HomeMy WebLinkAboutELD MAJOR MOD 9-29-2020Providers for MDleak® MSleak® DPleak®, MCleak® and
PHDleak® Testing Technologies
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Test Type:
Facility Name: Job #: 4323
Prepared For: PO #: NA
Site Address:
City: Primary Test Leak Rate: 0.005 gph
State and Zip: CA 93307 Secondary Test Leak Rate: 0.1 gph
Start Date:End Date:
SYSTEM TK-1-DSL
Product Primary MDleak:PASS
Product Secondary:PASS
Vent Primary MDleak:Not Tested
Vent Secondary:Not Tested
VR Primary MDleak:Not Tested
VR Secondary:Not Tested
MCleak ELD Tank:Not Tested
72 Hr. Out of Service:Not Tested
MDleak ELD Tank:Not Tested
Turbine Sump MDleak:Not Tested
Turbine Head MDleak:Not Tested
F/Vapor Sump MDleak:Not Tested
UDC's MDleak:PASS
Fill Bucket MDleak:Not Tested
Vapor Bucket MDleak:Not Tested
Vent Box MDleak:Not Tested
Fill Spill Bucket Hydo:Not Tested
Vapor Bucket Hydro:Not Tested
STP Sump Elect DPleak:Not Tested
Certifying Field Technician: Ricardo Gonzalez State Lic. # :
Certification Leak Rate: 0.005 gph
Certifying Technician Signature: Date:
Statement Confirmed by: Date: 10/1/2020
Office use only
I declare under penalty of perjury that I am a licensed tester in one of the above methods listed by the National
Workgroup on Leak Detection Evaluations (NWGLDE)organization and that the information contained in this report is
true and correct to the best of my knowledge.
If you have any questions on the testing please do not hesitate to call. @ 855-255-5325.
04-1695
This is a statement to confirm that the components listed above,at the time of testing,have been tested to a leak
sensitivity listed above by using one or more of the following DPleak®,MDleak®,MCleak and PHDleak®EPA aproved
Methods.These Methods are the most versatile and comprehensive testing procedures offered to the petroleum
industry.All petroleum owners and contractors which utilize the DPleak®,MDleak®,MCleak,and PHDleak®Method can
be assured that their facility has passed the Nation's highest standard in preventative leak detection.
9/29/2020
9/29/20209/29/2020
2201 S. Union Ave
Bakersfield
BSSR Inc.
Facility Certification CONFIDENTIAL
California ELD New Construction Test (No Fuel in System)MD/MCleak
Union Village
Providers for MDleak® MSleak® DPleak®, MCleak® and
PHDleak® Testing Technologies
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2201 S. Union Ave Log of Repaired Leak/s
CONFIDENTIAL
TK-1-DSL
Tank Volume:20000
Manufacture:Unknown
Interstice:Unknown
Depth To Tank:Unknown
Tank Dia:Unknown
Depth of Liquid:Unknown
Tank Sump Boots Turbine
5
Gilbarco
OPW
Bravo
Smith
Smith
Fire-Flex
EVR: NA
Reference #Date Time Status System Component Manufacture
None
Reference #Date Time Status System Component Manufacture
None
Log of Repaired Leaks
Log of Unrepaired Leaks
Tank Information
Containment Boots:
Piping Information
Manufacture
Spill Buckets:
Number of Dispensers:
Manufacture:
Shear Valve Manufacture:
Flex:
Product Lines:
Vapor Return / Vent:
UDC/Dispensers Information
Depth to Ground Water:
Manufacture:
Providers for MDleak® MSleak® DPleak®, MCleak® and
PHDleak® Testing Technologies
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2201 S. Union Ave Reference Addendum CONFIDENTIAL
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