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10159161 7/21/2020
Fastrip #22 (North)
4013 South H Street Bakersfield 93304
Justin Williams (800) 339-9930
804904 8819073 9/8/2020
T1 87 12k gal T2 91 12k gal T3 diesel 12k gal
9-10 11-12 13-14 15-16
17-18 19-20
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PEI-1200
1
ICC Tech 8819073 9/8/2020
10/4/2020
Smith
PEI-1200
1
ICC Tech 8819073 9/8/2020
Incon level 4 1027843710 10/4/2020
Check communication from furthest point.
SWRCB, January 2002
97$1.6(&21'$5<&217$,10(17,1)250$7,21
Test Method Developed By: Tank Manufacturer Industry Standard Professional Engineer
Other (Specify)
Test Method Used: Pressure Vacuum Hydrostatic
Other (Specify)
Test Equipment Used: Equipment Resolution:
Tank # Tank # Tank # Tank #
Is Tank Exempt From Testing?1 Yes No Yes No Yes No Yes No
Tank Capacity:
Tank Material:
Tank Manufacturer:
Product Stored:
Wait time between applying
pressure/vacuum/water and
starting test:
Test Start Time:
Initial Reading (RI):
Test End Time:
Final Reading (RF):
Test Duration:
Change in Reading (RF-RI):
Pass/Fail Threshold or Criteria:
Test Result: Pass Fail Pass Fail Pass Fail Pass Fail
Was sensor removed for testing? Yes No NA Yes No NA Yes No NA Yes No NA
Was sensor properly replaced and
verified functional after testing?
Yes No NA Yes No NA Yes No NA Yes No NA
Comments – (include information on repairs made prior to testing, and recommended follow-up for failed tests)
1 Secondary containment systems where the continuous monitoring automatically monitors both the primary and secondary
containment, such as systems that are hydrostatically monitored or under constant vacuum, are exempt from periodic containment
testing. {California Code of Regulations, Title 23, Section 2637(a)(6)}
✔
✔
Precision mechanical test gauge 0.0625”
87 91 Diesel
✔✔✔
12k gallon 12k gallon 12k gallon
Steel Steel Steel
Unknown Unknown Unknown
Gasoline Gasoline Diesel
30 minutes 30 minutes 30 minutes
9:00 am 10:00 am 9:00 am
10 hg 10 hg 10 hg
10:00 am 11:00 am 10:00 am
10 hg 10 hg 10 hg
60 minutes 60 minutes 60 minutes
0.00” 0.00” 0.00”
0.00” 0.00” 0.00”
✔✔✔
✔
✔✔
✔
✔✔
SWRCB, January 2002
9,,352'8&73,3,1*&217$,10(177(67,1*,1)250$7,21
Test Method Developed By: Piping Manufacturer Industry Standard Professional Engineer
Other (Specify)
Test Method Used: Pressure Vacuum Hydrostatic
Other (Specify)
Test Equipment Used: Equipment Resolution:
Piping Run # Piping Run # Piping Run # Piping Run #
Piping Material:
Piping Manufacturer:
Piping Diameter:
Length of Piping Run:
Product Stored:
Method and location of
piping-run isolation:
Wait time between applying
pressure/vacuum/water and
starting test:
Test Start Time:
Initial Reading (RI):
Test End Time:
Final Reading (RF):
Test Duration:
Change in Reading (RF-RI):
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 recommended follow-up for failed tests)
✔
✔
Precision mechanical test gauge 0.0625”
87 91 Diesel
Fiberglass Fiberglass Fiberglass
Smith Smith Smith
3.5”3.5”3.5”
175’175’175’
Gasoline Gasoline Diesel
Boot in sump Boot in sump Boot in sump
30 minutes 30 minutes 30 minutes
9:00 am 9:00 am 10:30 am
5 psi 5 psi 5 psi
10:00 am 10:00 am 11:30 am
5 psi 5 psi 5 psi
60 minutes 60 minutes 60 minutes
0.00” 0.00”0.00”
0.00”0.00”0.00”
✔✔✔
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Unknown
PEI-1200
1
ICC Tech 8819073 9/8/2020
Incon level 4 1027843710 10/4/2020
SWRCB, January 2002
;9785%,1(352'8&73,3,1*68037(67,1*,1)250$7,21
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:
Sump #Sump #Sump #Sump #
Sump Diameter:
Sump Depth:
Sump Material:
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 Tested1
Does turbine shut down when
sump sensor detects liquid (both
product and water)?*
Yes No NA Yes No NA Yes No NA Yes No NA
Turbine shutdown response time
Is system programmed for fail-safe
shutdown?* Yes No NA Yes No NA Yes No NA Yes No NA
Was fail-safe verified to be
operational?* Yes No NA Yes No NA Yes No NA Yes No NA
Wait time between applying
pressure/vacuum/water and starting
test:
Test Start Time:
Initial Reading (RI):
Test End Time:
Final Reading (RF):
Test Duration:
Change in Reading (RF-RI):
Pass/Fail Threshold or Criteria:
Test Result: Pass Fail Pass Fail Pass 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 recommended follow-up for failed tests)
1 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)
✔
✔
Incon 0.002”
87 91 Diesel
36”36”36”
48”48”48”
Fiberglass Fiberglass Fiberglass
24”24”24”
17” 17”17”
Clean and dry Clean and dry Clean and dry
29” 29”29”
✔
✔✔
N/A N/A N/A
✔
✔✔
✔
✔✔
30 minutes 30 minutes 30 minutes
9:04 am 9:04 am 10:14 am
6.017”5.928”3.212”
9:20 am 9:20 am 10:9 am
6.017”5.929”3.213”
15 minutes 15 minutes 15 minutes
0.000”0.001”0.001”
0.002”0.002”0.002”
✔✔✔
✔
✔✔
✔
✔✔
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7HVW0HWKRG8VHG 0DQXIDFWXUHU*XLGHOLQHV(Specify)
,QGXVWU\&RGHRU(QJLQHHULQJ6WDQGDUG (Specify)
(QJLQHHUHG0HWKRG(Specify)
Attach the testing procedures and all documentation required to determine the results.RI$WWDFKHG3DJHV
8'&7HVWLQJ7UDLQLQJDQG&HUWLILFDWLRQV(List applicable certifications.)([SLUDWLRQ'DWH
;;,, &200(176
Provide any additional comments here.
