Fail X Pass Fail Pass Fail
Comments – (include information on repairs made prior to testing, and recommended follow-up for failed tests)
SWRCB, January 2002 Page ____ of ____
8. 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 X Industry Standard Professional Engineer
Other (Specify)
Test Method Used: Pressure Vacuum X Hydrostatic
Other (Specify)
Test Equipment Used: Incon TS-STS Equipment Resolution: 0.0002
87 VB 91 VB
Bucket Diameter: 12” 12”
Bucket Depth: 14” 14”
Wait time between applying
pressure/vacuum/water and
starting test:
10 Min. 10 Min.
Test Start Time: 12:55 13:14
Initial Reading (RI): 5.6254 4.1089
Test End Time: 13:10 13:30
Final Reading (RF): 5.6257 4.1078
Test Duration: 15 Min. 15 Min.
Change in Reading (RF-RI): 0.0003 0.0009
Pass/Fail Threshold or
Criteria: 0.002 0.002
Test Result: X Pass Fail X Pass Fail Pass Fail Pass Fail
Comments – (include information on repairs made prior to testing, and recommended follow-up for failed tests)