HomeMy WebLinkAbout4901 UNION AVENUE (8)SWRCB, January 2002
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Secondary Containment Testing Report Form
This form is intendedfor use by contractors performing periodic testing of USTsecondary containment systems. Use the
appropriate pages ofthis form to report resultsfor all components tested. The completedform, written test procedures, and
printouts from tests (fapplicable), should be provided to thefacility owner /operatorfor submittal to the local regulatory agency.
1. FACILITY INFORMATION
Facility Name: Chevron #775 1 Date ofTesting: 3/2/11
Facility Address: 4901 South Union Ave. Bakersfield, CA
Facility Contact: Jamieson Hill Phone: 1- 661- 393 -7000
Date Local Agency Was Notified of Testing: February 23, 2011
Name of Local Agency Inspector (fpresent during testing):
2. TESTING CONTRACTOR INFORMATION
Company Name: Sunset Mechanical
Fail
Technician Conduct Test: Scott Olinger
Component
Credentials: CSLB Licensed Contractor SWRCB Licensed Tank Tester
Not
Tested
License Type: C -36 C -10 License Number: 589517
Manufacturer
Manufacturer Training
Component(s) Date Training Expires
Incon TS -STS Inspection Equipment 1/18/13
Veeder Root Monitoring System 1/15/12
ICC Cal UST Service Tech 1/18/13
FILL 44
3. SUMMARY OF TEST RESULTS
Component Pass Fail Not
Tested
Repairs
Made Component Pass Fail Not
Tested
Repairs
Made
UDC 1 &2 FILL #3
UDC 3 & 4 FILL 44
UDC 5 & 6 ANN SPACE #1
UDC 7 & 8 ANN SPACE #2
TRANS #1 U1, ANN SPACE #3
TRANS #2 ANN SPACE #4
STP #1 PIPE RUN #1
STP #2 PIPE RUN #2
STP #3 PIPE RUN #3
STP #4 J PIPE RUN #4 E91
FILL #1 PIPE RUN #5
FILL #2 PIPE RUN #6 1 1
If hydrostatic testing was performed, describe what was done with the water after completion of tests:
CERTIFICATION OF TECHNICIAN RESPONSIBLE FOR CONDUCTING THIS TESTING
To the best ofmy knowledge, thefacts stated in this document are accurate and Infull compliance with legal requirements
3Technician's Signature: Date: 4/19/11
SWRCB, January 2002 Page of
4. TANK ANNULAR TESTING
Test Method Developed By: Tank Manufacturer Industry Standard Professional Engineer
Other (Spec)
Test Method Used: Pressure VVacuum Hydrostatic
Other (Specie)
Test Equipment Used: 4" GEL FILLED GAUGE W /CERTS Equipment Resolution: 0 -30
a Tank # 1 Tank # 2 Tank # 3 Tank #4
Is Tank Exempt From Testing ?' Yes o Yes No Yes o Yes Ao
Tank Capacity: 12,000 12,000 12,000 12,000
Tank Material: FIBERGLASS /
STEEL
FIBERGLASS /
STEEL
FIBERGLASS /
STEEL
FIBERGLASS /
STEEL
Tank Manufacturer: MODERN MODERN MODERN MODERN
Product Stored: PREM UNL UNL DIESEL
Wait time between applying
pressure /vacuum/water and
starting test:
10 MIN 10 MIN 10 MIN 10 MIN
Test Start Time: 1:30 1:30 1:30 1:30
Initial Reading (111): 8 HG 8 HG 8 HG 8 HG
Test End Time: 2:30 2:30 2:30 2:30
Final Reading (RF): 8 HG 8 HG 8 HG 8 HG
Test Duration: 1 HR 1 HR 1 HR 1 HR
Change in Reading (RF-R,): 0 0 0 0
Pass/Fail Threshold or Criteria: 0 0 0 0
Test Result: E/ Pass Fail M"Pass Fail Pass Fail Pass Fail
Was sensor removed for testing? Yes No NA VYes No NA Yes No NA Y No NA
Was sensor properly replaced and
verified functional after testing?
