Loading...
HomeMy WebLinkAbout2013 FMC RESULTSHOODS ALARMS SPRINKLER SYSTEMS SPRAY BOOTH Permit No. Permit No. File Number: 3Z 7Co AST UST Permit No. Permit No. Permit No. Permit No. Address: Bakersfield, CA 933 ("'L Date Received: 5 - 3 — /3 Business Name: CD SYSTEM: BUILDING SQUARE FEET: INSPECTION L ®G New Mod. ❑ ❑ Commercial Hood System Building Sq. Feet: ❑ ❑ Fire Alarm System Calculation Bldg. Sq. Ft: l 1. ❑ ❑ Fire Sprinkler System 2. ❑ ❑ Spvay Finish Syvam 3. ❑ ❑ Aboveground Storage Tank 4. ❑ ❑ Underground Storage Tank minor modification Underground Storage Tank removal Underground Storage Tank ❑ "her. 7Z7i� Date Time Signature Signature Comments: 5,0 /11 BL,�Ker r iCL 6:25-978 VA* 4 2.60Z* MONITORING SYSTEM CERTIFICATION For Use By All Jurisdictions Within the State 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 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: Costco Wholesale Bldg. No: 688 Site Address: 3800 Rosedale Hwy. City: Bakersfield Zip: 93308 Facility Contact Person: Lisa Contact Phone No.: (661) 6360832 Make/Model of Monitoring System: Veeder -Root TLS 350 -R Date of Testing/Servicing: 6/5/2013 B. Inventory of Equipment Tested /Certified Check the appropriate boxes to indicate specific equipment inspected/serviced Tank ID: 87A Tank ID: 87B QIn-Tank Gauging Probe. Model: 847390 -109 In -Tank Gauging Probe. Model: 847390 -109 Annular Space or Vault Sensor Model: 794380 -301 Annular Space or Vault Sensor Model: 794380 -301 Piping Sum / Trench Sensor(s). Model: 794380 -352 Piping Sum / Trench Sensor(s). Model: 794380 -352 Fill Sump Sensor(s). Model: 794380 -352 Fill Sump Sensor(s). Model: 794380 -352 Mechanical Line Leak Detector Model: Mechanical Line Leak Detector Model: Electronic Line Leak Detector Model: V/R PLLD ✓ Electronic Line Leak Detector Model: V/R PLLD Tank Overfill / High-Level Sensor Model: 847390 -109 Tank Overfill / High-Level Sensor Model: 847390 -109 Other (specify equipment type and model in Section Eon Page 2). Other (specify equipment type and model in Section Eon Page 2). Tank ID: 91 Tank ID: F In -Tank Gauging Probe. Model: 847390 -109 In -Tank Gauging Probe. Model: , Annular Space or Vault Sensor Model: 794380 -301 El Annular Space or Vault Sensor Model: Piping Sum / Trench Sensor(s). Model: 794380 -322 Piping Sum / Trench Sensor(s). Model: Fill Sump Sensor(s). Model: 794380 -352 Fill Sump Sensor(s). Model: Mechanical Line Leak Detector Model: UMechanical Line Leak Detector Model: Electronic Line Leak Detector Model: V/R PLLD LJ Electronic Line Leak Detector Model: Tank Overfill / High-Level Sensor Model: 847390 -109 ❑ Tank Overfill / High-Level Sensor Model: Other (specify equipment type and model in Section E on Page 2). LJ Other (specify equipment type and model in Section E on Page 2). Dispenser ID: 1/2 0 Dispenser Containment Sensor(s). Model: ❑� Shear Valve(s). ❑ Dispenser Containment Float(s) and Chain(s). 794380 -208 Dispenser ID: 3/4 ❑� Dispenser Containment Sensor(s). Model: El Shear Valve(s). ❑Dis enser Containment Float(s) and Chain(s). 794380 -208 Dispenser ID: 5/6 Dispenser Containment Sensor(s). Model: Shear Valve(s). ❑ Dispenser Containment Floats and Chain(s). 794380 -208 Dispenser ID: 7/8 0 Dispenser Containment Sensor(s). Model: ❑ Shear Valve(s). ❑Dis enser Containment Float(s) and Chain(s). 794380-208 Dispenser ID: 9/10 ❑� Dispenser Containment Sensor(s). Model: Shear Valve(s). ❑Dispenser Containment.Float(s) and Chain(s). 794380 -208 Dispenser ID: 11/12 ❑� Dispenser Containment Sensor(s). Model: ❑ Shear Valve(s). ❑Dis enser Containment Floats and Chain(s). 794380 -208 If the facility contains more tanks or dispensers, copy this form. Include information for every tank 4direp at the facility. C. Certification.. I certify that the equipment identified in this documentwas inspecteaccordance with the manufacturers' guidelines. Attached to this Certification is information (e.g. manufacturers' checklists) nrify that this information is correct and a Plot Plan showing the layout of monitoring equipment. For any equipment c rating such reports, I have also attached a copy of the report; (check all that apply): Q System SetuQ Alarm History Report Technician Name(print): William S. Karras Signature: Certification No: A26028 License. No: 888712 Testing Company Name: W.S.K. & Sons Inc. Phone No: (951) 906 -3023 Test Company Address: 34455 Sunlight Dr. Yucaipa, CA 92399 Date of Testing/Servicing: 6/5/2013 Monitoring System Certification Page I of A Results of Testing/Servicing Software Version Installed: 333.02 Complete the following checklist: n4 Yes LJ No* Is the audible alarm operational? Yes No* Is the visual alarm operational? Yes No* Were all sensors visually inspected, functionally tested, and confirmed operational? 7 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? El Yes LJ No* If alarms are relayed to a remote monitoring station, is all communications equipment (e.g. modem) operational? N/A Yes No* For pressurized piping systems, does the turbine automatically shut down if the piping secondary containment monitoring system detects a leak, fails to operate, or is electrically disconnected? If yes: -which sensors initiate positive shut -down? (Check all that apply) DumpfFrench Sensors; Spenser Containment Sensors. Did you confirm positive shut -down due to leaks and sensor failure /disconnection? Yes ❑ No El N/A � Yes No* For tanks stems 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 ro erl ? If so, at what percent of tank capacity does the alarm trigger? 