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HomeMy WebLinkAbout3200 F STREET (8)SW`RCB, January 2002 Page N of Z7 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 printouts from tests (fapplicable), should beprovided to thefacility owner /operatorfor submittal to the local regulatory agency. 1. FACILITY INFORMATION Facility Name: WESTCHESTER MOBIL Date of Testing: 12/7/11 Facility Address: 3200 "F" STREET, BAKERSFIELD Facility Contact: Phone: Date Local Agency Was Notified ofTesting: 10/31/11 Name of Local Agency Inspector (fpresent during testing): ERNIE 2. TESTING CONTRACTOR INFORMATION Company Name: Rich Environmental Pass Technician Conducting Test: RICH PHILLIPS Not Tested Credentials: X CSLB Licensed Contractor D SWRCB Licensed Tank Tester License Type: C61/1340 A HAZ License Number: 809850 Manufacturer Manufacturer Training Component(s) ) Date Training Expires INCON TS -STS 6/11/2012 X UDC #11/12 X 3. SUMMARY OF TEST RESULTS Component Pass Fail Not Tested Repairs Made Component Pass Fail Not Tested Repairs Made LNL87 ANNULAR X UDC #11/12 X PREM91 ANNULAR X UNL87 FILL SUMP X UNL87 SECONDARY PIPE X 0 0 PREM91 FILL SUMP 1 X PREM91 SEC PIPE X UNL87 VAPOR BUCKET X 0 TRANSITION SUMP X PREM91 VAPOR BKT X UNL87 STP 0 X 0 0 0 PREM91 STP X 1 UDC #1/2 X UDC #3/4 X 0 UDC #5/6 x 0 0 0 0 Q UDC #718 X 0 0 0 F Q 0 UDC #9 /10 X 0 0 0 0 1 0 1 0 Ifhydrostatic testing was performed, describe what was done with the water after completion oftests: RECYCLE AND REUSE CERTIFICATION OF TECHNIC RESPONSIBLE FOR CONDUCTING THIS TESTING To the best ofmy knowledge, thefacts stated is document are accurate and infull compliance with legal requirements Technician's Signature: Date: 12/7111 SWRCB, January 2002 4. TANK ANNULAR TESTING tAtkblq Page _ of S Test Method Developed By: Tank Manufacturer X Industry Standard Professional Engineer Other (Specify) Test Method Used: Pressure X Vacuum Hydrostatic Other (Spec) Test Equipment Used: 4" DIAL GAUGE Equipment Resolution: Tank # UNL87 Tank # PREM91 Tank # Tank # Is Tank Exempt From Testing?' Yes No 11 Yes No Yes No Yes No Tank Capacity: Tank Material: Tank Manufacturer: Product Stored: Wait time between applying pressure/vacuum/water and starting test: NOT TESTED NOT TESTED Test Start Time: Initial Reading (114): Test End Time: Final Reading (RF): Test Duration: 60 MIN 60 MIN Change in Reading (RF -Rj): Pass/Fail Threshold or Criteria: Test Result: Pass Fail Pass Fail Pass 0 Fail Pass Fail 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 -upforfailed tests) TANK ANNULAR TEST NOT PERFORMED. SITE HAS SINGLE WALL TANKS. 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 5. SECONDARY PIPE TESTING umb-M Page 3 of / Test Method Developed By: Piping Manufacturer X Industry Standard Professional Engineer Other (Spec) Test Method Used: X Pressure Vacuum 0 Hydrostatic D Other (Specify) Test Equipment Used: 4" DIAL GAUGE Equipment Resolution: .5% Piping Run # UNL87 Piping Run # PREM91 Piping Run # Piping Run # rPipingManufacturer l: FIBERGLASS FIBERGLASS UNKNOWN UNKNOWN Piping Diameter: 3" 3" Length ofPiping Run: 50' 50' Product Stored: UNL87 PREM91 Method and location of i in -run isolation: BOOT IN SUMP BOOT IN SUMP Wait time between applying pressure/vacuum/water and starting test: 30 MIN 30 MIN Test Start Time: 9:30 9:30 Initial Reading (RD: 5 5 Test End Time: I0:30 10:30 Final Reading (RF): 5 5 Test Duration: 60 MIN 60 MIN Change in Reading (RP -Rj): 0 0 Pass/Fail Threshold or Criteria: 0 0 Test Result: X Pass Fail X Pass Fail Pass Fail Pass Fail COMMentS — (include information on repairs made prior to testing, and recommendedfollow -upforfailedtests) SECTION OF SECONDARY PIPE TESTED IS FROM TRANSITION SUMP TO UDC #9110 AND UDC #11/12 ONLY ALL OTHER PIPING IS SINGLE WALL. Ci q fSWRCB, January 2002 Page "t of t 6. PIPING SUMP TESTING 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: INCON TS -STS Equipment Resolution: Sump # TRANS Sump Diameter. 37" Sump # Sump # Sump # Sump Depth: 26" Sump Material: FIBERGLASS Height from Tank Top to Top of Highest Piping Penetration: 16" Height from Tanis Top to Lowest Electrical Penetration: 16" Condition ofsump prior to testing: GOOD Portion of Sump Tested' 18" Does turbine shut down when sump sensor detects liquid (both product and water)?' Yes No X NA Yes No NA Yes No NA Yes No NA Turbine shutdown response time Is system programmed for fail -safe shutdown ?* yes C No X NA Yes No NA 0 Yes No 0 NA Yes No NA Was fail -safe verified to be operational?' Yes No X NA Yes D No NA Yes No NA Yes No NA Wait time between applying pressure /vacuum/water and starting test: 30 MIN Test Start Time: 11:53 12:09 Initial Reading (R4): 3.242 3.242 Test End Time: 12:09 12:24 Final Reading (RF): 3.242 3.242 Test Duration: 15MIN 15MIN Change in Reading (RF -R,): 000 000 Pass/Fail Threshold or Criteria: 002 002 Test Result. X Pass Fail Pass 11 Fail Pass Fail Pass Fail Was sensor removed for testing? X Yes No NA Yes No NA Yes No NA Yes 0 No NA Was sensor properly replaced and verified functional after testin ? X 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) 87 AND 91 STP SUMPS NOT TESTED DUE TO NO SUMPS SINGLE WALL LINES. If the entire depth ofthe sump is not tested, specify how much was tested. Ifthe answer to any ofthe questions indicated with an asterisk ( *) is "NO" or "NA", the entire sump must be tested. (See SWRCB LG -160) SWRCB, January 2002 7. MINDER- DISPENSER CONTAINMENT (UDC) TESTING Page !! of Test Method Developed By: UDC Manufacturer X Industry Standard 0 Professional Engineer Other (Specify) Test Method Used: 0 Pressure 0 Vacuum X Hydrostatic 0 Other (Spec) Test Equipment Used: INCON TS -STS Equipment Resolution: UDC Manufacturer: UDC 41/2 UDC #5/6 UDC #7/8UDC #3/4 UNKNOWN UNKNOWN UNKNOWN UNKNOWN UDC Material: PLASTIC PLASTIC PLASTIC PLASTIC UDC Depth: 22" 22" 22" 22" Height from UDC Bottom to Top of Highest Piping Penetration: 6" 6" 6" 6" 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 8" 8" 8" 8" Does turbine shut down when UDC sensor detects liquid (both product and water)?* Yes 0 No X NA 0 Yes 0 No XNA 0 Yes 0 No X NA 11 Yes 0 No X NA Turbine shutdown response time Is system programmed for fail- safe shutdown ?' 0 Yes No X NA 0 Yes 0No XNA Yes No XNA 0 Yes No XNA Was fail -safe verified to be operational?