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Home My WebLink About2021 SB989 Appendix VII Underground Storage Tank Secondary Containment Testing Report Form CERS = California Environmental Reporting System, ICC = International Code Council, ID = Identification, NA = Not Applicable, UDC = Under-Dispenser Containment, Page 1 of 5 TYPE OF ACTION ☐ Installation ☐ Repair ☐ 6 Month X 36 Month CERS ID 10132174 Test Date 6/15/2021 Facility Name ARCO Fst Facility Address 2301 F Street City Bakersfield ZIP Code 93301 Company Performing the Test Advanced Compliance Phone 6617064321 Mailing Address 4007 Brae Burn Dr Bakersfield Ca 93306 Service Technician Performing Test Bradley Hinsley Contractor/Tank Tester License Number 971259 ICC Number 8373948 ICC Expiration Date 8/9/2023 Manufacturer and Test Equipment Training Certifications Expiration Date ICC Service Techican 8/9/2023 INCON STS 10/9/2021 Test Procedures Used Components Tested PEI/RP1200-19 Sect. 4. Tank Annular PEI/RP1200-19 Sect. 5. Line Secondary PEI/RP1200-19 Sect. 6. Containment Sump I hereby certify that the secondary containment was tested in accordance with California Code of Regulations, title 23, division 3, chapter 16, section 2637; that required supporting documentation is attached; and all information contained herein is accurate. I understand that test procedures shall be made available upon request by the governing authority. Service Technician Signature Date 6/15/2021 Total # of Pages 1. FACILITY INFORMATION 2. SERVICE TECHNICIAN INFORMATION 3. TRAINING AND CERTIFICATIONS 4. TEST PROCEDURE INFORMATION 5. CERTIFICATION BY SERVICE TECHNICIAN CONDUCTING TEST Underground Storage Tank Secondary Containment Testing Report Form All tests marked “Fail” and any repairs made before or during the tightness test must be described in the COMMENTS section. Page 2 of 5 Test Method Developed by ☐ Manufacturer ☐ Industry Standard X Professional Engineer Test Type ☐ Pressure X Vacuum ☐ Hydrostatic Test Equipment Used: Tank Annular Testing Setup Tank ID 87Q 872 91 Tank Manufacturer Unknown Unknown Unknown Tank Capacity 19,703 10,369 10,369 Test Start Time 08:35 09:03 09:03 Initial Reading -10 InHg -10 InHg -10 InHg Test End Time 09:35 10:03 10:03 Final Reading -10 InHg -10 InHg -10 InHg Change in Reading 0.0 InHg 0.0 InHg 0.0 InHg Pass/Fail Criteria +/- 0.0 InHg +/- 0.0 InHg +/- 0.0 InHg Tightness Test Results X Pass ☐ Fail X Pass ☐ Fail X Pass ☐ Fail ☐ Pass ☐ Fail Test Method Developed by ☐ Manufacturer ☐ Industry Standard X Professional Engineer Test Type X Pressure ☐ Vacuum ☐ Hydrostatic Test Equipment Used: Piping Secondary Testing Setup Pipe Run ID 87 Q 872 91 Pipe Manufacturer Unknown Unknown Unknown Test Start Time 08:33 08:48 09:15 Initial Reading 5.0 PSI 5.0 PSI 5.0 PSI Test End Time 09:33 08:48 10:15 Final Reading 5.0 PSI 5.0 PSI 5.0 PSI Change in Reading 0.0 PSI 0.0 PSI 0.0 PSI Pass/Fail Criteria +/- 0.0 PSI +/- 0.0 PSI +/- 0.0 PSI Tightness Test Results X Pass ☐ Fail X Pass ☐ Fail X Pass ☐ Fail ☐ Pass ☐ Fail Pipe Run ID Pipe Manufacturer Test Start Time Initial Reading Test End Time Final Reading Change in Reading Pass/Fail Criteria Tightness Test Results ☐ Pass ☐ Fail ☐ Pass ☐ Fail ☐ Pass ☐ Fail ☐ Pass ☐ Fail Additional copies of this page may be attached. 