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HomeMy WebLinkAbout2011 RESULTSMONITORING SYSTEM CERTIFICATION For Use By All Jurisdictions Within the State of California Awhority 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 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 this date. A. General Information Facility Name: #360 Farrell's Fastrip Bldg. No.: _ Site Address: 6401 White Lane City: Bakersfield Zip: 93309 Facility Contact Person: Omero Garcia Make /Model of Monitoring System: Veeder -Root TLS -350 B. Inventory of Equipment Tested /Certified Check the appropriate boxes to in irate specific equipment inspected/serviced: Contact Phone No.: 661 - 393 -7000 Date of Testing/Servicing: 8/19/2011 Tank ID: 12000 gal. Regular Tank ID: 12000 gal. Super [x] In -Tank Gauging Probe. Model: 847390-107 Lx] in -Tank Gauging Probe. Model: 847390 -107 fx] Annular Space or Vault Probe. Model: 794380-303 [X] Annular Space or Vault Sensor. Model: 794380 -303 [x] Piping Sump / Trench Sensor(s). Model: 794380-208 Piping Sump / Trench Sensor(s). Model: 794380 -208 L] Fill Sump Sensor(s) Model: 794380-208 [X] Fill Sump Sensor(s). Model: 794380 -208 [x] Mechanical Line Leak Detector. Model:FX1V [X] Mechanical Line Leak Detector. Model: FX1V ❑ Electronic Line Leak Detector. Model: ❑ Electronic Line Leak Detector. Model: L] Tank Overfill / High Level Sensor. Model: 847390-107 [X] Tank Overfill / High Leval Sensor. Model: 847390 -107 ❑ Other (specify equip. type and model in Sec. E on Pg. 2) ❑ Other (specify equip. type and model in Sec. E on Pg. 2) Tank ID: 12000 gal. Diesel Tank ID: [x] in -Tank Gauging Probe. Model:847390 -107 ❑ In -Tank Gauging Probe. Model: [x] Annular Space or Vault Sensor. Model:794380 -303 ❑ Annular Space or Vault Sensor. Model: [X] Piping Sump / Trench Sensor(s). Model: 794380-208 ❑ Piping Sump / Trench Sensor(s). Model: U Fill Sump Sensors(s). Model:794380 -208 ❑ Fill Sump Sensor(s). Model: [x-] Mechanical Line Leak Detector. Model:FX1DV ❑ Mechanical Line Leak Detector. Model: ❑ Electronic Line Leak Detector. Model:. ❑ Electronic Line Leak Detector. Model: Lx] Tank Overfill / High Level Sensor. Model: 847390-107 ❑ Tank Overfill / High Level Sensor. Model: ❑ Other (specify equip. type and model in Sec. E on Pg. 2) ❑ Other (specify equip. typs and model in Sec. E on Pg. 2) Dispenser ID: 1 & 2 Dispenser ID: 3&4 n Dispenser Containment Sensor(s). Model: 794380 -208 [x] Dispenser Containment Sensor(s). Model: 794380 -208 [X] Shear Valve(s). [X] Shear Valve(s). ❑ Dispenser Containment Float(s) and Chain(s). ❑ Dispenser Containment Float(s) and Chain(s) Dispenser ID: 5 8t 6 Dispenser ID: 7 & 8 Lx] Dispenser Containment Sensor(s). Model: 794380 - 208 [x] Dispenser Containment Sensor(s). Model: 794380 -208 U Shear Valve(s). U Shear Valve(s). ❑ Dispenser Containment Float(s) and Chains(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 /sery ices in accordance with the manufacturers' guidlines. Attached to this Certification is information (e.g. manufacturers' checklist) necessary to varify that this information is correct and a plot plan showing the layout of monitoring equipment. For equipment capable of generating such reports, I have attached a copy of the report; (check all that apply) x❑ Sste et -up U Alarm re ort Technician Name (print): Bryan A Self Signature: �- Certification No: B37501 License No: 804904 Testing Company Name: Confidence UST Services, Inc. Phone No: 800- 339 -9930 Site Address: 6401 White Lane, Bakersfield, CA 93309 Date of Testing/Servicing: 8119/2011 D. Results of Testing /Sery icing Software Version Installed: 327.04 Complete the following checklist: Lx] Yes ❑ No* Is the audible alarm operational? x Yes I No* Is the Visual alarm operational? x Yes No* Were all sensors visually inspected, functionally tested, and confirmed operational? x I Yes ❑ No* Were all sensors installed at the 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) Hx N/A operational? x Yes ❑ No* For pressurized piping systems, does the turbine automatically shut down if the piping secondary ❑ N/A containment monitoring system detects a leak, fails to operate, or is electrically disconnected? If yes: which sensors initate positive shut -down? E Sump /Trench Sensors Dispenser Containment Sensors Did you confirm positive shut -down due to leaks and sensor failure /disconnected? L] Yes; ❑ No; LX] 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 visual and audible at the tank fill point(s) and operating properly? If so, at what percent of tank capasity does the alarm trigger? 90 ❑ Yes* L] 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? ❑ Product; ❑ Water. If yes, describe causes in Section E, below. x No* Was monitoring system set -up reviewed to ensure proper settings? Attach set -up reports, if applicable. x YeS No* I Is all monitoring equipment operational per manufacturer's specifications? * In Section E below, discribe how and when these deficiencies were or will be corrected. E. Comments' Befor Monitoring System Cert started the ECPU2 board was replaced in the TLS 350. F. In -Tank Guaging / SIR Equipment: [x] Check this box if tank guaging is used only for inventory control. ❑ Check this box if tank guaging or SIR equipment is installed. This section must be completed if in -tank guaging equipment is used to perform leak detection monitoring. Complete the following checklist: [X] Yes ❑ No* Has all input wiring been inspected for proper enter and termination, including testing for ground faults? x Yes No* Were all tank guaging probes visually inspected for damage and residue