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Home My WebLink AboutSB-989 Resultst ry) EP SAMMMLD FIRE, SakevO Id: a �,F ` ,.. .».......»........«- �.„.....,., ..,Mwww�� . w.— •.f..««r/wy..weym/�m�.+«�«r.�! MQQur u4 ; «i raYtlA �. �P' � : C1�YS✓i1ii..�.J4 P .. ��.,3e r..^Bi wduuk«wmww!u.� � '�k�iCa�.'tk' " :.:•:: � : ?gip E? "'::';" � � �r,�.: «a�.1 - ..w ate`. • ' • . °� �a�..«a.aa „w -,a, �...w� 014: m «aaa �� f_ � Q w�..w..�•.ma< .. (iw«w «rwK:« «.m uea:wam.a.a.<..r wulmamv «<xuu.wa � �I"�"`� . �. laoo:« �w'.. ,... w_ «ww.wM...::.GGwaww <m««w.a•._... MOP I .ow« «au«..««•wG r: � SS'y.}s� «w w. :. .. :: ... ,.,,,.,w.w,..w...,.:.,,,..„,..: ..,...,.w<wwmwa««., . ..” ', ... . «.w««w««::wmw,:,.... �,�....•.,. «a«a�.:A.h t; ..... IT . •^ •. GN+w(NwKi•++G.wh'• -."' vevwm. .ww«w..«.vA«uuu.uu wwu..auu /( .,w..+km.wuaueumu .«««•."k auuu.... `•a"""'w« �ky+� .�y . ••. �wN73 ry _ . ,i ii'tot-:4liii1- 'Not ��4��1. '��I � �l�� :��T:��if� �... 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' • i::�.l'�%ik�is�:iv�.r,«7, itLa fik"�'�r«�: ...n+m.mwwm,mma,. �6••,•^•:. • wra««rr«r«w.«�. ..........,w.««�..««»...�.. n u«.«.,w»««.. , .... _ ' .. ...Gai p. t research S50 /Y awaw« . : w ...+...w.aaKa(waum«.awu «a.%mi�y .. -- -..-• ..•• «,' w.m •: UNDERGROUND STORAGE TANKS APPLICATION TO PERFORM ELD / LINE TESTING / SB989 SECONDARY CONTAINMENT TESTING /TANK TIGHTNESS TEST AND TO PERFORM FUEL MONITORING CERTIFICATION PERMIT NO. L J ❑ ENHANCED LEAK DETECTION ❑ LINE TESTING r-1 r—t BA RSFIELD FIRE DEPT. Prevention Services 2101 H Street Bakersfield, CA 93301 Tel.: (661) 326-3979 Fax: (661) 852-2171 Page 1 of 1 X SB -989 SECONDARY CONTAINMENT TESTING r1 _ .. .,- .. � I 87 UL J y 91 UL NAME OF TESTING COMPANY Advanced Compliance Bruce W. Hinsley 661-706-4321 MAILING ADDRESS 3704 Littlefalls Ct. Bakersfield, Ca. 93312 Brad W. Hinsley 661-706-4321 CERTIFICATION #:B46141 DATE & TIME TEST TO BE CONDUCTED ICC #: 8373948 w SIGNATURE OF APPLICANT DATE 1/14/2019 APPROVED BY I DATE FD 2095 (Rev. 09/05) LOCATION OF PROJECT PROPERTY OWNER Minit Stop STARTING DATE COMPLETION DATE NAME PROJECT NAME ADDRESS PHONE # PROJECT ADDRESS 2900 Union Ave. CITY gAf,_L'RJS�I CLD STATE C'A j ZIP CODE CONTRACTOR NAME CA LICENSE # TYPE OF LICENSE EXPIRATION DATE PHONE # Bruce W. Hinsley 1 971259 C61 /D40 3/31/2020 661-706-4321 CONTRACTOR COMPANY NAME FAX # Advanced Compliance 661-589-9329 ADDRESS CITY ZIP CODE 3704 Littlefalls Ct. Bakersfield 93312 Please make checks payable to CITE OF BA ERSFIELD. NO CASH Please. Thank you. ' e. 13Alarm BAKERSFIELD FIRE DEPARTMENT %F11 Prevention Services o $ 0 .028 x sq ft FIRE 2101 H Street '�* r Bakersfield, CA 93301 84 PhnnA- AA1-'4?A- 4A7G ® FaY- AA1-RS7-?171 LOCATION OF PROJECT PROPERTY OWNER Minit Stop STARTING DATE COMPLETION DATE NAME PROJECT NAME ADDRESS PHONE # PROJECT ADDRESS 2900 Union Ave. CITY gAf,_L'RJS�I CLD STATE C'A