HomeMy WebLinkAbout3698 MING AVENUE (5)oW
SWRCB, January 2002 Page of
Secondary Containment Testing Report Form
Thisform is intendedfor use by contractors performingperiodic testing ofUSTsecondary containment systems. Use the
appropriate pages ofthis form to report resultsfor all components tested The completedform, written test procedures, and
printoutsfrom tests (ifapplicable), should beprovided to thefacility owner /operatorfor submittal to the local regulatory agency.
1. FACILITY INFORMATION
Facility Name: SHELL STATION Date ofTesting: 2/21/12
Facility Address: 3698 MING AVENUE, BAKERSFIELD
Facility Contact: I Phone:
Date Local Agency Was Notified of Testing: 1 / H /12
Name of Local Agency Inspector (ifpresent during testing):
2. TESTING CONTRACTOR INFORMATION
Company Name: Rich Environmental
Pass
Technician Conducting Test: RICH PHILLIPS
Not
Tested
Credentials: X CSLB Licensed Contractor SWRCB Licensed Tank Tester
License Type: C61/1)40 A HAZ License Number: 809850
Manufacturer
Manufacturer Training
Component(s) Date Training Expires
INCON TS -STS 6/11/2012
X UDC #1 12 X
3. SUMMARY OF TEST RESULTS
Component Pass Fail Not
Tested
Repairs
Made Component Pass Fail Not
Tested
Repairs
Made
87 ANNULAR X UDC #1 12 X
89 ANNULAR X UDC 43/4 X
91 ANNULAR X UDC 45/6 X
DIESEL ANNULAR X UDC #7/8 X
87 SECONDARY X1 87 FILL SUMP X
89 SECONDARY X 89 FILL SUMP X
91 SECONDARY X 91 FILL SUMP X
DIESEL SECONDARY X DIESEL FILL SUMP X
87 STP X 87 VAPOR BUCKET X
89 STP X 89 VAPOR BUCKET X
91 STP X 191 VAPOR BUCKET JXJ
DIESEL STP X1 10 1
If hydrostatic testing was performed, describe what was done with the water after completion of tests:
CERTIFICATION OF TECHNIC RESPONSIBLE FOR CONDUCTING THIS TESTING
To the best ofmy knowledge, thefacts stated' document are accurate and in full compliance with legal requirements
Technician's Signature: Date: 2/21/12
SWRCB, January 2002
4_ TANK ANNTFEAR TESTING
Page T of If
Test Method Developed By: 0 Tank Manufacturer X Industry Standard 0 Professional Engineer
Other (Specify)
Test Method Used: Pressure X Vacuum 0 Hydrostatic
Other (Specify)
Test Equipment Used: 4" DIAL GAUGE Equipment Resolution:
Tank # 87 ANN Tank #89 AN Tank #91 ANN Tank #DSL ANN
Is Tank Exempt From Testing ?' X Yes 0 No X Yes No X Yes No X Yes No
Tank Capacity:
Tank Material:
Tank Manufacturer:
Product Stored:
Wait time between applying
pressure /vacuum/water and
starting test:
30MIN 30MIN 30MIN 30MIN
Test Start Time:
Initial Reading (Ri):
Test End Time:
Final Reading (RF):
Test Duration: 60 MIN 60 MIN 60 MIN 60MIN
Change in Reading (RF -R,):
Pass /Fail Threshold or Criteria:
Test Result: 0 Pass 0 Fail 0 Pass Fail 0 Pass 0 Fail Pass Fail
Was sensor removed for testing? Yes No NA 0 Yes 0 No 0 NA 0 Yes 0 No 0NA Yes No NA
Was sensor properly replaced and
verified functional after testing? Yes C No NA 0 Yes No NA 0 Yes 11 No NA 0 Yes No NA
Comments — (include information on repairs made prior to testing, and recommendedfollow -upforfailed tests)
SITE HAS LIQUID FILLED ANNULARS
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(aX6))
SWRCB, January 2002
5. SECONDARY PIPE TESTING
JIOVV
Page 3 of
Test Method Developed By: 0 Piping Manufacturer X Industry Standard Professional Engineer
