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Home My WebLink AboutMONIT. SYSTEM CERTI. 3/25/2011 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 reuort 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: YRC 822 City: BAKERSFIELD CA Zip:93313 Site Address: 4901 LISA MARIE COURT Contact Phone No: 833-1895 Date of Testing/Service: 03/25/2011 Facility Contact Person: RYAN SUTTERFIELD Make/Model of Monitoring System:LEAK ALERT LSO4 Work Order Number. 3182218 I IIIIIII VIII III IIII 33 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: PETROSONIC In-Tank Gauging Probe. Model: X Annular Space or Vault Sensor. Model: LALS-1 Annular Space or Vault Sensor. Model: X Piping Sump/Trench Sensogs). Model: BEI 406 Piping Sump/Trench Sensor(s). Model: Fill Sump Sensor(s). Model: FlII Sump Sensogs). Model: �( Mechanical Line Leak Detector. Model: FX1 DV Mechanical Line Leak Detector. Model: Electronic Line Leak Detector. Model: Electronic Line Leak Detector. Model: X Tank OverfilUHigh-Level Sensor. Model: FLAPPER Tank Overfill/High-Level Sensor. Model: Other(specify equipment type and model in Section E on page 2). D Other(specify equipment type and model in Section E on page 2). TanklD: TanklD: In-Tank Gauging Probe. Model: In-Tank Gauging Probe. Model: Annular Space or Vault Sensor. Model: Annular Space or Vault Sensor. Model: Piping SumplTrench Sensogs). Model: Piping Sump/Trench Sensor(s). Model: Fill Sump Sensor(s). Model: Fill Sump Sensogs). Model: Mechanical Line Leak Detector. Model: Mechanical Line Leak Detector. Model: Electronic Line Leak Detector. Model: Electronic Line Leak Detector. Model: Tank OverfilUHigh-Level Sensor. Model: Tank Overfill/High-Level Sensor. Model: Other(specify equipment type and model in Section E on page 2). Other(specify equipment type and model in Section E on page 2). Dispenser : 1 MAIN/SAT Dispenser ID: ®Dispenser Containment Sensors) Model: BEI 406 Dispenser Containment Sensors) Model: X❑Shear Valve(s). Shear Valve(s) ❑Dispenser Containment Floats)and Chain(s). Dispenser Containment Float(s)and Chain(s). Dispenser ID: Dispenser lD: Dispenser Containment Sensors) Model: Dispenser Containment Sensors). Model: Shear Valve(s). Shear Valve(s). Dispenser Containment Floats)and Chain(s). Dispenser Containment Float(s)and Chain(s). Dispenser ID: Dispenser ID: Dispenser Containment Sensors) Model: Dispenser Containment Sensors). 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): F-1 System set-up El Alarm history report Technician Name(print): PATRICK M PFRANG Signature: Certification No.: SI-148 License.No.: 743160(Class'A'General Enginering 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: 03/25/2011 Monitoring System Certification Page 1 of 3 I IIIIIII VIII IIIIIII 34 Based on CA form dated 03/08 IE Monitoring System Certification Site Address 4901 LISA MARIE COURT Date of Testing/Service: 03/25/2011 D. Results of Testing/Servicing Software Version Installed: N/A Complete the following checklist: El Yes No Is the audible alarm operational? Q Yes No Is the visual alarm operational? Q Yes ON.* Were all sensors visually inspected,functionally tested,and confirmed operational? ❑ Yes El No' Were all sensors installed at lowest point of secondary containment and positioned so that other equipment will not interfere with their proper operation? No• x N/A 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 r�Yes Yes ❑No' ❑N/A monitoring system detects a leak,fails to operate,or is electrically disconnected?If yes:which sensors initiate positive shut-down?(check all that apply) ❑X Sump/Trench Sensors; ❑x Dispenser Containment Sensors. Did you confirm positive shut-down due to leaks and sensor failure/disconnection? [Z]Yes No F-1 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? N❑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 arts in Section E,below. No Was liquid found inside any secondary containment systems designed as dry systems?