j ZIP CODE CONTRACTOR NAME CA LICENSE # TYPE OF LICENSE EXPIRATION DATE PHONE # Bruce W. Hinsley 1 971259 C61 /D40 3/31/2020 661-706-4321 CONTRACTOR COMPANY NAME FAX # Advanced Compliance 661-589-9329 ADDRESS CITY ZIP CODE 3704 Littlefalls Ct. Bakersfield 93312 Please make checks payable to CITE OF BA ERSFIELD. NO CASH Please. Thank you. ' e. 13Alarm r - New & Modification (minimum charge) FA $ 288 • ❑ Over 10,000 sq ft $ 0 .028 x sq ft ❑ Alarm - Minor Modification (Add 1 device/Relocation of 2 devices) $ 98/hr (2 hrs minimum) _ $196 84 ❑ Sprinkler - New & Modification (minimum charge) FIRE $ 288 ❑ Over 10,000 sq ft $ 0 .028 x sq ft ❑ Sprinkler - Minor Modification (<10 heads) $ 98/hr (2 hrs minimum) _ $196 84 ❑ Commercial Hood (New & UL 300 Upgrade Modification) FHD Additional Hood $ 241 $ 59/hood ❑ Commercial Hood - Minor Modification (add/move nozzle) $ 98/hr (2 hrs minimum) _ $196 84 ❑ Spray Booth (New & Modification) SB $ 241 0 Aboveground Storage Tank (1 inspection per installation) AST $ 185/tank ❑ Additional Tank ATI $ 98/tank ❑ Aboveground Storage Tank (Removal, Mod, or Inspection) ATR $ 112/tank ❑ Underground Storage Tank (Installation/Inspection) NI $ 900/tank ❑ Underground Storage Tank (Modification) MOD $ 900/site ❑ Underground Storage Tank (Minor Modification) MTM $ 171/site ❑ Underground Storage Tank (Removal) TR $ 587/tank X Mandated UST Testing: Fuel Mont Cert/SB989/Cath. Prot. NOTE: $98/hr for each type of test/per site/per UST system even if scheduled at the same time TT $ 98/hr (2 hrs minimum) _ $196 0 Oil well (Installation, Inspection, or re -inspection) X $ 98/hr 84 ❑ Tent TENT $ 98/hr ❑ After-hours inspection fee 124/hr 2 hrs minimum = 248 ❑ Pyrotechnic (1 permit per event, plus an inspection fee of $98/hr during business hours) PYRO NOTE: After hours Pyrotechnic event inspection is @ 124/hr $ 98/hr + (5 hrs min standby fee/insp) _ $58 5 hrs min standby fee ins = $620 ❑ Re-inspection/Follow-up Inspection $ 98/hr 84 ❑ Portable LPG (Propane): # of Cages? $ 98/hr 84 ❑ Explosive Storage $ 241 84 ❑ Copying & File Research (File Research fee $51/hr) $ 0.02/page 84 ❑ Miscellaneous Site Plan Review (Carnival & Fairs/Vehicle _lDignlay/Motion Picture) $ 98/hr 84 rululi (Kev iiibI PREPARED 1/18/19, 13:04:33 PAYMENT DUE CITY OF BAKERSFIELD PROGRAM BP820L --------------------------------------------------------------------------- APPLICATION NUMBER: 19-10000035 2900 UNION AVE FEE DESCRIPTION AMOUNT DUE --------------------------------------------------------------------------- PLAN CHECK FEES 98.00 MANDATED LEAK DETECT TEST 98.00 TOTAL DUE 196.00 Please present this receipt to the cashier with full payment. From: Franzen-Hill Inc. To: 16618522171 Page: 2/8 Date: 5/12/2011 5:23:19 PM � 4! SWRCB,.January 2002 I IIIIIII VIII III IIII 75 Page of IE Secondary Containment Testing Report Form Ms form is Intended or use b