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HomeMy WebLinkAbout2011 RESULTSPiss MONITORING SYSTEM CERTIFICATION For Use By All Jurisdictions Within the State of California f;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 report 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: FASTBREAK MOBIL Bldg. No.: Site Address: 4800 WHITE LN. City: BAKERSFIELD Zip: 93309 Facility Contact Person: MIKE Contact Phone No.: (661) 346 -3848 Make/Model of Monitoring System: GILBARCO EMC ERNIE MEDINA ON -SITE Date of Testing/Servicing: 11/14/2011 B. Inventory of Equipment Tested/Certified Check the aoorooriate boxes to indicate specific eauinment insoected/serviced: Tank ID: REGULAR 87 Tank ID: MID -GRADE 89 0 In -Tank Gauging Probe. Model: MAG ® In -Tank Gauging Probe. Model: MAG ❑ Annular Space or Vault Sensor. Model: ❑ Annular Space or Vault Sensor. Model: ❑ Piping Sump / Trench Sensor(s). Model: ❑ Piping Sump / Trench Sensor(s). Model: ❑ Fill Sump Sensor(s). Model: ❑ Fill Sump Sensor(s). Model: ❑ Mechanical Line Leak Detector. Model: ❑ Mechanical Line Leak Detector. Model: Ig Electronic Line teak Detector. Model: VEEDER -ROOT ® Electronic Line Leak Detector. Model: VEEDER -ROOT ® Tank Overfill / High -Level Sensor. Model: E.O.A. ® Tank Overfill / High -Level Sensor. Model: E.OA. ❑ 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: PREMIUM 91 Tank 1D: DIESEL ® In -Tank Gauging Probe, Model: MAG ® In -Tank Gauging Probe. Model: MAG ❑ Annular Space or Vault Sensor. Model: ❑ Annular Space or Vault Sensor. Model'. ❑ Piping Sump / Trench Sensor(s). Model: ❑ Piping Sump / Trench Sensor(s). Model: ❑ Fill Sump Sensor(s). Model: ❑ Fill Sump Sensor(s). Model: ❑ Mechanical Line Leak Detector. Model: ❑ Mechanical Line Leak Detector. Model: ® Electronic Line Leal: Detector. Model: VEEDER -ROOT ® Electronic Line Leak Detector. Model: VEEDER -ROOT 1Z Tank Overfill / High -Level Sensor. Model: E.O.A. ® Tank Overfill / High -Level Sensor. Model: E.OA. ❑ Other (specify equipment We and model in Section E on Page 2). ❑ Other (specify equipment type and model in Section E on Page 2). Dispenser ID: 112 Dispenser ID: 3 ® Dispenser Containment Sensor(s). Model: 406 ® Dispenser Containment Sensor(s). Model: 406 ® Shear Valve(s). ® Shear Valve(s). ❑ Dispenser Containment Float(s) and Chain(s). ❑ Dispenser Containment Float(s) and Chain(s). Dispenser ID: 415 Dispenser ID: 617 ® Dispenser Containment Sensor(s). Model: 408 ® Dispenser Containment Sensor(s). Model: 406 ® Shear Valve(s). ® Shear Valve(s). ❑ Dispenser Containment Float(s) and Chain(s). ❑ Dispenser Containment Float(s) and Chain(s). Dispenser ID: 8 Dispenser ED: 9110 10 Dispenser Containment Sensor(s). Model: 