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HomeMy WebLinkAboutOPI 7-18-19CERS = California Environmental Reporting System, ID = Identification, UST = Underground storage tank, ICC = International Code Council, A/V = Audible and visual UNDERGROUND STORAGE TANK OVERFILL PREVENTION EQUIPMENT INSPECTION REPORT FORM (Page 1 of 1) Type of Action Installation Inspection Repair Inspection 36 Month Inspection I. FACILITY INFORMATION CERS ID Date of Overfill Prevention Equipment Inspection 07/18/19 Business Name (Same as Facility Name or DBA-Doing Business As.) Fed Ex Business Site Address 6100 District Blvd City Bakersfield ZIP Code 93313 II. UNDERGROUND STORAGE TANK SERVICE TECHNICIAN INFORMATION Name of UST Service Technician Performing the Inspection (Print as shown on the ICC Certification.) Jerry Rangel Phone # (661) 327 - 9341 Ext. Contractor/Tank Tester License # 998733 ICC Certification # 8160834 ICC Certification Expiration Date 08/24/19 Overfill Prevention Equipment Inspection Training and Certifications (List applicable certifications.) OPW III. OVERFILL PREVENTION EQUIPMENT INSPECTION INFORMATION Inspection Method Used: Manufacturer Guidelines (Specify) Industry Code or Engineering Standard (Specify) Engineered Method (Specify) Attach the inspection procedures and all documentation required to determine the results. # of Attached Pages: Tank ID: (By tank number, stored product, etc.) Diesel What is the tank inside diameter? (Inches) 109 Is the fill piping secondarily contained? Yes No Yes No Yes No Yes No Is the vent piping secondarily contained? Yes No Yes No Yes No Yes No Overfill Prevention Equipment Manufacturer(s) OPW What is the overfill prevention equipment response when activated? (Check all that apply.) Shuts Off Flow Shuts Off Flow Shuts Off Flow Shuts Off Flow Restricts Flow Restricts Flow Restricts Flow Restricts Flow A/V Alarm A/V Alarm A/V Alarm A/V Alarm Are flow restrictors installed on vent piping? Yes No Yes No Yes No Yes No At what level in the tank is the overfill prevention set to activate? (Inches from bottom of tank.) 103 What is the percent capacity of the tank at which the overfill prevention equipment activates? 97 Is the overfill prevention in proper operating condition to respond when the substance reaches the appropriate level? Yes Yes Yes Yes No (Specify in section V.) No (Specify in section V.) No (Specify in section V.) No (Specify in section V.) IV. SUMMARY OF INSPECTION RESULTS Overfill Prevention Inspection Results Pass Fail Pass Fail Pass Fail Pass Fail V. COMMENTS All items marked “Fail” must be explained in this section. Any additional comments may also be provided here. Flapper set too high VI. CERTIFICATION BY UST SERVICE TECHNICIAN CONDUCTING THIS INSPECTION I hereby certify that the overfill prevention equipment was inspected in accordance with California Code of Regulations, title 23, division 3, chapter 16, section 2637.2 and all the information contained herein is accurate. UST Service Technician Signature If the facility has more components than this form accommodates, additional copies of this page may be attached. E F T € O T a n k 4 T a n k 3 T a n k 2 Product O v e r f i l l P r e v e n t i