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Home My WebLink About3800 Rosedale 989 2-1-18environmental services, inc. 25971 Towne Centre Drive, Foothill Ranch, CA 92610 Tel: (949) 460-5200 Fax: (949) 460-5210 Date: To: From: Sent Via: Re: 2/6/2018 Ernie Medina Bakersfield City CUPA 1500 Truxtun Ave Bakersfield, CA 93301 Bill Moothart Email TRANSMITTAL Secondary Containment Test Costco Wholesale-BAKERSFIELD-0688 3800 Rosedale Highway Bakersfield, CA 93308 The following test report(s) are included: SCT-3 yr Comments: Please do not hesitate to call me at (949) 460-5200 if you have any questions or concerns regarding this work. 1664858 SWRCB, January 2002 Page __ of __ Secondary Containment Testing Report Form 717isform is intendedfor use by contractors pe!forming periodic testing of UST secondm:y containment .~ystems. Use the appropriate pages ofthisform to report results for all components tested. The completed.form. written test procedures, and printouts.from tests (!f applicable), should be provided to the .facility owner/operator.for submittal to the local regulat01:y agency. 1. FACILITY INFORMATION Facility Name: Costco Wholesale -BAKERSFIELD -0688 / Date of Testing: 2/1/2018 Facility Address: 3800 ROSEDALE HIGHWAY, BAKERSFIELD, CA 93308 Facility Contact: Costco -Bal•ersfield j Phone: (661) 636-0822 Date Local Agency Was Notified of Testing: 1/4/2018 Name of Local Agency Inspector (!{present during testing): 2. TESTING CONTRACTOR INFORMATION Company Name: Belshire Environmental Services, Inc. Teclmician Conducting Test: Saul Gonzalez Credentials: 181 CSLB Licensed Contractor D SWRCB Licensed Tank Tester License Type: A -General Engineering Contractor J License Number: 808313 Manufacturer Training Manufacturer Component(s) Date Training Expires See Attached 3. SUMMARY OF TEST RESULTS Component Pass Fail Not Repairs Component Pass Fail Not Repairs Tested Made Tested Made Tank Annulars 3 0 0 ~ 0 Exempt From Testin2:-0 0 0 0 Continuously Monitored Secondary Pipe 8 0 ~ 0 0 187 A 87 B. 91 B. Vanor Return 0 0 0 0 Failed Piping Sump 4 ~ 0 0 0 0 0 0 0 UDC 8 0 ~ ~ 0 II/2. 7/8 failed 0 0 0 0 Fill Sump 3 ~ 0 0 0 0 0 0 0 Spill Bucket 7 0 ~ 0 0 91 Fill Bucket Failed 0 0 0 0 If hydrostatic testing was performed, describe what was done with the water after completion of tests: 0 Placed in drums left on site for proper disposition. 0 Transported to next site for use in additional testing. CERTIFICATION OF TECHNICIAN RESPONSIDLE FOR CONDUCTING THIS TESTING To the be!>t of my knowledge, the facts stated in this document are accurate and in full compliance with legal requirements l.--fj /~ t/ /~~ Technician's Signature: ?