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HomeMy WebLinkAboutSB-989 RESULTS 7-8-13 #721SWRCB, January 2002 Page of Secondary Containment Testing Report Form This form is intended for use by contractors pe1jorming periodic testing of UST second01y 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: #7721 Fastrip # 22 (North) I Date of Testing: May 7-8,2013 Facility Address: 4013 South-H-Street Bakersfield, CA 93304 Facility Contact: Omero Garcia I Phone: 661-393-7000 Date Local Agency Was Notified of Testing: 5/1/2013 Name of Local Agency Inspector {if present during testing): Esther Duran 2. TESTING CONTRACTOR INFORMATION Company Name: Confidence UST Services Technician Conducting Test: Credentials: x CSLB Licensed Contractor SWRCB Licensed Tank Tester License Type: CSLB I License Number:804904 Manufacturer Training Manufacturer Component(s) Date Training Expires UST 11 /22/2013 lnstallaton/Retrofi t UST Service ICC 1-28-201 5 technician Star. Smith. Fibercast Fiber Glass Systems N.A. 3 SUMMARYOF TESTRESULTS . Component Pass Fail Not Repairs Component Pass Fail Not Repairs Tested Made Tested Made 87 Annular X 0 0 0 UDC 15-16 X 0 . ' X 91 Annular X 0 0 0 UDC 17-18 X 0 [J 0 Diesel Annular X 0 0 0 UDC 19-20 X 0 0 0 87 Secondary Line X 0 J 0 87 Vapor Spill Bucket X 0 [] 0 91 Secondary Line X 0 0 0 91 Vapor Spill Bucket X 0 0 0 Diesel Annular Line X 0 0 X 0 0 0 0 87 STP Sump X 0 0 X 0 0 0 0 91 STP Sump X r-, :::J 0 0 ..., ., 0 LJ LJ LJ Diesel STP Sump X 0 0 0 0 " [ 0 w UDC 9-10 X 0 n 0 0 0 0 0 UDC 11-12 X 0 0 X 0 0 0 0 UDC 13-14 X '] 0 I] ;] 0 0 0 If hydrostatic testing was performed, describe what was done with the water after completion of tests: Water was put back into test trailer and waste drum ESP NSIBLE FOR CONDUCTING THIS TESTING To tlte best of my knowledge, tt are accurate and in full compliance wit It legal requirements Technician's Signature:._-/-#~~'R"~;__.:.:J..-''--,L-J~~f--------'D=at=e::....=.;05=/=07.,_--=-0=8/-=2-=-0"'-"-13 SWRCB, January 2002 Page __ of __ 4 TANK ANNULAR TESTING Test Method Developed By: 0 Tank Manufacturer x Industry Standard D Professional Engineer 0 Other (Specify) Test Method Used: Pressure x Vacuum D Hydrostatic [ Other (Specify) Test Equipment Used: Calibrated Gages Equipment Resolution:0.0625" Tank# 87 Tank# 91 Tank # Diesel Tank# Is Tank Exempt From Testing?1 Yes X No D Yes X No '-'Yes X No D Yes 'J No Tank Capacity: 12,000 12.000 12,000 Tank Material: STEELIFRP STEEL/ FRP STEEL/ FRP Tank Manufacturer: Modern Welding Modern Welding Modern Welding Product Stored: 87 Annular 91 Annular Diesel Annular Wait time between applying pressure/vacuum/water and 5 Mins 5 Mins 5 Mins starting test: Test Start Time: 9:45am 9:45am 9:45am Initial Reading (R1): -10.00" Hg -10.00" Hg -10.00" Hg Test End Time: 10:45 am 10:45 am 10:45 am Final Reading (RF): -10.00" Hg -10.00" Hg -10.00" Hg Test Duration: I Hour I Hour I Hour Change in Reading (Rr-R1): 0.00" 0.00" 0.00" Pass/Fail Threshold or Criteria: 0.00" 0.00" 0.00" Test Result: X Pass 0 Fail