The URL can be used to link to this page

Home My WebLink AboutSB989 2010 IIIIIIIIVIIIIIIIIII 21 SWRCB,January 2002 IE Page of 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 compleledform, 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: Mt. Vernon&Columbus Arco AM/PM Date of Testing: 8-23-2010 Facility Address: 2698 Mt. Vernon Avenue Facility Contact: Monty Hawatmeh Phone: 661-703-7273 Date Local Agency Was Notified of Testing: 7/28/2010 Name of Local Agency Inspector(rf present during testing): Ester 2. TESTING CONTRACTOR INFORMATION Company Name: Confidence UST Services Technician Conducting Test: Bryan A Self Credentials: x CSLB Licensed Contractor ❑SWRCB Licensed Tank Tester License Type: CSLB License Number:804904 Manufacturer Training Manufacturer Component(s) Date Training Expires Franklin Fueling TS-STS 12-02-2011 Xerxes Underground Storage Tank N.A. Fiber Glass Systems STAR. SMITH. FIBERCAST N.A. 3. SUMMARY OF TEST RESULTS Component Pass Fail Not Repairs Component Pass Fail Not Repairs Tested Made Tested Made 87 Fill X ❑ ❑ ❑ 91 SB Fill X 0 0 ❑ 91 Fill X ❑ ❑ ❑ 91 SB Vapor X 0 0 0 87 STP X 1 0 0 ❑ 87 SB Fill West X ❑ 0 ❑ 91 STP X ❑ ❑ ❑ 87 SB Vapor West X ❑ ❑ ❑ 87 Annular X ❑ 0 ❑ 87 SB Fill East X ❑ ❑ 0 91 Annular X 0 0 ❑ 87 SB Vapor East X ❑ 0 0 87 Product Line X ❑ ❑ ❑ ❑ 0 0 0 91 Product Line X ❑ ❑ ❑ 0 0 0 0 UDC 1 & 2 x ❑ ❑ ❑ 0 0 0 0 UDC2 & 3 X 0 ❑ 0 0 0 0 UDC 5 & 6 X ❑ ❑ 0 0 0 0 UDC 7& 8 X 0 0 0 0 0 0 0 If hydrostatic testing was performed,describe what was done with the water after completion of tests: Water was put back into test trailer and waste drum 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: 8/23/2010 I IIIIIII(IIII III IIII 22 IE SWRCB, January 2002 Page of 4. TANK ANNULAR TESTING Test Method Developed By: ❑Tank Manufacturer x Industry Standard ❑Professional Engineer ❑Other(Specify) Test Method Used: ❑Pressure x Vacuum ❑Hydrostatic ❑Other(Spec) Test Equipment Used: Calibrated Gages Equipment Resolution:0.0625" Tank#Reg./Super Tank# Tank# Tank# Is Tank Exempt From Testing?' ❑Yes X No ❑Yes X No ❑Yes ❑No ❑Yes ❑No Tank Capacity: 20,000 12,000 Tank Material: RFP RFP Tank Manufacturer: XerXes Product Stored: Regular UL Super UL Wait time between applying pressure/vacuum/water and 5 Mins 5 Mins starting test: Test Start Time: 10:10 am 10:10 am Initial Reading(Rj): 5"Vacuum 5"Vacuum Test End Time: 11:10 am 11:10 am Final Reading(RF): 5"Vacuum 5"Vacuum Test Duration: 1 hour 1 hour Change in Reading(RF-Rj): 0"of Vacuum 0"Vacuum Pass/Fail Threshold or Criteria: 0"of Vacuum 0"Vacuum ,� J,r;�.; Test Result 'v, ,� X,hPass ❑^Fail > yX �Pass; ��Fa�l ';� k� P�ssr�Fails ❑lPass .Fail` Was sensor removed for testing? J +X Yes ❑No ❑NA X Yes ❑No ❑NA ❑Yes ❑No ❑NA ❑Yes ❑No ❑NA Was sensor properly replaced and X Yes ❑No ❑NA X Yes ❑No ❑NA ❑Yes ❑No ❑NA ❑Yes ❑No CI NA verified functional after testing? Comments—(include information on repairs made prior to testing, and recommended follow-up for failed tests) Secondary containment systems where the continuous monitoring automatically monitors both the primary and secondary containment, such as systems that are hydrostatically monitored or under constant vacuum,are exempt from periodic containment testing. {California Code of Regulations,Title 23, Section 2637(a)(6)} SWRCB,January 2002 Page of 5. SECONDARY PIPE TESTING Test Method Developed By: ❑ Piping Manufacturer x Industry Standard ❑ Professional Engineer ❑Other(Spec) Test Method Used: x Pressure ❑Vacuum ❑ Hydrostatic ❑Other(Specify) Test Equipment Used: Calibrated Gages Equipment Resolution:0.0625 Piping Run#87 Piping Run#91 Piping Run# Piping Run# Piping Material: RFP RFP Piping Manufacturer: Smith Smith Piping Diameter: 3" 3" Length of Piping Run: 70' 75' Product Stored: Regular UL Super UL Method and location of Test boot Test boot piping-run isolation: Wait time between applying pressure/vacuum/water and 5 Mins 5 Mins starting test: Test Start Time: 12:45 pm 11:30 am Initial Reading(R,): 5" PSI 5"PSI Test End Time: 1:45 pm 12:30 pm Final Reading(RF): 5" PSI 5" PSI Test Duration: I hour 1 hour Change in Reading(R,:-R,): 0.00" 0.00" Pass/Fail Threshold or 0.0625" 0.0625" Criteria: Test Result: X Pass ❑Fail X Pass ❑Fail ❑ Pass ❑Fail ❑ Pass ❑Fail Comments—(include information on repairs made prior td testing, and recommended follow-up for failed tests) SWRCB,January 2002 Page of 6. PIPING SUMP TESTING Test Method Developed By: ❑Sump Manufacturer x Industry Standard ❑ Professional Engineer ❑Other(Specify) Test Method Used: ❑Pressure ❑Vacuum x Hydrostatic ❑Other(Specify) Test Equipment Used: Ts-sts Equipment Resolution: MIR Sump#87 UL Sump#91 UL Sump# Sump# Sump Diameter: 48" 48" Sump Depth: 54" 54" Sump Material: RFP RFP Height from Tank Top to Top of 1 I" 13" -Highest Piping Penetration: Height from Tank Top to Lowest 32" 32" Electrical Penetration: Condition of sump prior to testing: Clean& Dry Clean& Dry Portion of Sump Tested' Pipe Penetration Pipe Penetration Does turbine shut down when sump sensor detects liquid(both X Yes ❑No ❑NA X Yes ❑No ❑NA ❑Yes O No ❑NA ❑Yes O No ❑NA product and water)?` Turbine shutdown response time 8 Seconds 8 Seconds Is system programmed for fail-safe X Yes ❑No ❑NA X Yes ❑No ❑NA ❑Yes ❑No ❑NA ❑Yes O No ❑NA shutdown?