~fijL Date: 2/1/2018 ?,/ / /i 4. TANK ANNULAR TESTING Test Method Developed By: 0 Tank Manufacturer I:B:l Industty Standard 0 Professional Engineer 0 Other (Spec(fj1) Test Method Used: 0 Pressure I:B:l Vacuum 0 Hydrostatic 0 Other (Spec![Y) Test Equipment Used: Test plugs, venturi tmmp and gauges Equipment Resolution: 0.5% of span T1 87 T2 87 T3 91 Is Tank Exempt From Testing?1 Yes Yes Yes Tm1k Capacity: 20,000 20,000 20,000 Tank Material: Fiberglass Fiberglass Fiberglass Tank Manufacturer: Product Stored: 87 87 91 Wait time between applying pressure/vacuum/water and starting test: Test Start Time: Initial Reading (R1): Test End Time: Final Reading (RF): Test Duration: Change in Reading (RF-RI): Pass/Fail Threshold or Criteria: Test Result: Not Tested Not Tested Not Tested Was sensor removed for testing? N/A N/A N/A Was sensor properly_replaced and verified functional after testing? N/A N/A N/A Comments-(include information on repairs made prior to testing, and recommendedfollow-upforfailed tests) Exempt From Testing-Continuously Monitored 1 Secondary containment systems where the continuous monitoring automatically monitors both the primmy and secondmy contaimnent, such as systems that are hydrostatically monitored or under constant vacuum, are exempt from periodic containment testing. {Califomia Code ofRegulations, Title 23, Section 2637(a)(6)} 5. SECONDARY PIPE TESTING Test Method Developed By: 0 Piping Manufacturer [g) Industry Standard 0 Professional Engineer 0 Other (Spec(fjl) Test Method Used: [g) Pressure 0 Vacuum 0 Hydrostatic 0 Other (SpecifY) Test Equipment Used: Test reducer boots, air compressor and gauges Equipment Resolution: 0,5% of span ~ 87-A 87-B 91-A 91-B . Plastic Plastic Plastic Plastic Piping Manufacturer: Environ Environ Environ Environ Piping Diameter: 2" 2" 2" 2" Length of Piping Run: 130' 150' 150' 180' Product Stored: 87 87 91 91 Method and location of Reducer Boots/Fittings Reducer Boots/Fittings Reducer Boots/Fittings Reducer Boots/Fittings .f.HfJlHg-mn isolation: Wait time between applying pressure/vacuum/water and 10 minutes 10 minutes 10 minutes 10 minutes starting test: Test Start Time: 12:10 PM 12:10 PM 12:10 PM 12:10 PM Initial Reading (R1): 5 5 5 5 Test End Time: 01:10PM 01:10PM 01:10PM 01:10PM Final Reading (RF): 0 0 5 0 Test Duration: 60 Min 60Min 60 Min 60 Min Change in Reading (RF-RI): -5 -5 0 -5 Pass/Fail Threshold or Criteria: No Detectable Loss No Detectable Loss No Detectable Loss No Detectable Loss Test Result: Fail Fail Pass Fail Comments-(include information on repairs made prior to testing, and recommended.follow-upforfailed tests) -87 A: torn test boot in UDC #7 /8. - 87 B: torn test boot in UDC #1/2. -91 B: torn test boot m UDC #172. 