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HomeMy WebLinkAbout13004 STOCKDALE HWY (7)4 (0 Z.1, SWRCB, January 2002 Page ` of Secondary Containment Testing Report Form Thisform is intendedfor use by contractors performing periodic testing ofUSTsecondary containment systems. Use the appropriate pages ofthisform to report resultsfor all components tested. The completedform, written test procedures, and printoutsfrom tests (fapplicable), should be provided to thefacility ownerloperatorfor submittal to the local regulatory agency. 1. FACT LTTY INFORMATION Facility Name: CHEVRON Date ofTesting: 12/1/11 Facility Address: 13004 STOCKDALE HWY Facility Contact•. KHENG Phone: Date Local Agency Was Notified of Testing: 10/31/11 Name of Local Agency Inspector (tfpresent during testing): 2. TESTING CONTRACTOR INFORMATION Company Name: Rich Environmental Pass Technician Conducting Test: RICH PHILLIPS Not Tested Credentials: X CSLB Licensed Contractor 0 SWRCB Licensed Tank Tester License Type: C61/1340 A HAZ Fail License Number: 809850 Manufacturer Manufacturer Trainine Component(s) Date Training E ires INCON TS -STS 6/11/12 DISP #3/4 X 3. SUMMARY OF TEST RESULTS Component Pass Fail Not Tested Repairs Made Component Pass Fail Not Tested Repairs Made REG87 ANNULAR X DISP #3/4 X MID89 ANNULAR X DISP #5/6 X PREM91/DSL ANNULAR X 1 DISP #7/8 X REG87 SECONDARY PIPE X DISP #9/10 X MID89 SECONDARY PIPE X RE087 VAPOR BUCKET X PREM91 SEC PIPE 0 X MID89 VAPOR BUCKET X DSL SECONDARY PIPE X PREM91 VAPOR BKT X REG87 STP X Cl MID89 STP x PREM91 STP x DSL STP X DISP #1/2 1 X 0-1 If hydrostatic testing was performed, describe what was done with the water after completion oftests: CERTIFICATION OF TECHNICIAN RESPONSIBLE FOR CONDUCTING THIS TESTING To the best ofmy knowledge, thefacts stat ds document are accurate and infull compliance with legal requirements Technician's Signature: Date: 12 /1 /I 1 SWRCB January g2002Page ?/ of 4. TANK ANNULAR TESTING Test Method Developed By: 0 Tank Manufacturer X Industry Standard 0 Professional Engineer D Other (Spec) Test Method Used: 0 Pressure X Vacuum Hydrostatic Other (Spec) Test Equipment Used: 4" DIAL GAUGE Equipment Resolution: .5% Tank #PREM91 Tank # Tank #REG87 Tank #MID89 Is Tank Exempt From Testing?' 0 Yes X No 0 Yes X No 0 Yes X No 0 Yes 0 No Tank Capacity: 12000 12000 12000 Tank Material: STEEL STEEL STEEL Tank Manufacturer: UNKNOWN UNKNOWN UNKNOWN Product Stored: REG87 MID89 PREM91 Wait time between applying pressure /vacuum/water and starting test: 30MIN 30MIN 30MIN Test Start Time: 9:30 9:30 10:15 Initial Reading (R): 1 OHG IOHG IOHG Test End Time: 10:30 10:30 11:15 Final Reading (RF): IOHG I OHG IOHG Test Duration: 60 MIN 60 MIN 60 MIN Change in Reading (RF -Rj): 0 0 0 Pass/Fail Threshold or Criteria: 0 0 0 Test Result- X Pass 0 Fail X Pass 0 Fail X Pass Fail Pass Fail Was sensor removed fortesting? X Yes 0 No 0 NA X Yes 0 No 0 NA X Yes DNo DNA Yes 0No DNA Was sensor property replaced and verified functional after testin ? X Yes No D NA X Yes No NA X Yes 0No NA Yes 0 No NA Comments — (include information on repairs made prior to testing, and recommendedfollow -upforfailed 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 ofRegulations, Title 23, Section 2637(ax6)1 SWRCB, January 2002 5. SECONDARY PIPE TESTING 4049 ?JA-7 Page ,1) of8 