o n C a l c u l a t i o n s F o r m T a n k 1 ) . < : 0 , I M e a s u r e m e n t s Tank Diameter(r)Riser Height(R)Total Heightr+R=(H)Flapper DePth{Dlln-Tank Activation Heightx-o=(A) \ o a ' ( 6 s ' ( t 1 ( - ) | , . - 1 o 3 " c C a l c u l a t i o n Check (A) on tank chartTank full volume(v)Find percent(A)x100+(v) \ r ? . r ? l Z o o G \ ) / - * T h i s f o r m a n d t h e t a n k c h a r t s m u s t b e s u b m i t t e d w i t h t e s t r e s u l t s f o r m Modern Welding Company Subsidiaries Nationwide www.modweldco.com modem@modweldco.com Tank Calibration Chart Cyindrical Tank / Horizontal Orientation Striker Ptate: 0 inches D'ameteri I u9,5 nahes Lehqthj 204 B jnches Total Votume: I2,006 gaflons 0.000 0 0.125 1 0.250 2 0.375 4 0.500 6 0.625 9 0.750 ].2 0.875 15 1.000 18 1.125 2t 1.250 25 1.375 29 1.500 33 1.625 37 1.750 4L 1.875 4s 2.000 50 2.123 55 2.250 60 2.375 6s 2.500 70 2.625 7s 2.7 50 81 2.475 86 3.000 92 3.125 97 3.250 103 3.375 109 3.500 r15 3.625 122 3.750 724 3.875 734 4.000 L47 4.t2S L47 4.250 154 4.375 161 4.500 168 4,625 77 5 4.750 7A2 4.875 189 5.000 196 5.250 277 5.375 27A 5.500 226 5.625 234 5.750 241 5.875 249 6.000 257 6.t25 265 6.250 273 6.375 281 6.500 2A9 6.625 298 6.750 306 6.875 315 7.000 323 7 .125 332 7.250 340 7.315 349 7.500 358 7.625 367 1 ,150 37 6 7.a75 3a4 8.000 394 8.125 403 8.250 472 8.375 427 8.500 430 8.525 440 8.750 449 8.875 459 9.000 46a 9.725 478 9.250 488 9.375 497 9.500 507 9.625 st1 9.750 527 9.875 537 10.000 547 10.125 557 10.250 567 10.375 571 10.500 5a7 10.625 598 10.750 608 10.875 619 11.000 629 11.125 640 11.250 6s0 11.375 661 11.500 671- 11.625 682 1r.750 693 11.875 704 12.000 715 \2.t25 726 12.250 737 L2.37 5 7 4a 12.500 759 72.623 '170 12.750 781 12.875 792 13.000 803 13.125 815 13.250 826 13.375 837 13.500 849 13.625 860 13.750 A72 13.875 884 14.000 895 74.125 90'7 74.250 919 14.375 930 14.500 942 74.625 954 14.750 966 14.875 97A 15.000 990 15.125 1,002 15.250 1,014 15.375 1,026 15.500 1,038 15.625 1,050 r.5.750 1,063 15.875 1,075 16.000 1,087 16.125 1,099 16.250 1,112 16.375 1,124 16.500 1,137 16.625 1,149 16.750 1,1.62 16.a75 7,L74 17.000 t,187 17.125 1,200 77.250 L,272 1.1.375 t,225 17.500 1,238 17.625 1,251 17.750 1,264 17.475 7,276 18.000 1,289 18.125 1,302 18.250 1,315 18.375 1,328 18.500 1,341 r-8.625 1,354 18.750 1,368 18.875 1,381 19.000 1,394 L9.725 L,407 19.250 L,420 79.37 5 L434 79.500 I,447 19.625 1.460 t9.750 7,47 4 19.875 1,487 20.000 1,501 20.125 1,514 20.250 t,524 20.375 1,541 20.500 1,555 20.625 1,569 20.750 1,582 20.875 1,596 21.000 1,6r.0 21.125 1,623 27 .250 7 ,63'7 21.375 1,651 21.500 1,665 21.625 1,679 21.750 1,693 21.875 7,707 22.000 7,72t 22.t25 \,735 22.250 7,7 49 22.37 5 1,7 63 22.500 1,777 22.625 7,79L 22.750 r,805 22.475 7,479 23.000 1,833 23.125 1,848 23.250 !,962 23.375 7,816 23.500 1,890 23.625 1,905 23.750 1,91.9 23.875 1,934 24.000 1,948 24.125 ).,962 24.250 7,917 24.375 1,991 24.500 2,006 24.625 2,027 24.750 2,015 24.4'r5 2,O50 25.000 2,064 25.125 2,019 25.250 2,094 25.375 2.708 25.500 2,L23 25.625 2,138 25.750 2,153 2s.a7 5 2,767 26.000 2,182 26.725 2,797 26.250 2,212 26.375 2,227 26500 2,242 26.625 2,257 26.750 2,272 26.475 2,247 27 .OOO 2,302 21 .r25 2,311 27 .250 2.332 21.375 2,347 21 .500 2,362 27 .625 2,37 7 27 .7 50 2,393 27.A"ts 2,40a 2A.OOO 2,423 2A.125 2,438 2A,250 2,453 2A.375 2,469 2A500 2,484 2A.625 2,499 2A.750 2,5t5 28.875 2,530 29.000 2,546 29.125 2,567 29250 2,576 29.375 2,592 29.500 2,607 29.625 2,623 29.7 50 2,634 29.475 2,654 30.000 2,669 30.125 2,685 30.250 2,701 30.375 2,716 30.500 2,732 30.625 2,7 47 30.750 2,763 30.a75 2,779 31.000 2,795 31.125 2.810 31.250 2,826 3L.375 2,442 Page 1 of 4 7:his wlumetrX bnk chatt is supplied to )ou for intutmational putposes onv. These capacitycalculatbns are based on theoretical wlumes not actualwlumes, and do not reflect atmosphetk conditions or themal expansion/contraction due to tempeature changes. lf intemal accessoies such as pumps are present, displacement ofthese accessorbs must be consiCered. Therefore, neither Modem Welding Company noriE ofrceB, directos, employee afrliates orsubsidiaies shallbe liable br the use of this infomation covered within. This infomation is advEory only and the use of the mateial and methods is s ole ly at the ris k of the us er Cylindrical Tahk / Hori?Dntal orientation Striker Platei 0 Arraydepth I Diameter: 109.5 ihches I Length: 294.5 inch€s lTotalVolume: 12.006 gallons 31.500 2,858 31.625 2,473 31.750 2,889 3r..875 2,905 32.000 2,921 32.725 2,937 32.250 2,951 32.375 2,969 32.500 2,985 32.625 3,000 32.750 3,016 32.875 3,032 33.000 3,048 33.125 3,064 33.250 3,081 33.375 3,097 33.500 3,113 33.625 3,129 33.750 3,145 33"875 3,161 34.000 3,177 34.125 3,193 34.250 3,209 34.375 3,226 34.500 3,242 34.625 3,258 34.750 3,274 34.875 3,29t 35.000 3,307 35.125 3,323 35.250 3,339 35.375 3,356 35.500 3,372 35.525 3,388 35.750 3,405 35.875 3,421 36.000 3,437 36.125 3,454 36.250 3,470 36.375 3,487 36.500 3,503 36.625 3,520 36.750 3,536 35.875 3,553 37.000 3,569 37.125 3,586 37.250 3,602 37.375 3,619 37.500 3,635 37.625 3,652 37.750 3,668 37.875 3,685 38.000 3,702 38.125 3,718 38.250 3,735 f8.375 3,751 38.500 3,768 38,625 3,785 38.750 3,802 38.875 3,818 39.000 3,83s 39.125 3,852 39.250 3,868 39.375 3,88s 39.500 3,902 39.625 3,919 39.750 3,935 39.875 3,952 40.000 3,969 40.125 3,986 40.250 4,003 40.375 4,019 40.500 4,036 40.625 4,053 40.750 4,O70 40.475 4,047 41.000 4,104 41.125 4,121 41.250 4,138 4L.37 5 4,154 41.500 4,171 41,625 4,188 41.750 4,205 47.47 5 4,222 42.000 4,239 42.125 4,256 42.250 4,27 3 42.375 4,290 42500 4,307 42.625 4,324 42,7 50 4,34t 42.475 4,354 43.OOO 4,375 43.125 4,392 43.250 4,409 43.37 5 4,426 43.500 4,444 43.625 4.461 43,750 4,474 43.475 4,495 44.000 4,572 44.125 4,529 44.250 4,546 44.375 4,563 44,500 4,580 44.625 4,s98 44.7 50 4,675 44.875 4,632 45.000 4,649 45.125 4,666 45.250 4,643 45.375 4,'707 45.500 4,718 45.625 4,135 45.7 50 4,7 52 45.87 5 4,7 69 46.000 4,787 46.725 4,A04 46.250 4,427 46.375 4,838 46.500 4,856 46.625 4,A73 46.750 4,890 46.875 4,907 47.000 4,925 4'1 .725 4 ,942 47 .250 4,959 47 .37 5 4,97 6 47.500 4,994 47 .625 5,OLL 47.150 5,024 47 .87 5 5,046 48.000 5,063 48.125 5,080 48.250 5,098 48.375 5,115 48.500 5,132 48.625 5,150 48.750 5,167 48.875 5,184 49.OOO 5,202 49.t25 5,2t9 49.250 5,236 49.37 5 5,254 49.500 5,27 L 49.625 5,288 49.750 5,306 49.47 5 5,323 s0.000 5,341 50.125 5,358 50.250 