HomeMy WebLinkAbout215 21ST ST (2) MONITORING SYSTEM CERTIFICATION
For Use By All Jurisdictions Within the State of California
Authority Cited:Chapter 6.7,Health and Safety Code;Chapter 16, Division 3 Title 23, California Code of Regulations
This form must be used to document testing and servicing of monitoring equipment. If more than one monitoring system control panel is installed at the facility,a separate
certification or report must be prepared for each monitoring system control panel by the technician who performs the work. A copy of this form must be provided to the tank
system owner/operator. The owner/operator must submit a copy of this form to the local agency regulating UST systems within 30 days of test date.
A.General Information
Facility Name: PEPSI COLA#3040 City: BAKERSFIELD CA Zip:93305
Site Address: 215 EAST 21ST STREET Contact Phone No: 201-6963
Date of Testing/Service: 06/30/2010
Facility Contact Person: CASEY BLAIR
Make/Model of Monitoring System:TLS-350 Work Order Number: 3175976 I III III VIII III IIII 55
B.Inventory of Equipment Tested/Certified IE
Check the appropriate boxes to indicate specific equipment inspected/serviced
Tank ID: T-1 DIESEL Tank ID:
X In-Tank Gauging Probe. Model: VR MAG In-Tank Gauging Probe. Model:
X Annular Space or Vault Sensor. Model: VR 301 Annular Space or Vault Sensor. Model:
X Piping Sump/Trench Sensor(s). Model: VR 352 Piping Sump/Trench Sensor(s). Model:
Fill Sump Sensor(s). Model: Fill Sump Sensor(s). Model:
X Mechanical Line Leak Detector. Model: FX1 DV Mechanical Line Leak Detector. Model:
Electronic Line Leak Detector. Model: Electronic Line Leak Detector. Model:
X Tank Overfill/High-Level Sensor. Model: FLAPPER Tank Overfill/High-Level Sensor. Model:
Other(specify equipment type and model in Section E on page 2). Others equipment(specify ment eq 'p type and model in Section E on page 2).
Tank ID: Tank ID:
In-Tank Gauging Probe. Model: In-Tank Gauging Probe. Model:
Annular Space or Vault Sensor. Model: Annular Space or Vault Sensor. Model:
Piping Sump/Trench Sensor(s). Model: Piping Sumprrrench Sensor(s). Model:
Fill Sump Sensor(s). Model: Fill Sump Sensor(s). Model:
Mechanical Line Leak Detector. Model: 7 Mechanical Line Leak Detector. Model:
Electronic Line Leak Detector. Model:
Electronic Line Leak Detector. Model:
Tank Overfill/High-Level Sensor. Model:
Tank Overfill/High-Level Sensor. Model:
Other(specify equipment type and model in Section E on page 2). Other s eci equipment( p fy eq p type and model in Section E on page 2).
Dispenser : 1 Dispenser ID:
Dispenser Containment Sensor(s) Model: Dispenser Containment Sensor(s) Model:
XD Shear Valve(s). Shear Valve(s)
EX Dispenser Containment Float(s)and Chain(s). Dispenser Containment Float(s)and Chain(s).
Dispenser ID: Dispenser lD:
Dispenser Containment Sensor(s) Model: Dispenser Containment Sensor(s). Model:
Shear Valve(s). Shear Valve(s).
Dispenser Containment Float(s)and Chain(s). Dispenser Containment Float(s)and Chain(s).
Dispenser ID: Dispenser ID:
Dispenser Containment Sensor(s) Model: Dispenser Containment Sensor(s). Model:
Shear Valve(s). Shear Valve(s).
Dispenser Containment Float(s)and Chain(s). Dispenser Containment Float(s)and Chain(s).
`If the facility contains more tanks or dispensers,copy this form.Include information for every tank and dispenser at the facility.
C. Certification
I certify that the equipment identified in this document was inspected/serviced in accordance with the manufacturers'guidelines.