406 ® Dispenser Containment Sensor(s). Model: 406 ® 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. CertllflflCation - 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 of generating such reports, I have also attached a copy of the report; (check all that apply): ® System set -up ® larm history report Technician Name (print): RYAN MASON Signature: / Certification No.: A273671 ICC #8029371 -UT License. No.: 11 Da 809850 Testing Company Name: RICH ENVIRONMENTAL Phone No.: (661) 326 -8402 Testing Company Address: 5643 BROOKS CT BAKERSFIELD, CA 93308 Date of Testing/Servicing: 11/14/2011 Page 1 of 5 UN -036 -1/4 www.unidocs.org Rev. 01 117/08 Monitoring System Certification A Results of Testing/Servicing Software Version Installed: 329.01 Complete the following; checklist: �41ZO / ® Yes ❑ No* Is the audible alarm operational? S Yes ❑ No* Is the visual alarm operational? ® Yes ❑ No* Were all sensors visually inspected, functionally tested, and confirmed operational? S 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) S 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; ® 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* S 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 parrs 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 S Yes ❑ No* Is all monitoring equi ment 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 5 UN -036 — 214 wwwxnidomorg Rev. 01/17/08 Monitoring System Certification 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? r0__YF7 ❑ 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): ❑ Check this box if LLDs are not installed. Complete the following checklist: ® Yes I ❑ No* I For equipment start-up or annual equipment certification, was a leak simulated to verify LLD performance? ® Yes ❑ N/A (Check all that apply) Simulated leak rate: ® 3 g.p.h.; ❑ 0.1 g.p.h ; ❑ 0.2 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* For electronic LLDs, does the turbine automatically shut off if any portion of the monitoring system malfunctions ❑ N/A or fails a test? L ® Yes ❑ No* For electronic LLDs, have all accessible wiring connections been visually inspected? [I N/A ® 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. H. Comments: Page 3 . of 5 UN -036 —3/4 www.unidocs.org Rev. 01/17/08 L) Moratortng System Certification UST Monitoring Site Plan Alta Address.S- :.:': :: ::::::: ::: .. ....... ::: :::.. . . ... . . . . .. . . ... . . . . ... . . . . . . . . . . .. . . ... . . . . . . . . . . . ... . . . . . . . . . .. . .. . . . . . . . . .. . . . . . . . . . . . . ., . .. .... j, ...... ' ... . ........ a� ..... ......'.:...:...:: .. 4'% .. . S�. . . . . . . . . . , . . .. .......... ... .. .... .... , Data map Was drawn: _!