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Home My WebLink About2011 RESULTS s Zm�l 11 SWRCB,January 2002 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 thisform to report results for all components tested The completed form, written test procedures, and printouts from tests(�f applicable),should be provided to the facility owner/operator for submittal to the local regulatory agency. 1. FACILITY INFORMATION Facility Name: Fastrip#562 Date of Testing: 3/8/11 Facility Address: 1640 Chester Ave.Bakersfield,CA. Facility Contact: Jaco Hill Phone: 1-661-393-7000 Date Local Agency Was Notified of Testing: March 4,2011 Name of Local Agency Inspector(rf present during testing): 2 TESTING CONTRACTOR INFORMATION Company Name: Sunset Mechanical Technician Conducting Test: Scott Olinger Credentials: CSLB Licensed Contractor ❑SWRCB Licensed Tank Tester License Type. C-36 C-10 License Number. 589517 ~ Manufacturer Trainin¢ Manufacturer Component(s) Date Training Expires Incon TS-STS ection Equipment 1/18/13 Veeder Root Monitoring System 1/15/12 ICC Cal UST Service Tech 1/18/13 3. SUMMARY OF TEST RESULTS Component Pass Fail Not Repairs Component Pass Fail Not Repairs Tested Made Tested Made UDC 1 &2 ❑ ❑ ❑ FILL#1 E6 ❑ ❑ ❑ UDC 3 &4 ❑ ❑ ❑ FILL#2 ❑ ❑ ❑ UDC 5 &6 gf ❑ ❑ 1 ❑ FILL#3 ❑ ❑ 1 ❑ UDC 7&8 ❑ ❑ ❑ FILL#4 ❑ ❑ ❑ IRAN#1 ❑ ❑ ❑ ANN SPACE#1 ❑ ❑ ❑ ST?#1 ❑ ❑ V ANN SPACE#2 ❑ ❑ ❑ ST?#2 ❑ ❑ ❑ ANN SPACE#3 ❑ ❑ ❑ STP#3 ❑ ❑ ❑ ANN SPACE#4 ❑ ❑ ❑ ST?#4 ❑ ❑ ❑ SPILL#3 ❑ ❑ ❑ TRAN#2 ❑ ❑ ❑ SPILL#4 ❑ ❑ ❑ SPILL#1 ❑ ❑ ❑ V SPILL#1 ❑ ❑ ❑ SPILL#1 Qf OF-0-To V SPILL#2 ❑ ❑ ❑ If hydrostatic testing was performed,describe what was done with the water after completion of tests: CERTIFICATION OF TECHNICIAN RESPONSIBLE FOR CONDUCTING THIS TESTING To the best of my knowledge,the fads stated in this document are accurate and in full compliance with legal requirements Technician's Signature: Date: IIIIIIIIVIIIIIIIIII 12 IE SWRCB,January 2002 Page of 4. TANK ANNULAR TESTING Test Method Developed By: Tank Manufacturer ❑Industry Standard ❑Professional Engineer ❑Other(Spec) Test Method Used: ❑Pressure Vacuum ❑Hydrostatic ❑Other(Spec) Test Equipment Used:4"GEL FILLED GAUGE W/CERTS Equipment Resolution:0-30 ' Tank#1 Tank#2 Tank# Tank# Is Tank Exempt From Testing?' ❑Yes No ❑Yes No ❑Yes igNo ❑Yes idNo Tank Capacity: 12,000 12,000 12,000 12,000 Tank Material: STEEL/GLASS STEEL/GLASS STEEL/GLASS STEEL/GLASS Tank Manufacturer: MODERN MODERN MODERN MODERN Product Stored: UNL UNL PREM DIESEL Wait time between applying pressure/vacuum/water and 10 MIN 10 MIN 10 MIN 10 MIN -starting test: Test Start Time: 9:00 9:00 10:30 10:30 Initial Reading(R j): 10 HG 10 HG 10 HG 10 HG Test End Time: 10:00 10:00 11:30 11:30 Final Reading(RF): 10 HG 10 HG 10 HG 13 HG Test Duration: 1 HR 1 HR 1 HR I HR Change in Reading(RF-R,): 0 0 0 0 Pass/Fail Threshold or Criteria: 0 0 0 0 Test Resdlt " Pass O'Fail.: Pass ❑.Fail Pass. ❑Fail Pass Q Fail Was sensor removed for testing? Yes ❑No ❑NA Yes ❑No ❑NA Yes ❑No ❑NA es ❑No ❑NA Was sensor ro erl replaced and P P Y eP No Yes Yes ❑No ❑NA Yes ❑No ❑NA ❑ NA❑ es Q No ❑NA verified functional after testin ? Comments—(include information on repairs made prior to test 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: 4 Piping Manufacturer ❑Industry Standard ❑Professional Engineer ❑Other(Spec) Test Method Used: ❑Pressure ❑Vacuum Hydrostatic ❑Other(Specify) Test Equipment Used: INCON TS-STS Equipment Resolution: 0.0000 Piping Run# Piping Run#�. Piping Run#3 Piping Run# Piping Material: FIBERGLASS FIBERGLASS FIBERGLASS FIBERGLASS Piping Manufacturer. AO SMITH AO SMITH AO SMITH AO SMITH Piping Diameter: 3" 3" 3" 3" Length of Piping Run: 80' 90' 110' 120' Product Stored: UNL UNL PREM DIESEL Method and location of TEST BOOT AT piping-ran isolation: TEST BOOT AT STP TEST BOOT AT STP STP TEST BOOT AT STP Wait time between applying pressurelvacuum/water and 10 MIN 10 MIN 10 MIN 10 MIN starting test: Test Start Time: 9:02 9:02 9:02 9:02 Initial Reading(RI): 3.3639 4.8298 4.1486 4.7274 Test End Time: 9:17 9:17 9:17 9:17 Final Reading(RF): 3.3637 4.8297 4.1486 4.7272 Test Duration: 15 MIN 15 MIN 15 MIN 15 MIN Change in Reading(RF-Rj): .0002 .0001 0 .0002 Pass/Fail Threshold or .002 .002 .002 .002 Criteria: •Test'Result- .. --Pass .,Q frail Pass.,; ;Fail