Attached to this certification is information(e.g manufacturers'checklists)necessary to verify that this information is correct.
and a Site Plan showing the layout of monitoring equipment.For any equipment capable of generating such reports, I have also attached
a copy of the(Check all that apply): ❑X System set-up X❑Alarm history report
Technician Name(print): PATRICK M PFRANG Signature:
Certification No.: A29052 License.No.: 743160(Class'A'General Enginerinq Contractor License)
Testing Company Name:Tanknology Phone No.: (800)800-4633
Site Address: 11000 N.MoPac Expressway,suite 500,Austin,TX 78759 Date of Testing/Servicing: 06/30/2010
Monitoring System Certification Page 1 of 3 1111111111111111111 56 Based on CA form dated 03/08
IE
Monitoring System Certification
Site Address 215 EAST 21 ST STREET Date of Testing/Service: 06/30/2010
D. Results of Testing/Servicing
Software Version Installed: 119.05
Complete the following checklist:
DYes 11 No• Is the audible alarm operational?
❑x Yes No' Is the visual alarm operational?
Q Yes No Were all sensors visually inspected,functionally tested,and confirmed operational?
Were all sensors installed at lowest point of secondary containment and positioned so that other equipment will not
Q Yes ❑No interfere with their proper operation?
x Yes No' N/A I If alarms are relayed to a remote monitoring station,is all communications equipment(e.g.modem)operational?
For pressurized piping systems,does the turbine automatically shut down if the piping secondary containment
❑x Yes ❑No• ❑NIA monitoring system detects a leak,fails to operate,or is electrically disconnected?If yes:which sensors initiate positive
shut-down?(check all that apply) ❑ Sump/Trench Sensors; ❑ Dispenser Containment Sensors.
Did you confirm positive shut-down due to leaks and sensor failure/disconnection? [E] Yes No
❑ Yes ❑No• ❑x N/A For tank systems that utilize the monitoring system as the primary tank overfill warning device(i.e.:no mechanical
overfill prevention valve is installed),is the overfill warning alarm visible and audible at the tank fill points(s)and operating
properly? If so,at what percent of tank capacity does the alarm trigger?
❑ Yes' ❑X No Was any monitoring equipment replaced?If yes,identify specific sensors,probes,or other equipment replaced and list the
manufacturer name and model for all replacement parts in Section E,below.
❑x Yes' ❑No Was liquid found inside any secondary containment systems designed as dry systems?(check all that apply) ❑Product;
❑x Water. If yes,describe causes in Section E,below.
❑x Yes ❑No Was monitoring system set-up reviewed to ensure proper settings?Attach set-up reports,if applicable.
❑
x Yes ❑No' Is all monitoring equipment operational per manufacturers'specifications?
'In Section E below,describe how and when these deficiences were or will be corrected.
E. Comments:
Removed inch of water om turbine sump.
Page 2 of 3 Based on CA form dated 03/0.8
Monitoring System Certification
Site Address: 215 EAST 21 ST STREET Date of Testing/Service: 06/30/2010
F. In-Tank Gauging / SIR Equipment
QCheck this box if tank gauging is used only for inventory control.
❑ Check this box if no tank gauging or SIR equipment is installed.
Check this box if no tank gauging or SIR equipment is installed.
This section must be completed if in-tank gauging equipment is used to perform leak detection monitoring.
Complete the following checklist:
M Yes ❑No' Has all input wiring been inspected for proper entry and termination,including testing for ground faults?
❑x Yes F1No' Were all tank gauging probes visually inspected for damage and residue buildup?
Q Yes ❑No' Was accuracy of system product level readings tested?
EYes ❑No• Was accuracy of system water level readings tested?
M Yes ❑No• Were all probes reinstalled properly?
❑x Yes I ❑No• Were all items on the equipment manufacturers'maintenance checklist completed?
•In the Section H,below,describe how and when these deficiencies were or will be corrected.
G. Line Leak Detectors (LLD) ❑ Check this box if LLDs are not installed.
Complete the following checklist:
❑Yes ❑No ❑ For equipment start-up or annual equipment certification,was a leak simulated to verify LLD performance?