_J�• • . Instructions If you already have a det)mm MW shows all re*Ired informer an, you may Include lt,' mQw than this page, with your Monitoring System . Certification. fln.your site plan, show the general ayout of tanks and piping. Clearly Identify locations of the following equipment. Unstalled; monfixi tng system control pan fttid panels; sensors monng tank annular spaces, sumps, dispenser pans, spill containers. or other secondary containment areas mechanical or electronic line jleak detectors; and indank liquld level Wobes (if used for leak detection). In the space provided, note' ft date this Site Plan was preparecj Monitoring system Certification Ptigo 4 of 4 17J07 i 4 . V21/07 RICH ENVIRONMENTAL 3305 BRITTAN ST. BAKERSFIELD, CA. 93308 OFFICE (661)326 -8402 FAX (661)326 -8934 PRODUCT LINE LEAK DETECTOR TEST WORK SHEET W /0 #: FACILITY NAME: FASTBREAK MOBIL FACILITY ADDRESS: 4800 WHITE LN. BAKERSFIELD, CA. 93309 PRODUCT LINE TYPE: PRESSURE PRODUCT LEAK DETECTOR TYPE TEST TRIP PASS BELOW P.S.I. OR SERIAL NUMBER 3 G.P.H. FAIL M87 L/D TYPE: VEEDEWROOT YES 0 P.S.I. PASS SERIAL # ELLD WD-89 L/D TYPE: VEEDER -ROOT YES 0 P.S.I. PASS SERIAL # ELLD PREM -91 L/D TYPE: VEEDER -ROOT YES 0 P.S.I. PASS SERIAL # ELLD DIESEL L/D TYPE: VEEDER -ROOT YES 0 P.M. PASS SERIAL # ELLD 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 / 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: RAN MASON SIGNATURE: DATE: 11/14/11 ` I- ZZO SWRCB, January 2001 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 (if applicable), should be provided to the facility owner /operator for submittal to the local regulatory agency. 1. FACELITY INFORMATION Facility Name: FASTBREAK MOBIL Date of Testing: 11/14/11 Facility Address: 4800 WHITE LN. BAKERSFIELD, CA. 93309 Facility Contact: MIKE Phone: (661) 346 -3848 Date Local Agency Was Notified of Testing: Name of Local Agency Inspector (tf present during testing): 2. TESTING CONTRACTOR INFORMATION Company Name: RICH ENVIRONMENTAL Technician Conducting Test: RYAN MASON Credentials: ❑ CSLB Contractor X ICC Service Tech. 0 SWRCB Tank Tester ❑ Other (Specify) License Number(s): 8029371 -UT 3. SPILL BUCKET TESTING INFORMATION Test Method Used: X Hydrostatic 0 Vacuum ❑ Other Test Equipment Used. VISUAL Equipment Resolution: 0 Identify Spill Bucket (By Tank Number, Stored Product, eta ) 1 REGULAR 87 -FILL 2 PREMHUM 91- FILL 3 DIESEL FILL 4 MID -89 -FILL Bucket Installation Type: X Direct Bury 0 Contained in Sump X Direct Bury ❑ Contained in Sump X Direct Bury ❑ Contained in Sump X Direct Bury ❑ Contained in Sum Bucket Diameter: 12" 12" 12" 12" Bucket Depth: 14" 14" 14" 14" Wait time between applying