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Home My WebLink About2022 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 10130596 Test Date 9/26/2022 Facility Name Wilson Mobil Facility Address 3620 Wilson Rd City Bakersfield ZIP Code 93309 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 10/5/2023 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 9/26/2022 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 87 91/Diesel Tank Manufacturer Unknown Unknown Tank Capacity 15,023 15,111 Test Start Time 08:10 08:40 Initial Reading -10.00 InHg -10.00 InHg Test End Time 09:10 09:40 Final Reading -10.00 InHg -10.00 InHg Change in Reading 0.0 InHg 0.0 InHg Pass/Fail Criteria +/- 0.0 InHg +/- 0.0 InHg Tightness Test Results X Pass ☐ Fail X Pass ☐ Fail ☐ 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 87-1/2,3/4 87-5/6,7/8 91-1/2,3/4 91-5/6,7/8 Pipe Manufacturer Unknown Unknown Unknown Unknown Test Start Time 08:00 08:05 08:10 08:10 Initial Reading 5.0 PSI 5.0 PSI 5.0 PSI 5.0 PSI Test End Time 09:00 09:05 09:10 09:10 Final Reading 5.0 PSI 5.0 PSI 5.0 PSI 5.0 PSI Change in Reading 0.0 PSI 0.0 PSI 0.0 PSI 0.0 PSI Pass/Fail Criteria +/- 0.0 PSI +/- 0.0 PSI +/- 0.0 PSI +/- 0.0 PSI Tightness Test Results X Pass ☐ Fail X Pass ☐ Fail X Pass ☐ Fail X Pass ☐ Fail Pipe Run ID Diesel-7/8 Pipe Manufacturer Unknown Test Start Time 08:20 Initial Reading 5.0 PSI Test End Time 09:20 Final Reading 5.0 PSI Change in Reading 0.0 PSI Pass/Fail Criteria +/- 0.0 PSI Tightness Test Results X 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 FS 87 STP 91 FS 91 STP Sump Manufacturer Unknown Unknown Unknown Unknown Sump Depth (inches) 40 40 40 40 Sump Bottom to Top of Highest Pipe Penetration (inches) 10 18 10 18 Test Start Time 11:51 10:32 09:44 12:44 Initial Reading 5.8208 4.7398 3.4779 4.4689 Test End Time 12:06 10:48 10:00 12:59 Final Reading 5.8207 4.7390 3.4776 3.9886 Change in Reading 0.0001 0.0002 0.0003 0.4803 Pass/Fail Criteria +/- 0.0020 +/- 0.0020 +/- 0.0020 +/- 0.0020 Tightness Test Results X Pass ☐ Fail X Pass ☐ Fail X Pass ☐ Fail ☐ Pass X Fail Sump/UDC ID Diesel FS Diesel STP UDC 1/2 UDC 3/4 Sump Manufacturer Unknown Unknown Unknown Unknown Sump Depth (inches) 40 40 25 25 Sump Bottom to Top of Highest Pipe Penetration (inches) 10 18 11 11 Test Start Time 10:09 11:51 13:46 Dispenser Initial Reading 4.0036 4.7177 1.6794 Was Test End Time 10:24 12:06 14:01 A Final Reading 4.0028 4.7174 0.0000 Visual Change in Reading 0.0008 0.0003 1.6794 Failure Pass/Fail Criteria +/- 0.0020 +/- 0.0020 +/- 0.0020 +/- 0.0020 Tightness Test Results X Pass ☐ Fail X Pass ☐ Fail ☐ Pass X Fail ☐ Pass X 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 5/6 UDC 7/8 Sump Manufacturer Unknown Unknown Sump Depth (inches) 25 25 Sump Bottom to Top of Highest Pipe Penetration (inches) 11 11 Test Start Time Dispenser 13:46 Initial Reading Was 3.2691 Test End Time A 14:01 Final Reading Visual 2.4906 Change in Reading Failure 0.7785 Pass/Fail Criteria +/- 0.0020 +/- 0.0020 Tightness Test Results ☐ Pass X Fail ☐ Pass X Fail ☐ 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 91 STP and All UDCs failed, must have penetration boots replaced and retested. 9. COMMENTS