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SWRCB,January 2002 Page 1 of 5
Secondary Containment Testing Report Form
This form is intended for use,by contractors performing periodic testing of UST secondary containments systems. Use the appropriate
pages of this form to report results for all components tested. The completed form, written test procedures,and printout from tests(if
applicable),should be provided to the facility owner/operator for submittal to the local regulatory agency.
1.FACILITY INFORMATION
Facility:Pacific Bell Telephone Co.dba AT&T California Service Date: 10/06/2010
Facility Address:3221 S."H"STREET BAKERSFIELD:CA 93304 GEO PAR#SA098
Facility Contact:Grant ArmstrongFacili Phone:
Date Local Agency Was Notified of Testing:09/27/2010 Test T :36 Month
Name of Local Agency Inspector if present during testing): Esther Duran
2.TESTING CONTRACTOR INFORMATION
Company Name:Tait Environmental Services
Technician Providing Test:Scott Johnson
Credentials ®CSLB Licensed Contractor ❑SWRCB Licensed Tank Tester
®ICC UST Service Technician
License Type:A B ASB C-10 HAZ ILicense Number:588098
Manufacturer Training
Manufacturer Component(s) Date Training Expires
I.C.C.Service Tech #5252040-UT 11/24/2011
Franklin Fuelinjz Incon TS-STS #9788143701 11/25/2011
3.SUMMARY OF TEST RESULTS
Component Pass Fail Not Repairs Component Pass Fail Not Repairs
Tested Made I Tested Made
SA098U001 Annular ® ❑ ❑ Q ❑ ❑ ❑
SA098U001 Fill Sump ® ❑ ❑ ❑ ❑ ❑
SA098U001 Piping Sump ® ❑ ❑ ❑ ❑ ❑
SA09S0001 Vent Secondary ® ❑ ❑ IQ I ❑ ❑ 1❑
SA098U001 Supply Secondary ® ❑ ❑ ❑ 1❑ ❑
SA098U001 Return Secondary ® ❑ ❑ ED ❑ I❑ ❑
❑ ❑ ❑ ED ❑ ❑ ❑
❑ ❑ ❑ ❑ ❑ ❑
❑ ❑ ❑ ❑ ❑ ❑
❑ ❑ ❑ 00 ❑ ❑
❑ ❑ 10 ❑ ❑ ❑
El IEJ I ELI] +R 11 ]F1 I F-I I F-1
If hydrostatic testing was performed,describe what was done with the water after completion of tests:
Water was pumped into water trailer and returned to Tait shop.
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 1 Date 10/06/2010
IIIIIIII/IIIIIIIIIII 20
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SWRCB,January 2002
4.TANK ANNULAR TESTING
Test Method Developed by ❑ Tank Manufacturer E Industry Standard ❑ Professional Engineer
❑ Other(Specify)
Test Method Used ❑ Pressure ® Vacuum ❑ Hydrostatic
❑ Other(Specify)
Test Equipment Used:4"dial Guage Equipment Resolution: .2
Tank#SA098U00I Tank# Tank# Tank#
Annular
Is Tank Exempt From Testing?(1) ❑ Yes ® No ❑ Yes ❑No ❑ Yes ❑ No ❑ Yes ❑ No
Tank Capacity: 6,000
Tank Material:
Steel-Clad
Tank Manufacturer: Modern Welding
Product Stored: Diesel
Wait Time between applying 15 min
pressure/vacuum/water and starting
test:
Test Start Time: 11:00 AM
Initial Reading(Ri): -10 HG
Test End Time: 12:00 AM
Final Reading(Rf): -10 HG
Test Duration: 1 Hour
Change in Reading(Rf-Ri): 0
Pass/Fail Threshold or Criteria: 0
Test Result ® Pass ❑ Fail ❑ Pass ❑ Fail ❑ Pass ❑ Fail ❑ Pass ❑ Fail
Was Sensor Removed for Testing?
® Yes ❑ No [DNA ❑ Ycs ❑ No ❑ NA El Yes ❑ No ❑ NA ❑ Yes ❑ No ❑ NA
Was Sensor properly replaced and
verified functional after testing? ❑ Yes ® No ❑ NA ❑ Yes ❑ No ❑ NA ❑ Yes ❑ No ❑ NA ❑ Yes ❑ No ❑ NA
Comments include any information on repairs made prior to testing,and recommended follow-up for failed tests
Sensor was reinstalled to lowest point but not tested.
