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2/21/2019 St BVA WO 585899, Feb 19th, 2019
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CERTIFICATE OF STORAGE TANK SYSTEM TESTING Crompco, LLC
1815 Gallagher Road Plymouth Meeting, PA 19462
Phone: (610) 278-7203 Fax: (610) 278-7621
Work Order #585899 Client Information Location #BVADate:Tue Feb 19th, 2019
Reason:ComplianceBath VA Medical Center(DanelleWassink)Invoice #737080
Permit#
P.O.#36C24219P0556 - OBL#526-C90072
Bath VA Medical Center Bronx VA
130 W Kingsbridge Bronx, NY 14810
County: Bronx State ID: 2-602985
Testing was conducted in accordance with all applicable portions of Federal, NFPA, and local regulations.
TanksEquip # Grade Test Result05 Diesel/Fuel Oil EZY-3 Locator Plus Fail 06 Diesel/Fuel Oil EZY-3 Locator Plus Fail 07 Diesel/Fuel Oil EZY-3 Locator Plus Fail
Additional CostsLABOR: Labor: 2 Men (3 hours)
EXPENSES: Fuel Surcharge, Miscellaneous Consumables, One-Way Mobilization, Test Results Storage
Francis Dryslewski
EZY-3 Locator Plus# 46-3772 (Exp: 11/15/2019) NYC Fire Department Certificate of Fitness#
63662746/63662753
David Sponburgh
2/21/2019 St BVA WO 585899, Feb 19th, 2019
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Crompco, LLC
1815 Gallagher Road Plymouth Meeting, PA 19462
Bronx VA Phone: (610) 278-7203
FAX: 610-278-7621
130 W Kingsbridge Bronx, NY 14810
State ID: 2-602985
Facility/Agency Copy Site #BVA / WO #585899
Tue Feb 19th, 2019
EZY 3 Locator Plus
TOTAL TANK VOL (gal): 30982 TANK # / PRODUCT TYPE: 05 / Diesel/Fuel Oil DRONE
ULLAGE VOL (gal): 3718 WALL TYPE: DoublePRODUCT VOL (gal): 27264 MATERIAL: Steel
PRESSURE SENSOR CALCULATION
103.0000 X 0.031 psi = 3.1930 PSI(1)(INCHES OF PRODUCT) (WEIGHT OF PRODUCT) 0.0000 X .036 psi = 0.0000 PSI(2)(INCHES OF WATER IN TANK) (WEIGHT OF WATER) Line 1 + Line 2 = Total Positive Head Pressure in Tank = 3.1930 PSI(3)0.0000 X 0.036 (Water Table Outside Tank) = 0.0000 PSI(4)
(INCHES OF WATER OUTSIDE TANK)
0.049 (Brine Filled DW Tank) 0.000 (Double Wall Dry) 0.036 (Double Wall with Water in
Outerwall)
Total Head Pressure Minus Outside Water Pressure = 3.1930 +/-PSI(5)
Always add .5 PSI = 3.6930 PSI(6)NOTE: If Line 6 is less than .5 PSI, Line 7 shall be .5 PSI
TEST PRESSURE = 3.6930 PSI(7)
TIME
PRESSURE (psi of vacuum)
BLOWER STARTED: 12:00 0.0000TEST PRESSURE REACHED: 12:11 3.9800BLOWER TURNED OFF: 12:14 4.0000TEST BEGAN: 12:15 3.9900TEST ENDED: 12:20 2.0000
Depth of Groundwater Determined:By: Double-wall dry interstitialWhere: Outerwall riser
WATER SENSOR CALIBRATION TANK SYSTEM
Added (ml): 0.0000 0.0000 0.0000 Cal #1 Cal #2 Cal #3 Average: 0.0000 Water Intrusion Test Period: Began: Ended:Calculation for test period: 0.0000 / 3780 = 0.0000 / .05 X 60 = 0.0000 (min)Ave. Cal. "A" Factor Time of Test
Product in Tank (inches): 103.0000Water in Tank (inches): 0.0000Tank top to grade (inches): 48.0000Diameter (inches): 120Bottom to grade (inches): 168.0000Groundwater (inches): 0.0000
THE ACOUSTIC CHARACTERISTICS OF A LEAK REVEALS: WATER SENSOR INDICATES:
TIGHT TANK This underground storage tank PASSES the criteria set forth by the U.S. EPA
ULLAGE (DRY) PORTION LEAK This underground storage tank FAILS the criteria set forth by the U.S. EPA
BELOW PRODUCT LEVEL (WET) PORTION LEAK This underground storage tank FAILS the criteria set forth by the U.S. EPA
Inconclusive
NO WATER INTRUSION WATER INTRUSION NOT APPLICABLE INCONCLUSIVE
Serial: Calibration Expiration:Water Sensor Display:Water Sensor Probe:Acoustic Signal Processor: E1544021 2019-06-30In-Tank Microphone: M1701002 2019-06-30
2/21/2019 St BVA WO 585899, Feb 19th, 2019
