HomeMy WebLinkAbout2010 SB989 ResultsaV 4—n
SWRCB,,January 2002 Page of 1
Secondary Containment Testing Report Form
Thisform is intendedfor use by contractors performing periodic testing ofUST secondary 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 owner /operatorfor submittal to the local regulatory agency.
1. FACILITY INFORMATION
Facility Name: HARRY'S MARKET #2 Date ofTesting: 10 -29 -10
Facility Address: 2601 WHITE LN, BAKERSFIELD, CA
Facility Contact: YOGI Phone:
Date Local Agency Was Notified ofTesting: 10 -20 -10
Name of Local Agency Inspector (ifpresent during testing): ERNIE MADENA
2. TESTING CONTRACTOR INFORMATION
Company Name: Rich Environmental
pass
Technician Conducting Test: BRANDON MASON
Credentials: X CSLB Licensed Contractor SWRCB Licensed Tank Tester
License Type: C61/D40 A HAZ License Number: 809850
Manufacturer
Manufacturer Training
Component(s) Date Training Expires
INCON TS -STS 8 -11 -11
X 87 VPR BOX X
3. SUMMARY OF TEST RESULTS
Component pass Fail Not
Tested
Repairs
Made Component Pass Fail Not
Tested
Repairs
Made
87/91 ANNULAR X 87 VPR BOX X
87 SECONDARY X p 91 FILL BOX X
91 SECONDARY X 91 VPR BOX X 0
87 STP X
91 STP X
UDC 1 -2 X
UDC 34 X
UDC 5 -6 X D
UDC 7 -8 X
87 FILL SUMP X 0 0
91 FILL SUMP X 0
87 FILL BOX 1 X
Ifhydrostatic 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, diefacts stated In this document are accurate and infull compliance with legal requirements
Technician's Signature: Date: 10 - Qq -d 0
7:j'\, UN
SWRCB., January 2002 Page Of
4. TANK ANNULAR TESTING
Test Method Developed By: Tank Manufacturer Industry Standard Professional Engineer
Other (Specify)
Test Method Used: Pressure 0 Vacuum D Hydrostatic
0 Other, (Spec)
Test Equipment Used: Equipment Resolution:
rlsa Exempt From Testing ?I
Tank # 87/91 Tank # Tank # Tank #
Yes X No Yes No Yes No Yes No
acity: UNKNOWN
Tank Material: STEEL
Tank Manufacturer: UNKNOWN
Product Stored: GASOLINE
Wait time between applying
pressure/vacuum/water and
starting test:
30MINS 30MINS 30MINS 30MINS
Test Start Time: 1:OOPM
Initial Reading (R): IOHG
Test End Time: 2:OOPM
Final Reading (RF): l OHG
Test Duration: 60 MINS 60 MINS 60 MINS 60MINS
Change in Reading (RF-RO: OHG
Pass/Fail Threshold or Criteria: 0" HG 0" HG 0" HG 0" HG
Was sensor removed for testing? X Yes 0 No 0 NA 0 Yes D No DNA 0 Yes D No DNA 0 Yes 0 No D NA
Was sensor properly replaced and
verified functional after testin X Yes 0 No DNA Yes No NA Yes D No DNA 0 Yes D No DNA
Comments — (include information on repairs made prior to testing, and recommended ollow -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(a)(6))
SWRCB, January 2002
5. SECONDARY PIPE TESTING
Page '3 of--I
Test Method Developed By: 0 Piping Manufacturer Industry Standard 0 Professional Engineer
0 Other (Spec)
Test Method Used: 0 Pressure Vacuum 0 Hydrostatic