* Was fail-safe verified to be X Yes ❑No ❑NA X Yes ❑No ❑NA ❑Yes O No ❑NA O Yes ❑No ❑NA o erational?" Wait time between applying pressure/vacuum/water and starting 15 Minutes 15 Minutes test: Test Start Time: Initial Reading(Ri): Test End Time: See I CON Final Reading(RF): Res Test Duration: Change in Reading(RF-R[): Pass/Fail Threshold or Criteria: Test Result: X Pass ❑Fail X Pass ❑'Fail ❑ Pass ❑Fail ❑ Pass ❑ Fail Was sensor removed for testing? X Yes ❑No ❑NA X Yes ❑No ❑NA ❑Yes O No O NA O Yes ❑No ❑NA Was sensor properly replaced and X Yes ❑No ❑NA X Yes ❑No ❑NA ❑Yes O No CI NA ❑Yes ❑No ❑NA verified functional after testing? Comments—(include information on repairs made prior to testing, and recommended follow-up for failed tests) ' If the entire depth of the sump is not tested,specify how much was tested. If the answer to any of the questions indicated with an asterisk(*)is"NO"or"NA",the entire sump must be tested. .(See SWRCB LG-160) SWRCB,January 2002 Page of 7. UNDER-DISPENSER CONTAINMENT UDC TESTING Test Method Developed By: ❑UDC Manufacturer x Industry Standard ❑ Professional Engineer ❑Other(Specify) Test Method Used: ❑Pressure ❑Vacuum x Hydrostatic ❑Other(Spec) Test Equipment Used:Ts-sts Equipment Resolution: UDC l &2 UDC# 3&4 UDC#5&6 UDC#7& 8 UDC Manufacturer: Unknown Unknown Unknown Unknown UDC Material: RFP RFP RFP RFP UDC Depth: 36" 36" 36" 36" Height from UDC Bottom to Top 12" 12" 12" 12" of Highest Piping Penetration: Height from UDC Bottom to 17" 17" 17" IT) Lowest Electrical Penetration: Condition of UDC prior to Clean&Dry Clean & Dry Clean& Dry Clean& Dry testing: Portion of UDC Tested High Penetration High Penetration High Penetration Penetration Does turbine shut down when UDC sensor detects liquid(both X Yes ❑No ❑NA X Yes ❑No ❑NA X Yes ❑No ❑NA X Yes ❑No O NA product and water)?* Turbine shutdown response time 8 Seconds 8 Seconds 8 Seconds 8 Seconds Is system programmed for fail- X Yes ❑No ❑NA X Yes ❑No ❑NA X Yes ❑No ❑NA X Yes ❑No ❑NA safe shutdown?* Was fail-safe verified to be X Yes ❑No ❑NA X Yes ❑No ❑NA XYes ❑No ❑NA X Yes ❑No ❑NA operational?* Wait time between applying 5 Mins 5 Mins 5 Mins 5 Mins pressure/vacuum/water and starting test Test Start Time: t Initial Reading(RI): See P11NOWN Test End Time: Final Reading(RI.): lilts ftsi I Its Test Duration: Change in Reading(RF-Ri): Pass/Fail Threshold or Criteria: Test Result: X Pass ❑Fail X Pass ❑Fail X Pass ❑Fail X Pass ❑Fail Was sensor removed for testing? XYes ❑No ❑NA X Yes ❑No ❑NA X Yes ❑No ❑NA X Yes El No ❑NA Was sensor properly replaced and X Yes ❑No ❑NA X Yes ❑No ❑NA X Yes ❑No ❑NA X Yes ❑No ❑NA verified functional after testing? Comments— (include information on repairs made prior to testing, and recommended follow-up for.failed tests) If the entire depth of the UDC is not tested,specify how much was tested. If the answer to am of the questions indicated with an asterisk(*) is"NO"or"NA",the entire UDC must be tested. (See SWRCB LG-160) SWRCB,January 2002 Page of 8. FILL RISER CONTAINMENT SUMP TESTING Facility is Not Equipped With Fill Riser Containment Sumps ❑ Fill Riser Containment Sumps are Present,but were Not Tested ❑ Test Method Developed By: ❑Sump