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HomeMy WebLinkAbout2009 RESULTS..,-`-~ ~" l ~ 3~3\~1~ G~a SWRCB, January 2002 Secondary Containment Testing Report Form Page ~ of ~ This form is lnrendcrd jor use by conJractors perfaming pe~iodic testing of UST secondory contalnmenr .rysrems. Use ~he approprla[e pagcs ojlhis jorm to report results for all components tested The completed form, wriiten -es1 procedures, and prinrou~s from tesrs ~f applica6leJ, should be provided to thefacrlity owner/operaror for submittal to the locol regulalory agenc7. i+ ~/~l'f TTII 7~TE'ATR.( A TiAIU Facili Name: Date of Testing: Z.3 -) ~qN - Facility Address: ~ S C ~~~ ~ ~ Facility Contact: Phone: Date Local Agency Was Notified of Testing : Name of Local Agency laspector ('tf present during testin~: ~..` ,-.~,,..~.,,, . ~m~.., n.~nuw.~ ~ rTnrr Com anyName:RICH ENVIRONMENTAL Technician Conducting Test: Credentials: ~CSLB Licensed Conhactor ~ SWRCB Licensed Tank Tester License Type. C 611 D 9 0 License Number: 8 0 9 8 5 0 Manufacturer anufa¢turer Trainin~ Com onent s Date Trainin Ex ires INCON INCON TS-STS R " I' oZC~ ~_ CiiMMARV nF TFCT Rx CTTI.TC Component Pass Fail ~0~ Tested ~eP81~ M9ds Component Pass Feil Not Tested Repairs M11ade A N O 0 ~ L1 3- 0 ^ r,. A / N ~ 0 ^ ^ ^ L! ~1 0 D C7 ~- 0 ~ C 8~- r l~' D o a ~ Il Su ^ o ~ CJ ~~ ~i o a o F11 D n ~ r~ R1 0 0 o r-~~r o a ~ ~ ~E ~E ~ O Q U / it 0 CJ ~ ^ ~ 0 0 0 c 0 Q I~ ~ 0 ^ ^ $=ff~ V 1~ ^ fJ D ~ ^ ^ ! ~ crc CJ 0 0 D! S L 5 ~t1 O ^ f~ 0 0 C ~ C I-Z ~( ~ 0 0 0 0 C! lf hydrostatic cesting was perfprmed, describe what was done with the water after completion oftests: RECYCLE AND REUSFD CERTYFICATION OF TECFINTCIAN RESPONSi$LE I~'OR CONDUC'CING THIS TESTIIYG Tb t/le besr of my knowledge, Ilte jacls slated !q !h!s documenl are accurole and !h ju(1 compliarrce wiil~ /egul reyuiremenls Tectuiician's Signature: 1-~ Date: 2~- ~RN -O 9 ,~~ ~~~ ~~ SWRCB, January 2002 ~ m~ wrv • wi1~RIT • D TL'CT7TTf~ Pa~e ~ of ~_ _ Tcsc Mechod Dcvciopcd By; 0 Tank ManuPacturcr f~ Industry Standard 0 Profcssional Engincer 0 Other (Spec~) '1'est Metliod Used: O Pressure ~ Vacuum 0 Hydrostatic d Odier (Specify) Test Equipment Used: 4 i n. DI AL GAUGE ' ~ ~' ,'~'y' ,~t ~ r w ;T;`~,;;~~°. •~~~ Tank # ~ ~ Tank li $~f~ CJ/ r.. Equipment Resolution: . 5~ .. - ,~<-~~ Tank # f~IESEL, Taok #1' ~s Tank Exempt From resling?