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HomeMy WebLinkAboutFMC 2013MONITORING SYSTEM CERTIFICATION For Use By All Jurisdictions Within the State of California Authority Cited: Chapter 6. 7, 1/ealth 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. A separate certification or rcrort 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: #7785 Fastrip #32 Bldg. No.: ____ _ Site Address: 3701 Ming Avenue City: bakersfield, CA Zip: 93309 .;;..;;:..::...::..::....._ __ Facility Contact Person: _:0=-m:..:..:..::e~ro=----::G:...:a:..:r..:::c.:.:ia::..._ ____________ Contact Phone No.: (661) 393 7000 Make/Model of Monitoring System: _V_e_e_d ..... e_r_-R_o.:....o..:...t_T_L_S_-3_5_0 __________ Date ofTesting!Scrvicing: 8/112013 B. Inventory of Equipment Tested/Certified Check the appropriate boxes to indicate specific equipment inspected/serviced: Tank 10: 12,000 Gal. Regular Tank ID: 12,000 Gal. Su~er 181 1n-Tank Gauging Probe. Model: 847390-107 181 Jn-Tank Gauging Probe. Model: 847390-107 181 Annular Space or Vault Sensor. Model: 794380-303 181 Annular Space or Vault Sensor. Model: 794380-303 181 Piping Sump I Trench Scnsor(s). Model: 794380-208 181 Piping Sump I Trench Scnsor(s). Model: 794380-208 181 Fill Sump Sensor(s). Model: 794380-208 181 Fill Sump Scnsor(s). Model: 794380-208 181 Mechanical Line Leak Detector. Model: FX-1V 181 Mechanicnl I inc Leak Detector. \!1odcl: FX-1V 0 Electronic Line Leak Detector. Model: 0 Electronic Line Leak Detector. Model: 181 Tank Overfill/lligh-Lcvcl Sensor. Model: 847390-107 181 Tank Ovcrfill/lligh-Lcvcl Sensor. Model: 847390-107 0 Other (specify equipment type and model in Section Eon Page 2). 0 Other (specify c<tuipment type and model in Section Eon Page 2). Tank 10: 12,000 Gal. Diesel Tank ID: 181Jn-Tank Gauging Probe. Model· 847390-107 0 In-Tank Gauging Probe. \ilodel: 181 Annular Space or Vault Sensor. Model: 794380-303 0 Annular Space or Vault Sensor. Model: 181 Piping Sump I Trench Scnsor(s). Model: 794380-208 0 Piping Sump I Trench Scnsor(s). Model: 181 Fill Sump Sensor(s). Model: 794380-208 0 Fill Sump Scnsor(s). Model: 181 Mechanical Line l.cak Detector. Model: FX-1DV 0 Mechanical Line Leak Detector. Model: 0 Electronic Line Leak Detector. Model: 0 Electronic Line Leak Detector. Model: 181 Tank Overfill / High-Level Sensor. Model: 847390-107 0 Tank Ovcrfill l lligh-l..cvcl Sensor. Model: 0 Other (specify equipment type and model in Section F. on Page 2). 0 Other (specify equipment type and model in Section Eon Page 2). Dispenser 10: 1-2 Dispenser I D: 3-4 181 Dispenser Containment Scnsor(s). Model: 794380-208 181 Dispenser Containment Sensor(s). Model: 794380-208 181 Shear Valve(s). 181 Shear Valvc(s). 0 Dispenser Containment Float(s) and Chain(s). 0 Dispenser Containment Floar(s) and Chain(s). Dispenser ID: 5-6 Dispenser 10: 7-8 181 Dispenser Containment Scnsor(s). Model: 794380-208 181 Dispenser Containment Scnsor(s). Model: 794380-208 181 Shear Valve(s). 181 Shear Valve(s). 0 Dispenser Containment Float(s) and Chain(s). 0 Dispenser Containment Float(s) and Cham(s). Dispenser ID: VENT-BOX Dispenser 10: 181 Dispenser Containment Sensor(s). Model: 794380-208 0 Dispenser Containment Scnsor(s). Model: 0 Shear Valve(s). 0 Shear Valvc(s). 0 Dispenser Containment lloar(s) and Chain(s). 0 Dispenser Containment Float(s) and Chain(s). . . •If the facility contains more tanks or dispensers. copy th1s fom1. Include mformat10n for cvcl) tank and d1spenser at the fac1hty. c. Certification -1 certify that the equipment identified in this document was inspected/serviced in accordance with the manufacturers' guideli nes. Attached to this Certification is information (e.g. manufacturers' checklists) necessary to verify that this information is correct and a Plot Plan showing the layout of monitoring equipment. For any equipment capable of generatin g such reports, I have also attached a copy of the report; (check all that apply): ~ System set-up ~ Alar m history report Signarure: ------l~l..!::=:...::::.~_,(t....:..:~==~=+-------- License. No.: ...::.80.::.4.:..:9::..:0:_4.:... _____________ _ Technician Name (print): Kristo~her Karns Certificarion No.: :8:.::::3~4..:.1 .::.06=--------------- Testing Company Name: Confidence UST Services Phone No.: (800) 339-9930 Site Address: 3701 Ming Avenue, Bakerfield, CA 93309 Date ofTcsting/Servicing: 8/1/2013 Page 1 of 3 Monitoring System Certification D. Results of Testing/Servicing Software Version Installed: 329.02 -=~~--------------------------- c ompl ete the ollowing checklist: 181 Yes 0 No* Is the audible alarm operational? 