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MONITORING SYSTEM CERTIFICATION
For Use By All Jurisdictions Within the Stale of California
Authority Cited: Chapter. 6.7, Health 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 rep2rt must be prepared for_Mch
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: HOWARDS MINI MART
Site Address: 4201 BELLE TERRACE
Facility Contact Person:
Make/Model of Monitoring System: TLS-360 ERNIE MEDINA ON -SITE Date of Testing/Servicing: 11 -10 -11
B. Inventory of Equipment Tested /Certified
Check the approRnate boxes to indicatespecific equipment inspected/serviced:
Bldg. No.:
City: BAKERSFIELD Zip: 93309
Contact Phone No.: ( )
Tank ID: UNL87
Tank ID: PREM91 SPLIT DIESEL
® In -Tank Gauging Probe, Model: MAGI
® In -Tank Gauging Probe. Model: MAGI
® Annular Space or Vault Sensor. Model: 420
® Annular Space or Vault Sensor. Model: 420
9 Piping Sump / Trench Sensor(s). Model: 208
® Piping Sump / Trench Sensor(s). Model: 208
® Fill Sump Sensor(s). Model: 208
® Fill Sump Sensor(s). Model: 208
® Mechanical Line Leak Detector. Model: FX1V
® Mechanical Line Leak Detector. Model: FX1V
❑ Electronic Line Leak Detector. Model:
❑ Electronic Line Leak Detector. Model:
® Tank Overfill / High -Level Sensor. Model: MAGI
® Tank Overfill / High -Level Sensor. Model: MAGI
❑ Other (specify equipment type and model in Section E on Page 2).
❑ Other (specify equipment type and model in Section E on Page 2).
Tank ID: DIESEL SPLIT PREM91
Tank ID:
® In -Tank Gauging Probe. Model: MAGI
❑ In -Tank Gauging Probe. Model:
® Annular Space or Vault Sensor. Model: 420
❑ Annular Space or Vault Sensor. Model:
® Piping Sump /Trench Sensor(s). Model: 208
❑ Piping Sump / Trench Sensor(s). Model:
® Fill Sump Sensor(s). Model: 208
❑ Fill Sump Sensor(s). Model:
® Mechanical Line Leak Detector. Model: FXIDV
❑ Mechanical Line Leak Detector. Model:
❑ Electronic Line Leak Detector. Model:
❑ Electronic Line Leak Detector. Model:
® Tank Overfill / High -Level Sensor. Model: MAGI
❑ Tank Overfill / High -Level Sensor. Model:
❑ Other (specify equipment type and model in Section E on Page 2).
❑ Other (specify equipment type and model in Section E on Page 2).
Dispenser ID: 1 -2
Dispenser 1D: 3-4
® Dispenser Containment Sensor(s). Model: 351
® Dispenser Containment Sensor(s). Model: 351
® Shear Valve(s).
® Shear Valve(s).
❑ Dispenser Containment Float(s) and Chain(s).
❑ Dispenser Containment Float(s) and Chain(s).
Dispenser ID: 5-6
Dispenser ID: 7-8
® Dispenser Containment Sensor(s). Model: 351
® Dispenser Containment Sensor(s). Model: 351
® Shear Valve(s).
® Shear Valve(s).
❑ Dispenser Containment Float(s) and Chain(s).
❑ Dispenser Containment Float(s) and Chain(s).
Dispenser ID:
Dispenser ID:
❑ Dispenser Containment Sensor(s). Model:
❑ Dispenser Containment Sensor(s). Model:
❑ Shear Valve(s).
❑ Shear Valve(s).
❑ Dispenser Containment Float(s) and Chain(s).
❑ Dispenser Containment Float(s) and Chain(s).
*If the facility contains more tanks or dispensers, copy this form. Include information for every tank and dispenser at the facility.
C. Certification - I certify that the equipment identified in this document was inspected/serviced in accordance with the manufacturers'
guidelines. 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 of4enerating such reports, l have also
attached a copy of the report; (check all that apply): ® System set -up ® Alarm h' report
Technician Name (print): RICH PHILLIPS Signature:
Certification No.: A2908411035169 -UT License. No.: C611 D40 809850
Testing Company Name: Rich Environmental Phone No.: (661) 392 -8687
Testing Company Address: 5643 BROOKS CT. BAKERSFIELD, CA 93308 Date of Testing/Servicing: 11/1012011
Page 1 of 4
UN-036 — 1/4 www.unidocs.org Rev. 01/17/08
Monitoring System Certification
D. Results of Testing/Servicing
Software Version Installed: 328.03
the following; checklist:
® Yes ❑ No* Is the audible alarm operational?
