HomeMy WebLinkAboutSB989 2023
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
1002403
Test Date
10/31/2023
Facility Name
Chevron
Facility Address
1125 Coffee Rd
City
Bakersfield
ZIP Code
93308
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
8835007
ICC Expiration Date
8/8/2025
Manufacturer and Test Equipment Training Certifications Expiration Date
ICC Service Techican 8/8/2025
INCON STS 10/20/2023
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
10/31/2023
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: Annular Testing Setups
Tank ID 87 91 Diesel
Tank Manufacturer Unknown Unknown Unknown
Tank Capacity 12,022 12,022 12,022
Test Start Time 08:20 08:35 10:30
Initial Reading -10.0 InHg -10.0 InHg -10.0 InHg
Test End Time 09:20 09:35 11:30
Final Reading 0.0 InHg 0.0 InHg 0.0 InHg
Change in Reading 10.0 InHg 10.0 InHg 10.0 InHg
Pass/Fail Criteria +/- 0.0 InHg +/- 0.0 InHg +/- 0.0 InHg
Tightness Test Results ☐ Pass X Fail ☐ Pass X Fail ☐ Pass X Fail ☐ Pass ☐ Fail
Test Method Developed by ☐ Manufacturer ☐ Industry Standard X Professional Engineer
Test Type X Pressure ☐ Vacuum ☐ Hydrostatic
Test Equipment Used: Line Secondary Testing Setups
Pipe Run ID 87 91 Diesel
Pipe Manufacturer Unknown Unknown Unknown
Test Start Time 08:10 08:15 08:20
Initial Reading 5.0 PSI 5.0 PSI 5.0 PSI
Test End Time 09:10 09:15 09:20
Final Reading 2.0 PSI 5.0 PSI 1.0 PSI
Change in Reading 3.0 PSI 0.0 PSI 4.0 PSI
Pass/Fail Criteria +/- 0.0 PSI +/- 0.0 PSI +/- 0.0 PSI
Tightness Test Results ☐ Pass X Fail X Pass ☐ Fail ☐ Pass X 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 STP 91 STP Diesel STP UDC 1/2
Sump Manufacturer Unknown Unknown Unknown Unknown
Sump Depth (inches) 63 In 63 In 63 In 44 In
Sump Bottom to Top of
Highest Pipe Penetration
(inches)
35 In 34 In 34 In 27 In
Test Start Time 12:44 1:14 12:02 12:03
Initial Reading 4.7593 4.4474 5.7532 3.4374
Test End Time 12:59 1:29 12:17 12:19
Final Reading 4.7052 4.4472 5.7508 3.4361
Change in Reading 0.0541 0.0002 0.0024 0.00013
Pass/Fail Criteria +/- 0.0020 +/- 0.0020 +/- 0.0020 +/- 0.0020
Tightness Test Results ☐ Pass X Fail X Pass ☐ Fail ☐ Pass X Fail X Pass ☐ Fail
Sump/UDC ID UDC 3/4 UDC 5/6 UDC 7/8 UDC 9/10
Sump Manufacturer Unknown Unknown Unknown Unknown
Sump Depth (inches) 44 In 44 In 44 In 44 In
Sump Bottom to Top of
Highest Pipe Penetration
(inches)
27 In 27 In 27 In 27 In
Test Start Time 12:03 11:43 11:43 1:39
Initial Reading 7.1031 3.7556 5.1341 5.7480
Test End Time 12:19 11:58 11:58 1:54
Final Reading 6.6147 3.7554 4.6665 5.4470
Change in Reading 0.4884 0.0002 0.4676 0.3010
Pass/Fail Criteria +/- 0.0020 +/- 0.0020 +/- 0.0020 +/- 0.0020
Tightness Test Results ☐ Pass X 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:
Sump/UDC ID UDC 11/12
Sump Manufacturer Unknown
Sump Depth (inches) 44 In
Sump Bottom to Top of
Highest Pipe Penetration
(inches)
27 In
Test Start Time 1:39
Initial Reading 5.9932
Test End Time 1:54
Final Reading 5.7032
Change in Reading 0.2900
Pass/Fail Criteria +/- 0.0020
Tightness Test Results ☐ Pass X Fail ☐ Pass ☐ 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
87 & Diesel lines failed due to torn boots in Disp 1/2(DSL) and 9/10(87).
Annulars failed, suspect heat causing failures.
87 & Diesel STP Sumps, UDC 3/4, 7/8, 9/10 and 11/12 failed.
All failures must be repaired and retested. All else passed.
9. COMMENTS