D Other (Spec)
Test Equipment Used: Equipment Resolution:
Piping Run #87 Piping Run. #91 Piping Run # Piping Run #
Piping Material: FIBERGLASS FIBERGLASS
Piping Manufacturer: UNKNOWN UNKNOWN
Piping Diameter: 31N 31N
Length ofPiping Run: 100FT 100FT
Product Stored: GASOLINE GASOLINE
Method and location of
piping-run isolation:
BOOT IN SUMP BOOT IN SUMP BOOT IN SUMP BOOT IN SUMP
Wait time between applying
pressure /vacuum/water and
starting test:
30 MINS 30 MINS 30 MINS 30 MINS
Test Start Time: 1:OOPM 1:00PM
Initial Reading 5PSI 5PSI
Test End Time: Z:OOPM 2:OOPM
Final Reading (RF): 5PSI 5PSI
Test Duration: 60 MINS 60 MINS 60 MINS 60 MINS
Change in Reading (RF -RO: OPSI OPSI
Pass/Fail Threshold or
Criteria: 0 PSI 0 PSI 0 PSI 0 PSI
r
Comments — (include information on repairs made prior to testing, and recommendedfollow -upforjailed tests)
SWRCB, January 2002
6. PIPING SUMP TESTING
t c-- k r
Page !i of
Test Method Developed By: 0 Sump Manufacturer Industry Standard Professional Engineer
Other (Spec)
Test Method Used: Pressure Vacuum Hydrostatic
Other (Spec)
Test Equipment Used: Equipment Resolution:
Sump #87 Sump #91 Sump # Sump #
Sump Diameter: 36IN 36IN
Sump Depth: 46IN 46IN
Sump Material: FIBERGLASS FIBERGLASS
Height from Tank Top to Top of
Highest Piping Penetration: 18IN 18IN
Height from Tank Top to Lowest
Electrical Penetration: LOIN LOIN
Condition of sump prior to testing: CLEAN CLEAN
Portion of Sump Tested' 20IN 20IN
Does turbine shut down when
sump sensor detects liquid (both X Yes 0 No 0 NA X Yes No NA Yes No DNA 0 Yes No 0NA
roduct and water)?*
Turbine shutdown response time 5SEC 5SEC
Is system programmed for fail -safe
shutdown?
X Yes No DNA X Yes D No NA Yes 0 No NA Yes 0 No NA
Was fail -safe verified to be X Yes 0 No NA X Yes No DNA. 0 Yes No 0NA Yes C No NA
operational ?"
Wait time between applying
pressure/vacuum/water and starting 30 MINS 30 MINS 30 MINS 30 MINS
test:
Test Start Time: 3:24P 3:52P 1:36P 1:52P
Initial Reading (RO: 5.776 5.776 4.828 4.828
Test End Time: 3:39P 4 :08P 1:52P 2:07P
Final Reading (RF): 5.776 5.775 4.828 4.827
Test Duration: 15MINS 15MINS 15MINS 15MINS 15MINS 15MINS 15MINS ISMINS
Change in Reading (Rr -Rt): 0.000 0.001 0.000 0.001
Pass/Fail Threshold or Criteria: 002IN .0021N 002IN .002IN 002IN 002IN 0021N .0021N
Yes No 0NA Yes 0 No NAWassensorremovedfortesting? X Yes 0 No NA X Yes D No NA
Was sensor properly replaced and
verified functional ,after testing? X Yes 0 No NA X Yes 0 No NA 0 Yes No NA 0 Yes C No QNA
Comments — (include information on repairs made prior to testing, and recommendedfollow -upforfailed 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)
SWRCB, January 2002
1k 4,1
Page Cj of
7. JUD ILMINU .
Test Method Developed By: UDC Manufacturer Industry Standard D Professional Engineer