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Digital Pressure Sensor: 40968717 2019-06-30Analog Vacuum Gauge: NG1704259 2019-06-30
2/21/2019 St BVA WO 585899, Feb 19th, 2019
http://portal.crompco.com/workorderpop.php?workorderid=585899&stationnumber=BVA&cview=1&rview=1&photos=1 4/59
Crompco, LLC
1815 Gallagher Road Plymouth Meeting, PA 19462
Bronx VA Phone: (610) 278-7203
FAX: 610-278-7621
130 W Kingsbridge Bronx, NY 14810
State ID: 2-602985
Facility/Agency Copy Site #BVA / WO #585899
Tue Feb 19th, 2019
EZY 3 Locator Plus
TOTAL TANK VOL (gal): 1018 TANK # / PRODUCT TYPE: 06 / Diesel/Fuel Oil DRONE
ULLAGE VOL (gal): 143 WALL TYPE: DoublePRODUCT VOL (gal): 875 MATERIAL: Steel
PRESSURE SENSOR CALCULATION
39.0000 X 0.031 psi = 1.2090 PSI(1)(INCHES OF PRODUCT) (WEIGHT OF PRODUCT) 1.7500 X .036 psi = 0.0630 PSI(2)(INCHES OF WATER IN TANK) (WEIGHT OF WATER) Line 1 + Line 2 = Total Positive Head Pressure in Tank = 1.2720 PSI(3)0.0000 X 0.036 (Water Table Outside Tank) = 0.0000 PSI(4)
(INCHES OF WATER OUTSIDE TANK)
0.049 (Brine Filled DW Tank) 0.000 (Double Wall Dry) 0.036 (Double Wall with Water in
Outerwall)
Total Head Pressure Minus Outside Water Pressure = 1.2720 +/-PSI(5)
Always add .5 PSI = 1.7720 PSI(6)NOTE: If Line 6 is less than .5 PSI, Line 7 shall be .5 PSI
TEST PRESSURE = 1.7720 PSI(7)
TIME
PRESSURE (psi of vacuum)
BLOWER STARTED: 13:05 0.0000TEST PRESSURE REACHED: 13:09 0.0000BLOWER TURNED OFF: 13:12 0.0000TEST BEGAN: 13:13 0.0000TEST ENDED: 13:15 0.0000
Depth of Groundwater Determined:By: Double-wall dry interstitialWhere: Outerwall riser
WATER SENSOR CALIBRATION TANK SYSTEM
Added (ml): 0.0000 0.0000 0.0000 Cal #1 Cal #2 Cal #3 Average: 0.0000 Water Intrusion Test Period: Began: Ended:Calculation for test period: 0.0000 / 3780 = 0.0000 / .05 X 60 = 0.0000 (min)Ave. Cal. "A" Factor Time of Test
Product in Tank (inches): 39.0000Water in Tank (inches): 1.7500Tank top to grade (inches): 54.0000Diameter (inches): 48Bottom to grade (inches): 102.0000Groundwater (inches): 0.0000
THE ACOUSTIC CHARACTERISTICS OF A LEAK REVEALS: WATER SENSOR INDICATES:
TIGHT TANK This underground storage tank PASSES the criteria set forth by the U.S. EPA
ULLAGE (DRY) PORTION LEAK This underground storage tank FAILS the criteria set forth by the U.S. EPA
BELOW PRODUCT LEVEL (WET) PORTION LEAK This underground storage tank FAILS the criteria set forth by the U.S. EPA
Inconclusive
NO WATER INTRUSION WATER INTRUSION NOT APPLICABLE INCONCLUSIVE
Serial: Calibration Expiration:Water Sensor Display:Water Sensor Probe:Acoustic Signal Processor: E1544021 2019-06-30In-Tank Microphone: M1701007 2019-06-30
2/21/2019 St BVA WO 585899, Feb 19th, 2019
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Digital Pressure Sensor: 40968917 2019-06-30Analog Vacuum Gauge: NG1704264 2019-06-30
2/21/2019 St BVA WO 585899, Feb 19th, 2019
http://portal.crompco.com/workorderpop.php?workorderid=585899&stationnumber=BVA&cview=1&rview=1&photos=1 6/59
Crompco, LLC
1815 Gallagher Road Plymouth Meeting, PA 19462
Bronx VA Phone: (610) 278-7203
FAX: 610-278-7621
130 W Kingsbridge Bronx, NY 14810
State ID: 2-602985
Facility/Agency Copy Site #BVA / WO #585899
Tue Feb 19th, 2019
EZY 3 Locator Plus
TOTAL TANK VOL (gal): 1018 TANK # / PRODUCT TYPE: 07 / Diesel/Fuel Oil DRONE
ULLAGE VOL (gal): 230 WALL TYPE: DoublePRODUCT VOL (gal): 788 MATERIAL: Steel
PRESSURE SENSOR CALCULATION
36.0000 X 0.031 psi = 1.1160 PSI(1)(INCHES OF PRODUCT) (WEIGHT OF PRODUCT) 0.0000 X .036 psi = 0.0000 PSI(2)(INCHES OF WATER IN TANK) (WEIGHT OF WATER) Line 1 + Line 2 = Total Positive Head Pressure in Tank = 1.1160 PSI(3)0.0000 X 0.036 (Water Table Outside Tank) = 0.0000 PSI(4)
(INCHES OF WATER OUTSIDE TANK)