~ ^ Yes ,~Io L] Yes ~No U Yes ,~No 0 Yes C' No 'T'atik Capacity: /p O ~ U Tank Motcrial: T~,~-L Tank Munufacturer: u < Product Srored: ~ Wait cime between applying pressure/vacuum/water and srlnin ~ test: 3~ ~N ~! _ Test Stai~t Time: / Initial Rcadin~ (R~): /~ _ Test End Tune: /j 0 Fiiial Readiog {Rt:); ~ ~c[ /~ Test Duration: / ~~ Change in Reading (RF-Ri): O •O 14~ Q. Pass/Fail l'liresl~old or Crite~ia: ~ ,0 Test Resuli: Pass Fail Pass C] Fai] Pass 0 Fail 0 Pass ^ Fail W ns censor rernoved foc testingl Yes 0 No 0 NA Yes ^ No 0 NA ,~1'es ^ No ^ NA 0 Yes ^ No f~ NA W as sensor properly repEaccd and verified functional after testin ? tuf yes ^ No 0 NA P' ,~Yes Q No O NA ~Yes ~ No 0 NA 0 Yes D No D NA COmmentS -(i.nclude itrforma~ian on rePalrs made prior lo lesting, and recomnrended fo!!ow-up for jai/ed lests) ~ Secondary containment systems where the continuous monitoring automatically monitors botl- the primary and secondary containmeitt, such as systcros that are l~ydrostatically monitored or under constant vacuum, are exempt from periodic containment testing. {California Code of Regulations, Title 23, Section 2637(a}(6)} ~ ~-~ «y sa SWRC$, January 2002 c eL i`nwrn w ov DTDT~ TYi CTTN!_ Page 3 of ~ Test Method Developed 8y: ^ Piping Manufacturer '~Cl Industry Standard 0 Professional ~ngineer ^ Other (Spec~) Test Method Used: ftl Pressurc ^ Vacuum Q i-~ydrostatic d Other (Spec{/'y) TesiEquipmentUsed:4in. DIAL GAL3GE EquipmentltesoEution: .5% ~~~'~ Pipinp Run # Piping Run t! !¢ Piping Run #9/ Piptng Ran N~S~ Piping Material; / SS /g SS Piping Mart~fatturer: ~ Piping Diameter: Z 1 [.ength of Piping Run: -j'~ SO F~ ~ Product Storcd; 1 QI~S L- Method and location of i in -run isolation: f ! ~" B 5 Wait time between applying pressureJvacuum/water and startin tesC ~ TJ Test Start Time: ( / Initial Reading (R~: Test End Time: 5~5 rj / ~ / ~ /l00 ~I"1 Finai Reading (RF): 5 7 S S ~ Test Duration: ( u /~yp~{~2 //fp Change in Reading (RF R,): '~S •O ! Sf Pass~Fail Threshold or Criteria: O.O 6, ~ S 0. S Test Result: Pass 0 Fail ~' Pass ^ Fafl ~' Pass 0 Fail ~[Pass D Fa i! COIrimCnts -(rnclude injormolion on repoirs made prior 1o tes[ing, and recommended follow-up jor jailed testsJ ~3 ~Z~ sa SWRCB, January 2002 L DTDiIUl~ CiSMD TL`CT7Nf_` Page ~t ~ Test Method Developed By: ^ Sump Manufacturer ~ lndustry Standard ^ Professional En~ineer ~ Other (Spec~) Trst Method Used: U Presswe ^ Vacuum kl Hydrostatic ^ Other (Spec~) Test Equipment Used: INCO TS-STS Equipment Resolution: , o0o i n. Sump # g~ Sump q ~` Sump #~'/ Surnp #~SC_ Sump Diameter: ~ I/v 3~ N 7~' /N ~ N s~,~,P n~~,: `1 a N `~-O ~J 4o i Swnp MateriaL• ~ ~f?.~ ~ ~ Hcight from Tanfc Top to Top oF Hi hest Pi in Penatration: 1 Z~ l~ ,~ j~/~ ~T Height from Tank Top to Lowest Elecvical Penetration: l Z , ~Z ~~ ~Z r 1~ ) Z //`~ Coudition of sump prior to testing: ~' ~' L~/~ Ponion of Sump "1'ested~ 2. / / Boes turbine shut down when sump sensor de[eccs liquid (both roduct and water ?