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HomeMy WebLinkAboutFMC 2022IMPACT VALVE LEAK DETECTOR MONITOR CERTIFICATION SPILL BUCKET TEST 11000 N. MoPac Expressway, Suite 500 Austin, Texas 78759 Phone: (512) 451-6334 Fax: (512) 459-1459 Date Printed and Mailed: 10/6/2022 BAKERSFIELD FIRE DEPARTMENT OFFICE OF ENVIRONMENTAL SERVICES INSPECTOR KRIS KARNS 1501 TRUXTUN AVE. BAKERSFIELD, CA 93301 Test Date: 10/3/2022 Order Number: 3457895 Dear Regulator, Enclosed are the results of recent testing performed at the following facility: 7-ELEVEN #22150 4012 WHITE LN BAKERSFIELD, CA 93309 In an effort to keep all our record keeping and reporting requirements as current as possible, Tanknology kindly requests you notify Dawn Kohlmeyer in writing at dkohlmeyer@tanknology.com when your CUPA requires all records to be submitted electronically via the CERS database. Your assistance in this endeavor is greatly appreciated. Testing performed: Sincerely, Dawn Kohlmeyer Manager, Field Reporting LDT 5000 Field Test Apparatus Line Leak Detector Test Page 1 of 1 Work Order:3457895 Date:10/3/2022 Site Name / ID:7-ELEVEN #22150 / 22150 Address:4012 WHITE LN City:BAKERSFIELD State:CA Zip:93309 Tank ID Product Product Line Tested From Existing/New Mechanical/Electronic Manufacturer/Model Serial No. Pump Operating Pressure (psi) Calibrated Leak (ml/min) Calibrated Leak (gph) Holding PSI *N/A for Electronic LD's Resiliency (ml) *N/A for Electronic LD's Metering PSI *N/A for Electronic LD's Opening Time (sec) *N/A for Electronic LD's Test Results T1 87 UNLEADED 1 3 Existing Mechanical Vaporless LD-2000 Unreadable 38.00 189.0 3.00 38.00 200.00 0 0 Fail T1 87 UNLEADED 1 3 Replacement Mechanical Vaporless LD-2000 20081275 40.00 189.0 3.00 40.00 210.00 20 5 Pass T2 91 PREMIUM 1 3 Existing Mechanical Vaporless LD-2000 n/a 36.00 189.0 3.00 30.00 80.00 21 3 Pass T3 DSL Diesel 1 3 Existing Mechanical Vaporless LD-2000 n/a 30.00 189.0 3.00 30.00 390.00 18 2 Pass Technician Comments: Technician Name:Patrick Pfrang Certification #:44637 Technician Signature:Expire Date:3/9/2025 Environmental Compliance for Petroleum Systems © 2022 Tanknology Inc., Austin, TX. All rights reserved. tanknology.com Impact Valve Inspection Impact Valve Operational Inspection Work Order:3457895 Date:10/3/2022 Site Name/ID:7-ELEVEN #22150 Address:4012 WHITE LN City:BAKERSFIELD State:CA Zip:93309 How Inspected: Line Test NFPA 30A PEI RP1200 Other Dispenser Number Grade Secure Mount? Valve Lock?Pass/ Fail Comments 1/2 87 Pass Fail Not Tested 1/2 91 Pass Fail Not Tested 3/4 40 Pass Fail Not Tested 3/4 87 Pass Fail Not Tested 3/4 91 Pass Fail Not Tested 5/6 87 Pass Fail Not Tested 5/6 91 Pass Fail Not Tested 7/8 87 Pass Fail Not Tested 7/8 91 Pass Fail Not Tested 9/10 87 Pass Fail Not Tested 9/10 91 Pass Fail Not Tested 11/12 40 Pass Fail Not Tested 11/12 87 Pass Fail Not Tested 11/12 91 Pass Fail Not Tested Technician Comments: Technician Name:Patrick Pfrang Signature: Environmental Compliance for Petroleum Systems ©2022 Tanknology Inc., Austin, TX. All rights reserved. tanknology.com Tanknology, Inc.800-964-1250 11000 N Mopac Expy #500 Austin, Tx 78759 Patrick Pfrang 10461655 10/03/2022 7-ELEVEN #22150 4012 WHITE LN BAKERSFIELD 93309 Class A General Engineering 743160 8202676 02/03/2023 08/27/2023 11/02/2022 10/03/2022 6 Veeder Root:ATG Technician (A29052) VMI:TLDT-5000 Tester (1314) Veeder Root TLS-350 336.02 L1 Annular L2 L3 87 Fill L4 L5 L6 L7 DSL STP L8 L9 UDC 1-2 L10 L11 L12 UDC 7-8 L13 UDC 9-10 L14 UDC 11-12 L15 Vent sump s9 VPR-UDCS s10 87 Sumps s11 87 Product s12 s13 91 Sumps s14 91 Product s15 DSL Vent s16 DSL Sumps DSL Products17 794380-303 87 STP DSL-91 Annular 91 STP 91 Fill DSL Fill UDC 3-4 UDC 5-6 Vent box 794380-208 794380-208 794380-303 794380-208 794380-208 794380-208 794380-208 794380-208 794380-208 794380-208 794380-208 794380-208 794380-208 794380-208 330020-485 330020-485 330020-485 330020-485 330020-485 330020-485 330020-485 330020-485 330020-485 T1 87 T2 T3 Diesel Vaporless LD-2000 91Vaporless LD-2000 Vaporless LD-2000 Failed and replaced