Other (Specify)
Test Method Used: X Pressure 0 Vacuum Hydrostatic
0 Other (Spec)
Test Equipment Used: 4" DIAL GAUGE Equipment Resolution: .5%
Piping Material:
Piping Run #87 SEC Piping Run #89 SEC Piping Run #91 SEC Piping Run #DSL SEC
FIBERGLASS FIBERGLASS FIBERGLASS FIBERGLASS
Piping Manufacturer: UNKNOWN UNKNOWN UNKNOWN UNKNOWN
Piping Diameter: 2" 2" 2" 2"
Length ofPiping Run: 80' 80' 80' 50'
Product Stored: GASOLINE GASOLINE GASOLINE DIESEL
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 MIN 30 MIN 30 MIN 30 MIN
Test Start Time: 9:30 9:30 10:45 10:45
Initial Reading (R,): 5 5 5 5
Test End Time: 10:30 10:30 11:45 11:45
Final Reading (RF): 5 5 5 5
Test Duration: 60 MIN 60 MIN 60 MIN 60 MIN
Change in Reading (RF -R,): 0 0 0 0
Pass/FaiI Threshold or
Criteria: 0 0 0 0
Test Result: X Pass 0 Fail X Pass 0 Fail X Pass Fail X Pass 0 Fail
Comments — (include information on repairs made prior to testing•, and recommendedfollow -upforfailed tests)
SWRCB, January 2002
6. PIPING SUMP TESTING
gc-j (0UV
Page -f ofV ,
Test Method Developed By: Sump Manufacturer X Industry Standard Professional Engineer
Other (Spec)
Test Method Used: Pressure Vacuum X Hydrostatic
Other (Spec)
Test Equipment Used: INCON TS -STS Equipment Resolution.
Sump #89 Sump #91 Sump #DSLSump #87rSumpameter. 39" 39" 39" 39"
pth: 63" 63" 63" 63"
Sump, aterial: FIBERGLASS FIBERGLASS FIBERGLASS FIBERGLASS
Height from Tank Top to Top of
Highest Piping Penetration: 12" 12" 11" 13"
Height from Tank Top to Lowest
Electrical Penetration: 19" 20" 19" 19"
Condition of sump prior to testing: GOOD GOOD GOOD GOOD
Portion of Sump Tested' 14" 14" 13" 15"
Does turbine shut down when
sump sensor detects liquid (both
product and water)?*
Yes No X NA Yes No X NA Yes No X NA Yes No X NA
Turbine shutdown response time
Is system pTogrammed for fail -safe
shutdown? Yes No X NA Yes No X NA Yes No X NA Yes No X NA
Was fail -safe verified to be
operational?* Yes No X NA Yes No X NA Yes []No X NA Yes No XNA
Wait time between applying
pressure/vacuum/water and starting
test:
30 MIN 30 MIN 30 MIN 30 MIN
Test Start Time: 12:55 1:13 1:41 1:58 1:41 1:58 1:41 1:58
Initial Reading (PQ; 4.289 4.290 5.013 5.013 6.681 6.681 6.620 6.620
Test End Time: 1:10 1:28 1:57 2:13 1:57 2:13 1:57 2:13
Final Reading (RF): 4.290 4.290 5.013 5.013 6.681 6.681 6.620 6.620
Test Duration: 15MIN 15MIN 15MIN 15MIN 15MIN 15MIN 15MIN 15MIN
Change in Reading (RF -R,): 001 000 000 000 000 000 000 000
Pass/Fail Threshold or Criteria: 002 002 002 002 002 002 002 002
Test Result: X Pass Fail X Pass Fail X Pass Fail X Pass Fail
Was sensor removed for testing? X Yes No NA X Yes ONO NA X Yes No NA X Yes No NA
Was sensor properly replaced and
verified functional after testin ? X Yes No NA X Yes ONO NA X Yes No NA X Yes No NA
Comments - (include information on repairs made prior to testing, and recommendedfollow -upfor failed tests)
If the entire depth ofthe sump 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 sump must be tested. (See SWRCB LG -160)
SWRCB, January 2002
7. UNDER- DISPENSER CONTAINMENT fUDQ TESTING
PageerZ of
Test Method Developed By: UDC 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:
Im
UDC #7/8
UDC Manufacturer.
