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Home My WebLink About2222 F STREET (6)Z55 SWRCB, January 2002 Page of Secondary Containment Testing Report Form Thisform 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 (ifapplicable), should be provided to thefacility owner /operator for submittal to the local regulatory agency. 1. FACILITY INFORMATION Facility Name: Ramco Express Date of Testing: 12/29/2011 Facility Address: 2222 F Street Bakersfield, CA 93301 Facility Contact: Rami I Phone: 818- 339 -7288 Date Local Agency Was Notified of Testing: 12/1/2011 Name of Local Agency Inspector (rfpresent during testing): Ernie Medina 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 Sump License Number:804904 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. SWRCB Licensed Tank Tester 5/31/2014 3. SUMMARY OF TEST RESULTS Component Pass Fail Not Tested Repairs Made Component Pass Fail Not Tested Repairs Made 87 STP Sump X 89 STP Sump X 91 STP Sump X 87 Annular X 89 Annular X 91 Annular X UDC 1 -2 X UDC 3 -4 X If hydrostatic testing was performed, describe what was done with the water after completion of tests: Water was nut 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 and in full compliance with legal requirements Technician's Signature: SWRCB, January 2002 Page of 4. TANK ANNULAR TESTING Test Method Developed By: Tank Manufacturer x Industry Standard Professional Engineer Other (Spec) Test Method Used: Pressure x Vacuum Hydrostatic Other (Spec) Test Equipment Used: Calibrated Gages Equipment Resolution:0.0625" Tank # 87 Tank # 89 Tank # 91 Tank # Is Tank Exempt From Testing ?' Yes X No Yes X No Yes X No Yes No Tank Capacity: 10,000 10,000 10,000 Tank Material: FRP FRP FRP Tank Manufacturer: O/C O/C O/C Product Stored: 87 Annular Space 89 Annular Space 91 Annular Space Wait time between applying pressure /vacuum /water and starting test: 5 Min 5 Min 5 Min Test Start Time: 10:30 am 1:45 pm 2:55 pm Initial Reading (Ri): 10 Hg 10 Hg 10 Hg Test End Time: 11:30 am 2:45 pm 3:55 pm Final Reading (RF): 10 Hg 10 Hg 10 Hg Test Duration: 1 Hour 1 Hour I Hour Change in Reading (RF -Ri): 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 0 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 -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 of Regulations, Title 23, Section 2637(a)(6)1 SWRCB, January 2002 6. PIPING SUMP TESTING Page of Test Method Developed By: Sump Manufacturer x Industry Standard Professional Engineer Other (Specif Test Method Used: Pressure Vacuum x Hydrostatic Other (Specify) Test Equipment Used: Ts -sts Equipment Resolution: Sump # 87 STP Sump # 89 STP Sump # 91 STP Sump # Sump Diameter: 37.00" 37.00" 37.00" Sump Depth: 48.00" 48.00" 48.00" Sump Material: FRP FRP FRP Height from Tank Top to Top of Highest Piping Penetration: 22.00" 27.00" 26.00" Height from Tank Top to Lowest Electrical Penetration: 11.00" 11.00" 11.00" Condition of sump prior to testing: Clean & Dry Clean & Dry Clean & Dry Portion of Sump 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 7 Seconds 7 Seconds 7 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 X Yes No NA X Yes No NA Yes No NA Wait time between applying pressure /vacuum /water and starting test: 5 Min 5 Min 5 Min Test Start Time: Initial Reading (Ri): Test End Time: 99 MON Final Reading (RF): Test Duration: Results Change in Reading (R,: -R,): 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 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 -160) raa,oca+tata *.vr,ufla bv a.. ViOMPH SWRCB, January 2002 7. UNDER - DISPENSER CONTAINMENT C TESTING Page of Test Method Developed By: UDC Manufacturer x Industry Standard Professional Engineer Other (Specify) Test Method Used: Pressure Vacuum x Hydrostatic Other (Spec) Test Equipment Used: Ts -sts Equipment Resolution: UDC # 1 -2 UDC # 3 -4 UDC # UDC # UDC Manufacturer: Bravo Box Bravo Box UDC Material: Bravo Box Bravo Box UDC Depth: 10.00" 10.00" Height from UDC Bottom to Top of Highest Piping Penetration: Bottom of UDC Bottom of UDC Height from UDC Bottom to Lowest Electrical Penetration: Bottom of UDC Bottom of UDC Condition of UDC prior to testing: Clean Clean Portion of UDC Tested Pipe Penetration Pipe Penetration Does turbine shut down when UDC sensor detects liquid (both product and water) ?* Yes No X NA Yes No X NA Yes No NA Yes No NA Turbine shutdown response time N.A. N.A. Is system programmed for fail- safe shutdown ?* Yes No X NA Yes No X NA Yes No NA Yes No NA Was fail -safe verified to be operational?