(1)Secondary containment systems where the continuous monitoring automatically monitors both the primary and secondary containment,such as
sysrtems 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 3 of 5
5.SECONDARY PIPE TESTING
Test Method Developed by ❑Piping Manufacturer ® Industry Standard ❑ Professional Engineer
❑Other(Specify)
Test Method Used ®Pressure ❑ Vacuum ❑ Hydrostatic
❑ Other(Specify)
Test Equipment Used:4"Dial Guage Equipment Resolution: .)
Piping Run# Piping Run# Piping Run# Piping Run#
SA0980001 Supply SA098UO01 Return SA098UO01 Vent
Piping Material: Poly Poly Fiberglass
Piping Manufacturer: Western Fiberglass Western Fiberglass A.O.Smith
Piping Diameter: 1" 1 1/2" 3"
Length of Piping Run: 35' 35' 35'
Product Stored: Diesel Diesel Diesel
Method and location of piping-run Test Boot in Sump Test Boot in Sump Test Boot in Sump
isolation:
Wait Time between applying 15 min 15 min 15 min
pressure/vacuum/water and starting
test:
Test Start Time: 11:00 AM 11:00 AM 11:00 AM
Initial Reading(Ri): 5 PSI 5 PSI 5 PSI
Test End Time: 12:00 PM 12:00 PM 12:00 PM
Final Reading(Rf): 5 PSI 5 PSI 5 PSI
Test Duration: 1 Hour 1 Hour 1 Hour
Change in Reading(Rf-Ri): 0 0 0
Pass/Fail Threshold or Criteria: 0 0 0
Test Result ® Pass ❑ Fail ® Pass ❑ Fail ® Pass ❑ Fail ❑ Pass ❑ Fail
Comments include any information on repairs made prior to testing,and recommended follow-up for failed tests
SWRCB,January 2002 Page 4 of 5
6.PIPING SUMP TESTING
Test Method Developed by ❑ Sump Manufacturer ® Industry Standard ❑ Professional Engineer
❑ Other(Specify)
Test Method Used ❑ Pressure ❑ Vacuum ® Hydrostatic
❑ Other(Specify)
Test Equipment Used: Incon TS-STS Equipment Resolution: .0006
Sump#SA098U001 Sump# Sump# Sump#
Piping
Sump Diameter 48"
Sump Depth 50"
Sump Material Fiberglass
Height from Tank Top to Top of 22"
Highest Piping Penetration
Height from Tank Top to Lowest 10"
Electrical Penetration
Condition of sump prior to testing Good/Clean
Portion of Sump Tested(1) 2"Above Penetration
Does turbine shut down when
sump sensor detects liquid(both ❑ Yes ❑ No RNA ❑ Yes ❑ No ❑ NA ❑ Yes ❑ No ❑ NA ❑ Yes ❑ No ❑ NA
product and water)?*
Turbine shutdown response time N/A
Is sytem programmed for fail-safe ❑ Yes ❑ No RNA ❑ Yes ❑ No ❑ NA ❑ Yes ❑ No ❑ NA ❑ Yes ❑ No ❑ NA
shutdown?*
Was fail-safe verified to be ❑ Yes ❑ No RNA ❑ Yes ❑ No ❑ NA ❑ Yes ❑ No ❑ NA ❑ Yes ❑ No ❑ NA
operational?*
Wait time between applying
pressure/vacuum/water and starting 15 min
test
Test Start Time 11:07 11:22
Initial Reading Ri) 4.3294 4.3291
Test End Time 11:22 11:38
Final Reading R 4.3291 4.3291
Test Duration 15 min 15 min
Change in Reading Rf-Ri .0003 .0000
Pass/Fail Threshold or Criteria .002
Test Result N Pass ❑ Fail ❑ Pass ❑ Fail ❑ Pass ❑ Fail ❑ Pass ❑ Fail
Was sensor removed for testing? ® Yes ❑ No ❑ NA ❑ Yes ❑ No ❑ NA ❑ Yes ❑ No ❑ NA ❑ Yes ❑ No ❑ NA
Was sensor properly replaced and ❑ Yes ® No ❑ NA ❑ Yes ❑ No ❑ NA ❑ Yes ❑ No ❑ NA ❑ Yes ❑ No ❑ NA
verified functional after testing?_
Comments include any information on repairs made prior to testing,and recommended follow-up for failed tests
Sensor Reinstalled to lowest point in sump,but not tested.