90% Yes* LJ No Was any monitoring equipment replaced? If yes, identify specific sensors, probes, or other equipment rep laced 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 monitorin stem set -u reviewed to ensure ro er settings? Attach set u re orts, if applicable Yes I Ll No* Is all monitoring equipment o erational per manufacturer's specifications? * In Section E below, describe how and when these deficiencies were or will be corrected. E. Comments: Replaced a defective spill bucket on 87B Fill Sump. Deficiency has been corrected. Agency: Bakersfield Fire Dept. 2101 H Street Page 2 of 4 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 Lj No* Has all input wiring been inspected for proper entry and termination, including testing for ground faults? v Yes ❑ No* Were all tank gauging probes visually inspected for damage and residue buildup? Yes Yes No* Was accuracy of system product level readings tested? �Yes 7 No* Was accuracy of system water level readings tested? LJ Yes Yes No* Were all probes reinstalled properly? E Yes I Lj No* I 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): Complete the following checklist: ❑ Check this box if LLDs are not installed L,/j Yes LJ No* Forequipment start -u or annual equipment certification was a leak simulated to verify LLD pe rformance? Lj N/A (Check all that apply) Simulated leak rate: ❑✓ 3 .h.; 0 0.1 .h LJ 0.2 .h. Yes No* Were all LLDs confirmed operational and accurate within regulatory requirements? Yes 7 No* Was the testing apparatus properly calibrated? LJ Yes No* For mechanical LLDs, does the LLD restrict product flow if it detects a leak? F/1 N/A Yes No* For electronic LLDs, does the turbine automatically shut off if the LLD detects a leak? N/A Yes El No* For electronic LLDs, does the turbine automatically shut off if any portion of the monitoring system is disabled ❑ N/A or disconnected? � Yes No* For electronic LLDs, does the turbine automatically shut off if any portion of the monitoring stem 7 N/A malfunctions or fails a test? L Yes Q No* For electronic LLDs, have all accessible wiring connections been visually inspected? N/A 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: Page 3 of 4 SWRCB, January 2002 Page 1 of 5 Secondary Containment Testing Report Form This form is intended for use by contractors performing periodic testing of UST secondary containment systems. Use the appropriate pages of this form to report results for all components tested The completed form, written test procedures, 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: Costco Wholesale #688 1 Date of Testing: 6/5/2013 Facility Address: 3800 Rosedale Hm�y.. Bakersfield CA 93309 Facility Contact: Lisa Phone: Date Local Agency Was Notified of Testing: Name of Local Agency Inspector (fpresent during testing): 2. TESTING CONTRACTOR INFORMATION Company Name: W IS K Sons Inc Technician Conducting Test: Willaim S. Karras Credentials: CXCSLB Licensed Contractor ❑ SWRCB Licensed Tank Tester License Type: A C -10 T License Number: Manufacturer Trainine -Manufacturer Component(s) Date Training Expires Spill Buckets 1/2014 ��00 000 3. SUMMARY OF TEST RESULTS If hydrostatic testing was performed, describe what was done with the water after completion of tests: Water was left in a hazmat barrel onsite. CERT ICAT N F TECHNICIAN RESPONSIBLE FOR CONDUCTING THIS TESTING T o the best o f my knllge, a acts stated in this document are accurate and in full compliance with legal requirements Technician's Date: 6/5/13 ��00 000 87B Fill Retest Premium Fill D000; 0��0 000' ��00 If hydrostatic testing was performed, describe what was done with the water after completion of tests: Water was left in a hazmat barrel onsite. CERT ICAT N F TECHNICIAN RESPONSIBLE FOR CONDUCTING THIS TESTING T o the best o f my knllge, a acts stated in this document are accurate and in full compliance with legal requirements Technician's Date: 6/5/13 Spill Bucket Testing Report Form This form is intended for use by contractor performing annual testing of UST spill containment structures. The completed form and printouts form tests(if applicable), should be provided to the facility owner /operator for submittal to the local regulatory agency. 