Yes No NA Yes No NA Yes No NA WYes No NA
Comments — (include information on repairs made prior to testing, and recommendedfollow -upforfailed 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
F. a[K I 17:\ `iil a1111x.`711 1 Ce±
Test Method Developed By: 7Piping Manufacturer Industry Standard Professional Engineer
Other (Spec)
Test Method Used: Pressure Vacuum YHydrostatic
Other (Spec)
Test Equipment Used: INCON TS -STS Equipment Resolution: 0.0000
Piping Run # 1 Piping Run # 2 Piping Run # 3 Piping Run # 4
Piping Material: FIBERGLASS FIBERGLASS FIBERGLASS FIBERGLASS
Piping Manufacturer: AO SMITH AO SMITH AO SMITH AO SMITH
Piping Diameter: 3" 3" 3" 3" & 4"
Length of Piping Run: 90' 100' 110' 120'
Product Stored: PREM UNL UNL DIESEL
Method and location of
i in -run isolation: TEST BOOT AT STP TEST BOOT AT STP TEST BOOT AT
STP TEST BOOT AT STP
Wait time between applying
pressure /vacuum/water and
starting test:
10 MIN 10 MIN 10 MIN 10 MIN
Test Start Time: 1:38 1:38 1:38 1:38
Initial Reading (R,): 4.1471 6.3057 3.8381 6.3693
Test End Time: 1:53 1:53 1:53 1:53
Final Reading (RF): 4.1468 6.3049 3.8378 6.3684
Test Duration: 15 MIN 15 MIN 15 MIN 15 MIN
Change in Reading (RF -R,): 0003 0008 0003 0009
Pass/Fail Threshold or
Criteria: 002 002 002 002
Test Result: Pass Fail Pass Fail Pass Fail Pass Fail
Comments — (include information on repairs made prior to testing, andrecommendedfollow -upforfailed tests)
SWRCB, January 2002 Page of
5. SECONDARY PIPE TESTING
Test Method Developed By: UPiping Manufacturer Industry Standard Professional Engineer
Other (Spec)
Test Method Used: Shressure Vacuum Hydrostatic
Other (Spec)
Test Equipment Used: 4" GEL FILLED GAUGE W/ CERT Equipment Resolution: 0 -15
Piping Run # 5 Piping Run # 6 Piping Run # Piping Run #
Piping Material: FIBERGLASS FIBERGLASS
Piping Manufacturer: AO SMITH AO SMITH
Piping Diameter: 3" 3"
Length of Piping Run: 15' 15'
Product Stored: DIESEL DIESEL
Method and location of
piping-run isolation:
TEST BOOT AT
TRANS 1 & UDC
TEST BOOT AT
TRANS 1 & UDC
Wait time between applying
pressure /vacuum /water and
starting test:
10 MIN 10 MIN
Test Start Time: 1:30 1:30
Initial Reading (Rj): 5.0 5.2
Test End Time: 2:30 2:30
Final Reading (RF): 5.0 5.2
Test Duration: I HR I HR
Change in Reading (RF-R,): 0 0
Pass /Fail Threshold or
Criteria: 0 0
Test Result: Pass Fail Pass Fail Pass Fail Pass Fail
Comments — (include information on repairs made prior to testing, and recommendedfollow -up forfailed tests)
SWRCB, January 2002 Page of
V. l ii L \\T UV1V11 1L' Ulil\li
Test Method Developed By: - Sump Manufacturer Industry Standard Professional Engineer
Other (Spec)
Test Method Used: Pressure Vacuum ydrostatic
Other (Spec)
Test Equipment Used: INCON TS -STS Equipment Resolution: 0.0000
Sump Diameter:
Sump Depth:
Sump Material:
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'
Does turbine shut down when
sump sensor detects liquid (both
product and water)?*
Turbine shutdown response time
Is system programmed for fail -safe
shutdown ?*
Was fail -safe verified to be
operational?*
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 -Ri):
Pass /Fail Threshold or Criteria:
Test Result:
Was sensor removed for testing?
Was sensor properly replaced and
verified functional after testing?