X Pass O Fail X Pass D Fail 0 Pass 0 Fail Was sensor removed for testing? X Yes D No D NA X Yes D No D NA X Yes :=:No NA DYes DNo DNA Was sensor properly replaced and X Yes D No D NA X Yes D No U NA X Yes ~No NA DYes J No 'lNA verified functional afier testing? Comments -(include information on repairs made prior to testing, and recommended.follow-upfor.failed tests) Single Wall Tanks 1 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)} I SWRCB. January 2002 Page _of __ 5 SECONDARY PIPE TESTING . Test Method Developed By: 0 Piping Manufacturer x Industry Standard C1 Professional Engineer []Other (Specify) Test Method Used: x Pressure 0 Vacuum 0 llydrostatic Other (Specify) Test Equipment Used: Calibrated Gages Equipment Resolution:0.0625" Piping Run # 87 Piping Run # 91 Piping R un # Diesel Piping Run # Piping Material: FRP FRP FRP Piping Manufacturer: Smith Smith Smith Piping Diameter: 3.00'" 3.00" 3.00" Length of Piping Run: 120' 120' 120' Product Stored: 87 Secondary 9 1 Secondary Diesel Secondary Method and location of Test Boot Test Boot Test Boot piping-run isolation: Wait time between applying pressure/vacuum/water and 5 Min 5 Min 5 Min starting test: Test Start Time: 10:30 am 10:30 am 10:30 am Initial Reading (R1): 5.00"PSJ 5.00"PSI 5.00"PSI Test End Time: 11:30 am I 1:30am 11:30 am Final Reading (RF): 5.00"PSI 5.00"PSI 5.00"PSI Test Duration: I Hour I Hour I Hour Change in Reading (RF-RI): 0.00" 0.00" 0.00" Pass/Fail Threshold or 0.00" 0.00" 0.00" Criteria: Test Result: X Pass 0 Fail X Pass O Fail X Pass 0 Fail 0 Pass O Fail Comments -(include information on repairs made prior to testing, and recommendedfollow-up[or f ailed tests) SWRCB, January 2002 Page _of __ 6 PIPING SUMP TESTING Test Method Developed By: D Sump Manufacturer x industry Standard [] Professional Engineer D Other (Specify) Test Method Used: f) Pressure "Vacuum x Hydrostatic Other (Specify) Test Equipment Used: Ts-sts Equipment Resolution: ·- Sump# 87 Sump # 91 Sump # Diesel Sump # Sump Diameter: 37.00" 37.00" 37.00" Sump Depth: 47.00" 47.00" 47.00" Sump Material: FRP FRP FRP Height from Tank Top to Top of 10.00" 14.00" 13.00" Highest Piping Penetration: Height from Tank Top to Lowest 10.00" 15.00" 15.00" Electrical Penetration: Condition of sump prior to testing: Clean & Dry Clean & Dry Clean & Dry Portion of Sump Tested 1 High Penetration High Penetration High Penetration Does turbine shut down when sump sensor detects liquid (both product and water)?' U Yes DNo XNA D Yes D NoX NA D Yes D NoXNA D Yes l No DNA Turbine shutdown response time N/A N/A N/A Is system programmed for fail-safe shutdown?' 