* D Yes 0 No XNA D Yes No X NA Yes No XNA D Yes No XNA Wait time between applying pressure /vacuum/water and starting test 30MIN 30MIN 30MIN 30MIN Test Start Time: 11.08 11:29 10:26 10:42 11:08 11:29 11:53 12:09 Initial Readin (Rj): 4.263 4.263 2.562 2.559 2.817 2.516 4.971 4.970 Test End Time: 12:23 11:44 10:41 10:53 11:23 1 11:44 12:09 12:24 Final Reading (RF): 4.263 4.263 2.560 2.558 2.816 2.815 4.970 4.970 Test Duration: 15MIN 15MrN 15M1N 15MIN 15MIN 15MIN 15MIN 15MIN Change in Readin ( R,): 000 000 002 001 001 001 001 -.0001Pass/Fail Threshold or Criteria: 002 002 002 002 002 002 002 .002 Test Result: X Pass 0 Fail X Pass Fail X Pass 0 Fail X Pass 0 Fail Was sensor removed for testing? X Yes 0 No NA X Yes No 0NA X Yes No 0 NA X Yes No 0NA Was sensor properly replaced and verified functional after testing? X Yes No NA X Yes No 0 NA X Yes 0No NA X Yes No 0 NA Comments - (include information on repairs made prior to testing, and recommendedfollow -upforfailed tests) If the entire depth ofthe 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 7. UNDER- DISPENSER CONTAINMENT (UDC) TESTING Page __ of Test Method Developed By: UDC Manufacturer X Industry Standard 0 Professional Engineer Other (Spec) Test Method Used: 0 Pressure Vacuum X Hydrostatic Other (Specify) Test Equipment Used: INCON TS -STS Equipment Resolution: UDC #9/10 UDC #11/12 UDC # UDC # UDC Manufacturer. UNKNOWN UNKNOWN UDC Material: FIBERGLASS FIBERGLASS UDC De the 25" 25" Height from UDC Bottom to Top of Highest PiRing Penetration: 9" 9" Height from UDC Bottom to Lowest Electrical Penetration: 6" 6" Condition of UDC prior to testing: GOOD GOOD Portion ofUDC Tested Does turbine shut down when UDC sensor detects liquid (both product and water)? Yes No X NA Yes No X NA 0 Yes No NA 0 Yes 0 No 0 NA Turbine shutdown response time Is system programmed for fail- safe shutdown ? Yes 0 No X NA Yes No X NA Yes No 0 NA Yes 0 No 0 NA Was fail -safe verified to be operational?* 0 Yes No X NA 0 Yes No XNA 0 Yes No DNA Yes 0 No NA Wait time between applying pressure/vacuum/water and starting test 30MIN 30MIN Test Start Time: 1:05 1:20 1:05 1:20 Initial Reading Ri): 962 962 3.676 3.378 Test End Time: 1 :20 1:36 1:20 1:36 Final Reading (RF): 962 962 3.678 3.378 Test Duration: 15MIN 15MIN 15MIN 15MIN 15MIN Change in Reading RF -R,): 000 000 002 000 Pass/Fail Threshold or Criteria: 002 002 002 002 Test Result: X Pass Fail X Pass 0 Fail Pass 0 Fail 0 Pass Fail Was sensor removed for testing? X Yes No 0 NA X Yes 0 No 0 NA Yes No 0NA Yes 0 No NA Was sensorproperly replaced and verified functional after testin ? X Yes 0 No 0 NA X Yes 0 No NA 0 Yes No 0 NA Yes 0 No NA 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. 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) SWRCB, January 2002 8. FILL RISER CONTAINMENT SUMP TESTING L4 4 (0-I Page I of / Facility is Not Equipped With Fill Riser Containment Sums Fill Riser Containment Sumps are Present, but were Not Tested 0 Test Method Developed By: 0 Sump Manufacturer X Industry Standard Professional Engineer 0 Other (Specify) Test Method Used: Pressure 0 Vacuum X Hydrostatic Other (Specify) Test Equipment Used: INCON TS -STS Equipment Resolution: Fill Sump #UNL87 Fill Sump #PR w Fill Sump # Fill Sum # Sump Diameter: Sump Depth: Height from Tank Top to Top of Hi hest Piping Penetration: Height from Tank Top to Lowest Electrical Penetration: Condition of sump prior to testing: Portion ofSump Tested Sump Material: Wait time between applying pressure/vacuum/water and starting test: NOT TESTED NOT TESTED Test Start Time: Initial Reading (Rj): Test End Time: Final Reading (RF): Test Duration: Change in Reading F-Rj): Pass/Fail Threshold or Criteria: Test Result: Pass 0 Fail Pass Fail Pass 0 Fail Pass Fail Is there a sensor in the sump? 0 Yes No Yes No Yes 0 No Yes D No Does the sensor alarm when either product or water is detected? 0 Yes No DNA Yes No 0NA 0 Yes No 0 NA Yes No 0 NA Was sensor removed for testing? Yes No 0 NA Yes 0 No DNA D Yes No 0 NA Yes D No NA Was sensor properly replaced and verified functional after testin ? 0 Yes 0 No 0 NA Yes No DNA Yes No DNA Yes 0 No DNA Comments — (include information on repairs made prior to testing, and recommendedfollow -up forfailed tests) NO SEALED SUNT SWRCB, January 2002 9. SPILL/OVERFILL CONTAINMENT BOXES L4 g1014 Page _L_ of Facility is Not Equipped With Spill/Overfill Containment Boxes SpilVOverfill Containment Boxes are Present, but were Not Tested Test Method Developed By: Spill Bucket Manufacturer X Industry Standard Professional Engineer Other (Specify) Test Method Used: Pressure Vacuum X Hydrostatic Other (Spec) Test Equipment Used: INCON TS -STS FEquipment Resolution: Spill Box #87 VPR q Spill Box #91 VPR Spill Box # Spill Box # Bucket Diameter: 12" 12" Bucket Depth: 16" 16" Wait time between applying pressure/vacuum /water and starting test: 30MIN VISUAL FAIL Test Start Time: 10:42 11:29 Initial Reading (RO: 1.560 I.557 Test End Time: 10:57 11:44 Final Reading (RF): 1.559 1.559 Test Duration: 15MIN 15MIN Change in Reading (RF -R,): 001 000 Pass/Fail Threshold or Criteria: 002 002 Test Result: X Pass Fail Pass Fail Pass Fail Pass Fail Comments — (include information on repairs made prior to testing, and recommendedfollow -up forfailedtests) LARGE HOLE IN SIDE OF PREM91 VAPOR BUCKET WESTCHESTER MOBIL 3200 F STREET BAKERSFIELD CA 12/07/2011 10:58 AM SUMP LEAK TEST REPORT 87UPR TEST STARTED 10:42 AM TEST STARTED 12/07/2011 BEGIN LEVEL 1.5604 IN END TIME 10:57 AM END DATE 12/07/2011 END LEVEL 1.5597 IN LEAK THRESHOLD 0.002 IN TEST RESULT PASSED UDC1 -2 TEST STARTED 10 :42 AM TEST STARTED 12/07/2011 BEGIN LEVEL 4.1033 IN A..EHD TIME 10:57 AM zvFEND DATE 12/07/2011 END LEVEL. 4.1010 IN LEAK THRESHOLD 0.002 IN TEST RESULT e - -- 5. d TEST STARTED 11:08 AN TEST STARTED 12/07/2011 BEGIN LEVEL 2.8i75 IN END TIME i1:23 AM END DATE 12/07/2011 END LEVEL 2.8167 IN LERK THRESHOLD 0.002 IN TEST RESULT PASSED WESTCHESTER MOBIL 3200 F STREET BAKERSF1ELD CH 12/07/206 11:44 API SUMP LEAK TEST REPORT 87UPR TEST-STARTED 11:29 AM TEST STARTED 12/07/2011 BEGIN LEVEL 1.5575 IN END TIME 11:44 AM EHD.DATE 12/07/2011 END LEVEL 1.5576 IN LEAK THRESHOLD 0.002 IN TEST RESULT PASSED UDC3 --+ UDC1 -2 TEST STARTED TEST STARTED 10:42 AM 12/07/2011 TEST STARTED 11 :29 AM BEGIN LEVEL 2.5598 IN STARTED 12/07/2611 END TIME 10:57 AM BEGIN LEVEL 4.2639 IN END MATE 12/67/2011 END TIME 