vacuum/water and start of test: 30 MIN 30 MIN 30 MIN 30 MIN Test Start Time (TO: 9:30AM 9:30AM 9:30AM 9:30AM Initial Reading (R,): 12" 12" 12" 12" Test End Time (TF): 10:30AM 10:30AM 10:30AM 10:30AM Final Reading (RF): 12" 12" 12" 12" Test Duration (TF -TO: 1 -HOUR 1 -HOUR I -HOUR ] -HOUR Change in Reading (RF -Ri): 0 0 0 0 Pass/Fail Threshold or Criteria: +/-0.00 +/-0.00 +/-0.00 +/-0.00 Test Result:, X Pass ❑ Fail X Pass ❑ Fail X Pass ❑ Fail X Pass 0 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 contained in this report is true, accurate, and in full compliance with legal requirements. Technician's Signature: Date: 11/14/11 State laws and regulations Ynot currently require testing to be performed by a qualified contractor. However, local requirements may be more stringent. SOFTWARE REVISION LEVEL VERSION 329.01 SOFTWARE# 346329 -100 -B CREATED - 09.01,29.15.44 NO SOFTWARE MODULE SYSTEM FEATURES: PERIODIC IN -TANK TESTS ANNUAL 1N -TANK TESTS SYSTEM SETUP NOV 14. 2011 3:20 PM SYSTEM UNITS U.S. SYSTEM LANGUAGE ENGLISH SYSTEM DATE /TIME FORMAT MON DD YYYY HH:MM:SS xM FASTBREAK MOBIL 4800 WHITE LN BAKERSFIELD.CA 661-832 -6720 SHIFT TIME 1 : DISABLED SHIFT TIME 2 : DISABLED SHIFT TIME 3 : DISABLED SHIFT TIME 4 : DISABLED TANK PER TST NEEDED WRN DISABLED TANK ANN TST NEEDED WRN DISABLED LINE RE-ENABLE METHOD PASS LINE TEST LINE PER TST NEEDED WRN DISABLED LINE ANN TST NEEDED WRN DISABLED PRINT TC VOLUMES ENABLED TEMP COMPENSATION VALUE (DEG F ): 60.0 STICK HEIGHT OFFSET DISABLED ULLAGE: 90% H- PROTOCOL DATA FORMAT HEIGHT PRECISION TEST DURATION HOURS: 12 DAYLIGHT SAVING TIME DISABLED REDIRECT LOCAL PRINTOUT DISABLED EURO PROTOCOL PREFIX S SYSTEM SECURITY COMMUNICATIONS SETUP PORT SETTINGS: COMM BOARD : 2 (RS-232) BAUD RATE 1200 PARITY ODD STOP BIT :'I STOP DATA LENGTH: 7 DATA RS-232 SECURITY CODE : DISABLED AUTO TRANSMIT SETTINGS AUTO LEAK ALARM LIMIT DISABLED AUTO HIGH WATER LIMIT DISABLED AUTO OVERFILL DISA LIMIT BI R AUTO LOW PRODUCT DISABLED AUTO THEFT LIMIT DISABLED AUTO DELIVERY START DISABLED AUTO DELUVERY END DISABLED AUTO EXTERN INPUT ON DISABLED: AUTO EXTERNAL INPUT OFF DISABLED AUTO SENSOR FUEL ALARM DISABLED AUTO SENSOR WATER ALARM DISABLED AUTO SENSOR OUT ALARM DISABLED RS -232 END OF MESSAGE DISABLED t'Ll� IN TANK SETUP- T I:UNLEADED PRODUCT CODE THERMAL COEFF :.00D` TANK DIAMETER 95 TANK PROFILE 1 FULL VOL : 10( FLOAT SIZE: 4,0 WATER WARNING HIGH WATER LIMIT: MAX OR LABEL VOL: 10C OVERFILL LIMIT g HIGH PRODUCT 90 9 DELIVERY LIMIT 95 I • 15 LOW PRODUCT LEAK ALARM LIMIT: 15 SUDDEN LOSS LIMIT: TANK TILT PROBE OFFSET 4,, 0,1 SIPHON MANIFOLDED TANK Tit: NONE LINE MANIFOLDED TANKS Tit: NONE LEAK MIN PERIODIC: C LEAK MIN ANNUAL C PERIODIC TEST