contractors orml eriodic testing o UST seconds contaimnent stems. Use the .t f Y Pei �P 8 f secondary sy appropriate pages of this form to report results for all components tested. The completedform,written test procedures, and printouts from tests(if applicable),should be provided to the faculty owner/operator for submittal to the local regulatory agency. I. FACT LTTY INFORMATION Facility Name: 1714, Date of Testing: Facility Address: 6 Facility Contact: phone:Local Agency Was Notified of Testing: f Name of Local Agency Inspector(#present during testing): .' ' I 2. TESTING CONTRACTOR INFORMATION i Comp Name: Frame -Hill Tochnician Conducting Test: - I. Credentials: E CSLB Licensed Contractor D SWRCB Licensed Tank Tester License Type:-8 C61/D40 A HAZ License Number:304147 Manufaeturer TrainflIg Manufacturer Com mne s Date Training Expires i i i 3. SUMMARY OF TEST RESULTS Component Pass Fall Not Repairs Component pass Fag Not repairs Tested Made Tested Made IV ❑ ❑ ❑ o ❑ a o ❑ a o o ❑ ❑ 0 a a D ❑ ❑ ❑ 0 ❑ 0 ❑ 0 D 1.0 a ❑ ❑ o 0 0 ❑ 1 o ❑ ❑ 0 ❑ 1 ❑ D ❑ D D i o ❑ ❑ D a ❑ ❑ ❑ ❑ o o n o ❑ ❑ a ❑ D D ❑ 0 D ❑ D ........ ..--- ❑ ❑ Q D 0 ❑ Cl 1 0 � ..........__ o ❑ cl ❑ ❑ ❑ o If hydrostatic testing was perfonned,describe what was done with the water after completion of tests: � .✓.`. i CERTIFICATION OF TECHNICIAN RESPONSIBLE FOR CONDUCTING T"(S TESTING To the best of MY knowledge,the f cts stated in th' docam t are accurate and in full compliance with legal requirements Technician's Signature: Date: I VIII{I Illfl 111 IIII 76 IE This fax was sent with GFI FAXmaker fax server. For more information,visit: http://www.gfi.com From: Franzen-Hill Inc. To-.16618522171 Page:3/8 Date:5/12/2011 5:23:19 PM e SWRCB,January 2002 Page_of 4. TANK ANNULAR TESTING Test Method Developed By: 0 Tank Manufacturer ❑Industry Standard D Professional Engineer ❑Other(Specify) Test Method Used: ❑Pressure ❑Vacuum ❑Hydrostatic ❑Other(Spec Test Equipment Used: Equipment Resolution: Tank# Tank# Tank# Tank# Is Tank Exempt From Testing? 0 Yes 0 No Q Yes D No 0 Yes 0 No ❑Yes ❑No Tank Capacity: Tank Material: Tank Manufacturer: Product Stored: Walt time between applying pressure/vacuum/water and start• test Test Start Time: Initial Reading(R.j): Test End Time: Final Reading(RF): i Test Duration: i Change in Reading(RrX): Pass/Fail Threshold or Criteria: ,n Was sensor removed for testi�a:nd ❑Yes ❑No ❑NA ❑Yes 13 No DNA D Yes D No DNA ❑Yes D No ❑NA Was sensor properly replaced D Yes ❑No DNA O Yes O No DNA D Yes O No ❑NA D Yes ❑No DNA verified functional after testin Comments—(include lnformallon on repairs made prior to tead and recommexdedfollow-up for jpiled 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(x)(6)} This fax was sent with GFI FAXmaker fax server. For more information,visit:http://www.gfi.com From: Franzen-Hill Inc. To: 16618522171 Page:4/8 Date: 5/12/2011 