181 Yes 0 No* Is the visual alarm operational? 181 Yes 0 No* Were all sensors visually inspected, functionally tested, and confirmed operational? 181 Yes 0 No* Were all sensors installed at lowest point of secondary containment and positioned so that other equipment will not interfere with their proper operation? 0 Yes 0 No* If alarms are relayed to a remote monitoring station, is all communications equipment (e.g., modem) 181 N/A operational? 181 Yes 0 No* For pressurized piping systems, does the turbine automatically shut down if the piping secondary containment 0 N/A monitoring system detects a leak, fai Is to operate, or is electrically disconnected? If yes: wh ich sensors initiate positive shut-down? (Check all that apply) 181 Sump/Trench Sensors; 181 Dispenser Containment Sensors. Did you confirm positive shut-down due to leaks and sensor failure/disconnection? 181 Yes; 0 No. 181 Yes 0 No* For tank systems that utilize the monitoring system as the primary tank overfill warning device (i.e., no 0 N/A mechanical overfill prevention valve is installed), is the overfill warning alarm visible and audible at the tank fill point(s) and operating properly? If so, at what percent of tank capacity does the alarm trigger? 90% 0 Yes* 181 No Was any monitoring equ ipment replaced? If yes, identify specific sensors, probes, or other equipment replaced and list the manufacturer name and model for all replacement parts in Section E, below. 181 Yes* 0 No Was liquid found inside any secondary containment systems designed as dry systems? (Check all that apply) 0 Product; 181 Water. If yes, describe causes in Section E, below. 181 Yes 0 No* Was monitoring system set-up reviewed to ensure proper settings? Attach set up reports, if applicable 181 Yes 0 No* Is all monitoring equipment operational per manufacturer's specifications? * In Section E below, describe how and when these deficiencies were or will be corrected. E. Comments: I removed small amount of water from all STP Sumps. Page 0 of 3 Monitoring System Certification F. In-Tank Gauging I SIR Equipment: 181 Check this box if tank gauging is used only for inventory comrol. 0 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 fo llowing checklist: 181 Yes 0 No* Has all input wiring been inspected for proper entry and termination, including testing for ground faults? 18] Yes 0 No* Were all tank gauging probes visually inspected for damage and residue buildup? 181 Yes 0 No* Was accuracy of system product level readings tested? 181 Yes 0 No* Was accuracy of system water level readings tested? 181 Yes 0 No* Were all probes reinstalled properly? 181 Yes 0 No* Were all items on the equipment manufacturer's maintenance checklist completed? * In the SectiOn H, below, descrrbe how and when these deficien cies were or will be corrected. G. Line Leak Detectors (LLD): 0 Check this box if LLDs are not installed. c h ~ II h kr omprete t e o owmg c cc rst: 18] Yes 0 No* For equipment start-up or annual equipment certification, was a leak simulated to verify LLD performance? 0 N/A (Check all/hal apply) Simulated leak rate: 18] 3 g.p.h.; 0 0.1 g.p.h ; 0 0.2 g.p.h. 18] Yes 0 No* Were all LLDs confirmed operational and accurate within regulatory requirements? 18] Yes 0 No* Was the testing apparatus properly calibrated? 18] Yes 0 No* For mechanical LLDs, does the LLD restrict product flow if it detects a leak? 0 N/A 0 Yes 0 No* For electronic LLDs, does the turbine automatically shut off if the LLD detects a leak? 18] N/A 0 Yes 0 No* For electronic LLDs, does the turbine automatically shut off if any portion of the monitoring system is disabled 181 N/A or disconnected? 0 Yes 0 No* For electronic LLDs, does the turbine automatically shut off if any portion of the monitoring system malfunctions 181 N/A or fails a test? 0 Yes 0 No* For electronic LLDs, have all accessible wiring connections been visually inspected? 18] N/A 18] Yes 0 No* Were all items on the equipment manufacturer's maintenance checklist completed? * In the Section H, below, descrrbe how and when these deficrencrcs were or will be corrected. H. Comments: Page 3 of 3 FASTh'IP 785 37~1 ~lNG AVE BAI'.EP. .... F I ELfJ 93309 661 .397-3699 . 