Pass. ` ❑Fail Pass ❑Fail Comments—(include information on repairs made prior to testing and recommended follow-up for failed tests) SWRCB,January 2002 Page of 6. PIPING SUMP TESTING Test Method Developed By: 2rSump Manufacturer ❑Industry Standard ❑Professional Engineer ❑Other(Specify) Test Method Used: ❑Pressure ❑Vacuum Hydrostatic ❑Other(Specify) Test Equipment Used:INCON TS-STS Equipment Resolution:0.0000 STP#1 STP#2 STP#3 STP#4 Sump Diameter: 42" 42" 42" 42" Sump Depth: 46" 56" 47" 50" Sump Material: FIBERGLASS FIBERGLASS FIBERGLASS FIBERGLASS Height from Tank Top to Top of 16" 16" 15" 15" Highest Piping Penetration: Height from Tank Top to Lowest 12" 12" 12" 14" Electrical Penetration: Condition of sump prior to testing: DRY DRY DRY DRY Portion of Sump Tested' 18" 18" 18" 18" Does turbine shut down when sump sensor detects liquid(both E(Yes ❑No ❑NA &Yes ❑No ❑NA Q(Yes. ❑No ❑NA /Yes ❑No ❑NA product and water)? Turbine shutdown response time 20 SEC 20 SEC 20 SEC 20 SEC Is system programmed for fail-safe shutdown? /Yes ❑No ❑NA Yes ❑No ❑NA dYes ❑No ❑NA C/Yes ❑No ❑NA ' Was fail-safe verified to be Yes ❑No ❑NA 2(Yes ❑No ❑NA &(Yes ❑No ❑NA es ❑No ❑NA o rational?' Wait time between applying pressure/vacuum/water and starting 10 MIN 10 MIN 10 MIN 10 MIN test: Test Start Time: 1:30 12:07 10:40 10:17 Initial Reading(R4): 4.4236 4.3310 5.9467 2.2926 Test End Time: 1:45 12:22 10:55 10:32 Final Reading(RF): 4.4241 4.3310 5.9456 2.2921 Test Duration: 15 MIN 15 MIN 15 MIN 15 MIN Change in Reading(RF-Ri): .0005 0 .0011 .0005 Pass/Fail Threshold or Criteria: .002 .002 .002 .002 Test=Result Pass; : O F OF ail Pass O Fait Pass OEail '.; Was sensor removed for testing? Yes ❑No ❑NA dYes ❑No ❑NA �t� ❑No ❑NA Yes ❑No ❑NA Was sensor properly replaced and F/Yes ❑No ❑NA Yes 11 No ❑NA �,r Yes ❑No ❑NA Yes ❑No ❑NA verified functional after testing? . Comments—(include information on repairs made prior to testing and recommended follow-up for failed tests) Install one Blueline elect entry boot in STP#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 M is"NO"or"NA",the entire sump must be tested. (See SWRCB LG-160) SWRCB,January 2002 Page of 6. PIPING SUMP TESTING Test Method Developed By: Sump Manufacturer ❑Industry Standard ❑Professional Engineer ❑Other(Specify) Test Method Used: ❑Pressure ❑Vacuum Hydrostatic ❑Other(Sped) Test Equipment Used:INCO14 TS-STS Equipment Resolution:0.0000 p._ TRAN#1 TRAN#2 Sump Diameter. 18"X 24" 18"X 24" Sump Depth: 29" 29" Sump Material: FIBERGLASS FIBERGLASS Height from Tank Top to Top of 14" 14" Highest Piping Penetration: Height from Tank Top to Lowest 14" 14" Electrical Penetration: Condition of sump prior to testing: DRY DRY Portion of Sump Tested' 16" 16" Does turbine shut down when sump sensor detects liquid(both ®Yes ❑No ❑NA 4,es ❑No ❑NA ❑Yes ❑No ❑NA ❑Yes ❑No ❑NA product and water)?* Turbine shutdown response time 20 SEC 20 SEC Is system programmed for fail-safe Yes ❑No ❑NA 14es ❑No ❑NA ❑Yes ❑No ❑NA ❑Yes ❑No ❑NA shutdown?* Was fail-safe verified to be Yes ❑No ❑NA W/Yes ❑No ❑NA ❑Yes ❑No ❑NA ❑Yes ❑No ❑NA operational?' Wait time between applying pressure/vacuum/water and starting 10 MIN 10 MIN test: Test Start Time: 10:40 10:40 Initial Reading(RD: 6.3812 4.1870 Test End Time: 10:55 10:55 Final Reading(RF): 63815 4.1871 Test Duration: 15 MIN 15 MIN Change in Reading(RF-&): .0003 .0001 Pass/Fail Threshold or Criteria: .002 .002 Test Result:: Pass' ❑Fail Pass ❑.Fail O:Pass O Fail O'Pass ❑Fad Was sensor removed for testing? eYes ❑No ❑NA dYesONo ❑NA ❑Yes ❑No ❑NA ❑Yes ❑No ❑NA Was sensor property replaced and verified functional after testing? Yas ❑No ❑NA Yes ❑No ❑NA 11 Yes ❑No 11 NA ❑Yes ❑No ❑NA Comments—(include information on repairs made prior so 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 M 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. -!M ER-DISPENSER CONTAINMENT QT9 TESTING Test Method Developed By: DC Manufacturer ❑Industry Standard ❑Professional Engineer ❑Other(Specify) Test Method Used: ❑Pressure ❑Vacuum Aydrostatic ❑Other(Specify) Test Equipment Used: INCON TS-STS Equipment Resolution: 0.0000 UDC#1-2 UDC#3-4 UDC#5-6 UDC#7-8 UDC Manufacturer. AM CON AM CON AM CON AM CON UDC Material: FIBERGLASS FIBERGLASS FIBERGLASS FIBERGLASS UDC Depth: 29" 29" 29" 29" Height from UDC Bottom to Top 12" 12" 12" 12" of Highest Piping Penetration:, Height from UDC Bottom to 16" 16" 16" 16" Lowest Electrical Penetration: Condition of UDC prior to DRY DRY DRY DRY testing: Portion of UDC Tested 14" 14" 14" 14" Does turbine shut down when / / / UDC sensor detects liquid(both C(Yes ❑No ❑NA Q Yes ❑No ❑NA E Yes ❑No ❑NA As ❑No ❑NA product and water)?