(check all that apply) x❑Product; ❑ ❑x Water. If yes,describe causes in Section E,below. ❑No' Was monitoring system set-up reviewed to ensure proper settings?Attach set-up reports,if applicable. ❑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: etrosonic III automatic tank gauge in no longer in use.Tank is dipped each ay,SIR.Annular is a Leak Alert Turbine sump and main/satellite ispeners have 13EI 406 sensors.Flapper valve on drop tube.Universal Sensors&Devices Leak Alert - console does not have a printer. Page 2 of 3 Based on CA form dated 03/08 Monitoring System Certification Site Address: 4901 LISA MARIE COURT Date of Testing/Service: 03125/2011 F. In-Tank Gauging / SIR Equipment ❑ Check 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: ❑Yes ❑No' Has all input wiring been inspected for proper entry and termination,including testing for ground faults? ❑Yes ❑No• Were all tank gauging probes visually inspected for damage and residue buildup? ❑Yes ❑No• Was accuracy of system product level readings tested? ❑Yes ❑No' Was accuracy of system water level readings tested? Yes ❑No' Were all probes reinstalled properly? ❑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. G. Line Leak Detectors (LLD) : ❑x Check this box if LLDs are not installed. Complete the following checklist: For equipment start-up or annual equipment certification,was a leak simulated to verify LLD performance? Q Yes ❑No' E]N/A (Check all that apply)Simulated leak rate: X❑ 3 g.p.h❑0.1 g.p.h ❑0.2 g.p.h FX-1 Yes ❑No" Were all LLDs confirmed operational and accurate within regulatory requirements? X 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' ❑x N/A For electronic LLDs,does the turbine automatically shut off if any portion of the monitoring system is disabled or disconnected? ❑Yes ❑No" X❑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' Q N/A For electronic LLDs,have all accessible wiring connections been visually inspected? Fl Yes EJNo I 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 SWRCB,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: YRC 822 DateofTesting: 03/25/2011 Facility Address: 4901 LISA MARIE COURT , BAKERSFIELD, CA, 93313 Facility Contact: RYAN SUTTERFIELD Phone: (6 61) 833-1895 Date Local Agency Was Notified of Testing: 03/09/2011 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 Licensed Contractor Ifl SWRCB Licensed Tank Tester License Type: Vacutech/ A / UT License Number: 051590 / 743160 / 5259475 Manufacturer Training Manufacturer Component(s) Date Training Expires OPW Fill bucket 09/29/2012 3. SUMMARY OF TEST RESULTS Not Repairs Not Repair Component Pass Fail Tested Made Component Pass Fail Tested Made Spill Box 1 DIE FILL [K] 0 0 ❑ 0 0 0 0 0 0 0 0 0 0 El- El 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 Ell 0 0 0 0 0 0 Ell 0 0 0 0 0 0 0 0 0 ❑ ❑ I 0 0 0 0 0 0 0 0 0 0 0 ❑ 0 0 0 0 ❑ 0 0 0 I 0 0 0 0 If hydrostatic testing was performed,describe what was done with the water after completion of tests: On site 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: ��1 Date: 03/25/2011 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 testy(f applicable), should be provided to the facility owner/operator for submittal to the local regulatory agency. 1. FACILITY INFORMATION Facility Name: YRC 822 Date of Testing: 03/25/2011 Facility Address: 4901 LISA MARIE COURT , BAKERSFIELD, CA, 93313 Facility Contact: RYAN SUTTERFIELD Phone: (661) 833-1895 Date Local Agency Was Notified of Testing: 03/09/2011 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 I: E CSLB Contractor E ICC Service Tech. Ifl SWRCB Tank Tester E Other(Specify)Vacutech/ A / License Number: 051590 / 743160 / 5259475 3. SPILL BUCKET TESTING INFORMATION Test Method Used: ❑ 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) X❑ Bucket Installation Type: Direct Bury ❑Direct Bury ❑Direct Bury ❑Direct Bury ❑Contained in Sump ❑Contained in Sump ❑Contained in Sump ❑ Contained in Sump Bucket Diameter: 12 Bucket Depth: 15 Wait time between applying 0 vacuum/water and starting test: Test Start Time(TI ): 0844 Initial Reading(RI ): 8.5 Test End Time(TF ): 0 944 Final Reading(RF ): 8.5 Test Duration: 1 hr Change in Reading(R F-RI ): 0 Pass/Fail Threshold or 0 Loss Criteria: est Result: 0 Pass ail Pass ail ® ass Emil®MUM F 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: � y/�"� Date: 03/2S/2011 I State laws and regulations do not currently require testing to be performed by a qualified contractor.However,local requirements top gy 8501 N MOPAC EXPRESSWAY,SUITE 400 AUSTIN,TEXAS 78759 (512)451-6334 FAX(512)459-1459 TEST DATE:03/25/11 WORK ORDER NUMBER3182218 CLIENT:YRC INC. SITE:YRC 822 COMMENTS Monitor Cert, Line, Leak Detector, Spill Bucket, Overfill Survey & Meter