08-t)J 13 12:44 Pt1 :'''~T:I'I-~;·~·I-ITUS REPORT ALL FUNCTIONS -NOR~L - INVENTORy F!EPOf:T T 1 : UNLE~DE[l VOLUME • 277. r. Ill u,·-·E b .. ALS . v ~ 92?4 GHLC 90~~ ULLAGE"' eo24 GALS TC yo~U~1E 2722 GI-lLS HEI~ciHt • 25.93 INCHES WATER VOL O GALS WATER r ., , tl-'!::".S TEMP . T 2 PREI'll ut1 VOLUME = ULLAGE a 90:. ULLAGE"" TC ·.10IH1E = HEil>HT t•.IHTi:;F, IJ(il_ • WATIR TEI·IP T 8:DIESEL VOLUI•IE ULLHGE = ..:.. .. :' I"' .. . ,4" ,' . ' . ., ~~s F 90•. ULLAGE., >1-\, -~ TC V0Lut1E • 3815 GALS HEIGHT c 33.16 INCHES WATER Vi •I 0 GALS WATER fi.O(J INCHES TEt1P • 9U . 9 DEG F SOHWARE REVISION LEVEL VER'3ION 329.02 SOF~ ~~EP 34G329-100-C CRERTED-09.0'1.01 .1t..29 S-MODULEP J30160-004-a SYSTEt1 FEATURES: f ::P. IOD It:; IN-TANK TESTS l-lt~HUAL IN-TANK TESTS ISO / lSD DAILY REPORT ' FASTR I P 7'" ~. 370 I M IIIJG AVE BAKERSFIELD C.3309 661-397-3699 08-01-13 12!44 PM \ EVR TYPE: VACUUM ASSIST lSD VERSION 01 .02 REPORT DATE: 08-01 lSD \/EP.SION 01 .02 OVERALL STATUS ~ASS EVR CO NTA I Nf•lENT PASS EVR COLLECTION PASS STAGE! 0 of 0 NOTEST SELF TEST PASS lSD MONITOR UP-TIME 100% CONTAINMENT TESTS GROSS 95~-. 0.0 "WC DGRD 75% -0. I "WC VAPOR LEAK I CFH !•tAX -0.4 11IN -'5.0 COLLECTION TESTS GROSS DGRD A/L< P > A/L < II> FP I: BLEND8 1.01( 61> 0.98(377) FP 2 : 8LEND3 O.=l6( 40> 1.05(254> FP 3: 8LEND3 I . I 9 < 55> I . 03 < 396 > FP 4: 8LEND3 0.93( 39) 0 .94(250) FP 5: 8LEI'ID3 0.93( 70) 0.95<359) FP 6 : BLEND3 1.09( 58) 1.00(285> FP 7 : BLEND3 0.98( 72} 1.01<283) FP 8: BLEND3 o.·j:J< 33> 0 .99<131> SELF TEST SETUP TEST PASS SENSOR OUT TEST . i="I-ISS "WC "WC SYSTEM SETUP 08-01-13 12!44 PM SYSTEM UNITS u.s. SYSTEI"l LANGUAGE ENGLISH SYSTEI'-1 DATE,-Tll"lE fORMAT MM-DD-Y'I HH:M1'1:SS ,..1'1 FASTRIP 785 3701 1"1! NG AVE BAKERSFIELD 93309 661-397-3699 SHIFT TIME I SHIFT TI11E 2 SHIFT TIME 3 SHIFT TIME 4 b:OO AM DISA8L£[J DISABLED DISABLED TANK PER TST NEEDED WRN DISABLED TANK ANN TST NEEDED WRN DISABLED Ll NE RE-ENABLE 11E':'HOD PASS LINE TEST LINE PER TST NEEDED WRN DISABLED LINE ANN TST NEEDED WRN DISABLED PR 1 NT TC VOLUI"lES ENABLED TEfiP COMPENSATION VHLUE <DEG F >: 60.0 STICK HEIGHT OFFSET DISABLED ULLAGE: 90% H PROTOCOL DHTA FORI'li-\T HE.GHT DAYLIGHT SAVING Tlt'IE !.CNABLED START DATE MAR I·JEEK SUN START 7iME 2:0n AM END Dr-~TE NOV I.IEEK SUN END TII"IE 2:00 AM r<t:. -u ltn·.l; I l.OL:I\1. i'R I NT OUT DlSi-IFi\.E[• . EURO FROTO.:'•)L ~·I\£FI , s :;·:S";EI'I SECURITY CODE : 000000 MAI 'ITEIIHti:'E HHTIORY lli~.-.Blt:I• TAN!: C'HART S'EGIIR I T't DISH3LG• L'USTOM Hl.HRI~S DIS.;Bl.E[• SERVICE t.;OTI l'E DJS..,BLF:D I SO '31 bt) t.'0U'llP.{ ';ODE: f·',c;S:::i L•Er·ISITY DlSHBI E[' CO!•li1UN I CAT I ON8 SETUP PORT SETT I Nl;S : CO'~I BOARD : I <EDI/'1 > RS-232 SECURITY CODE : DISHBLED COM'l BOARD 2 <RS-232> BAUD R~TE 9600 PARITY NONE STOF BIT : I l:iTOP DATA LE~GTH: 8 DATA RS-232 SECURITY CODE : D I SAEILE[• COMt1 BOARD :1 < RS-281-' > BAUD RATE 9600 PARITY NONE STOP BIT : I STOP DATA LENGTH: 8 DATA RS-232 SECURITY CODE : DISABLED AUTO TRI-\NS111 T SETT I Nl;~.;: AUTO LEAK ALARI1 L 1111 T DISABLED AUTO HIGH WIITER Llf•IJT DISI-IBLEC: Al~O OVERFILL LIHIT DISnBLED AUTO LO;..J PRODt.Jo:·T DISABLED AUTO THEFT LIHIT DISABLED AUTO DELIVERY START DISABLED AUTO DELIVEP.Y E~D DISABLED AUTO EVTER~JJ.\L l NPUT ON DIS148LED AUTO EXTERNHL INPUT OFF DISABLED AUTO SENSOR FUEL ilLAR11 DISABLED AUTO SENSOR W1TER ALARI'l DISABLED AUTO SENSOR OUT ALI\Rf1 DISABLED RS-232 END OF HE:·.:s,..,\;E D!S~BLEr• IN-TI-INK SETUP I T I : UNLEI-\[JED fR<))UC'T C'ODE THEki""I-IL COEFF TAN}~ DIA1•1ETER TANK PROFILE FULL VOL 72.0 INCH VOL 48.0 INCH VOL 2-1.0 IfliCH vo;.. : .0007(10 96.00 4 1-"TS 12000 9999 6355 2505 FLOAT SIZE: 4.0 IN. W~TER WHRNI NG : HiqH itJI-\TER LIMIT: f'J(lX OR LABEL VOL : OVERFILL Llt1IT HIGH PRODUCT DEL I VEIN L I f"l IT LOt.! f·RODUCT LEAl: ALARH L 11'1 IT : SUDDEN LOSS LIMIT: TANK TILT PROBE OFFSET 2.U 3.0 12000 90~ 10800 95~. 11400 15~. 1800 1200 99 99 0 .00 -3.00 SIPHON MANIFOLDED Tf1Nl\S Til! NONE LINE MANIFOLDED TANKS Til: NONE LEAK I'll N PERIODIC: LEAl~ M! N M;I~UAL I'• 120 I!-. 120 PERIODIC TEST TYPE STh~f['HRD AI~I~UI'IL TEST FI-ll L ALARM DISABLED PERIODIC TEST FAIL ALARI"I D I SHBLECI GROSS TEST FAIL 1-)LARM [1! SFIBLED (INN TEST AVERAG I NG: OFF PER TEST AVERAGING: OFF TANK TEST NOTIFY: OFF TNI< TST SIPHON BREAK:OFF DEL I VERY DELAY : 1 I'll tl PUI·IP THRESHOLD : I 0. ocr,. 