* Turbine shutdown response time 20 SEC 20 SEC 20 SEC 20 SEC Is system programmed for fail- dYes ❑No ❑NA D Yes ❑No ❑NA 13/Yes ❑No ❑NA 9!Yes ❑No ❑NA safe shutdown? Was fail-safe verified to be dyes ❑No ❑NA Yes ❑No ❑NA Yes ❑No ❑NA es ❑No ❑NA operational?* Wait time between applying 20 MIN 20 MIN 20 MIN 20 MIN pressure/vacuum/water and starting test Test Start Time: 8:46 8:46 8:46 8:46 Initial Readin (p.4 : 3.3638 4.8298 4.1486 4.7273 _Test End Time: 9:01 9:01 9:01 9:01 Final Reading(RF): 3.3638 4.8298 4.1486 4.7273 Test Duration: 15 MIN 15 MIN 15 MIN 15 MIN Change in Reading(RF-R): .0001 0 0 0 Pass/Fail Threshold or Criteria: .002 .002 .002 .002 Test:Re§ult ' Pass,;`❑Fail,' f]F0 _ Pass. O{Fail Pass O_Fail; Was sensor removed for testing? Yes ❑No ❑NA &Yes ❑No ❑NA Yes ❑No ❑NA &fYes ❑No D NA Was sensor properly replaced and verified functional after testing? dYes ❑No ❑NA Cd/Yes ❑No ❑NA Yes ❑No ❑NA Yes ❑No ❑ 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 any 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 Sums ❑ Fill Riser Containment Sumps are Present,but were Not Tested ❑ Test Method Developed By' 6f Sump Manufacturer ❑Industry Standard ❑Professional Engineer ❑Other(Specify) Test Method Used: ❑Pressure ❑Vacuum ZHydrostatic ❑Other(Spec) Test Equipment Used:INCON TS-STS Equipment Resolution:0.0000 Fill Sump#1 Fill Sump#2 Fill Sump#3 Fill Sump#4 Sump Diameter: 42" 42" 42" 42" Sump Depth: 46" 47" 47" 50" Height from Tank Top to Top of N/A N/A N/A N/A Highest Piping Penetration: Height from Tank Top to Lowest N/A N/A N/A N/A Electrical Penetration: Condition of sump prior to DRY DRY DRY DRY testing: Portion of Sump Tested 12" 12" 12" 12" Sump Material: FIBERGLASS FIBERGLASS FIBERGLASS FIBERGLASS Wait time between applying 10 MIN 10 MIN 10 MIN 10 MIN pressure/vacuumlwater and starting test: Test Start Time: 11:19 11:19 10:17 10:17 Initial Reading(Rj): 42427 2.7140 3.8192 5.7824 Test End Time: 11:34 11:34 10:32 10:32 Final Reading(RF): 4.2423 2.7134 3.8189 5.7821 Test Duration: 15 MIN 15 MIN 15 MIN 15 MIN Change in Reading(RF-RD: .0004 .0006 .0003 .0003 Pass/Fail Threshold or Criteria: .002 .002 .002 .002 .•Test;Result Pass: ❑F>iil Pasa :"❑Fail Pass ❑`Fail Puss': � ail ,. Is there a sensor in the sump? ❑Yes o ❑Yes No ❑Yes o ❑Yes VNo Does the sensor alarm when either product or water is ❑Yes ❑No dNA ❑Yes ❑No E(NA ❑Yes ❑No S(NA ❑Yes ❑No AA detected? It I Was sensor removed for testing? ❑Yes ❑No NA ❑Yes ❑No • A 0 c ❑No AA ❑Yes ❑No L03A Was sensor properly replaced and 0 Yes ❑No NA O Yes ❑No A ❑Yes ❑No A ❑Yes ❑No N&A verified functional after testis ? Comments— (include information on repairs made prior to testing and recommended follow-up for failed tests) SWRCB,January 2002 Page of 9.- SPHAJOVERFILL CONTAINMENT BOXES Facility is Not Equipped With`S ill/Overfill Containment Boxes ❑ Spill/Overfill Containment Boxes are Ement,but were Not Tested ❑ Test Method Developed By: Spill Bucket Manufacturer ❑Industry Standard ❑Professional Engineer ❑Other(Specify) Test Method Used: ❑Pressure ❑Vacuum 844ydrostatic ❑Other(Specify) Test Equipment Used:INCON TS-STS Equipment Resolution:0.0000 1 Spill Box# Spill Bog# 2 Spill Bog# 3 Spill Bog# Bucket Diameter. 12" 12" 12" 12" Bucket Depth: 16" 16" 16" 16" Wait time between applying pressure/vacuum/water and 10 MIN 10 MIN 10 MIN 10 MIN starting test: Test Start Time: 1:30 1:30 1:02 1:02 Initial Reading(R4): 4.8027 6.6780 4.5552 4.7095 Test End Time: 1:45 1:45 1:18 1:18 Final Reading(RF): 4.8027 6.6780 45554 4.7094 Test Duration: 15 MIN 15 MIN 15 MIN 15 1MIN Change in Reading(RF-RD: 0 0 .0002 .0001 Pass/Fail Threshold or 002 .002 .002 .002 Criteria: Test Result.;..:', 5, Pass ❑Fail Pass ;;q Fail' Pass,,. O Fail Pass Fad Comments—(include information on repairs made prior to testing: and recommended follow-up for failed tests) SWRCB,January 2002 Page of 9. SPH UOVERFILL CONTAINMENT BOXES Facility is Not Equipped With,S ill/Overfill