0.049 (Brine Filled DW Tank) 0.000 (Double Wall Dry) 0.036 (Double Wall with Water in
Outerwall)
Total Head Pressure Minus Outside Water Pressure = 1.1160 +/-PSI(5)
Always add .5 PSI = 1.6160 PSI(6)NOTE: If Line 6 is less than .5 PSI, Line 7 shall be .5 PSI
TEST PRESSURE = 1.6160 PSI(7)
TIME
PRESSURE (psi of vacuum)
BLOWER STARTED: 15:05 0.0000TEST PRESSURE REACHED: 15:08 1.9100BLOWER TURNED OFF: 15:11 1.9600TEST BEGAN: 15:12 1.9500TEST ENDED: 15:17 0.0000
Depth of Groundwater Determined:By: Double-wall dry interstitialWhere: Outerwall riser
WATER SENSOR CALIBRATION TANK SYSTEM
Added (ml): 0.0000 0.0000 0.0000 Cal #1 Cal #2 Cal #3 Average: 0.0000 Water Intrusion Test Period: Began: Ended:Calculation for test period: 0.0000 / 3780 = 0.0000 / .05 X 60 = 0.0000 (min)Ave. Cal. "A" Factor Time of Test
Product in Tank (inches): 36.0000Water in Tank (inches): 0.0000Tank top to grade (inches): 56.0000Diameter (inches): 48Bottom to grade (inches): 104.0000Groundwater (inches): 0.0000
THE ACOUSTIC CHARACTERISTICS OF A LEAK REVEALS: WATER SENSOR INDICATES:
TIGHT TANK This underground storage tank PASSES the criteria set forth by the U.S. EPA
ULLAGE (DRY) PORTION LEAK This underground storage tank FAILS the criteria set forth by the U.S. EPA
BELOW PRODUCT LEVEL (WET) PORTION LEAK This underground storage tank FAILS the criteria set forth by the U.S. EPA
Inconclusive
NO WATER INTRUSION WATER INTRUSION NOT APPLICABLE INCONCLUSIVE
Serial: Calibration Expiration:Water Sensor Display:Water Sensor Probe:Acoustic Signal Processor: E1544021 2019-06-30In-Tank Microphone: M1701007 2019-06-30
2/21/2019 St BVA WO 585899, Feb 19th, 2019
http://portal.crompco.com/workorderpop.php?workorderid=585899&stationnumber=BVA&cview=1&rview=1&photos=1 7/59
Digital Pressure Sensor: 40968917 2019-06-30Analog Vacuum Gauge: NG1704264 2019-06-30
2/21/2019 St BVA WO 585899, Feb 19th, 2019
http://portal.crompco.com/workorderpop.php?workorderid=585899&stationnumber=BVA&cview=1&rview=1&photos=1 8/59
Crompco, LLC
1815 Gallagher Road Plymouth Meeting, PA 19462
Bronx VA Phone: (610) 278-7203
FAX: 610-278-7621
130 W Kingsbridge Bronx, NY 14810
State ID: 2-602985
Facility/Agency Copy Site #BVA / WO #585899
Tue Feb 19th, 2019
2/21/2019 St BVA WO 585899, Feb 19th, 2019
http://portal.crompco.com/workorderpop.php?workorderid=585899&stationnumber=BVA&cview=1&rview=1&photos=1 9/59
Crompco, LLC
1815 Gallagher Road Plymouth Meeting, PA 19462
Bronx VA Phone: (610) 278-7203
FAX: 610-278-7621
130 W Kingsbridge Bronx, NY 14810
State ID: 2-602985
Facility/Agency Copy Site #BVA / WO #585899
Tue Feb 19th, 2019
Site Diagram Labels
1: Block - V A Main w/ Ambulance Entrance
2: Block - Building
3: Tank - 7 Diesel/Fuel Oil 1K
4: Block - Boiler Room
5: Tank - 4 Fuel Oil 30K
6: Tank - 6 Diesel/ Fuel Oil 1k
7: Tank - 5 Diesel/Fuel Oil 30k
8: Tank - 2 Fuel Oil 30k
9: Tank - 1 Fuel Oil 30k
10: Tank - 3 Fuel Oil 30k
11: Road - Webb
12: Road - KingBridge
13: Block - Day Tank
14: Block - Day tank
2/21/2019 St BVA WO 585899, Feb 19th, 2019
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IMPORTANT LEGAL DOCUMENTS
February 21st, 2019
Bronx VA #BVA 130 W Kingsbridge
Bronx, NY 14810
Re: 2019 Compliance Test Results
Crompco Work Order #585899 Test Performed on Tue Feb 19th, 2019
Dear Manager (Facility #BVA):
Enclosed are the 2019 Compliance Test Results for testing performed by Crompco for Bath VA Medical Center. These testresults are important legal documents that are required to be retained at your facility in the "Environmental ComplianceBinder" in case an inspection would occur by a state or local agency. Upon receipt, please put the results in the binder asrequested by Bath VA Medical Center.