2 T ::-:PREI"IJ UH H O!)U('T CODE TrlE~I1AL COEF-T T~NK D I At·tETER TANK PROFILE FULL VOL 72 .0 INCH VOL 48 .0 INCH VOL 24 .0 INCH VOL : . 00070(1 96.00 4 PTS 12000 9999 63'55 2505 FL01~T SIZE: 4.0 IN. WATER l.JARN I NG HIGH WATER LIMIT: MAX OR LABEL VOL : OVERFILL LIMIT DEL I VERY Ll HIT LOW f•RuDUCT LEAK ALARI"l L 1 t11 T: SuDDEN LOSS Llf'l!T: TANK TILT PROBE vFFSET 2.0 3.0 12000 ':ll.l% 10800 95~. 11400 15% 1800 1200 99 99 0.00 0.00 SIPHON ~IAN I FOI.[1E[ TflNKS Til: NONE Ll NE !"IAN I FOLDED TAN~:S Til: NONE LEHK MIN PERIODI C: I" " 120 LEAK MIN MNNUHL 1% 120 PERI ODI C TEST TYPE SThN[rf-lRD i-ii~NUr1L TI:ST Ff~ I L Al.ARM DISABLED PERI OD!,' TEST FAIL ALARf•t DISABLE[' GRO:JG TEST FA l L ALARt1 Dl SI-IBLED ANN TEST 1.WER1-1::; I NG: OFF PER TEST AVERAGING: OFF Ti111ll< TEST NOTIFY: OFF TNK TST Slf.·HON BREAl-: :OFF DELIVERY DELAY : l MIN PUI•Jf· THRESHOL[J : I 0. Om< T 3:DIESEL PRODUCT CODE THERI1r\L COEFF TANK DIA~IETER TANK PROF ILE FULL VOL 72.0 INCH VOL 48.0 INCH VOL 24 .0 INCH VOL : 3 :. 000<150 96.00 4 PTS 12000 9999 6355 2505 FLOAT SIZE: 4.0 I N. WATER WARNING HIGH WATER LIM IT : MAX OR LABEL VOL: OVERFILL L1 l•l!T : HIGH PRODUCT DELIVERY LII•JIT LOL-l PRODUCT LEAK ALARM LIMIT: SUDDEN LOSS Lll"liT : TANK TILT : PROBE OFFSET 2 .0 3.0 12000 90% 10800 95% 11400 15% 1800 1200 99 99 3.00 0.00 SIPHON 1'1AN I FOLDE[t TANKS Til : NONE LJ NE ·r·IANJ FOLDED TANKS Til: NONE LEAK MIN PERIODI C: LEAK MIN ANNUHL 1 •• '> 120 PERIODI C TEST TYPE STANDARD ANNUAL TEST FAIL ALARM D I f>HBLED PERIODI C TEST FAIL ALARI"l D I SHBLED GROSS TEST FAIL ALARM DISABLED ANN TEST AVERAGING: OFF PER TEST AVERAGING: OFF TANK TEST NOTIFY: OFF TNK TST SIPHON BREAK :OFF DELIVERY DELAY : I MIN PUMP THRESHOLD : IO .OOX LEAK TEST METHOD TEST ON DATE : ALL TANK JUL 1, 2009 START TIME : D I :::iHBLED TEST RATE :0.20 GAL HR DURATION : 2 HOURS TST EARLY STOP:DISABLED LEAK TEST RH'ORT FORI·IHT NORMAL LIQUID SENSOR SETUP L I :UNL STP TRI STATE <SINGLE FLOAT > CATEGORY : STP SUMP L 2 :UNL Fll L TRI-STATE <SINGLE FLOAT> CATEGORY : PIPING SUMP L 3 :UNL ANN DUAL POINT HVDROST14TlC. CATEGORY : HNf·lLILAR SPACF. L 4:PNL STP TRI-STATE <SINGLE FLOAT> CATEGORY : STP SUMP L 5:PNL FILL TRI-STATE <SINGLE FLOAT > CATEGORY : PIPING Slt1P L 6:PNL ANN DUAL POINT H\'DROSTATI L.: CATEGORY : ANNULHR SPACE: L ?:DSL STP TRI-STATE <SINGLE fLOAT > t~ATEGORV : STP SUMP L a:DSL FILL TRI -STATE <SINGLE FLOAT > CATEGORY : PIPING SUI"IP L 9:DSL ANN DUAL POINT HY[JROSTHTIC CATEGORY : 1-\NNULAR SPACE L1 0 :VENT BOX TRI-STATE <SINGLE FLOAT> CATEGORY : PIPING SUI'1F' Ll1 :(liSP 1-2 TRI-STATE <SINGLE FLOAT> CI-ITEG(>R\' : DIS~ENSER PAN L1 :·:(liSP ~· 4 TR I STATE <:1 I Nf;LE FLOAT> t.:'t~Tf•:;i 1\'o' : r• I s~·L•t.:ER l'nN LJ 3 :l~J!jf 5-6 TRI STATE <SINGLE FLOATl Ct-1TC::;OR'/ : DISPEN:~ER PAN Ll4: ll I SP 7-I:J TRI-STATE \SINGLE FLOAT> •:1-\TEGORY : DISPENSER PAN f'UI"IP ~;ENSOR SETUP S 1 : UNl,En[•Ell TANK 11 : 1 f;ISFENSC MODE: STriNDr;RD S 2:PREMIUM Tl-lNl: 11: 2 DISHNSE MODE: STI-li'IDF-1RD OUTYUT RELAY SETUP R I : UNLEI-\OED T't'PE: !='LIMP t.:ONTROL OUTPUT TANK 11: 1 LIQUID SENSOR Al.I'"IS L I :FUEL ALAR1"1 Lll :FUEL ALARM Ll 2: FUEL ALARi"l Ll 3: FUEL ALARM L I 4: FUEL ALAR1"1 L I :SENSOR OUT ALARt1 Lll :SENSOR OUT ALAR~1 Ll 2: SENSOR OUT ALARM LJ3:SENSOR OUT ALARM LI4:SENSOR OUT ALARM L I :SHORT ALARI"1 L I 1 :SHORT ALAR11 Ll2 :SHORT ALJ.\Ri'1 L I 3 :SHORT ALARI1 L I 4 :SHORT ALARr"l lSD SITE ALARMS lSD GROSS PRES FAIL lSD DEGRD PRES FAIL lSD VAPOR LEAK FAIL lSD VP PRES FAIL lSD VP STATUS FAIL lSD HOSE AUIRMS ALL:(;ROSS COLLECT FAIL ALL:OEGRD COLLECT FAIL ALL:FLOW COLLECT FAIL R 2 : PRE11l LN TVPE: PUMP CONTROL OUTPUT TANK 11: 2 LIQUID SENSOR ALMS L 4:FUEL ALARM Lll :FUEL ALARI1 L I 2 :FUEL ALARI1 LIJ:FUEL ALARM L14 :FUEL ALARM L 4 :SENSOR OUT ALARI"I Lll :SENSOR OUT ALARM LI2:SENSOR OUT ALARM L13:SENSOR OUT ALARM LI~:SENSOR OUT ALARM L 4:SHORT ALARM L I 1 :SHORT ALARI1 L12:SHORT ALARM LI3:SHORT ALARM L I 4 :SHORT ALAR~1 ISO SITE ALf.IRMS lSD GROSS PRES FAIL lSD DEGRO PRES FAIL ISO VAPOR LEAK FAIL ISO VP PRES FAIL lSD VP STATUS FAIL I SD HOSE ALARi'1S ALL:GROSS COLLECT FAIL ALL:DEGRD COLLECT FAIL ALL:FLOW COLLECT FAIL R J:DIESEL TYPE: STRNOARO NORMnLLY CLOSED TANK II: NONE LIQUID SENSOR ALMS L 7:FUEL ALARM L I I :FUEL ALARM L1 2: FUEL ALAR!