Containment Boxes ❑ Spill/Overfill Containment Boxes are Dment,but were Not Tested ❑ Test Method Developed By: E6 Spill Bucket Manufacturer ❑Industry Standard ❑Professional Engineer ❑Other(Spec) Test Method Used: ❑Pressure ❑Vacuum ydrostatic ❑Other(Spec) Test Equipment Used:INCON TS-STS Equipment Resolution:0.0000 Spill Bog# + Spill 13og# � Spill Boa# 3 Spill Boa# Bucket Diameter: 12" 12" 12" 12" Bucket Depth: 16" 16" 16" 16" Wait time between applying pressurelvacuum/water and 10 MIN 10 MIN 10 MIN 10 MIN starting test: Test Start Time: 1:30 1:30 1:02 1:02 Initial Reading(R4): 4.8027 6.6780 4.5552 4.7095 Test End Time: 1:45 1:45 1:18 1:18 Final Reading(RF): 4.8027 6.6780 45554 4.7094 Test Duration: ' 15 MIN 15 MIN 15 MIN 15 AHN Change in Reading(RF-&): 0 0 .0002 .0001 PasslFail Threshold or 1.002 .002 .002 .002 Criteria jest esnlf 'Pass.- -p Fail Pass _.,q Fail'..• Pass,, ❑Fail. Pass ❑_FeB; COm nests—(include information on repairs made prior to testing, and recommended follow-up for failed tests) fASlK1r �IiG FASIRIF Slit 1640.CHESTER AVE FASTRIP 562 1640 CHESTER AVE BAKERSFIELD CA 1640 CHESTER AVE BAKERSFIELD CA SUNSET CONST BAKERSFIELD CA SUNSET CONST 1800-984-6266 SUNSET CONST 1-800-984-6266 1-800-984-6266 03/08/2011 10:32 AM 03/08/2011 2:24 PM 03/08/2011 10:16 AM SUMP LEAK TEST REPORT SUMP LEAK TEST-REPORT SUMP LEAK TEST REPORT STP 3 STP 3 VSPILL2 " TEST STARTED 10:17 AM TEST STARTED 2:09 PM TEST STARTED 03/08/2011 TEST STARTED 10:00 AM TEST STARTED 03/08/2011 BEGIN LEVEL 5,9512 IN TEST STARTED 03/08/2011 BEGIN LEVEL 3,7185 IN END TIME 10:32 AM BEGIN LEVEL 5,9543 IN END TIME 2:24 PM END DATE 03/08/2011 END TIME 10:16 AM END DATE 03/08/2011 END LEVEL 5,9490 IN END DATE 03/08/2011 i ENO LEVEL 3,7169 IN LEAK THRESHOLD 0,002 IN END LEVEL 5,9524 IN j LEAK THRESHOLD 0.002 IN TEST RESULT FAILED LEAK THRESHOLD 0,002 IN TEST RESULT PASSED TEST RESULT PASSED FILL3 FILL3 TEST STARTED 10:17 AM TEST STARTED 03/08/2011 TEST STARTED 10:00 AM BEGIN LEVEL 3,8192 IN TEST STARTED 03/08%2011 END TIME 10:32 AM BEGIN LEVEL 3,8197 IN END DATE 03/08/2011 END TIME 10:16 AM END LEVEL 3,8189 IN END DATE 03/08/2011 LEAK THRESHOLD 0,002 IN END LEVEL a 8193.IN FASTRIP 562 TEST RESULT PASSED LEAK THRESHOLD 0,002 IN 1640 CHESTER AVE TEST RESULT PASSED gAKERSFIELD CA SUNSET CONST STP 4 1-800-984-6266 STP 4 TEST STARTED 10:17 AM 03/08/2011 2:46 PM TEST STARTED 03/08/2011 TEST STARTED 10:00 AM BEGIN LEVEL 2,2926 IN TEST STARTED 03/08/2011 SUMP LEAK TEST REPORT END TIME 10:32 AM BEGIN LEVEL 2,2934 IN - END DATE 03/08/2011 END TIME 10:16 AM VSPILL2 END LEVEL 2,2921 IN END DATE 03/08/2011 LEAK THRESHOLD 0,002 IN END LEVEL 2.2929 IN TEST STARTED 2:30 PM TEST RESULT PASSED LEAK THRESHOLD 0,002 IN TEST STARTED 03/08/2011 TEST RESULT PASSED BEGIN LEVEL 3,7159 IN END TIME 2:45 PM FILL-4 END DATE 03/08/2011 FILL4 END LEVEL 3,7156 IN TEST STARTED 10:17 AM LEAK THRESHOLD 0,002 IN TEST STARTED 03/08/2011 TEST STARTED 10:00 AM TEST RESULT PASSED BEGIN LEVEL 5,7824 IN TEST STARTED 03/08/2011 END TIME 10:32 AM BEGIN LEVEL 5,7822 IN END DATE •03/08/2011 END TIME 10:16 AM END LEVEL 5.7821 IN END DATE 03/08/2011 LEAK THRESHOLD 0,002 IN END LEVEL 5.7821 IN 4 = u, �, , ...-_-_-------- TEST RESULT PASSED LEAK THRESHOLD 0,002 IN :;' �� "� �-'�,;,� TEST RESULT PASSED APR 2011 EnVr r: r.; SwF �iCES FASTRIP 562 FASTRIP 562 18401CHESTER AVE 1640 CHESTER AVE FASTRIP 562 BAKER91CLO CA- BAKERSFIELD CA 1640 CHESTER AVE SUNSET CQNST SUNSET CQNST BAKERSFIELD CA 1-800-984-6266 1-800-984-6266 SUNSET CQNST 1-800-984-6266 03/08/2011 1:18 PM 03/08/2011 1:45 PM 03/08/2011 2:05 PM SUMP LEAK TEST REPORT SUMP LEAK TEST REPORT SUMP LEAK TEST REPORT VSPILL3 VSPIll1 VSPILLI TEST STARTED 1:02 PM TEST STARTED 1:30 PM TEST STARTED 03/08/2011 TEST STARTED 03/08/2011 TEST STARTED 1:50 PM BEGIN LEVEL 3,6881 IN BEGIN LEVEL 5,6571 IN TEST STARTED 03/08/2011 END TIME 1:18 PM END TIME 1:45 PM BEGIN LEVEL 5,6572 IN END DATE 03/08/2011 END DATE 03/08/2011 END TIME 2:05 PM END LEVEL 3,6881 IN END LEVEL 5,6571 IN END DATE 03/08/2011 LEAK THRESHOLD 0,002 IN LEAK THRESHOLD 0,002 IN END LEVEL 5,6571 IN TEST RESULT PAID TEST RESULT PASSED LEAK THRESHOLD 0,002 IN TEST RESULT PASSED SPILL4 SPILLI SPILLI TEST STARTED 1:02 PM TEST STARTED 1:30 PM TEST STARTED 03/08/2011 TEST STARTED 03/08/2011 TEST