Test Method Developed By: Piping Manufacturer X Industry Standard Professional Engineer 0 Other (Specify) Test Method Used: X Pressure Vacuum Hydrostatic Other (Specify) Test Equipment Used: 4" DIAL GAUGE Equipment Resolution: .5% Piping Run #87 Piping Run #89 Piping Run #91 Piping Run #DSL Piping Material: PLASTIC PLASTIC PLASTIC PLASTIC Piping Manufacturer: TCI /APT TCI /APT TCI /APT TCI /APT Piping Diameter: 2" 2:" 2" 2" Length of Piping Run: 150" 150" 150" 150" Product Stored: 87 89 91 DSL Method and location of piping-run isolation: BOOT W SUMP BOOT M SUMP BOOT M SUMP BOOT IN SUMP Wait time between applying pressure/vacuum/water and starting test: 30 MIN 30 MIN 30 MIN 30 MIN Test Start Time: 9:15 9:15 9:15 10:30 Initial Reading (Rj): 6.0 5.5 5.5 6.0 Test End Time. 10:15 10:15 10.15 11:30 Final Reading (RF): 6.0 5.5 5.5 6.0 Test Duration: 60 MIN 60 MIN 60 MIN 60 MIN Change in Reading (Rr -Rj): 0 0 0 0 Pass/Fail Threshold or Criteria 0 PSI 0 PSI 0 PSI 0 PSI Test Result: X Pass 0 Fail I X Pass 0 Fail 0 Pass X Fail X Pass 0 Fail Comments — (include information on repairs made prior to testing, and recommendedfollow -upfarfailed tests) THIS TEST IS FROM STP' S TO DISP #8. NEW APT PIPE FROM DISP #7 ON GAS 91 GRADES. TCI ALL DONUTS ARE OUT - NOT TESTED 91 TEST BOOT IN DISP #8 NEEDS TO BE REPLACED DIESEL HAS TCI PIPE FROM DISP 99 TO DISP 91. DIESEL DOESN'T RUN THROUGH DISP #3/4.5/6. OR 7/8 (GOES AROUND TO OUTSIDE DISP. SWRCB, January 2002 6. PIPING SUMP TESTING q 2,(a Page 'I of Test Method Developed By: 0 Sump Manufacturer X Industry Standard 0 Professional Engineer 0 Other (Spec) Test Method Used: 0 Pressure Vacuum X Hydrostatic 0 Other (Specify) Test Equipment Used: INCON TS -STS Equipment Resolution: Sump #87 Sump #89 Sump #91 Sump #DSL Sump Diameter: 37" 37" 37" 37" Sump Depth: 60" 60" 60" 60" Sump Material: FIBERGLASS FIBERGLASS FIBERGLASS FIBERGLASS Height from Tank Top to Top of Highest Piping Penetration: 17" 17" 16" 16" Height from Tank Top to Lowest Electrical Penetration: 12" 19" 11" 10" Condition of sump prior to testing: GOOD GOOD GOOD GOOD Portion of Sump Tested' 19" 19" 18" 18" Does turbine shut down when sump sensor detects liquid (both product and water)?* 0 Yes 0 No X NA Yes 0 No X NA 0 Yes No X NA Yes No X NA Turbine shutdown response time Is system programmed for fail -safe shutdown ?* 0 Yes 0 No X NA 0 Yes 0 No XNA Yes 0No X NA 0 Yes No X NA Was fail -safe verified to be operational?* Dyes 0 No X NA 0 Yes []No XNA 0 Yes 0No X NA 0 Yes 11 No XNA Wait time between applying pressure /vacuum/water and starting test: 30 MIN 30 MIN 30 MIN 30 MIN Test Start Time: 12:40 12 :57 12:40 12:57 12:57 1:13 1:36 2 :20 Initial Reading (Rj): 4.470 4.470 3.402 3.402 2.420 2.420 3.870 3.682 Test End Time: 12:55 1 :12 12:55 1:12 1:12 1:28 1:52 2:35 Final Reading (RF): 4.470 4.471 3.402 3.402 2.420 2.420 3.872 3.682 Test Duration: 15MIN 15MIN 15MIN 15MIN 15MIN 15MIN 15MIN 15MIN Change in Reading (RF -Rj): 000 000 000 000 000 000 002 000 Pass/Fail Threshold or Criteria: 002 002 002 1 -.002 002 002 002 002 Test Result: X Pass 0 Fail X Pass 0 Fail X Pass 0 Fail X Pass 0 Fail Was sensor removed for testing? X Yes No DNA X Yes No DNA X Yes 0 No DNA X Yes 0 No 0 NA Was sensor properly replaced and verified functional after testin ? X Yes 0 No DNA X Yes No 0 NA X Yes No DNA X Yes