* Yes No X NA Yes No X NA Yes No NA Yes No NA Wait time between applying pressure /vacuum /water and starting test 5 Min 5 Min Test Start Time: Initial Reading (Ri): See 1. CON Test End Time: Final Reading (RF): Res dthop Test Duration: Change in Reading (RF -Ri): Pass /Fail Threshold or Criteria: Test Result: X Pass Fail X Pass Fail Pass Fail Pass Fail Was sensor removed for testing? Yes No X NA Yes No X NA Yes No NA Yes No NA Was sensor properly replaced and verified functional after testing? Yes No X NA Yes No X NA Yes No NA Yes No NA Comments — (include information on repairs made prior to testing, and recommendedfollow -upforfailed tests) 1 If the entire depth of the UDC 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 UDC must be tested. (See SWRCB LG -160) r-4fwl--Vnjr4---,um--,-.i(WI-Mlipty:ZEAX7711-76 I MOOWI 9,16 SWRCB, January 2002 8. FILL RISER CONTAINMENT SUMP TESTING Page of 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 (Specify) Test Method Used: Pressure Vacuum Hydrostatic Other (Specify) 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 (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 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 11 Yes No NA Yes No NA Comments — (include information on repairs made prior to testing, and recommendedfollow -upforjailed tests) SWRCB, January 2002 9. SPILL /OVERFILL CONTAINMENT BOXES Page of 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 (Spec) 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 -upforfailed tests) The Spill Buckets Are Tested With The Annuel Monitor Cert. RAMCO EXPRESS RAMCD EXPRESS RAh1CO EXPRESS 2222 F STREET 2222 F STREET 2222 F STREET BAKERSFIELD CA BAKERSFIELD CA BAKERSFIELD,CA 28203 28203 28203 12/29/2011 11 :15 AM 12/29/2011 11:32 AM 12/29/2011 12:ao PM SUMP LEAK TEST REPORT SUMP LEAK TEST REPORT SUMP LEAK TEST REPORT UDC 1 -2 UDC 1 -2 87 SIP TEST STARTED 1100 AM TEST STARTED 11:16 AM TEST STARTED 12 :25 PM TEST STARTED 12/29/2011 TEST STARTED 1212912011 TEST STARTED 12/29/2011 8EGlN LEVEL 1.0084 IN BEGIN LEVEL 1,0064 IN BEGIN LEVEL 4.1591 1N END TIME 11:15 AM END TIME 11:31 AM END TIME 12:40 Pli END DATE 12/29/2011 END DATE 12129/2011 END DATE 12/29!2011 END LEVEL 1.0077 IN END LEVEL 1,0058 IN END LEVEL 4.1576 IN LEAK THRESHOLD 0.002 111 LEAK THRESHOLD 0.002 IN LEAK THRESHOLD 0.002 IN TEST RESULT PASSED TEST RESULT PASSED TEST RESULT PASSED UDC 3 -4 UDC 3-4 TEST STARTED 11:00 AM TEST STARTED 11:16 AM TEST STARTED 12/29/2011 TEST STARTED 12/29/2011 BEGIN LEVEL 1,5769 IN BEGIN LEVEL 1.5758 IN END TIME 11:15 AM FND TIME 11.31 AM END DATE 12/29/2011 END DATE 12/29/2011 END LEVEL 1.5760 1N END LEVEL 1.5750 IN LEAK THRESHOLD 0.002 IN LEAK THRESHOLD 0,002 IN TEST RESULT PASSED TEST RESULT PASSED 91 STP 1ST SiAR1EL !2:49 PM IEST STIJAED BFI,Iti t.['vn. 2..-,514 IN END TIME 1:04 PM DO OP it 12129120'1 EtIO LEVEL 2,8566 IN IFAK THRESHOLD 0.002. IN IES1 RESULT PASSED s RAMCO EXPRESS 2222 F STRIET BAKERSFIELO CA 28203 12/29/2011 1:47 PM SUMP LEAK TEST REPORI 85 STP TES1 STARTED i:32 PM 1F.S7 STARTED 12/29/2011 BEGIN 1 EVEL 3, a364 IN END TIME 1:47 PM END DATE 12/29/2011 END LEVEL 3.4356 IN LEAK INRESHOLU O. 002 11 TEST RESULT PASSED 89 SIP TES' STARTED 1:32 PM TEST STARTED 12/29/2011 BEGIN LEVEL 4,1320 IN END TIME 1:47 PM END DATE 12/29/2011 END LEVEL 4, 1322 IN LEAH: II;RESHOLD 0.002 IN TEST RESULT PASSED 0 , RAMCG E*.P(IS; RAMCO EKKESS 2222 r SIREFT 2222 E STRFET BAKERSFIELD CA BAKERSFIELD CA 2 °203 28203 12/29/2011 1:04 PM 12/25/2011 1:24 PM SI-J1, LEA.t TES' REF'bki SUM[' LEAH TEST REPORT 8? SIP 91 STP 5' S, FI , 1 "t: 4'i +n TES! STARTED 1:09 PM L`' SrN =iE 2;rillr'1t EST STARTED 1212`J12011 flud:I 1EUF1_ 0, imo III BEGIN LEvEI. 2. '659 1N E11Ii I[ME 1:04 pM END FIME 1:24 PM 1,110 1141E ;1:23/2011 END DATE 12/29/2011 Et:G EVLL 4, i5l'15 IN END LEVEL 2.8545 IN An HPEaiUIG 0.002 iN LEAF, THRESHOLD 0.002 IN 1ESi kESULi PASSED IEST RESULT PASSED 91 STP 1ST SiAR1EL !2:49 PM IEST STIJAED BFI,Iti t.['vn. 2..-,514 IN END TIME 1:04 PM DO OP it 12129120'1 EtIO LEVEL 2,8566 IN IFAK THRESHOLD 0.002. IN IES1 RESULT PASSED s RAMCO EXPRESS 2222 F STRIET BAKERSFIELO CA 28203 12/29/2011 1:47 PM SUMP LEAK TEST REPORI 85 STP TES1 STARTED i:32 PM 1F.S7 STARTED 12/29/2011 BEGIN 1 EVEL 3, a364 IN END TIME 1:47 PM END DATE 12/29/2011 END LEVEL 3.4356 IN LEAK INRESHOLU O. 002 11 TEST RESULT PASSED 89 SIP TES' STARTED 1:32 PM TEST STARTED 12/29/2011 BEGIN LEVEL 4,1320 IN END TIME 1:47 PM END DATE 12/29/2011 END LEVEL 4, 1322 IN LEAH: II;RESHOLD 0.002 IN TEST RESULT PASSED 0 ,