1. FACILITY INFORMATION Facility Name: Costco Wholesale # 688 Date of Testing: 6/5/2013 Facility Address: 3800 Rosedale Hwy. , Bakersfield CA. Facility Contact: Lisa Phone: (661) 6360832 Date Local Agency Was Notified of Testing: May-1 3 Name of Local Agency Inspector if present during testing): 2. TESTING CONTRACTOR INFORMATION Company Name: W.S.K. S Sons Inc. Technician Conducting Test: William Karras Credentials: CSLB Contractor X [CC Service Tech. X SWRCB Tank Tester Other (specify) License Number(s): # 888712 # 5257313 -UT 3. SPILL BUCKET TESTING INFORMATION est Method Used: Hydrostatic X Vacuum Other est E ui ment Used: Visual Equipment Resolution: Identify Spill Bucket (By Tank Number, Stored Product, etc. 87 A 87 B 91 87B Retest Bucket Installation T Contained In Sump X Contained In Sump X Contained In Sump X Contained In Sum Bucket Diameter: 1 12.00" 12.00" 12.00" 12:00" Bucket Depth: 14.25" 14.25" 14.25" 14:25" Waft time between applying acuumtwater and start of test: 15:00 min. 15:00 min 15:00 min. 15:00 min Test Start Time: 8:00am 8:00am 8:00am 2:30 PM Initial Reading Ri ): 14.00" 14.00" 14.00" 14:00" Test End Time: 9:00AM 9:00AM 9:00AM 3:30 PM Final Reading R : 14.00" 13.00" 14.00" 14:00" Test Duration f -Ti : 1 hr 5 min 1 hr 1 hr Change in reading (Rf -Ri): 0.0 -1.00 0 0 Pass/Fail Threshold or Criteria: Pass 1 Gross Pass I Gross Pass I Gross Pass I Gross Resu Test lt. '. = Pass :. o ', : . .. ` e - ass. Pass, Comments- (Include information on repairs made prior to testing and recommended follow -up for failed tests) 87 B failed first testing. We replaced the defective bucket with a new like bucket and retested. Retest results are listed above. All deficiencies have been corrected. CERTIFICATION OF TECHNICIAN RESPONAIBLE FOR CONDUCTING THIS TESTING I hereby cefHy that all the Information contained In this report is true, accurate, and In full compliance with legal requirements Technician's Signature: VL. A. " Date: 6/5/13 Spill Bucket Testing Report Form This form is intended for use by contractor performing annual testing of UST spill containment structures. The completed form and printouts form tests(rf applicable), should be provided to the facility ownedoperator for submittal to the local regulatory agency. 1. FACILITY INFORMATION Facility Name: Costco Wholesale # 688 Date of Testing: 6/5/2013 Facility Address: 3800 Rosedale Hyw. , Bakersfield CA. Facility Contact: Lisa Phone: (661) 6360832 Date Local Agency Was Notified of Testing: May-1 3 Name of Local Nency Inspector if pasent during testing).- 2. TESTING CONTRACTOR INFORMATION Company Name: W.S.K. 8 Sons Inc. Technician Conducting Test: William S. Karras Credentials: CSLB Contractor X ICC Service Tech. X SWRCB Tank Tester Other (s ) License Numbers : # 888712 # 5257313 -UT 3. VAPOR BUCKET TESTING INFORMATION Test Method Used: Hydrostatic X Vacuum Other Test Eg ui ment Used: Visual Equipment Resolution: Identify Spill Bucket (By Tank Number, Stored Product etc. 87 A 87 B 91 Bucket Installation T Contained In Sump X Cordalned In Sump X Contained in Sump X Contained In Sum Bucket Diameter. 12.00" 12.00" 12.00" Bucket Depth: 16.25" 16.75" 15.50" Wait time between applying acuum/water and start of test: 15:00 min. 16:00 min 16:00 min. Test Start Time: 8:00am 8:00am 8:00am Initial Reading Ri ): 16.00" 16.00" 15.00" Test End Time: 9:00AM 9:OOAM 9:0OAM Final Reading (Rf): 16.00" 16.00" 15.00" Test Duration(Tf -Ti): 1 hr 1 hr 1 hr Change In reading (Rf -Ri): 0 0 0 Pass/Fail Threshold or Criteria: Pass I Gross Pass I Gross Pass I Gross Test Result: ass at as Comments- (Include information on repairs made prior to testing and recommended follow -up for failed tests) CERTIFICATION OF TECHNICIAN RESPONAIBLE FOR CONDUCTING THIS TESTING I hereby cet fy that all the Information contained In this report Is true, accurate, and In full compliance with legal requirements Technician's Signature: IWL, A..aa Date:6 /5/13 SERVICE STATION LEGEND I SCALD r-W-W I DATB 7/z ,0/�z. I - F]OSTINO 2' FLEXIBLE DOUBLE WALL PRODUCT PIPING; IN 4' GEDDUCT OWNG 2' OR 3' F.G. DOUBLE WALL VAPOR -RECONM PIPING - - - -- -- -- - EXSTING 3' DOUBLE WALL F16ER4<ILSS VENT PIPING © ANNULAR SPACE TANK L10WMINND SENSOR - VFFDER ROOT 794380 - 301/302 (POSITIVE SHUTDONN) QD TURBINE SUMP SENSOR (DSCRIMINATIND) - VEBER ROOT 704350 -352 (POSITIVE SNUTDOW N) © FILL SU11P SENSOR (NXSCT0MI NAIM) - VEEDER ROOT 794360 -352 (POSITIVE MM" 0 OSPEfSER SUMP SENSOR ( NON- DISCRI1mNATINO) - VEBER ROOT 194380 -206 (POSITIVE Wn Ww) AUTOMATIC TANK GAUGE - VEBER ROOT 847790 -109 Q PRESSURE LINE LEAK DETECTION (PLLO) - VEBER ROOT 848480-001 Q VEBER ROOT TLS -3808 MONROM CONSOLE - VEBER ROOT 818280 -122 ® U.C. PRODUCT TANK ® EMERtiE = S14TTOFF SWITCH Q TELEPHONE (& OVERFILL ALARM (� ABSORBENT ® FIRE HAZARD ® FOE EXTIHOUSHPR MONITORING SITE PLAN COSTCO GASOLINE #688 BAKERSFIELD, CALIFORNIA 3800 ROSEDALE HIGHWAY BAKERsnELD, CALIFORNIA E10E JOB !10888 UP 1U14 5:, 2013 10: 31 hl1 SYSTEM UNITS J.3 .':: ri /1 LANGUAGE NGTSH 3';'S'TEIW DATE /T I ME�- FORMAT MON DD YYYY HH:MI`1:5_, -xM 207901 Costco 683 2300 Rosedale Hi alwea Bakersfield. CA _HIFT TIME 1 DISABLED S,HIF'T TIME 2 DISABLED 4I F'r TIME 3 DISABLED SHIFT TIME 4 DISABLED - SHIF'T BIR PRINTOUTS D I Sf EELED D6ILY BIR PRINTOUTS DISABLED SABLED DELIVERY I) I SABLED TANK PER TST NEEDED WRN'. DISABLED TANK ANN TST NEEDED WRN DISABLED LINE RE- ENABLE METHOD Pi!