HomeMy WebLinkAboutUST REP. 4/16/2008 �'��'�`� IIIIIIIIIIIIIIIIIIII 35
SWRCB,Jaivary 2002 IE a
"
�n Secondary.:Containment Testing. Report Form:
This form is intended for use by contractors performing perio'dic'test in 6f,-& secondary,'con tain rent systems. .Use-tiie
b :appropriate pages'of thu form to:reportresults fordll com`onents.aested {:The completed form written"test procedures;}and
printouts from,tests.(f applicable),should be provided to�the facility owner/operator for-submittdl'to the;,local regulatory agency.
1: ,FACILITY INFORMATION
Facil ity'.Naine: . YRC: WORLDWIDE 1002 Date of:Teshng:? 04'/16/20.0;8
Facility Address: USF REDDAWAY 4901 LISA MARIE COURT, BAKERSFIELD, CA, 93313
Facility Contact: THOMAS HAWKER S CM Phone .(6 61) 3;9.7-6 8 3 5
-:Date Local Agency Was Notified of Testing:
:Name of Local•A Agency In ector if. resent'durin .testin Steve:'Underwood
g Y .SP ��.p g g)� • :.. .
-2. TESTING CONTRACTOR INFORMATION
Company Name: TANKNOLOGY; INC.
Technician Conducting Test: STEVEN GALLARDO
:Credentials: �.CSLB Licensed Contractor � S_WRCB:Licensed Tank Tester
Lice ns&Type: . UST Tester ; License Number 0,7, 1737r
Manufacturer Traininff
Manufacturer Components) Date Training Expires;:
3. :SUMMARY OF TEST RESULTS
Not `Repairs,_ Not
Component Pass Fail Com orient Pass Fail P
P Tested Mader p.;,
Spill Box 1 .DIE FILL X' ❑. ❑ ❑ - ❑ ❑.
❑. El
❑ ❑ ❑ I ❑ : ❑ ❑ ❑ ❑ ..
F71 F El
❑ ❑ ❑ ❑ :❑ 0..1
❑ ❑ ❑ ❑ ❑ ❑ ❑
❑ ❑ ❑ ❑ ❑ ❑
❑ ❑ ❑ ❑ ❑ ❑
❑ ❑ ❑ 1:1 ET...
❑ ❑ ❑ ❑ ❑ ❑ ❑
❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑
❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑
If hydrostatic testing was performed,describe what was done with the water after cqm)etionlof tests: :
water left in labeled, 5-gallon bucket on site.
CERTIFICATION OF TECHNICUN RESP.QNSIBLE FOR,CONDUCTING THIS:TESTING
To the best of my knowledge the facts stated in this document are accurate and in full coniplidnce with legal "requirements.
s M1
Technician's.Signature: Date:- 04/16,/2008
?qtr}rf i .. -
IIIIIII IIII�III IIII 36
IE
SWRCBe,RTanuary 2006
9. Spill Bucket Testing Report
T,hd 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 sub`,mtttal 10 the local regulatory agency.;
If
- t
. 1: FACII;ITY INFO TION
FacilityName YRC WO RLDWIDE 10 02!.: �� Date of Testing:. 04 2.0
Facility.Addiess
USF'REDDAWAY. 4,901 LISA=MARIE..COURT;?:'BAKERSFIELD, CA, 93313
Fat ilityContact: THOMAS HAWKER SCM Phone (`661) 397-68.35
Date,Local Agency Was.Notified of Testing
Naxne of•Local'Agency Inspector(if present dunng.tes ' Stevef'Underwood'
erg)
2. TESTING CONTRACTOR INFORMATION
CompanyName: TANKNOLOGY, `INC
Technician Conducting Test:
STEVEN'GALLARDO -
Credenrialsl: CSLB Contractor 'ICC Service Tech SWRCB Tank;Tester Other(Spec)US:T Tester
License:Number:',Oj-=1731.