buildup? x Yes El No* Was accuracy of system product level readings tested? x Yes No* Was accuracy of system water level readings tested? x Yes M No* Were all probes reinstalled properly? [ ] Yes ❑ No* Were all items on the equipment manufacturer's maintenance checklist completed? * In the Section H, below, describe how and when these deficiencies were or will be corrected. G. Line Leak Detectors (LLD): ❑ Check this box if LLD's are not installed. Complete the following checklist: L] Yes ❑ No* For equip. start-up or annual equipment certification, was a leak simulated to varify LLD performance? (Check all that apply) Simulated leak rate: E3 g.p.h.: ❑0.1 g.p.h.; ❑0.2 g.p.h.; x Yes No* Were all LLD's confirmed operational and accurate within regulatory requirments? x Yes No Waste testing apparatus properly calibrated? r ] Yes No* For mac anica LLD's, does the LLD restrict product ow i rt detects a leak? N/A ❑ Yes No* For electronic LLD's, does the turbine automatically shut off if the LLD detects a leak? Lx] N/A ❑ Yes No* For electronic LLD's, does the turbine automatically shut off if any portion of the monitoring system is [x] N/A disabled or disconnected? ❑ Yes No* For electronic LLD's, does the turbine automatically shut off if any portion of the monitoring system U N/A malfunction or fails a test? ❑ Yes No* For electronic LLD's, have all accessible wiring connections been visually inspected? U N/A x Yes No Were all items on the equipment manufacturer's maintenance checklist completed? * In the section H, below, describe how and when these deficiencies were or will be corrected. H. Comments: . C SYSTEM SETUP COMMUNICATIONS SETUP AUG 19 . 2011 8:21 AM - - - - - _ - - - - - - PORT SETTINGS: FASTRIP SYSTEM UNITS COMM BOARD 1 (RS -232) 6401 WHITE LANE U.S. BAUD RATE 9600 BAKERSFIELD.GA 93309 SYSTEM LANGUAGE PARITY NONE ENGLISH STOP BIT 1 STOP SYSTEM DATE /TIME FORMAT DATA LENGTH: 8 DATA AUG 19, 2011 8:21 All MON DD YYYY HH:hIM:SS xM RS -232 SECURITY CODE : DISABLED FASTRIP 6401 WHITE LANE w COMM BOARD 2 (RS -232) SYSTEM STATUS REPORT BAKERSFIELD.CA 93309 BAUD RATE 9600 - - - - - - - - - - - - PARITY NONE ALL FUNCTIONS NORMAL STOP HIT 1 STOP SHIFT TIME 1 : 7:00 AM DATA LENGTH: 8 DATA INVENTORY REPORT SHIFT TIME 2 DISABLED RS -232 SECURITY SHIFT TIME 3 DISABLED CODE : DISABLED SHIFT TIME 4 DISABLED T I:UNL COMM BOARD : 3 (EDIM ) VOLUME a 7186 GALS TANK PER TST NEEDED WRN RS -232 SECURITY ULLAGE - 4814 GALS DISABLED CODE : DISABLED 90% ULLAGE 3614 GALS TANK ANN TST NEEDED WRN TC VOLUME - 7064 GALS DISABLED HEIGHT - 55.48 INCHES AUTO TRANSMIT SETTINGS: WATER VOL - 0 GALS LINE RE- ENABLE METHOD WATER - 0.00 INCHES PASS LINE TEST AUTO LEAK ALARM LIMIT TEMP - 84.2 DEG F DISABLED LINE PER TST NEEDED WRN AUTO HIGH WATER LIMIT DISABLED DISABLED T 2:PNL LINE ANN TST NEEDED