~ Yes D No Q NA Yes ^ No ^ i~tA ,~Yes 0 No O NA A ~'Yes 0 No 0 NA Turbine shutdown response time 2 S C, Z S Is system pro~aznmed for fail-safe ShUI~OW11~~ ,pyyes ^ No q NA " ` Yes O No Q NA ~ ,~'es ^ No Q NA ~i(Yes ^ No D NA W a9 fail-safe verified to be o erational? ~es 0 No Q NA ~.Yes D No ^ NA ~Yes 0 No D NA ,~Yes 0 No ~ NA Wait time between applying pressure/vacuum/water and starting -~O M,~ '~ M~N ~j M/N 3~ r~-r!~ Tes~ Scart Time: / 3 7$~ 1'l{0 / IIOOR AM l2 Z lnitial Reading (Ri): `f. • 5 ~i.! 2/ S 1 ~ 1. •~~/3 i Test End Time: Z ~/ / 2(j/ M 12~~ 1! fN1 /25! I~a !l Z+`'~ Final Reading (RF): ~}. S • 5 Si . Zt 5 $ O 3 ~~o/ Tesr Duretion: ^/ /$ Hl ~ ~$ ~ SH I~/ Change in Reading (RF-Ra: ! a • Pass/Fail Threshold or Criteria: ,~ Z 2 ~ ' ~ , ao Test Result: `,~1 Pass D FaU p Fal1 J~Pass Pass 0 Fail Pess 0 Fafl Was sensor removed for testing? Yes D No 0 NA es ^ No ONA }~`Yes ~No QNA ,~'Yes ^T!o 0 NA Was sensor properly replaced and verified functional atter testin ? ~Yes ^ No ^ NA ~,Yes 0 No ^ NA ~Yes ^ No 0 NA ,~Yes [7 No Cl NA CUCIIRIe0t3 -(rnclude inforrnalion on reyuirs made prior ~o ~esting, and recommended jollow-up for farled Jes~s) ' If the entire depth of the sump is not tested, specify how much was tested. lf the answer to ~ of the questions indicated with an astcrisk (~) is "NO" or "NA", the en['ve sump must be tested. {See SWRCS LG-160) ~ ~ ~~~ ~~ S W kiCB, January 2002 ~ ~n.m~u_r~icpxnrcFU rnrrrenv~rF.x~r Rm[`1 TESTING Page ~ of ~ , . .....,....-~....,. .. - - - - Test Method Developed By: 0 UDC Manufacturer ~]ndustry Standard 0 Professional Engineer Q Other (Spec~J Test Method Used: 0 Pressure ^ Vacuum ~ Hydrostatic O Olher (Specify) Test6quipmentUsed: ~NCON TS-STS Equipm~ntResolution: .oooin. UDC # - 2 UDC # - UDC # 5- ~c UDC #'~- $ 'UDC Manufacturcr: U ~ ts~./i/ N ~ UDC Material; / UDC De [h: - 24- t N 'L N Hei~ht from UDC Bottom to Top ofHi hestPi in Penetradon: Z 12 -J 1 Z !N f 2 Height 6~om UDC Bottom to Lowest Elecvical Penctration: // Condicion of UDC prior ~o testin : ~1/E~ c.' IyL~N ~- CC~~~ ~ C~~ Portion of UDC Tested (`r / N `1- 1N `~ ~ ~ /J Does turbine shut down when UDC sensor detects liquid {both roduct and watcr ?~ ~Yes 0 No ^ NA ~S Yes 0 No 0NA ,~ Yes 0 No ~ NA ~dYes ^ No D N~ - Turbine shutdown res onse time Z Zs~ Z ~C lssystemprogrammedforfail- safe shutdown7~ ~Yes 0Tlo ^NA ,~Yes ONo f3NA ,~QYes ONo ONA ,~Yes ^No ONA Was fai I-safe verified to be o erational?