5. SECONDARY PIPE TESTING Test Method Developed By: D Piping Manufacturer 121 Industry Standard D Professional Engineer D Other (Spec(/Y) Test Method Used: 121 Pressure D Vacuum D Hydrostatic D Other (,'Jpec(/Y) Test Equipment Used: Test reducer boots, air com(H'essor and gauges Equipment Resolution: 0.5% of span 87 Manifold 87 _§iphon _Va_~r Return Additive Piping Material: Plastic Fiu~:q~la:s:s Fibngla:s:s Fiberglass Piping Manufacturer: Environ AO Smith AO Smith Ameron Piping Diameter: 2" 3" 4" 3" Length of Piping Run: 12' 12' 280' 80' Product Stored: 87 87 NA Additive Method and L of piping-run isolation Reducer Boots/Fittings Reducer Boots/Fittings Reducer Boots/Fittings Reducer Boots/Fittings Wait time between applying pressure/vacuum/water and 10 minutes 10 minutes 10 minutes 10 minutes starting test: Test Start Time: 09:15AM 09:15AM 09:15AM Initial Reading (Rr): 5 5 5 Test End Time: 10:15 AM 10:15 AM 10:15 AM Final Reading (RF): 5 5 5 Test Duration: 60 Min 60Min 60 Min Change in Reading (RF-Rr): 0 0 0 Pass/Fail Threshold or Criteria: No Detectable Loss No Detectable Loss No Detectable Loss No Detectable Loss Test Result: Pass Pass Visual Fail Pass Comments-(include il?(ormation on repairs made prior to testing, and recommended follow-up jor.failed tests) Vapor Return unable to hold pressure. 6. PIPING SUMP TESTING Test Method Developed By: D Sump Manufacturer @ Industry Standard D Professional Engineer D Other (Specify) Test Method Used: D Pressure D Vacuum @ Hydrostatic D Other (.S'pecijv) Equipment Used: I neon TS-STS Sump Test System Equipment Resolution: +/-0.002" Tl-87 T2-87 T3-91 Additive Trans.~ Sump Diameter: 48" 48" 1_8" 24"x20" Sump Depth: 70" 67" 64" 32" Sump Material: Fiberglass Fiberglass Fiberglass Fiberglass Height from Tank Top to Top of Highest Piping Penetration: 24" 20" 16" 14" Height from Tank: Top to Lowest 10" 16" 18" None Electrical Penetration: Condition of sump prior to testing: Good Good Good Good Pmiion of Sump Tested1 4" Above Pen. 4 Above Pen. 4 Ab()ve r_en. 4' Ab_Q_ve ~n. Does turbine shut down when sump sensor detects liquid (both p1vuuvt and water)?' DYesONo @NA DYesDNo @NA OYesONo@NA DYesONo @NA Turbine shutdown response time N/A N/A N/A N/A Is system progranuned for fail-safe shutdown?" DYes D No @NA DYes D No @NA DYesONo@NA DYes D No @NA Was filil-s~1fe verified to be ttional?' DYesDNo @NA DYesDNo @NA DYes D No@NA DYes D No @NA up~eutl . Wait time between applying pressure/vacuum/water and starting 30 minutes 30 minutes 30 minutes 30 minutes test: Test Start Time: 08:25AM 08:25AM 09:01AM 07:47AM Initial Reading (RI): 4.2164 5.4523 3.2585 7.217 Test End Time: 08:40AM 08:40AM 09:16AM 08:02AM Final Reading (Rp): 4.2163 5.4516 3.2586 7.2172 Test Duration: 15 min. 15 min. 15 min. 15 min. Change in Reading (Rp-R1): -0.0001 -0.0007 0.0001 0.0002 Pass/Fail Threshold or Criteria: +!-0.002" +!-0.002 +/-0.002 +!