0 Other (Spec).
Test Method Used: 0 Pressure D Vacuum Hydrostatic
13 Other (Snecily)
Test Equipment Used: I Equipment Resolution:
UDC Manufacturer:
UDC Material:
UDC Depth:
Height from UDC Bottom to Top
of Highest Piping Penetration:
Height from UDC Bottom to
Lowest Electrical Penetration:
Condition ofUDC 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:
Test End Time:
Final Reading (RF):
Test Duration:
Change in Reading (RF -R):
Pass/Fail Threshold or Criteria:
UDC #1 -2 UDC #34 UDC #5-6
UNKNOWN UKNOWN UKNOWN
FIBERGLASS FIBERGLASS FIBERGLASS
30IN 30IN 30IN
141N 14IN 141N
3IN 3IN 3IN
CLEAN CLEAN CLEAN
16IN 161N 161N
Yes D No NA X Yes DNo NA X Yes No DNA
5SEC 5SEC 5SEC
Yes D No NA I X Yes DNo DNA X Yes No NA
X Yes No DNA I X Yes D No NA I X Yes No DNA
UDC #7 -8
UKNOWN
FIBERGLASS
30IN
141N
31N
CLEAN
lC.yhl
X Yes No NA
5SEC
X Yes No NA
XYes No DNA
30MINS I 30MINS I 30MINS I 30MINS
5:52P 6:09P 4 :44P 5:05P 5:31P 5:52P 1 5:31P 5:52P
7.282 7.282 3.189 3.189 4.709 4.710 2.438 2.438
6:07P 6:25P 4:59P 5:20P 5:47P 6:07P 5:47P 6:07P
7.828 7.280 1189 3.189 4.710 4.710 2.438 2.439
15MINS 15MINS 15MINS 15MINS 15MINS 15MINS 15MINS 15MINS
0.000 0.002 0.000 0.000 0.001 0.000 0.000 0.001
0021N 1 .0021N 0021N 1 .0021N 1 .0021N 1 .0021N 0021N 1 .0021N
Was sensor removed for testing? X Yes No DNA X Yes D No ONAI X Yes 0 No DNA X Yes No NA
Was sensor properly replaced and . X Yes 0 No NA X Yes No NA X Yes No 0 NA X Yes No NAverifiedfunctionalaftertestis ?
Comments — (include information on repairs made prior to testing, and recommendedfollow -upforfailed tests)
Ifthe 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)
SWRCB, January 2002 Page U of
8. FILL RISER CONTAINMENT SUMP TESTING
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 D Industry Standard D Professional Engineer
Other (Specify)
Test Method Used: D Pressure Vacuum D Hydrostatic
D Other (Spec)
Test Equipment Used:
Fill Sam #87 Fill Sump #91
Swnp Diameter: 361N 361N
Equipment Resolution:
Fill Sump # Fill Sump #
Sump Depth: 461N 461N
Height from Tank Top to Top of
Highest Piping Penetration:
OIN 18IN
Height from Tank Top to Lowest
Electrical Penetration:
211N 21 IN
Condition of sump prior to
testing:
CLEAN CLEAN
Portion ofSump Tested 121N 20IN
Sump Material: FIBERGLASS FIBERGLASS
Wait time between applying
pressure /vacuum/water and
starting test:
30MINS 30MINS 30MINS 30MINS
Test Start Time: 4:44P 5:05P 3:24P 3:52P
Initial Readin .(R,): 2.638 2.638 5.859 5.859
Test End Time: 4:59P 5:20P 3:39P 4:08P
Final Reading 2.639 2.638 5.859 5.859
Test Duration: 15MINS 15MINS 15MINS 15MINS 15MINS 15MTNS 15MINS 15MINS
Change in Reading RI): 0.001 0.000 0.000 0.000
Pass/Fail Threshold or Criteria: 002IN 0021N 0021N 002IN 0021N 0021N .0021N
Is there a sensor in the sump?
j.-0021N
M
X Yes D No
lam
X Yes No D Yes No
MEN=.
Yes D No
Does the sensor alarm when
either product or water is
detected?