~ ~yes 0 No ^ NA ~'es ^~lo ^ NA ~'Yes 0 No ^ NA ,'~'1'es Q No ^ NA W¢it time between applying pressure/vecuum/water and startin test 3 30 ~"~ ~A/ ~~ N ~~ Test Stort T'une; Zp 2i (~ ~ 2t 1~ r•~t 2o r- 2! b 1 fnitial Eteadin Ri : 2.35p Z•35 , 082~ r K Test End Time: 21(o ri 231 yv 2 1 2 '1 2 r7 Final Resdin RF): 2.3Sb 2. 5 3 ~1 / Test Duration: ! f5 N I 1 Chan e in Readin RF-R~ : • do o. . . e Pass/Fail Threshold or Criterie: , o Z z Z ' • Z 2 • Test Result: ~d Pass C1 Fail JS Pass 0 Fail 0 Fai! ,~ Pass ~ Pass 0 Fail Was sensor removed fur testing7 Yes 0 No 0 NA Yes ONo ONA es 0 No ^NA ,~$'Ycs ~No UNA Was sensor properly replaced and verified functional after testin ? yes 0 No O NA ~ .~Y~s O No 0 NA `' ,~1 Yes ^ No ~ NA ,P#Yes Q No C~ NA COmmC11tS -(include rnformation on re~airs mude prior !o lestinR, and recommended jo!!ow-up fur f'ct~%ed fesf~ ~ lf the entire depth of the UDC is not tested, specify how much was tested. If the answer to a~ of the questions indicated with en asterisk (t) is "NO" or "NA", the entire UDC must be tested. (See SWRCB LG-160) :~.~~~~ ~ SWRCB, Jenuary 2002 T rror.~~ nnl-ITA TNMFN7` CTTMT~ 'lTCTTnIC: Page `~`~ of ~` O. ~ LLL ~ivr.a~ ~.va ~ a ra..a ..~ - - -- - Facili is Not ui With Fill Riser Containment Sum s ~ FiU Riser ContaInment Sumps are P+'esent, but were Not Tested ^ Test Method Developed By: 0 Sump Manufachuer ~lndustry Standard 0 Professional Engineer ^ Other (Specify) Test Method Used: 0 Pressure Q Vacuum ID Hydrostatic q Other (S'pec~} Test Squipment Used: INCON TS-STS Equipment Resolution: . OOOin . ' Fill Sum # Fili Sum # Fitl 5um # Fil1 Sum # Sum Diametcr: Sum De th: Hei~ltt from Tank Top to Top of Hi • ~est Pi in Penetration: Height from Tank Top to Lowest Electrical Penetration: Condition of sump priar to testintr: Portion of Sum Tested Sum Material: Wait time between applying pressure/vacuumJwater and startin test: ~ Test Start Time: Initial Readin ~): Test End 7'ime: Final Readin RF : Test Duration; Chan e in Readin R R,)~ pass/Fail Threshold or Criteria: Test Result: ~ Pass L7 Fail 0 Pass 0 Fail p Pass 0 Fai{ 0 Pass C] FaiJ Is the~e a sensor in the sump? ^ Yes ^ No ^ Yes D No p Yes ^ No 0 Yes 0 No Does the sensor alarni when either product or water is detected? 0 Yes O No 0 NA 0 Yes ^ No 0 NA Cl Yes ^ No 0 NA 0 Yes ^ No ~ NA Was sensor removed for testing? ^ Yes 0 No ~ NA 0 Yes ^ No ^ I~IA Q Yes ^ No ^ NA D Yes ~ No 0 NA Was sensor properly replaced and verified functional after testin ? ~ yes ^ No Q NA 0 Yes ^ No 0 NA ^ Yes 0 No U NA ^ Yes ~ No ~ NA Comments -(include information on ~epairs made prio~ to testing, and recommended ;~3 ~~y ~~ SWRC$, January 2002 9. SPII,IJOVERF'TLL CONTAI7YMENT BOXES Page ~. of ~ Facili is Not E ui ed With S ilUOvc~II Containment Boxes 0 SpilllOverfill