'l Yes ~No XNA 0 Yes D NoXNA D Yes D NoXNA D Yes No DNA Was fail-safe verified to be r Yes ";No XNA D Yes D NoXNA D Yes D NoXNA 0 Yes ['No D NA operational?' Wait time between applying pressure/vacuum/water and starting 5Min 5Min 5Min test: Test Start Time: Initial Reading (R1): Test End Time: ~--INC ON Final Reading (RF): DftC!!Itl~ 'Ill:!!: Test Duration: . , ___ . ·- Change in Reading (Rp-R1): Pass/Fail Threshold or Criteria: Test Result: X Pass D Fail X Pass D Fail X Pass D Fail D Pass D FaiJ Was sensor removed for testing? X Yes D No D NA X Yes D No D NA X Yes D No [I NA D Yes D No u NA Was sensor properly replaced and X Yes D No D NA X Yes D No [I NA X Yes D No CJ NA D Yes D No D NA verified functional after testing? Comments -(include information on repairs made prior to testing, and recommendedfol/ow-up[or failed tests) 1 If the entire depth ofthe sump is not tested, specify how much was tested. If the answer to ill:!Y 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. UNDER-DISPENSER CONTAINMENT(UOC) TESTING Test Method Developed By: [J UDC Manufacturer x Industry Standard U Professional Engineer [J Other (Specify) Test Method Used: U Pressure 0 Vacuum x Hydrostatic Other (Specify) Test Equipment Used: Ts-sts Equipment Resolution: UDC # 9-10 UDC # 11 -12 UDC # 13-14 UDC # 15-16 UDC Manufacturer: Gil barco Gilbarco Gil barco Gil barco UDC Material: Polly Polly Polly Polly UDC Depth: 29.00" 29.00'' 29.00" 29.00" Height from UDC Bottom to Top 12.00" 10.00" 10.00" 10.75" of Highest Piping Penetration: Height from UDC Bottom to 4.00" 4.00" 4.00" 4.00" Lowest Electrical Penetration: Condition of U DC prior to Clean & Dry Clean & Dry Clean & Dry Clean & Dry testing: Portion ofUDC Tested1 High Penetration High Penetration High Penetration High Penetration Does turbine shut down when UDC sensor detects liquid (both 0 Yes O No XNA ..... Yes O NoXNA ;::; Yes 2 No XNA C Yes U No XNA product and water)?' Turbine shutdown response time N/A N/A N/A N/A Is system programmed for fail-[]Yes O No XNA Yes D NoX NA D Yes O No XNA 0 Yes L'No XNA safe shutdown?' Was fail-safe verified to be Yes D No XNA Yes =NoXNA Yes ':No XNA D Yes ~No XNA operational?' Wait time between applying 5 Min 5 Min 5 Min 5 Min pressure/vacuum/water and starting test Test Start Time: Initial Reading (R1): ~ ........ IN ~ON Test End Time: ~ ..... Final Reading (Rr): nc~:n ,.,., Test Duration: Change in Reading (Rr-R1): Pass/Fail Threshold or Criteria: Test Result: X Pass O Fail X Pass D Fail X Pass O Fail X Pass O Fail Was sensor removed for testing? X Yes D No D NA X Yes ::::::No 'l NA X Yes ;:J No U NA X Yes u No 'J NA Was sensor properly replaced and X Yes ...... No C NA XYes O No u NA XYes D No NA XYes D No C NA I verified functional after testing? Comments-(include information on repairs made prior to testing, and recommended.follow-up.for.failed tests) 1 If the entire depth of the UDC is not tested, specify how much was tested. If the answer to ill1Y 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 __ 7. UNDER-DISPENSER CONTAINMENT (UDC) TESTING Test Method Developed By: UDC Manufacturer x Industry Standard D Professional Engineer Other (Specify) Test Method Used: Pressure C Vacuum x llydrostatic Other (Specify) Test Equipment Used: Ts-sts Equipment Resolution: UDC # 17-18 UDC # 19=20 UDC # UDC # UDC Manufacturer: Gil barco Gil barco UDC Material: Polly Polly UDC Depth: 29.00'" 29.00" Height from UDC Bottom to Top 12.00" 12.00" of Highest Piping Penetration: Height from UDC Bottom to 6.00" 6.00" Lowest Electrical Penetration: Condition ofUDC prior to Clean & Dry Clean & Dry testing: Portion ofUDC Tested' High Penetration High Penetration Does turbine shut down when UDC sensor detects liquid (both product and water)?' []Yes DNo XNA 1 Yes D NoXNA DYes DNo DNA DYes UNo UNA Turbine shutdown response time N/A N/A Is system programmed for fa il- safe shutdown?' [)Yes DNo XNA C.. Yes D No XNA DYes CNo NA DYes 1No DNA Was fail-safe verified to be Yes DNo XNA ._.Yes DNoXNA DYes ,..,No NA DYes No .,NA operational?' Wait time between applying 5 Min 5 Min pressure/vacuum/water and starting test Test Start Time: Initial Reading (R1): ~,..,.. II ,tf'nM Test End Time: ---. .., __ .... Final Reading (RF): Kes uns Test Duration: Change in Reading (RF-R!): Pass/Fail Threshold or Criteria: Test Result: X Pass D Fail X Pass D Fail D Pass D Fail D Pass D Fail Was sensor removed for testing? X Yes DNo D NA X Yes DNo DNA DYes ~No NA DYes DNo :::JNA Was sensor properly replaced and X Yes r No DNA X Yes D No [] NA DYes ,..,No NA DYes .J No ~NA verified functional after testing? Comments -(include information on repairs made prior to testing, and recommended.follow-up[or.fai/ed tests) 1 If the entire depth of the UDC is not tested, specify how much was tested. If the answer to ill!Y of the questions indicated with an asterisk(*) is "NO" or "NA", the entire UDC must be tested. (See SWRCB LG-160) I SWRCB, January 2002 Page of 8 FILL RISER CONTAINMENT SUMP TESTING Facility is Not Equipped With Fill Riser Containment Sumps D Fill Riser Containment Sumps are Present, but were Not Tested X Test Method Developed By: 0 Sump Manufacturer ::::: Industry Standard .J Professional Engineer Other (Specify) Test Method Used: [] Pressure D Vacuum D llydrostatic []Other (SpecifY) Test Equipment Used: Equipment Resolution: Fill Sump # Fill Sump # Fill Sump # Fill Sump # Sump Diameter: Sump Depth: !Ieight from Tank Top to Top of Highest Piping Penetration: Height from Tank Top to Lowest Electrical Penetration: Condition of sump prior to testing: Portion of Sump Tested Sump Material: Wait time between applying pressure/vacuum/water and starting test: Test Start Time: Initial Reading (R1): Test End Time: Final Reading (RF): Test Duration: Change in Reading (RF-R1): Pass/Fail Threshold or Criteria: Test Result: D Pass D Fail D Pass D Fail D Pass D Fail D Pass D Fail Is there a sensor in the sump? Yes D No :::::Yes D No DYes O No D Yes D No Does the sensor alarm when either product or water is D Yes DNo DNA DYes DNo DNA DYes DNo LJ NA DYes UNo DNA detected? Was sensor removed for testing? [J Yes DNo DNA DYes DNo DNA DYes DNo DNA DYes DNo DNA Was sensor properly replaced and Yes C No NA DYes DNo 'lNA DYes :::;No DNA DYes No DNA verified functional after testing? Comments-(include information on repairs made prior to testing, and recommendedfollow-up.forfailed tests) SWRCB, January 2002 Page __ of __ 9 SPILUOVERFILL CONTAINMENT BOXES . Facility is Not Equipped With Spill/Overfill Containment Boxes 0 Spill/Overfill Containment Boxes are Present, but were Not Tested 0 Test Method Developed By: Spill Bucket Manufacturer x Industry Standard Professional Engineer Other {Specify) Test Method Used: 0 Pressure '""'Vacuum x Hydrostatic n Other (Specify) Test Equipment Used: Ts-sts Equipment Resolution: Spill Box# 87 Vapor Spill Box # 91 Vapor Spill Box# Spill Box # Bucket Diameter: 12.00" 12.00" Bucket Depth: 12.00" 12.00" Wait time between applying pressure/vacuum/water and 5 Mins 5 Mins starting test: Test Start Time: 9:45am 9:45am Initial Reading (R1): 10.25'. 11.00" Test End Time: 10:45 am 10:45 am Final Reading (Rr): 10.25" 11.00" Test Duration: I Hour I Hour Change in Reading (Rr-R1): 0.00" 0.00" Pass/Fail Threshold or 0.00" 0.00" Criteria: Test Result: X Pass O Fail X Pass 0 Fail 0 Pass O Fail 0 Pass 0 Fail Comments -(include information on repairs made prior to testing, and recommendedfollow-up[or failed tests) ~fiDE'+, CJO ('~ ~UST¥ IS' +' )'lloc-t\0 "BUILD WITH CONFIDENCE" Toll Free #: 1-800-339-9930 Date Call Made Name Confidence UST Construction Inc. Time ~ Street 16250 Meacham Road ~~~------------------------------------------~ ~ City Bakersfield,Ca 93314 Terms Description of work performed: Date Quantity .:1 \ \ Name I Number AM PM Contractor Supplied -Materials -Rentals J: LJ: L\\~ .. Cj ~ WL.a_ s d( G..ftJ k~ I Jcf , (\A \_~('. PdLf--<s... I Labor AM PM I Job Order I Invoice# oDIO ¥ To Whom Station Control Number Amount {q;<:X? Sub-Total Total A Labor Hourly Rate Total B Material Total C Mileage Total Amount Invoice A +B +C lnvo1ce Date Amount Accounting Breakdown Mileage Miles Rate Total Sub Total Handling __ % Tax ( If applicable) Total C Total B May we please have your comments regarding service I equipment provided by the above named contractor: Store Employee Pr,nted Name J 11 lj~'~ture J I -r~v ~~ I Date Approved By Date . .n 7' Tf21 FASTRIP 4013 SOUTH H BAKERSFIELD CA 661-393-7000 110·30708 05/08/2013 8: 16 Ali SUMP LEAK TEST REPORT 19-20 TEST STARTED 8:01 AH TEST STARTED 05/08/2013 BEGIN LEVEL 3.3526 IN ENO TIME 8:16 AH END DATE 05/08/2013 ENO LEVEL 3.3519 IN :tAK THRESHOLD 0.002 IN 1EST RESUlT PASSED 7721 FASTRIP 4013 SOOTH H BAKERSFIELD CA 661-393-7000 ltD-30708 05/08/2013 8:32 AM SUMP LEAK TEST REPORT 19-20 TEST STARTED 8:17AM TEST STARTED 05/08/2013 BEGIN LEVEL 3.3516 IN ENO TitlE 8:32 AM END DATE 05/08/2013 E~'O LEVEL 3, 3517 IN LEAK TH~ESHOtD 0. 002 HJ TEST RESUlT PASSED \ 7721 FASTRIP 11013 SOUTH H BAKERSFIELD CA 661-3::l3-7000 110-30708 05/09/2013 8:J8 M SLMP LEAK iEST REt't'RT 87-STP TEST STARTED ~:33 AM TESi STARTED 05/09/2013 BEGIN LEVEL 3, 2130 IN ENO TiME 8:Q8 AM END DATE 05/09/2013 END LEVEL 3,2116 IN LEAK THRESHOLD 0, 002 W TEST RESULT PASSED 7721 tASTRIP 11013 SotJTH H BmRSFiElD CA 661-393-7000 110-30708 05/09/2013 9:21AM SU~P LEAK TEST REPOR1 87-STP TEST STARTED 9:05 AM TEST STARTED 05/09/2013 BEGIN LEVEL 3, 2085 Ill END TIME 9:20 A.'1 E~'O OATE 05/09/2013 EtJD LEvEL 3. 