HomeMy WebLinkAbout800 34TH STREET (4)SWRCB, January 2002
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Secondary Containment Testing Report Form
Thisform is intendedfor use by contractors performingperiodic testing ofUST secondary containment systems. Use the
appropriate pages of thisform to report resultsfor all components tested. The completedform, written test procedures, and
printoutsfrom tests (if applicable), should be provided to thefacility owner /operatorfor submittal to the local regulatory agency.
1. FACILITY INFORMATION
Facility Name: Mobil I Date of Testing: 9/7/2011
Facility Address: 800 34`h Street Bakersfield CA, 93301
Facility Contact: Peter Cloven Phone: 925- 673 -5500
Date Local Agency Was Notified of Testing: 8/24/2011
Name of Local Agency Inspector (fpresent during testing): Ernie Madenia
2. TESTING CONTRACTOR INFORMATION
Company Name: Confidence UST Services
Pass Fail
Technician Conducting Test: Bryan A Self
Repairs
Made Component
Credentials: x CSLB Licensed Contractor x SWRCB Licensed Tank Tester
Not
Tested
License Type: CSLB
87 STP
License Number:804904 SWRCB Tank Tester # 11 -1756
Manufacturer
Manufacturer Training
Component(s) Date Training Expires
Franklin Fueling TS -STS 1 -06 -2013
UST Service
technician
ICC 7 -5 -2013
Star. Smith. Fibercast Fiber Glass Systems N.A.
89 Vapor SB X
3. SUMMARY OF TEST RESULTS
Component Pass Fail Not
Tested
Repairs
Made Component Pass Fail Not
Tested
Repairs
Made
87 STP X 87 Vapor SB X
89 STP X 89 Vapor SB X
91 STP X 91 Vapor SB X
87 Secondary Line X UDC 1 -2 X
89 Secondary Line X UDC 3 -4 X
91 Secondary Line X UDC 5 -6 X
87 Annular X UDC 7 -8 X
89 Annular X
91 Annular X
87 Fill SB X
89 Fill SB X
91 Fill SB X
If hydrostatic testing was performed, describe what was done with the water after completion oftests:
Water was put back into test trailer and waste drum
CERTIFICATION OF TECHNICIAN RESPONSIBLE FOR CONDUCTING THIS TESTING
To the best ofmy knowledge, thefacts stated in this document are accurate an4in full compliance with legal requirements
Technician's Signature:
S W RCB, January 2002
4. TANK ANNULAR TESTING
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Test Method Developed By: Tank Manufacturer x Industry Standard Professional Engineer
Other (Spec)
Test Method Used: Pressure x Vacuum Hydrostatic
Other (Specify)
Test Equipment Used: Calibrated Gages Equipment Resolution:0.0625"
Tank # Regular UL Tank # Plus UL Tank # Super UL Tank #
Is Tank Exempt From Testing ?' Yes X No Yes X No Yes X No Yes X No
Tank Capacity: 10,000 10,000 10,000
Tank Material: FRP FRP FRP
Tank Manufacturer: Unknown Unknown Unknown
Product Stored: 87 Annular Plus Annular Super Annular
Wait time between applying
pressure /vacuum /water and
starting test:
5 Minuets 5 Minuets 5 Minuets
Test Start Time: 12:00 pm 12:00 pm 12:00 pm
Initial Reading (Rj): 10 Hg 10 Hg 10 Hg
Test End Time: 1:00 pm 1:00 pm 1:00 pm
Final Reading (RF): 10 Hg 10 Hg 10 Hg
Test Duration: 1 Hour I Hour I Hour
Change in Reading (RF -Ri): 0.00" 0.00" 0.00"
Pass /Fail Threshold or Criteria:
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 testin ? 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 recommendedfollow -upfor failed tests)
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
5. SECONDARY PIPE TESTING
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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: Calibrated Gages Equipment Resolution:0.0625"
Piping Run # 87 Piping Run # 89 Piping Run# 91 Piping Run #
Piping Material: FRP FRP FRP
Piping Manufacturer: Environ Environ Environ
Piping Diameter: 3 .00" 3.00" 3.00"
Length of Piping Run: 150' 155' 160'
Product Stored: 87 Secondary 89 Secondary 91 Secondary