· I LI3:FUEL ALARM LI4:FUEL ALARM L ?:SENSOR OUT ALARM L 1 I :SENSOR OUT ALARf'l LI2:SENSOR OUT ALARM L1 :1 :SENSOR OUT ALAR~l Ll4 :SENSOR Olrf ALARt~ L I I :SHORT ALAR11 Lt2:SHORT ALARM LI3:SHORT ALARM LI4:SHORT ALARM R 4:0VERFILL TVPE: STAN[JARD NORI•lr\LL V OPEN TANK 11 : NONE IN-TANK ALARMS ALL :OVERFILL ALARI1 ALL ; HIGH PROLJUCT ALARM Si'1F-1T<TSENSOR SETUP ------ s I :VP 1-2 CATEGOR\' VAPOR PRESSURE s 2:FM 1-2 CATEGORY AIR FLOW METER s 3 :Ft1 3-4 CATEGORY AIR FLOW METER s 4:FM 5-6 CHTEGORV A I R FLOW i1ETER s 5:FM '1-8 CATEGORY AIR FLOW METER Pr1C SETUP P~l( VERSION: 01 .02 VAPOR PROI"I.:SSOI< T'IPE NONE 1-'Rt:>.:·ESSOR t:'ONTR(IL LEVEL: NONE SOrTl.Ji\RE REV l S 1 ON LEVEL VER8ION 329 .02 SOFTW~RErt 34S329 100-C CRE~TED -09.07.01 .16.29 S-HJDULEil 330 l btl cllJ4 a SYSTEM FEATURES: PERIODIC IN-TANr: TESTS 1-1NNUAL IN-TANK TESTS lSD EVR, ISO SETUP EVR TYPE : VACUUr·1 .ASS!ST VACUUM ASSIST TYPE HEAL\' VAC NOZZLE AL RANGE MAX: I .15 MIN: 0.95 VAPOR PROCESSOR T't'PE NONE ANALYSIS TIMES T II'IE : I 0: 00 AM DELAY MINUTES: ACCEPT HIGH ORVR: ENI-IBLED lSD HOSE TABLE ID FP FL HL AA RR ------------------------01 01 01 02 01 uu 02 02 02 02 01 uu 03 03 03 02 02 uu 04 04 04 02 02 uu 05 05 05 02 03 uu 06 06 06 02 03 uu 07 07 07 02 04 uu 08 08 08 02 04 uu lSD AIRFLOW METER MAP ID !:>ERIAL NUM LABEL ------------------------I 7329 2 7378 3 7309 4 6956 FM 1-2 FM 3-4 Fr1 5-5 FM 7-8 lSD FUEL GRADE HOSE MAP I 2 3 4 FP MHH MHH MHH t1HH AA 01 201 301 901 ~ u 1 02 202 302 902 u u 1 03 203 303 903 5 u 2 04 204 304 904 5 u 2 05 205 305 905 u u 3 06 205 306 906 u u 3 07 207 307 907 5 u 4 08 208 308 908 5 u 4 LABEL TABLE I : UNASSIGNED 2: BLEND3 3: REGULAR 4 : ~~ I D GRADE 5: PREMIUM 6: GOLD 7: BRONZE 8: SILVER 9: BLEND2 10: BLEND4 ALARM HISTOkY RE~ORT ----IN-TAN~ ALAR~1 T 1 : UNLEI-IDEC• OVERF I LL ALAR~l 07-2:.1-13 5:15 A/"1 07-04-13 10:51 PM 05-15-13 9:04 Al1 LOW PRODUCT AU-lRM 07-15-13 8:37 ~M 03-25-13 5:25 p~ 02-08-13 12:30 PM SUDDEN LOS."S ALARM 07-25-13 9:23 At1 01-25-13 I :21 PM O'J-12-12 8:15 At1 HIGH FRODUC'T ALARt'l 07-25-13 10:03 AM 04-27-13 10:55 PM 04-21-13 12 :45 PM I NVI~L I D FUEL LEVEL 03-25-13 9: 13 Pl'l 01-25-13 1:21 PM 09-11-12 3:49PM PROBE OUT 07-26-13 10:04 AM 07-26-13 9:23 t-\14 09-12-1~ 8:17AM DELIVERY NEEDED 07-25-13 8:24 PM 07-20·13 12:28 PM 07-18-13 9:20 PM LOW TEMP WARNING 09-12-12 9:49 l-IM 08-01-12 9:56 A~1 08-09-11 I :33 PM ,,z..ARf·T HI STORY f.IEPOI<T I I~ TANK ALARM ----- T 2 : PREM ILJ1 0\IERF I LL ALARI·t OB-0!-12 9:42 HH LOW PRODUCT ALARM 08·01-12 8:43 ~1 SUD[tEN LOSS AI.Af\1·1 08-01-12 8:43AM 08-09-11 12:34 r~ 08-18-10 8:4~ AM HIGH FROOUCT ALARI'I 07-26-13 10:01 AM 08-01-1 2 9:<12 A!-1 08-09 II I :33 PM f ·ROBE OUT 07-26-13 1o:u~ AH 07-26·13 9 :25AM Ol:l-ltl-12 9:•1 3 AM DF.L I VERV NEI.::!l[D 07-26-13 9:25 ~1 09-12-12 2:33 JJt·t 08-01-12 8:43AM LOW TE1·1P WARN IN(; 07-2h 13 10:02 ~I 08-119-1 I I :34 PI'! J .' ALARM HISTORV REPORT T 3:DIESEL OVERF I LL ALAR1'1 08-01-12 9:40 Hr1 HIGH PRODUCT H:.'"'RH 07-26-13 9:59AM 08-01-12 9:40AM 08-09-11 I :34 PH INVALID FUEL LEVEL 08-09-11 12:36 PM PROBE OUT 07-26-13 10:00 ~ 07-26-13 9:25 AM 08-01-12 9:40 A~ DELIVERY NEEDED 07-26-13 9:25 AM 12-17-12 3:47 PH LOW TEMP WARNING 08-01-12 9:41 Al"l 08-09-11 I :35 PM ALARI'l HISTORY REPORT -----SENSOR H[ARM L I :UNL STP STP SUMP SENSOR OUT ALAR1'1 07-26-13 10:23 AM FUE:. ALHRM 07-26-13 9:51 AM SENSOR OUT ALARM 08-01-12 9:33AM ALARt1 HISTORY REPORT --SENSOR ALARM L 2:UNL FILL PIPING Sl.I1P SENSOR OUT ALARI'l 07-26-13 10:23 ~1 FUEL ALARM 07-26-13 10:06 R"'l SENSOR OUT ALARM 08-0I-12 9:33AM ALHRt1 HI STOR\' REPORT -----SE~SOF. ALARM L :J:UNL ANN ANNULAR SPACE SENSOR OUT ALARM 07-26-13 10:23 AM LOW LIOUJD ALAR!'! 07-26-13 9:31 A~ HIGH L:QUID ALARM 07-26-13 9:29 AM hlitRI"l HISTORy' REPORT -----SENSO~ ALARI"l L 4:PNL STP STP SUf1P SEt-t30R OUT ALAR~1 07-26-I3 10 :23 AM FUEL 11I ..;R!"l 07-~6-13 9:50 HM SENSOR OUT ALARI"l 07-26-13 9:4b Al'l ALI-\RM HISTORY REPORT -----SENSOR ALARI·I L 5:PNL FILL PIPING SUMP !:FI'JSOR OUT HL~·P.I"' 07-26-IJ 10 :23 AM FUEL ALHP.'l 07-26-13 I 0 :09 AI•! FUEL 1LARM 03-08-13 I2:12 Ptl * -• * * END ~ -• ~ ~ ALARM HISTORY REPORT -----SENSOR ALARI"I L 5 :PNL ANN ANNULAR SPACE SENSOR OUT ALARM 07-26-13 10 :23 Al·l LOW LIQUID ALARM 07-26-!3 9 :30AM HIGH LIQUID t-iLH~M 07-26-13 9:29 ~1 ALARM HISTORY REPORT -----SENSOR ALARM L 7:DSL STP STP SUMP SENSOR OUT ALAR~! 