M • N/A (Check all that apply)Simulated leak rate: x❑ 3 g.p.h❑0.1 g.p.h E]0.2 g.p.h
x Yes ❑No Were all LLDs confirmed operational and accurate within regulatory requirements?
E Yes ❑No• Was the testing apparatus properly calibrated?
❑
x Yes ❑No• ❑N/A For mechanical LLDs,does the LLD restrict product flow if it detects a leak?
❑Yes ❑No• ❑x N/A For electronic LLDs,does the turbine automatically shut off if the LLD detects a leak?
❑Yes ❑No' M NIA For electronic LLDs,does the turbine automatically shut off if any portion of the monitoring system is disabled or disconnected?
❑Yes ❑No' M N/A For electronic LLDs,does the turbine automatically shut off if any portion of the monitoring system malfunctions or fails a test?
❑Yes ❑No• ❑x N/A For electronic LLDs,have all accessible wiring connections been visually inspected?
0 Yes ❑No• Were all items on the equipment manufacturers'maintenance checklist completed?
In the Section H,below,describe how and when these deficiencies were or will be corrected.
H. Comments:
Page 3 of 3 Based on CA form dated 03/08
SWRC13,January 2002 Page 1.
Secondary Containment Testing Report Form
This form is intended for use by contractors performing periodic testing of UST secondary containment systems. Use the
appropriate pages of this form to report results for all components tested. The completed form, written test procedures, 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: PEPSI COLA #3040 Date of Testing: 06/30/2010
Facility Address: 215 EAST 21ST STREET , BAKERSFIELD, CA, 93305
Facility Contact: CASEY BLAIR Phone: (6 61) 201-6963
Date Local Agency Was Notified of Testing: 06/18/2010
Name of Local Agency Inspector(if present during testing): Ernie Medina
2. TESTING CONTRACTOR INFORMATION
Company Name: TANKNOLOGY, INC.
Technician Conducting Test: PATRICK M PFRANG
Credentials: 11 CSLB Licensed Contractor SWRCB Licensed Tank Tester
License Type: tank tester License Number: 051590
Manufacturer Training
Manufacturer Component(s) Date Training Expires
OPW Fill bucket 10/03/2010
3. SUMMARY OF TEST RESULTS
Not Repairs Not Repair
Component Pass Fail Tested Made Component Pass Fail Tested Made
Spill Box 1 DIE FILL El ❑ ❑ ❑ ❑ ❑ ❑
i
El El El El E
❑ I ❑ ❑ ❑ ❑ ❑ E ❑
El El El El F-1 El 1:1 El
El El F-1 I I El El El 0
El I El I El El 0 El
El F-1 El El El El
El El El 1-1 El El
El Fj E] ; El El El
El I El El El El El El E
El 0 ❑ ❑ ❑ ❑ ❑
0 0
If hydrostatic testing was performed,describe what was done with the water after completion of tests:
Put in onsite oil/water sepertator
CERTIFICATION OF TECHNICIAN RESPONSIBLE FOR CONDUCTING THIS TESTING
To the best of my knowledge, the facts stated in this document are accurate and in full compliance with legal requirements
Technician's Signature: Date: 06/30/2010
SWRCB,January 2006
9. 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: PEPSI COLA #3040 Date of Testing: 06/30/2010
Facility Address: 215 EAST 21ST STREET , BAKERSFIELD, CA, 93305
Facility Contact: CASEY BLAIR Phone: (661) 201-6963
Date Local Agency Was Notified of Testing: 06/18/2010
Name of Local Agency Inspector(if present during testing): Ernie Medina
2. TESTING CONTRACTOR INFORMATION
Company Name: TANKNOLOGY, INC.
