HomeMy WebLinkAboutSB-989 2019UNDERGROUND STORAGE TANK
SECONDARY CONTAINMENT TESTING REPORT FORM (paget ot6)
Type ofAction E lnstallation Test I Repair Test E Sir ft4onth Test ! 36 Month Test
I. FACILITYINFORMATION
CERS ID Daie of Secondary Containment Test
03107t19
Business Name (Same as Facility Name or DBA-Doing Business As)
Kern High School District
Eusiness Site Address
3701 E. Belle Terrace
City
Bakersfield
ZIP Code
93307
II. UNDERGROUND STORAGE TANK SERVICE TECHNICIAN INFORMATION
Name of UST Service Technician Performing the Test (Print as shown on the ICC Cedification.)
Jerry Rangel
Phone #
(661)327 - 934'1 ex.
Contracior/Tank Tester License #
998733
ICC Certification #
8160834
ICC Certification Expiration Date
08124t19
III. SUMMARY OF SECONDARY CONTAINMENT TESTING RESULTS
lank lO. (By tank number, storad prcduct, etc.)A Unleaded B Diesel c Waste Oil o
Tank Containment
Tightness Test Result E Pass fl Fail ! NA E Pass E Fait E NA El Pass D Fail fl tlA E Pass E Fait E NA
Product Piping Containment
Tightness Test Result El Pass E Fail fl NA B Pass n Fait E NA I eass I Fail E] NA E Pass fl Fail E NA
Communication Test Result I Pass E Fait E NA X Pass E Fail E NA E Pass E FaiI 8 NA fl Pass I Fair E NA
Remote Fill Piping Containment
Tightness Test Result E Pass E Fait E NA ! eass I Fail I NA E Pass E Fail I NA E Pass E Fail E NA
Communication Test Result E eass ! Fair EX NA E Pass n Fail I NA E Pass I Fail I NA E Pass E Fait ! NA
Vsnt Piplng Contalnment
Tightness Test Result E Pass E Fail El i{A E Pass E Fail 8NA E Pass E Fail B t{A E Pass E Fail D NA
Communication Test Result E Pass E Fail El NA fl Pass E Fait E M D Pass E Fail I NA n Pass n Fair E NA
Vapor Recovery Piping Containment
Tightness Test Result E pass E Fait E NA ! Pass E Fail I NA ! Pass D Fair El NA fl Pass E Fair E NA
Communication Test Result I Pass n Fait E NA D Pass Fail I NA fl Pass ! Fail E l,lA E Pass fl Fair E NA
Turbine / Product Piping Sump
Tightness Test Result E Pass E Fail E NA I Pass E Fait E NA I Pass I Fail E NA Pass E Fair fl NA
Fill Riser Sump
Tightness Test Result E pass E Fait I NA E Pass I Fail I NA E Pass n Fail I NA fl eass I Fair n NA
Vent I Transition Sump lD:a b d
Tightness Test Result ! Pass D Fail E NA D Pass E Fail E NA E Pass E Fail ! NA E Pass E Fait E NA
t oc tD:1 1t2 2314 35 46
Tightness Test Result I Pass E Fair DNA E Pass E Fait E NA I Pass D Fait E NA El Pass E Fail E NA
UDC ID:5 6 7 I
Tightness Test Result ! eass E Fait E NA n Pass E Fait E NA L Pass I Fail E NA ! Pass D FaiI ! NA
UDC ID:I 10 11 12
Tightness Test Result ! cass fl Fair E NA E Pass E FaiI E NA fl Pass E Fait fl NA E pass E Fait E NA
Atl iteas markd "Fait" or "MA" musl be explained in ,helr respective "CO MENTS" seclon.
IV. CERTIFICATION BY UST SERVICE TECHNICIAN CONDUCTING THIS TESTING
I her€by certify that the Secondary containment was tested in accordance with California Code of Regulauons, title 23,
division 3, chapter 16, section 2637 and all the information contained herein is accurate.
UST Service Technician Signature
Ei;;Z:,--= ---z?.?--/(.'"
CERS = CsliforDia Eovironmental Repo iag System, ID = Identificrtion, tiST = Undeagrourd stomge tsnlq ICC = lnternstional Code Council,NA = N.. rn.li.rhl. IlDa = Jhd.r-di$.n..r ..nt.inh.n.