STARTED 1:50 PM BEGIN LEVEL 4,7095 IN BEGIN LEVEL 4,8027 IN TEST STARTED 03/08/2011 END TIME 1:18 PM END TIME 1:45 PM BEGIN LEVEL 4,8029 IN END DATE 03/08/2011 END DATE 03/08/2011 END TIME 2:05 PM END LEVEL 4,7094 IN END LEVEL 4,8027 IN END DATE 03/08/2011 LEAK THRESHOLD 0.002 IN LEAK THRESHOLD 0,002 IN END LEVEL 4,.8031 IN TEST RESULT PASSED TEST RESULT PASSED LEAK THRESHOLD 0,002 IN TEST RESULT PASSED VSPILL4 STP 1 STP 1 TEST STARTED 1.02 PM TEST STARTED 1:30 PM TEST STARTED 03/08/2011 TEST STARTED 03/08/2011 TEST STARTED 1:50 PM BEGIN LEVEL 4,2578 IN BEGIN LEVEL 4,4236 IN TEST STARTED 03/03/2011 ENO TIME 1,18 PM END TIME 1:45 PM BEGIN LEVEL 4,4314 IN END DATE 03/08/2011 END DATE 03/08/2011 END TIME 2:05 PM END LEVEL 4,2580 IN END LEVEL 4.4241 IN END DATE 03/08/2011 LEAK THRESHOLD 0,002 IN LEAK THRESHOLD 0,002 IN END LEVEL 4,4311 IN TEST RESULT PASSED TEST RESULT PASSED LEAK THRESHOLD 0,002 IN TEST RESULT PASSED SPILL3 SPILL2 SPILL2 TEST STARTED 1:02 PM TEST STARTED 1:30 PM TEST STARTED 03/08/2011 TEST STARTED 03/08/2011 TEST STARTED 1:50 PM BEGIN LEVEL 4,5552 IN BEGIN LEVEL 6,6780 IN TEST STARTED 03/08/2011 END TIME 1:18 PPi BEGIN LEVEL 6,6781 IN END DATE END TIME 1:45 PM 03/08/2011 END DATE 03/08/2011 END TIME 2:05 PM END LEVEL 4,5554 IN END LEVEL 6,6780 IN END DATE 03/08/2011 LEAK THRESHOLD 0,002 IN END LEVEL 6,6782 IN TEST RESULT LEAK THRESHOLD 0,002 IN PASSED TEST RESULT PASSED LEAK THRESHOLD 0,002 IN - - -- _.____----- -- - TEST RESULT PASSED 1640 CHESTER AVE 1640 CHESTER AVE !BAKERSFIELD CA BAKERSFIELD CA SUNSET CONST FASTRIP 562 SUNSET CONST 1-800-984-6266 1640 CHESTER AVE 1-800-984-6266 BAKERSFIELD CA 03/08/2011 11:34 AM SUNSET CONST 03/08/2011 1:01 PM 1-800-984-6266 SUMP LEAK TEST REPORT SUMP LEAK TEST REPORT 03/08/2011 11:58 AM STP 2 VSPILL3 SUMP LEVEL REPORT TEST SIARTED 11:19 AM TEST STARTED 12:46 PM TEST STARTED 03/08/2011 TEST STARTED 03/08/2011 BEGIN LEVEL 5.2236 IN SUMP STP 2 4,332 IN BEGIN LEVEL 3,6887 IN END TIME 11:34 AM END TIME 1:01 PM END DATE 03/08/2011 Eta DATE 03/08/2011 END LEVEL 5,2277 IN END LEVEL 3,6881 IN LEAK THRESHOLD 4,002 IN LEAK THRESHOLD 0,002 IN TEST RESULT PASSED TEST RESULT PASSED STP 1 SPILL4 TEST STARTED 11:19 AM TEST STARTED 12:46 PM TEST STARTED 03/08/2011 BEGIN LEVEL 4,7453 IN FASTRIP 562 TEST STARTED 03/08/2011 END TIME 11:34 AM 1640 CHESTER AVE BEGIN LEVEL 4,7099 IN END DATE 03/08/2011 BAKERSFIELD CA END TIME 1:01 PM END LEVEL 4,7301 IN SUNSET CONST END DATE 03/08/2011 1-800-984-6266 END LEVEL 4,7094 IN LEAK THRESHOLD 0,002 IN TEST RESULT FAILED LEAK THRESHOLD 0,002 IN 03/08/2011 12:22 PM TEST RESULT PASSED SUMP LEAK TEST REPORT FILL2 VSPILL4 STP 2 TEST STARTED 11:19 AM TEST STARTED 12:46 PM TEST STARTED 03/08/2011 TEST STARTED 12:07 PM TEST STARTED 03/08/2011 BEGIN LEVEL 2,7140 IN TEST STARTED 03/08/2011 BEGIN LEVEL 4,2580 IN END TIME 11:34 AM BEGIN LEVEL 4.3310 IN 11 END TIME 1:01 PM END DATE 03/08/20 END TIME 12:22 PM END DATE 03/08/2011 END LEVEL 2,7134 11 LEAK THRESHOLD 0.002 IN END DATE 03/08/2011 END LEVEL 4,2576 IN END LEVEL 4,3310 IN LEAK THRESHOLD 0,002 IN TEST RESULT PASSED LEAK THRESHOLD 0,002 IN t TEST RESULT PASSED TEST RESULT PASSED FILL1 _– �—--� — SPILL3 TEST STARTED 11:19 AM TEST STARTED 12:46 PM TEST STARTED 03/08/2011 BEGIN LEVEL 4,2427 IN TEST STARTED 03/08/2011 BEGIN LEVEL 4,5557 IN END TIME 11:34 AM END TIME 1:01 PM END DATE 03/08/2011 END LEVEL . .4.2423 IN.. . END DATE 03/08/2011 END LEVEL 4,5553 IN LEAK THRESHOLD 0,002 IN . TEST RESULT PASSE =' LEAK THRESHOLD 0,002 IN = TEST RESULT PASSED FASTRIP 562 FASTRIP 562 FASTRIP 562 1640 CHESTER AVE 1640 CHESTER AVE 1640 CHESTER AVE BAKERSFIELD CA BAKERSFIELD CA BAKERSFIELD CA SUNSET CONST SUNSET CONST SUNSET CONST 1-800-984-6266 1-800-984-6266 1-800-984-6266 03/08/2011 10:55 AM 03/08/2011 11:50 AM 03/08/2011 11:12 AM SUMP LEAK TEST REPORT SUMP LEAK TEST REPORT SUMP LEAK TEST REPORT v STP 3 STP 3 STP 2 TEST STARTED 10:40 AM TEST STARTED 11:35 AM TEST STARTED 10:56 AM TEST STARTED 03/08/2011 TEST STARTED 03/08/2011 TEST STARTED 03/08/2011 BEGIN LEVEL 5.9467 IN BEGIN LEVEL 5.2271 IN BEGIN LEVEL 5.9455 IN END TIME 10:55 AM END TIME 11:11 AM END DATE 03/08/2011 END TIME 11:50 AM END DATE 03/08/2011 END LEVEL 5,9456 IN END DATE 03/08/2011 END LEVEL 5,9442 IN LEAK THRESHOLD 0,002 IN END LEVEL 5.2168 