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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 m 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