5:23:20 PM r SWRCB$January 2402 Page_of 5. SECONDARY PIPE TESTING Test Method Developed By: 0 Piping Manufacturer 0 Industry Standard 0 Professional Engineer 0 Other(S ectfy) i Test Method Used: 0 Pressure 0 Vacuum 0 Hydrostatic 0 other(Spec Test Equipment Used: Equipment Resolution: Piping Run# Piping Run# Piping Run# Piping Run 9 Piping Material: Piping Manufacturer: Piping Diameter: Length of Piping Run: Product Stored: Method and location of pip!ES-run isolation: Wait time between applying pressure/vacuum/water and startlrl test: Test Start Time: Initial Reading(R,): Test End Time: Final Reading(Rr): Test Duration: Change in Reading(RF-RO: Pass/Fail Threshold or Criteria MOM" Comments—(include informatlon on Malrs made prior to test113g, and recommended follow-up farLfailed tests) I i ........... _......._— I This fax was sent with GFI FAXmaker fax server. For more information,visit: http://www.gfi.com From: Franzen-Hill Inc. To: 16618522171 Page:5/8 Date: 5/1212011 5:23:20 PM SWRCB,January 2002 Page of b. PIPING SUMP TESTING Test Method Developed By: 0 Sump Manufacwrer A%dustry Standard 0 Professional Engineer D Other(Spec) Test Method Used: D Pressure D Vacuum ydrostadc 0 Other(Spec' ) Test Equipment Used: ilcZ Equipment Resolution: Sump# Sump# Sump it Sump# Sump Diameter: t� i Sump Depth: Sump Material: 1161147 S Height from Tank Top to Top of Highest Piping Penetration: Height from Tank Top to Lowest Electrical Penetration: Condition of sump prior to testing: [, �� (A e—q tj Portion of Sump Testedt t ( u Does turbine shut down when sump sensor detects liquid(both 0Yes 0 N �&A QYes 0 N OA t7Yes DNo DNA 0Yes 0 N DNA roduct and water 7+ Turbine'shutdown response time A �} Is system programmed for fail-safe Dyes ❑No NA Dyes ❑No d 4A D Yes 0 No DNA 0 Yes D No DNA i shutdown?* FV" I Was fail-safe verified to be I o tional?" Dyes D No NA Dyes D No �TA Q Yes D No DNA D Yes 0 No DNA Wait time between applying pressure/vacuutiVwater and starting p , test: Test Start Time: Initial Reading(Rj): &.3 754 Test End Time: )3 6 Final Reading(RF): 7 Test Duration: ' Change in Reading(RF-W): , 600 6O Pass/Fail Threshold or Criteria: d < U111,11641-51M MININVERE 44 Was sensor removed for testing? es ❑No DNA VY03 0 No DNA 0 Yes 0 No 0 NA 0 Yes D No ❑NA Was sensor properly replaced and Yes Q No U NA Yes D No DNA F)Yes 0 No U NA 0 Yes 0 No 0 NA verified functional after testin ? Comments—jirrclude in orrnation on re airs made prior to le 'n , and recnmm nded ol! tiv-u or ailed test _ ,q s If the entire depth of the sump is not tested,specify how much was tested. If the answer to gny of the questions indicated with an asterisk(*)is"NO"or"NA",the entire sump must be tested. (See SWPCB L,G-160) i This fax was sent with GFI FAXmaker fax server. For more information,visit: http://www.gfi.com From: Franzen-Hill Inc. To: 16618522171 Page:6/8 Date:5/1212011 