Manufacturer X Industry Standard ❑Professional Engineer ❑Other(Sped) Test Method Used: ❑Pressure ❑Vacuum X Hydrostatic ❑Other(Spec) Test Equipment Used: Equipment Resolution: Fill Sump#87 UL Fill Sump#91 UL Fill Sump# Fill Sump# Sump Diameter: 42" 42" Sump Depth: 50" 52" Height from Tank Top to Top of 14" 14" Highest Piping Penetration: Height from Tank Top to Lowest 36" 36" Electrical Penetration: Condition of sump prior to Clean&Dry Clean &Dry testing: Portion of Sump Tested Pipe Penetration Pipe Penetration Sump Material: FRP FRP Wait time between applying 5 Mins 5 Mins pressure/vacuum/water and starting test: Test Start Time: — ----�' Initial Reading(Rj): 1 t' Ificord Test End Time: Final Reading(Rr): Restrits Test Duration: Change in Reading(RF-R(): Pass/Fail Threshold or Criteria: Test Result: X Pass ❑Fail X Pass ❑Fail ❑ Pass ❑Fail ❑ Pass ❑Fail Is there a sensor in the sump? X Yes ❑No X Yes ❑No ❑Yes ❑No ❑Yes ❑No [Does the sensor alarm when ther product or water is X Yes ❑No X Yes ❑No ❑Yes ❑No ❑Yes ❑No detected? Was sensor removed for testing? X Yes ❑No X Yes ❑No ❑Yes ❑No ❑NA ❑Yes ❑No CI NA Was sensor properly replaced and XYes ❑No ❑NA XYes ❑No ❑NA ❑Yes ❑No ❑NA ❑Yes ❑No ❑NA verified functional after testing? Comments—(include information on repairs made p,•ior to testing, and recommended follow-up for failed tests) SWRCB,January 2002 Page of 9. SPILL/OVERFILL CONTAINMENT BOXES Facility is Not Equipped With Spill/Overfill Containment Boxes ❑ Spill/Overfill Containment Boxes are Present,but were Not Tested ❑ Test Method Developed By: ❑ Spill Bucket Manufacturer x Industry Standard ❑ Professional Engineer ❑Other(Specify) Test Method Used: ❑Pressure ❑Vacuum x Hydrostatic ❑Other(Spec) Test Equipment Used: Ts-sts Equipment Resolution: Spill Box#87 fill west Spill Box#87fill east Spill Box#87 vapor Spill Box#87 vapor west east Bucket Diameter: 12" 12" 12" 12" Bucket Depth: 13.50" 14.00" 14.00" 13.50" Wait time between applying pressure/vacuum/water and 5 Mins 5 Mins 5 Mins 5 Mins starting test: Test Start Time: 9:l5am 9:15am 12:00pm 12:00pm Initial Reading(Rj): 11.001, 11.50" 11.001, 11.25 Test End Time: 10:15am 10:15am 1:00pm 1:00pm Final Reading(RF): 11.001, 11.50" 11.001, 1 1.25' Test Duration: 1 hour 1 hour 1 hour I hour Change in Reading(Rr-Rj): 0.00" 0.00" 0.00" 0.00" Pass/Fail Threshold or 0.0625' 0.0625' 0.0625" 0.0625" Criteria: Test Result: X Pass ❑Fail X Pass ❑Fail X Pass ❑ Fail �_x Pass ❑ Fail Comments— (include information on repairs made prior to testing, and recommended follow-up for failed tests) Both of the 87 vapor SB failed, they were replaced and retested. SWRCB,January 2002 Page of 9. SPILL/OVERFILL CONTAINMENT BOXES Facility is Not Equipped With Spill/Overfill Containment Boxes ❑ Spill/Overfill Containment Boxes are Present, but were Not Tested ❑ Test Method Developed By: ❑Spill Bucket Manufacturer x Industry Standard O Professional Engineer ❑Other(Spec) Test Method Used: ❑Pressure ❑Vacuum x Hydrostatic ❑Other(Specify) Test Equipment Used: Ts-sts Equipment Resolution: Spill Box#91 BII Spill Box#91 vapor Spill Box# Spill Box# Bucket Diameter: 12" 12" Bucket Depth: 14" 14" Wait time between applying pressure/vacuum/water and 5 Mins 5 Mins starting test: Test Start Time: 9:15am 9:15 am Initial Reading(Ri): 1 1.75' 11.50" Test End Time: 10:15am 10:15am Final Reading(Rr): 11.75" 11.50" Test Duration: I hour I hour Change in Reading(RF-Rj): 0.00" 0.00" Pass/Fail Threshold or 0.0625' 0.0625" Criteria: Test Result: X Pass ❑ Fail X Pass ❑Fail ❑ Pass ❑Fail ❑ Pass ❑ Fail Comments—(include information on repairs made prior to testing, and recommended follow-up for failed tests) AER AM WM KOM."' 25ST I fmol x"F 201 MT VIA= ME AW ;wpm 12%, CA 261a HT 00; AVE GAKER�FIELD C�. h6l 21002 0�423i20 10 G:17 PM SW LEAK TES! IIEPW UDC 1-2 UDC 1-2 87 FRI. is! IN-05 W B U! SARNO d AQ ph WST SIAMP 052920-0 �Ez` SiATiGfj STIGUID 1 5 rm RAn L"R 1619 Jill iESi j TIME. 3:5,-, i1i END TIME 4:17 PM F;EGN: [:!!^! DAII, ENrj DATE 0171112111121110 END TIME 1: '0 ?M BW LUa 16vo Ili LEVEL 3,6170 Ili Ett) Mi!*. 0--:/2312010 0. it; 0,1,02 iN FW r 1 R M 6 M3 :U, TE U JEST 0@11 PASSE,11 LE-;y "',--DT2 R., JEST REW PASSM UDC vil LICK 3-4 91 FILL -_p 3:2 SIrPTF( ij;02 Pt: T•,r Swup on/yan, lr 1 SINK IA/23P010 P', AT LRR 1AI21 ON 0"Gill LE'vil h:2 10 It! it31 SWT�-u MV - !.r v EL 1,�17 14 3:S;--, PM �ub I I MC '!;I-( N � IN 23/21111! CNID LIME 0S/2 /2 0 1,0 ENI) I i ME i:2u PM Em W 1410 0! LLD LFW1 3.0.120 Ili 010 OME UP'3/201,1 LRY IQ H! AN WHRO A N2 IN F.t D LEVEL L Wo IN fj TEST RFS:11 PASSED 0.IXY2 !i i I ES I FF,%L I PASa-1," 5-6 cc 56 91 SIP iEST SIARE0 +;:02 Pr, IEY SYARIED 1:0.) -M I! U 6 8 N, LE UL ir.sl S EO i WE EW I ME 4:17 JIM I:![- 1);,;:- !-.*111•,, flAll: 08/213/20110 EIM TIME 110 •13 c* vDa 0 do? W END LEVEL 4.4489 IJ,, F14) DAIC 2-11/2010 002 IN 011 LIAR 12U0 Ili R C,St J L I iFS1 RESULT F I ASIS 1:0 W WMA U '1.002 N." 'IEST kESULI "PISSED ITA 0:3 uric 7-6 us, SAW 6112 Fri If 51 STARTED 10 LFINL ,i. 1461 IN ME 1 i ME a:I? P" FNU ;,Ai': 0:;/23/x010 FN!) LEVEL 3,140 Ili J. My=D 1 Wh WEG 0 A W2 MT Emat :,AKER"'F i El.," CP 935%26 ba %7.2,-5i',62 5 yet-SR 10 'i.06 e mIJP LEAW IE'Si SeR 81 SIP T f,k-I F ri Pr., 2S g2se 2' IIJ UO;IN LCVH. 5.26,,;ti i 0 E$ Ello D1,111. 0z y11) END I EVO. 5,260 If! Lb,," i;-,R(,SH5LO 0.002 IN A F, TFST RIBULI PASSD E UL 1 1, b :ll; DA L 625310 T,, AvE IBI RESU" PASSF.o 26!"" MT VFP'i, BAYCRSFIELD CA 91J2 irl 3:27 R! IL 1:2 1 l"m S1,0" LEM ¢g F".:POR-1 S E S";rj I I X 3 6 R", TP 2- 2,) 0 RE S U LEVFi. 5.2 Ild I Etlb HME $:27 PM P.2 I)Al'E 02/23/MO END J t 5.Nao it., IHRESHI),U) G.0,02 1:11 I[ST R(,",ULI 6518