Technician Conducting Test: PATRICK M PFRANG
Credentials : ❑CSLB Contractor E ICC Service Tech. E SWRCB Tank Tester E Other(Specify) tank tester
License Number: 051590
3. SPILL BUCKET TESTING INFORMATION
Test Method Used: [K] Hydrostatic ❑ Vacuum ❑ Other
Test Equipment Used: Tape measure Equipment Resolution:Visual
Identify Spill Bucket(By Tank 1 1 DIE FILL 2 3 4
Number, Stored Product, etc)
XO
Bucket Installation Type: Direct Bury ❑Direct Bury ❑Direct Bury E]Direct Bury
❑Contained in Sump ❑Contained in Sump ❑Contained in Sump ❑Contained in Sump
Bucket Diameter: 12
Bucket Depth: 13
Wait time between applying 0
vacuum/water and starting test:
Test Start Time(TI ): 0824
Initial Reading(RI ): 9.0
Test End Time(TF ): 0924
Final Reading(RF ): 9.0
Test Duration: 1 hr
Change in Reading(R F-RI ): 0
Pass/Fail Threshold or 0 Loss
Criteria:
es t: a � a' L®� F ' ❑ ail � s � ail
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: � li/�"J Date: 06/30/2010
I State laws and regulations do not currently require testing to be performed by a qualified contractor.However,local requirements
•rar
8501 N MOPAC EXPRESSWAY,SUITE 400
AUSTIN,TEXAS 78759
(512)451-6334
FAX(512)459-1459
TEST DATE:06/30/10 WORK ORDER NUMBER3175976
CLIENT:PEPSI COLA SITE:PEPSI COLA #3040
COMMENTS
Left voiemail for °CASEY BLAIR" on 6/23/10. Conduct Lines, LD , Spill Bucket, ATG, Site is not
equipped with a Hydraulic lift. All tests passed. Found and removed water from the Turbine sump.
PARTS REPLACED
QUAN TY DESCRIPTION
HELIUM PINPOINT TEST RESULTS (IF APPLICABLE)
1 MS TES D
HELI M PINPOIN TEST RESULTS
Printed 07/06/2010 08:28 ACRAMER
SITE DIAGRAM
Tanknology
8501 N MOPAC EXPRESSWAY,SUITE 400
AUSTIN,TEXAS 78759
(512)451-6334
FAX(512)459-1459
TEST DATE: 06/30/10 WORK ORDER NUMBER3175976
CLIENT:PEPSI COLA SITE: PEPSI COLA #3040
TLS DSL
1 K
F
c VENT
D O " o
OI L1 ai M
O YM
U) Bravo U) <
nA L2 Float a N
a � -5
N 4=
w T
Lr) Y
ESO N c9
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ENTRANCE
Printed 07/06/2010 08:28 ACRAMER
ATG Information
Work Order# 3175976
150301
JUN 30,2010 11:11 AM
#1:108889 PEPSI SITE 9
150302
JUN 30,2010 11:11 AM
#2:215 EAST 21ST STREET
150303
JUN 30,2010 11:11 AM
#3:BAKERSFIELD,CA 93305
150304
JUN 30,2010 11:11 AM
4 4:81152324905001
151700
JUN 30,2010 11:11 AM
SYSTEM TYPE AND LANGUAGE FLAG
SYSTEM UNITS
U.S.