M Yes ❑ No* is the visual alarm operational?
+4 Un r.
® Yes
❑ No*
Were all sensors visually inspected, functionally tested, and confirmed operational?
® Yes
❑ No*
Were all sensors installed at lowest point of secondary containment and positioned so that other equipment will
not interfere with their proper operation?
❑ Yes
❑ No*
If alarms are relayed to a remote monitoring station, is all communications equipment (e.g., modem)
® N/A
operational?
• Yes
❑ No*
For pressurized piping systems, does the turbine automatically shut down if the piping secondary containment
❑ N/A
monitoring system detects a leak, fails to operate, or is electrically disconnected? If yes: which sensors initiate
positive shut -down? (Check all that apply) ® Sump/Trench Sensors; ❑ Dispenser Containment Sensors.
Did you confirm positive shut -down due to leaks and sensor failure /disconnection? ® Yes; [I No.
• Yes
❑ No*
For tank systems that utilize the monitoring system as the primary tank overfill warning device (i.e., no
❑ 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%
❑ Yes*
® No
Was any monitoring equipment 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.
❑ Yes*
® No
Was liquid found inside any secondary containment systems designed as dry systems? (Check all that apply)
❑ Product; ❑ Water. If yes, describe causes in Section E, below.
® Yes
❑ No*
Was monitoring system set -up reviewed to ensure proper settings? Attach set up reports, if applicable
® Yes
❑ No*
I 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:
Page 2 of 4
UN-036 — 2/4 www.unidoes.org Rev. 01/17/08
Monitoring System Certification q4 `9ft
F. In -Tank Gauging / SIR Equipment:
® Check this box if tank gauging is used only for inventory control.
❑ Check this box if no tank gauging or SIR equipment is installed.
This Section must be completed if in -tank gauging equipment is used to perform leak detection monitoring.
Complete the following checklist:
❑ Yes
❑ No*
Has all input wiring been inspected for proper entry and termination, including testing for ground faults?
❑ Yes
❑ No*
Were all tank gauging probes visually inspected for damage and residue buildup?
❑ Yes
❑ No*
Was accuracy of system product level readings tested?
❑ Yes
❑ No*
Was accuracy of system water level readings tested?
❑ Yes
❑ No*
Were all probes reinstalled properly?
❑ Yes
❑ No*
Were all items on the equipment manufacturer's maintenance checklist completed?
* In Section H, below, describe how and when these deficiencies were or will be corrected
G. Line Leak Detectors (LLD):
Comnlete the following! checklist:
❑ Check this box if LLDs are not installed.
® Yes
❑ No*
❑ N/A
For equipment start-up or annual equipment certification, was a leak simulated to verify LLD performance?
(Check all that apply) Simulated leak rate: ® 3 g.p.h.; [10.1 g.p.h ; [10.2 g.p.h.
® Yes
❑ No*
Were all LLDs confirmed operational and accurate within regulatory requirements?
® Yes
❑ No*
Was the testing apparatus properly calibrated?
® Yes
❑ No*
❑ N/A
For mechanical LLDs, does the LLD restrict product flow if it detects a leak?
❑ Yes
❑ No*
® N/A
For electronic LLDs, does the turbine automatically shut off if the LLD detects a leak?
❑ Yes
❑ No*
® N/A
For electronic LLDs, does the turbine automatically shut off if any portion of the monitoring system is disabled
or disconnected?
❑ Yes
❑ No*
® N/A
For electronic LLDs, does the turbine automatically shut off if any portion of the monitoring system malfunctions
or fails a test?
❑ Yes
❑ No*
® N/A
For electronic LLDs, have all accessible wiring connections been visually inspected?
® Yes
❑ No*
Were all items on the equipment manufacturer's maintenance checklist completed?
* In Section
H. below. describe how and when these deficiencies were or will he corrected.
H. Comments:
UN-036 — 3/4
Page 3 of 4
www.unidocs.org
Rev. D1117/08
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Moo
RICH ENMIRONMENTAL
5643 BROOKS CT. BAKERSFIELD, CA. 93308
OFFICE (661)392 -8687 FAX (661)392 -0621
PRODUCT LINE LEAK DETECTOR TEST
WORK SHEET
W /0 #:
FACILITY NAME: HOWARDS MINI MART
FACILITY ADDRESS: 4201 BELLE TERRACE BAKERSFIELD, CA
PRODUCT LINE TYPE: PRESSURE
PRODUCT
LEAK DETECTOR TYPE
TEST
TRIP
PASS
BELOW
P.S.I.
OR
SERIAL NUMBER
3 G.P.H.
FAIL
UNL87
LID TYPE: MECHANICAL
PASS
YES
11
SERIAL # RED JACKET
PREM91
L/D TYPE: MECHANICAL
PASS
YES
10
SERIAL # RED JACKET
DIESEL
L/D TYPE: MECHANICAL
PASS
YES
9
SERIAL # RED JACKET
LID TYPE
YES
PASS
SERIAL #
NO
FAIL
I CERTIFY THE ABOVE TESTS WERE CONDUCTED ON THIS DATE ACCORDING TO RED
JACKET PUMPS FIELD TEST APPARATUS TESTING PROCEDURE AND LIMITATIONS.
THE MECHANICAL LEAK DETECTOR TEST PASS I FAIL IS DETERMINED BY USING A
LOW FLOW THRESHOLD TRIP RATE OF 3 GALLONS PER HOUR OR LESS AT 10 P.S.I. I
ACKNOWLEDGE THAT ALL DATA COLLECTED IS TRUE AND CORRECT TO THE BEST
OF MY KNOWLEDGE.
TECHNICIAN: RICH PHILLEA
SIGNATURE: DATE: 11 -10 -11
q�M
SWRCB, January 2006
Spill Bucket Testing Report Form
This form is intended for use by contractors performing annual testing of UST spill containment structures. The completed form 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: HOWARDS MINI MART
Date of Testing: 11 -10 -11
Facility Address: 4201 BELLE TERRACE BAKERSFIELD, CA
Facility Contact:
Phone:
Date Local Agency Was Notified of Testing:
Name of Local Agency Inspector (rf present during testing): ERNIE MEDINA
2. TESTING CONTRACTOR INFORMATION
Company Name: RICH ENVIRONMENTAL
Technician Conducting Test: RICH PHILLIPS
Credentials': ❑ CSLB Contractor X ICC Service Tech. ❑ SWRCB Tank Tester ❑ Other (Spec)
License Number(s): 1035169 -UT
3. SPILL BUCKET TESTING INFORMATION
Test Method Used: X Hydrostatic ❑ Vacuum ❑ Other
Test Equipment Used: VISUAL
Equipment Resolution: 0.00
Identify Spill Bucket (By Tank
Number, Stored Product, etc. )
1
UNL87
2
PREM91
3
DIESEL
4
Bucket Installation Type:
❑ Direct Bury
X Contained in Sump
❑ Direct Bury
X Contained in Sump
❑ Direct Bury
X Contained in Sump
❑ Direct Bury
❑ Contained in Sum
Bucket Diameter:
12"
12"
12"
Bucket Depth:
16"
16"
16"
Wait time between applying
vacuum/water and start of test:
30 MIN
30 MIN
30 MIN
Test Start Time (T[):
9:00
9:00
9:00
Initial Reading (R,):
14"
14"
14"
Test End Time (TF):
10:00
10:00
10:00
Final Reading (RF):
14"
14"
14"
Test Duration (TF — Tj):
1 -HOUR
1 -HOUR
1 -14OUR
Change in Reading (RF -Rj):
0"
0"
0"
Pass /Fail Threshold or
Criteria:
+/-0.00
+/-0.00
+/-0.00
Test Result:
X Pass ❑ Fail
X Pass ❑ Fail
X Pass ❑ Fail
❑ Pass ❑ Fail
Comments — (include information on repairs made prior to testing, and recommended follow -up for failed tests)
CERTIFICATION OF TECHNICIAN RESPONSIBLE FOR CONDUCTING THIS TESTING
I hereby certify that all the information c talned in this report is true, accurate, and in full compliance with legal requirements.