Method and location of
piping-run isolation: Clam Shell Clam Shell Clam Shell
Wait time between applying
pressure /vacuum /water and
starting test:
5 Minuets 5 Minuets 5 Minuets
Test Start Time: 1 1:10 am 1 1:10 am 1 1:10 am
Initial Reading (R,): 5.00 "PSI 5.00 "PSI 5.00 "PSI
Test End Time: 12:10 pin 12:10 pm 12:10 pm
Final Reading (RF): 5.00 "PSI 5.00 "PSI 5.00 "PSI
Test Duration: I Hour 1 Hour I Hour
Change in Reading (RF -R,): 0.00" 0.00" 0.00"
Pass /Fail Threshold or
Criteria: 0.00" 0.00" 0.00"
Test Result: X Pass Fail X Pass Fail X Pass Fail Pass Fail
Comments — (include information on repairs made prior to testing, and recommendedfollow -upfarfailed tests)
SWRCB, January 2002
6. PIPING SUMP TESTING
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Test Method Developed By: Sump Manufacturer x Industry Standard Professional Engineer
Other (Specify)
Test Method Used: Pressure Vacuum x Hydrostatic
Other (Spec)
Test Equipment Used: Ts -sts Equipment Resolution:
Sump # 87 Sump # 89 Sump # 91 Sump #
Sump Diameter: 37.00" 37.00" 37.00"
Sump Depth: 56.00" 51.00" 62.00"
Sump Material: FRP FRP FRP
Height from Tank Top to Top of
Highest Piping Penetration:
29.00" 28.00" 17.00"
Height from Tank Top to Lowest
Electrical Penetration: 25.00" 27.00" 20.00"
Condition of sump prior to testing: Clean & Dry Clean & Dry Clean & Dry
Portion ofSump Tested' Pipe Penetration Pipe Penetration Pipe Penetration
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 8 Seconds 8 Seconds 8 Seconds
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 XYes No NA X Yes No NA Yes No NA
Wait time between applying
pressure /vacuum /water and starting
test:
5 Minutes 5 Minutes 5 Minuets
Test Start Time:
Initial Reading (Ri):
Test End Time:
Final Reading (RF): INTestDuration: Resuits
Change in Reading (RF -Rj):
Pass/Fail Threshold or Criteria:
Test Result: X Pass Fail Pass X Fail Pass X 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 recommendedfollow -up forfailed tests)
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 -l60)
9 y :i .x "•.
M .r vl. ;,;
r
SWRCB, January 2002
7. UNDER- DISPENSER CONTAINMENT C TESTING
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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: Ts -sts Equipment Resolution:
UDC # 1 -2 UDC # 3 -4 UDC # 5 -6 UDC # 7 -8
UDC Manufacturer: Bravow Box Bravow Box Bravow Box Bravow Box
UDC Material: Plastic Plastic Plastic Plastic
UDC Depth: 7.00" 7.50" 7.00" 7.00"
Height from UDC Bottom to Top
of Highest Piping Penetration:
On Bottom On Bottom On Bottom On Bottom
Height from UDC Bottom to
Lowest Electrical Penetration:
On Bottom On Bottom On Bottom On Bottom
Condition of UDC prior to
testing:
Clean & Dry Clean & Dry Clean & Dry Clean & Dry
Portion of UDC Tested High Penetration High Penetration High Penetration High Penetration
Does turbine shut down when
UDC sensor detects liquid (both
product and water) ?*
Yes No X NA Yes No X NA Yes No X NA Yes No X NA
Turbine shutdown response time N.A. N.A. N.A. N.A.
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
Test Start Time:
Initial Reading (R,): See 1NTestEndTime:
Final Reading (Rr): KO
Test Duration:
Change in Reading (Rr -R,):
Pass /Fail Threshold or Criteria:
Test Result: X Pass Fail Pass X Fail Pass X Fail Pass X Fail
Was sensor removed for testing? Yes No X NA Yes No X NA Yes No X NA Yes No X NA
Was sensor properly replaced and
verified functional after testing? Yes No X NA Yes No X NA Yes No X NA Yes No X NA
Comments — (include information on repairs made prior to testing, and recommendedfollow -upforfailed tests)
Dispensers 5 -6 & 7 -8 were both Visual Fails. They were not tested with the Ts -sts
eq uintment.