3 SPILL BUCKET TESTING INFORMATION
Test Method Used: X❑ ,Hydrostatic. . Vacuum Other
Test Equipment Used:,V*ISUAL Equipment Resolution
Identify Spill:Bucket(By Tank' l r,DiE`FSLL
Number,"Stored Product,,etc:
Q Direct Bury Q Direct Bury ❑Direct Bury QDlrect Bury
Bucket Install'ation.Type
0 Contained in Sump Q Contained ui Sump Q Contained in.Sump Q Contained in Sump
'Bucket Diameter: 12
Bucket Depth, 13
Wait.time`between applying
0
vacuum/water and starting-test:
Test Start.,
Time
Initial Reading(RI.): .. 10
Test End Time(TF. 121 i
Final Readin F :
10
Test Duration' 1 hr
Chan a in-Reading( R.F-RI-).
0 :
Pass/Fail Threshold or 0
Criteria:
Comments -(include info , ' "
' rination on:repairs made prior to testing and recommended follow_up'for 14 6 e
CERTIFICATION 0YTECHNICIAN.RESPONSIBLE'FOR CUNDUCTING:THIS TESTING'
I hereby certify that all the.inforTation contained in this report is true,;accurate,and in.full'compl[ance with.legabrequirements.
Technician's Signature: 7 ,._, �,t._... _.. Date: 04/16%2,008
l QtofP to{ve nnA rPmil.afinne'An nn*rn-fl{r rPn{{irP tactina to l\P TPrfnrmPA-}.V 7.]~•n11911{'1PA l`nT�'I91*!1T TIn11PVPT �n101.rGn{�trPMPn4e '
Monitoring System Certification.
r_ Site.Address: U.SF.REDDAWAY Date`'ofTesting/Service: ''04/1,6`40'08-
-C '
4'901 LISA MARIE OURfi
D.'.'Results of Testing/Servicing.
Software Version Installed:
Complete the following checklist:
X Yes No• Is the'audible alarm operational?
Q Yes No• Is the visual alarm.operational? .
Q Yes No• Were all sensors visually,inspeoted,.functionally tested,and confirmed operational?
Were all'sensors installed at lowest point of,secondary containment and positioned so,th6t other equipment will not
Q Yes ❑No,
interfere.vAth their proper,operatlon?
Yes No• x NSA .'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
PX Yes ❑No• E]N/A `monitoring system detects a leak;fails to operate,or is electrically disconnected?If y"es which sensorsMillate positive;.
shut-down?.(check aIJ,F__t.apply) Q.Sump/Trench;$ensors Dispenser Co ntainmenYSensoris
Did you.conftrm positive shut-down due to,leaks and sensor failure/disconnection?a 0 Yes,_ No '
Yes Q No• �X N/A
For.tarik systems.that utilize--the.monitonng system as the primary tank overfill waming device'(i a =no mechanical
overfill-_prevention valve is installed),is the overfill.waming alami'visible and audible at the tank fill points(s)and operating
properly? If so„
at whafpercentof,tank capacity does the alarm trigger?
Yes• 0 No Was any monitoring equipment replaced?If yes;identify specific sensors,probes or<other equiprnent.replaced;and hstthe
manufacturer name and model for all re Iacement partsiin;Section.E;,below:
Y Ox Na Was liquid fourid inside any'secondary containmentsystems designetl a&dry.systems?(check all that.apply) <''�Product
❑ Water: If,yes;describe causes in Se'don.E,below
QX Yes. Q No• Was monitoring system'set up�reviewed to"ensure proper`settings?,Attach.set-up reports if.apphabie.,;
Q Yes Q 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:
Unable to:verify primary overfill device-no flapper valve.
Turbine does not shutdown upon removal of power to monitor.
Page 2 of 3 Based on CA form dated 03/01
Monitoring System`Certiflcation:
Site Address: USF REDDAWAY DateofTesting/Service:: 04/16/2008
4901.LISA MARIE COURT
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 equipmenYis installed.
This section must be completed if in-tank gauging equipment is used ao;perform leak detection monitoring.. ,
Complete the following checklist:
❑Yes QNo• Has all input wiring been inspected for proper entry-and termination including'testing.for.-ground faults?.
❑Yes 0No•. Were all tank gauging probes visually inspected for damage and.residue buildup?
❑Yes MNo• Was accuracy of system product level readings tested? .
❑Yes. 0 No• Was accuracy of system water level readings,tested?
Yes QNo• Were all probes reinstalled properly?