5:23:21 PM s SWRCB,January 2002 Page of 7. UNDER-DISPENSER CONTAINMENT C TESTING Test Method Developed By: 0 UDC Manufacturer .ilhdustry Standard 0 Professional Engineer 0 Other(Sped) Test Method Used: 0 Pressure 0 Vacuum &'liydrostatic 0 Other(Specify) Test Equipment Used: I 190A Equipment Resolution: UDC# JZ7, UDC# .:S UDC# UDC# 7:DC Manuf vt Material the ht from UDC Bottom to Top p L of Highest Piping Penetration: / Height from UDC Bottom to Lowest Electrical Penetration: Condition of UDC prior to testing: c le 0. Portion of UDC Vested :J - Does turbine shut down when UDC sensor detects liquid(both 0 Yes 0 No OA 0 Yes 0 No f NA 0 Yeas 0 No 0 NA 0 Yes 0 No 0 NA product and water p. i Turbine shutdown response time ; N system programmed for fail- 0 Yes 0 No ANA 0 Yes 17 No JVNA 0 Yes 0 No 0 NA 0 Yes D No 0 NA 1 safe shutdown? Was fail-safe verified to be 0 Yes 0 No jVNA 0 Yes 0 No �NA 0 Yes 0 No 0 NA 0 Yes 0 No 0 NA operational?* Wait time between applying pressure/vacuum/water and , startle test f Test Start Time: Initial Readin (R,): Test End Time: ^�.• Final Reading(L4): Test Duration: ' Chanp in Read Rp- w vo Pass/Fail Threshold or Criteria -oJZ_ A4X Was sensor removed for testing? Yes 0 No 0 NA Yes 0 No 0 NA 0 Yes 0 No 0 NA 0 Yes 0 No 0 NA Was sensor properly replaced and ,!„l es DNo DNA IYes ONo DNA DYes DNo UNA 0Yes 0 N DNA verified functional after testin �1 Comments —(include information on repairs made prior to testing, and recommended follow-uplor failed tesrs t 1fthe entire depth of the UDC is not tested,specify how much was tested. if the answer to pm of the questions indicated with an asterisk(*)is"NO"or"NA",the entire UDC must be tested. (See S WRCB LG-160) This fax was sent with GFI FAXmaker fax server. For more information,visit: hfp://www.gfi.com From: Franzen-Hill Inc. To: 16618522171 Page:7/8 Date: 5/12/2011 5:23:21 PM SWRC11,January 2002 Page_of 8. FILL RISER CONTAINMENT SUMP TESTING Facili is Not Egoped With Fill Riser Containment Snps 0 Fill Riser Containment Sum s are Presoat,but wore Not Tested O Test Method Developed By: 0 Sump Manufacturer ❑Industry Standard 0 Professional Engineer 0 Other(Spew) Test Method Used: 0 Pressure 0 Vacuum 0 Hydrostatic 0 Other(Specify) Test Equipment Used: Equipment Resolution: Flli Sum # FiII Sump# Fin Sttmp# Fill Some# Sump Diameter; SuMp Depth: Height from Tank Top to Top of Highest Piping Penetration; Height from Tank Top to Lowest Electrical Penetration: Condition of sump prior to testi Portion of Sump Tested Sump Material: Wait time between applying pressure/vacuunt/water and starting test: Test Start Time; Initial Reading Rr : Test End Time: Final Read Test Duration: Cha a ht Readin RI): Pass/Fail Threshold or Criteria: Is there a sensor in the sump? O Yes 0 No ❑Yes 0 No 0 Yes O No D Yes 0 No Does the sensor alarm when either product or water Is O Yes D No