-0.002 Test Result: Pass Pass Pass Pass Was sensor removed for testing? Yes Yes Yes Yes Was sensor properly repl11rPrl and Yes verified functional after testing? Yes Yes Yes Comments-(include iJ?formation on repairs made prior to testing, and recommendedfollow-upfor.failed tests) Sensor functionality was not confirmed. This procedure is not part of the Secondary Containment Testinl! scope of work. 1 If the entire depth of the sump is not tested, specify how much was tested. If the answer to fillY of the questions indicated with an asterisk(*) is "NO" or "NA", the entire sump must be tested. (See SWRCB LG-160) 7. UNDER-DISPENSER CONTAINMENT Test Method Developed By: D UDC Manufacturer D Other (Spec(/Y) TESTING D Professional Engineer 121 Hydrostatic DYes 0 No l2l NA 0 Yes D No 121 NA DYes D No 121 NA DYes D No 121 NA 30 minutes 30 minutes 30 minutes 30 minutes Yes Yes Yes Yes Comments-(include iJ?formation on repairs made prior to testing, and recommendedfollow-up.forfailed tests) Sensor functionality was not confirmed. This procedure is not part of the Secondary Containment Testing scope of work 112, 7/8 failed due to torn test boots. 1 If the entire depth of the UDC is not tested, specify how much was tested. If the answer to ill!Y of the questions indicated with an asterisk(*) is "NO" or "NA", the entire UDC must be tested. (See SWRCB LG-160) 7. UNDER-DISPENSER CONTAINMENT TESTING Test Method Developed By: Test Method Used: 0 UDC Manufacturer 0 Other (.S'peci.M 0 Pressure 0 Other (.S'pec(/jl) 0 Industry Standard 0 Professional Engineer 0 Vacuum 0 Hydrostatic OYesONo 0NA OYesONo 0NA OYesONo 0NA OYesONo 0NA 0 Yes 0 No 0 NA 0 Yes 0 No 0 NA 0 Yes 0 No 0 NA 0 Yes 0 No 0 NA 0 Yes 0 No 0 NA 0 Yes 0 No 0 NA 0 Yes 0 No 0 NA 0 Yes 0 No 0 NA 30 minutes 30 minutes 30 minutes Yes Comments-(include information on repairs made prior to testing, and recommended follow-up for failed test.s~ Sensor functionality was not confirmed. This procedure is not part of the Secondary Containment Testing scope of work 13/14 and 15/16 are Exempt From Testing-Continuously Monitored 1 If the entire depth of the UDC is not tested, specify how much was tested. If the answer to ill!Y of the questions indicated with an asterisk(*) is "NO" or "NA", the entire UDC must be tested. (See SWRCB LG-160) D Sump Manufacturer 1:8] Industry Standard D Professional Engineer D Other Test Method Used: D Vacuum l:8l Hydrostatic 30" 34" 16" 16" 16" Good Good Good 30 minutes 30 minutes 30 minutes DYes D No l:8l NA DYes D No l:8l NA 0 Yes D No l:8l NA Yes Yes Comments -(include iJ?formation on repairs made prior to testing, and recommended fol/ow-upforfailed tests) 9. SPILL/OVERFILL CONTAINMENT BOXES ill/Overfill Containment Boxes are Present, but were Not Tested 0 Test Method Developed By: 0 Spill Bucket Manufacturer l2l Industry Standard 0 Other (SpecijjU Test Method Used: 0 Pressure 0 Vacuum 0 Other (Spec(jj;} Spill Box# T1-87-FB Bucket Diameter: 12" 12" 12" Bucket Depth: 10" 10" 10" Wait time between applying 0 Professional Engineer 12] Hydrostatic +/-0.002" Box# T2-87-VB 12" 10" pressure/vacuum./water and 30 minutes 30 minutes 30 minutes 30 minutes test: Test Start Time: 07:13AM 07:13AM 06:53AM 06:53AM Initial Reading (R1): 5.5685 2.3338 5.1529 4.9992 Test End Time: 07:29AM 07:29AM 07:08AM 07:08AM