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UNDERGROUND STORAGE TANK
SECONDARY CONTAINMENT TESTING REPORT FORM {pase z of 6)
TANK
Manufacturer
I l\,Ianufacturer Guidelines: (Specfy)
El lndustry Code or Engineering Standard: (Specn
E Enganeered Method (Specify)
Atlach the lesting prccedures and all documentatton requlred to determine the results.
lncon Lvl 4
ICC Service Tech
Provide any ddditional comnents here.
vt.
Tank lD lrom section ,ll for each Manufacturer
11122t19
Tank lD from section lllfor each Manufacturer
PIPING CONTAINMENT TESTING
Ma n ufactu rer
Environ
Test Method ! Manufacturer Guidelines: (Spec/'fyJ
E lndustry Code or Engineering Standerd: (Spec,try,
n Engineered Method: (Specity)
Attach tha testtng procedures and all documentatlon requlred to determine ahe results.
esting Traininq and (List
ICC Service Tech
lnterstitial Communication Verification Method Usedl
P@vide any additional comments herc-
lD = ldcDriti.,ri^r
m: IdFntifi.{rinn
I rl I eE I ctr I Dtr
# of Attached Pages
able certitications )Expiration Date
X. COMMENTS
Tt. vENT prplltc CoNTAINMENT TEsrlNG INFoRMATIoN _
Manufacturer rdurerAn I er I ctr Dtr
Afl Btr cn Dtr
Test Method Used:
r t, :; ii::;:; ;:::-# ofAttached Pages
Expiration Date
XII. COMMENTS
XIII. VAPOR RECOVERY PIPING CONTAINMENT TESTING INFORMATION
Manufacturea ldentify Tank lD from section lll for each Manufaciurer
Smith A8 BD ctr Dtr
AD Btr CD Dtr
est Method Used:
E Manufacturer Guidelines: fspec4l,)
E lndustry Code or Engineering Staodatd: (Specin
E Engineered Method: (Specity)
Aa,ach the aesting r/ocedures aod all documeotaton rcquired lo delefinine ,rre resuras.
# ofAttached Pages
Vapor Recovery Piping Containment Testing Training and Certiflcations (List applicable ceiifications-)Expiration Date
ICC Service Tech ogt24t19
lnterstitial Communication Veritication Method Used:
Prcvide any additiooal commenta here.
XV. TURBINE / PRODUCT PIPING SUMP TESTING INFORMATION
Manufacturer ldentify Tank lO from section lll for each Manufacturer
Unknown AE B8 ctr D!
Atr BN ctr Drl
est Method Used:E Manufacturer Guidelinesr (Specify)
I lndustry Code or Engineering Standard: (Speony)
f] Engineered Method (Specw)
Afiach lhe testing prcced,tres and att documenta0on required to areterrntoe the resutts.# of Attached Pages
Turbine / Produc-t Piping Sump Testing Training and Certifications (List applicable ceiificatians.)Expiration Date
lncon Lvl 4 11t22t19
ICC Service Tech 08t24t19
XVI. COMMENTS
Provide any additional comments here.
UNDERGROUND STORAGE TANK
XIV. COMMENTS
In = I.t.nrili.rrinn
XVII. FILL RISER SUMP TESTING INFI ITION
Manufacturer ldentify Tank lO from section lll for each Manufacturer
AD BN ctr I otr
Atr Btr ctr I Dtr
est Method Used:
E Manufacturer Guidelines: (Spec,'f,
D lndustry Code or Engineering Standard: (Speotry)
E Engineered Method: (Specin
Afiach the testing procedsres and all documentatlon required to deterrnine ahe results.# ofAttached Pages
Fill Riser Sump Testing Training and Certificallons (List applicable ceiifications.)Expiration Date
Provide any additional comments hee.
Ma n ufa ctu re r ldentify Vent/ Transition Sump lO from
section lll for each l\4anufacturer
Unknown afl I btr I ctr | dtr
afl I btr I cn I dn
Test Method Usedl
E Manufacturer Guidelines: (Speciry/
EI lndustry Cod6 or Engineering Standard: (Spec,&)
E Engineered Method, (Specify)
Attach the testing procedures and all documenlation requircd to detemine the results.# ot Attached Pages
Vent / Transition Piping Sump Testing Training and Certifications (List applicable ceftifications.)Expiration Date
lncon Lvl 4 11t22t19
ICC Service Tech o8t24119
XX. COMMENTS
Prcvide any additional comments herc.