TYPE STANDAR ANNUAL TEST FAIL ALARM DISABLE. PERIODIC TEST FAIL ALARM DISABLE; GROSS TEST FAIL ALARM DISABLE] ANN TEST AVERAGING: OFI PER TEST AVERAGING: OFI TANK TEST NOTIFY: OFF TNK TST SIPHON BREAK:OFF DELIVERY DELAY 15 MIr PUMP THRESHOLD : 10.00•%, T 4: D I EST-1 Kkf4tSw T 2:PLUS T 3:SUPER PRODUCT CODE PRODUCT CODE 2 PRODUCT CODE 3 THERMAL COEFF 04! TANK DIAMETER 95.1 THERMAL COEFF :.000700 TANK DIAMETER 95.00 THERMAL COEFF TANK DIAMETER ''000700 TANK PROFILE 1 1 TANK PROFILE 1 PT TANK PROFILE 45.00 FULL VOL 1001 FULL VOL : 10000 FULL VOL 1 PT 10000 FLOAT SIZE: 4.0 II FLOAT SIZE: 4.0 IN, FLOAT SIZE: 4.0 IN. WATER WARNING 2 WATER WARNING 2.0 WATER WARNING HIGH WATER LIMIT: 3 HIGH WATER LIMIT: 3.0 HIGH WATER LIMIT: 2.0 3.0 MAX OR LABEL VOL: 1001 MAX OR LABEL VOL: 10000 MAX OR LABEL VOL: OVERFILL LIMIT 9; 90, OVERFILL LIMIT 90% 10000 OVERFILL LIMIT 901 HIGH PRODUCT 9' 9000 HIGH PRODUCT 95% 9000 HIGH PRODUCT 95% 95 DELIVERY LIMIT It 9500 DELIVERY LIMIT 15% 9500 DELIVERY LIMIT 151 1500 15% 1500 LOW PRODUCT 151 LOW PRODUCT 1500 LOW PRODUCT LEAK ALARM LIMIT: LEAK ALARM LIMIT: 99 LEAK ALARM LIMIT: 1500 SUDDEN LOSS LIMIT: SUDDEN LOSS LIMIT: 99 SUDDEN LOSS LIMIT: 99 TANK TILT 2. TANK TILT 2.40 TANK TILT 44 PROBE OFFSET 0. PROBE OFFSET 0.00 PROBE OFFSET 2.60 • 0.00 SIPHON MANIFOLDED TANKS SIPHON MANIFOLDED TANKS SIPHON MANIFOLDED TANKS LINENMAANNIFOLDED TANKS T#: NONE LINE MANIFOLDED TANKS T#: NONE LINE MANIFOLDED TANKS T #: NONE T#: NONE T#: NONE LEAK MIN PERIODIC: LEAK MIN PERIODIC: 00% LEAK MIN PERIODIC: 0•� 0 • 0 LEAK MIN ANNUAL LEAK MIN ANNUAL 0% LEAK MIN ANNUAL 0% 0 D PERIODIC TEST TYPE PERIODIC TEST 'TYPE PERIODIC TEST TYPE STANDAI STANDARD STANDARD ANNUAL TEST FAIL ANNUAL TEST FAIL ANNUAL TEST FAIL ALARM DISABLI ALARM DISABLED ALARM DISABLED PERIODIC TEST FAIL PERIODIC TEST FAIL PERIODIC TEST FAIL ALARM DISABLI ALARM DISABLED ALARM DISABLED GROSS TEST FAIL GROSS TEST FAIL GROSS TEST FAIL ALARM DISABLI ALARM DISABLED ALARM DISABLED ANN TEST AVERAGING: 01 ANN TEST AVERAGING: OFF ANN TEST AVERAGING: PER TEST AVERAGING: 01 PER TEST AVERAGING: OFF OFF PER TEST AVERAGING: OFF TANK TEST NOTIFY: 01 TANK TEST NOTIFY: OFF TANK TEST NOTIFY: OFF TNK TST SIPHON BREAK-01 TNK TST SIPHON BREAK:OFF TNK TST SIPHON BREAK:OFF DELIVERY DELAY : 15 M DELIVERY DELAY 15 MIN DELIVERY DELAY 15 MIN PUMP THRESHOLD : 10.01 PUMP THRESHOLD 10.00% PUMP THRESHOLD LEAK TEST METHOD TEST WEEKLY ALL TANI TUE START TIME 1:30 AM TEST RATE :0.20 GAL/HI DURATION : 2 HOURS TST EARLY STOP:DISABLEI 7 VaV TvQT DCflnDT VnnMA- PRESSURE LINE LEAK SETUP Q 1 :UNLEADED TYP:2.0 IN STEEL LINE LENGTH: 100 FEET SHUTDOWN RATE: 3.0 GPH LOW PRESSURE SHUTOFF:NO LOW PRESSURE 0 PSI T 1:UNLEADED DISPENSE MODE: STANDARD SENSOR: NON - VENTED PRESSURE OFFSET: 0.0PS1 Q 21PLUS TYP:2.0 IN STEEL LINE LENGTH: 200 FEET SHUTDOWN RATE: 3.0 GPH LOW PRESSURE SHUTOFF:NO LOW PRESSURE : 0 PSI T 2: PLUS DISPENSE MODE: STANDARD SENSOR: NON- VENTED PRESSURE OFFSET: 0.0PSI Q 3:SUPER TYP:2.0 IN STEEL LINE LENGTH: 144 FEET SHUTDOWN RATE: 3.0 GPH LOW PRESSURE SHUTOFF:NO LOW PRESSURE : 0 PSI T 3:SUPER DISPENSE MODE: STANDARD SENSOR: NON- VENTED PRESSURE OFFSET: O.OPSI Liq,z2v Q 4:DIEBEL PLLD LINE DISABLE St UP TYP:2.0 IN STEEL LINE LENGTH: 100 FEET SHUTDOWN RATE: 3.0 GPH LOW PRESSURE SHUTOFF:NO LOW PRESSURE 0 PSI T 4:DIESEL DISPENSE MODE: STANDARD SENSOR: NON- VENTED PRESSURE OFFSET: O.OPSI LINE LEAK LOCKOUT SETUP LOCKOUT SCHEDULE DAILY START TIME: 1:00 AM STOP TIME : 3:00 AM OUTPUT RELAY SETUP R 1:SONITROL TYPE: STANDARD NORMALLY OPEN PRESSURE LINE LEAK -:GROSS LINE FAIL ALL :PLLD OPEN ALARM AL- :PLLD SHUTDOWN ALARM R 2:OVERFILL TYPE: STANDARD NORMALLY OPEN IN -TANK ALARMS ALL:OVERFILL ALARM ALL:HIGH PRODUCT ALARM Q 1:UNLEADED - NO ALARM ASSIGNMENTS - Q 2:PLUS - NO ALARM ASSIGNMENTS - 9 3:SUPER - NO ALARM ASSIGNMENTS - 9 4:DIEBEL - NO ALARM ASSIGNMENTS - SMARTSENSOR SETUP s 1 :CANISTER CATEGORY VAPOR VALVE s 7:PRESSURE CATEGORY VAPOR PRESSURE s B:ATM CATEGORY ATM P SENSOR PMC SETUP PMC VERSION: 01.02 VAPOR PROCESSOR TYPE VEEDER -ROOT POLISHER ANALYSIS TIMES TIME: 11:59 PM DELAY MINUTES: 1 ALARM HISTORY REPORT FARM HISTORY REPORT wZ� ALARM HISTORY REPORT -- SYSTEM ALARM - - - -- -- -- IN -TANK ALARM - - - -- PAPER OUT - - -- IN -TANK ALARM - -- - NOV 13, 2011 9:46 PM T 2:PLUS PRINTER ERROR T 4:DIESEL NOV 13, 2011 9:46 PM LEAK RM EP 272011 1:29 PM SETUP DATA WARNING OCT 14. 2009 10:38 AM OVERFILL ALARM NOV 19, 2009 3:16 PM OVERFILL ALARM NOV 19. 2009 3:21 PM LOW PRODUCT ALARM SEP 27. 2011 9:17 AM LOW PRODUCT ALARM SEP 14. 2011 4:08 PM NOV 12. 2011 11:58 AM AUG 15. 2011 11:05 AM SEP S. 2011 1:20 PM MAY 30. 2011 8:17 PM SUDDEN LOSS ALARM NOV 19, 2009 3:15 PM SUDDEN LOSS ALARM NOV 19. 2009 3:20 PM INVALID FUEL LEVEL SEP 22. 2011 7:40 PM INVALID FUEL LEVEL SEP 7, 2010 5:28 PM APR 23, 2010 9:52 AM JUN 7. 2010 7:11 PM JAN 2. 2010 1:22 PM PRO13E OUT PROBE OUT NOV 19. 2009 .3:16 PM NOV 19, 2009 3:22 PM NOV 19, 2009 3:15 PM NOV 19, 2009 3:20 PM ALARM HISTORY REPORT DELIVERY NEEDED DELIVERY NEEDED ---- IN -TANK ALARM - - - SEP 27, 2011 9:17 AM NOV 12, 2011 11:58 AM -- SEP 14, 2011 4:08 PM SEP 5. 2011 1:46 PM T 1:UNLEADED AUG 15, 2011 11:05 AM MAY 30, 2011 8:17 PM OVERFILL ALARM OCT 27, 2011 3:13 PM MAY 8. 2011 12:16 AM MAR 1, 2011 11:43 AM LOW PRODUCT ALARM NOV 14. 2011 9 :20 AM OCT 27, 2011 8 :l0 AM ALARM HISTORY REPORT SUDDEN LOSS ALARM - - -- IN -TANK ALARM - - * END NOV 19. 