6. TANK SECONDARY CONTAINMENT TEST 7. PIPE SECONDARY CONTAINMENT TEST Underground Storage Tank Secondary Containment Testing Report Form All tests marked “Fail” and any repairs made before or during the tightness test must be described in the COMMENTS section. Page 3 of 5 Test Method Developed by ☐ Manufacturer ☐ Industry Standard X Professional Engineer Test Type ☐ Pressure ☐ Vacuum X Hydrostatic Test Equipment Used: INCON STS Sump/UDC ID 87 Q STP 872 STP 91 STP UDC 1/2 Sump Manufacturer Unknown Unknown Unknown Unknown Sump Depth (inches) 74 In 74 In 74 In 50 In Sump Bottom to Top of Highest Pipe Penetration (inches) 49 In 47 In 47 In 28 In Test Start Time 09:04 09:39 10:19 14:03 Initial Reading 5.4765 4.5292 1.3657 6.8832 Test End Time 09:19 09:54 10:34 14:18 Final Reading 5.4751 4.5287 1.3643 6.8823 Change in Reading 0.0015 0.0005 0.0014 0.0009 Pass/Fail Criteria +/- 0.0020 +/- 0.0020 +/- 0.0020 +/- 0.0020 Tightness Test Results X Pass ☐ Fail X Pass ☐ Fail X Pass ☐ Fail X Pass ☐ Fail Sump/UDC ID UCD 3/4 UDC 5/6 UDC 7/8 UDC 9/10 Sump Manufacturer Unknown Unknown Unknown Unknown Sump Depth (inches) 50 In 50 In 50 In 50 In Sump Bottom to Top of Highest Pipe Penetration (inches) 28 In 28 In 28 In 28 In Test Start Time 14:27 12:14 Visible 14:03 Initial Reading 6.2096 7.1562 Failure 7.8174 Test End Time 14:42 12:29 N/A 14:18 Final Reading 6.2096 7.1549 N/A 7.8172 Change in Reading 0.0000 0.0013 N/A 0.0002 Pass/Fail Criteria +/- 0.0020 +/- 0.0020 +/- 0.0020 +/- 0.0020 Tightness Test Results X Pass ☐ Fail X Pass ☐ Fail ☐ Pass X Fail X Pass ☐ Fail Additional copies of this page may be attached. 8. SUMP/UDC TEST Underground Storage Tank Secondary Containment Testing Report Form All tests marked “Fail” and any repairs made before or during the tightness test must be described in the COMMENTS section. Page 4 of 5 Test Method Developed by ☐ Manufacturer ☐ Industry Standard X Professional Engineer Test Type ☐ Pressure ☐ Vacuum X Hydrostatic Test Equipment Used: INCON STS Sump/UDC ID UDC 11/12 UDC 13/14 UDC 15/16 Sump Manufacturer Unknown Unknown Unknown Sump Depth (inches) 50 In 50 In 50 In Sump Bottom to Top of Highest Pipe Penetration (inches) 28 In 28 In 28 In Test Start Time 14:27 12:14 12:37 Initial Reading 7.7858 6.4464 5.2744 Test End Time 14:42 12:29 12:52 Final Reading 7.7858 6.4445 5.2729 Change in Reading 0.0000 0.0019 0.0015 Pass/Fail Criteria +/- 0.0020 +/- 0.0020 +/- 0.0020 Tightness Test Results X Pass ☐ Fail X Pass ☐ Fail X Pass ☐ Fail ☐ Pass ☐ Fail Sump/UDC ID Sump Manufacturer Sump Depth (inches) Sump Bottom to Top of Highest Pipe Penetration (inches) Test Start Time Initial Reading Test End Time Final Reading Change in Reading Pass/Fail Criteria Tightness Test Results ☐ Pass ☐ Fail ☐ Pass ☐ Fail ☐ Pass ☐ Fail ☐ Pass ☐ Fail Additional copies of this page may be attached. 8. SUMP/UDC TEST (continued) Underground Storage Tank Secondary Containment Testing Report Form All tests marked “Fail” and any repairs made before or during the tightness test must be described in the COMMENTS section. Page 5 of 5 UDC 7/8 was a visible failure. Must be repaired and retested. 9. COMMENTS