UDC #1/2 UDC #3/4 UDC #5/6
UNKNOWN UNKNOWN UNKNOWN UNKNOWN
UDC Material: FIBERGLASS FIBERGLASS FIBERGLASS FIBERGLASS
UDC Depth: 34" 34" 34" 34"
Height from UDC Bottom to Top
of Highest Piping Penetration:
13" IF 12" 12"
Height from UDC Bottom to
Lowest Electrical Penetration:
18" 22" 17" 14"
Condition ofUDC prior to
testing:
GOOD GOOD GOOD GOOD
Portion of UDC Tested 15" 18" 14" 14"
Does turbine shut down when
UDC sensor detects liquid (both
product and water) ?*
Yes 0 No X NA Yes []No X NA Yes No X NA 0 Yes No X NA
Turbine shutdown response time
Is system programmed for fail-
safe shutdown ?* C Yes No X NA C Yes 0No XNA Yes 0 No XNA 0 Yes No XNA
Was fail -safe verified to be
operational?* Yes No X NA Yes No X NA 0 Yes No X NA 0 Yes 0No X NA
Wait time between applying
pressure/vacuum/water and
starting test
30MIN 30MIN 30MIN 30MIN
Test Start Time: 3:50 4:07 2:52 3:20 3:50 4:07 2:52 3:20
Initial Reading j): 6.334 6.334 5.746 5.745 4.312 4.312 6.454 6.454
Test End Time: 4:05 4:22 3:07 3:35 4:05 4:22 3:07 3:35
Final Reading F : 6.334 6.334 5.745 5.745 4.312 4.312 6.454 6.454
Test Duration: 15MIN 15MIN 15MIN 15MIN 15MIN 15MIN 15MIN 1 15MIN
Change in Reading (RF -R,): 000 000 001 000 000 000 000 1 -.000
Pass/Fail Threshold or Criteria: 002 002 002 002 002 002 002 002
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 NA X Yes No DNA X Yes 0 No NA X Yes No NA
Was sensor properly replaced and
verified functional after testin . X Yes 0 No 0 NA X Yes C No 0 NA X Yes 0 No NA X Yes 0No 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 ofthe questions indicated with an
asterisk ( *) is "NO" or "NA ", the entire UDC must be tested. (See SWRCB LG -160)
SWRCB, January 2002
8. FELL RISER CONTAINMENT SUMP TESTING
LV;31ow .
Page 6 ofik
Facility is Not Equipped With Fill Riser Containment Sums 0
Fill Riser Containment Sumps are Present, but were Not Tested 0
Test Method Developed By: Sump Manufacturer X Industry Standard 0 Professional Engineer
0 Other (Spec)
Test Method Used: 0 Pressure 0 Vacuum X Hydrostatic
Other (Spec)
Test Equipment Used: INCON TS -STS Equipment Resolution:
Fill Sumn 987 Fill Sumo #89 1 Fill Sumo #91 1 Fill Sumn #DSL
Sump Diameter. 39" 39" 39" 39"
Sump Depth: 64" 64" 64" 64"
Height from Tank Top to Top of
Highest Piping Penetration:
13" IF) 12" 12"
Height from Tank Top to Lowest
Electrical Penetration:
18" IT, 18" 18"
Condition of sump prior to
testing:
GOOD GOOD GUUD juuu
Portion of Sump Tested 16" 13" 14" 14"
Sump Material: FIBERGLASS FIBERGLASS FIBERGLASS FIBERGLASS
Wait time between applying
pressure /vacuum/water and
starting test:
30MIN 30MIN 30MIN 30MIN
Test Start Time: 12:55 1:13 12:55 1:13 12:55 1:13 12:06 12:31
Initial Reading (Rj): 3.317 3.317 4.512 4.513 2.960 2.961 6.557 6.557
Test End Time: 1:10 1:28 1:10 1:28 1:10 1:28 12:22 12:47
Final Reading F : 3.317 3.317 4.513 4.513 2.961 2.961 6.557 6.557
Test Duration: 15MIN 15MIN 15MIN 15MIN 15MIN 15MIN 15MIN 15MfN
Change in Reading (RF -Rj): 000 000 001 000 001 1 -.000 000 -.000
Pass/Fail Threshold or Criteria: 002 002 002 002 002 002 002 -.002
Test Result; X Pass Fail X Pass Fail X Pass Fail X Pass Fail
Is there a sensor in the sump? X Yes 0 No X Yes 0 No X Yes No X Yes No
Does the sensor alarm when
either product or water is
detected?
Yes No X NA 0 Yes 0 No . X NA Yes No X NA 0 Yes No X NA
Was sensor removed for testing? Yes- No NA X Yes No NA X Yes No NA X Yes No NA
Was sensor properly replaced and
verified functional after testing?
