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HomeMy WebLinkAbout2024 FMCIMPACT 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: 7/5/2024 BAKERSFIELD FIRE DEPARTMENT OFFICE OF ENVIRONMENTAL SERVICES INSPECTOR KRIS KARNS 1501 TRUXTUN AVE. BAKERSFIELD, CA 93301 Test Date: 6/11/2024 Order Number: 3468261 Dear Regulator, Enclosed are the results of recent testing performed at the following facility: 7-ELEVEN 38654 3130 24TH ST 24TH ST AND OAK ST BAKERSFIELD, CA 93301 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:3468261 Date:6/11/2024 Site Name / ID:7-ELEVEN 38654 / 38654 Address:3130 24TH ST 24TH ST AND OAK ST City:BAKERSFIELD State:CA Zip:93301 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 T 1:RUL RUL 1 3 Existing Mechanical Vaporless LD-2000 20011288 25.00 189.0 3.00 25.00 380.00 16 10 Pass T 2 :PUL PUL 1 3 Existing Mechanical Vaporless LD-2000 20011289 27.00 189.0 3.00 27.00 165.00 18 9 Pass T 3: DSL DIESEL2 1 3 Existing Mechanical Vaporless LD-2000 20011290 28.00 189.0 3.00 28.00 315.00 17 3 Pass Technician Comments: ADJUSTED 87 LEAK DETECTOR Technician Name:Edwin Pineda Certification #:2344 Technician Signature:Expire Date:12/2/2024 Environmental Compliance for Petroleum Systems © 2024 Tanknology Inc., Austin, TX. All rights reserved. tanknology.com Impact Valve Inspection Impact Valve Operational Inspection Work Order:3468261 Date:6/11/2024 Site Name/ID:7-ELEVEN 38654 Address:3130 24TH ST 24TH ST AND OAK ST City:BAKERSFIELD State:CA Zip:93301 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:Edwin Pineda Signature: Environmental Compliance for Petroleum Systems ©2024 Tanknology Inc., Austin, TX. All rights reserved. tanknology.com Tanknology, Inc.800-964-1250 11000 N Mopac Expy #500 Austin, Tx 78759 Edwin Pineda 10836484 06/11/2024 7-ELEVEN 38654 3130 24TH ST 24TH ST AND OAK ST BAKERSFIELD 93301 Class A General Engineering 743160 8373052 05/24/2025 12/05/2024 12/02/2024 06/11/2024 6 Veeder Root:ATG Technician (B37453) VMI:TLDT-5000 Tester (2344) Veeder Root TLS-350R 335.00 L1 RUL ANNULAR L2 L3 RUL STP L4 L5 L6 L7 DSL FILL L8 L9 VENT BOX L10 L11 L12 UDC 5-6 L13 UDC 7-8 L14 UDC 9-10 L15 UDC 11-12 S9 RUL PRODUCT LINE S10 RUL SUMPS S11 VAPOR-RNT-UDC'S S12 S13 PUL SUMPS S14 VENT LINE-BOX S15 DSL PRODUCT LINE S16 DSL SUMPS DSL VENT LINES17 794380-303 RUL FVR PUL-DSL ANNULAR PUL FVR PUL STP DSL STP UDC 1-2 UDC 3-4 PUL PRODUCT LINE 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 857280-100 857280-100 857280-100 857280-100 857280-100 857280-100 857280-100 857280-100 857280-100 T1 RUL T1 REGULAR T2 PUL T3 DSL T3 DIESEL Vaporless LD-2000 T2 PREMIUMVaporless LD-2000 Vaporless LD-2000 87 LEAK DETECTOR WAS ADJUSTED IN ORDER TO PASS THE TEST. 06/11/2024 10836484 06/11/2024 7-ELEVEN 38654 3130 24TH ST 24TH ST AND OAK ST BAKERSFIELD 93301 Tanknology, Inc.800-964-1250 11000 N Mopac Expy #500 Austin, TX 78759 Edwin Pineda 743160 8373052 05/24/2025 12/07/2024 PEI-1200 HYDROSTATIC OPW SPILL BUCKETS 06/11/2024 2 OPW:EVR Phase 1 T1 RUL T2 PUL T3 DSL 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 38654 Date of Testing: 6/11/2024 Facility Address: 3130 24TH ST 24TH ST AND OAK ST, BAKERSFIELD, CA 93301 Facility Contact:Phone: 661-426-0568 Date Local Agency Was Notified of Testing: Name of Local Agency Inspector (if present during testing): LUKE 2. TESTING CONTRACTOR INFORMATION Company Name: TANKNOLOGY INC. Technician Conducting Test: Edwin Pineda 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 T 1:RUL RUL - Fill 1 - Direct - Below Grade in containment sump Direct Bury Contained in Sump 12.00 16.00 10 min 09:00:00 15.00 in. H20 10:00:00 15.00 in. H20 1 hr 0.00 in. H20 +/- 0.00 Pass Spill Box # Tank T 2:PUL PUL - Fill 1 - Direct - Below Grade in containment sump Direct Bury Contained in Sump 12.00 16.00 10 min 09:00:00 15.00 in. H20 10:00:00 15.00 in. H20 1 hr 0.00 in. H20 +/- 0.00 Pass Spill Box # Tank T 3: DSL DIESEL2 - Fill 1 - Direct - Below Grade in containment sump Direct Bury Contained in Sump 12.00 16.00 10 min 09:00:00 15.00 in. H20 10:00:00 15.00 in. H20 1 hr 0.00 in. H20 +/- 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:6/11/2024 1State laws and regulations do not currently require testing to be performed by a qualified contractor. However, local requirements may be more stringent. WO: 3468261 Site Diagram (This site diagram is for reference only and is not drawn to scale) Work Order:3468261 Site ID / Name:38654 / 7-ELEVEN 38654 Address:3130 24TH ST 24TH ST AND OAK ST City:BAKERSFIELD State:CA Zip:93301