�SS LINE TEST LINE PER TST NEEDED IVRN D I SABLED, LINE ANN TST NEEDED WRN DISABLED PR I NT TC VOLUMES FNABLED TAMP C6h1PENSATION VALUE (DEG F ) : , 60.0 :2.'T I 1'Y.. HE I GHT OFFSET., ENABLED IJ: A,' E : 90% ii- PROTOCOL DATA `FORMAT l; I GHT PRECISION TEST 'DURATION HOURS: 12 - 0.20 GPH LINE TE:3T - -'- AUTO - CONFIRM: ENABLED 0.10 GPH LINE TEST AUTO- CONFIRM: ENABLED F:RIN'r PRECISION LINE TEST RESULTS: DISABLED DAYLIGHT SAVING 'TIME F NABLED START DATE MAR WEEK 2 SUN START TIME 2:00 AM END DATE NOV WEEK 1 SJN END TIME 2:00 AM RE- DIRECT LOCAL ' RI VTOUT DISABLED LUAU P. -nT: P ^.FTX S 1 i I t r ij MAINTENANCE HISTORY DISABLED TANK CHART SECURITY DISABLED CUSTOM ALARMS DISABLED SERVICE NOTICE ENABLED DELIVERY OVERRIDE- ENABLED ISO 3166 COUNTRY CODE: VAPOR MONITORING TYPE CARD I SD MASS. /DENSITY DISABLED FISCAL HEIGHT SECURITY DISABLED INVENTORY ALARMS UNITS CONFIG: STAND OR LABEL: HIGH nRODUCT: OVER1 : LL DELIV NEEDED: LOW PRODUCT : COMI°o -:SAT ) BA L1. STUF L: fOP DATA LENGTH: 8 :DATA RS -232 SECURITY CODE : DISABLED DTR NORMAL STATE: HIGH AUTO 'TRANSMIT SE'rT I NGS : AUTO LEAK ALARM LIMIT DISABLED AUTO HIGH WATER LIMIT DISABLED AUTO OVERFILL LIMIT DISABLED AUTO LOW PRODUCT DISABLED AUTO 'THEFT LIMIT DISABLED AUTO DELIVERY START DISABLED AUTO DELIVERY END DISABLED AUTO EXTERNAL IN?UT ON DISABLED AUTO EXTERNAL INP=UT OFF DISABLED AUTO SENSOR FUEL ALARM DISABLED AUTO SENSOR WATER ALARM DISABLED AUTO SENSOR OUT ALARM DISABLED ARD VO;: UME,, -- MAX MAX i MAX RECEIVER SETUP: VOi: UME ALARM REDUCTION ENABLED C- )MMuNICATIONS SE'TuP FORT SETTINGS: COMM BOARD : 1 (ED IM ) 1":3-2'--'2 SECURITY CODE : DISABLED COMM BOARD 2 (RS -232) BAUD RATE 9600 'DAR I TY ODD ,STOP A 17 1 .STOP 1 �T. DATA Ri= C.; D 8:VEEDER ROOT (FMS) C18 R'.VR TYPE: COMPUTER FORT NO: 3 RETRY NO: 5 RETRY DELAY: 5 CONFIRMATION REPORT: OFF AUTO DIAL TIME S; =TUP: D 8:VEEDER ROOT (FMS) DIAL WEEKLY SAT D I A. RECL h: 3E ci tRNING ALL :•.v. „ ;•I ALARM UP ALL "SENSOR FAULT ALARM - - - - - - - - - - - - - - ALL:FUEL WARNING ALL:FUEL ALARM T 1:Unleaded D 8:VEEDER ROOT (FMS) ALL:WATER WARNING PRODUCT CODE 1 ALL:WATER ALARM THERMAL COEFF :.000700 IN -TANK ALARMS ALL:HIGH LIQUID WARNING TANK DIAMETER 119.63 ALL:LEAK ALARM ALL:HIGH LIQUID ALARM TANK PROFILE 4 PTS ALL:HIGH WATER ALARM ALL:LOW LIQUID WARNING FULL VOL 19951 ALL:OVERFILL ALARM ALL:LOW LIQUID ALARM 89.7 INCH VOL 16216 ALL:LOW PRODUCT ALARM ALL:TEMPERATURE WARNING 59.9 INCH VOL 10017 ALL:SUDDEN LOSS ALARM ALL:RELAY ACTIVE 29.9 INCH VOL 3781 ALL:HIGH PRODUCT ALARM ALL:INSTALL ALARM METER DATA YES ALL :INVALID FUEL LEVEL ALL:SENSOR FAULT WARN END FACTOR: NONE ALL:PROBE OUT ALL:VACUUM WARNING CAL UPDATE: IMMEDIATE ALL:HIGH WATER WARNING ALL : NO VACUUM A'` ARI l ALL:DELIVERY NE: =DED ALL:MAX PRODUCT ALARM ISD SITE ALARMS FLOAT SIZE: 4.0 IN. ALL:GROSS TEST ' =AIL ISD STAGE I WARN WATER MINIMUM 0.000 ALL:PERIODIC TEST FAIL ISD GROSS PRES WARN ALL:ANNUAL TEST FAIL ISD GROSS PRES FAIL WATER WARNING 1.0 ALL:PER TST NEEDED WRN ISD DEGRD PRES WARN HIGH 14ATER LIMIT: 1.0 ALL:ANN TST NEEDED WRN ISD DEGRD PRES FAIL WATER ALARM FILTER: LOW ALL:PER TST NEEDED ALM ISD VAPOR LEAK 14ARN ALL:ANN TST NEEDED ALM ISD VAPOR LEAK FAIL ALL : TANK TEST ACT I'VE ISD VP PRES WARN MAX OR LABEL ALL:NO CSLD IDLE TIME ISD VP PRES FAIN. VOLUME 19951 ALL:TANK SIPHON BREAK ISD VP STATUS WARN ALL:CSLD INCR RATE WARN ISD VP STATUS FAIL NIGH PRODUCT ALL:ACCU_CHART CAL WARN MISSING RELAY SETUP % MAX 95.1 ALL:RECON WARNING MI:S:SING HOSE SETUP (GALLONS) 18954 ALL:RECON ALARM MISSING TANK SETUP ALL:LOW TEMP WARNING MISS VAPOR FLOW MTR OVERFILL LIMIT ALL:GROSS FAIL LINE TNK MISS VAPOR PRES SEN a MAX 90.1 (GALLONS) 17956 LIQUID SENSOR ALMS MISSING VP INPUT ALL:FUEL ALARM ISD SETUP WARN DELIVERY LIMIT j ISD SETUP FAIL % MAX 22.6 ALL:SENSOR OUT ALARM ISD SENSOR OUT WARN (GALLONS) 4500 ALL:SHORT ALARM ISD :SENSOR OUT FAIL ALL:WATER ALARM PC -ISD FAILURE LOW PRODUCT ALL:WATER OUT A:"_ARM VOLUME 600 ALL:HIGH LIQUID ALARM ISD HOSE ALARMS ALL:LOW LIQUID ALARM ALL:GROSS COLLECT WARN LEAK ALARM LIMIT: 8 ALL:LIQUID WARNING ALL:GROSS COLLECT FAIL SUDDEN LOSS LIMIT: 25 ALL:DEGRD COLLECT WARN TANK TILT 0.00 RECEIVER ALARMS ALL:DEGRD COLLECT FAIL PROBE OFFSET 0.00 SERVICE REPORT WARN ALL:FLOW COLLECT WARN ALARM CLEAR. WARN I NG ALL : FLOW COLLECT FAIL NO DIAL TONE ALARM ALL:AIRFLOW MTR SETUP SIPHON MANIFOLDED TANKS TO: 02 GOMM SIDE DIM ALM VAPOR FLW MTR ALMS LINE MANIFOLDED TANKS ALL:DISABLED DIM ALARM ALL:CHK VAPOR FLOW IITR TO: NONE ALL:COMMUNI CAT ION ALARM ALL:TRANSACTION ALARM PMC ALARMS VP RUNTIME FAULT LEAK MIN PERIODIC: 80% PRESSURE LINE LEAK VP EMISSIONS WARN 15960 ALL:!3ROSS LINE <=AIL VP EMISSIONS FAIL ALL:ANNUAL LINE FAIL VP PRESSURE WARN LEAK MIN ANNUAL 80% ALL:PER TST NEEDED WRN VP PRESSURE FAIL 15960 ALL:PER TST NEEDED ALM VP DUTY CYCLE WARN ALL:PLLD OPEN A:'_ARM VP DUTY CYCLE FAIL ALL:UNKNOWN ALARM PMC SETUP FAIL PERIODIC TEST TYPE ALL:PLLD SHUTDOWN ALARM STANDARD ALL:UNKNOWN ALARM FsNNUAL TEST FAIL ALL:UNKNOWN ALARM ALL:PERIODIC LINE FAIL ALARM DISABLED ALL:ANN TST NEEDED WRN PERIODIC TEST FAIL ALL:ANN TST NEEDED ALM ALL:LOW PRESSURE ALARM ALARM DISABLED ALL:UNKNOWN ALARM ALL:r"^NT HANDLE ALM GROSS TEST FAIL ALL : F ^P1 ' T SABLED ALL: ALM OFF OFF OFF PER. ?E ;: 7) TANKS STANDARD 1 _ �l=(4K:OFF L.; .::! it _ i ED iANKS ANNUAL TEST FAIL TO: NONE I) L I VERY DELAY 1 111 IV ALARM DISABLED ~,TICK OFFSET 0.00 PUMP 'THRESHOLD 10.00% PERIODIC TEST FAIL LEAK MIN PERIODIC: 80% ALARM DISABLED 15960 GROSS TEST FAIL LEAK MIN ANNUAL 80% ALARM :DISABLED 15960 ANN TEST AVERAGING: OFF PER TEST AVERAGING: OFF PERI3DIC TEST TYPE ,STANDARD TANK 'TEST NOTIFY: OFF ANNUAL TEST FAIL