IN LEAH THRESHOLD 0.002 IN PASSED LEAK THRESHOLD 0.002 IN TEST RESULT TEST RESULT TL i;ESULT FAILED PASSED IRAN 1 TRAN1 STP 1 TEST STARTED 10:40 AM TEST STARTED 11:35 AM TEST STARTED 10:56 AM TEST STARTED 03/08/2011 TEST STARTED 03/08/2011 TEST STARTED 0310812011 BEGIN LEVEL 6,3812 IN BEGIN LEVEL 4,7129 IN BEGIN LEVEL 6.3816 IN END TIME 10:55 AM END TIME 11:11 AM END DATE 03/08/2011 END TIME 11:50 AM END DATE 03/08/2011 END LEVEL 6,3815 IN END DATE 03/08/2011 END LEVEL 6.3816 IN LEAK THRESHOLD 0.002 IN END LEVEL 4,6644 IN LEAK THRESHOLD 0,002 IN TEST RESULT PASSED LEAK THRESHOLD 0,002 IN TEST RESULT PASSED TEST RESULT FAILED TRAN2 TRAN2 FILL2 TEST STARTED 10:40 AM TEST STARTED 10:56 AM TEST STARTED 03/08/2011 TEST STARTED 11:35 AM TEST STARTED 03/08/2011 BEGIN LEVEL 4, 1870 IN TEST STARTED 03/08/2011 END TIME 10:55 AM BEGIN LEVEL 2.7135 IN BEGIN LEVEL 4, 1871 IN END DATE 03/08/2011 END TIME 11:50 AM END TIME 11:11 AM END DATE 03/08/2011 END DATE 03/08/2011 END LEVEL 4,1871 IN END LEVEL 2,7130 IN END LEVEL 4, 1870 IN LEAK THRESHOLD 0,002 IN LEAK THRESHOLD 0,002 IN LEAK THRESHOLD 0,002 IN TEST RESULT - PASSED TEST RESULT PASSED TEST RESULT PASSED - - - - - FILL1 TEST STARTED 11:35 AM TEST STARTED 03/08/2011 BEGIN LEVEL 4,2422 IN END TIME 11:50 AM END DATE 03/08/2011 END LEVEL 4,2419 IN LEAK THRESHOLD 0,002 IN TEST RESULT PASSED FASTRIP 562 1640 CHESTER AVE FASTRIP 562 BAKERSFIELD CA 1640 CHESTER AVE SUNSET CONST BAKERSFIELD CA 1-800-984-6266 SUNSET CONST 03/08/2011 9:18 AM 1-800-984-6266 SUMP LEAK TEST REPORT 03/08/2011 9:01 AM UDC 1-2 SUMP LEAK TEST REPORT TEST STARTED 9:02 AM UDC 1-2 TEST STARTED 03/08/2011 TEST STARTED 8:46 AM BEGIN LEVEL 3,3639 IN TEST STARTED 03/08/2011 END TIME 9:17 AM BEGIN LEVEL 3.3638 IN END DATE 03/08/2011 END TIME 9:01 AM END LEVEL 3,3637 IN LEAK THRESHOLD 0,002 IN END DATE 03/08/2011 - T END LEVEL 3,3639 IN EST RESULT PASSED LEAK THRESHOLD 0,002 IN TEST RESULT PASSED UDC 3-4 TEST STARTED 9:02 AM UDC 3-4 " TEST STARTED 03/08/2011 TEST STARTED 8:46 AM BEGIN LEVEL 4,8298 IN TEST STARTED 03/08/2011 END TIME 9:17 AM BEGIN LEVEL 4.8298 IN END DATE 03/08/2011 END TIME 9:01 AM END LEVEL 4,8297 IN END DATE 03/08/2011 LEAK THRESHOLD 0,002 IN END LEVEL 4.8298 IN TEST RESULT PASSED LEAK THRESHOLD 0,002 IN TEST RESULT PASSED UDC 5-5 TEST STARTED 9:02 AM UDC 5-6 TEST STARTED 03/08/2011 TEST STARTED 8:46 AM BEGIN LEVEL 4. 1486 IN TEST STARTED 03/08/2011 END TIME 9:17 AM BEGIN LEVEL 4,1486 IN END DATE 03/08/2011 END TIME 9:01 AM END LEVEL 4.1486 IN END DATE 03/08/2011 LEAK THRESHOLD 0,002 IN END LEVEL 4.1486 IN TEST RESULT PASSED LEAK THRESHOLD 0,002 IN TEST RESULT PASSED UDC 7-8 TEST STARTED 9:02 AM UDC 7-8 TEST STARTED 03/08/2011 TEST STARTED 8:46 AM BEGIN LEVEL 4,7274 IN TEST STARTED 03/08/2011 END TIME 9:17 AM 4,7273 IN END DATE 03/08/2011 BEGIN LEVEL END TIME 9:01 AM END LEVEL 4,7272 IN - END DATE 03/08/2011 LEAK THRESHOLD 0,002 IN _ T END LEVEL 4,7273 IN EST RESULT PASSED LEAK THRESHOLD 0,002 IN TEST RESULT PASSED HOODS ALARMS SPG°3UKLER SYSTEMS SPRAY BOOTH AST UST Permit No. Permit No. Permit No. Permit No. Permit No. Permit No. 11- 160660 3 File Number: s, VE HOODS ALARMS SPG°3UKLER SYSTEMS SPRAY BOOTH AST UST Permit No. Permit No. Permit No. Permit No. Permit No. Permit No. 11- 160660 3 File Number: Address: 16'V6 S Bakersfield, CA 933 Date Received: a- ? — /l Business Name: INSPECTION LOG SYSTEM: BUILDING SQUARE FEET: New Mod. ❑ ❑ Commercial Hood System Building Sq. Feet: �_ Date Time ❑ ❑ Fire Alarm System Calculation Bldg. Sq. Ft: 11. ❑ ❑ Fire Sprinkler System 2. ❑ ❑ Spray Finish System 3. ❑ ❑ Aboveground Storage Tank 4. ❑ ❑ Underground Storage Tank minor Signature modification Underground Storage Tank removal Underground Storage Tank ❑ D� Other: Comments: Signature IE J CONSTRUCTION PERMIT BAKERSFIELD FIRE DEPARTMENT - — _ SERVICES B E R S P I D 1501 TRUXTUN AVENUE, 1sT FLR- _ FIRE ARTM T BAKERSFIELD, CA 93313 Office Phone: (661) 326 -3979 Application Number . . . . . 11- 10000054 Date 2/11/11 Property Address . . . . . . 1640 S CHESTER AVE ATN (11 Digits): 011 - 402- 04 -00 -2 Application type description FIRE DEPT Subdivision Name . . . . . . Property Use . . . . . . . . Application valuation . . . . 