2069 IN lEAK THRESHOLD 0. 002 W TEST RESULT PASSED 7721 FASTRIP 4013 SOUTH H BAKERSFIELD CA 661-393-7000 110-30708 05/07/2013 10:5.) A1l S!HiP LEAK TEST REPORT DIE-STP TEST STARTED 10:35 AN TEST STARTED 05/07/2013 BEGIN LEVEL 3, 7319 IN END TIHE TO:So AM END DATE 05/07/2013 END lEVEL 3, 7329 IN LEAK THRESHOLD 0.002 lN TEST RESULT PASSEO -sn TE:' Tt ·~u '/2013 BEG 'I; 72 It/ EtiD liME :50 AH E~U GAIL v~, '2013 END LEVEL 2. 96 ·~ H. LEAK THRESHOLD 0, 002 W TEST RESQ T PASSED 7721 FASTRIP 4013 SOUTH H BAKERSFIELD CA 661-393-7000 110-30708 05/07/2013 11:06 AM ~1P LEAK TEST REPORT DIE-STP TEST STARTED 10:51 AM TEST SiARTED 05/07/2013 BEGIN LEVEL 3. 7329 IN END TIME 11:06 AM END DATE 05/07/2013 END LEVEL 3, 733& IN LEAK TH~ESHOLO 0, 00~ HI TEST RESULT PASSED 91-STP TEST STARTED TEST STARTED BEGIN LEVEL END TIME ENO DATE Et.O LEVEL LEAK THRESJfl· TEST RESU~T 10:51 AM 05/07/2013 2.9680 IN 11:06 AM 05/07/2013 ~. ~se1 m l ASS:£J FASTRJP 7721 BACKERSF!ELD 1-800-986-6266 05/10/2013 12:ll1 PM SUHP LEAK TEST REPORT lJOC1516 iEST STARTED 12:25 PM iEST STARTED 05/10/2013 BEGIN LEVEL 5,5195 HI ENO TIME 12:61 PM END DATE 05/10/2013 END LEVEL 5.5195 IN LEAK THRESHOLD 0.002 I~ TEST RESULT PASSED FASTRJP n21 BPO<ERSF IELO 1-soo-saa-6266 05/10/2013 12:56 PM SUMP LEAK TEST REPORT IXJC1516 TEST STARTED 12:ll1 FN TEST STARTED 05/10/2013 BEGIN LEVEL 5.5195 IN END TIME 12:56 PH ENO DATE 05/10/2013 END LEVEL 5,5193 IN LEAK THRESHOLD 0, 002 .IN TEST RESUL I PASSECJ ..,{21 .:r-. 4t·' .,. .. ACKr: •. T;: ~( 6h ->;• .-/IJi ! -800-:0.84-t IJOC 171 s EST STA~TEfo ;c;.: PM TE~T STI'I~";O •3' 3EGIN LE1.1EL ~ 'I"~)""; L17 lt-1 :: '1"'1 r~10 T !ME ~D DATE 'hlr> LE1.JEl. 05.'l?,i.. "' .AV THPESHOLD 0.~ T .• ~ Q.ESIJL T 4f' ~~'.:Kf e..;.-· -· -~ ... " -~ .... lJI.·,,_ 1 /1~: i'l {[() 7721 FASTRIP 4013 SOUTH H BAJ(ERSFIELD CA 661-393-7000 IID-30708 05!07/2013 1:a7 PH SUMP LEAK TEST REPORT 9-10 TEST STARTED 1:32 PH TEST STARTED 05/07/2013 BEGIN LEVEL 6.3827 IN END TIME 1:47PM EtiO DATE 05/07/2013 EtiO LEVEL 6, 3825 IN LEAK THRESHOLD 0,002 IN TEST RESULT PASSED 11-12 TEST STARTED 1:32PM TEST STARTED 05/07/2013 BEGIN LEVEL 2.0300 IN END TIME 1:a7 PM END DATE 05/07/2013 END LEVEL 2.0290 IN LEAK THRESHOLD 0,002 IN TEST RESULT PASSED 13-lQ TEST STARTED 1:32PM TEST STARTED 05/07/2013 BEGIN LEVEL 5,9276 IN END TIHE 1:47 PM END DATE 05/07/2013 END LEVEL 5,9274 IN LEAK THRESHOLD 0.002 IN TEST RESULT PASSED 7721 FASTRIP 4013 SOUTH H BAKERSFIELD CA 661-393-7000 110-30708 05/07/2013 2:03 PM SUMP LEAK TEST REPORT 9-10 TEST STARTED TEST STARTED BEGIN LEVEL END TIME END DATE EtlfJ LEVEL l:Q8 PM 05/07/2013 6.3825 IN 2:03 PH 05/07/2013 6. 3823 Itl 0,002 IN PASSED !_EI;( THRESHOLD 7i:S1 RESULT 11-12 TEST STARTED 1:a8 PM TEST STARTED 05/07/2013 BEGIN LEVEL 2,0291 IN END TIME 2:03 PM END DATE 05/07/2013 END LEVEL '2,0289 IN LEAK THRESHOLD 0,002 IN TEST RESULT PASSED 13-1Q TEST STARTED 1:a8 PM TEST STARTED 05/07/2013 BEGIN LEVEL 5.9272 IN END TIME 2:03 PM END DATE 05/07/2013 END LEVEL 5,9270 IN LEAK THRESHOLD 0.002 IN TEST RESULT PASSED