Yes El 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:N corrected:
G. Line Leak Detectors (LLD) : ❑ "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?
ke
❑No• ❑N/A Check all that apply)Simulated leak rate: X❑ 3 g.p.h❑0.1 g p h' ❑0.2g.p.h
❑No• Were all LLDs confirmed operational and'accurate within regulatory requirements?,
❑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• Q NIA For electronic LLDs,does the turbine automatically shut off if the LLD detects"a leak?
❑Yes ❑No• M N/A For electronic LLDs,does the turbine automatically shut off if any portion of the monitoring system isdisabled or disconnected?
❑Yes' ❑No• Q N/A For electronic LLDs,does the.turbine automatically shutoff if any portion of.tfie monitoring system malfunctions or failsa test?
❑Yes ❑No' N/A For electronic LLDs,have all accessible wiring connections:been visually inspected?
Yes ❑No• Were all items on the equipment manufacturers'maintenance checklist,00mpleted?
`In the Section H,below,.describe how and when these deficiencies were or will becorre'cted. "
H. Comments:
Petrosonic III probe cable does not disconnect from probe-unable to remove probe fortesting.
Page 3 of 3 Based on CA form dated 03/01'
;. bey
x ' 8501 N MOPACEXPRESSWAY;SUITE 400'
AUSTIN,TEXAS°78759
(512)'451'-6334
FAX(512)459=1459
TEST DATE:04/16/08 °WORK ORDER NUMBER3.159008
CLIENT:IISP REDDAWAY INC.- SITE YRC, WORLDWIDE`' 1002
COMMENTS
Witness Line and Monitor Certification Inspection.•Testing. with ;Inspector Steve.:IInderwood'
City'of.
Bakersfield;Pire. , Permit Fee Required $ 192.00. Turbine 'does note±shutdown,'upon removal of power
to,monitor,systeai' (LBAR ALHRT LA-04) . Monitor`Cert does not pass IIaable\.to verify overfil'1
prevention device. Droptube does not have a flapper,:--
lapper, probe";cable does.not detach 'from-probe =
unable to remove to test, and unable to.remove bung in STP'.sump":to: check for-='existing ball •float.
All other testa passed. . D.Davenport notified. ***No.printouts available bn'monitbr--.***
PARTS.REPLACED
HELIUM PINPOINT TEST RESULTS (IF APPLICABLE):
EMOMM
Print6d 05%19/2008 12:20 KOHLMEYER
SITE DIAGRAM
T 8501 N MOPAC EXPRESSWAY SUITE 400.
AUSTIN;.TEXAS78759
(512)451-633d'
FAX(512)459;1459
TEST DATE:04/16/0.8 WORK ORDER NUMBER3159008
'CLIENT:USF REDDAWAY INC. SITE:-YRC WORLDWIDE. 1002'
GARAGE N
E
LEAK ALERT LS-04 PETROSO IC III
ATG.
BREAKERS
ESO
VENT SAT
' OO O STP
12K Diesel
Docks and Office
Printed'05/1912008 12:20 KOHLMEYER
r f.
Vl�ork,Order: 3159008
Tanknology Inc. Policy 00-29-A
6501 N.MONO EBtpressway,`Suite 400 Aintin;TX 78759
Phone:(800)9640010 Local:Local:(512)451-6334 ._ Revised:9'1/0212006
-SITE SAFETY CHECKLIST`& ?age i of2
y
OPERATORNERIFICATION FORM
Site Name: Address:
VC LV1rtCOti1ia6_ . 0 e 3r�S9oo�
` d 4 AM IC
Silt V. CRY/STOP: pate.
002 (�+tSFtEC p Ch °f 3 i 3 �I 1 �10v
Scope of work
f Iwn„T»lt` C�i Lt�A1K g SP_ cx �*7 i.va5'.
Parts&Materials Provided:
Arrival Time: f Departure Time; Travat Titrle 1
./, . PRE-TEST-PROCEDURES ./ POST-`TES,T'P.ROCEDURE
Discuss.safety`procedures'with site personnel: L Remove all,Lodrout/TagOUt';denoes
2. ;ir ;Prior to fuel'delmeries,the complete tank 2:l0" Run all purnps and verify there;are no leaks -
system to be placed bade into working order. under`dlspenserg orin`$TP sumps:°
3. Secure entire work area with cones,flags,and
�caut9on to ;[ Impact Valve.Test Port .
tape pennant flags., p Leak Detector
4. ,�T Place fire extinguishers and No Smoking' 0 Funrdional Elarnent 8 Relief Screw
signs in the work area.