0 Owner Contractor ------------------ - - - - -- BANKERS OIL & TRUST CO ------------------------ OWNER . P O BOX 82515 BAKERSFIELD CA 93380 -- -- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -- - -- Permit . . . . MANDATED LEAK DETECT TEST Additional desc . Phone Access Code 1073303 Permit Fee . . 96.00 Plan Check Fee 96..00 Issue Date . . . . 2/11/11 valuation 0 Expiration Date 8/10/11 ----------------------------------------------------:----------------------- -Fee summary Charged Paid Credited Due ' --- -------- - - - --- ---- - - - --- ---- - - - --- ---- - - - --- =---- - - - --- Permit Fee Total 96.00 96.00 .00 .00 Plan Check Total 96.00 96.00 00 .00 Grand Total 192.00 192.00 .00 .00 CALL FOR INSPECTION (661) 326 -3979 Please state the Permit Number, the Job address, and the Type of Inspection. Requests for inspections should be made at least 48 hours in advance. DECLARATIONS Permit is issued in accordance with all applicable Federal, State and Local Ordinances. The permittee has properly signed and dated the reverse side of this form. This Permit expires after 180 days of inactivity. . I have reviewed the above application, and find it to be correct/complete. Permittee: Date: HAZARDOUS MATERIALS STATEMENT —Yes—No Will the applicant or future occupant handle hazardous material or a mixture containing a hazardous material equal to or greater than the amounts specified on the list of extremely hazardous substances? See checklist for guidelines. _ Yes — No Will the proposed building or modified facility be within 1000 feet of the outer boundary of a school? —Yes—No Will the intended use of the building by the applicant or future building occupant require a permit for construction or modification from the Kern County Air Pollution Control District ( KCAPCD) or from the Bakersfield Fire Dept? See checklist for guidelines. —Yes—No I have read the Hazardous Material Guide and KCAPCD Permitting Checklist. I understand my requirements under the Calif. Health and Safety Code Sec. 6.95 and Calif. Govt. Sec. 65850 and the requirements of the City of Bakersfield Fire Dept. regarding hazardous materials. Owner or Authorized Agen hone No. Date DECLARATIONS: The declarations below are mandated by the State of California under Section 19825 of the Health and Safety Code. LICENSED CONTRACTORS DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of the Division 3 of the Business and Professions Code and my license is in full force and effect. Lic. Class Lic. No. Exp. Date Contractors Signature Date OWNER- BUILDER DECLARATION I hereby affirm that under penalty of perjury that I am exempt from the Contractors License Law for the following reason (Sec. 7031.5 Business and Professions Code: Any city or county which requires a permit to construct, alter, improve, demolish, or repair any structure prior to its issuance also requires the applicant for such permit to file a signed statement that he or she is licensed pursuant to the provisions of the Contractors License Law (Chapter 9 commencing with Section 7000 of Division 3 or the Business and Professions Code) or that he or she is exempt there from I nd the basis for the alleged exemption. Any violation of Section 7031.5 by any applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars ($500)): I, as owner of the property or my employees with wages as their sole compensation, will do the work and the structure is not intended or offered for sale (Sec. 7044 Business and Professions Code: The Contractors License Law does not apply to an owner of property who builds or improves thereon, and who does such work himself or herself through his or her own employees, provided that such improvements are not intended or offered for sale. If, however, the building or improvement is sold within one year of completion, the owner - builder will have the burden of proving that he or she did not build or improve for the purpose of sale). I, as owner of the property, am exclusively contracting with licensed contractors to construct the project (Sec. 7044 Business and Professions Code: The Contractors License Law does not apply to an owner of property who builds or improves thereon and who contracts for such project with a contractor(s) licensed pursuant to the Contractor License Law). I am exempt under Sec. B. & P. C. for the reason Owner Signature I I Date WORKERS