X
X Yes 0 No 0 NA X Yes No NA X Yes 0 No NA X Yes 0 No NA
Comments - (include information on repairs made prior to testing, andrecommendedfollow -upforfailed tests)
SWRCB, January 2002
9. SPILL/OVERFILL CONTAINMENT BOXES
dilvlr
Page j of
Facility is Not Equipped With Spill/Overfill Containment Boxes
SpilllOverfill Containment Boxes are Present, but were Not Tested 0
Test Method Developed By: 0 Spill Bucket Manufacturer X Industry Standard 0 Professional Engineer
Other (Spec)
Test Method Used: 0 Pressure Vacuum X Hydrostatic
0 Other (Specify)
Test Equipment Used: INCON TS -STS Equipment Resolution:
Spill Box #87 VPR Spill Box #89 VPR Spill Box #91 VPR Spill Box #
Bucket Diameter. 12" 12" 12"
Bucket Depth: 16" 16" 16"
Wait time between applying
pressure /vacuum/water and
starting test:
30M[N 30MIN 30M1N
Test Start Time: 12:06 12:31 12:06 12:31 12:06 1 12:31
Initial Reading (R,): 6.425 6.425 6.978 6.978 7.420 7.420
Test End Time: 12:22 12:47 12:22 12:47 12:22 12:47
Final Reading (RF): 6.425 6.425 6.978 6.978 7.420 7.420
Test Duration: 15MIN 15MIN 15MIN 15MIN 15MIN 15MIN
Change in Reading (RF -Rj): 000 000 000 000 000 000
Pass/Fail Threshold or
Criteria: 002 002 002 002 002 002
Test Result: X Pass 0 Fail X Pass 0 Fail X Pass 0 Fail 0 Pass Fail
COMMIAs — (include information on repairs made prior to testing, and recommendedfollow- upforfailed tests)
SHELL
3698 MING ruE
BAKERSFIELD
02/14,2012 12:22 PM
SUMP LEAK TEST REPORT
87UPR
TEST 3TARTEV- 12:06 PM
TEST STARTED 01/14/2012
BEGIN LEVEL 6.4254 IN
END TIME 12:22 PM
END DATE 01/14/2012'
END LEVEL 6.4252 IN
LEAK THRESHOLD 0.002 IN
TEST RESULT PASSED
8:! IPR
TEST STARTED 1.06 PM
TEST STARTED 01/14/2012
BEGIN LEVEL 6.9782 IN
END TIME 12:[2 r19
END DATE 01/14/2012
END LEVEL 6.9780 IN
LEAK THRESHOLD 0.002 IN
TEST RESULT PASSED
91VPR
TEST STARTED 12:06 PM
TEST STARTED 01/14/2012BEGINLEVEL7.4209 IN
END TIME 12:22 PM
END DATE 01/14/2012
END LEVEL 7.4208 IN
LEAK THRESHOLD 0.002 IN
TEST RESULT PASSED
DSLF IL1
TEST STARTED 12:06 PM
TEST STARTED 01/14/2012
BEGIN LEVEL 6.5577 IN
END TIME 12:22 PM
END DATE 01/14/2012
END LEVEL 6.5577 IN
LEAK THRESHOLD 0.002 IN
TEST RESULT PASSED
SHELL
3598 MINI, AVE
BAKERSFIELD
2012 12:47 PM
SUMP LEAK TEST REPORT
87UPR
TEST STARTED 12:31 PM
TEST STARTED Oi/14/2012
BEGIN LEVEL 6.4251 IN
END TIME 12:47 Phi
END DATE 01/14/2012
END LEVEL 6.4254 IN
LEAK THRESHOLD 0.002 IN
TEST RESULT PASSED
854UPR
TEST STARTED
TEST STARTED
BEGIN LEVEL
END TIME
END DATE
END LEVEL
LEAK THRESHOI
TEST RESULT
12:31 PM
01/14/2012
6.9781 IN
12:47 PM
01/14/2012
6.9781 IN
D 0.002 IN
PASSED
91UPR
TEST STARTED
TEST STARTED
BEGIN LEVEL
END TIME
END DATE
END LEVEL
LEAK THRESHOI
TEST RESULT
12:31 PM
01/14/2012
7.4207 IN
12:47 Ph
01/142012
7.4207 IN
D 0.002 IN
PASSED
DSLFILL
TEST STARTED 12:31 PM
TEST STARTED 01/14/2012
BEGIN LEVEL 6.5575 IN
END TIME 12:47 PM
END DATE 01/14/2012
END LEVEL 6.5577 IN
LEAK THRESHOLD 0.002 IN
TEST RESULT PASSED
HELL`
3K MIND AVE
9Ar3KERSFIELO,,
441+2012 i :10 Ph
SUMP LEAK TEST REPORT
87FILS
TEST STEWED 12:55 Rl
TEST STARTED 01/14/2012
BEGIN LEVEL 3.3176 IN
END TIME 1:10 Phi
END DATE 01/14/2012
QND LEVEL 3.3178 IN
LEAK THRESHOLD 0.002 IN
TEST RESULT PASSED
89FILS
TEST STARTED 12:55 PMTESTSTARTED01/14,1-2012
BEGIN LEVEL 4.5124 INENDTIME1:10 PM
END DATE 01/14/2012
END LEVEL 4.5134 IN
LEAK THRESHOLD 6.002 IN
TEST RESULT PASSED
91FILS
TEST STARTED 12:55 PM
TEST STARTED 01/14/2012
BEGIN LEVEL 2.9609 IN
END TIME 1:10 P9
END DATE 01;'14/2012ENDLEVEL2.9616 IN
LEAK THRESHOLD 0.002 INTESTRESULTPASSED
87STP
TEST STARTED 12:55 PMTESTSTARTED01/14/2012
BEGIN LEVEL 4.2898 IN
END TIME 1 :10 PMENDDATE01/14/2012
END LEVEL 4.2900 IN
LEAK THRESHOLD 0.002 IN
TEST RESULT PASSED
3698jHI AVE
BAKERSFIELD
6rA4/2012 1:29 PM
SUMP LEAK TEST REPORT
87FILS
TEST STARTED 1:13 PMTESTSTARTED01/14/2012BEGINLEVEL3.3176 INENDTIME1:28 PPiENDDATE01/14/2012ENDLEOELs3.3176 INLEAKTHRESHOLD0.002 INTESTRESULTPASSED
89FILS
TEST STARTED 1:13 PMTESTSTARTED01/14/2012BEGINLEVEL4.5135 INENDTIME1 :28 PMENDDATE01/14/2012ENDLEVEL4.5136 INLEAK. THRESHOLD 0.002 INTESTRESULTPASSED
91FILS
TEST STARTED 1:13 PMTESTSTARTED01/14/2012BEGINLEVEL2.9619 INENDTIME1 :28 PMENDDATE01/14/2012ENDLEVELZ.9621 INLEAKTHREL LD 0.002 INTESTRESULPASSED
87STP
TEST STARTED 1:13 PMTESTSTARTED01/14/2012BEGINLEVEL4.2902 INENDTIME
END DATE 1 :28 PM
01/14/2012ENDLEVEL4.2904 INLEAKTHRESHOLD0.002 INTESTRESULTPASSED
SHELL '
3698 MING AUE'
BAKERSFIELD
l`vg4/2012 1:57 PM
SUMP LEAK TEST REPORT
89STP
TEST STARTED 1:41 PM
TEST STARTED 01/14/2012
BEGIN LEVEL 5.0135 IN
END TIME 1:57 PM
END DATE 01/14/2012
END LEUEL 5.0134 IN
LEAK THRESHOLD 0.002 IN
TEST RESULT PASSED
91STP
TEST STARTED 1:41 PM
TEST STARTED 01/14/2012
BEGIN LEVEL 6.6816 IN
END TIME 1:57 Ph
END DATE 01/14/2012
END LEVEL 6.6815 IN
LEAK THRESHOLD 0.002 IN
TEST RESULT PASSED
DSLSTP
TEST STARTED 1:41 PM
TEST STARTED 01/14/2012
BEGIN LEVEL 6.6205 IN
END TIME 1:57 PM
END DATE 01/14/2012
END LEVEL 6.6204 IN
LEAK THRESHOLD 0.002 IN
TEST RESULT PASSED
SHELL
3698 MING AUE
BAKERSFIELD
a,%P /2012 3:07 PM
SUMP LEAK TEST REPORT
DSI7 -8
TEST STARTED
TEST STARTED
BEGIN LEVEL
END TIME
END DATE
END LEVEL
LEAK THRESHO
TEST RESULT
2:52 PM
01/14/2012
6.4544 IN
3:07 Phi
01/14/2012
6.4546 IN
0. 002
PASSED
DSI3 -4
TEST STARTED
TEST STARTED
BEGIN LEVEL
END TIME
END DATE
END LEVEL
LEAK THREW
TEST RESULT
2-52 .Pt)
01/14/2012
5.7464 IN
3 :0? PM
01/14/2012
5.7457 IN
1LD O'
PASSED
HELL
3698 MING AVE
BfiKERSFIELO
Wy 4 /2012. 2:13 PM
SUMP LEAK TEST riEPORT
89STP
TEST STARTED 1 :58 PM
TEST STARTED 05/11/4012BEGINLEVEL2:13 PMENDTIME01/14/2012ENDDATE
END LEVEL 5.0136" IN
LEAK
EST RESULT
0'
PASSED
91STP
TEST STARTED 1:56 PM
TEST STARTED 01/14/''012
BEGIN LEVEL 6.6816 IN
END TIME 2:13 PM
END DATE 01/14/2012
END LEVEL 6.6819 IN
LEAK THRESHOLD 0.002 IDTESTRESULT
DSLSTP
TEST STARTED 1 :58 PM
TEST STARTED 06/620INBEGINLEUEL2:13 PMENDTIME
END DATE 01/14/2012
6.6208 INENDLEVEL
LEAK THRESHOLD 0•
PASSED
0214
TEST RESULT
SHELL
3698 MING AVE
BAKERSFIELD
014A/2012 3135 PM
SUMP LEAK TEST REPORT
DSI7 -6
TEST STARTED 3:20 PM
TEST STARTED 01/14/2012
BEGIN LEVEL 6.4544 IN
END TIME 3:35 PM
END DATE 01/14/2012
END LEVEL 6.4545 IN
LEAK THRESHOLD 0.002 IN
TEST RESULT PASSED
DSI3 -4
TEST STARTED 3:20 PM
TEST STARTED 01/14/2012
BEGIN LEVEL 5.7458 IN
END TIME 3:35 PM
END DATE 01/14/2012
END LEVEL 5.7457 IN
LEAK THRESHOLD 0.002 IN
TEST RESULT PASSED
SHELL
3698 MING AVE
BAKERSFI ELD
2012 4:05 Ki
VSUMP LEAK TEST REPORT
DSI5 -6
TEST STARTED ::50 PM
TEST STARTED 01/14/2012
BEGIN LEVEL 4.3122 IN
END TIME 4:05 PM
END DATE 01/14/2012
END LEUEL 4.3122 IN
LEAK THRESHOLD 0.002 IN
TEST RESULT PASSED
DS 11-2
TEST STARTED 3:50 PM
TEST STARTED 01 /14/2012
BEGIN LEVEL 6.334: IN
END TIME 4:05 P9
END DATE 01/14/2012
END LEVEL 6.3342 IN
LEAK THRESHOLD 0.002 IN
TEST RESULT ?'ASSED
SHELL
3698 MING AVE
BAKERSF I E1 D
2012 4:22 Pal
SUMP LEAK TEST REPORT
DSI5 -6
TEST STARTED 4:07 PM
TEST STARTED 01/14/2012
BEGIN LEVEL 4.3122 IN
END TIME 4:22 PM
END DATE 01/14/2012
END LEVEL 4.3122 IN
LEAK THRESHOLD 0.002 IN
TEST RESULT PASSED
N1 1-2
TEST STARTED 4:07 PM
TEST STARTED 01/14/2012
BEGIN LEVEL 6.3344 IN
END TIME 4:22 Rl
END DATE 01/14/2012
END LEVEL 6.349 IN
LEAK THRESHOLD 0.002 IN
TEST RESULT PASSED
E
SB989 TESTING FAILURE REPORT
SITE NAME: .S fiii-L TA J Jol DATE: i/y /_ _
ADDRESS: -70f TECHNICIAN: RICH PHILLIPS
r
VTTV• /'lh -) Irl,tZn, GA 4ZMT*JATTTRF.-
THE FOLLOWING COMPONENTS WERE REPLACED/REPAIRED TO COMPLETE
TESTING.
REPAIRS: kO)"
i
LABOR: Lofi-
llbl"
PARTS INSTALLED:
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.