TNK TST SIPHON BREAK:OFF ALARM DISABLED T 2:Unleaded PRODUCT CODE I DELIVERY DELAY 1 MIN PERIODIC TEST FAIL THERMAL COEFF :.000700 STICK OFFSET 0.00 ALARM DISABLED TANK DIAMETER 119.63 PUMP THRESHOLD 10.00% TANK PROFILE 4 PTS GROSS TEST FAIL FULL VOL 19951 ALARM DISABLED 89.7 INCH VOL 16216 59.8 INCH VOL 10017 ANN TEST AVERAGING: OFF 29.9 INCH VOL : 3781 PER TEST AVERAGIiNG: OFF PIETER DATA YES END FACTOR: NONE TANK 'TEST NOTIFY: OFF CAL UPDATE: IMMEDIATE TNK TST SIPHON BREAK:OFF FLOAT SIZE: 4.0 IN. DELIVERY DELAY 1 MIN Uid,kTER MINIMUM 0.000 T 3:Premiurn STICK OFFSET 0.00 PRODUCT CODE 2 PUMP THRESHOLD 10.00% WATER WARNING 1.0 THERMAL COEFF :.000700 HIGH WATER LIMIT: 1.0 TANK DIAMETER 119.63 WATER ALARM FILTER: LOW TANK PROFILE 4 PTS ` FULL VOL 19951 89.7 INCH VOL 16216 mAX OR LABEL 59.9 INCH VOL 10017 VOLUME 19951 29.9 INCH VOL 3781 PIETER DATA YES HIGH PRODUCT END FACTOR: NONE % MAX : 95.1 CAL UPDATE: IHPIEDIATE (GALLONS) 18954 OVERFILL LIMIT FLOAT SIZE: 4.0 IN. LEAK TEST METHOD % MAX : 90.1 WATER 'M I N I MUM 0.000 - - - - - - - - - - - - (GALLONS) 17956 TEST ON DATE : ALL TANK: WATER WARNING 1.0 JAN 1. 1996 DELIVERY LIMIT HIGH 14ATER LIMIT: 1.0 START TIME : DISABLED % MAX : 22.6 WATER ALARM FILTER: LOW TEST RATE :0.20 GAL /HR (GALLONS) 4500 DURATION : 2 HOURS LOW PRODUCT P1AX (DR LABEL TST EARLY STOP : D I SABLED VOLUME 600 VOLUME 19951 LEAK 'TEST REPORT FORMAT LEAK ALARM LIMIT: 8 HIGH PRODUCT NORMAL SUDDEN LOSS LIMIT: 25 % MAX 95.1 TANK TILT 0.00 (GALLONS) 18954 PROBE OFFSET 0.00 OVERFILL LIMIT % MAX 90.', 1PHO N MANIFOLDED TANKS (GALLONS) 179F,. _14: O1 LINE MANIFOLDED 'TANKS DELIVERY LIMIT TO: NONE % MAX 2 (GALLONS) 4, LEAK III PERIODIC: 80% LOW PRODUCT 15960 VOLUME 600 LEAK I °l I N ANNUAL ` . LEAK ALARM LIMIT: 8 '1 i'„`� I •.UDDEN LOSS LIMIT: 25 V "' 'TILT 0.00 :E OFFSET 0.00 L14:DISP PAN 9.10 TRI- ;STATE (SINGLE FLOAT) LIQUID SENSOR SETUP CATEGORY : DISPENSER PAN L 1:UNLEAD A ANNULAR TRI - .S'T'ATE (SINGLE FLOAT) L 15 : D I SP PAN 11,12 G 2:UNL 87B CATEGORY : ANNULAR SPACE LOAT) R PAN 0 1:UNL 87A TYP:I.5IN ENVIRN GFLEXII LINE LENGTH: 175 FEET L 2:UNLEAD A FILL Lll:DISP PAN 3.4 0.20 GPH TEST: REPETITIV DISCRIMINATING TRI - S'T'ATE (SINGLE FLOAT) 0.10 GPH TEST: AUTO LINE LEAK LOCKOUT SETUP CATEGORY : DISPENSER PAN SHUTDOWN RATE: 3.0 GPH -. - _ - - - - - - _ - - LOW PRESSURE 5 PSI L]W PRESSURE SHUTOFF:YES LOCKOUT SCHEDULE I_OW PRESSURE 5 PSI DA I LY 2: Unleaded Unleaded D +JAL FLT. START TIME: DISABLED I.12:DISP PAN 5.6 T 1:Unleaded S'T'OP TIME : DISABLED TRI -STATE (SINGLE FLOAT) DISPENSE MODE: CATEGORY : DISPENSER PAN S'T'ANDARD PRESSURE OFFSET: O.OPSI SENSOR: HIGH PRESSURE B ANNULAR PRESSURE OFFSET: O.OPSI (SINGLE FLOAT) OUTPUT RELAY SETUP PlECHANICAL BLENDER: NO CATEGORY : ANNULAR SPACE I.13:DISP PAN 7.8 hEC HA N I GAL BLE ND;?R : NO TRI -STATE (S I NGL.'= FLOAT) CATEGORY : DISPENSER PAN L14:DISP PAN 9.10 TRI- ;STATE (SINGLE FLOAT) LIQUID SENSOR SETUP CATEGORY : DISPENSER PAN L 1:UNLEAD A ANNULAR TRI - .S'T'ATE (SINGLE FLOAT) L 15 : D I SP PAN 11,12 G 2:UNL 87B CATEGORY : ANNULAR SPACE TRI -STATE (SINGLE FLOAT) CATEGORY DISPENSER PAN 'IYP:I.5IN ENVIRN GFLEXII LINE LENGTH: 173 FEET 0.20 GPH TEST: REPETITIV L 2:UNLEAD A FILL 0.10 GPH TEST: AUTO DUAL FLT. DISCRIMINATING SHUTDOWN RATE: 3.0 GPH CATEGORY : PIPING SUMP LOW PRESSURE SHuTOFF:YES LOW PRESSURE 5 PSI I. 3:UNLEAD A STP 2: Unleaded Unleaded D +JAL FLT. DISCRIMINATING IISPENSE MODE: CATEGORY : STP SUMP STANDARD SENSOR: HIGH PRESSURE PRESSURE OFFSET: O.OPSI I. 4:UNLEAD B ANNULAR T.R I - :S'T'ATE (SINGLE FLOAT) OUTPUT RELAY SETUP PlECHANICAL BLENDER: NO CATEGORY : ANNULAR SPACE - - - - - - - - - - - - R 1:OVERFILL ALARM TYPE: L 5:UNLEAD B FILL STANDARD DUAL FLT. DISCRIMINATING NORMALLY OPEN CATEGORY : PIPING SUMP TANK #: NONE L 6:UNLEAD B STP DUAL FLT. DISCRIMINATING IN -TANK ALARMS CATEGORY : STP SUMP ALL:HIGH WATER ALARM 0 3:PREMIUM 91 ALL:OVERFILL ALARM ALL:LOW PRODUCT ALARM T'YP:1.5IN ENVIRN GFLEXII L 7:PREMIUM ANNU ?AR ALL:SUDDEN LOSS ALARM LINE LENGTH: 280 FEET TRI -STATE (SINGLE FLOAT) ALL:HIGH PRODUCT ALARM 0.20 GPH TEST: REPE'I' I T I V CATEGORY : ANNULAR SPACE TALL :INVALID FUEL LEVEL 0.10 -',PH TEST: AUTO ALL:PROBE OUT SHUTDOWN RATE: 3.0 GPH ALL:HIGH WATER WARNING LAW PRESSURE SHUTOFF:YES iALL:DELIVERY NEEDED LOW PRESSURE 5 PSI I. B:PREMIUM FILL ALL:MAX PRODUCT ALARM DUAL FLT. DISCRIMINATING T 3:Premiurn CATEGORY PIPING SUMP LIQUID SENSOR ALMS DISPENSE MODE: ALL:FUEL ALARM STANDARD ALL:SENSOR OUT ALARM SENSOR: HIGH PRESSURE I_ 9 :I T,. ~� ALL:SHORT ALARM PRESSURE OFFSET: O.OPSI DUAI. 'ING ALL:WATER ALARM CAT1. 