XVIII. COMMENTS
xtx.vENt I tlaANDIttLrN rtrtNl, DUMr tEOtlNrJ tNrvxMAtluN
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UNDERGROUND STORAGE TANK
SECONDARY CONTAINMENT TESTING REPORT FORM (pagesote)
Manufacturer(s):
fl Manufacturer Guidelines; (Spec/f,
El lndustry Code or Engineering Standard: (Specrin
E Engineered Methodt (Spodfy)
Aftach the tesling procedurcs and alt documenlation required to determine the results,
lncon Lvl 4
ldentify UDC lD from section lllfor each Manufac{urer
more componeots accommodates,these pages may be
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@,,,,,CAL VALLEY EOUIPMENT
CSLB#998733AHAz
A.
B.
MEMBER
I. TNTRODUCTION
Purpose: The pu?ose ofthis standard is to establish a consistent regulatory guide for secondary
containment testing ofunderground storage tank (UST) systems containing hazardous substances.
Scope: This standard applies to the testing ofsecondary containment for all underground tank systems
containing hazardous substances.
The testing shall be conducted using a test procedure that demonstrates that the system p€rforms at least as
well as it did upon installation. These tests shall be performed in accordance with manufacturer's
guidelines or standards. Ifthere are no manufacturer's guidelines or standards, secondary containment
systems must be tested using an applicable method specified in an industry code oi engineering standard. tf
there are no applicable manufactuer's guidelines, industry codes, or engineering standards, a test method
approyed by a state registered professional engineer shall be used.
This standard is intended to consolidate differeut industry testing protocols into one standard. Code
References: Section 2637 Califomia Code of Standards, Titte 23, Division 3, Chapter 16.
Authority: California Health and Safety Code, Chapter 6.7, Secnon 25299.2
II. RESPONSIBILITY
Individuals, Companies and Corporations that are installing underground tanks shall be responsible for
compliance with this standard.
III. GUIDELINES
Before the secondary containment for an underground storage tank system, as defined in Califomia Health
and Safety Code, Chapter 6.7 can be tested, the parfy responsible for the tank must submit a testing
protocol to the regulatory agency for applovat. The party must demonstrate how the regulated tank and
appunenances will be tested in compliance with the Firc Code, Califomia Health and Safety Code, Chaptel
6.7, California Code of Standards (CCR) Title 23, and this standard.
IV. PROCEDURES
It is the responsibility ofthe testing company to provide the test procedure to the regulatory agency with
the test results. The regulatory agency must be notified ofthe secondary containment testing a minimum of
48 hours p or to the test.
The following information must be provided when submitting the secondary containment test procedure:
l. Proofofone or more ofthe following:
a. Primaxy tester is manufacturer trained and has current certification for the test equipment, and
b. Primary tester is a licensed tank installer, or
c. Primary tester possesses a valid California Tank Tester License, or
d. State Contractors License (A Ceneral, C-I0, C-34, C-36, C-61, or D-40).
2. Copy of Califomia UST Service Technician Certifrcation for all Service Technicians that will work
on the facility.
3. Copies ofequipment manufacturers' secondary containment testing protocols.
4. lnformation on the proposed testing equipment. The following information must be provided:
a. Pressure/Vacuum gauges or measuring devices
c.
B.
.CYE
( I ) Manufacturer
(2) Accuracy range
(a) Diat gauges must have an accuracy of 0.5% ofdial span.
O) Dial gauges must have a minimum dial size of 4 inches.
(c) Pressure dial gauges must be glycerin filled and have a range of0 to a
maximum of l5 psig.
(d) Vacuum dial gauges must be glycerin filled and have a range ofO to a
maximum of30 in Hg. Combination gauges are not acceptable.
(e) Digital gauges must have an accuracy of0.5% ofscale.
(0 Digital gauges must read pressure to 0.01 psig.
(g) All gauges must be calibrated at least every six months, with a
calibration slicker attached to each gauge.