Technician's Signature: Date: 11 -10 -11
' State laws and regulations do not currently require testing to be performed by a qualified contractor. However, local requirements
may be more stringent.
I
OFTWARE Klry i 5 i J"I y LY.LL
ER IOti V8.03
:OFTWARE# 346328 °100-1)
SYSTEM SETUP
_ _ _ _ _ _ _
- -^
COMMUNICATIONS SETUP
TREATED - 08.06.06.17.21
_
NOV 10, 2011 8: 41 AM
- - - - - - - - - - -
3- MODULE# 330160 -004 -a
;.STEM FEATURES:
PORT SETTINGS:
PERIODIC IN -TANK TESTS
SYSTEM UNITS
ANNUAL I iV -TANK TESTS
U.S.
BOARD : 1 ( ED 11 °1 )
ISD
SYSTEM LANGUAGE
RS -232 SECURITY
ENGLISH
CODE : DISABLED
SYSTEM DATE /TIME FORMAT
MON DD YYYY HH : MM : SS xl °1
COMM BOARD 5 (RS -485}
BAUD RATE 2400
HOWARDS MINI HART
PARITY EVEN
4201 BELLE TERRACE
STOP BIT 1 STOP
BAKERSFIELD.CA 93309
DATA LENGTH: 7 DATA
661 - 397 -7600
RS-232 SECURITY
CODE : DISABLED
SHIFT TIME I DISABLED
SHIFT TIME 2 DISABLED
COMM BOARD 6 (RS -232)
SHIFT TIME 3 DISABLED
BAUD RATE 1200
SHIFT TIME 4 DISABLED
PARITY ODD
STOP HIT 1 STOP
TANK PER TST NEEDED WRN
DATA LENGTH: 7 DATA
DISABLED
RS -232 SECURITY
TANK. ANN TST NEEDED WR1••1
CODE : DISABLED
DISABLED
LINE RE-ENABLE METHOD
AUTO TRANSMIT SETTINGS:
PASS LINE TEST
AUTO LEAK ALARM LIMIT
LINE PER TST NEEDED WRN
DISABLED
DISABLED
AUTO HIGH WATER LIMIT
LINE ANN TST NEEDED WRN
DISABLED
DISABLED
AUTO OVERFILL LIMIT
DISABLED
PRINT TC VOLUMES
AUTO LOW PRODUCT
ENABLED
DISABLED
AUTO THEFT LIMIT
TEMP COMPENSATION
DISABLED
VALUE (DEC F ): 60.0
AUTO DELIVERY START
STICK HEIGHT OFFSET
DISABLED
DISABLED
AUTO DELIVERY END
ULLAGE: 90%
DISABLED
AUTO EXTERNAL INPUT ON
H- PROTOCOL DATA FORMAT
DISABLED
HEIGHT
AUTO EXTERNAL INPUT OFF
DAYLIGHT SAVING TIME
DISABLED
DISABLED
AUTO SENSOR FUEL ALARM
RE- DIRECT LOCAL PRINTOUT
DISABLED
DISABLED
AUTO SENSOR WATER ALARM
DISABLED
EURO PROTOCOL PREFIX
AUTO SENSOR OUT ALARM
S
DISABLED
SYSTEM SECURITY
CODE : 000000
MAINTENANCE HISTORY
DISABLED
RS -232 END OF MESSAGE
DISABLED
TANK CHART SECURITY
DISABLED
CUSTOM ALARMS
DISABLED
SERVICE NOTICE
DISABLED
MASS /DENSITY
DISABLED
'A
44199
f N--TANK SETUP
^
T 1:REG.ULAR
PRODUCT LODE I
THERMAL GOEFF :•000700
TANK DIAMETER 113.75
TANK PROFILE 1 PT
FULL VOL 15023
FLOAT SIZE: 4.0 IN.