2009 3:12 PM - -- T 3:SUPER HIGH PRODUCT ALARM OCT 27, 2011 3:15 PM LOW PRODUCT ALARM NOV NOV 19, 2009 3:13 PM 12. 2011 7 :03 PM ILAVALID FUEL LEVEL AUG 26• 2011 7 :38 PM AUG 9. 2011 4:43 PM JUN 24. 2011 6 :31 PM HIGH PRODUCT ALARM JUN 2, 2011 4:39 PM NOV 19. 2009 3:18 PM PROBE OUT INVALID FUEL LEVEL ALARM HISTORY REPORT NOV 19. 2009 3:14 PM NOV 19, 2009 3:13 PM SEP 14, 2010 4 :01 PM JUL 2. 2010 9:29 - - - -- SENSOR ALARM - -- -- PM JUN 20, 2010 1 :23 PM s 1: OTHER SENSORS DELIVERY NEEDED PROBE OUT NOV 14. 2011 9:20 AM NOV 5, NOV 19. 2009 3:19 PM NOV 19. 2011 5 :05 PM OCT 27. 2011 2009 3:17 PM 8:10 AM DELIV.Ry NEEDED NOV 12. 2011 7:03 PM OCT 4. 2011 3 :17 PM AUG 26. 2011 7:38 PM * x END * * * * * END * * * * X x x * * * END * x * * * ALARM HISTORY REPORT ALARM HISTORY REPORT - - - -- SENSOR ALARM -- - - -- - - - -- SENSOR ALARM - - - -- 9 I:UNLEADED Q 2:PLUS PLLD SHUTDOWN ALARM PLLD SHUTDOWN ALARM NOV 14. 2011 1:41 PM NOV 14. 2011 1:36 PM GROSS LINE FAIL GROSS LINE FAIL NOV 14, 2011 1:41 PM NOV 14. 2011 1:36 PM PLLD SHUTDOWN ALARM PLLD SHUTDOWN ALARM SEP 28, 2011 6:46 AM NOV 9. 2010 11:12 AM GROSS LINE FAIL GROSS LINE FAIL SEP 28. 2011 6:46 AM NOV 9, 2010 11:12 AM PLLD SHUTDOWN ALARM FUEL OUT SEP 27. 2011 7:48 PM SEP 7, 2010 6:22 PM GROSS LINE FAIL FUEL OUT SEP 27. 2011 7:48 PM JUN 7. 2010 10:12 PM PLLD SHUTDOWN ALARM PLLD SHUTDOWN ALARM SEP 27. 2011 12 :27 PM NOV 19. 2009 3:49 PM GROSS LINE FAIL GROSS LINE FAIL SEP 27, 2011 12:27 PM NOV 19. 2009 3:49 PM PLLD SHUTDOWN ALARM SEP 27. 2011 11:43 AM ALARM HISTORY REPORT GROSS LINE FAIL ----- SENSOR ALARM - - - -- G3'SUPER SEP 27, 2011 11:43 AM PLLD SHUTDOWN ALARM NOV 14, 2011 1:28 PM GROSS LINE FAIL NOV 14, 2011 1:28 PM PLLD SHUTDOWN ALARM NOV 9, 2010 11:20 AM * * * END * * * GROSS LINE FAIL NOV 9, 2010 11:20 AM FUEL OUT SEP 14, 2010 6:17 PM FUEL OUT JUL 3. 2010 7:28 PM PLLD SHUTDOWN ALARM MAR 20, 2010 11:41 AM GROSS LINE FAIL MAR 20. 2010 11:41 AM PLLD SHUTDOWN ALARM MAR 19, 2010 6:28 PM GROSS LINE FAIL MAR 19. 2010 6:28 PM qq2zp t ALARM HISTORY REPORT - - - -- SENSOR ALARM - Q 4:DIESEL PLLD SHUTDOWN ALARM NOV 14, 2011 1:22 F GROSS LINE FAIL NOV 14. 2011 1:22 F PLLD SHUTDOWN ALARM JUL 26, 2011 9:50 f GROSS LINE FAIL JUL 26, 2011 9:50 i PLLD SHUTDOWN ALARM NOV 9, 2010 10:56 GROSS LINE FAIL NOV 9, 2010 10 :58 pLLD SHUTDOWN ALAR14 NOV 19, 2009 4:07 GROSS LINE FAIL NOV 19, 2009 4:07 * * * * * END * * MONITOR CERT. FAILURE REPORT SITE NAME: FASTBREAK MOBM DATE: 11/14/11 THE FOLLOWING COMPONENTS WERE REPLACED/RE�'`A rjO COMPLETE TESTING. ((// REPAIRS LABOR: NONE PARTS INTALLED : NONE NAME: TITLE: SIGNATURE: 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 RICH 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.