If the facility has more components than this form accommodates, additional copies of these pages may be attached.
Total containment
PEI-1200
2
ICC Tech 8819073 9/8/2020
Incon level 4 1027843710 10/4/2020
SWRCB, January 2002
;;,81'(5',63(16(5&217$,10(177(67,1*,1)250$7,21
Test Method Developed By: UDC Manufacturer Industry Standard Professional Engineer
Other (Specify)
Test Method Used: Pressure Vacuum Hydrostatic
Other (Specify)
Test Equipment Used: Equipment Resolution:
UDC # UDC # UDC # UDC #
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 of UDC prior to
testing:
Portion of UDC Tested1
Does turbine shut down when
UDC sensor detects liquid (both
product and water)?*
Yes No NA Yes No NA Yes No NA Yes No NA
Turbine shutdown response time
Is system programmed for fail-
safe shutdown?* Yes No NA Yes No NA Yes No NA Yes No NA
Was fail-safe verified to be
operational?* Yes No NA Yes No NA Yes No NA Yes No NA
Wait time between applying
pressure/vacuum/water and
starting test
Test Start Time:
Initial Reading (RI):
Test End Time:
Final Reading (RF):
Test Duration:
Change in Reading (RF-RI):
Pass/Fail Threshold or Criteria:
Test Result: Pass Fail Pass Fail Pass 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 recommended follow-up for failed tests)
1 If the entire depth of the UDC 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 UDC must be tested. (See SWRCB LG-160)
✔
✔
Incon 0.002”
9-10 11-12 13-14 15-16
Total containment Total containment Total containment Total containment
Plastic Plastic Plastic Plastic
30”30 “30”30”
13”13”13”13”
0”0”0”0”
Clean and dry Clean and dry Clean and dry Clean and dry
17”17”17”17”
✔
✔✔✔
N/A N/A N/A N/A
✔
✔✔✔
✔
✔✔
30 minutes 30 minutes 30 minutes 30 minutes
9:41 am 10:43 am 10:43 am 1:02 pm
3.704” 1.256” 3.318”3.505”
9:57 am 10:58 am 10:58 am 1:17 pm
3.704” 1.042” 3.301”3.065”
15 minutes 15 minutes 15 minutes 15 minutes
0.000” 0.214” 0.017” 0.440”
0.002” 0.002” 0.002” 0.002”
✔✔✔✔
✔✔✔✔
✔
✔✔✔
Need to replace piping penetrations and retest.
SWRCB, January 2002
Test Method Developed By: UDC Manufacturer Industry Standard Professional Engineer
Other (Specify)
Test Method Used: Pressure Vacuum Hydrostatic
Other (Specify)
Test Equipment Used: Equipment Resolution:
UDC # UDC # UDC # UDC #
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 of UDC prior to
testing:
Portion of UDC Tested1
Does turbine shut down when
UDC sensor detects liquid (both
product and water)?*
Yes No NA Yes No NA Yes No NA Yes No NA
Turbine shutdown response time
Is system programmed for fail-
safe shutdown?* Yes No NA Yes No NA Yes No NA Yes No NA
Was fail-safe verified to be
operational?* Yes No NA Yes No NA Yes No NA Yes No NA
Wait time between applying
pressure/vacuum/water and
starting test
Test Start Time:
Initial Reading (RI):
Test End Time:
Final Reading (RF):
Test Duration:
Change in Reading (RF-RI):
Pass/Fail Threshold or Criteria:
Test Result: Pass Fail Pass Fail Pass 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 recommended follow-up for failed tests)
1 If the entire depth of the UDC 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 UDC must be tested. (See SWRCB LG-160)
;;,81'(5',63(16(5&217$,10(177(67,1*,1)250$7,21
✔
✔
Incon 0.002”
17-18 19-20
Total containment Total containment
Plastic Plastic
30”30”
13”13”
0”0”
Clean and dry Clean and dry
17”17”
✔
✔✔
N/A N/A
✔
✔
✔
✔
30 minutes 30 minutes
1:02 pm 1:02 pm
4.046” 2.013”
1:18 pm 1:18 pm
4.047” 2.013”
15 minutes 15 minutes
0.001” 0.000”
0.002” 0.002”
✔✔
✔✔
✔
✔