SYSTEM LANGUAGE
ENGLISH
SYSTEM DATEfTIME FORMAT
MON DO YYYY HH:MM:SS xM
0
I50F00
JUN 30,2010 11:11 AM
MON DO YYYY HH:MM:SS xM
110200
JUN 30,2010 11:11 AM
108889 PEPSI SITE 9
215 EAST 21 ST STREET
BAKERSFIELD,CA 93305
81152324905001
SYSTEM CONFIGURATION
SLOT BOARD TYPE POWER ON RESET CURRENT
1 4 PROBE/G.T. 162447 162545
2 INTERSTITIAL BD 201209 201212
3 UNUSED 15000000 15000000
4 UNUSED 15000000 15000000
5 UNUSED 15000000 15000000
6 UNUSED 15000000 15000000
7 UNUSED 15000000 15000000
8 UNUSED 15000000 15000000
9 RELAY BOARD 14995 14961
10 MECH DISP INT. 68471 68375
11 UNUSED 15000000 15000000
12 UNUSED 15000000 15000000
13 UNUSED 15000000 15000000
14 UNUSED 15000000 15000000
15 UNUSED 15000000 15000000
16 UNUSED 15000000 15000000
COMM 1 RS232 SERIAL BD 15000000 15022
3175976
KG ormation
Work Order# 3175976
COMM 2 FAXMODEM BOARD 40251 40254
COMM 3 UNUSED 15000000 15000000
COMM 4 UNUSED 15000000 15000000
COMM 5 UNUSED 15000000 15000000
COMM 6 UNUSED 15000000 15000000
160100
JUN 30,2010 11:11 AM
TANK CONFIGURATION
DEVICE LABEL CONFIGURED
1 DIESEL FUEL ON
2 OFF
3 OFF
4 OFF
160200
JUN 30,2010 11:11 AM
TANK PRODUCT LABEL
TANK PRODUCT LABEL
1 DIESEL FUEL
2
3
4
160300
JUN 30,2010 11:11 AM
TANK PRODUCT CODE
TANK PRODUCT LABEL
1 DIESEL FUEL 1
2 1
3 3
4 4
160400
JUN 30,2010 11:11 AM
TANK FULL VOLUME
TANK PRODUCT LABEL GALLONS
1 DIESEL FUEL 15102
2 15102
3 0
4 15102
160700
JUN 30,2010 11:12 AM
TANK DIAMETER
TANK PRODUCT LABEL INCHES
1 DIESEL FUEL 119.50
2 119.50
3 0.00
4 119.50
160900
JUN 30,2010 11:12 AM
TANK THERMAL COEFFICIENT
TANK PRODUCT LABEL
1 DIESEL FUEL 0.000450
2 0.000450
3 0.000000
4 0.000450
3175976
ATG Information
Work Order# 3175976
161200
JUN 30,2010 11:12 AM
TANK MANIFOLDED PARTNERS
TANK PRODUCT LABEL MANIFOLDED TANKS
1 DIESEL FUEL NONE
2 NONE
3 NONE
4 NONE
162100
JUN 30,2010 11:12 AM
TANK LOW PRODUCT LIMIT
TANK PRODUCT LABEL GALLONS
1 DIESEL FUEL 1000
2 1000
3 0
4 1000
cl
162200
JUN 30,2010 11:12 AM
TANK HIGH PRODUCT LIMIT -
TANK PRODUCT LABEL GALLONS
1 DIESEL FUEL 14043
2 14347
3 0
4 14347
El
162300
JUN 30,2010 11:12 AM
TANK OVERFILL LEVEL LIMIT
TANK PRODUCT LABEL GALLONS
1 DIESEL FUEL 13304
2 13591
3 0
4 13591
162400
JUN 30,201011:12 AM
TANK HIGH WATER LEVEL LIMIT
TANK PRODUCT LABEL INCHES
1 DIESEL FUEL 2.0
162800
JUN 30,2010 11:12 AM
TANK MAXIMUM VOLUME LIMIT
TANK PRODUCTLABEL GALLONS
1 DIESEL FUEL 15102
2 15102
3 0
4 15102
162900
JUN 30,2010 11:12 AM
TANK DELIVERY REQUIRED LIMIT
3175976
ATG Information
Work Order# 3175976
TANK PRODUCT LABEL GALLONS
1 DIESEL FUEL 3020
2 0
3 0
4 3020
170300
JUN 30,2010 11:12 AM
LIQUID TYPE
SENSOR LOCATION TYPE
1 ANNULAR SPACE DUAL FLOAT HYDROSTATIC
2 TURBINE SUMP DUAL FLT.HIGH VAPOR -
3 TRI-STATE(SINGLE FLOAT)