WATER WARNING
2,0
HIGH WATER LIMIT:
3:0
MAX OR LABEL VOL:
15023
OVERFILL LIMIT
90%
9066
13520
HIGH PRODUCT
95%
10%
1007
14271
DELIVERY LIMIT
10%
1502
LOW PRODUCT
500
LEAK ALARM LIMIT:
99
SUDDEN LOSS LIMIT:
50
TANK TILT
0.00
PROBE OFFSET
0.00
SIPHON MANIFOLDED TANKS
T#: NONE
LINE MANIFOLDED TANKS
T #: NONE
LEAK MIN PERIODIC: 10 %s
1502
LEAS: MIN ANNUAL 10%
1502
PERIODIC PEST TYPE
STANDARD
ANNUAL TEST FAIL
ALARM DISABLED
PERIODIC 'TEST FAIL
ALARM DISABLED
GROSS TEST FAIL
ALARM DISABLED
ANN TEST AVERAGING: OFF
PER TEST AVERAGING: OFF
TANK TEST NOTIFY: OFF
TNK TST SIPHON HREAX•.:OFF
DELIVERY DELAY 5 MIN
PUMP THRESHOLD 10.00%
T 2:DIESEL
PRODUCT CODE
THERMAL COEFF
TANK DIAMETER
TANK PROFILE
FULL VOL
T 3 :pREr1IUP1 3
2 PRODUCT CODE :•000700
:.000450 THERMAL COEFF : 11Sf. ?5
1I3.75 TAI4K DIAMETER 1 PT
1 PT TA11K PROFILE 10074
5037 FULL VOL
FLOAT SIZE:
WATER WARNING
HIGH WATER LIMIT:
MAX OR LABEL VOL:
OVERFILL LIMIT
HIGH PRODUCT
DELIVERY LIMIT
:
LOW PRODUCT
LEAK ALARM LIMIT
SUDDEN LOSS LIMIT
TANK TILT
PROBE OFFSET
4.0 IN.
2.0
3.0
5037
90,
4533
95%
4785
10%
503
500
99
: 50
0.00
0.00
FLvA'f SIZE: 4.0 111,
WATER WARNING
2,0
3.0
HIGH WATER LIMIT'
MAX OR LABEL VOL:
1090%
OVERFILL LIMIT
9066
HIGH PRODUCT
95 °i
9570
DELIVERY LiN1IT
10%
1007
50D
LOW PRODUCT 99
LEAK ALARM L I !•1 I T
SUDDEN LOSS LIMIT: 0.00
TANK TILT 0.00
PROBE OFFSET
SIPHON MANIFOLDED TANKS SIPHON MANIFOLDED TANKS
T#: NONE T #: NONE_
LINE MANIFOLDED TANKS LINE MANIFOLDED TANKS
T #: NONE T#: N014E
LEAK MIN PERIODIC: 10% LEAK MIN PERIODIC: 10%
503 1007
LEAK MIN ANNUAL 10% 10%
503 LEAK MIN ANNUAL 1007
PERIODIC TEST TYPE
STANDARD
ANNUAL TEST FAIL
ALARM DISABLED
PERIODIC: TEST FAIL
ALARM DISABLED
GROSS TEST FAIL
ALARM DISABLED
ANN TEST AVERAGING: OFF
PER TEST AVERAGING: OFF
TANK. TEST NOTIFY: OFF
TNK TST SIPHON EREAK:OFF
DELIVERY DELAY 5 MIN
PUMP THRESHOLD 10.00%
PERIODIC TEST TVPTANDARD
ANNUAL TEST ALARM DISABLED
PERIODIC TET
GROSS TEST ALARM DISABLED
ANN TEST AVERAGING: OFF
PER TEST AVEF.AG I i1G : OFF
TANK TEST NOTIFY: OFF
TNK TST SIPHON BREAK:OFF
DELIVERY DELAY 5 MIN
PUMP THRESHOLD : 1.0.00%
y
LEAK TEST METHOD
TEST MONTHLY : ALL TANK
WEEK 1 MON
START TIME : 2:00 AM
TEST RATE :1.20 GAL /HR
DURATION : 2 HOURS
TST EARLY STOP:DISABLED
LEAK TEST REPORT FORMAT
ENHANCED
LIQUID SEI'ISOR SETUP