07-26-13 10:23 AM FUEL nLARI"l 07-2~-13 9:37 AM FUCL ALARM 07-20-13 8:56AM ALARI'l HI STUR\' REPORT -~---SENSOR ALARM L e:OSL FILL PI PI NC SUI'f· SENSOR OUT ALARM 07-26-13 10 :23 AM FUEL ALARI"l 07-26-13 10 :12 AM FUE:. ALARM 07-26-13 10:12 Al1 ALARM HISTORY REPORT -----SENSOR ALARM L 9:0SL ANN ANNULAR SPACE HIGH LIQUID 1-1LARI•l 07-30-13 5 :29 PM SENSOR OUT ALARM 07-26-13 10:23 Al1 LOW LIQUID AL,.,RM 07-26-13 9:29 AM ALARI1 HI STOR'Y REPORT SENSOR ALARf•1 ----- LI 0 :VENT BOX PIPING SUI'lP FUEL ALARI'l 07-26-13 10: 3<1 Al1 SENSOR OUT ALARM 07-26-13 10:23 AM HE. Al "'Rf"l 12-07-12 8 :11 PM ALARI"l HI STORY REPORT -----SENSOR ALAR~l L12:DISP 3-4 DISPENSER PAN SENSOR OUT ALHRI'l 07-26-13 10:~3 Al"l fi.F:. ro:..r1RM Ui-d6-13 9:56AM SENSOR OUT ALARM 08-01-12 9:33 AM --.LARI•I HI STORY REPORT -----SENSOR ALARf'l L14:DISP 7-8 DISPENSER PAN SENSOR OUT ALARM 07-26-13 10:23 AM FUEL ALARM 07-26-13 9:54 AM SENSOR OUT ALARM 08-01-12 9:33 AM • M k • ~ END ~ • * • ~ M M M M M END M * ~ M * ~ ~ * M • END ~ M • ~ * ALARM HISTORY REPORT -----SENSOR ALARI"l Lll :DISP 1-2 DISPENSER PAN SENSOR OUT ALARM 07-26-13 10:23 AM FUEL ALARM 07-26-13 9:5'/ AM SENSOR OUT ALHRI'l 08-01-1~ 9:33 Ai"l i ·~LARM HI STORY REPORT -----SENSOR ALARM LI3:DISP 5-6 DISPENSER PAN SENSOR OUT ALHRM 07-26-13 10:23 AM FUEL ALARM I '/-26-13 9:58 Al"l FUEL ALARM 08-22-12 2:03AM • * • • -END ~ • * • M -----SENSOR f.ILI-IRI"I L 3:UNL ANN ANNUl "R SPACE l.0W LIIJUID AL>1P.M 08-01-13 12:58 PM -----SENSOR ALt1RI"l L 7:DSL STP STP SUMP FUEL ALARM 08-0!-13 12 :58 PM -----SENSOR ALARI•l L G:PIIl. ANN AI'INUL11R SPACE LOW LIQUID AlARI"1 08-01-13 12:58 Pl"' -----SENSOR ALARI'1 L 9:DSL ANN ANNULAR SPACE LOW LIQUID MLARM 08-0 I -I 3 1 2: 58 Pl"l -----SENSOR ALARI·l L 3:UNL ANN ANNULAR SPACE HIGH LIGUID ALARM 08-01-13 12:59 PM -----SENSOR ALARM L b:PNL ANN ANNULAR SP11C:E HIGH LIQUID ALARI"l 08-01-11 12:~9 PM -----SENSOR ALf-IRI'l L 9:DsL ANN n·muLAR SPACE HIGH LIQUID ALARM 08-01-13 12:59 PM ----SEI\iS(lR ALARM ----- L 4:PNL ~H' STP SU1'1P FUEL ALARI1 08-01-13 I :01 PM -----SENSOR ALAR/'1 L 3 :UNL ANN ANNULAR Sf ,n··E LOW LIGUID ALARM 08-01-13 I :03 Pl"l -----SENSOR f\LARM L 6 :PNL .-.1m ANNULAR SPACE LOW LIQUID ALARI"l 08-01-13 1:04PM ' I SENSOR ALARI"' L I: UNL. STP STP SUI"lP FUEL ALARI"I 08-01-13 1:04PM -----SENSOR ALARM L 9:DSL ANN ANNULAR SPACE LOW LIQUID ALARM 08-01-13 1:04PM -----SENSOR ALARM Lll :DJSP 1-2 DISPENSER PAN FUE:... ALARM 08-01-13 I :08 PM -----SENSOR .,!.ARM L12 :DISP 3-4 DISPENSER PAN FUEL ALARI1 08-01 -13 I :09 PM ----SENSOR ALARn L14 :DISP 7-8 DISPENSER PAN FUEL I-\L14RM 08-01-13 I: II PM ----SENSOR AL~P.M L13:DJSP 5-6 D I SPENSr:R PAN FUEL ALHRI"' 08-01-13 I :12 PM -----SENSOR ALARM LI3:DJSP 5-6 DISPENSER PAN FUEL nLARM 08-01-13 I :I:] PI-I FASTJ<IP 785 3701 t11NG AVE BAKERSFIELD 93309 661 -397-3699 08-01-13 I :17 PM SYSTEM STATUS REPORT ALL FUNCTIONS NORMAL -----SENSOR 1-\LARt'l L 2:UNL FILL PIPING SUMP FUEL ALARI1 08-01-13 I :17 PM -----SENSOR ALARt1 L 5:PNL FILL PIPING SUMP FUEL ALARM 08-01-13 I :19 PM ----IN-TANK AL.<~RM T I : UNLEADED DELIVERY NEEDED 08-0 I -I 3 I : I 9 PM ----IN-TANK ALARI"l T I : UNLEADED PROBE OUT OB-01-13 I :19 PM ---!N-THN~ ALARM 7 2 : 1-REt11 UM P?.OBE OLT 08-01-13 I :21 H-1 ·---I N TANK HI.I1Rt1 I 3:l•IESEL f•J.:OBE Qt.;T OU-01-13 I :22 PM ---SENSOR HLARt1 L H ; DSL f1 LL PI PI N(; :11 t1P FUEL ALARI1 08-01-13 I :22 Prl ----I N-Ti-11~1: ALAid1 T 3 : 11 : E.';EL LOI,I Tf.i'IP W1\RN I NG 08·01-13 I :23 PM T I : UNLEi-lllED I N\/ENTOI<Y I No'J.<Ef.ISE I NI:REnSl:: START OH-0 I l 3 1 : 1 9 PM VOLLt1E HEI•;HT WI-H£~ TEMP 12f.'/ C*'LS I •I . •18 I t-lCHI:~; • 0.00 INCHES Utl.O DEC F I NCREASt: Etm 08-0l-13 1:24 f't1 VOLUNE HEIGHT WATER TEMP 8885 GALS "' 64 . 27 I :·K'HES 2. I I I NC:HES '" 91.7 DEG F GROSS I NC'F:Er-~:1E• '1'6 18 TC NET INCREASE • '/446 T 2 :PH!1I Ul1 INVENTORY INCREASE INCREASE START 08-01-13 I :21 P~1 VOLUt1E HEIGI-'T WATER TEt1P 2U:.J6 GALS 26 . 35 I I'¥: HE::; 0. 00 11-ICHES 89 . .: DEC F INCREASE END 08-01-13 I :25 PM VOLUME HEIGHT WATER TEHP 7379 GAL:.J 54.48 INCHES 0.00 INCHES • ~U.4 fiEG F GROS.'S I !~REASE~ 4543 TC NET INCREI-ISE• 4443 -----SENSOR ALARM Ll 0: VENT BOX PIPING SUt1P FUEL ALARI1 08-01-13 I :27 PM ----IN-TANK ALJ.\RN T 1 :UNLEADED 0\/ERF ILL ALAR/"1 08-01-13 I:~'/ PM IN TANK ALARM ----- T 1 :UNLEADED PROBE OUT 08-01-13 1:28 PM ----IN-TAN;.: ALARI'I ----- T I : UNLEADED INVHLIO FUEL LEVEL 08-01-13 1:29 R1 ----IN-TAN!