(1)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 M Page 5 of 5
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 ® Industry Standard ❑ Professional Engineer
❑ Other(Specify)
Test Method Used ❑ Pressure ❑ Vacuum ® Hydrostatic
❑ Other(Specify)
Test Equipment Used:Incon TS-STS Equipment Resolution: .0006
Fill Sump# Fill Sump# Fill Sump# Fill Sump#
SA098UG01
Sump Diameter: 48"
Sump Depth: 51"
Height from Tank Top to Top of N/A
Highest Piping Penetration:
Height from Tank Top to Lowest 12"
Electrical Penetration:
Condition of sum rior to testing: Good/Clean
Portion of Sump Tested: 2"Above penetration
Sump Material: Fiberglass
Wait time between applying 15 min
pressure/vacuum/water and starting
test:
Test Start Time: 11:07 11:22
Initial Reading i : 4.4075 4.4075
Test End Time: 11:22 11:38
Final Reading(R f): 4.4075 4.4075
Test Duration: 15 min 15 min
Change in Reading Rf-Ri : .0000 .0000
Pass/Fail Threshold or Criteria: .002
Test Result: ® Pass ❑ Fail ❑ Pass ❑ Fail ❑ Pass ❑ Fail ❑ Pass ❑ Fail
Is there a sensor in the sump? ® Yes ❑ No ❑ Yes ❑ No ❑ Yes ❑ No ❑ Yes ❑ No
Does the sensor alarm when either ❑ Yes ® No ❑ NA ❑ Yes ❑ No ❑ NA ❑ Yes ❑ No ❑ NA ❑ Yes ❑ No ❑ NA
product or water is detected?
Was sensor removed for testing? ® Yes ❑ No ❑ NA ❑ Yes ❑ No ❑ NA ❑ Yes ❑ No ❑ NA ❑ Yes ❑ No ❑ NA
Was sensor properly replaced and ❑ Yes ® No ❑ NA ❑ Yes ❑ No ❑ NA ❑ Yes ❑ No ❑ NA ❑ Yes ❑ No ❑ NA
verified functional after testin ?
Comments include any information on repairs made prior to testing,and recommended follow-up for failed tests
Sensor was reinstalled to lowest point in sump,but not tested.
AT-T
3221-H, STREET- - -
__._. ..-- - - AT-T
BAKERSFIELD
CALIFORNIA 3221 H. -STREET -
BAKERSFIELD
10/06/2010 11:22 AM CALIFORNIA
SUMP LEAK TEST REPORT 10/06/2010 11:38 AM
FILL SUMP LEAK TEST REPORT
TEST STARTED 11:07 AM FILL
TEST STARTED 10/06/2010
BEGIN LEVEL 4,4075 IN TEST STARTED 11:22 AM
END TIME 11:22 AM TEST STARTED 10/06/2010
END DATE 10/06/2010 BEGIN LEVEL 4,4075 IN
END LEVEL 4,4075 IN END TIME 11:38 AM
LEAK THRESHOLD 0,002 IN END DATE 10/06/2010
TEST RESULT PASSED END LEVEL 4,4075 IN
_,_LEAK,THRESHOLD 0,002 IN
TEST RESULT PASSED
PIPING
TEST STARTED 11:07 AM PIPING
TEST STARTED 10/06/2010
BEGIN LEVEL 4,3294 IN TEST STARTED 11:22 AM
END TIME 11:22 AM TEST STARTED 10/06/2010
END DATE 10/06/2010 BEGIN LEVEL 4,3291 IN
END LEVEL 4,3291 IN END TIME 11:38 AM
LEAK THRESHOLD 0,002 IN END DATE 10/06/2010
TEST RESULT PASSED END LEVEL 4,3291 IN
LEAK THRESHOLD 0,002 IN
TEST RESULT PASSED
TEST DATE: 10/6/10 CLIENT: SA098 3221 South H Street,Bakersfield PAGE_L_OFA_
. r
TAI T
4131146 TO TN!CNALL[NOl 2131 S. Dupont Drive, Anaheim,CA 92806
P:71 415 6018 2 22 www.tait.com
October 14, 2010
VIA FED EX: 7940 1310 8691 - -
Bakersfield Fire Department
2101 H Street
Bakersfield CA 93301
Re: Secondary Containment Testing
Pacific Bell Telephone Co. dba AT&T California
3221 S. H STREET, BAKERSFIELD, CA
GEOPAR: SA098
To Whom It May Concern:
Enclosed are the results for the following tests completed on October 6th, 2010:
■ Secondary Containment Testing Report Form
Please do not hesitate to call me if you have any questions.
je Phew Yours,
. Denison
Program Manager
CA Iic#588098!AZ 11c#095984 1 NV Iic#0049666 1 TX lick CR0000041