Containment Boxes are Aresent, but were Not Tested 0 Test ivtethod Developed By: 0 Spill Bucket Manufacturer ~ Industry Standard ~ Professional Engioeer Q Other (Spec~) Test Method Used: D Presswe ^ Vacuum ffi HydrostaUc 0 Other (SpecifyJ Test Equipment Used: INCO N TS-S~Y'S Equipment Resolution: • 000 llt . ;(~ '+* ~ Spill Box # ~/ ~ pfE[ Box # f Spiil Box #~/ Spill Box p Bucket Dinmeter: Z ~^/ Z ~/ /Z ~/~ Bucket Depih: (0 1 ~ Wait time between applying pressure/vacuum/water snd sturtin test: ~Q ! ~` ~tJ Ml ~ M/N "fest Stan Time; //U AM I t I I f~itiai Reading (R~: S•~Z~. Test End Time: (~ (, p~ 1 ~7 lllfo rl µI~-> M F'inal Reading (RF): ~. zG, 5. N ~/ Test Duration: ~ ~~/ p5 inl N Change in Reading (RF-R~); . 0 ! p ,pp Pass/Fail Threshold or Criteria: •OOZ~ '~OZI/~ ~oo .0 Zi •002. •0p Test Result: ~Pass D Fai1 ~ Pass ^ Fail $. Pass 0 Fail 0 Pass 0 Fail CUmmellts -(rnclyde /nformation on repairs made~rior ro testing, curd recarrmended follow-up for jai/ed tests) i-~ f-_ 91STF ~?,1~L.~, ~a TEST STRRTED 2%16 t'M TEST STARTED 2~60 PM TEST 5TAR1'ED 11:06 Hlh TEST STARTED 23~61i26E~9 TEST STRRTED 23i91i2@99 TES? STARTED 23if1i2b6~ BEGIN LEUEL 2.3563 IN BEGIN LEVEL G.3576 IN BEGIN LtUEL 4.5059 IN END TIME 2~31 phi END TIP1E 2~16 PM END TIME 11:16 AM tND f~ATE 23i01i2005 END DATE 23i01i2009 ENG DATE 23i91i2069 END LEVEL 2.3559 IN END LEUEL 2.35b3 IN END LEUEL 4.5105 iN LERK THkESNOL D 0.002 IN LERK THREBHOLD 0.0~2 IN LEAK THRESHOLD 0.002 IN 7EST RESULT PASSED TEST RESULT PASSED TEST RESULT PASSEG 3-4 TEST STARTED 2~ 16 PI'I TEST STflRTED 23i01/2009 BEGIN LEUEL 3.0844 IN ENG TIME 2~31 PM END DATE 2z~08426iN ENG LEVEL LEAK THRESHOL6 6.602 IN TEST RESULT PASSED 3-4 TEST STARTED 'G~~H Phi TEST STARTED 23i91~2009 BEGIN LEUEL 3.0827 IN END TIME 2:16 P!9 END DRTE 23f01i20H9 END LEUEL 3.0845 IN LEAK THRESHOLD 0.002 IN TEST RESULT PASSED 91UPR TEST STflRTED 11:6h Af~i TEST STARTED 23i01~2909 BEGIN LEVEL 5.7668 IN END TIME 11:16 AM ENU URTE 23~91~260° END ~EVEL 5.7060 IN LERK THRE5HOL6 ~.602 IN TEST kESULT PASSED 5-c. S-6 87UPR TEST STARTED 2:16 PM TEST STARTED 2:@0 PM TtST STARTED 11:00 AM TEST STARTEU 23~01~20fi9 TEST STAP.TED 23~91~208? TEST STARTED 23~01~2009 BEGIN LEUEL 5.1290 IN BEGIN LEUEL 5.1282 IN BEGIN LEUEL 5,6272 IN END TIME 2:31 PMt END TIME 2:26 PM END TIME 11:16 AM END DATE 23i01i2069 END DATE 23i01~2009 END DATE 23i01~2009 END LEUEL 5.1288 IN END LEUEL 5.1291 IN END LEVEL 5.b267 IN LERK THRESHOI D 0.0A2 IN ~EAK THRESNOLD 0.002 TM LEflK THRESHOLD a.002 IN TEST RESULT PRSSED TEST RESULT PASSED TEST RESULT PASSED 7-ii TEST STRRTED 2:16 PP1 TEST STARTED '2.ii01i2009 BEGIN LEUEL 2.4487 IN END TIME 2:31 PM END DATE 23~01i2669 END LEUEL Z•4d8z IN I.ERK THRESHGLD 0.002 IN TEST RESULT PASSED 87STP iEST STRRTED 12:57 F~! 