< FILI-IRN ----- T I : UNLEADED L~J PRODUCT ALARM 08-0!-13 I :29 PM -I N-T AN•: AL?.RM T I : UNL.EA11ED DELIVERY NEEDED 08-0!-13 I :2~ PM T I : UNLEHDE[J I NVENTORY I NGREAfiE INCREMSI.: START 08-0!-13 I :27 PM 1/0~.UME HEIGHT WATER TEt1P 8885 GI-\LS • 64.27 lf\K:HES --2 .I 0 li~HES 96.8 DEG F IN-::REI-\SE END 08-0 I -I 3 I : 30 ;:·~1 VOLlllE HEI•:;H-:" WATER TEMP -11174 .; ... ;...s 81 . 84 INCHES -2. 1 iJ INCHES 98.0 DEG F GROSS INCREASE~ 2289 TG NET INCREI-ISE= 2220 ~ ----I N-TI-1NY. 1-\LI-IRI'l ----- T 2: PREMJ U."l HIGH PRODUCT I-ILARM 08-01 13 I :30 FM ----I N-TI-INf: f.ILAR~l ----- T 2: PFd:t 1I lJI1 OVERFILL ALAR~1 08-0!-13 I :30 PM ----l N Tf"\N~: ALHRtl - T 2 :~·~:Ell! Uf-1 f'RoflE OUT 09-01-13 I :31 YM I N-T I~"~!~ ALfiR!"I ----- T 2 :PRE111l.IH I 1>1\/ALI [l FuEL 1.£\ F.:. 08-0! l~ l :JI PM ----l N-TAI·II: HLRRt·J - T 3 :[Ji ESEL HI Gil PRODIJGT ALIIR~1 08-0I-1J l :32 PM FA~:TRIP 70!..1 1701 r111JG AVE Bf.li:ERSr l ELD 'J:"l309 661 3<J7-3t.9:1 09-01-13 1:32PM S'/Sl£1•1 Srt=\TLIH REPORT 1 N-TANK ALIII<~I T 3:D!ESEL PROBE OUT 08-01-13 l :32 FM T 2: PRE~ I I U11 INVENTORY I NGREI-\i~I..: !NCREI-\SE 8;11RT OB-01-1~ 1:30PM VOLUME HEIGHT l.JAT!::R TE11P 7379 GALS 54.<l8 INCHES 0.00 INCHES • IOQ.4 DEG F INCREASE END 09-01-13 1:38 PM VOLUME HEIGHT I,RTER TEMP a 1 11170'CnLS R5.05 INCHES 0 . 75 !filCHES ~ I 01 . 4 J)EC r GROSS INCREASE~ 4091 TC NET INCREASE• 3966 ----IN-TANK ALAR~1 T 3:DIESEL INVALID FUEL LEVEL 08-01-13 I :33 PM T 3:Dl£SEL INVENTORY JIIC'REI1SL INCREASE START 08-01-13 I :33 PM VOLU11E 32:28 GALB HEIGHT 2':!.01 INCHES WATER 0 .00 INCHES TEMP m l0b.2 DEG F INCREASE END 08-01-13 I :36 Pl1 VOLUt·iE :387<1 GALS HEIGHT :13. 19 INCHES WATER 0.00 INCHES TEI1P 106.1 DEC F GROSS ltiCI<EASE • 646 TC NET INCREASE• 632 -----SENSOR HLARI'l L.l3 :DISP 5-6 DISPENSER PAN SEN~OR OUT ALARM 08-0J-13 1:37PM -----SENSOR ·•lr"~l-1 L I :Ut~L STP STP SUM!-' SEt<t;OR OLT 1'\Lt-'IRH 08-01-13 1 :3'7 PM -----RENSOR ALARI1 L 9:DSL f~NN 11NNULAR SPACE SENSOR OUT AUIRII 08 01-13 I :37 Pf"l ---SfNSOR ALf.RI-1 L 5:PNL FILL PIPING SU~1P SEflr30R OUT ALARt•1 08-01-13 I :37 Pl'l ----SEN~:iOR ALARM Ll4 :DISP 7-8 DISPENSER PAN SENSOR OUT ~LARH 08-0J-13 1 :3? PM -----SENSOR ALARM L 2 :UNL FILL PIP It¥; SUI'lP SENSOR OUT ALARM 08-0t-13 I :37 PH SENSOR ALARI1 Ll 0 :VENT BO:< PIP I NG SlJ"'P SENSOR OUT ~LARM 08-01-13 1:37PM -----SEN:-'JUJ.! ALARr1 L ::1:UNL ANN ANNULAR SPACE SENSOR OUT ALI-IRI•1 08-01 -1~ 1 :~~ ~M ----SENSOR ALHRI1 L 4:PNL STP STP SlJ"'P SENSOR OUT ALARM 08-01-13 1:37PM -----SEI'kiOR AL.ARt1 L 6:PilL ANN ANNULHR SPACE SENSOR OUT ALI-\RI•l 08-01 13 1:37 PM -----SENSOR ALARM L11 :DISP 1-2 DISPENSER PAN SENSOR OUT ALARI"I 08-01-13 1:37PM -----SENSOR ALARM L12:[JISP 3-4 DISPENSER PAN SENSOR OUT nLAR~1 08-01-13 1:37PM SENSOR ALARM L 7:DSL STP STP SUt1P SENSOR OUT ALARN 08-01-13 I :37 PM -----SEr!SOR ALARM L 8:DSL FILL PIPING SUMP SENSOR OUT ALARI'l 08-01-13 I :37 PM l-1-i. iTR I P 785 .;'101 MING AVE BAKERSFIELD 93309 661-397-3699 08-01-13 2:28 PM SYSTEM STr-tTUS REPORT ALL FUNCTIONS NORMAL INVENTORV REPORT T 1 :UNLEADED VOLUME ULLAGE 9D'~ ULLAGE• TC VOLUI1E ~ HEIGHT WATER VOL WATER TEMP T 2:PREMJUM VOLUME ULLAGE 90% ULLAGE"' TC VOLUME G HEIGHT WATER vo-_ WATER TEMP T 3:DJESEL 2756 GALS 9244 (;"'LS 8044 GALS 2702 GALS 25.79 INCHES 0 GALS 0.00 INCHES 88. I DEG F 4184 GALS 7816 GALS 6616 GALS 4097 GALS 35 . 1 2 I NCHES 0 GALS 0 .00 INCHES 89.4 DEG F VOLUME 3876 GALS ULLAGE 8124 GALS 90% UL:...HGE= 6924 GALS TC VOLUME 3821 GALS HEIGHT = 33 .20 INCHES WATER VOL a 0 GALS WATER 0 .00 INCHES TEMP 91 .3 DEG F FASTRIP 362 6401 S.H ST. BAKERSF\ELD.CA93304 66!-831 -4709 AUG 1 , :.WI 3 I I : I 4 ~1 SYSTEI"l STATUS REPOR~ _ -~L~ FU~CTIO~S-NORMAL' INVENTORV REPORT T 1 : UNLEADED VOLUI"lE ~ ULLAGE 90% ULLAGE= TC VOLUME "' HEIGHT c WATER VOL WATER TEMP T 2:PREMIUM VOLUi•lE G ULLAGE '30% ULLAGE~ TC VOLUME = HEIGHT • WATER VOL WATER TEMP T 3:DIESEL VOLUME ULLAGE 986!:l GALS 2135 GALS 935 GALS 9711 GALS 73.'15 INCHES 0 GALS 0.00 INCHES 82.2 DEG F 7437 GALS 4563 GALS 3363 GALS 7289 GALS 57.08 INCHES 15 G"'LS 0.81 !Nl'HES 88.4 DEG F 90% ULLAGE"' TC VOLUI·'E = HEIGHT WATER VOL • WATER 2613 GALS 9397 GALS 8187 GALS 2580 GALS 25.gl INCHES 15 GALS 0.79 INCHES 87.1 DEG F TEMP SWRCB, January 2006 Spill Bucket Testing Report Form Thisform is intended for use by contractors pe1jorming annual testing ofUSTspi/1 containment structures. The completed form and printouts from tests (if applicable), should be provided to the facility owner/operator for submittal to the local regzt!atoiJ' agency. 