5,375 50.375 5,393 50.500 5,410 50.625 5,424 50.750 5,445 50.875 5,462 51.000 5,480 51.125 5,497 51.250 5,515 s1.375 5,532 51.s00 5,549 s1.625 5,567 s1.750 5,584 51.875 5,602 52.000 5,619 52.725 5,637 52.250 5,654 52.375 5,671 52.500 5,689 52.625 5,706 52.150 5,724 52.A75 5,7 4L Page 2 of 4 53.000 5,759 53.125 5,776 53.250 5,794 53.375 5,811 53.500 5,828 53.625 5,846 53.750 5,863 53.875 5,881 54.000 5,898 54.125 5,916 54.250 5,933 54.375 5,951 54.500 5,968 54.625 5,985 54.750 6,003 54.875 6,020 55.000 6,038 55.125 6,055 55.250 6,073 55.375 6,090 55.500 6,108 55.625 5,r.25 s5.'150 6,742 55.875 6,160 56.000 6,177 56.125 6,195 56.250 6,212 56.375 6,230 56.500 6,247 56.625 6,265 56.150 6,282 56.875 6,299 57_000 6,317 57.725 6,334 57.250 6,352 57.375 6,369 57.500 6,387 57.625 6,404 57.7 50 6,427 57.875 6,439 58.000 6,456 5A.t25 6,474 58.250 6,491 s8.375 6,509 58.500 5,526 58_625 6.543 58.750 6,561 58.875 6,578 59.000 6.596 59.125 6,613 59.250 6,530 59.375 6,648 59.500 6,665 59.625 6,683 59.750 6,700 59.475 6,777 60.000 6,735 60.t25 6,752 60.250 6,7 69 60.375 6,787 60.500 6,804 60_625 6,821 60.750 6,839 60.875 6,856 61.000 6,874 61.r25 6,891 61.250 6,908 6t-.375 6,925 61.500 6,943 61.625 6,960 6L.150 6,977 61.875 6,995 62.000 7,012 62.725 7,029 62 .250 7 ,04'1 62.3'15 7,064 62.500 7,081 62.625 7,098 62 .'t 50 7 ,716 62.A75 7,L33 63.000 7,150 63.125 7,167 63.250 7,185 63.375 7,202 63.500 7.219 63.625 7,236 63.750 7,254 63.815 1,211 64.000 7,288 64.125 7,305 64 .250 1 ,32.2 64.37 5 7 ,340 64.500 7,357 64.625 7 ,37 4 64.750 1,397 64.875 7,408 65.000 7,425 65.725 7,443 65.250 7,460 65.375 7,477 65.500 7 ,494 65.625 7,5!r 65.750 7,528 65.875 7,545 66.000 7,562 66.725 7,579 66.250 7,596 66.375 7.613 66.500 7,631 66.625 7,64a 66.750 7,665 66.875 7,682 67.000 7,699 67.125 7 ,716 67.250 1,733 67.375 1,750 67.500 7,761 67.625 1,784 67.750 7,801 67.475 7 ,8t1 68.000 7,834 68.125 7,851 68.250 7,868 68.375 7,885 68.500 7,902 68.625 7,919 6A.750 1,936 68.875 7.953 69.000 7,970 Crindrical Tank / Horiantal Oriehtation striker Plate: 0 Arraydepth I Diameter; 109.5 inches I Length: 294.5 inches lTotalVolumei 12,006 gallons 69.125 7,986 69.250 8,003 69.375 8,020 69.500 S,037 69.625 8.054 69.750 8,070 69.875 8,O87 70.000 8,104 70.L25 4,721- 70.250 8,137 70.375 8,154 70.500 8,171 70.625 8,188 70.750 A,204 70.a75 A,227 71.000 8,238 7t.125 A,254 71.250 4,271 71.375 8,288 71.500 8,304 71.625 8,321 77.750 4337 71.875 8,354 '12.OOO 4,3'1L 72.125 A3A7 72.250 8,404 '12375 4,420 72.500 a,437 '12.625 4,453 72.750 8,4'70 72.875 4,486 73.000 8,503 73.125 8,s19 73.250 8,53s 73375 A,552 73.500 8,568 73.625 8,s85 73.750 8,601 73.875 8,617 74.000 8,634 '14.725 A,650 '14.250 4,666 74.375 8,643 74.500 8.699 74.625 4,715 74.750 a,732 74.875 4,744 75.000 8.764 75.125 8,780 75.250 4,796 75.375 8,8r.3 75.500 8,829 75.625 8,845 75.750 8,861 75.A75 A,A77 76.000 8,893 76.125 8.909 76.250 8,92s 76375 A,947 76.500 8,957 76.625 8,973 76.750 8,989 76.e75 9,005 77.000 9,021 77.725 9,037 77.250 I,O53 77.375 9,069 77.500 9,085 77.625 9,101 '17 .750 9,L17 77.A75 9,732 78.000 9,148 78.125 9,164 78.250 9,180 78.375 9.196 78.500 9,2r.1 74.625 9,227 7A.750 9,243 14.475 9,254 79.000 9,274 79.!25 9,290 79.250 9,305 79.375 