the T1 87 LD2000 leak detector. Corrected programming on the Veeder Root. Was not programmed for sensor out shut down. 10/03/2022 10461655 10/03/2022 7-ELEVEN #22150 4012 WHITE LN BAKERSFIELD 93309 Tanknology, Inc.800-964-1250 11000 N Mopac Expy #500 Austin, TX 78759 Patrick Pfrang 743160 8202676 02/03/2023 04/02/2023 PEI RP1200 Fill buckets 10/03/2022 2 OPW:EVR Phase 1 T1 87 Fill T2 91 Fill T3 DSL Fill OPW OPW OPW SWRCB, January 2006 Spill Bucket Testing Report Form This form is intended for use by contractors performing annual testing of UST spill containment structures. The completed form and printouts from tests (if applicable), should be provided to the facility owner/operator for submittal to the local regulatory agency. 1. FACILITY INFORMATION Facility Name: 7-ELEVEN #22150 Date of Testing: 10/3/2022 Facility Address: 4012 WHITE LN , BAKERSFIELD, CA 93309 Facility Contact: MANAGER Phone: 661-834-8565 Date Local Agency Was Notified of Testing: 9/9/2022 Name of Local Agency Inspector (if present during testing): Peter Armagost 2. TESTING CONTRACTOR INFORMATION Company Name: TANKNOLOGY INC. Technician Conducting Test: Patrick Pfrang Credentials1: CSLB Contractor ICC Service Tech. SWRCB Tank Tester Other (Specify) License Number(s): 743160 3. SPILL BUCKET TESTING INFORMATION Test Method Used By: Hydrostatic Vacuum Other Test Equipment Used: LAKE TEST Equipment Resolution: 0.0625 in. Identify Spill Bucket (By Tank Number, Stored Product, etc.) Bucket Installation Type: Bucket Diameter: Bucket Depth: Wait time between applying vacuum/water and start of test Test Start Time (TI): Initial Reading (RI): Test End Time(TF): Final Reading (RF): Test Duration(TF–TI): Change in Reading (RF–RI) : Pass/Fail Threshold or Criteria: Test Result: Spill Box # Tank T1 87 UNLEADED - Fill 1 - Direct - Below Grade in containment sump Direct Bury Contained in Sump 12.00 15.00 15 min 09:08:00 13.50 in. 10:08:00 13.50 in. 1 hr 0.00 in. +/- 0.00 Pass Spill Box # Tank T2 91 PREMIUM - Fill 1 - Direct - Below Grade in containment sump Direct Bury Contained in Sump 12.00 15.00 15 min 09:08:00 13.50 in. 10:08:00 13.50 in. 1 hr 0.00 in. +/- 0.00 Pass Spill Box # Tank T3 DSL Diesel - Fill 1 - Direct - Grade level in containment sump Direct Bury Contained in Sump 12.00 15.00 15 min 09:08:00 13.50 in. 10:08:00 13.50 in. 1 hr 0.00 in. +/- 0.00 Pass Spill Box # Direct Bury Contained in Sump min +/- Comments - (include information on repairs made prior to testing, and recommended follow-up for failed tests) CERTIFICATION OF TECHNICIAN RESPONSIBLE FOR CONDUCTING THIS TESTING I hereby certify that all the information contained in this report is true, accurate, and in full compliance with legal requirements. Technician's Signature:Date:10/3/2022 1State laws and regulations do not currently require testing to be performed by a qualified contractor. However, local requirements may be more stringent. WO: 3457895 Site Diagram (This site diagram is for reference only and is not drawn to scale) Work Order:3457895 Site ID / Name:22150 / 7-ELEVEN #22150 Address:4012 WHITE LN City:BAKERSFIELD State:CA Zip:93309 W.O.# SC1-3457895 ATG tapes W.O.# SC1-3457895 W.O.# SC1-3457895 Test Duration Test Pressure P/F Threshold Tank Annular - Vacuum 1 hr, 20k or less tank 10" hg 0 loss, int dry before and after test Tank Annular - Vacuum 2 hr, >20k tank 10" hg 0 loss, int dry before and after test Line Annular - Pressure 1 hr 5 psi 0 loss STP Sump - Hydro 1 hr 4" above highest penetration or sidewall seam less than 1/8" over hour, settle time of 15 minutes minimum prior to starting the test UDC Sump - Hydro 1 hr 4" above highest penetration or sidewall seam less than 1/8" over hour, settle time of 15 minutes minimum prior to starting the test Spill Bucket - SW Vac 1 min 30" wc no greater than 4" wc vaccum decay - bucket must be dry Spill Bucket - SW Hydro 1 hr within 1.5" of top of the bucket less than 1/8" over hour, settle time of 5 minutest minimum prior to starting the test Spill Bucket - DW Vac 1 min 15" wc no greater than 3" wc vaccum decay - int must be dry