X Yes No NA X Yes No DNA Yes No NA D Yes No NA
Was sensor removed for testing? X Yes D No D NA X Yes No D NA Yes D No DNA D Yes D No DNA
Was sensor properly replaced and
verified functional after testing? X Yes No NA X Yes No NA Yes No NA Yes No NA
Comments — (include information on repairs made prior to testing, and recommendedfollow -up forfailed tests)
15Akz1
SWRC$, January 2002 Page I of
9. SPILIJOVERFILL CONTAINMENT BOXES
Facility is Not Equip With Spill/Overfill Containment Boxes 0
Spill/Overfill Containment Boxes are Present, but were Not Tested D
Test Method Developed By: Spill Bucket Manufacturer D Industry Standard Professional Engineer
Other (Sped)
Test Method Used: Pressure Vacuum Hydrostatic
Other (Spec)
Test Equipment Used: Equipment Resolution:
Spill Box #87 Spill Box #91 Spill Box # Spill Box #
Bucket Diameter: 121N 121N
Bucket Depth: 161N 16IN
Wait time between applying
pressure /vacuum/water and
starting test:
30MINS 30MINS 30MINS 30MINS
Test Start Time: 4:44P 5:05P 4:44P 5:05P
Initial Reading (R: 5.899 5.899 6.012 6.011
Test End Time: 4:59P 5:20P 4:59P 5:20P
Final Reading (RF): 5.899 5.899 6.012 6.012
Test Duration: 15MINS 15MINS 15MINS 15MINS 15MINS 15MINS 15MTNS 15MINS
Change in Reading (RF -Rj): 0.000 0.000 0.000 0.001
Pass/Fail Threshold or
Criteria: 0021N .002IN 002IN 002IN 002IN 002IN 0021N .0021N
s
Comments — (include information on repairs made prior to testing, and recommendedfollow -upforfailed tests)
87STP
EST STARTED 3:24 Phi
TEST STARTED 10/29/2010
BEGIN LEVEL 5.7761 IN
END TIME 3:39 Phi
END DATE 10/29/2010
END LEVEL 5.7762 IN
LEAK THRESHOLD 0.002 IN
TEST RESULT PASSED
87STP
TEST STARTED 3:52 PM
TEST STARTED 10/29/2010
SEGIN LEVEL 5.7762 IN
END TIME 4:08 PM
END DATE 10/29/2010
END LEVEL 5.7759 IN
LEAK THRESHOLD 0.002 IN
TEST RESULT PASSED
TEST STARTED 1:36' PM
TEST STARTED 10/29/2010
BEGIN LEVEL 4.8283 IN
END TIME 1:52 Phi
END DATE 10/29/2010
END LEVEL 4.3280 IN
LEAK THRESHOLD 0.002 IN
TEST RESULT,. PASSED
91 STP
TEST STARTED 1:52 PM
TEST STARTED 10/29/2010
BEGIN LEVEL 4.8281 IN
END TIME 2:07 PM
END DATE 10/29/2010
END LEVEL 4.8279 IN
LEAK THRESHOLD 0.002 IN
TEST RESULT PASSED
1 -2
TEST STARTED 5:52 PM
TEST STARTED 10/29/2010
BEGIN LEVEL 7.2826 IN
END TIME 6:07 PMiENDDATE10/29/2010
END LEVEL 7.2826 IN
LEAK THRESHOLD 0.002 IN
TEST RESULT PASSED
3-4
TEST STARTED 4:44 PPP
TEST STARTED 10/29/2010
SEGIN LEVEL 3.1891 IN
END TIME 4:59 PM
END DATE 10/29/2010
END LEVEL 3.1894 IN
LEAK. THRESHOLD 0.002 IN
TEST RESULT PASSED
3 -4
TEST STARTED 5:05 PM
TEST STARTED 10/29/2010
BEGIN LEVEL 3.1896 IN
END TIME 5:20 PM
END DATE 10/29/2010
END LEVEL 3.1896 IN
LEAK THRESHOLD 0.002 IM
TEST RESULT PASSED
5-0
TEST STARTEDTESTSTARTEDBEGINLEVEL
END TIME
END DATE .