S,321 79.500 9,336 79.625 9,352 79.750 9,368 79.875 9.383 80.000 9,399 80.125 9.414 s0.250 9,429 80.375 9,445 80.500 9,460 ao.625 9,476 80.750 9,491 80.875 9,506 81.000 9,522 81.125 9,537 81.250 9,5s2 81.375 9,568 81.500 9,583 8L.625 9,598 81.750 9,613 81.875 9,528 82.000 9,644 82.125 9,659 82250 9,67 4 82.375 9,589 82.500 9,704 a2.625 9,7t9 42.750 9,734 42.875 9,"149 83.000 9,764 83.125 9,779 a3.250 9,794 83.375 9,809 83.500 9,823 83.625 9,838 83.750 9,853 83.875 9,868 84.000 9,883 84.125 9,897 84.250 9,912 a4375 9,927 84.500 9,941 84.525 9,956 84.750 9,971 84.875 9,985 85.000 10,000 85.125 10,014 85.250 10,029 85.375 10,043 85.500 10,058 85.625 10,072 85.750 10,087 85.875 10,101 86.000 10,115 86.125 10,130 86.250 10,144 86.375 10,1s8 86.500 10,172 86.625 10,187 86.750 10,201 86.875 10,215 87.000 10,229 a1 .125 l0 ,243 87_250 10,257 47.375 L0,211 87.500 10,285 87 .625 !0 ,299 87.750 10,313 a7.a75 10,327 88.000 10,341 88.125 10,355 88.250 10,369 88.375 10,382 88.500 10,396 88.625 10,410 aa .7 50 to ,424 88.875 10,437 89.000 10,451 89 .725 l0 ,464 89.250 10,478 89.375 10,492 89.500 10,505 89.625 10,519 89.750 10,532 89.875 10,54s 90.000 10,559 90.125 10,572 90.250 10,585 90.375 10,599 90.500 10,612 Page 3 of 4 90.625 10,625 90.750 10,638 90.875 10,651 91.000 10,664 91.125 10,678 91.250 10,691 9t.375 10,704 91.500 10,717 97.625 !0,729 91.750 10,742 91.875 10,755 92.000 10.768 92 .125 70 ,7 AL 92.250 10,793 92.375 10,806 92_500 10,819 92.625 10,831 92.750 10.844 92.875 10,857 93.000 10,869 93.125 1.0,882 93.250 10,894 93.375 10,906 93.500 10,919 93.625 10.931 93.750 10,943 93.875 10,955 94.000 10,968 94.r25 10,980 94.250 10,992 94.375 11,004 94.500 11,016 94.625 11,028 94.750 11,040 94.875 11,052 95.000 11,064 95.125 11,075 95.250 11,087 95.375 11,099 95.500 11,111 95.625 11,722 95.750 11.134 95.875 11.145 96.000 11,157 96.125 11,168 96.250 11,180 96.375 11.191 96.500 11,202 96.625 L7,274 96.750 L7,22s 96.875 r.1,236 97.000 11,247 97.125 11,258 9't .250 LL,269 97.375 77,240 97.500 11,291 97.625 11,302 97.750 11,313 97 .41 5 LL ,324 98.000 11,334 98.125 11,345 98.250 11,356 98-375 11,366 98.500 11,377 98.625 11,387 98.750 11,398 98.875 11,408 99.000 11,418 99 .725 17 ,429 99.250 11,439 99.375 11,449 99.500 11,459 99.625 11,469 99.750 11,479 99.875 11,489 100.00011,499 r.00.12511,509 100.25011,518 100.37511,528 100.50011,538 100.62511,547 100.75011,557 r-00.87511,566 101.00011,575 101.12511,585 101.25011,594 101.37511,603 101.50011,612 r.01.62511,62r. 101.7s011.630 101.87511,639 102.00011,648 l-02.12511,657 102.25011,666 102.37511,674 102.50011,683 102.62511,691 102.75011,700 102.87511,708 103.00011,716 103.12511,725 103.25011,733 103.37511,741 103.50011,749 103.62511,757 103.75011,764 L03 .87 5 tt ,'1 7 2 104.00011,780 104 . L25 7l ,7 A7 104.25011,795 104_37511,802 104.50011,810 104.62511,8r.7 104.75011,824 104.87511,831 105.00011,838 105.12511,845 105.25011,852 r.05.37s 11.858 r.05.50011,865 105.62511,872 105.75011,878 105.87511,884 106.00011,890 106.12511,897 106.25011,903 106.37511,908 106.50011,914 106.62511,920 C\,4indrical Tank / Hori?ontal orentation StrikerPlate: 0 Arraydepth lDiameier 109.5 lncheslLenqih: 294.5 inches lTotalVolume: 12,0o6gallons