DNA O Yes O No DNA D Yes 0 No DNA []Yes O No DNA detected? Was sensor removed for testing? D Yes 0 No ❑NA 1 0 Yes O No 'DNA O Yes O No DNA O Yes O No DNA Was sensor properly replaced and Dyes 0 No DNA ❑Yes O No ❑NA O Yas D No DNA O Yes 014o DNA verified functional after testing? Comments—•(include information on repairs made prior to testing, and recommended ollow-up for failed tests) This fax was sent with GFI FAXmaker fax server..For more information,visit: http:/iwww.gfi.ccm From: Franzen-Hill Inc. To: 1 661 85221 71 Page:818 Date:5/12/2011 5:23:21 PM r S WRCEi,January 2002 Page of 9. SPILIJOVERFILL CONTAEVAMW BOXES Facility is NotF i pped With S it/Over011 Containment Boxes ❑ SpitUOverl'ill Containment Boxes are Present,but were Not Tested ❑ Test Method Developed By: ❑Spill Bucket Manufacturer ❑Industry Standard ❑Professional Engineer 0 Other A ec fy) Test Method Used: 0 Pressure 0 Vacuum ❑Hydrostatic ❑Other ec(fy) Test Equipment Used: Equipment Resolution: Spill Box# Spill Box# Spill Box# Spill Box# Bucket Diameter: Bucket Depth, r Wait time between applying pressurelvacuum/water and stardAg test: Test Start Time: Initial Reading(RD: Test End Time:' Final Reading(pp): 1 I Test Duration: Change in Reading(RF-Ri): PamTail Threshold or Criteria' i Comments—(include information on repairs made prior to testing,and recommendedfollow-up orfalled tests) ................. —_ r i This fax was sent with GFI FAXmaker fax server. For more information,visit: http://www.gfi.com From: Franzen-Hill Inc. To: 16618522171 Page: 1/8 Date: 5/12/2011 5:23:19 PM -,:�Ctfran7en-".l To: Ernie Medina - Minut Stop From: ++':\.\l;4`\.2b\.??.\R.`dx�tJ7+�LCAn�i\\A:?A?\'\33i\\.iJ`.vy,?:C+�x`CtJn\'\.S\mil.+V?•'+.`�\a1i\\\\\.A�\`4:)x�?2+Y.�L\CA`.\n4`:R+".i\\\uG•\\R:S\+iNX?•:>::R+Vh\`ate\'\n`?avx4T U:??•'h.\34n"va.\•:Y.\b?A'•n?•4`tiY�::22J' Message: Ernie-Attached are the test results from 05-11-11 at Minut Stop Market at 2900 Union Ave,Bakersfield for your records. Please give me a call if you have any questions. Regards, Diane Lopez Franzen-Hill Corporation 1100 N. "J" St. Tulare, CA 93274 (559) 688-2977 ext. 3002 (559) 805-3368 cell (559) 688-1467 fax ° .+lNS\`�.+A\`ENV.,W\�PV'?bt\'>'N..L::i:?,y�riv,:.\i�:\H\\�N.\+i•�:dti�:3Y+:D7.L7x\�.'•k�A?tR+�•�.4:�7.�Y�:t+�N�:iA`4:?Y�\`¢•�!\�A\'".DA4`�tiJNZ.4�C?hbih'rrNXl\�b)iRZL\`4W?:ham\`hew:Q�\v,.\w�A \'h�4�A\4\\N.:.�ti,U7L`ii•�N:'R Franzen-Hill Inc. 1100 N.J St,Tulare,CA 93274 Tel:559-688-2977 Fax:559-688-1467 Website:http:/Avww.franzenhill.com x W a\\\L L�x L L�h\\a\L\a L L\d x^C:\L\+h L L\K::x\+h e x\\L\L\`h L\C L a L\K•U\\a L`t?a L`M\L\L L'C a L\K a L L L L V a L L V x\a L L W�\`a V�\'A V h\+h L:'\\L L\\+L a L N C a L U)a w L`{i a\L L'a L W L\\L\L 1 L\\u 4`a\`C?A'a L L`h\L L\L L L L L\L L\�a L\L L\\\L L L L\v 4\L\L 4\ This fax was sent with GFI FAXmaker fax server. For more information,visit: http:/twww.gfi.com