WRN AUTO OVERFILL LIMIT VOLUME - 7076 GALS DISABLED DISABLED ULLAGE - 4924 GALS AUTO LOW PRODUCT 9C% ULLAGE- 3724 GALS PRINT TC VOLUMES DISABLED TC VOLUME - 6954 GALS ENABLED AUTO THEFT LIMIT HEIGHT - 54.78 INCHES DISABLED WATER VOL - 0 GALS TEMP COMPENSATION AUTO DELIVERY START WATER - 0.00 INCHES VALUE (DEG F ): 60.0 DISABLED TEMP - ;84.4 DEG F STICK HEIGHT OFFSET AUTO DELIVERY END DISABLED DISABLED ULLAGE: 90% AUTO EXTERNAL INPUT ON T 3:DIESEL DISABLED VOLUME _, 8682 GALS H- PROTOCOL DATA FORMAT AUTO EXTERNAL INPUT OFF ULLAGE a; 3318 GALS HEIGHT DISABLED 9(. ULLAGE- 2118 GALS DAYLIGHT SAVING TIME AUTO SENSOR FUEL ALARM TC VOLLOE -4 8572 GALS ENABLED DISABLED HEIGHT '65.23 INCHES START DATE AUTO SENSOR WATER ALARM WATER VOL m, 0 GALS MAR WEEK 2 SUN DISABLED WATER - 0.00 INCHES START TIME AUTO SENSOR OUT ALARM TEMP - 87.9 DEG F 2:00 AM DISABLED END DATE NOV WEEK I SUN x * * W END r :-i rf k ri END TIME 2:00 AM RE- DIRECT LOCAL PRINTOUT DISABLED EURO PROTOCOL PREFIX RS -232 END OF MESSAGE S DISABLED 1 SYSTEM SECURITY CODE : 000000 MAINTENANCE HISTORY DISABLED TANK CHART SECURIT%, DISABLED CUSTOM ALARMS DISABLED MASS /DENSITY DISABLED 0 IN -PANX SETUP T I:UNL PRODUCT CODE 1 THERMAL COEFF :.000700 TANK DIAMETER 96.00 TANK. PROFILE I PT FULL VOL : 12000 FLOAT SIZE: 4.0 IN. WATER WARNING 2.0 HIGH WATER LIMIT: 3.0 MAX OR LABEL VOL: 12000 OVERFILL LIMIT 909: TANK PROFILE 10800 HIGH PRODUCT 95% 11400 DELIVER`; LIMIT 15% 1800 LOW PRODUCT 500 LEAK ALARM LIMIT: 99 SUDDEN LOSS LIMIT: 99 TANK TILT 10.00 PROBE OFFSET 0.00 S I PHON MA141 FOLDED TANKS TO: NONE LINE MANIFOLDED TANKS TO: NONE LEAK MIN PERIODIC: 1 %: 120 LEAX MIN ANNUAL : 1% 120 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 BREAK:OFF DELI VERY DELAY 1 19114 PUMP THRESHOLD : 10.00% T 2:PNL PRODUCT CODE 2 THERMAL COEFF :.000700 TANK DIAMETER 96.00 TANK PROFILE I PT FULL VOL 12000 FLOAT SIZE: 4.0 IN. WATER WARNING 2.0 HIGH WATER LIMIT: 3.0 MAX OR LABEL VOL: 12000 OVERFILL LIMIT 90% 10800 HIGH PRODUCT 95. 11400 DELIVERY LIMIT 15: 1800 LOW PRODUCT 500 LEAK ALARM LIMIT: 99 SUDDEN LOSS LIMIT: 99 TANK TILT 0.00 PROBE OFFSET 0.00 SIPHON MANIFOLDED TANKS TA: NONE LINE MANIFOLDED TANKS Td: NONE LEAK (9114 PERIODIC: 1% 120 LEAK M I N A1414UAL 1% 120 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 BREAK:OFF DELIVERY DELAY 1 MIN PUMP THRESHOLD 10.00% T 3:DIESEL 2.0 PRODUCT CODE 3 THERMAL COEFF :.000450 TANK DIAMETER 96.00 TANK PROFILE I PT FULL VOL 12000 FLOAT SIZE: 4.0 IN. WATER WARNING 2.0 HIGH WATER LIMIT: 3.0 MAX OR LABEL VOL: 12000 OVERFILL LIMIT 909: 10800 HIGH PRODUCT 95: 11400 DELIVERY LIMIT 15% 1800 LOW PRODUCT 500 LEAK ALARM LIMIT: 99 SUDDEN LOSS LIMIT: 99 TANK TILT 10.00 PROBE OFFSET 0.00 SIPHON MANIFOLDED TANKS TO: NONE LINE MANIFOLDED TANKS TO', NONE LEAK MIN PERIODIC: l% 120 LEAK MIN ANNUAL 