COMPENSATION DECLARATION I hereby affirm that under penalty of perjury one of the following declarations: Carrier I have and will maintain a certificate of consent to self - insure for workers' compensation, as provided for by Section 3700 of the Labor Code, for the performance of the work for which this permit is issued. I have and will maintain workers' compensation insurance, as required by Section 3700 of the Labor Code, for the performance of the work for which this permit is issued. My workers' compensation insurance carrier and policy number are: Policy No. I certify that in the performance of the work for which this permit is issued, I shall not employ any person in any manner so as to become subject to the workers' compensation laws of California, and agree that if I should become subject to the workers' compensation provisions of Section 3700 of the Labor Code. I shall forthwith comply with those provisions. Applicant: Date WARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS ($100,000) IN ADDITION TO COST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST AND ATTORNEY'S FEES CONSTRUCTION LENDING AGENCY I hereby affirm that there is a construction lending agency for the performance of the work for which this permit is issued (Sec. 3097 Civ. C.) Lenders Name Lenders Address I certify that 1 have read this application and state that the information contained herein is correct. I agree to comply with all city ordinances and state laws relating to building construction and hereby authorize representatives of the city to enter the above mentioned property for inspection purposes. Signature of Applicant or. Agent I I Date r rite. of Hamer afield is JFR. RUCEIPT *4* L TV "Per: hIt131; C� D Type.. DC Draper,- 1. /1:11/1! 01 Reed Pt'ao: 71.3:'.1: Ri MILUNG PERMITS ( N 20i 1 IN 4B , BP Bi1ILD106 PERMIT tS f1I' "BUILUI,46 PLROIT &, ...' r DIK Nils BL "IL 11% ITS i Lm ...).at.B, f! itiN- N5 y WILDING PERMIT,; : I. Es WILDING P9'iNITB PgIiS !, 139 1 Via, MOB . O@W@ 6" BLQ UA4 3X RM.I S. - 1�,, nil I *t58 ' 1'1' Ft�aLDi�I� PE:Rt;I1 . 8133'1.11 N6 ,'i X3.1 -TS 'KQ1- `G PERNITS B ` ENJILPiNO R1'RNITf;' 8<92,00 t atal . t"endered.:..f'6�8.i� Q.&88'. dares I. "Ti. p lA1'c ; N; Lip CIVITK)l YHL 01'! DOPULATIIN PL�49 :,T Y Ate} i`�E3T£R r BAKERSFIELD CITY FIRE DEPARTMENT -- INSPECTION RECORD Post this Card at the Job Site and DO NOT Remove for Duration of Work Inspection Request Phone No. (661) 326 -3979 UST NEW INSTALL DESCRIPTION DATE SIGNATURE BACKFILL CONTRACTOR: 5 PHONE # Z Z _ CXc PRIMARY PIPE SECONDARY PIPE SECONDARY CONTAINMENT SENSORS AUTHORIZATION FOR FUEL ELECTRICAL SEAK -OFF UST REMOVAL DESCRIPTION DATE SIGNATURE EVR UPGRADE MISC. ACTIVITY REMARKS: AST NEW INSTALL DESCRIPTION DATE SIGNATURE MODIFICATIONS MINOR / MAJOR AST REMOVAL DESCRIPTION DATE SIGNATURE ,RIO_ R TO OPERATION OF ANY SYSTEM, ALL UST AND /OR AST SYSTEMS SHALL BE INSTALL, COMPLETE AND ACCEPTED BY THE BAKERSFIELD CITY FIRE DEPARTMENT. FIRE DEPARTMENT (FINAL) BUILDING ADDRESS: 16 q6 S JOB DESCRIPTION: 5,$ - �j' K5 <i .� OCCUPANCY TYPE: ,a OWNER: _ r PERMIT NO. CONTRACTOR: 5 PHONE # Z Z _ CXc FD 1743 UNDERGROUND STORAGE TANKS APPLICATION TO PERFORM ELD /LINE TESTING/ SB989 SECONDARY CONTAINMENT TESTING/TANK TIGHTNESS TEST AND FUEL MONITORING CERTIFICATION (please note that these are separate individual tests and will be charged per separate type test accordingly.) PERMIT # ❑ ENHANCED LEAK DETECTION ❑ TANK TIGHTNESS B �SB9PIiI„ D FIR! ARrN� r BAKERSFIELD FIRE DEPARTMENT Prevention Services 2101 H Street Bakersfield, CA 93301 Phone: 661-326-3979 o Fax: 661-852-2171 Page Iof1 ❑ LINE TESTING 91 SB -989 SECONDARY CONTAINMENT ❑ FUEL MONITORING CERTIFICATION FD2095 (Rev 03108) SITE INFORMATION FACII,j�� n MANEJ& PHONE # OWANTACT PERSON .!N! ADDRESS O W NER.![� OPEAATO �Ar � PERMIT TO OPERAT E'� # OF TANKS E TESTED:' I IS PIPING GOING TO BE TESTED? ❑ YES ❑ NO TANK #/ VOLUME CONTENTS 2c pav 1,9 0a TANK TESTING COMPANY TESTING COMPA<7 u.j? , b4 PoAP9E A P E OF COPo PERSON &j 5a?e -G6 6V MAILING ADDRE q-Z- y' .330 7 NAME �ONE # OF TESTER OR SPECIAL INSPECTOR i/ CERTIFICATION # DATE I TEST TO B CONDUC3D !L� ICC Qt � % �O ` TEST METHOD Jc /rid APPLICZSIGWA'T[-UiR DATE THIS APPLICATION BECOMES A PERMIT WHEN APPROVED ED BY ^ DATE FD2095 (Rev 03108)