Final Reading (RF): 5.5672 2.3339 5.1526 4.9988 Test Duration: 15 min. 15 min. 15 min. 15 min. Change in Reading (RF-RI): -0.0013 0.0001 -0.0003 -0.0004 Pass/Fail Threshold or Criteria: +/-0.002" +/-0.002" +/-0.002" +/-0.002" Test Result: Pass Pass Pass Pass Comments -(include information on repairs made prior to testing, and recommendedfol/ow-up forfailed tests) 9. SPILL/OVERFILL CONTAINMENT BOXES Spill/Overfill Contaimnent Boxes are Present, but were Not Tested 0 Test Method Developed By: 0 Spill Bucket Manufacturer 12.1 Industry Standard 0 Other (SpecifY) Test Method Used: 0 Pressure 0 Vacuum 0 Other (Spec([v) Box# T3-9 -FB Silill Box# Bucket Diameter: 12" 12" 12" Bucket Depth: 12" 12" 14" 0 Professional Engineer 12.1 Hydrostatic +/-0.002" Box# Wait time between applying pressure/vacuum/water and 30 minutes 30 minutes 30 minutes test: Test Start Time: Initial Reading (Rr): Test End Time: Final Reading (RF): Test Duration: Change in Reading (RF-R1): Pass/Fail Threshold or Criteria: Test Result: IS min. +!-0.002" Fail 06:53AM 02:21PM 5.898 5.6736 07:08AM 07:36AM 5.898 5.6738 IS min. IS min. 0.0000 0.0002 +/-0.002" +!-0.002" Pass Pass Comments -(include il?{ormation on repairs made prior to testing, and recommended.follow-up .for.failed tests) 91 Fill Bucket Failed. Name Gonzalez, Saul Gonzalez, Saul Gonzalez, Saul Gonzalez, Saul Gonzalez, Saul Gonzalez, Saul Gonzalez, Saul Gonzalez, Saul Manufacturer Training Training OPW Fueling Containment Systems-FlexWorks OPW EVR Phase I -UST Phil Tite Spill Collectors & Associated Hardware FiberGlass Systems Piping (Formerly AO Smith) Modern Welding Tank Installation Containment Solutions Tank Installation Xerxes UST Installation Training Seminar INCON Leve14-Franklin Sump Test System Completed 5/19/2017 5/19/2017 8/9/2017 6/22/2017 9/2/2015 2/17/2017 9/16/2015 5/30/2016 Expires 5/19/2019 5/19/2019 8/9/2019 6/22/2020 9/2/2018 2/17/2019 9/16/2018 5/30/2018 BUSINESS NAME: COSTCO WHOLESALE GAS STATION #688 SITE ADDRESS: 3800 ROSEDALE HIGHWAY I CITY: BAKERSFIELD I ZIP: 93308 MAP DATE: 04/03/2013 I SURVEY BY: I DRAWN BY: DP I AGENCY FACILITY #: ENTRANCE> COSTCO /STORE 0 N PARKING LOT ,.... -I r----+-.~~l~----~~1 1 I , .. PARKING LOT L -.,. I ••••• I r -.,. CLARION **NOTE: ALL PIPING LOCATIONS ARE ESTIMATED & SCALING IS APPROXIMATE** I HCAS I HEALY CLEAN AIR SEPARATOR • MONITORING VEEDER ROOT L LINE LEAK VEEDER ROOT 8 VENTRISER ((0)) ~;1~~LL PANEL TLS 350 DETECTOR PLLD + FIRST AID KIT ~ STORM DRAIN 0 ABSORBENT VEEDER ROOT A ANNULAR VEEDER ROOT u UDC SENSOR 794380-323 (SUMP), -U DISPENSER c TELEPHONE SENSOR 794380-301 794380-304 (INTERSTITIAL) ,R~ PRODUCT EXTINGUISHER --PIPING VEEDER ROOT VEEDER ROOT TURBINE GAS PUMP VAPOR F FILL SUMP 857080-112 (SUMP), T SUMP 857080-112 (SUMP), 8 EMERGENCY --RETURN/ SENSOR 794380-304 SENSOR 794380-304 SHUTOFF VENT LINE (INTERSTITIAL) (INTERSTITIAL) BELSHIRE ENVIROMENTAL COSTCO 0688 