4 TRI-STATE(SINGLE FLOAT)
5 TRI-STATE(SINGLE FLOAT)
6 TRI-STATE(SINGLE FLOAT)
7 TRI-STATE(SINGLE FLOAT)
8 TRI-STATE(SINGLE FLOAT)
❑9999FFlB❑
❑99%FF1B❑
190200
JUN 30,2010 11:12 AM
SOFTWARE REVISION LEVEL
VERSION 119.05
SOFTWARE#346119-100-F
CREATED-00.02.25.12.15
S-MODULE#330160-105-A
SYSTEM FEATURES:
PERIODIC IN-TANK TESTS
ANNUAL IN-TANK TESTS
CSLD
BIR
FUEL MANAGER
El
120600
JUN 30,2010 11:12 AM
108889 PEPSI SITE 9
215 EAST 21 ST STREET
BAKERSFIELD,CA 93305
81152324905001
TANK ALARM HISTORY
TANK 1 DIESEL FUEL
HIGH WATER ALARM JUN 30,2010 8:36 AM
JUL 17,2009 9:35 AM
JUL 22,2004 11:24 AM
OVERFILL ALARM JUN 30,2010 9:21 AM
JUL 17,2009 9:27 AM
OCT 17,2008 11:06 AM
LOW PRODUCT ALARM JUN 30,2010 8:31 AM
JUL 17,2009 9:22 AM
MAY 25,2005 2:50 PM
HIGH PRODUCT ALARM JUN 30,2010 9:22 AM
JUL 17,2009 926 AM
JUL 17,2009 9:23 AM
INVALID FUEL LEVEL JUN 30,2010 8:32 AM
JUN 30,2010 8:31 AM
JUL 17,2009 9:22 AM
PROBE OUT JUN 30,2010 9:22 AM
JUN 30,2010 8:31 AM
JUL 17,2009 9:36 AM
HIGH WATER WARNING JUN 30,2010 8:36 AM
3175976
r
f
ATG Information
Work Order# 3175976
JUL 17,2009 9:35 AM
JUL 22,2004 11:24 AM
DELIVERY NEEDED JUN 30,2010 8:31 AM
MAY 24,2010 3:57 AM
MAY 1,2010 9:51 AM
MAX PRODUCT ALARM JUN 30,2010 9:22 AM
ACCU CHART CAL WARN JUL 30,2001 11:30 AM
RECON WARNING JAN 27,2003 9:30 AM
JAN 20,2003 2:30 PM
JAN 13,2003 2:30 PM
RECON ALARM JAN 27,2003 1:30 PM
JAN 20,2003 3:30 PM
JAN 13,2003 2:30 PM
LOW TEMP WARNING JUL 17,2009 9:38 AM
AUG 4,2008 11:47 AM
MAY 19,2005 1:33 PM
130200
JUN 30,2010 11:13 AM
108889 PEPSI SITE 9
215 EAST 21 ST STREET
BAKERSFIELD,CA 93305
81152324905001
LIQUID ALARM HISTORY REPORT
SENSOR LOCATION
1 ANNULAR SPACE
JUN 30,2010 9:18 AM SENSOR OUT ALARM
JUN 30,2010 9:15 AM LOW LIQUID ALARM
JUN 30,2010 9:14 AM HIGH LIQUID ALARM
2 TURBINE SUMP
JUN 30,2010 9:18 AM SENSOR OUT ALARM
JUN 30,2010 9:14 AM FUEL ALARM
JUL 17,2009 10:28 AM SENSOR OUT ALARM
3175976
► Tankrnology J U L - g 2010
11000 N. MoPac Expressway,Suite 500
Austin,Texas 78759 EI��F rFmN couNTy
Phone: (512)451-6334
i•!Ft HL I H [cr ICES
Fax: (512)459-1459 Date Printed and Mailed: 07/06/2010
KERN CTY- ENVIROMENTAL HEALTH
2700 M STREET
SUITE 300
BAKERSFIELD, CA. 93301
Test Date: 06/30/2010
Order Number: 3175976
Dear Regulator,
Enclosed are the results of recent testing performed at the following facility:
PEPSI COLA#3040
215 EAST 21 ST STREET
BAKERSFIELD, CA. 93305
Testing performed:
Leak detector tests
Line tests
Monitor Certification
Secondary Containment-Spill Container
Sincerely,
Dawn Kohlmeyer
Manager, Field Reporting
tv FESTDATE: �Q�OriO TANKNOLOGY CERTIFICATE OF TESTING
8501 N MOPAC EXPRESSWAY,SUITE 400 AUSTIN,TEXAS 78759
TELEPHONE(512)451-6334 FAX(512)459-1459
COMPLIANCE TEST RESULT SUMMARY REPORT