7EST STARTEG 23~61i2069 BEGIN LEVEL 4.584b IN END 7IME 1:12 PP1 END DATE 23i91i2009 END ~EUEL 4.5851 IN LERK TffHESHOLU 8.082 IN TES7 RESULT PRSSED 7-8 TEST STARTED 2:60 PM1 TE5T STARTE~ 23101~2009 BEGIN LEVE~ 2.4489 IN END TIME 2:16 PM END DATE 23~01i2005 END LEVEL 2.4487 IN LERK THRESHOLD 0.002 IN TEST RESULT PASSEp ~,.~__...~._._..~__ _. -- - a7STF ~ T~ST STARTED 12:36 PM TEST STARTED 23i81~2085 ~sEGIN LEUEL 4,5842 IN ENp TIME 12:51 PP'i END DATE 23i01i2009 END LEUEL 4.5842 IN LERK THRESHULD 0.062 IN TEST RESULT PASSED DSLSTP TEST STARTED 12:57 PM TEST STRRTED 23i01i2005 BEGIN LEUEL 1.6137 IM END TIME 1:12 PM END DATE ' 23~01~2005 ENO LEUEL 1.6136 IN LEAK THRESHOLD 0.002 IN TEST RESULT PASSEG / / DSL,STP TEST STARTED 12:36 FM TEST S7RRTED 23i01i200y BEGIN LEUEL 1.6139 IN END TIME 12:51 PM END DATE 23i01~2069 ENG LEUEL 1.6138 IN L.E=RK THRESHOLD 8.082 IN TEST RESULT PASSED 87RUPR TEST STARFED 11:00 APi TEST STARTED 23~01i2009 BEGIN LEVEL 5.9743 IN END TIME 11:16 AM END DATE 23i81i2B09 END LEVEL ~5.9743 IN LEAK THRESHOLO 0.002 IN TEST RESULT I PASSED yisrF Tc~T STARTED 11:~6 RM TES7 S7flR7ED 23i01i206y BEGIN i_EUEL 4.5184 IN END TIME 11:31 APi cNC~ DflTE 23/01/2009 EFJD LEUEL 4,S1b5 IN LERK THREBHOLD 0.062 IN TEST f~ESULT PASSEP 91UPR TEST STARTED 11:16 AM TEST STRRTED 23i01~2009 BEGIN LEVEL. 5.7059 IN END TIME 11:31 AM END DRTE 23i01i2009 END ~GUEL 5.7958 IN LEAK THRESHOLD 0.902 IN TEST RESULT PASSED 87UFR ?EST STARTED 11:16 RM TEST STRRTED 23/01/2009 BEGIN LEUEL 5.6268 IN ENQ TIME 11:31 RM END 4ATE 23i01i2009 END LEUEL 5.6267 IN LEAK THRESHOLD 0.002 IN TEST f2ESULT PRSSED ~?7AUPk TEST BTARTED 11:16 AM TEST STARTED 23ie1i2099 EEGIN LF_UEL 5.9742 IN END TIME 11:31 frM END DATE 23i01~2009 END ~EUEL 5,9742 IN LEAK THRESHOLD 0.002 IN TEST RESULT PASSED 87RSTP TE87 STRRTED 11:46 AM TEST STARTED 23~01~2@85 &ErIN ~~U~L 5.1824 IN END TIh1E ~~~ 4RTE 1~:81 Ppf END LEUEL 23~61~2009 LEAK 7HRESHOLD S~1$27 jN TEST RESULT e'a02 IN ~RSSED ~3~~ ~~ 87ASTF TEST STARTED 12:02 PM • TEST Si'ARTED 23i01i20d9 BEGIN LEUEL 5.1827 IN E~C TIf1E 12: i7 Phr END Dr17E 23~81i2609 END LEUEL 5.1$2g IN LEHK THRESHULD 0.gA2 IN ` 7EST RESULT PASSEU u ~ ~ / / ~~~~~ ~o SB989 TESTING FAILURE REPORT 9 I TE t3AME '~ J-l JC~t/ DATE : Z~-~~N' p~ rwoxESS~ I00 S OSWLC~-~- T~cariicz~: /SR/tND~TI /`'j~N C I TY :~~C~~/'/ ~~ S I GNATUFiE ; ~ ~`" SITE CONTACT: D 3 - THE FOLLOWING COMPONENTS WERE REPLACED/REBAIREp TO COMPL£TE THE SB989 TESTING. LIST OF PARTS REPLACED/REPAZRED: REPAIRS:J~I PARTS INSTALLED:~~