11:44 AM END LEVEL 2.5583 IN END DATE 12/07/2011 N]LDLEAKTHRESHOLD 0.b02 IN END LEVEL 4.26.38 IN SULTESTRESULT PASSED LEAK THRESHOLD 0.002 IN SULT PASSED UX5-6 WESTCHESTER MOBIL 3200 F STREET TEST STARTED 10:42 AM BAKERSFIELD CA TEST STARTED BEGIN LEVEL 12/07/2011 2.8183 IN 12/87/2011- 11.24 Am END TIME END DATE 10-57 / 2011 112/07/ SUMP LEAK TEST REPORT END LEVEL 2.8182 IN 87UPRLEAKTHRESHOLD0.882 IN TEST RESULT PASSED TEST STARTED 11:08 AMTESTSTARTED12/07/2011BEGINLEVEL1.5532 INENDTIME11:23 AMENDDATE12/07/2011ENDLEVEL1.5584 IN LEAK THRESHOLD 0.002 INTESTRESULTPASSED UDC1 -2 TEST STARTED 11:08 AM TEST STARTED 12/07/2011BEGINLEVEL4.2638 INENDTIME11:23 AMENDDATE12/07/2011 END LEVEL 4.2638 IN LEAK THRESHOLD 0.002 INTESTRESULTPAID uDC5 -6 TEST STARTED 11:25 AM TEST STARTED 12/07/2011 BEGIN LEVEL 2.8167 IN END TIME 11:44 AM END DATE 12/07/2011 END LEVEL 2.8157 IN LEAK THRESHOLD 0.002 IN TEST RESULT PASSED WESTOmESTER MOBIL 3200 F SiREtT BAKERSFIELD CA 12/67/2011 12.09 Pm SUMP LEAK TEST REPORT UDL7 -6 TEST ST AR3tD 11:53 Are TEST STARTED 12/67/2011 BEGIN LEVEL 4.9713 iN END TIME 12:09 PM END DATE 12/07/2011 END LEVEL 4.9708 IN LEAK THRESHOLD 0.602 IN TEST RESULT PASSED RANSP TEST STARTED 11:53 Am TEST STARTED 12/07/2011 BEGIN LEVEL 3.2423 IN END TIME 12 :09 PM END DATE 12/07/201i END LEVEL 3.2422 in LEAK THRESHOLD 0.002 Iiv TEST RESULT PASSED UDC1112 iYt; f CHE T LR i "061 L 1:20 PM 12/'37x2011 IN 32EA P STREET UDC3 -4 SPKtSFIELu CA TEST STARTED 10:26 AM s2/07/291i 12:24 RN TEST STARTED 12/07/2011 BEGIN LEV& 2.5626 IN SUMP t.EAK- TEST PEPORT END TIME 10:41 Ali END DATE 12/07/2011 UDC7 -8 END LEVEL 2.5682 IN LEAK THRESHOLD 0.662 IN TEST STARTED 12:09 PM TEST RESULT TEST STARTED 12/07/201! BEGIN LEVEL 4.9708 IN END TIME 12:24 Pti END DATE 12/07/2011 END LEVEL 4.9703 IN LEAK THRESHOLD 0.002 IN OESTCHESTER +'1OBIL. TEST RESULT PASSED 2w10 e ST +Rtcl 6A FIELD CA 1: -t -rr TRANSP 12/07/2011 TEST STARTED 12:09 PM UMF LEAK TEST REQL*T ZEST STARTED 12/07/2011 BEGIN LEVEL 3.2421 iN Dr9 -10 END TIME 12: 24 Pti 1 :20 PM END DATE 12/07/2011 7FST STARTED f12.07011 END LEUrt 3.2421 IN 1TESTSTARTED0.9622 IS LEAK THRESHOLD 0.002 IN BEGIN LEVEL 1:36 PM TEST ZESULT PASSED END TIME 12/07/2011ENDDATE. 0.9620 IN END LEHf ESHO {0,002 INLEAKTPASSED TEST RESULT uESTC1ESTER M081:. 3200 F STREET 86KERSFIEL17 CA UDC1112 TEST STARTED TEST STARTED 1:20 PM 12/'37x2011IN BEGIN LEVEL 1:36 Pf936 END TIME END DATE 12/07/2011 3.3781 IN ENp LEVEL 0.b02^ISLEAKTHRESHOLDPASSED TEST RESULT LW`{" 12/07/2011 1 :20 Pm SUMP LEAK TEST REPORT UDC9 - ih TEST STARTED 1:05 PM TEST STARTED i2 /07/2011 BEGIN LEVEL 0.9623 IN END TIME 1:20 PM END DATE 12/07/2811 END LEVEL 0.9622 IN LEAK THRESHOLD 0.002 IN TEST RESULT PASSED tA)C1112 TEST STARTED 1:05 Pri TEST STARTED 12/67/2011 BEGIN LEVEL 3.6768 iN cNO TIME 1:20 Pm ND DOTE i2/07/201i ND LEVEL 3.6732 IN LEAK THRESHOLD 0.002 IN TEST RESULT PASSED 4%14 f SB989 TESTING FAILURE REPORT SITE NAME: WESTCHESTER MOBIL DATE: 1217111 THE FOLLOWING COMPONENTS WERE REPLACED/REPAIRED TO COMPLETE TESTING. REPAIRS: ' a J''/ - n"( stt l 1oe57 o />w p L,9 LABOR: 1 -m PARTS INSTALLED: / C 1' %W7 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.