END LEVEL
LEAK THRESHOLDTESTRESULT
5 -6
5: 31 PMi10/29/201@
4.7094 IN
5:4? PM
10/29x2016
4.7102 IN
6.002 IN
PASSED
TEST STARTEDBED;rtiSTARTED 5,
TEST
BEGIN LEVEL
1@x292@ 01
END TIMEVEL 4. ?101 IN
END DATE 6 :67 pM
END LEVEL 10/29/2010
LEAK THRESHOLfy 7163 IN
TEST RESULT 6.002 IN
PASSED
TEST STARTED 5:31 PM'iTESTSTARTED10/29/2010BEGINLEVEL2.4385 INENDTIME5:47 PMENDDATE10/29/2010ENDLEVEL2,4385 INLEAKTHRESHOLD0.002 INTESTRESULTPASSED
TEST STARTED 5:52 PhiTESTSTARTED10/29 /2010BEGINLEVEL2.43,99 INENDTIME
END DATE 5:07 PM
END LEVEL 10/29/2010
LEAK 2 43942.4394 IN
TEST RESULT 6.602 IN
PASSED
67FSB1P
TE STARTEDST
STARTED
5:05 PM
10/29/2010ISTEST
BEGIN LEVEL 2.63895:20 PMT
4:4A PIl
TEE;T gTARTFrD
T 5TRRTED
10/29 %20101N
p.F _EI.)EL
71ME
63842 ,}:59 FP's
10/29/2010END
ENiD DATE 2.E39. In
E.ND LEVEL OLD 0.002 IN
TNRE pAS EDHtRKTESLREuL. ,
0.002 IN
67FSB1P
TE STARTEDST
STARTED
5:05 PM
10/29/2010ISTEST
BEGIN LEVEL 2.63895:20 PMT
END TIME 10/29/2010ENDORT
END LEO —L 2.6389 IN
g.B92 INLEAKTHRESHOLDPASSED
TEST RESULT
91 FILL
TEST STARTED
TEST STARTED
BEGIN LEVEL
END TIME
END DATE
END LEVEL
LEAK THRESHO
TEST RESULT
3: 24 PP's
10/29/2010
5.8592 IN
3:39 PH
10/29/2010
5.8593 IN
LD 0.002 IN
PASSED
91 FILL
TEST STARTED 3:52 PM+.
TEST STARTED 10/29/2010
BEGIN LEVEL 5.8594 IN
END TIME 4:08 PM
END DATE 10/29/2010
END LEVEL 5.8594 It{
LEAK THRESHOLD 0.002 IN
TEST RESULT PASSED
67 VPR
TEST STARTED 4:44 PhiTESTSTARTED10/29/2010BEGINLEVEL5.8993 INENDTIME
END DATE 4:59 PM
10/29/2010ENDLEVEL5..8993 INLEAKTHRESHOLD0.002 INTESTRESULTPASSED
87 UPR
TEST STARTED 5:05 PhtTESTSTARTED10/29/2010BEGINLEVEL5.8994 INENDTIME5:20 PMENDDATE10/29/2610ENDLEVEL5.8993 INLEAKTHRESHOLD0.002 INTESTRESULTPASSED
SB989 TESTING FAILURE REPORT
SITE NAME: 1 ax le of 4-a DATE: 10 -0 g
ADDRESS: QU O l 1k th 1.0 n o TECHNICIAN: BRANDON MASON
THE FOLLOWE'iG COMPONENTS WERE REPLACED/REPAIRED TO COMPLETE
TESTING.
REPAIRS: /\,(O arc
LABOR: AJ0^ S
PARTS INSTALLED: A t
NAME: TITLE:
SIGNATURE:
THE ABOVE NAMED PERSON TAKES FULL RESPONSIBILITY 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.