3800 ROSEDALE HWY BAKERSFIELD CA 1-800-984-6266 02/01/2018 8:40 AM SUMP LEAK TEST REPORT T187 TS TEST STARTED 8:25 AM TEST STARTED 02/01/2018 BEGIN LEVEL 4.2164 IN END TIME 8:40 AM END DATE 02/01/2018 END LEVEL 4.2163 IN LEAK THRESHOLD 0.002 IN TEST RESULT PASSED T287 TS TEST STARTED 8:25 AM TEST STARTED 02/01/2018 BEGIN LEVEL 5.4523 IN END TIME 8:40 AM END DATE 02/01/2018 END LEVEL 5.4516 IN LEAK THRESHOLD 0.002 IN TEST RESULT PASSED T391 TS TEST STARTED 9:01 AM TEST STARTED 02/01/2018 BEGIN LEVEL 3.2585 IN END TIME 9:16 AM END DATE 02/01/2018 END LEVEL 3.2586 IN LEAK THRESHOLD 0.002 IN ~TESTRESUL T PASSED UDC 3-4 TEST STARTED 1:33 PM TEST STARTED 02/01/2018 BEGIN LEVEL 3.6760 IN END TIME 1:49PM END DATE 02/01/2018 END LEVEL 3.6758 IN LEAK THRESHOLD 0.002 IN TEST RESULT PASSED UDC 5-6 TEST STARTED 1:33 PM TEST STARTED 02/01/2018 BEGIN LEVEL 4.8176 IN END TIME 1:49 PM END DATE 02/01/2018 END LEVEL 4.8186 IN LEAK THRESHOLD 0.002 IN TEST RESULT PASSED UDC9-10 TEST STARTED 1:33 PM TEST STARTED 02/01/2018 BEGIN LEVEL 6.2544 IN END TIME 1:49 PM END DATE 02/01/2018 END LEVEL 6.2545 IN LEAK THRESHOLD 0.002 IN TEST RESULT PASSED UDC1112 TEST STARTED 1:33 PM TEST STARTED 02/01/2018 BEGIN LEVEL 4.2317 IN END TIME 1:49 PM END DATE 02/01/2018 END LEVEL 4.2321 IN LEAK THRESHOLD 0.002 IN TEST RESULT PASSED \ o-P 2 T1B7 FS TEST STARTED 9:01 AM TEST STARTED 02/01/201B BEGIN LEVEL 3.2585 IN END TIME 9:16 AM END DATE 02/01/201B END LEVEL 3.2586 IN LEAK THRESHOLD 0.002 IN TEST RESULT PASSED T1B7 FS TEST STARTED 9:35 AM TEST STARTED 02/01/2018 BEGIN LEVEL 6.1430 IN END TIME 9:50 AM END DATE 02/01/2018 END LEVEL 6.1438 IN LEAK THRESHOLD 0.002 IN TEST RESULT PASSED TEST STARTED 10:03 AM I TEST STARTED 02/01/201B BEGIN LEVEL 4.7268 IN END TIME 10:1B AM END DATE 02/0l/201B END LEVEL 4.7280 IN LEAK THRESHOLD 0.002 IN ! TEST RESULT PASSED GA TB TEST STARTED 7:47 AM TEST STARTED 02/01/2018 BEGIN LEVEL 7.2170 IN END TIME B:02 AM END DATE 02/01/2018 END LEVEL 7.2172 IN LEAK THRESHOLD 0.002 IN TEST RESULT PASSED T1 87FB TEST STARTED 7:13 AM TEST STARTED 02/01/201B BEGIN LEVEL 5.5685 IN END TIME 7:29 AM END DATE 02/01/2018 END LEVEL 5.5672 IN LEAK THRESHOLD 0.002 IN TEST RESULT PASSED T187 VB TEST STARTED 7:13 AM TEST STARTED 02/01/2018 I BEGIN LEVEL 2.3338 IN END TIME 7:29 AM I END DATE 02/01/2018 END LEVEL 2.3339 IN I LEAK THRESHOLD 0.002 IN TEST RESULT PASSED T2B7 FB TEST STARTED 6:53 AM TEST STARTED 02/01/2018 BEGIN LEVEL 5.1529 IN END TIME 7:08 AM END DATE 02/01/2018 END LEVEL 5.1526 IN LEAK THRESHOLD 0.002 IN TEST RESULT PASSED T391 VB TEST STARTED 6:53 AM TEST STARTED 02/01/2018 BEGIN LEVEL 5.B980 IN END TIME 7:08 AM END DATE 02/01/201B END·LEVEL 5.8980 IN LEAK THRESHOLD 0.002 IN TEST RESULT PASSCD TEST STARTED 2:21 PM TEST STARTED 02/01/2018 BEGIN LEVEL 5.6736 IN END TIME 2:36 PM END DATE 02/01/2018 END LEVEL 5.6738 IN LEAK THRESHOLD 0.002 IN TEST RESULT PASSED 2 of' z_