06/30/10 WORK OR DER NUMBER: 3175976
CUSTOMER PO:
CLIENT: PEPSI COLA SITE:PEPSI COLA#3040
NEW BERN TRANS-PBG 215 EAST 21ST STREET
6261 CABALLERO BLVD. BAKERSFIELD,CA 93305
BUENA PARK,CA 90620
BELEN LEWIS CASEY BLAIR
(714)522-9739 (661)201-6963
TEST TYPE: TLD-1
Product Pipe Ti htness Test Results
L N LIN INE DELNER IMPACT
ID PRODU MATERIAL E TEST RESULT FINAL L RATE (UN' yALy
A B C D A B D FUNCTIO
1 DIESEL DW FIBERG PRESSURE P 0.000 Y
Existing Line Leak Detector Test
6XIS�!NG1LEAKiDEiTiECnTiO_R EXISTINGILEAKIDEtTiEC7TiQR
LINE MANU TURER MOD # S R #
SO maim= MODE SER # RESULT
1
1 RED JACKET FX1-DV 303082873 P
New Replacement Line Leak Detector Test
I=F_ED1REAMEi1 EGTORM,I _•� "T r
INNS MAN C�TURER MODE S # SULT MANUFA �RER �MO�E # SER # RESUL
I For owner detailed report m n
fonation,visit www.tanknology.com and select On-Line Reports-WRAP,or contact your local Tanknology office.
L ATRICK M PFRANG Technician Certification Number:1590
Printed 07/06/2010 08:28 ACRAMER
INDIVIDUAL TANK INFORMATION AND TEST RESULTS
r►Tan
FTEST :06/30/10 8501 N MOPAC EXPRESSWAY,SUITE 400 WORK ORDER NUMBER3175976
CLIENT:PEPSI COLA AUSTIN,TEXAS 78759(512)451-6334 SITE:PEPSI COLA #3040
TAN INFORM%1rT10N
Tank ID: i Tank manifolded: No Bottom to top fill in inches: 119.0
Product: DIESEL Vent manifolded: No Bottom to grade in inches:
Capacity in gallons: 15,102 Vapor recovery manifolded: NO Fill pipe length in inches:
Diameter in inches: 119.00 Overfill protection: YES Fill pipe diameter in inches: 4.0
Length in inches: 317 Overspill protection: YES Stage I vapor recovery: NONE
Material: Dw FIBERG Installed: ATG Stage II vapor recovery: NONE
CP installed on:
COMMENTS
T K T S R SULT est Meth dzvacuT t LEAK UETEC OR TES SUL R method: LDT-5 00IIIIIIIIIII
Start(in) End(in)
Dipped Water Level: New/passed Failed/replaced New/passed Failed/replaced
Dipped Product Level: L.D.#1 L.D.#1 L.D.#2 L.D.#2
Probe Water Level: Make: RED JACKET
Ingress Detected: Water Bubble Ullage Model: Fx1-Dv
Test time: S/N: 303083873
Inclinometer reading: Open time in sec: 3.00
VacuTect Test Type: NOT Holding psi: 8 NOT
VacuTect Probe Entry Point: TESTED Resiliency cc: 60
Test leak rate ml/m: 189.0 TESTED
Pressure Set Point: Metering
Tank water level in inches: psi: 7
Calib. leak in gph: 3.00
Water table depth in inches: Results: PASS
Determined by(method):
Result:
COMMENTS
COMMENTS
LINE TES RESULTS Test 7<LD-1
INE B C � D
Material: DW FIBERG
Diameter(in): 2.0
Length (ft): 15.0
Test psi: 50
Bleedback cc: 0
Test time(min): 30 NOT NOT NOT
Start time: 09:29 TESTED TESTED TESTED
End time: 09:59
Final gph: 0.000
Result: PASS
Pump type: PRESSURE
Pump make: RED JACKET
COMMENTS Impact Valves Operational: YES
Printed 07106/2010 08:28