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IMPACT 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: 7/26/2024 BAKERSFIELD FIRE DEPARTMENT OFFICE OF ENVIRONMENTAL SERVICES INSPECTOR KRIS KARNS 1501 TRUXTUN AVE. BAKERSFIELD, CA 93301 Test Date: 7/15/2024 Order Number: 3468262 Dear Regulator, Enclosed are the results of recent testing performed at the following facility: 7-ELEVEN 38837 3698 MING AVE 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:3468262 Date:7/15/2024 Site Name / ID:7-ELEVEN 38837 / 38837 Address:3698 MING AVE 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 REGULAR 87 REG UNLEAD 1 2 Existing Mechanical Red Jacket FX1V 412201140 32.00 189.0 3.00 31.00 200.00 9 12 Pass T-2 87 REGULAR 1 2 Existing Mechanical Vaporless LD-2000 20031932 36.00 189.0 2.00 35.00 178.00 12 4 Pass T3 PREMIUM 91 PREMIUM 1 2 Existing Mechanical Vaporless LD-2000 20061231 26.00 189.0 3.00 26.00 175.00 18 12 Pass T4 DIESEL Diesel 1 2 Existing Mechanical Vaporless LD-2000 20031934 32.00 189.0 3.00 32.00 120.00 20 2 Pass Technician Comments: ADJUSTED 91 LEAK DETECTOR IN ORDER TO PASS THE TEST. 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:3468262 Date:7/15/2024 Site Name/ID:7-ELEVEN 38837 Address:3698 MING AVE 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 89 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 89 Pass Fail Not Tested 3/4 91 Pass Fail Not Tested 5/6 87 Pass Fail Not Tested 5/6 89 Pass Fail Not Tested 5/6 91 Pass Fail Not Tested 7/8 40 Pass Fail Not Tested 7/8 87 Pass Fail Not Tested 7/8 89 Pass Fail Not Tested 7/8 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 10131046 07/15/2024 7-ELEVEN 38837 3698 MING AVE BAKERSFIELD 93309 Class A General Engineering 743160 8373052 05/24/2025 12/05/2024 12/02/2024 12/07/2024 07/15/2024 6 Veeder Root:ATG Technician (B37453) VMI:TLDT-5000 Tester (2344) OPW:EVR Phase 1 (100776) Veeder Root TLS-350R 336.02 L1 87 N ANNULAR L2 L3 87N STP L4 L5 L6 L7 91 ANNULAR L8 L9 91 STP L10 L11 L12 DSL STP L13 1-2 L14 3-4 L15 5-6 L16 7-8 L17 VENT SUMP 794380-303 87 N FVR 87S ANNULAR 87S FVR 87S STP 91 FVR DSL ANNULAR DSL FVR 794380-208 794380-208 794380-303 794380-208 794380-208 794380-303 794380-208 794380-208 794380-303 794380-208 794380-208 794380-208 794380-208 794380-208 794380-208 794380-208 T1 T1 87 NORTH T2 T3 T3 91 T4 T4 DSL Red Jacket FX1V T2 87 SOUTHVaporless LD-2000 Vaporless LD-2000 Vaporless LD-2000 ADJUSTED 91 LEAK DETECTOR. 07/15/2024 10131046 07/15/2024 7-ELEVEN 38837 3698 MING AVE BAKERSFIELD 93309 Tanknology, Inc.800-964-1250 11000 N Mopac Expy #500 Austin, TX 78759 Edwin Pineda 743160 8373052 05/24/2025 12/07/2024 06/05/2079 PEI:12000 OPW SPILL BUCKETS. 07/15/2024 2 OPW:EVR Phase 1 PEI:RP1200 87 NORTH 87 SOUTH 91 DIESEL OPW 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 38837 Date of Testing: 7/15/2024 Facility Address: 3698 MING AVE , BAKERSFIELD, CA 93309 Facility Contact:Phone: 661-437-2101 Date Local Agency Was Notified of Testing: Name of Local Agency Inspector (if present during testing): 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 T1 REGULAR 87 REG UNLEAD - Fill 1 - Direct - Grade level in containment sump Direct Bury Contained in Sump 12.00 16.00 10 min 10:20:00 15.00 in. H20 11:20:00 15.00 in. H20 1 hr 0.00 in. H20 +/- 0.00 Pass Spill Box # Tank T-2 87 REGULAR - Fill 1 - Direct - Grade level in containment sump Direct Bury Contained in Sump 12.00 16.00 10 min 10:20:00 15.00 in. H20 11:20:00 15.00 in. H20 1 hr 0.00 in. H20 +/- 0.00 Pass Spill Box # Tank T3 PREMIUM 91 PREMIUM - Fill 1 - Direct - Grade level in containment sump Direct Bury Contained in Sump 12.00 16.00 10 min 10:20:00 15.00 in. H20 11:20:00 15.00 in. H20 1 hr 0.00 in. H20 +/- 0.00 Pass Spill Box # Tank T4 DIESEL Diesel - Fill 1 - Direct - Grade level in containment sump Direct Bury Contained in Sump 12.00 16.00 10 min 10:20:00 15.00 in. H20 11:20:00 15.00 in. H20 1 hr 0.00 in. H20 +/- 0.00 Pass 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:7/15/2024 1State laws and regulations do not currently require testing to be performed by a qualified contractor. However, local requirements may be more stringent. WO: 3468262 Site Diagram (This site diagram is for reference only and is not drawn to scale) Work Order:3468262 Site ID / Name:38837 / 7-ELEVEN 38837 Address:3698 MING AVE City:BAKERSFIELD State:CA Zip:93309