(3) Last calibration date.
b. Pressure/vacuum pumps/vacuums
(1) Manufucturer
(2) Power Source (ifelectric, proofofClass l, Division I, Croup C/D hazard)
5. Method ofdisposal for all cleaning, rinse and testing water.
6. Manufacturer's information on all repair material expected to be used at the site. The material
must be compatibl€ with the underground storage tank system components, and compatible with
the hazaxdous substance stored in the tank system.
C. Ifa manufacturer's test protocol is not available for any component ofa secondary containment system, the
following testing procedures should be used:
I . Tank
a. The tank interstitial space shall be tested through placing a vacuum. The vacuum shall be
set at l0 inches of mercury, and hold for a minimum of60 minutes. The vacuum must
not decrease in the hour to achieve a pass.
(l) For tanks 20,000 gallons or more, a 120-minute test shall be performed.
(2) Ifthe tank does not maintain the vacuum, the contractor can re-test the
interstitial space. [fthe tank fails the second test, the secondary containment
must be considered not liquid tight. Repairs shall be made by the tank
manu facturer or authorized representative.
2. Piping System
a. Secondary containment piping shall be tested in the following manner:
(1) An inert gas shall be used (examples are commercial grade nitrogen, argon or
helium).
(2) The secondary containment shall be made airtight with €ither the rubber test boot
or fiberglass test fitting installed at time ofinstallation (ifthe test boot is missing
or damaged, an approved replacement test boot or fiberglass test fitting can be installed).
(3) The piping shall be pressured to 5 psig, allowed to balance for l5 minutes, then
tested for 60 minutes.
(4) To pass the test, the piping must be at 5 psig after the 60 minute test interval.
The gauge dial or readout must not d€crease from the initial settirg. Ifthe
piping does not pass, the contractor can verifo all clamps are tight, and re-test
the piping. lfthe piping fails the second test, the secondary containment must be
considered not liquid tight. The piping must be repaired using the piping
manufacturers repair procedures.
3. Turbine/piping, fill, and dispenser containment sumps
a. The tubine/piping, fill, and dispenser containment sumps shall be tested in the following
manner:
(l) The sump must be free of dirt, petroleum products and debris funse water must
be properly handled and disposed in accordance with State and local
requirements.
(2) Place test fluid in the sump, a minimum of2 inches above the highest piping
penetration. (Place test fluid in the Iill sumps with a minimum of2 inches above the
sump collar.)
D.
(a) Piping includes all pipes that could contain the underground storage tank product,
including primary/secondary product piping, vent piping, vapor recovery piping and
siphon piping.
(b) It is strongly recommended to fill the sump to a minimum of2 inches above all
penetrations, including all electrical penetrations aboye the piping penetrations.
(3) After the test fluid has settled for 30 minutes, measure the test fluid level using
test equipment with an accuracy of+ 0.002 inches
(4) The test must demonstate no observable loss at the end of2 (two) l5 minute
test intervals. Ifthe sump does not pass the test, the contractor may re-inspect
tie sump penetrations, tighten clamps and repair possible minor leaks (see
Repairs), and retest. Ifafter the second series oftests, the sump did not pass, the
secondary containment must be considered not liquid tight. The sump must be
repaired using the sump manufacturers repair procedures.
4. Ifnecessary, the monitoring system can be de-activated to allow for testing. Technicians
authorized to work on the monitoring equipmert shall only pedorm the deactivation. Whenever
possible, the monitoring system should remain in service, with sensors placed above liquid levels.
Repairs
l. All repairs, including minor "fixes", must be approved by the regulatory agency. Some
repairs will require a permit. Please be advised that permits fiom other agencies, (i.e., Fire
Department, APCD, etc.) may be required.
2. All repairs shall be conducted in accordance with the manufacturer's recommendations for long term
repairs. Methods for all repairs should consider the expected lifetime ofthe system.
3. A qualified person(s) must perform repairs as soon as possible.
4. All material used shall be compatible with the product being stored.
5. All repairs identified as requiring a permit shall have a permit issued before initiation ofrepair work.
Report
l. A report documenting the secondary containment testing must be submitted (mailed or e-mailed)
to the regulatory agency within thirty (30) days upon completing the test.
2. The form developed by lhe State Water Resources Conhol Board, shall be used.
E.