Calibration. Tank monitor is not used, tank is dipped each day. Unable to perform calibration due to the dispenser being High flow. Found and removed water from several sumps & UDC's. All tests passed. (1) Hour labor for troubleshooting and water removal. PARTS REPLACED (lUANTI EIE50-RIPATIGNIIIIIII HELIUM PINPOINT TEST RESULTS (IF APPLICABLE) ITE T STED HELI M PINPO NT I °A SiTdRESUT 5 Printed 04/12/2011 07:37 MTUTTLE SITE DIAGRAM 8501 N MOPAC EXPRESSWAY,SUITE 400 AUSTIN,TEXAS 78759 (512)451-6334 FAX(512)459-1459 TEST DATE: 03/25/11 WORK ORDER NUMBER3182218 CLIENT:YRC INC. SITE: YRC 822 GARAGE 4E LEAK ALERT LS-04 PETROSO IC III BREAKERS ATG JESOI Q VENT LEAK ALERT SAT \ LALS-1 BEI 406 I F OA STP SENSORS 12K Diesel Drop tube flapper valve Docks and Office Printed 04/12/2011 07:37 MTUTTLE J'PP Tanknology 11000 N. MoPac E'tp'ressway, Suite 500 Austin,Texas 78759 Phone: (512)451-6334 Fax: (512)459-1459 Date Printed and Mailed: 04/12/2011 ` BAKERSFIELD FIRE DEPARTMENT OFFICE OF ENVIRONMENTAL SERVICES INSPECTOR CRAIG PERKINS 1501'TRUXTUN AVE. BAKERSFIELD, CA. 93301 Test Date: 03/25/2011 Order Number: 3182218 Dear Regulator, Enclosed are the results of recent testing performed at the following facility: YRC 822 4901 LISA MARIE COURT BAKERSFIELD, CA. 93313 Testing performed: Leak detector tests Line tests Monitor Certification Secondary Containment-Spill Container Sincerely, Dawn Kohlmeyer Manager, Field Reporting � � t t0p�i17 TANKNOLOGY CERTIFICATE OF TESTING 8501 N MOPAC EXPRESSWAY,SUITE 400 AUSTIN,TEXAS 78759 TELEPHONE(512)451-6334 FAX(512)459-1459 PURPOSE: COMPLIANCE TEST RESULT SUMMARY REPORT TEST DATE: 03125/11 WORK ORDER NUMBER: 3182218 CUSTOMER PO: CLIENT: YRC INC. SITE:YRC 822 YRC NORTH AMERICAN TRANSPORTATION 4901 LISA MARIE COURT 10990 ROE AVE. BAKERSFIELD,CA 93313 OVERLAND PARK,KS 66211 RUBEN BYERLEY RYAN SUTTERFIELD (913)3445622 (661)833-1895 TEST TYPE: TLD-1 Product Pipe Ti htness Test Results LINE LI1INCIM D IVERY IMPACT ID P PE TES RE FINAL L RA (NN VALVE A B D A B C D FUNCTIO 1 DIESEL DW FIBERG PRESSURE P P 0.006 0.006 Y Existina Line Leak Detector Test EXIS1T11NGILE%1K'L?ETEC,T1O #1 EXISITINGILEAKIDEW R#2 LINE ANE1A RER MODEL EMU# RESULT M � 7URER MODEL# # RESULT ID 1 RED JACKET FX1-DV 405049571 P New Replacement Line Leak Detector Test IN '' d,, ] t �' �1� '' 1� LADE MANU URER ~MODEL# ERIAL# RESULT M OF T RER «MODEL# S -RIAL RESUL For owner detailed report information,visit www.tanknology.com and select On-Line Reports-WRAP,or contact your local Tanknology office. Tester Name:PATRICK M PFRANG Technician Certification Number:1590 � O Printed 04112/201107:37 MTUTTLE INDIVIDUAL TANK INFORMATION AND TEST RESULTS i►MMWWiCIqy TEST DATE:03/25/11 8501 N MOPAC EXPRESSWAY,SUITE 400 WORK ORDER NUMBER3182218 CLIENT:YRC INC. AUSTIN,TEXAS 78759(512)451-6334 SITE:YRC 822 T K INFQR'AT10N Tank ID: 1 Tank manifolded: No Bottom to top fill in inches: 155.0 Product: DIESEL Vent manifolded: No Bottom to grade in inches: 161.0 Capacity in gallons: 12,036 Vapor recovery manifolded: No Fill pipe length in inches: 65.0 Diameter in inches: 90.00 Overfill protection: YES Fill pipe diameter in inches: 4.0 Length in inches: 389 Overspill protection: YES Stage I vapor recovery: NONE Material: DPI STIP3 Installed: ATG Stage II vapor recovery: NONE CP installed on: COMMENTS TANK TEST RESULTS Test Method:vacuTeet LEAK DETECTOR TEST R SU gI Test a od: T- 000 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: 405619571 Inclinometer reading: Open time in sec: 3.00 Holding psi: 17 VacuTect Test Type: NOT Resiliency cc: 200 NOT VacuTect Probe Entry Point: TESTED Test leak rate ml/m: 189.0 TESTED Pressure Set Point: Metering psi: s Tank water level in inches: Calib.leak in gph: 3.00 Water table depth in inches: Results: PASS Determined by(method): Result: COMMENTS COMMENTS �INNEiTE!,;iTiRE91DI TS T�e"st type: TLD-1 LINE A C D Material: DPI FIBERG DPI FIBERG Diameter(in): 2.0 2.0 Length(ft): 25.0 10.0 Test psi: 50 50 Bleedback cc: 0 0 Test time(min): 30 30 NOT NOT Start time: 08:42 08:42 TESTED TESTED End time: 09:12 09:12 Final gph: 0.006 0.006 Result: PASS PASS Pump type: PRESSURE PRESSURE Pump make: RED JACKET RED JACKET COMMENTS Impact Valves Operational: YES Satellite line tested with primary line test. Satellite line test pressure verified at satellite dispenser. Printed 04/12/2011 07:37