5. "All applicable pumps,dispensers, 3, 7:Install a lead wire'seal on all tst tL plugs&leak
ptxlsers,and detectors that:wwre serviced Count LD tFireads:.
electrical breakers must be disabled during the L1 L2 L3 ': L4
te s)
4. ,@'Ensure that.all tank'system Component@ are
6., *Turn off and secure the circuit bresker(s)with restored to thelrorig01atatate(Inditding).''''
lockout devices and tags: °ATG probe$isensors caps L .1 .'
7. ❑ .'Place'Out of Service'bags 9 nylon ties on .
dispenser noizles.:
8. ,S' *Verify LockouttTagout-procedure is complete Containment sumps are dry'
by trying,to operate primps. Dispenses&�POS operational
`Dispenser panelsare repfaoed
9. 0r "Close ball valves or check valves on product Drop ttities fill adapters 8,caps
tc•eFp Ing Leak detectors 8 vent tubes _
*Remove the electrical"bayonet connector Manhole covers aitd'sump'ifds
from the STP(s). Monrtoring systern;is operational .
*LockoutITagout applies when accessing product piping. Shear valves et5 open
Nearest Hospital: MLNOf—,,aL 611 P, Spill contalriers&drain valves
STP fittings and.bayortet'gonnedas
r w'41+r � 5., �Remove cones signs,and caution to
Tanknology Techniclan'Name Pre-Test Signature Post Ted signature
d
Site Representative Name Pre Test re Post Tesf3i
Comments: _.
�JLb N6 ,�o�. tin S N�+T�bwni UP0�. LZM�Jv1L' OF Ft slC 7n /k o�rrwt
S,S7ti�t. Mo�.ttorL Csn.-r- Ooas �-r P„rcS i�Na� 7e �oIPY evc�rc,F't�. r
De µ ar —OPA6L& �+V PO ST tg Tp": .,rg
Ln/!-3%�:' -C.L otHvf2„
COMPANY.CONFIDENTIAL C.Tankfiology lr ce.2006.'All Rights Reservod•
d w let of this document are uncontrolled. The mment version is svailable'in the Tenluralo i rOn-Line Document Coatrol S ste
Tanlrnology Inc. 8501 N.MoPac Expressway;Suite 400,Austin,-Texas 78759
o k Omer: 3159008
P 1
x x z COMMUNICATION RESULT REPORT ( APR 16 .2008 2: 16PM )-`x x x
FAX HEADER ,J: -.USE Be:stway.
FAX HEADER 2 Bakersfield,; CA
TRANSMITTED/STORED : APR. 16,'2008 2: 15PM
FILE:MODE OPTION ADDRESS
RESULT. PAGE
------------ --- ---- ---_-----=- ----------
2843- MEMORY TX —G3 : _9516764061 OK 1/1
--------------------- --------------- --------= ----- ----- ----= ------ ____
REASON FOR ERROR
E-1) HANG UP OR:.LINE FAIL E 2).•-.BUSY.`
E-3) NO ANSWER
E-5 MA L SIZE OVER -
E-,4): NO FACSIMILE. CONNECTION
I
CORRECTION:NOTICE
BAKERIWI L.D FIRE DEPARTMENT:
PRE'VEklabN SERYICES`DIYLSION`'
iso TRUX7UN AVENUE;,SUITB 401•.
(1181)32&3979'
LocaUorl qf, t
YOU 'ere hereby requlrBd to take_the following.action 8t the above location
M`I1COR�Rr_0T' i CALL FOR REIN1SPECIION ,:` O CORRECT`&PROCEED'
L),JL`�s ` r1,�-rC C_t
r
t l? 14 r(AN G �,�t rlti
FF ,
„3� tRI c15P�Sr►9! t� !tfitk' `I4r t j}r'-i-D�" t�'��. .
rtI Civil
��
dea m, 11
cowletlon Date.for cgf ecd ,�f f .
Received b '
Inspector Steve Underwood Initial _—atey _y
D98k Phone (b671328r919D (firm B:OOam to 8:30am)
1�E9Y1&
Tanlalology Inc. 8501 N.MoPac Expressway,Suite 400;Austin;Tezas 78759'