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HomeMy WebLinkAboutFMC 2024E-STOP INSPECTION 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: 10/17/2024 BAKERSFIELD FIRE DEPARTMENT OFFICE OF ENVIRONMENTAL SERVICES INSPECTOR KRIS KARNS 1501 TRUXTUN AVE. BAKERSFIELD, CA 93301 Test Date: 10/7/2024 Order Number: 3468263 Dear Regulator, Enclosed are the results of recent testing performed at the following facility: 7-ELEVEN #22150 4012 WHITE LN 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:3468263 Date:10/7/2024 Site Name / ID:7-ELEVEN #22150 / 22150 Address:4012 WHITE LN 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 87 UNLEADED 1 11 Existing Mechanical Vaporless LD-2000 20081275 36.00 189.0 3.00 36.00 210.00 23 5 Pass T2 91 PREMIUM 1 11 Existing Mechanical Vaporless LD-2000 37.00 189.0 3.00 25.00 300.00 20 3 Pass T3 DSL Diesel 1 11 Existing Mechanical Vaporless LD-2000 31.00 189.0 3.00 30.00 140.00 25 2 Pass Technician Comments: Adjusted 91 and 87 leak detectors 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:3468263 Date:10/7/2024 Site Name/ID:7-ELEVEN #22150 Address:4012 WHITE LN 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 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 10461655 10/07/2024 7-ELEVEN #22150 4012 WHITE LN BAKERSFIELD 93309 Class A General Engineering 743160 8373052 05/24/2025 12/05/2024 12/02/2024 06/05/2079 10/07/2024 6 Veeder Root:ATG Technician (B37453) VMI:TLDT-5000 Tester (2344) PEI:RP1200 (None) Veeder Root TLS-350 336.02 L1 87 ANNULAR L2 L3 87 FILL L4 L5 L6 L7 DSL STP L8 L9 UDC 1-2 L10 L11 L12 UDC 7-8 L13 UDC 9-10 L14 UDC 11-12 L15 VENT SUMP S9 VPR-UDCS S10 87 SUMPS S11 87 PRODUCTS S12 S13 91 SUMPS S14 91 PRODUCT S15 DSL VENT S16 DSL SUMPS DSL PRODUCTS17 794380-303 87 STP DSL/91 ANNULAR 91 STP 91 FILL DSL FILL UDC 3-4 UDC 5-6 VENT BOX 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 87 87 T2 91 T3 DSL DIESEL Vaporless LD-2000 91Vaporless LD-2000 Vaporless LD-2000 87 AND 91 LEAK DETECTORS WERE ADJUSTED IN ORDER TO PASS THE TEST, 10/07/2024 10461655 10/07/2024 7-ELEVEN #22150 4012 WHITE LN BAKERSFIELD 93309 Tanknology, Inc.800-964-1250 11000 N Mopac Expy #500 Austin, TX 78759 Edwin Pineda 743160 8373052 05/24/2025 12/05/2024 12/07/2024 06/05/2079 PEI:RP1200 SPILL BUCKETS 10/07/2024 2 Veeder Root:ATG Technician OPW:EVR Phase 1 PEI:RP1200 87 91 DIESEL 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 #22150 Date of Testing: 10/7/2024 Facility Address: 4012 WHITE LN , BAKERSFIELD, CA 93309 Facility Contact: MANAGER Phone: 661-834-8565 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 87 UNLEADED - Fill 1 - Direct - Below Grade in containment sump Direct Bury Contained in Sump 12.00 15.00 10 min 09:15:00 14.00 in. H20 10:15:00 14.00 in. H20 1 hr 0.00 in. H20 +/- 0.00 Pass Spill Box # Tank T2 91 PREMIUM - Fill 1 - Direct - Below Grade in containment sump Direct Bury Contained in Sump 12.00 15.00 10 min 09:15:00 14.00 in. H20 10:15:00 14.00 in. H20 1 hr 0.00 in. H20 +/- 0.00 Pass Spill Box # Tank T3 DSL Diesel - Fill 1 - Direct - Grade level in containment sump Direct Bury Contained in Sump 12.00 15.00 10 min 09:15:00 14.00 in. H20 10:15:00 14.00 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:10/7/2024 1State laws and regulations do not currently require testing to be performed by a qualified contractor. However, local requirements may be more stringent. WO: 3468263 Emergency Stop (E-Stop / ESO) Periodic Inspection Facility Information Technician Information Site #: 7-ELEVEN #22150 22150 Date: 10/7/2024 Address: 4012 WHITE LN Name: Edwin Pineda City / State: BAKERSFIELD CA Technician Signature: The objective of this test is to provide assurance that the when the E-Stop switch is activated, all the fueling system circuits (turbines, and dispensers) are de-energized, and remain de-energized until they are re-set manually). The test procedures and guidelines shall be in accordance with the E-Stop Testing Process. SITE DATA 1 Number of E-Stop switches INSIDE of the building: 1 2 Number of E-Stop switches OUTSIDE of the building: 1 PERFORMANCE DATA Yes No NA 3 You have added or confirmed that all E-Stop locations are on the Site Diagram 4 Do all E-Stops shutdown power to ALL DISPENSERS 5 Do all E-Stops shutdown power to ALL STP's 6 Are ALL E-Stops clearly Labeled 7 Are the TURBINE BREAKERS clearly identified / labeled POST TEST 8 All equipment secured and any access ports, lids, enclosures are closed. 9 All safety barricades and test equipment has been properly removed 10 E-Stop was reset and all dispensing functions are normal E-Stop Inspection Results 11 PASS FAIL INCONCLUSIVE Comments (Clearly describe any deficiencies found) WO: 3468263 Site Diagram (This site diagram is for reference only and is not drawn to scale) Work Order:3468263 Site ID / Name:22150 / 7-ELEVEN #22150 Address:4012 WHITE LN City:BAKERSFIELD State:CA Zip:93309