HomeMy WebLinkAbout2024 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
5/31/2024
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
8835007
ICC Expiration Date
8/8/2025
Manufacturer and Test Equipment Training Certifications Expiration Date
ICC Service Techican 8/8/2025
INCON STS 10/20/2025
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
5/31/2024
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 87S 87M 91
Tank Manufacturer Unknown Unknown Unknown
Tank Capacity 10,369 19,703 10,369
Test Start Time 11:50 10:05 11:50
Initial Reading -10.00 InHg -10.00 InHg -10.00 InHg
Test End Time 12:50 11:05 12:50
Final Reading -10.00 InHg -10.00 InHg -10.00 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 87S Product 87M Product 91 Product
Pipe Manufacturer Unknown Unknown Unknown
Test Start Time 10:35 10:40 10:38
Initial Reading 5.0 PSI 5.0 PSI 5.0 PSI
Test End Time 11:35 11:40 11:38
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 87M STP 87S STP 91 STP UDC 1/2
Sump Manufacturer Unknown Unknown Unknown Unknown
Sump Depth (inches) 68 68 68 30
Sump Bottom to Top of
Highest Pipe Penetration
(inches)
43 43 44 19
Test Start Time 14:44 13:50 11:52 18:19
Initial Reading 2.1440 2.8628 7.1283 5.6472
Test End Time 14:59 14:05 12:07 18:34
Final Reading 2.1445 2.8619 7.1275 5.1184
Change in Reading 0.0005 0.0009 0.0008 0.5288
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 UDC 3/4 UDC 5/6 UDC 7/8 UDC 9/10
Sump Manufacturer Unknown Unknown Unknown Unknown
Sump Depth (inches) 30 30 30 30
Sump Bottom to Top of
Highest Pipe Penetration
(inches)
19 19 19 19
Test Start Time 16:32 16:32 15:21 17:43
Initial Reading 6.5981 4.5858 3.2301 6.9317
Test End Time 16:48 16:48 15:36 17:59
Final Reading 6.3247 4.5812 3.2311 6.9315
Change in Reading 0.2734 0.0046 0.0010 0.0002
Pass/Fail Criteria +/- 0.0020 +/- 0.0020 +/- 0.0020 +/- 0.0020
Tightness Test Results ☐ Pass X Fail ☐ Pass X Fail X Pass ☐ 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) 30 30 30
Sump Bottom to Top of
Highest Pipe Penetration
(inches)
19 19 19
Test Start Time 17:22 17:43 16:52
Initial Reading 3.5298 3.8550 4.5640
Test End Time 17:37 17:59 17:07
Final Reading 3.5288 3.8549 4.5633
Change in Reading 0.0010 0.0001 0.0007
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
Disp 1/2, 3/4 and 5/6 failed hydrostatic testing, must be repaired and retested.
9. COMMENTS