If the entire depth of the UDC is not tested, specify how much was tested. If the answer to any ofthe questions indicated with an
asterisk ( *) is "NO" or "NA ", the entire UDC must be tested. (See SWRCB LG -160)
AA l
SWRCB, January 2002
8. FILL RISER CONTAINMENT SUMP TESTING
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Facility is Not Equipped With Fill Riser Containment Sumps X
Fill Riser Containment Sumps are Present, but were Not Tested
Test Method Developed By: Sump Manufacturer Industry Standard Professional Engineer
Other (Specie)
Test Method Used: Pressure Vacuum Hydrostatic
Other (Spec)
Test Equipment Used: Equipment Resolution:
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 (Rj):
Test End Time:
Final Reading (RF):
Test Duration:
Change in Reading (RF -Rj):
Pass /Fail Threshold or Criteria:
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 recommendedfollow -upfor failed tests)
SWRCB, January 2002
9. SPILL/OVERFILL CONTAINMENT BOXES
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Facility is Not Equipped With Spill /Overfill Containment Boxes
Spill /Overfill Containment Boxes are Present, but were Not Tested X
Test Method Developed By: Spill Bucket Manufacturer x Industry Standard Professional Engineer
Other (Specie)
Test Method Used: Pressure Vacuum x Hydrostatic
Other (Spec)
Test Equipment Used: Ts -sts Equipment Resolution:
Spill Box # Spill Box # Spill Box # Spill Box #
Bucket Diameter:
Bucket Depth:
Wait time between applying
pressure /vacuum /water and
starting test:
Test Start Time:
Initial Reading (R,):
Test End Time:
Final Reading (RF):
Test Duration:
Change in Reading (RF -R,):
Pass /Fail Threshold or
Criteria:
Test Result: Pass Fail Pass Fail Pass Fail Pass Fail
Comments — (include information on repairs made prior to testing, and recommendedfollow -upfor failed tests)
All Shill buckets were tested with annual Monitor Cert
MWIL
800 34TH STREET
BAKERSFIE:: CA
d25. 673 -5506
278f?
09/07/2011 12:18 PM
SUMP LEVEL REPORT
SUMP 87 STP 1.714 IN
SUMP 89 STP 2,656 IN
SUMP 91 STP 3-658 IN
MOBIL
34TH STREET
A:;.RSFIELO CA
925473 -5500
27857
09107/2011 12:37 PM
S 'T LEAK TEST REPORT
87 SIP
TEST STARTED 12:21 PM
TEST STARTED 09 /0712011
BEGIN LEVEL 1.7172 IN
END TIME 12:37 PM
END DATE 09 /0712011
END LEVEL 1.7168 IN
LEAK THRESHOLD 0.002 IN
TEST RESULT PASSED
89 STP
TEST STARTED 12:21-'PM
TEST STARTED 09/07 ?N11
BEGIN LEVEL 2.55% IN
ENO TIME 12:37 PM
END DATE 09 /07/2011
END LEVEL 14091 IN
LEAK THRESHOLD 0.002 IN
TEST RESULT FAILED
91 STP
TEST STARTED 12:21 PM
TEST STARTED 09107/2011
BEGIN LEVEL 3.6500 IN
END TIME 12:37 PM
END DATE 09 /07/2011
END LEVEL 3.8199 IN
LEAK THRESHOLD 0.002 IN
TEST RESULT FAILED
0
MOBIL
8W 34TH STREET
BAKERSFIELD CA
825- 673 -5540
27867
09/07/2011 12:42 PH
SUMP LEVEL REPORT
SUMP 87 STP 1.716 IN
SUMP 89 STP 2,385 IN
SUMP 91 STP 3.811 IN
MOBIL
800 34TH STREET
BAKERSFIELD CA
925 -673 -5500
27867
09/07/2011 2:52 PM
SUMP LEVEL REPORT
MP UDC 1 -2 0.413 IN
SUMP UDC 3 -4 0,108 IN
M08 L
800 34TH STREET
BAKERSFIELD CA
925- 673 -5500
27867
09/07/2011 3:08 Ph
SUMP LEAK TEST REPORT
VOC 1 -2
TEST STARTED 2:53 PM
TEST STARTED 09/07/2011
BEGIN LEVEL 0.4160 IN
END TIME 3:08 PM
END DATE 09/07/2011
END LEVEL 0,4164 IN
LEAK THRESHOLD 0,002 IN
TEST RESULT PASSED
VOC 3 -4
TEST STARTED 2:53 PM
TEST STARTED 09/07/2011
BEGIN LEVEL 0,1083 IN
END TIME 3:08 PM
END DATE 08/07/2011
END LEVEL 0,0902 IN
LEAK THRESHOLD 0,002 IN
TEST RESULT FAILED