iL 1:87 STP
i:.TRI -STATE (SINGLE FLOAT)
:CATEGORY : STP SUMP
f
L 2:87 ANNULAR
'TRI -STATE (SINGLE FLOAT)
CATEGORY : ANNULAR SPACE
i
L 3:87 FILL
TR.I -STATE (SINGLE FLOAT)
CATEGOR`! : PIPING SUMP
L 4:DSL STP
TRI -STATE (SINGLE FLOAT)
CATEGORY : STP SUMP
L 5 : DSL -91 ANh•IULAR
TRI -STATE (SINGLE FLOAT)
CATEGORY : ANNULAR SPACE
l L 6:DSL FILL
1' TRI -STATE (SINGLE FLOAT)
CATEGORY : PIPING SUMP
L 7:91 STP
TRI -STATE (SINGLE FLOAT)
CATEGORY STP SUMP
L 8:91 FILL
TRI -STATE ( S I I•IGLE FLOAT)
CATEGORY : PIPING SUMP
OUTPUT -RELAY SETUP -
R 1:87
TYPE:
STANDARD
NORMALLY CLOSED
TANK #: 1
LIQUID SENSOR ALMS
L 1:FUEL ALARM
L 2:FUEL ALARM
L 3:FUEL ALARM
L 1:SENSOR OUT ALARM
ISD SITE ALARMS
ISD GROSS PRES FAIL
ISD DEGRD PRES FAIL
ISD VAPOR LEAK FAIL
ISD SETUP FAIL
ISD SENSOR OUT FAIL
ISD HOSE ALARMS
ALL:GROSS COLLECT FAIL
ALL:DEGRD COLLECT FAIL
ALL:FLOW COLLECT FAIL
R 2:91
TYPE'
STANDARD
NORMALLY CLOSED
TANK #: 3
LIQUID SENSOR ALMS
L 5:FUEL ALARM
L ?:FUEL ALARM
L 7:SENSOR OUT ALARM
ISD SITE ALARMS
ISD GROSS PRES FAIL
ISD DEGRD PRES FAIL
ISD VAPOR LEAK FAIL
ISD SETUP FAIL
ISD SENSOR OUT FAIL
ISD HOSE ALARMS
ALL:GROSS COLLECT FAIL
ALL:DEGRD COLLECT FAIL
AI.L:FLOW COLLECT FAIL
R 3:DSL
TYPE:
STANDARD
NORMALLY CLOSED
TANK 0: 2
LIQUID SENSOR ALMS
L 4:FUEL ALARM
L 5:FUEL ALARM
L 6:FUEL ALARM
L 4:SENSOR OUT ALARM
R. 4 : OVERF 1 LL
TYPE:
STANDARD
NORMALLY OPEN
TANK #: NONE
IN -TANK ALARMS
ALL:OVERFILL ALARM
ALL:HIGH PRODUCT ALARM
ALL:MAX PRODUCT ALARM
EVR. /ISD SETUP
EVR TYPE: VACUUI°I ASSIST
VACUUM ASSIST TYPE
HAALY VAC
NOZZLE A/L RANGE
MAX: 1.15 111 N: 0.95
VAPOR PROCESSOR TYPE
NONE
ANALYSIS TIMES
TIME: 11:59 PM
DELAY MINUTES: 1
ACCEPT HIGH ORVR:
DISABLED
ISD
HOSE TABLE
METER IIAP
ID
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
ISD
AIRFLOW
METER IIAP
ID
SERIAL NUM LABEL
REGULAR
------------------------
1
25191
DISP
1 -2 A
2
25175
DISP
3 -4 A
3
25185
DISP
5 -6 A
4
25193
DISP
7 -8 A
ISD FUEL GRADE HOSE MAP
1 2 3 4
FP MHH MHH MHH MHH AA
01 101 201 901 U U 1
02 102 202 902 U U 1
03 103 203 903 U U 2
04 104 204 904 U U 2
05 1105 °205 905 3 U 3
06 106.206 906 3 U 3
07 167 207 907 U U 4
08 108 208 908 U U 4
LABEL TABLE
1:
UNASSIGNED
2:
BLEND3
3:
REGULAR
4:
MID GRADE
5:
PREPI I UM
6:
GOLD
7:
BRONZE
8:
SILVER
9:
BLEND2
10:
BLEND4
s I :LISP 1-2 AFM
CATEGORY AIR FLOW METER