TRANSI
3'X 2'
30"
FIBERGLASS
10"
8"
DRY
12"
es No NA
20 SEC
Yes No NA
TRANS 2
3'X 2'
30"
FIBERGLASS
10"
8"
DRY
12"
20
es No NA I Yes No NA I Yes No NA
es No NA I Yes No NA 1 Yes No NA
Yes No NA 1 I1 Yes No NA I Yes []No NA I Yes No NA
10 MIN
2:00
5.4525
2:15
5.4525
15 MIN
0000
002
Of Pass Fail
es No NA
Yes No NA
10 MIN
2:00
3.8728
2:15
3.8729
15 MIN
0001
002
Pass Fail
No NA
es No NA
Pass Fail
Yes No NA
Yes No NA
Pass Fail
Yes No NA
Yes No NA
Comments — (include information on repairs made prior to testing, and recommendedfollow -upforfailed tests)
If the entire depth ofthe sump is not tested, specify how much was tested. Ifthe answer to 4ay of the questions indicated with an
asterisk(*) is "NO" or "NA ", the entire sump must be tested. (See SWRCB LG -160)
SWRCB, January 2002
6. PIPING SUMP TESTING
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Test Method Developed By: 7 Sump Manufacturer Industry Standard Professional Engineer
Other (Specify)
Test Method Used: Pressure Vacuum Hydrostatic
Other (Spec)
Test Equipment Used: INCON TS -STS Equipment Resolution: 0.0000
SUMP #1 SUMP #2 SUMP #3 SUMP #4
Sump Diameter: 48' 48" 48" 48"
Sump Depth: 58" 58" 58" 58"
Sump Material: FIBERGLASS FIBERGLASS FIBERGLASS FIBERGLASS
Height from Tank Top to Top of
Highest Piping Penetration: 16" 16" 16" 16'
Height from Tank Top to Lowest
Electrical Penetration: 24" 24" 24" 24"
Condition of sump prior to testing: DRY DRY DRY DRY
Portion of Sump Tested' 18" 18" 18" 18"
Does turbine shut down when
sump sensor detects liquid (both
product and water)? *
JYes No NA 9 / Yes No NA 4/Yes No NA 6 Yes No NA
Turbine shutdown response time 20 SEC 20 SEC 20 SEC 20 SEC
Is system programmed for fail -safe
shutdown?*
Yes No NA Yes No NA Yes No NA gNes No NA
Was fail -safe verified to be
operational?* Yes No NA Yes No NA Yes No NA es No NA
Wait time between applying
pressure /vacuum/water and starting
test:
10 MIN 10 MIN 10 MIN 10 MIN
Test Start Time: 2:00 2:27 2:27 2:27
Initial Reading (RI): 2.4843 7.2004 5.9931 7.0695
Test End Time: 2:15 2:42 2:42 2:42
Final Reading (RF): 2.4845 7.2001 5.9929 7.0694
Test Duration: 15 MIN 15 MIN 15 MIN 15 MIN
Change in Reading (RF -Ri): 0002 0003 0002 0001
Pass /Fail Threshold or Criteria: 002 002/ 002 002
Test Result: Pass Fail Pass Fail Pass Fail Pass Fail
Was sensor removed for testing? es No NA EfXes No NA es No NA Xyes No NA
Was sensor properly replaced and
verified functional after testing? Yes No F1 NA Yes No NA Yes No NA Y No NA
Comments — (include information on repairs made prior to testing, and recommendedfollow -upforfailed tests)
STP 4 REPLACED (1) 2" X 3" BOOT
If the entire depth of the sump is not tested, specify how much was tested. If the answer to a_y of the questions indicated with an
asterisk ( *) is "NO" or "NA ", the entire sump must be tested. (See SWRCB LG -160)
SWRCB, January 2002
UNVk;K -V1SVE SE'K Uk)N'1'AINMEN'1' (UDU)'1'ES'I'tNG
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Test Method Developed By: E(UDC Manufacturer Industry Standard Professional Engineer
Other (Spec)
Test Method Used: Pressure Vacuum dHydrostatic
Other (Spec)
Test Equipment Used: INCON TS -STS Equipment Resolution: 0.0000
UDC # 1 -2 UDC # 34
UDC Manufacturer:
UDC Material:
UDC Depth:
Height from UDC Bottom to Top
ofHighest Piping Penetration:
Height from UDC Bottom to
Lowest Electrical Penetration:
Condition of UDC prior to
testing:
Portion of UDC Tested
Does turbine shut down when
UDC sensor detects liquid (both
product and water)?*
Turbine shutdown response time
Is system programmed for fail -
safe shutdown ?*
Was fail -safe verified to be
operational?*
Wait time between applying
pressure /vacuum/water and
starting test
Test Start Time:
Initial Reading (111):
Test End Time:
Final Reading (RF):
Test Duration:
Change in Reading (RF -Rj):
Pass /Fail Threshold or Criteria:
Test Result:
Was sensor removed for testing?