No 0 NA Comments - (include information on repairs made prior to testing, and recommendedfollow -upforfailed tests) Ifthe entire depth ofthe sump is not tested, specify how much was tested. Ifthe 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 7. UNDER- DISPENSER CONTAINMENT WDCI TESTING Page J of Test Method Developed By: 0 UDC Manufacturer X Industry Standard Professional Engineer Other (Specify) Test Method Used: Pressure Vacuum X Hydrostatic Other (Spec) Test Equipment Used: INCON TS -STS Equipment Resolution: UDC #1/2 UDC #3/4 UDC #7/8UDC #5/6 UDC Manufacturer: UNKNOWN UNKNOWN UNKNOWN UNKNOWN UDC Material: FIBERGLASS FIBERGLASS FIBERGLASS FIBERGLASS UDC Depth: 28" 28" 28" 28" Height from UDC Bottom to Top of Hi est Piping Penetration: 9" 9" 9" 9" Height from UDC Bottom to Lowest Electrical Penetration: 10" 10" 10" 10" Condition of UDC prior to testing: GOOD GOOD GOOD GOOD Portion ofUDC Tested' Does turbine shut down when UDC sensor detects liquid (both and water)?* Yes No X NA Yes No X NA Yes No XNA Yes No X NA product Turbine shutdown response time Is system programmed for fail- safe shutdown ?' Yes No X NA Yes No XNA Yes No X NA Yes 0 No X NA Was fail -safe verified to be operational?* 0 Yes 0 No X NA Yes No XNA Yes No X NA 0 Yes 0 No X NA Wait time between applying pressure/vacuum/water and test 30MIN 30MIN 30MIN 30MIN starting Test Start Time: Initial Reading (Rj): Test End Time: Final Reading (RF ): Test Duration: 15MIN 15MIN 15M1N 15MTN 15MIN 15MIN 15MIN 15MIN Change in Reading (RF-R,): PassiFail Threshold or Criteria: 0021N 0021N 0021N 1 .0021N 0021N 0021N 0021N 0021N Test Result: Pass 0 Fail Pass 0 Fail Pass 0 Fail Pass Fail Was sensor removed for testing? Yes 0 No 0 NA Yes No NA 0 Yes No NA Yes No 0 NA Was sensor properly replaced and verified functional after testing? D Yes No NA Yes No NA Yes No NA Yes No NA Comments — (include information on repairs made prior to testing, and recommendedfollow -upforfailed tests) UNABLE TO TEST, ALL THE TO DONUTS IN PENETRATIONS ARE REMOVED. PIPE AND /OR DISPENSER MAY NEED TO BE REMOVED If the entire depth of the UDC 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 UDC must be tested. (See SWRCB LG -160) SWRCB, January 2002 4YOZ/6:2 Page _if) of 0 r 7. UNDER- DISPENSER CONTAINMENT (UDC) TESTING Test Method Developed By: UDC Manufacturer X Industry Standard Professional Engineer Other (Specify) Test Method Used: 0 Pressure Vacuum X Hydrostatic 0 Other (Spec) Test Equipment Used: INCON TS -STS Equipment Resolution: UDC #9/10 UDC # UDC # UDC # UDC Manufacturer: UNKNOWN UDC Material: FIBERGLASS UDC De the 28" Height from UDC Bottom to Top 9" of Highest Piping Penetration: Height from UDC Bottom to 10" Lowest Electrical Penetration: Condition of UDC prior to GOOD testing: Portion of UDC Tested'1 l" Does turbine shut down when UDC sensor detects liquid (both Yes No X NA 0 Yes No DNA D Yes No NA Yes 0 No NA product and water)?* Turbine shutdown response time Is system programmed for fail- D Yes No X NA D Yes No DNA Yes 0 No NA 0 Yes No NAsafeshutdown ?' Was fail -safe verified to be Dyes No X NA Yes 0No NA Yes No DNA D Yes No NA operational ?` Wait time between applying pressure/vacuum/water and 30MIN 30MIN 30MIN 30MIN starting test t est Mart i une: Initial Reading Test End Time: I Test Duration: I 15MIN 1 15MIN I 15MTN I 15MIN I 15MIN I 15MIN I 15MFN I 15M1N I Change in Reading (RF -R,): Pass/Fail Threshold or Criteria: Test Result: Pass [)Fail Pass Fail Pass Fail D Pass Fail Was sensor removed for testing? Yes No NA Yes 0 No DNA Yes 0 No DNA 0 Yes 0No 0 NA Was sensor properly replaced and verified functional after testing? D Yes No NA Yes 0N DNA Yes 0 N NA 0 Yes No 0N Comments — (include information on repairs made prior to testing, and recommendedfollow -upforfailed tests) UNABLE TO TEST, ALL TO DONUTS REMOVED. Ifthe entire depth ofthe UDC is not tested, specify how much was tested. Ifthe answer to any ofthe questions indicated with an asterisk ( *) is "NO" or "NA ", the entire UDC must be tested. (See SWRCB LG -160) SWRCB, January 2002 S. FILL RISER CONTAINMENT SUMP TESTING 4gi, Vo Page I of 0 Facility is Not Equipped With Fill Riser Containment Sums Fill Riser Containment Sumps are Present, but were Not Tested Test Method Developed By: Sump Manufacturer 0 Industry Standard Professional Engineer 0 Other (Spec) Test Method Used: Pressure 0 Vacuum 0 Hydrostatic Other (Spec) Test Equipment Used: Equipment Resolution: Fill Sump # Sump Diameter: Fill Sump # Fill Surne # Fill Sum # Sump Depth: Height from Tank Top to Top of Highest Piping Penetration: Height from Tank Top to Lowest Electrical Penetration: Condition ofsump prior to testing: Portion of Sump Tested Swnp Material: Wait time between applying pressure/vacuum/water and starting test: 30MIN 30MIN 30MIN 30MIN Test Start Time: Initial Reading (R): Test End Time: Final Reading (RF ): Test Duration: ISMIN 15MIN 15MIN 15MIN 15MIN 15MIN 15MIN 15MIN Changa in Reading (R. -Ri): Pass/Fail Threshold or Criteria: 0021N 0021N 002IN 0021N 0021N 1 .0021N 0021N 002lN Test Result: Pass Fail 0 Pass 0 Fail Pass Fail Pass 0 Fail Is there a sensor in the sump? 0 Yes 0 No 0 Yes No 0 Yes 0 No Yes 0 No Does the sensor alarm when either product or water is detected? Yes No NA Yes 0 No NA Yes 0No 0NA 0 Yes No 0 NA Was sensor removed for testing? Yes 0 No NA 0 Yes No 0 NA Yes 0 No NA 0 Yes No 0 NA Was sensor properly replaced and verified functional after teWn ? 0 Yes No NA Yes 0 No 0 NA 0 Yes 0No NA Yes 0 No DNA Comments — (include information on repairs made prior to testing, andrecommendedfollow -upforfailed tests) SITE HAS NO FILL SUMPS SWRCB, January 2002 9. SPILL/OVERFILL CONTAIlV WNT BOXES Page -L of &r 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 (Spec) Test Method Used: Pressure C Vacuum X Hydrostatic Other (Spec) Test Equipment Used: INCON TS-STS Equipment Resolution: Spill Box #87 VPR Spill Box #89 VPR Spill Box #01 VPR Spill Box # Bucket Diameter: 12" 12" 12" Bucket Depth: 16" 16" 16" Wait time between applying pressure /vacuum/water and test: 30MIN 30MIN 30MIN starting Test Start Time: 12:16 12:40 11 :58 12:16 12 :16 1 12:40 initial Reading (1 ): 4.633 4.632 4.915 4.912 4.685 4.730 Test End Time: 12:31 12:55 12:13 12:31 12:31 12 :55 Final Reading (RF): 4.632 4.632 4.913 4,911 4.685 4.732 Test Duration: 15M1N 15MIN 15MIN 15MIN 15MIN 15MIN Change in Reading (RF -RI): 001 000 002 001 000 002 Pass/Fail Threshold or Criteria 002 002 002 002 002 002 Test Result: X Pass Fail X Pass Fail X Pass Fail Pass Fail Comments — (include information on repairs made prior to testing, and recommendedfollow -upforfailed tests) i`sWNli CHEVRON TEST STARTED 11:58 AM 13004 STOCKDALE HWYTESTSTARTED12/01/2011 BAKER - -FIELD CA BEGIN LEVEL 4.9150 IN 12/01/2011ENDTIME12:13 PM 12:55 PMENDDATE12/01/2011 END LEVEL 4..991333 INN SUMP LEAK. TEST REPORTLEAKTHRESHOLD0.002 IN TEST RESULT PASSED 87sTP CHEVRON 13004 STOCKDALE HWY TEST STARTED 12 :40 PM BAKERSFIELD CA TEST STARTED 12/01/2011BEGINLEVEL 12/01/2011 1:12 PM CHEVRON END TIME 4.4707 IN 130;14 STOCKDALE HWY END DATE 12'55 FM 14. 