s 2:DISP 3 -4 AFM
CATEGORY AIR FLOW METER
s 3:DIEP 5 -6 AFM
CATEGORY AIR FLOW METER
s 4:DISP 7 -8 AFM
CATEGORY AIR FLOW METER
s 5:D1SP 5 -6 PS
CATEGORY VAPOR PRESSURE
K
'~C SETUP
1C VERSION: 01,Ul
�POR PROCESSOR TYPE
)NE
'OCESSOR CONTROL LEVEL:
NE
,ARm HISTORY REPORT
4--- SENSOR ALARM - - - --
.1 :87 STP
'P SUMP
?I'•IaOR. OUT ALARM
.V 10. 2011 9 :41 AM
1EL ALARM
)V 10. 2011 9 :27 AM
NSOR OUT ALARM
T 26. 2010 12:34 R
;I-A M HISTORY REPORT
-- -- SENSOR ALhQ -j - - - --
2:87 ANNULAR
NNULAR SPACE
ENSOF, OUT ALARM
3V 10.. 2011 9:41 Art
4EL ALARM
3V 10, 2011 9 :28 All
: EL ALARM
rT 26. 2010 12:49 Phi
LHRi7 HISTORI'. REPORT
- SENSOR ALARr1 - - -__
3'87 FILL
"I P I NG SUr1F
ENS" OUT ALhRtl
V 10, 2011 9:41 Atvl
JEL PLARth
`V 10, 201 1 9:27 f NM
NSOR OUT ALAkm
T tar 2010 I2:3
t 3a PM
f
I
ALARM HISTORY REPORT
- - - -- SD SOR ALARM -- ---
L 4:DSL STP
STP SUMP
SENSOR OUT ALARM
Nov 10. 2011 9:41 AM
SENSOR OUT ALARM
OCT 26, 2010 12:34 PM
FUEL ALARM
OCT 26. 2010 12:22 PM
ALARM HISTORY REPORT
`- SENSOR ALr Rt°i -----
L 5:DSL'91 ANNULAR
ANNULAR SPACE
SEAI.SOR OUT ALARM
NOV 10, 2011 9:41 A'rJ
FURL ALARM
NOV 10. 2021 9 :30 AM
FUEL ALARr1
OCT 26, 2010 12 :48 PM
ALARM HISTORY REPORT
-` - -- SENSOR ALARM ----- L 6: " L FILL
PIPING SUMP
SENSOR OUT ALARM
NOV 1Q, iQl2 9:41 AM
SENSOR OUT
OCT 26.2010 121:134 PM
FUEL ALARM
OCT 26, 2010 12 :24 Pt °t
ALARM HISTORY REPORT
-_ SENSOR ALARM - - - --
L 7:91 STP
STP SUt°1P
SENSOR OUT ALARK
NOV 10, 2011 9:41 AM
FUEL ALARM
NOV 10, 2011 9:2r, AI °1
SENSOR OUT ALARM
OCT 26. 20I0 12:34 Phi
ALARM HISTORY REPORT
SEfiSOR. ALARM - - - -_
L 8 :91 FILL
PIPING SUMP
SENSOR OUT ALARM
NOV 10, 2011 9 :41 AM
FUEL ALARM
NOV 10, 2011 9:26 AM
FUEL ALARM
JUN 17. 2011 7:38 AM
MONITOR CERT. FAILURE REPORT
SITE NAME: HOWARDS MINI MART DATE: 11 -10 -11
ADDRESS: 4201 BELLE TERRACE TECHNICIAN: RIC1014ILLIPS
CITY: BAKERSFIELD SIGNATURE:
REPAIRS: NONE
PARTS INSTALLED: NONE
THE ABOVE NAMED PERSON TAKES FULL RESPONSIBILITY OF NOTIFYING
THE APPROPRIATE PARTY TO HAVE CORRECTIVE ACTION TAKEN TO REPAIR
THE ABOVE LISTED PROBLEMS AND NOTIFYING RICA ENVIRONMANTAL FOR
ANY NEEDED RETESTING. THIS ALSO RELEASES RICH ENVIRONMENTAL OF
ANY FINES OR PENALTIES OCCURING FROM NON - COMPLIANCE.
A COPY OF THIS DOCUMENT HAS BEEN LEFT ON -SITE FOR YOUR
CONVIENENCE.