1 1 T AU I D ALARM MECHIA ^!T('AL BLEND; =R: NO '.ARM F; dli Nvkrir;LLY cii✓iriv 18) I TE 2M'ti � i ,;,._; :.. : ,._ : , . n 1 GH WATER ALARM TANK #: NONE ISD GROSS PRES rHIL T 3:LOW PRODUCT ALARM ISD DEGRD PRES FAIL ISD VAPOR LEAK FAIL LIQUID SENSOR ALMS IN —TANK ALARMS ISD SETUP FAIL L 7:FUEL ALARM ALL:LEAK ALARM ISD SENSOR OUT FAIL L 8•FUEL ALARM ALL:HIGH WATER ALARM L 9:FUEL ALARM ALL:OVERFILL ALARM ISD HOSE ALARMS L10:FUEL ALARM ALL:LOW PRODUCT ALARM ALL:GROSS COLLECT FAIL Lll:FUEL ALARM ALL:SUDDEN LOSS ALARM ALL:DEGRD COLLECT FAIL L12:FUEL ALARM ALL:PROBE OUT ALL:FLOW COLLECT FAIL L13:FUEL ALARM L14:FUEL ALARM LIQUID SENSOR ALMS G 2:UNL 87B 1.15:FUEL ALARM ALL:FUEL ALARM L 7:SENS0R OUT ALARM ALL:SENSOR OUT ALARM IN —TANK ALARMS L 8:SENS0R OUT ALARM ALL:SHORT ALARM T 2:HIGH WATER ALARM L 9:SENS0R OUT ALARM ALL:WATER ALARM T 2:LOW PRODUCT ALARM Ll0:SENSOR OUT ALARM ALL:HIGH LIQUID ALARM Lll:SENSOR OUT ALARM ALL:LOW LIQUID ALARM LIQUID SENSOR ALMS L12:SENSOR OUT ALARM ALL:LIQUID WARNING L 3:FUEL ALARM L13:SENS0R OUT ALARM L 4:FUEL ALARM L14:SENS0R OUT ALARM L 5:FUEL ALARM L15:SENS0R OUT ALARM L 6:FUEL ALARM L 7:SHORT ALARM L10:FUEL ALARM L 8:SHORT ALARM Lll:FUEL ALARM L 9:SHORT ALARM L12:FUEL ALARM L10:SHORT ALARM L13:FUEL ALARM L11:SHORT ALARM L14:FUEL ALARM L12:SH0RT ALARM L15:FUEL ALARM L13:SH0RT ALARM L 3:SENSOR OUT ALARM L14:SHORT ALARM L 4:SENSOR OUT ALARM L15:SHORT ALARM PLLD LINE DISABL:'2_ SETUP L 5:SENSOR OUT ALARM L 8:HIGH LIQUID ALARM — — — — — — — — — — — — L 6:SENSOR OUT ALARM L 9:HIGH LIQUID ALARM L10:SENSOR OUT ALARM •r_ B:LIQUID WARNING G 1:UNL 87A L11:SENSOR OUT ALARM L 9:LIQUID WARNING L12:SENSOR OUT ALARM IN —TANK ALARMS 1 L13:SENSOR OUT ALARM PRESSURE LINE LEAK T 1:HIGH WATER ALARM L14:SENSOR OUT ALARM Q 3:PLLD OPEN ALARM T I:LOW PRODUCT ALARM L15:SENSOR OUT ALARM L 3:SHORT ALARM LIQUID SENSOR ALMS L 4:SHORT ALARM ISD SITE ALARMS 1:FUEL ALARM L 5:SHORT ALARM ISD GROSS PRES FAIL 2:FUEL ALARM L 6:SHORT ALARM ISD DEGRD PRES FAIL L 3:FUEL ALARM L10:SHORT ALARM ISD VAPOR LEAK FAIL L 6:FUEL ALARM Lll:SHORT ALARM ISD SETUP FAIL L10:FUEL ALARM L12:SHORT ALARM ISD SENSOR OUT :=AIL L11 :FUEL ALARM L13:SHORT ALARM L1'2:FUEL ALARM L14:SHORT ALARM ISD HOSE ALARMS L13:FUEL ALARM L15:SHORT ALARM ALL:GROSS COLLECT FAIL L14:FUEL ALARM L 5:HIGH LIQUID ALARM ALL:DEGRD COLLECT FAIL L15:FUEL ALARM L 6:HIGH LIQUID ALARM ALL:FLOW COLLET FAIL L I:SENSOR OUT ALARM L 2:SENSOR OUT ALARM L 3:LIGUID WARNING 3:SENSOR OUT ALARM L 5:LIQUID WARNING L 6:SENS0R OUT ALARM L 6:LIQUID WARNING L10:SENS0R OUT ALARM Lll :SENSOR OUT ALARM ALARM PRESSURE LINE LEAK L12:SENSOR OUT ALARM 1) 2:PLLD OPEN ALARM L13:SENS0R OUT ALARM L14:SENSOR OUT ALARM ISD SITE ALARMS L15:SENSOR OUT ALARM ISD GROSS PRES SAIL 1:SHORT ALARM ISD DEGRD PRES 'FAIL L 2:SHOkT ALARM ISD VAPOR LEAK FAIL L 3:SHORT ALARM ISD SETUP FAIL 6:SHORT ALARM ISD SENSOR OUT FAIL L10:SH0RT ALARM i, l l :SHORT ALARM ISD L 1 2: SHORT ALARM ALL: :' -: c A I L L13:SHORT ALARM ALL*.:. :•3IL L14:SHORT ALARM ALL: '. IL L15:SHORT ALARM L :3:HIGH LIQUID ALARM L 6:HIGH LIQUID ALARM �r 3. L 6: ACCEPT HIGH ORVR : PERIODIC RECONCILIATION DISABLED 333. DZ .;DUEL MODE: MONTHLY VERS1� , EDim i : u SOFTWARE# 346;jJ3- I00 -C ALARM: DISABLED EVR 'TYPE: VACUUM ASSIST CREATED - 12.08.10..11.22 AUTOMATIC DAILY CLOSING VACUUM ASSIST TY?E TIME: 2:00 AM HEALY VAC S- MODULE# 330160 -164 -a FP FL HL AA RR SYSTEM FEATURES: AUTO SHIFT #1 CLOSING NOZZLE A/L RANGE PERIODIC IN -TANK TESTS TIME: DISABLED MAX: 1.15 MIN: 0.95 ANNUAL IN -TANK TESTS BIR AUTO SHIFT 02 CLOSING VAPOR PROCESSOR 'TYPE ISD%APM TIME: DISABLED NONE PLLD 0.10 AUTO AUTO SHIFT #3 CLOSING 02 02 0.20 REPETITIV TIME: DISABLED ANALYSIS TIMES WPLLD OFFSET: O.000a TIME: 5:00 AM 0.10 AUTO AUTO SHIFT #4 CLOSING DELAY MINUTES: 1 0.20 REPETITIV TIME: DISABLED 04 ACCEPT HIGH ORVR : PERIODIC RECONCILIATION DISABLED MODE: MONTHLY ALARM: DISABLED ISD HOSE TABLE ID FP FL HL AA RR T IhP COMPENSATION ••---------------------- S'TANDARD O1 01 01 09 O1 00 PIETER CALIBRATION 02 02 02 09 01 00 OFFSET: O.000a 03 03 03 09 02 00 ALARM HISTORY REPORT 04 04 04 09 02 00 EUS ':LOT FUEL METER TANK 05 05 05 09 03 00 - -- IN -TANK ALARM - - - -- -- - - - - - - - - - - - 06 06 06 09 03 00 3 1 1 1 1 07 07 07 09 04 00 T 1:Unleaded- 3 1 1 2 3 09 08 08 09 04 00 3 1 2 1 1 09 09 09 09 05 00 OVERFILL ALARM 3 1 2 2 3 10 10 10 09 05 00 JUN 5, 2013 8:58 AM 3 1 3 1 1 11 11 11 09 06 00 MAR 21, 2013 4:38 All 3 1 3 2 3 12 12 12 09 06 00 MAR '21, 2013 4:12 AM 3 1 4 1 1 3 1 4 2 3 LOW PRODUCT ALARM 3 1 5 1 1 1 S AIRFLOW METER MAP MAR 13. 2013 8:29 Pill 3 1 5 2 3 ID SERIAL NUM LABEL 3 1 6 1 1 ---- --------------- - - - - -- SUDDEN LOSS ALARM 3 1 6 3 1 20915 VF DISP 1- APR 6, 2013 7:19 PM 3 1 7 1 1 2 21353 VF DISP 3- APR 2, 2013 1:20 All 3 1 7 2 3 3 21366 VF DISP 5- APR 1, 2013 11:22 PM 3 1 8 1 1 4 21367 VF DISP 7- 3 1 8 2 3 5 59192 VF DISP 9- HIGH PRODUCT ALARM 3 1 9 1 1 6 21164 VF DISP 11 JUN 5, 2013 8:58 All 3 1 9 2 3 3 1 10 1 1 PROBE OUT 3 1 10 2 3 181) FUEL GRADE HOSE MAP JUN 5, 2013 8:59 AM 3 1 11 1 1 1 2 3 4 JUN 5, 2013 8:57 AM 3 1 11 2 3 FP MHH MHH MHH MHH AA MAR 20, 2013 10:36 PM 3 1 12 1 1 --------------------- 3 1 12 2 3 01 101 201 U U U U 1 02 102 202 U U U U 1 DELIVERY NEEDED SMAR'TSENSOR SETUP 03 103 203 U U U U 2 JUN 1, 2013 3:15 PM - - - - - - - - - - - - 04 104 204 U U U U 2 JUN 1, 2013 10:35 All 05 105 205 U U U U 3 APR 5, 2013 12:58 Pl°i 1:VF DISP 1 -2 G6 106 206 U U U U 3 CATEGORY AIR FLOW METER O7 107 207 U U U U 4 03 108 208 U U U U 4 LOW TEMP WARNING 2:VF DISP 3 -4 09 109 209 U U U U 5 JUN 5, 2013 8:59 AM CATEGORY AIR FLOW DIETER 10 110 210 U U U U 5 MAR 21, 2013 4:11 All 11 111 211 U U U U 6 3:VF DISP 5 -6 12 112 212 U U U U 6 CATEGORY AIR FLOW METER a 4:VF DISP 7 -8 LABEL TABLE CATEGORY AIR FLOW METER ---------------------- 1: UNASSIGNED 5:VF DISP 9 -10 2: BLEND3 CATEGORY AIR FLOW METER 3: REGULAR 4: MID GRADE 6:VF DISP 11 -12 5: PREMIUM x * X x END * K * X CATEGORY AIR FLOW GOLD B:PRES SENSOR 3- BRONZE SILVER I Ci -ATEGORY VAPOR :�h' BLEND2 �y A (A BLEND4 DELIVERY NEEDED .JUN 1, 2013 3:08 PM JUN 1, 2013 10:30 All MAY 14, 2013 5:40 PM ALARM HISTORY REPORT ALARM HISTORY REPORT - - -- SENSOR ALARM - - - -- -- --- SENSOR ALARM - - - -- I. 2:UNLEAD A FILL L 5:UNLEAD B FILL PIPING SUMP PIPING SUMP LIQUID WARNING LIQUID WARNING x * * * END JUN 5, 2013 8:40 All JUN 5, 2013 8:44 All SENSOR OUT ALARM SENSOR OUT ALARM JUN 5, 2013 8:38 AM JUN 5, 2013 8:38 All LIQUID WARNING LIQUID WARNING MAD :?1. 2013 12:47 AM PIAR 2..' - 2013 1:24 All ALARM HISTORY RE:POR'r - -- IN -TANK ALARM - - - -- ------ - - -- SENSOR ALARM - -- SENSOR ALARM - - - -- T 2:Unlesded L 6:UNLEAD B STP L I:UNLEAD A ANNULAR L 4:UNLEAD B ANNULAR 7 3:Prerniurn LIQUID WARNING i;NNULAR SPACE ANNULAR SPACE OVERFILL ALARM JUN 5, 2013 8:41 AM SENSOR OUT ALARM FUEL JUN ALARM 5, 2013 8:42 AM JUN 5, 2013 9:02 All JUN 5, 2013 8:38 All SENSOR OUT ALARM MAR 21, 2013 6:28 Pll P1AY 29, 2013 APk 13, 2013 5:24 5:15 PM PM FUEL ALARM SENSOR OUT ALARM LIQUID WARNING JUN 5, 2013 9:49 All JAN 4, 2013 11:11 AM JUN 5, 2013 8:'35 AM JUN 5, 2013 8:'38 AM LOW PRODUCT ALARM MAR 13. 2013 8:19 PM 1:UEL ALARM FUEL ALARM MAR 21, 2013 6:31 PM JAN 4, 2013 11:12 AM AN JAN 4, 2013 11:34 A SUDDEN LOSS ALARM AM JJN 5, 2013 9:05 All FPR 2, 2013 1:20 All PM JAN 6, 2013 4:51 AM LOW TEMP WARNING INVALID FUEL LEVEL lam/ hAR E2, 2013 1:30 AM PiAR 13, 2013 8 :28 PM P2OBE OUT JUN 5, 2013 9:03 AM JUN 5, 2013 MAR '20, 2013 9:01 11:00 All Pll * * )( END )( f. * END DELIVERY NEEDED .JUN 1, 2013 3:08 PM JUN 1, 2013 10:30 All MAY 14, 2013 5:40 PM ALARM HISTORY REPORT ALARM HISTORY REPORT - - -- SENSOR ALARM - - - -- -- --- SENSOR ALARM - - - -- I. 2:UNLEAD A FILL L 5:UNLEAD B FILL PIPING SUMP PIPING SUMP LIQUID WARNING LIQUID WARNING x * * * END JUN 5, 2013 8:40 All JUN 5, 2013 8:44 All SENSOR OUT ALARM SENSOR OUT ALARM JUN 5, 2013 8:38 AM JUN 5, 2013 8:38 All LIQUID WARNING LIQUID WARNING MAD :?1. 2013 12:47 AM PIAR 2..' - 2013 1:24 All ALARM HISTORY RE:POR'r - - - -- SENSOR HLA;tII - - - -- - - -- SENSOR ALARM - -- -- - IN -TANK ALARM - - - -- L 3:UNLEAD A STP L 6:UNLEAD B STP STP SUMP S'rP SUMP 7 3:Prerniurn LIQUID WARNING LIQUID WARNING JUN 5, 2013 8:41 AM JUN 5, 2013 8:46 AM OVERFILL ALARM ., JUN 5, 2013 9:U7 All ,SO. R SENSOR OUT ALARM SENSOR OUT ALARM MAR 21, 2013 6:28 Pll JUN 5, 2013 8:38 All JUN 5, 2013 8:'38 AM SUDDEN LOSS ALARM LIQUID WARNING LIQUID WARNING JUN 5, 2013 9:49 All JAN 4, 2013 11:11 AM JAN 4, 2013 11:15 All .JUN 5, 2013 7 :41 All HIGH PRODUCT ALARM MAR 21, 2013 6:31 PM PROBE OUT JUN 5, 2013 9:07 AM JJN 5, 2013 9:05 All HAR 21, 2013 9:39 PM END � LOW TEMP WARNING JUN 5, 2013 9:08 All lam/ hAR E2, 2013 1:30 AM P, T L 7 . r't<0n i UI "I HNNULHR F,NNULAR SPACE FUEL ALARM JUN 5, 2013 8:46 AM 2ENSOR OUT ALARM JUN 5, 2013 8:38 AM FUEL ALARM JAN 4, 2013 11:227 AM x. x* x x END x* x x x ALARM HISTORY RE:-ORT SENSOR ALARM L 8:PREMIUM FILL PIPING SUMP LIQUID WARNING JUN 5, 2013 8:47 All SENSOR OUT ALARM JUN 5, 2013 8:38 All HIGH LIQUID ALARM MAR 2'2 , 2013 1:37 All ;E x* x x END x x x x x ALARM HISTORY RE' =SORT SENSOR ALARM L 9:PREMIUM STP S'I'P :SUMP LIQUID WARNING JUIV 5, 2013 8:48 AM SENSOR 01' JUN 5. LIQUIL, JIaN I.I u i'i3N i . 2 DISPENSER PAN FUEL ALARM JUN 5, 2013 8:50 All FUEL ALARM JAN 4, 2013 10:52 AM x x x x x END x x x x x X x* x x END x x x x x ALARM HISTORY RESORT - - -- SENSOR ALARM - - - -- ALARM HISTORY REPORT L11:DISP PAN --- L13:UiNi� - - - -- SENSOR ALARM - - - -- DISPENSER PAN L15:DISP PAN 11,12 FUEL ALARM FUEL ALARM JUN 5. 2013 8:51 AM SENSOR OUT ALARM 8:49 AM JUN 5, 2013 8:38 All FUEL ALARM FUEL ALARM JAN 4, 2013 10:76 AM x x x x x END x x x x x X x* x x END x x x x x ALARM HISTORY RESORT - - -- SENSOR ALARM - - - -- ALARM HISTORY REPORT L11:DISP PAN 3,4 - - - -- SENSOR ALARM - - - -- DISPENSER PAN L15:DISP PAN 11,12 - - - -- SENSOR ALA;4M - - - -- FUEL ALARM L14:DISP PAN 9,10 JUN 5, 2013 8:49 AM DISPENSER PAN i FUEL ALARM SENSOR OUT ALARM JUN �I 1 JUN 5, 2013 8:53 AM JUN 5, 2013 8:38 All FUEL .. JAN SENSOR OUT ALARM FUEL ALARM JUN 5, 2013 8:'38 All JAN 4, 2013 10:47 All FUEL ALARM JAN 4, 2013 11:04 AM x x* x x END x* x x x x x r x x END x* x x x ALARM HISTORY REPORT - - - -- SENSOR ALARM - - - -- ALARM HISTORY REPORT' L12:DISP PAN 5,6 DISPENSER PAN - - - -- SENSOR ALARM - - - -- FUEL ALARM L15:DISP PAN 11,12 JUN 5, 2013 8:51 AM DISPENSER PAN FUEL ALARM SENSOR OUT ALARM JUN 5, 2013 8:53 AM JUN 5. 2013 8:38 AM SENSOR 011T AT_APM FUF T JUN �I 1 FUEL .. JAN 1 a * * * * END * . * i( * * * r * * END * K X Al )RT J• YlSLi'i i Vl i i i FLLD SHUTDOWNV ALARM JUN 5, 2013 10:23 All GROSS LINE FAIL JUN 5, 2013 - SEIVSOR ALARM - - - -- :- !^I:•.;�J; ;;r�:,� � - - - -- 0 2: UNL 87B 0 1:UNL 87A FLLD 'SHUTDOWN ALARM FLLD 'SHUTDOWN Abi RM JUN 5, 2013 10:38 AM JUN 5. 2013 10:13 All JUN 5, 2013 G ROS.3 LINE FAIL GROSS LINE FAIL JUN 5. 2013 10:13 AM JUN 5, 2013 10:'38 All 8:51 AM FLLD 'SHUTDOWN ALARM PLI-D SHUTDOWN ALARM JUN 5, 2013 8:53 AM JUN 5, 2013 8:53 AM FLLD SHUTDOWN ALARM FLLD SHUTDOWN ALARM JUN 5, 2013 8:53 AM JUN 5, 2013 8:53 AM FL LD SHUTDOWN ALARM SHUTDOWN ALARM JUN 5, 2013 8:51 AM JUN 5. 2013 8:51 Alt FLLD 'SHUTDOWN ALARM FLLD ;SHUTDOWN ALARM JUN 5, 2013 8:51 All JUN 5, 2013 8:51 AM FLLD ;SHUTDOWN ALARM FLLD 'SHUTDOWN ALARM JUN 5, 2013 8:50 AM JUN S. 2013 8:'50 A M FLLD (SHUTDOWN ALARM FLLD :SHUTDOWN ALARM JUN 5, 2013 8:49 AM J UN 5. 2013 8:49 AM FLLD ;SHUTDOWNS ALARM FLLD :SHUTDOWN ALARM JUN 5, 2013 8:46 AM JUN 5. 2013 8:46 AM LLD SHUTDOWN ALARM FLLD SHUTDOWN ALARM JUN 5, 2013 8:44 All J UIV 5, 2013 8:41 AM a * * * * END * . * i( * * * r * * END * K X Al )RT J• YlSLi'i i Vl i i i FLLD SHUTDOWNV ALARM JUN 5, 2013 10:23 All GROSS LINE FAIL JUN 5, 2013 10:23 All FLLD SHUTDOWN ALARM JUN 5, 2013 8:53 AM FLLD :SHUTDOWN ALARM JUN 5, 2013 8:33 AM FLLD :SHUTDOWN ALARM JUN 5. 2013 8:51 AM FLLD 'SHUTDOWN ALARM JUN 5, 2013 8:51 All FLLD SHUTDOWN ALARM JUN 5, 2013 8:50 All FLLD SHUTDOWN ALARM JUN S. 2013 8:49 AM FLLD 'SHUTDOWN ALARM JUN 5. 2013 8:48 AM FLLD SHUTDOWN ALr^+RM JUN 5, 2013 8:47 All x * N * * END * * * * x UILLING & PERMIT STATEMENT PERMIT # BAKERSFIELD, FIRE DEPARTMENT B H t&r Prevention Se v6ces 2101 H Street ' Bakersfield, CA 93301 Phone: 661 -326 -3979 • Fax: 661-852-2171 SITE INFORMATION LOCATION 9F PROJECT l/� PROP TY OWNER /� V (NAME 4 STARTI G 0 TE COMP 0 DA PROJECT NAME Cr 2� ' .:i ADD 5 PHONE 1- �3 Po ^'G-r ADDRESS ' fDD?r�sc �w crry gcEK ER51 ELA STATE C� zIP COPE 3� CD OR NAME ' ' 22 S CONTRACTOR CA LICENSE I INFORMA TYPE OF LICENSE EXPIRATION DATE -w /v2 PH E S 15 - CONTRACOCO AN NAME ` . Boris Rj 01 FAX 6Jlo 5 y S- ADDRESS 2 . ZIP CEDE All Hermits must Rhea reviewed, stamped, and approved PRII ®R To 6E(G I M1W' G �WORX. ❑ Alarm - New & Modification (minimum charge) $280 • • • ❑ Over 10,000 sq ft $0.028 x sq ft ❑ Sprinkler - New & Modification (minimum charge) $280 ❑ Over 10,000 sq ft $0 .028 x sq ft ❑ Minor Sprinkler Modification ( <10 heads) $96 (inspection only) 84 ❑ Commercial Hood (New & Modification) $470 ❑ Additional hood $58 ❑ Spray Booth (New & Modification) $470 98 ❑ Aboveground Storage Tank (1 inspection per installation) AST $180 /tank 82 ❑ Additional Tank ATI $96 /tank 82 • Aboveground Storage Tank (Removal /Mod /Inspect) ATR $109 /tank 82 • Underground Storage Tank (Installation/Inspection) NI $878 /tank 82 • Underground Storage Tank (Modification) MOD $878 /site 82 • Underground Storage Tank (Minor Modification) MTM $167 /site 82 • Underground Storage Tank (Removal) TR $573 /tank 84 Mandated Leak Detection (test) /Fuel Mont Cert/SB989 TT NOTE: $96 /hr for ea type of test/per site even if scheduled at he same time $96 /hr (2 hrs minimum) =$192 82 ❑ Oil well (Installation, Inspecction, or re- inspection) X $96 /hr 82 ❑ Tent # $96 /tent 84 ❑ After -hours inspection fee $121 /hr (2 hrs minimum) =$242 ❑ Pyrotechnic (1 permit per event, plus an inspection fee of $96 /hr during business hours) PY NOTE: After hours Pyrotechnic event inspection is @ $121 1hr $96 /hr + (5 hrs min standby fee /insp) =$576 S hrs min standby fee ins = 605 84 13 Re-inspection/Follow-up Inspection $96 /hr 84 • Portable LPG (Propane): # of Cages? _ $96 /hr 84 • Explosive Storage $266 84 a Copying & File Research (File Research fee $50 /hr) $0.25 /page 84 CI Miscellaneous 84 FD2021 (Rev 05/10) UNDERGROUND STORAGE TANKS APPLICATION TO PERFORM ELD /LINE TESTING/ SB989 SECONDARY CONTAINMENT TESTING/TANK TIGHTNESS TEST AND FUEL MONITORING CERTIFICATION (Please note that these are separate Individual tests and will be charged per separate type test accordingly.) PERMIT # i;�r A IRt 3 F I R WIN Aj T BAKERSFIELD FIRE DEPARTMENT Prevention Services 2101 H Street Bakersfield, CA 93301 Phone: 661 -326 -3979 • Fax: 661- 852 -2171 Page 1 of 1 ❑ ENHANCED LEAK DETECTION ❑ LINE TESTING ❑ SB -989 SECONDARY CONTAINMENT ❑ TANK TIGHTNESS FUEL MONITORING CERTIFICATION SITE INFORMATION t'I FACILITY fjt '� NANE � P ONE V OF CONTACT P4RSON S J ADDR S /1� (. o (.:.� OWjq NAME 09E1tA E lxANT \o � �- PERMIT T OPERATE Y ' /1 #OFTANKS TO BE TESTED: IS PIPING GOING TO BE TESTED? ❑ YES Xf NO TANK # VOLUME CONTENTS TANK TESTING COMPANY TESTING OM ANY / �1 E PHO E OF CONTACT PERT f ` 2� MAILIN DRESS ` Ley AM I t PH * OF TESTER OR SPECIAL `NSP ' l CERTI TIOjI � L F AP E &j M ST TO BE CONDUCTED a•� A RE ICC # 13 TEST METHOD DATE THIS APPLICATION BECOMES A PERMIT WHEN APPROVED pVED`q APPR �/ - DATE 6-7-,/3 FD2095 (Rev 03/08) .. .. � a J .. � 7 ~� . —t. ��. _` �� .q .'. y'. r... BAKERSFIELD CITY FIRE DEPARTMENT - INSPECTION RECORD Post this Card at the Job Site and DC NOT Remove for Duration of Work Inspection Request Phone No. (661) 326 -3979 UST NEW INSTALL DESCRIPTION DATE SIGNATURE BACKFILL PRIMARY PIPE SECONDARY PIPE SECONDARY CONTAINMENT SENSORS AUTHORIZATION FOR FUEL ELECTRICAL SEAK -OFF TANK TESTING " -- UST REMOVAL DESCRIPTION DATE SIGNATURE AST NEW INSTALL DESCRIPTION DATE SIGNATURE MODIFICATIONS MINOR / MAJOR AST REMOVAL DESCRIPTION DATE SIGNATURE EVR UPGRADE PRIOR'. TO OPERATION OF ANY SYSTEM, ALL UST AND /OR AST SYSTEMS SHALL BE INSTALL, COMPLETE AND ACCEPTED BY MISC. ACTIVITY THE BAKERSFIELD CITY FIRE DEPARTMENT. FIRE DEPARTMENT (FINAL) BUILDING ADDRESS: 0 C p e JOB DESCRIPTION: r- u'y OCCU ANCY TYPE: OWNER: G8 PERMIT NO. 13 -,1606f 1 CONTRACTOR: f< a �,� . PHONE # FD 1743