911 SUMP LEW TEST REPORT BAKERSFIELD CA END LEVELf• 470LEAKTHRESHOLD4.4704 INx•002 IN 87STP 12/01/2011 12:31 PM TEST RESULT PASSEDE TEST STARTED 12:57 PM SUMP LEAK TEST REPORT TEST STARTED 12/01/2011 89STP BEGIN LEVEL 4.4707 IN 87UPR END TIME 1:12 PM TEST STARTED 12:46 PM END DATE 12/01/2011TESTSTARTED12:16 PM TEST STARTED 12/01/2011 END LEVEL 4.4712 IN TEST STARTED 12/01/2011 BEGIN LEVEL 3'4023 LEAK THRESHOLD 0.002 IN BEGIN LEVEL 4.6338 IN END TIME IN 12:55 TEST RESULT PASSEDENDTIME12:31 PM END DATE PM 12/01/2011ENDDATE12/01/2011 END LEVEL 3.4022ENDLEVEL4.6323 IN INLEAKTHRESHOLD0.002 89STP LEAK THRESHOLD 0.002 IN INTESTRESULTTESTRESULTPASSEDPASSED TEST STARTED 12:57 PM TEST STARTED 12/01/2011 91VPR BEGIN LEVEL 3.4023 IN6'9VPR END TIME 1 :12 PM TEST STARTED 12:16 PM TEST STARTED 12;40 PMTESTSTARTED END DATE END LEVEL 12/01/2011 3.4028 IN TEST STARTED 12/01/2011 1'2-/01/2011BEGINLEVEL4.7306 IN LEAK THRESHOLD 9.002 INBEGINLEVEL4.9125 IN END TIME 12: SS TEST RESULT PASSED END TIME 12:31 R4 PMENDDATE12/01/2011ENDDATE12/01/2011 END LEVEL 4.7323ENDLEVEL4.9116 IN INLEAKTHRESHOLD0,002 91STP LEAK THRESHOLD 0.002 IN TEST RESULT IN TEST RESULT PASSED PASSED TEST STARTED 12:57 PM TEST STARTED 12/01/2011 BEGIN LEVEL 2.4205 IN 91VPR END TIME 1:12 PM END DATE 12/01/2011 TEST STARTED 12:16 PM END LEVEL 2.4206 INTESTSTARTED12/01/2011 LEAK THRESHOLD 0.092 IN BEGIN LEVEL 4.6851 IN TEST RESULT PASSED END TIME 12:31 PM END DATE 12/01/2011 END LEVEL 4.6854 IN 91STP LEAK THRESHOLD 0.002 IN 1:13 PMTESTRESULTPASSEDTESTSTARTED12/01/201 DSLSTP TEST STARTED BEGIN LEVEL 2.4208 IN TEST STARTED 1:36 PM END TIME 1:28 PM 01/2011 TEST STARTED 12/01/2011 END DATE 1'2/ 2.4207 IN BEGIN LEVEL 3.8707 IN DSLSTP END LEVELLEAKTHRESHOLD 0.002 IN END TIME END DATE 1:52 PM 12/01/2011 TEST STARTED 2;20 PM PASSED TEST RESULT PA END LEVEL 3.8721 IN TEST STARTED 12/01/2011 LEAK THRESHOLD TEST RESULT 0.002 IN PASSEDBEGINLEVEL0.9530 INENDTIME2 :35 PMENDDATE12/01/2011ENDLEVEL0.9529 INLEAKTHRESHOLD0.002 INTESTRESULTPASSED DSLSTP TEST STARTED 2:20 PMTESTSTARTED12/01/2011BEGINLEVEL3.6821 INENDTIME2:35 PMENDDATE12/01/2011ENDLEVEL3.6826 IN LEAK THRESHOLD 0.002 INTESTRESULTPASSED f+kbZh A 4 Fbz SB989 TESTING FAILURE REPORT SITE NAME: G%T I )g -- DATE: ADDRESS: / i 01-ly f v w s )TkCIMCLAN: RICH PHILLIPS CITY: 13 )' )el-1-2, Z-A SIGNATURE: A/ — THE FOLLOWING COMPONENTS WERE REPLACED/REPAIRED TO COMPLETE TESTING. REPAIRS: a l/n 00 13 r LABOR: % f / n-vin l7L - % -0 !, 4 0 o AL-Tj I4Y),7 O tt PARTS INSTALLED: NAME: TITLE: SIGNATURE: THE ABOVE NAMED PERSON TAKES FULL RESPONSIBnXrY OF NOTIFYING THE APPROPRIATE PARTY TO HAVE CORRECTIVE ACTION TAKEN TO REPAIR THE ABOVE LISTED PROBLEMS AND NOTIFYING RICH ENVIRONMANTAL FOR ANY NEEDED RETESTING. THIS ALSO RELEASES RICH ENVIRONMENTAL OF ANY FINES OR PENALTIES OCCURING FROM NON - COMPLIANCE. A COPY OF THIS DOCUMENT HAS BEEN LEFT ON -SITE FOR YOUR CONVIENENCE.