Was sensor properly replaced and
verified functional after testin ?
AM CON AM CON
FIBERGLASS FIBERGLASS
30" 30"
12" 12"
10" 12"
DRY DRY
14" 14"
UDC # 5-6
AM CON
FIBERGLASS
30"
12"
12"
DRY
14"
Yes No NA Yes No NA 5 4es No NA
20 SEC 20 SEC 20 SEC
dyes No NA Yes No NA es No NA
Yes No NA
10 MIN
1:38
4.1471
1:53
4.1468
15 MIN
0003
002
JY Pass Fail
Yes No NA
Yes No NA
Yes No NA
10 MIN
1:38
6.3057
1:53
6.3049
15 MIN
0008
002
Pass _ Fail
Yes No NA
Yes No NA
Yes No NA
10 MIN
1:38
3.8381
1:53
3.8378
15 MIN
0003
002
Pass Fail
es 0N DNA
es No NA
UDC # 7 -8
AM CON
FIBERGLASS
30"
14"
10"
DRY
16"
Ves No NA
20 SEC
Yes No NA
Wyes No NA
10 MIN
1:38
6.3693
1:53
6.3684
15 MIN
0009
002
Pass Fail
es 0N 0N
Yes No NA
Comments — (include information on repairs made prior to testing, and recommendedfollow -upforfailed tests)
If the entire depth of the UDC is not tested, specify how much was tested. If the answer to gay of the questions indicated with an
asterisk ( *) is "NO" or "NA ", the entire UDC must be tested. (See SWRCB LG -160)
SWRCB, January 2002
FILL RISER CONTAINMENT SUMP TESTING
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Facility is Not Equipped With Fill Riser Containment Sums
Fill Riser Containment Sumps are Prese , but were Not Tested
Test Method Developed By: Sump Manufacturer Industry Standard Professional Engineer
Other (Spec)
Test Method Used: Pressure Vacuum WHydrostatic
Other (Spec)
Test Equipment Used: INCON TS -STS Equipment Resolution: 0.0000
Fill Sump # 1 Fill Sump # 2 Fill Sump # 3 Fill Sump # 4
Sump Diameter: 42" 42" 42" 42"
Sump Depth: 52" 52" 52" 49"
Height from Tank Top to Top of
Highest Piping Penetration:
0 0 0 0
Height from Tank Top to Lowest
Electrical Penetration:
0 0 0 0
Condition ofsump prior to
testing:
DRY DRY DRY DRY
Portion of Sump Tested 12" 12" 12" 12"
Sump Material: FIBERGLASS FIBERGLASS FIBERGLASS FIBERGLASS
Wait time between applying
pressure /vacuum/water and
starting test:
10 MIN 10 MIN 10 MIN 10 MIN
Test Start Time: 2:00 2:27 2:54 2:54
Initial Reading (R,): 4.6621 5.3786 4.2330 6.0560
Test End Time: 2:15 2:42 3:09 3:09
Final Reading (RF): 4.6622 5.3784 4.2331 6.0561
Test Duration: 15 MIN 15 MIN 15 MIN 15 MIN
Change in Reading (RF -R,): 0001 0002 0001 0001
Pass/Fail Threshold or Criteria: 002 002 002 002
Test Result: Pass Fail V Pass Fail Pass F it Pass it
Is there a sensor in the sump? Yes Ao Yes 4No Yes No Yes No
Does the sensor alarm when
either product or water is
detected?
Yes No V NA Yes No 9/NA El Yes No 17NA Yes No WkA
Was sensor removed for testing? Yes No 4NA Yes No ED Yes No A Yes No SYN
Was sensor properly replaced and
verified functional after testin ? yes No NA Yes No 11A Yes No NA Yes No 2A
Comments — (include information on repairs made prior to testing, and recommendedfollow -up forfailed tests)
SWRCB, January 2002
9. SPILL/OVERFILL CONTAMMENT BOXES
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Facility is Not Equipped With Spill/Overfill Containment Boxes
Spill/Over611 Containment Boxes are Present, but were Not Tested
Test Method Developed By: Spill Bucket Manufacturer Industry Standard Professional Engineer
Other (Sped)
Test Method Used: Pressure Vacuum Hydrostatic
Other (Sped)
Test Equipment Used: 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 (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
Comments — (include information on repairs made prior to testing, and recommendedfollow -upforfailed tests)