1. FACILITY INFORMATION Facility Name: #7785 Fastrip #32 I Date ofTesting: 8/1/2013 Facility Address: 3701 Ming Avenue, Bakersfield, C/\ 93309 Facility Contact: Omero Garcia I Phone: 661-393-7000 Date Local Agency Was Notified of Testing : 7/23/2013 Name of Local Agency Inspector (if present during testing): ----. Ernie Medina 2. TESTING CONTRACTOR INFORMATION Company Name: Confidence UST Services, Inc. Technician Conducting Test: Kristoher Karns Credent ia Is 1: ~ CSLB Contractor ~ ICC Service Tech. n SWRCB Tank Tester U Other (SpecifY) License Number(s): CSLB #804904 ICC #5264406-UT SWRCB #09-1743 3. SPILL BUCKET TESTING INFORMATION Test Method Used: ~ Hydrostatic Vacuum ~Other Test Equipment Used: Lake Test Equipment Resolution: 0.0625" Identify Spill Bucket (By Tank I Regular 2 Super 3 Diesel 4 Number, Stored Product, etc.) - Bucket Installation Type: J Direct Bury 0 Direct Bury [l Direct Bury 0 Direct Bury ~ Contained in Sump ~ Contained in Sump ~Contained in Sump 0 Contained in Sump Bucket Diameter: 12.00" 12.00" 12.00" Bucket Depth: 13.00" 13.00" 12.75" Wait time between applying 5 Min. 5 Min. 5 Min. vacuum/water and start of test: Test Start Time (T1): 1:00pm 1:00pm 1:00pm Initial Reading (R1): 11.75" 11.50" 11.75" Test End Time (TF): 2:00pm 2:00pm 2:00pm Final Reading (RF): 11.75" 11.50" 11.75" Test Duration (T F-T1): l hour I hour I hour Change in Reading (RF-R1): 0.00" 0.00'' 0.00" Pass/Fail Threshold or 0.0625'' 0.0625" 0.0625" Criteria: Test Result: ~Pass O Fail ~ Pass O Fail ~ Pass O Fail 0 Pass O Fail Comments-(include information on repairs made prior to testing, and recommended[ollow-up[or[ailed tests) CERTIFICATION OF TECHNICIAN RESPONSIBLE FOR CONDUCTING THJS TESTING I hereby certify that all the information contailled ill this report is true, accurate, and ill full compliance with legal requirem ents. Technician's Signature: __________ _,.~ ..... ~~ Date: 8/1/2013 1 State laws and regulations do not currently require testing to be performed by a qualified contractor. However, local requirements may be more stringent. ! z Cl ! z c m CD ~ !il ~ ~ ~ c:: ~ > ? ::<: F ~ ~ -< r-:-o .... "" "' REAL ROAD ~REHYDRANT I --------------------... ~~~ LEGEND L2 87 FILL ESO -~qJ L3 87 ANNULAR H z L4 91 STP TLS Ill W-S ~·· L5 91 FILL LS 91 ANNULAR W-B L7 DSLSTP p L8 DSL FILL v 0 L9 DSL ANNULAR ,.. L10VENT BOX ;;1 L11UDC1-2 L12UDC3-4 L13 UDC 5-6 ~ L14UDC7-8 ~ OVERFILL ALARM IRE EXTINGUISHER ~IN CIRCUIT REAKER GAS METER/ SHUTOFF IRE J -------~.!1.2,9~~~-------- SITE PLOT PLAN for: EMERGENCY SHUTOFF #785 FASTRIP #32 HEALY CAS 3701 Ming Ave. VEEDER-ROOT Bakersfield, CA 93309 (661) 397-3699 WATER SHUT-OFF@ STREET WATER SHUT-OFF@ BLDG PRODUCT VAPOR Job Order /Invoice #: ? I 0? T "llUILD WITH CONFIDENCE" "COMPliANCE WITH CONFIDENCE" Lic.970703 lic.804904 Time D · 'tts c--=> ·"' Toll Free #: 1-800-339-9930 Name: Confidence UST Site Name: :tt /:r'bs. c..,.~,-?.:# S'd Street: 16250 M eacham Road Street: 5-ro I IV\ tU_& ?Jt)C: City: Bakersfield CA 93314 City: ~~t:eSFt~Li'\ State: (' ,/J . Zip: c:f .f ?t:J "J Terms: !YJbAJ r 70;, r~Jfr Cr.L-7 Store No: Descriotion of work oerformed: [')<_ >il f A .J f' IVl () 11.111 ~~ IJI/ 4:4-;-::r .lfJC1 0 76 12c:-:~Ur:,;' <-:~ .u,.\ 1... -A_ti\A-V.....)1\.J-r c+= v-J-4~£... Ut.JLA.A 4({ R" \'7[) ~ .....__/')("' ·.-c A(<:("') fk I>LA e-re.-]) -# 5 B' li.£4L'-I tio<:£ (04( 0 I\ ';\-AI2 + \ gj::.. f'A.J.. )_,-~ a? r 6--r fi..A4-' f 1-!a.'("".k .....rA-5:" ~.PI::;; I!-#../ [ I. I ~~ ./ / - TRAVEL and LABOR (0.5 Hour M•nomum Labor Charge) OVERTIME (5:00 PM ·7:00AM) Date Techn1cian(s) Name Start End Total OT Start OTEnd OTTotal '81\1~ '{;_ t <:: 1::-.':. .-l .c-. .J ( Travel Labor Travel Date Technician(s) Name Start End Total OT Start OTEnd OTTotal Travel Labor Travel Date Technlcian(s) Name Start End Total OT Start OTEnd OTTotal Travel Labor Travel SU PPLIES -M ATERIAL S -RENTALS C heck One Qty. UST Parts SitePa~ t 8/ /Afi.ALt..t ~OS'£ #S v COMM ENTS Store Employee Pnnt Name: Techmetan Pnnt Name: <f:LI-: ~ ~ r.f(.S? Store Employee Signature: I~I~itB Te~gn~~ l5?1it ~ INVOICE-WHITE SITE -CANARY