HomeMy WebLinkAbout3699 WILSON ROAD (6)SWRCB, January 2002 Page of
Secondary Containment Testing Report Form
Thisform is intendedfor use by contractors performing periodic testing of UST secondary containment systems. Use the
appropriate pages ofthisform to report results for all components tested. The completedform, written test procedures, and
printoutsfrom tests (if applicable), should be provided to thefacility owner /operatorfor submittal to the local regulatory agency.
1. FACILITY INFORMATION
Facility Name: HP Go Go Date of Testing: 7/1 1/201 1
Facility Address: 3699 Wilson Road, Bakersfield, CA 93309
Facility Contact: Alondra Hernandez I Phone: 661- 835 -8044
Date Local Agency Was Notified of Testing : 6/28/2011
Name of Local Agency Inspector (rfpresent during testing): Ester Estrada
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
Reg. Annular
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.
UDC 3 -4 X
3. SUMMARY OF TEST RESULTS
Component Pass Fail Not
Tested
Repairs
Made Component Pass Fail Not
Tested
Repairs
Made
Reg. Annular X UDC 1 -2 X
Reg. Middle Annular X UDC 3 -4 X
Super Annular X UDC 5 -6 X
Reg. Product Line X UDC 7 -8 X
Reg. Middle Product Line X Waste Oil Fill Sump X
Super Product Line X Waste Oil Annular X
Reg. Fill Sump X
Reg. Middle Fill Sump X
Super Fill Super X
Reg. STP Sump X
Reg. Middle STP Sump X
Super STP Sump 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
To the hest ofmy knowledge,_liefaFts stated in this document re u
Technician's Signature:
2 CONDUCTING THIS TESTING
and infull compliance with legal requirements
SWRCB, January 2002
4. TANK ANNULAR TESTING
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Test Method Developed By: Tank Manufacturer x Industry Standard Professional Engineer
Other (Specify)
Test Method Used: Pressure x Vacuum Hydrostatic
Other (Specify)
Test Equipment Used: Calibrated Gages Equipment Resolution:0.0625"
of Tank #Reg. Tank # Reg. Middle Tank # Super Tank #Waste Oil
Is Tank Exempt From Testing ?' Yes x No Yes x No Yes x No Yes X No
Tank Capacity: 12,000 12,000 12,000 1000
Tank Material: FRP FRP FRP FRP
Tank Manufacturer: Xeries Xeries Xeries Unknown
Product Stored: Regular Regular Super Waste Oil
Wait time between applying
pressure /vacuum /water and
starting test:
5 min. 5 min. 5 min. 5 min
Test Start Time: 11:08am 11:08am 1 1:08am 2:35 pm
Initial Reading (R,): 5.00" PSI 5.00" PSI 5.00" PSI 5.00" PSI
Test End Time: 12:08pm 12:08pm 12:08pm 3:35 pm
Final Reading (RF): 5.00" PSI 5.00" PSI 5.00" PSI 5 00 PSI
Test Duration: 1 hour 1 hour 1 hour 1 hour
Change in Reading (RF -R,): 0.00" 0.00" 0.00" 0.00"
Pass /Fail Threshold or Criteria: 0.00" 0.00" 0.00" 0.00"
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 No NA x Yes No NA x Yes No NA
Was sensor properly replaced and
verified functional after testin ? x Yes No NA x Yes No NA x Yes No NA x Yes 11 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))
SWRCB, January 2002 Page of
5. SECONDARY PIPE TESTING
Test Method Developed By: Piping Manufacturer x Industry Standard Professional Engineer
Other (Spec)
Test Method Used: x Pressure Vacuum Hydrostatic
Other (Spec)
Test Equipment Used: Calibrated Gages Equipment Resolution: 0.0625"
Piping Run# Super Piping Run # Piping Run # Reg. Piping Run # Reg. Middle
Piping Material: FRP FRP FRP
Piping Manufacturer: Smith Smith Smith
Piping Diameter: 3.00" 3.00" 3.00"
Length of Piping Run: 100.00, 100.00, 100.00,
Product Stored: Regular Regular Super
Method and location of
piping-run isolation:
Clean & Dry Clean & Dry Clean & Dry
Wait time between applying
pressure /vacuum /water and
starting test:
5 min. 5 min. 5 min.
Test Start Time: 1 1:40am 1 1:40am 1 1:40am
Initial Reading (R,): 5.00" PSI 5.00" PSI 5.00" PSI
Test End Time: 12:00pm 12:00pm 12:00pm
Final Reading (RF): 2.50" PSI 3.00" PSI 4.00" PSI
Test Duration: 20 min. 20 min. 20 min.
Change in Reading (RF -R,): 2.50" PSI 2.00" PSI 1.00" PSI
Pass /Fail Threshold or
Criteria: 0.00" 0.00" 0.00"
Test Result: Pass x Fail Pass x Fail Pass x Fail Pass Fail
Comments — (include information on repairs made prior to testing, and recommendedfollow -upforfailed tests)
SWRCB, January 2002
6. PIPING SUMP TESTING
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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: Ts -sts Equipment Resolution:
Sump # Reg. Sump # Reg. Middle Sump # Super Sump #
Sump Diameter: 42.00" 42.00" 44.00"
Sump Depth: 55.50" 55.50" 56.00"
Sump Material: FRP FRP FRP
Height from Tank Top to Top of
Highest Piping Penetration: 38.00" 33.00" 13.00"
Height from Tank Top to Lowest
Electrical Penetration: 34.50" 30.00" 30.00"
Condition of sump prior to testing: Dirty Dirty Dirty
Portion of Sump Tested' Pipe penetration Pipe Penetration Pipe Penetration
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 NA
Turbine shutdown response time NA NA NA
Is system programmed for fail -safe
shutdown ?` Yes No x NA Yes No x NA Yes No x NA Yes No NA
Was fail -safe verified to be
o
eraail -
s ?
Yes No x NA Yes No x NA Yes No x NA Yes No NA
Wait time between applying
pressure /vacuum /water and starting
test:
Visual Fail Visual Fail 5 Min
Test Start Time:
Initial Reading (Rj):
Test End Time:
Final Reading (RF):
Test Duration:
Change in Reading (RF -Ri):
Pass /Fail Threshold or Criteria:
Test Result: Pass x Fail Pass x 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 El 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)
Both Rey-ular unleaded STP sumps were leakiny- from the clam shell and were
Visual Fails.
If the entire depth of the sump is not tested, specify how much was tested. If the answer to a of the questions indicated with an
asterisk ( *) is "NO" or "NA ", the entire sump must be tested. (See SWRCB LG -160)
SWRCB, January 2002 Page of
7. UNDER- DISPENSER CONTAINMENT (UDC) TESTING
Test Method Developed By: UDC Manufacturer x Industry Standard Professional Engineer
Other (Specie)
Test Method Used: Pressure Vacuum x Hydrostatic
Other (Specify)
Test Equipment Used: Ts -sts Equipment Resolution:
UDC # 1-2 UDC # 3 -4 UDC # 5 -6 UDC # 7 -8
UDC Manufacturer: Wayne Wayne Wayne Wayne
UDC Material: FRP FRP FRP FRP
UDC Depth: 23.00" 23.00" 23.00" 23.00"
Height from UDC Bottom to Top
of Highest Piping Penetration:
10.00" 9.50" 9.50" 11.001,
Height from UDC Bottom to
Lowest Electrical Penetration:
6.50" 6.50" 6.00" 7.00"
Condition of UDC prior to
testing:
Dirty Dirty Dirty Dirty
Portion of UDC Tested Pipe Penetration Pipe Penetration Pipe Penetration Pipe Penetration
Does turbine shut down when
UDC sensor detects liquid (both
product and water) ?*
x Yes No NA x Yes No NA x Yes No NA x Yes No NA
Turbine shutdown response time 8 Seconds 8 Seconds 8 Seconds 8 Seconds
Is system programmed for fail-
safe shutdown?
x Yes No NA x Yes No NA x Yes No NA x Yes No NA
Was fail -safe verified to be
o erational? x Yes No NA x Yes No NA x Yes No NA x Yes No NA
Wait time between applying
pressure /vacuum /water and
starting test
5 Min 5 Min 5 Min 5 Min
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 X Fail Pass X Fail Pass X Fail Pass X Fail
Was sensor removed for testing? X 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 Yes No NA X Yes No NA X Yes El No 11 NA X Yes 11 No El NA
Comments — (include information on repairs made prior to testing, and recommendedfollow -upforfailed tests)
If the entire depth of the UDC is not tested, specify how much was tested. If the answer to a of the 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
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Facility is Not Equipped With Fill Riser Containment Sumps
Fill Riser Containment Sumps are Present, but were Not Tested
Test Method Developed By: Sump Manufacturer x Industry Standard Professional Engineer
Other (Specify)
Test Method Used: Pressure Vacuum x Hydrostatic
Other (Specify)
Test Equipment Used: Equipment Resolution:
Fill Sump # Reg. Fill Sump # Reg. Middle Fill Sump # Super Fill Sump # W.0
Sump Diameter: 36.00" 36.00" 36.00" 34.00"
Sump Depth: 53.00" 60.00" 58.00" 42.00"
Height from Tank Top to Top of
Highest Piping Penetration:
30.50" 17.00" 17.00" N.A.
Height from Tank Top to Lowest
Electrical Penetration:
33.50" 19.00" 12.00" 15"
Condition of sump prior to
testing:
Dirty Dirty Dirty Dirty
Portion of Sump Tested Pipe Penetration Pipe Penetration Pipe Penetration Pipe Penetration
Sump Material: FRP FRP FRP FRP
Wait time between applying
pressure/vacuuin /water and
starting test:
5 min. 5 min. 5 min. 5 min.
Test Start Time:
Initial Reading (Rj):
Test End Time:
Final Reading (RF):
Test Duration:
Change in Reading (RF -R):
Pass /Fail Threshold or Criteria:
Test Result: Pass x Fail x Pass Fail Pass x Fail x Pass Fail
Is there a sensor in the sump? x Yes No x Yes No x Yes No x Yes No
Does the sensor alarm when
either product or water is
detected?
x Yes No NA x Yes No 0 NA x Yes No 0 NA x Yes No 0 NA
Was sensor removed for testing? x Yes No NA x Yes No 0 NA x Yes No NA x Yes No NA
Was sensor properly replaced and
verified functional after testing? x Yes No NA x Yes No NA x Yes No NA x Yes No NA
Comments — (include information on repairs made prior to Jesting, and recommendedfollow -upforfailed tests)
The rev -ular and the super tanks were visual fails. When I nut the water in the tank
I went over the nininy, penetration by the time I nut my probes in the tank the
water had dropped under the penetration.
SWRCB, January 2002 Page of
9. SPILL/OVERFILL CONTAINMENT BOXES
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 (Specify)
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)
Spill buckets were iust completed with the annual monitor certification
HP GO GO
3699 WILSON RD
BAKERSFIELD CA 93309
661- 835 -8045
INVOICE 27134
07/20/2011 1:38 PM
SUMP LEVEL REPORT
SUMP OIL -FIL 3,556 IN
HP GO GO
3699 WILSON RD
BAKERSFIELD CA 93309
661- 835 -8045
INVOICE 27134
07/20/2011 1:54 PM
SUMP LEAK TEST REPORT
OIL -FIL
TEST STARTED 1:39 PM
TEST STARTED 07/20/2011
BEGIN LEVEL 3.5561 1N
END TIME 1:54 PM
ENO DATE 07/20/2011
END LEVEL 3.5549 IN
LEAK THRESHOLD 0.002 IN
TEST RESULT PASSED
HP GO GO HP GO GO
3699 WILSON RD 3699 WILSON RD
BAKERSFIELD CA 93309 BAKERSFIELD CA 93309
681- 835 -8045 651- 835 -8045
INVOICE 27134 INVOICE 27134
07/11/2011 2:13 PM 07/11/2011 4:29 PM
SUMP LEVEL REPORT SUMP LEAK TEST REPORT
UDC 1 -2
SUMP 87 MFIL 5,705 IN
SUMP 91 -STP 2,818 IN TEST STARTED 4:13 PM
TEST STARTED 07/11/2011
BEGIN LEVEL 5.3140 IN
END TIME 4:29 PM
END DATE 07/11/2011
END LEVEL 5.3070 IN
LEAK THRESHOLD 0.002 IN
TEST RESULT FAILED
UDC 3 -4
HP GD GO
3699 WILSON RD TEST STARTED 4:13 PM
BAKERSFIELD CA 93309 TEST STARTED 07/11/2011
661- 835 -8045 BEGIN LEVEL 5.3071 IN
INVOICEt2T134 + ENO TIME 4:29 PM
ENO DATE 07/11/2011
07/11/2011 2:29 PM END LEVEL 5.3042 IN
LEAK THRESHOLD 0.002 IN
SUMP LEAK TEST REPORT TEST RESULT FAILED
87 MFIL
UDC 5 -6
TEST STARTED 2:13 PM
TEST STARTED 07/11/2011 TEST STARTED 4:13 PM
BEGIN LEVEL 5.7056 IN TEST STARTED 07/11/2011
END TIME 2 :28 PM BEGIN LEVEL 6.5278 IN
END DATE 07/11/2011 ENO TIME 429 PM
ENO LEVEL 5.7084 IN END DATE 07/11/2011
LEAK THRESHOLD 0,002 IN END LEVEL 8,5238 IN
TEST RESULT PASSED LEAK THRESHOLD 0,002 IN
TEST RESULT FAILED
91 -STP
UDC 7 -8
TEST STARTED 2:13 PM
TEST STARTED 07/11/2011 TEST STARTED 4:13 PM
BEGIN LEVEL 2.8187 IN TEST STARTED 07/11/2011
END TIME 2:28 PM 851N LEVEL 4.7675 IN
END DATE 07111/2011 END TIME 4:29 PM
ENO LEVEL 2,8187 IN END DATE 07/11/2011
LEAK THRESHOLD 0,002 IN ENO LEVEL 4,7612 IN
TEST RESULT PASSED LEAK THRESHOLD 0.002 IN
TEST RESULT FAILED