19: 120 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 BREAK:OFF DELIVERY DELAY I MIN PUMP THRESHOLD 10.00% LEAK TEST METHOD TEST ON DATE : ALL TANK FEB 6, 2007 START TIME : DISABLED TEST RATE :0.20 GAL /HR DURATION : 2 HOURS TST EARLY STOP:DISABLED LEAK TEST REPORT FORMAT NORMAL LIQUID SENSOR SETUP L I:UNL STP TRI -STATE (SINGLE FLOAT) CATEGORY : STP SUMP L 2:UNL ANN DUAL P0114T HYDROSTATIC CATEGORY : ANNULAR SPACE L 3:UNL FILL TRI -STATE (SINGLE FLOAT) CATEGORY : OTHER SENSORS L 4:PNL STP TRI -STATE (SINGLE FLOAT) CATEGORY : STP SUMP L 5:PNL FILL TRI -STATE (SINGLE FLOAT) CATEGORY : OTHER SENSORS L 6:PNL ANN DUAL POINT HYDROSTATIC CATEGORY : ANNULAR SPACE L 7:DIE STP TRI -STATE (SINGLE FLOAT) CATEGORY : STP SUMP L B :DIE FILL TRI -STATE (SINGLE FLOAT) CATEGORY : OTHER SENSORS LIO:DISP 1 -2 TRI -STATE (SINGLE FLOAT) CATEGORY : DISPENSER PAN i L11:DISP 3 -4 TRI -STATE (SINGLE FLOAT) CATEGORY : DISPENSER PAN L12:DISP 5 -6 TRI -STATE (SINGLE FLOAT) CATEGORY : DISPENSER PAN L13:DJSP 7 -8 TRI -STATE (SINGLE FLOAT) CATEGORY : DISPENSER PAN L16:DIESEL ANN. DUAL POINT HYDROSTATIC CATEGORY : ANNULAR SPACE PUMP SENSOR SETUP S I :UNL TANK 0: 1 DISPENSE MODE: STANDARD S 2:PNL TANK d: 2 DISPENSE MODE: STANDARD OUTPUT RELAY SETUP R 1:UNL TYPE: PUMP CONTROL OUTPUT TANK a: 1 LIQUID SENSOR ALMS L I:FUEL ALARM L10:FUEL ALARM L11:FUEL ALARM L12:FUEL ALARM L13 :FUEL ALARM L 1:SENSOR OUT ALARM LIO :SENSOR OUT ALARM LII:SENSOR OUT ALARM L12:SENSOR OUT ALARM L13:SENSOR OUT ALARM L 1:SHORT ALARM LIO:SHORT ALARM LII:SHORT ALARM L12:SHORT ALARM L13:SHORT ALARM ISD SITE ALARMS ISD GROSS PRES FAIL ISD DEGRD PRES FAIL ISD VAPOR LEAK FAIL ISD VP PRES FAIL ISD VP STATUS FAIL ISD HOSE ALARMS ALL:GROSS COLLECT FAIL ALL:DEGRD COLLECT FAIL ALL:FLOW COLLECT FAIL R 2:PNL TYPE: PUMP CONTROL OUTPUT TANK 0: 2 LIQUID SENSOR ALMS L 4:FUEL ALARM LIO:FUEL ALARM L11:FUEL ALARM L12:FUEL ALARM L13:FUEL ALARM L 4-SENSOR OUT ALARM LIO:SENSOR OUT ALARM L1I:SENSOR OUT ALARM L12:SENSOR OUT ALARM L13:SENSOR OUT ALARM L 4:SHORT ALARM LIO:SHORT ALARM L11 :SHORT ALARM LI2:SHORT ALARM L13:SHORT ALARM ISD SITE ALARMS ISD GROSS PRES FAIL ISD DEGRD PRES FAIL ISD VAPOR LEAK FAIL ISD VP PRES FAIL ISD VP STATUS FAIL ISD HOSE ALARMS ALL :GROSS COLLECT FAIL ALL : DEGRD COLLE�'T FAIL ALL:FLOW COLLECT FAIL R 3:DSL TYPE: STANDARD NORMALLY CLOSED TANK R: 3 LIQUID SENSOR ALMS L 7 :FUEL ALARM LIO:FUEL ALARM L12:FUEL ALARM L 7:SENSOR OUT ALARM LIO:SENSOR OUT ALARM L12:SENSOR OUT ALARM L 7:SHORT ALARM LIO:SHORT ALARM L12:SHORT ALARM R 4:OVERFILL TYPE: STANDARD NORMALLY OPEN TANK 0: NONE 1N -TANK ALARMS ALL:OVERFILL ALARM ALL:HIGH PRODUCT ALARM ALL:MAX PRODUCT ALARM ShWRTSENSOR SETUP s I:V.P SENSOR D1SP 3 -4 CATEGORY VAPOR PRESSURE s 2:F.M.DISP 1 -2 CATEGORY AIR FLOW METER s 3:F.M.DISP 3 -4. CATEGORY AIR FLOW METER s 4:F.M.DISP 5-6 CATEGORY AIR FLOW METER s 5 :F.M.DISP 7 -8 CATEGORY AIR FLOW METER EVR/ISD SETUP EVR TYPE: VACUUM ASSIST VACUUM ASSIST TYPE HEALY VAC NOZZLE A/L RANGE MAX: 1.15 MIN: 0.95 VAPOR PROCESSOR TYPE NO VAPOR PROCESSOR ANALYSIS TIMES TIME: 11:59 PM DELAY MINUTES: 1 ACCEPT HIGH ORVR: DISABLED ISD 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 ISD AIRFLOW METER MAP 1D SERIAL NUM LABEL ------------------------ 1 8255 F.M.DISP 1 2 8272 F.M.DISP 3 3 8614 F.M.DISP 5 4 8258 F.M.DISP 7 ISD FUEL GRADE HOSE MAP 1 2 3 4 FP MHH MHH MHH MHH AA ------------------------ 01 201 301 901 5 U 1 02 202 302 902 5 U 1 03 203 303 903 U U 2 04 204 304 904 U U 2 05 205 305 905 5 U 3 06 206 306 906 5 U 3 07 207 307 907 U U 4 08 208 308 908 U U 4 LABEL TABLE 1: U14ASS 1 GNED 2: BLEND3 3: REGULAR 4: MID GRADE 5: PREMIUM 6: GOLD 7: BRONZE 8: SILVER 9: BLEND2 10: BLEND4 PMC SETUP PROCESSOR C014TROL LEVEL: NONE - - - -- SENSOR ALARM - - - -- L I:UNL STP STP SUMP FUEL ALARM AUG 19, 2011 11:20 AM SENSOR ALARM L 4:PNL STP STP SUMP FUEL' ALARM AUG 19, 2011 11:20 AM - - - -- SENSOR ALARM - - --- L 7:DIE STP STP SUMP FUEL ALARM AUG 19, 2011 11:21 AM - - - -- SENSOR ALHR11 - - - -- LII:DIS 3 -4 DISPENSER PAN FUEL ALARM AUG 19. 2011 11 :21 AM - - - -- SENSOR ALARM - - - -- LIO:DIS 1 -2 DISPENSER PAN FUEL ALARM AUG 19, 2011 11 :22 AM - - - -- SENSOR ALARM - - - -- L12:DIS 5 -6 D 1 SPE14SER PAN FUEL ALARM AUG 19. 2011 11:22 AM - -- SENSOR ALARM - - - -- - - - -- SENSOR ALkOl ----- SENOR ALARM - - - -- L16:DIE ANN L13:DIS 7 -8 L 2:UNL ANN ANNULAR SPACE DISPENSER PAN ANNULAR SPACE LOW LIQUID ALARM FUEL ALARM LOW LIQUID ALARM AUG 19. 2011 11:27 AM AUG 19, 2011 11:23 AM AUG 19. 2011 11 :26 AM - - - -- SENSOR ALARM - - - -- L 3:UHL FILL OTHER SENSORS FUEL ALARM AUG 19, 2011 11:24 AM -- SENSOR ALARM ----- L 5:PNL FILL OTHER SENSORS FUEL ALARM AUG 19. 2011 11:24 AM - - - -- SENSOR ALARM L 8:DIE FILL OTHER SENSORS FUEL ALARM AUG 19, 2011 11:24 AM FASTRIP 6401 WHITE LANE SAY,ERSFIELD.CA 93309 AUG 19. 2011 11:25 AM SYSTEM STATUS REPORT L 3:FUEL ALARM L 5:FUEL ALARM L 8 : FUEL ALARM - - -c- SENSOR ALARM - - - -- L 2:UNL ANN ANNULAR SPACE HIGH LIQUID ALARM AUG 19. 2011 11:26 AM -- SENSOR ALARM - - --- L 2:UNL ANN ANNULAR SPACE LOW LIQUID ALARM AUG 19. 2011 11:26 AM - - - -- SENSOR ALARM - - - -- L 6:PNL ANN ANNULAR SPACE LOW LIQUID ALARM AUG 19. 2011 11:26 AM -- SENSOR ALARM - - - -- L 6 :PNL ANN ANNULAR SPACE HIGH LIQUID ALARM AUG 19. 2011 11:27 AM - - --- SENSOR ALARM - - - -- L 6:PNL ANN ANNULAR SPACE LOW LIQUID ALARM AUG 19. 2011 11:27 AM 1 - - - -- SENSOR ALARM -- --- L16:DIE ANN ANNULAR SPACE HIGH LIQUID ALARM AUG 19, 2011 11:27 AM FASTRIP 6401 WHITE LANE BAKERSFIELD,CA 93309 AUG 19. 2011 11 :28 AM SYSTEM STATUS REPORT ALL FUNCTIONS NORMAL - - -- IN -TANK. ALARM - - - -- T I:UNL HIGH PRODUCT ALARM AUG 19, 2011 11:29 AM - - -- 1N -TANK ALARM - - - -- T I:UNL PROBE OUT AUG 19, 2011 11:30 AM - - -- IN -TANK ALARM -- --- T I:UNL LOW TEMP WARNING AUG 19, 2011 11:30 AM 6401 P -- IN-TANK ALARM - - - -- FASTRIP BAK WHITE L T 3 :DIESEL 6401 WHITE LANE AKERSFIELD.CA 53309 HIGH PRODUCT ALARM BAKERSFIELD.CA 93309 AUG 19, 2011 11:33 AM AUG 19, 2011 11:31 AM SYSTEM STATUS REPORT T 1:LOW TEMP WARNING T 1:UNL INVENTORY INCREASE INCREASE START AUG 19. 2011 11:29 AM VOLUME = 8637 GALS HEIGHT - 64.93 114CHES WATER o 0.66 INCHES TEMP - 101.6 DEG F INCREASE END AUG 19, 2011 11:32 AM VOLUME - 10173 GALS HEIGHT - 75.88 INCHES WATER - 1.31 INCHES TEMP - 101.6 DEG F GROSS INCREASE- 1536 TC NET INCREASE- 1491 -- -- 114-TANK ALARM - - - -- T 2:PNL OVERFILL ALARM AUG 19, 2011 11:32 AM -- -- IN -TANK ALARM - - - -- T 2 :PNL PROBE OUT AUG 19, 2011 11:32 AM - - -- IN -TANK ALARM - - -__ T 2:PNL LOW TEMP WARNING AUG 19, 2011 11 :33 AM -- IN -TANK ALARM - -- -- T 3:DIESEL PROBE OUT AUG 19, 2011 11 :33 All T 2 :PNL INVENTORY I I•ICREHSE INCREASE START AUG 19, 2011 11:31 AM VOLUME = 6455 GALS HEIGHT - 50.86 INCHES WATER - 0.78 INCHES TEMP - 102.0 DEG F INCREASE END AUG 19, 2011 11 :34 Ali VOLUME - 11000 GALS HEIGHT - 82.75 INCHES WATER - 0.78 INCHES TEMP - 101.9 DEG F GROSS INCREASE- 4545 TC NET INCREASE- 4412 AUG 19, 2011 11:35 AM SYSTEM STATUS REPORT ALL FUNCTIONS NORMAL SENSOR ALARM L 4:PNL STP STP SUMP SENSOR OUT ALARM AUG 19, 2011 11:35 AM - - - -- SENSOR ALARM - - - -- L13:DIS 7 -8 D)SPENSER PAN SENSOR OUT ALARM AUG 19, 2011 11:35 fit SENSOR ALARM L 5:PNL FILL OTHER SENSORS SENSOR OUT ALARM AUG 19. 2011 11:35 Art - - - -- SENSOR ALARM - - - -� L 6:PNL ANN ANNULAR SPACE SENSOR OUT ALARM AUG 19, 2011 11:35 AM SENSOR ALARM L 1 :UNL STP STP SUMP SENSOR OUT ALARM AUG 19, 2011 11 :35 Ali - SENSOR ALARM - ---- L 7:DIE STP STP SUMP SENSOR OUT ALARM AUG 19, 2011 11:35 AM -- SENSOR ALARM - - - -- LIO:DIS 1 -2 DISPENSER PAN SENSOR OUT ALARM AUG 19. 2011 11:35 AM ----- SENSOR ALARM - -- -- L 3 :UNL FILL OTHER SENSORS SENSOR OUT ALARM AUG 19. 2011 11:35 AM - --- SENSOR ALARM - - - -- LI1:DIS 3 -4 DISPENSER PAN SENSOR OUT ALARM AUG 19. 2011 11:35 AM SENSOR ALARM - - --- L12:DIS 5 -6 DISPENSER PAN SENSOR OUT ALARM AUG 19. 2011 11:35 AM - SENSOR ALARM ----- L 2 :UNL ANN ANNULAR SPACE SENSOR OUT ALARM AUG 19, 2011 11:35 Ah1 - - - -- SENSOR ALARM -- --- L16:DIE ANN ANNULAR SPACE SENSOR OUT ALARM AUG 19. 2011 11:35 AM - - - -- SENSOR ALARM L B:DIE FILL OTHER SENSORS SENSOR OUT ALARM AUG 19. 2011 11:35 All FASTRIP 6401 WHITE LANE BAKERSFIELD.CA 93309 AUG 19, 2011 11:36 AM SYSTEM STATUS REPORT - L B:SENSOR OUT ALARM FASTRIP 6401 WHITE LANE BAKERSFIELD.CA 93309 AUC 19, 2011 11:36 AM SYSTEM STATUS - REPORT - ALL FUNCTIONS NORMAL T 5 :DIESEL INVENTORY INCREASE 1 NCREASE S'fAR'f AUG 19, 2411 11:33 AM VOLUME a 7890 GALS HEIGHT - 60.00 INCHES WATER - 0.00 INCHES TEMP - 104.2 DEG F INCREASE END AUG 19. 2011 11:38 AM VOLUME - 8665 GALS HEIGHT . 65.11 1 NC:HES WATER - 0.00 INCHES TEMP - 104.0 DEG F GROSS INCREASE- 775 TC NET INCREASE- 760 -- SENSOR ALARM - - - -- LIQ:DIS 1-2 D l SPE14SER PAN FUEL ALARM AUG 19. 2011 11:50 AM - - - -- SENSOR ALARM - - - -- L10:DIS 1 -2 DISPENSER PAN FUEL ALARM AUG 19, 2011 11:52 AM - - - -- SENSOR ALARM - ---- L10:DIS 1 -2 DISPENSER PAID FUEL ALARM AUG 19, 2011 11 :54 AM AUG 19. 2011 11:55 AM SYSTEM STATUS REPORT LIO:FUEL ALARM - - - -- SENSOR ALARM - - - -- LIO:DIS 1 -2 DISPENSER PAN FUEL ALARM AUG 19. 2011 11:59 AM FASTRIP 6401 WHITE LANE BAKERSFIELD.CA 93309 AUG 19, 2011 11:59 AM SYSTEM STATUS REPORT LIO:FUEL ALARM - - - -- SENSOR ALARM - - - -- L 7:DIE STP STP SUMP FUEL ALAR1l AUG 19, 2011 12:01 PM FAS'TR I P 6401 WHITE LANE BAKERSFIELD.CA 93309 AUG 19, 2011 12 :02 PM SYSTEM STATUS REPORT L 7:FUEL ALARM LIQ:FUEL ALARM 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 (if applicable), should be provided to the facility owner /operator for submittal to the local regulatory agency. 1. FACILITY INFORMATION Facility Name: #360 Farrell's Fastrip Date of Testing: 8/19/2011 Facility Address: 6401 White Lane, Bakersfield, CA 93309 Facility Contact: Omero Garcia Phone: 661- 393 -7000 Date Local Agency Was Notified of Testing: 8/18/2011 Name of Local Agency Inspector (f present during testing): Ester Duran 2. TESTING CONTRACTOR INFORMATION Company Name: Confidence UST Services, Inc. Technician Conducting Test: Bryan A Self Credentials: X CSLB Contractor X ICC Service Tech. X SWRCB Tank Tester ❑ Other (Spec) License Number(s): CSLB 4804904 ICC #8022804 -UT TT #11-1756 3. SPILL BUCKET TESTING INFORMATION Test Method Used: x Hydrostatic ❑ Vacuum ❑ Other Test Equipment Used: Lake Test Equipment Resolution: 0.0625" Identify Spill Bucket (By Tank Number, Stored Product, etc. 1 Regular 2 Super 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: 14.00" 14.00" 14.00" Bucket Depth: 12.25" 12.25" 12.25" Wait time between applying vacuum /water and start of test: 5 min. 5 min. 5 min. Test Start Time (Ti): 9:00am 9:00am 9:00am Initial Reading (Rj): 10.00" 10.25" 10.00" Test End Time (TF): 10:00am 10:00am 10:00am Final Reading (RF): 10.00" 10.25" 10.00" Test Duration (TF — Ti): 1 hour 1 hour 1 hour Change in Reading (RF - R,): 0.00" 0.00" 0.00" Pass /Fail Threshold or Criteria: 0.0625" 0.0625" 0.0625" 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 contained in this report is true, accurate, and in full compliance with legal requirements. Technician's Signature: Date: 8/19/2011 State laws and regulations do not currently r uire testing to be performed by a qualified contractor. However, local requirements may be more stringent.