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.