The 2019 compliance tests performed at your facility are indicated below. For specific testing detail, please refer to theenclosed test report.
X Tank(s) Line(s) and/or Leak Detector(s) Cathodic Protection Monitor Inspection Vapor Recovery Other (See Report for Details)
If you should have any questions regarding the test results enclosed, please contact Crompco at 1-800-646-3161.
Sincerely,
Francyne Klein Compliance Administrator
2/21/2019 St BVA WO 585899, Feb 19th, 2019
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TEST RESULTS
February 21st, 2019
New York State DEC DEC Region 2
Hunters Point Plaza, 2nd Floor 47-40 21st Street
Long Island City, NY 11101-5407
Test Results - UST Testing
Dear Sir / Madam:
Enclosed are copies of the test results performed by Crompco at the location listed below. On behalf of our customer, theseresults are being submitted to you in accordance with local regulations. Copies of the test results were also sent to the facilityto be retained at the location in case an inspection would occur by a state or local agency.
ID Numbers Address Test DateCrompco
Work Order Test(s) Performed
Location: BVA UST: 2-602985
130 W Kingsbridge Bronx, NY 14810
Tue Feb 19th, 2019 585899 EZY-3 Locator Plus
If you should have any questions regarding the tests enclosed, please contact Crompco at 1-800-646-3161.
Sincerely,
Francyne Klein
Compliance Administrator
2/21/2019 St BVA WO 585899, Feb 19th, 2019
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Work Ticket #: 585899 PO #: 36C24219P0556 - OBL#526-C90072
Address: 130 W Kingsbridge Bronx, NY 14810 Station #: BVA
Service Date: 02/19/2019Parts Sold
Quantity Sold Part Name Manufacturer Part # Description
Service Details
Crompco was on site performing testing,repairs, calibration and/or inspections forthe following reason:ComplianceComments
Gallons Pumped:
Site Arrival Time: 08:00:00 Site Depart Time: 16:30:00
Confirmation
By signing this verification you are agreeing that Crompco LLC performed various compliance testing and/or repairs andreplaced parts as listed above.
Printed Name Email Signature
Mike [email protected]
Signature captured Refused to sign
No one available to sign
2/21/2019 St BVA WO 585899, Feb 19th, 2019
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2/21/2019 St BVA WO 585899, Feb 19th, 2019
http://portal.crompco.com/workorderpop.php?workorderid=585899&stationnumber=BVA&cview=1&rview=1&photos=1 52/59
Photo #80:
Photo #81:
2/21/2019 St BVA WO 585899, Feb 19th, 2019
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Photo #82:
Photo #83:
2/21/2019 St BVA WO 585899, Feb 19th, 2019
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Photo #84:
Photo #85:
2/21/2019 St BVA WO 585899, Feb 19th, 2019
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Photo #86:
Photo #87:
2/21/2019 St BVA WO 585899, Feb 19th, 2019
http://portal.crompco.com/workorderpop.php?workorderid=585899&stationnumber=BVA&cview=1&rview=1&photos=1 56/59
Photo #88:
Photo #89:
2/21/2019 St BVA WO 585899, Feb 19th, 2019
http://portal.crompco.com/workorderpop.php?workorderid=585899&stationnumber=BVA&cview=1&rview=1&photos=1 57/59
Photo #90:
Photo #91:
2/21/2019 St BVA WO 585899, Feb 19th, 2019
http://portal.crompco.com/workorderpop.php?workorderid=585899&stationnumber=BVA&cview=1&rview=1&photos=1 58/59
Photo #92:
Photo #93: