HomeMy WebLinkAboutFMC Results 2013 (South)MONITORING SYSTEM CERTIFICATION
For Use By All Jurisdictions Within the State ofCal{fornia
Authority Cited: Chapter 6. 7, Health and Safety Code; Chapter 16, Division 3, Title 23, Cal{fornia 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 svstcm control panel by the technician who performs the work. 1\ copy of this form must be provided to the tank system owner/operator.
The O\\ner/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: Downtown Chevron (South) Bldg. No.: ____ _
Site Address: 2317 L Street City: Bakersfield,CA Zip: .::...93:....:3:....:0....:.1 __ _
Facility Contact Person: Frank Sullivan Contact Phone No.: (661) 327-5008
Make/Model of Monitoring System: Veeder-Root TLS 350 Date ofTesting/Servicing: 11113/2013
B. Inventory of Equipment Tested/Certified
Check th b ~ ~ . d" ·r. ·-···-~--···---· ···-··· ···-·--·-dlscrviccd
Tank 10: 12,000 gal. Regular Tank 10: 10,000 gal. Plus
181Jn-Tank Gauging Probe. Model: 847390-107 181Jn-Tank Gauging Probe. 'v1odel: 847390-107
181 Annular Space or Vault Sensor. Model: 794390-420 181 Annular Space or Vault Sensor. Model: 794390-420
181 Piping Sump I Trench Sensor(s). Model: 794380-208 181 Piping Sump I Trench Scnsor(s). Model: 794380-208
0 Fill Sump Scnsor(s). Model: 0 Fill Sump Sensor(s). Model:
181 Mechanical Line Leak Detector. Model: FX-1V 181 Mechanical Line Leak Detector. Model: FX-1V
0 Electronic Line Leak Detector. Model: 0 Electronic Line Leak Detector. Model:
181 Tank Overfill I High-Level Sensor. Model: 847390-107 181 Tank Overfill I High-Level Sensor. Model: 847390-107
0 Other (specifY equipment type and model in Section Eon Page 2). 0 Other (specifY equipment type and model in Section Eon Page 2).
Tank 10: 8,000 gal. Su~er Tank 10:
181Jn-Tanl.. Gauging Probe. Model· 847390-107 0 In-Tank Gauging Probe~ Model:
181 Annular Space or Vault Sensor. Model 794390-420 0 Annular Space or Vault Sensor. Model:
181 Piping Sump I Trench Sensor(s). Model· 794380-208 0 Piping Sump I Trench Scnsor(s). Model:
0 Fill Sump Sensor(s). Model: 0 Fill Sump Scnsor(s)~ Model:
181 Mechanical Line Leak Detector. Model: FX-1V 0 Mechanical Line Leak Detector. Model:
0 Electronic Line Leak Detector. Model: 0 Electronic Line Leak Detector. Model:
181 Tank Overfill I High-Level Sensor. Model: 847390-107 0 Tank Overfill I High-Level Sensor. Model:
0 Other (specify equipment type and model in Section Eon Page 2). 0 Other (specifY equipment type and model in Section Eon Page 2).
Dispenser 10: 1&2 Dispenser 10: 3&4
181 Dispenser Containment Sensor(s). Model: 794380-208 181 Dispenser Containment Sensor(s). Model: 794380-208
181 Shear Valve(s)~ 181 Shear Valve(s).
0 Dispenser Containment Float(s) and Chain(s). 0 Dispenser Containment Float(s) and Chain(s).
Dispenser 10: 5 & 6 Dispenser ID: 7&8
181 Dispenser Containment Sensor(s). Model: 794380-208 181 Dispenser Containment Sensor(s). Model: 794380-208
181 Shear Valve(s). 181 Shear Valve(s).
0 Dispenser Containment Float(s) and Chain(s). 0 Dispenser Containment Float(s) and Chain(s)~
Dispenser JD: 9 & 10 Dispenser 10: 11 & 12
181 Dispenser Containment Sensor(s). Model: 794380-208 181 Dispenser Containment Sensor(s). Model: 794380-208
181 Shear Valve(s). 181 Shear Valve(s).
0 Dispenser Containment Float(s) and Chain(s). 0 Dispenser Containment Float(s) and Chain(s).
•If the facility contains more tanks or dispensers, copy this form. Include information for every tank and dispenser at the facility.
C. Certification -I certify that the equipment identified in this document was inspected/serviced in accordance with the manufacturers'
guidelines. Attached to this Certification is information (e.g. manufacturers' checkJists) necessary to verify that this information is
correct and a Plot Plan showing the layout of monitoring equipment. For any equipment ca1>ablc of generating such reports, I have also
attached a copy of the report; (clteck a/It/tat apply): [8] System set-up [8] Alarm history report
Technician Name (print): Bradley Seykora Signature:~~ ~;~.c ::::::::......,~..,_..d:~====:::::.... _____ _
Certification No.: B40738 License. N~--=-80=-4..:..:9:..:0 :...:4:..__ ___________ _
Testing Company Name: Confidence UST Services, Inc. Phone No.: (800) 339-9930
Site Address: 2317 L Street, Bakersfield, CA 93301 Date ofTesting/Servicing: 11/13/2013
Page 1 of 3
Monitoring System Certification
D. Results of Testing/Servicing
Software Version Installed: 329.00 ~~~---------------------------
c he foil ~ kl" ~ .........
1:8:1 Yes 0 No* Is the audible alarm operational?
1:8:1 Yes 0 No* Is the visual alarm operational?
1:8:1 Yes 0 No* Were all sensors visually inspected, functionally tested, and confirmed operational?
1:8:1 Yes 0 No* Were all sensors installed at lowest point of secondary containment and positioned so that other equipment will
not interfere with their proper operation?
0 Yes 0 No* If alarms are relayed to a remote monitoring station, is all communications equipment (e.g., modem)
1:8:1 N/A operational?
181 Yes 0 No* For pressurized piping systems, does the turbine automatically shut down if the piping secondary containment
0 N/A monitoring system detects a leak, fails to operate, or is electrically disconnected? If yes: which sensors initiate
positive shut-down? (Check all that apply) 181 Sump/Trench Sensors; 1:8:1 Dispenser Containment Sensors.
Did you confirm positive shut-down due to leaks and sensor failure/disconnection? 1:8:1 Yes; 0 No.
1:8:1 Yes 0 No* For tank systems that utilize the monitoring system as the primary tank overfill warning device (i.e., no
0 N/A mechanical overfill prevention valve is installed), is the overfill warning alarm visible and audible at the tank
fill point(s) and operating properly? If so, at what percent oftank capacity does the alarm trigger? 90%
1:8:1 Yes* 0 No Was any monitoring equipment replaced? If yes, identity specific sensors, probes, or other equipment replaced
and list the manufacturer name and model for all replacement parts in Section E, below.
1:8:1 Yes* 0 No Was liquid found inside any secondary containment systems designed as dry systems? (Check all that apply)
0 Product; 181 Water. If yes, describe causes in Section E, below.
181 Yes 0 No* Was monitoring system set-up reviewed to ensure proper settings? Attach set up reports, if applicable
1:8:1 Yes 0 No* Is all monitoring equipment operational per manufacturer's specifications?
* In Section E below, describe how and when these deficiencies were or will be corrected.
E. Comments: The LLD on the 91 was replaced with a new Red Jacket FX-1V LLD during testing.
Small amounts of water and debris were removed from all STP sumps.
Page 2 of 3
Monitoring System Certification
F. In-Tank Gauging I SIR Equipment: 181 Check this box if tank gauging is used only for inventory control.
0 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:
181 Yes 0 No* Has all input wiring been inspected for proper entry and termination, including testing for ground faults?
181 Yes 0 No* Were all tank gauging probes visually inspected for damage and residue buildup?
181 Yes 0 No* Was accuracy of system product level readings tested?
181 Yes 0 No* Was accuracy of system water level readings tested?
181 Yes 0 No* Were all probes reinstalled properly?
181 Yes D 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): D Check this box if LLDs are not installed.
c he foil kl'
181 Yes 0 No* For equipment start-up or annual equipment certification, was a leak simulated to verify LLD performance?
0 N/A (Check all that apply) Simulated leak rate: 181 3 g.p.h.; 0 0.1 g.p.h ; 0 0.2 g.p.h.
181 Yes 0 No* Were all LLDs confirmed ope:-ational and accurate within regulatory requirements?
181 Yes 0 No* Was the testing apparatus properly calibrated?
181 Yes 0 No* For mechanical LLDs, does the LLD restrict product now if it detects a leak?
0 N/A
0 Yes 0 No* For electronic LLDs, does the turbine automatically shut off if the LLD detects a leak?
181 N/A
0 Yes 0 No* For electronic LLDs, does the turbine automatically shut off if any portion of the monitoring system is disabled
181 N/A or disconnected?
0 Yes 0 No* For electronic LLDs, does the turbine automatically shut off if any portion of the monitoring system malfunctions
181 N/A or fails a test?
0 Yes 0 No* For electronic LLDs, have all accessible wiring connections been visually inspected?
181 N/A
181 Yes 0 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: ~~ch a 3 GPH leak@ 10 PSI a1=1d was replaced IAlith a new Red-
Jacket FX-1 \1 I I n, the new ll D was tested and confirmed operational after installation
Page 3 of 3
~f\0~.., 0 c. (just '*tC£5,~
•COH:PUAMU Wll'M ClO'IIJt.GC'HCC"'
Leak Detector Test Results Sheet
Customer Address: Work Order: 31588A Site Address:
Sully's Food Store LLC
1000 Truxtun Avenue
Bakersfield, CA 93301
Test Date: 11/13/2013 Downtown Chevron (South)
2317 L Street
Site Contact:
Technician:
Product Type
Regular UNL
Plus UNL
Premium UNL
Frank Sullivan
Bradley Seykora
Phone:
Phone:
llD Type Model
Mechanical FX1V
Mechanical FX1V
Mechanical FX1V
Technician Name~
Signature:
661-327-5008
800-339-9930
Serial No.
N/A
N/A
N/A
Bakersfield, CA 93301
ICC No.: 8111231
Check Bleed leak
Valve Off Ml. Rate
Holding Tested:
Pressure
13 PSI 65 ml 3gph@
10 psi
13 PSI 60ml 3gph@
10 psi
15 PSI 35 ml 3gph@
10 psi
3gph@
10 psi
3gph@
10 psi
3 gph@
10 psi
3gph@
10 psi
3gph@
10 psi
Technician No.: 8111231
11/13/2013 Date:
Pass/Fail
Pass
Pass
Pass
••
DOWtfTOWN CIIEVROII 9.
2317 1. STREET
BAY.ERSFIELD CA 93301
661-638-0310
NOV 13. 2013 8!56 ~1
S'tSTEH STATUS REPORT
ALL FUUC1'10NS NORI1AL
I tNENTORV REPOR1'
T I :SUPREME
VOLli1E .. 2536 GALS
ULLAGE .. 5569 Cfll.S
90Y. ULLAGE" -175'/ GALS
TC VOLUME • 2513 GALS
HEIGHT a 44.73 INCHES
UCITER VOL • 0 GALS
WATER a 0.00 INCHES TEMP .. 72.B OE'G F
T 2:PLUS VOLUHE • 336<1 Gfll.S
ULLAGE c 6791 GALS
9~/o ULLAGE.. 5766 GALS TC VOLUME • 33:!5 GALS
HEIGHT .. 34.78 ltlCHES
WATER VOL " 0 GALS
WATER " 0.00 INCHES ; TEMP .... 76.2 DEC F.
T 3:UNI.EAOED
VOLUME .. 5120 •::fiLS
ULLAGE • 6913 GALS
9~/o ULLAGE• 5709 GALS TC VOLUME • 5094 GALS HEICHT • 56,31 lllCHES
WATER VOL • 0 GALS
WATER • 0.00 INCHES
TEHP o 72.2 DEC F
li )( * W ;< EUD li ;.; ;.; ;; li
SOFnJARE REVISIOfl LEVEL VEP.SIOU 329.00
SOFTWA?.En 346329-100-A
CREATE~-09.10.09.17.08
S-110DUI.En 330160-004-~
SVSTEH FEATURES: PERIODIC IU-TAtlK TESTS
ANNUAL I N-TANf: T£::."1'S
lSD
':il:"""\""":...41 'l=J.
s·:STEl1 SETUP
NOV 13. 2013 0:57 Atl
SVSTEI1 UNITS u.s.
SYSTEI1 LANGUAGE EIIGLISH
SYSTEM DATE.'TIME FORNAT
MOll DO 'NY\' HH:M11:SS >H
I OOWNTOWtl CHEVRON s. . 2317 L STREET
BAY.ERSFIELD CA 93301
661-638-0310
SIIIFT TIME I
SHIFT TII1E 2
SHIFT TIME 3
SHIFT TIME 4
6:00 AM
DISABI.EO
DISABLED
DISABLED
TAtn: PER TST NEEDED WP.N DISABLED
TAW~ ANN TST tlEEDED WP.tl
DISABLED
LiriE RE-EtiABI.E MciiiOD PASS LitlE TEST
LINE PER TST NEEDED ~JRN DISABLED LitlE ANN TST NEEDED WRII
DISABLED
PRINT TC VOLUHE$
EtiABLED
TEt1P COHPEtlSATION
VALUE <DEG F >: 60,0
STICK HEIGHT OFFSET DISABLED
ULI.AGE: 9~4
H-PROTOCOL DATA FORMAT
HEIGHT
DAYLIGHT £AVINC TIME ENABLED
START DATE
MAR WEE~ 2 SUU START TIME 2:00 AM END DATE
NOV WEEK I SUN EtlD TIME
2:00 ,:.tl
RE-DIRECT LOCAL PRiffTOUT DISABLED
EURO PROTOCOL PREfiX s
SYSTEM SECURITY
CODE : 000000
MAl NTEtiANCE HISTORY
DISABLED
TAN!: CHART SECURITY
DISABLED
CUSTOM ALARMS
DISABLED
SERVICE NOTICE
DISABLED
ISO 3166 COUUTRY coot:::
!'lASS/DENSITY
DISABLED
C0~~'1UtUCATlOliS ~ETUP
PORT SE"'T It~:
COHH BOARD : 1 <EDIM >
RS-232 SECURITY CODE : DISABLED
COHN BOARD : 2 <RS-232>
BAUD RATE : 9600
PARITY : NONE STOP BIT : I STOP DATI\ LEM..""TH: 8 DATA RS-232 SECURITY CODE : DISABLED
COH.'I BOARD : 3 <F><r10D> BAUD RATE : 2<100
PARITY : ODD
STOP BIT : I STOP DATA LEtiGTH: 7 DATA
RS-232 SECURIT'/
CODE : DISABLED DIAL TYPE : TOtiE ANSWER ON : I P.INC MODEM SETUP STRING :
DIAL TONE lliTERVAL: 32
AtrTO TRAtS11T SEliltlCS:
AtrTO LEAY. ALARH LIMIT DISABLED AtrTO HIGH WATER LIMIT
DISABLED AUTO OVERFILL LIMIT
DISABLED AUTO LOW PRODUCT DISABLED AUTO THEFT LIMIT
DISABLED
AUTO DELIVER'/ START DISABLED
AUTO DELIVER'/ EtlD DISABLED
AUTO EXTERNAL I fli'UT 011
DISABLED AUTO EXTERNAL ltiPUT OFF DISABLED
AUTO SENSOR FUEL ALARM DISABLED
AUTO SENSOR WATER ALARM DISABLED AUTO SEtlSOR OUT ALARM DISABLED
RECEIVER SETUP:
NONE
AUTO DIAL TIME SETUP:
NONE
RS-232 END OF f1ESSAGE DISABLED
AUTO DIAl. AtJ\Ja1 SETUP
I U-TAtW. SETUP
T I :SUPREME
PRODUCT CODE THERMAL COEFF
TAtil: DlhHETI:R Tf\NJ: PROFILE FULL VOL
FLOAT SIZE:
W~TER WARtH NC :
HICH WATER LIMIT:
MAX OR LABEL VOL:
OVERFILL LIMIT :
HIGH PRODlJ\-1 .
DELIVERY LIHIT
LQt.J PRODOCT :
LEAK ALAR11 LIMIT:
I
.000700
127.50
I PT 8104
4.0 ltl.
2.0
3.0
810-t 9Cf.~
7293 9~;
7698
·~; 810
BOO
SUDDEN LOSS Ltr11T:
99
99
2.86 o.oo TANJ: TILT :
PR06E OFFSET
SIPHON MANifOLDED TA!li\S
Til: tiOIIE
LINE MAtiJFOLDED TAlliS
Til: tiOflE
LEAl\ HIN f-ERIODI~:
LEAl: HIN ANtiUAL
to:;
810
JOY.
810
PERIODIC 1'Eb""T 'f\'PE
STf\li[•ARD
ANNUAL TE5'T FAll.
-·--• ·• ··i11::t"lF:tt· DI~BI:EP
PERIODIC TEb~ fAIL ALARM DISABLED
GROSS T~""T fA II.
ALARM DISAfsi.ED
Atm TEST AVERf\Girtr;: OFF
PER T~"T AVER~Itl\>! OFF
TAIU: TEST tiOTI F'l: OFF
TNI\ TST Sl PHOtl BREI-II: :OFf
DELIVERY DELAY : I Mltl
PUMP TltRESHOLC• : I 0. Orr.~
T 2!PLUS
PRODOCT CODE
TH£Rt1AL CvEFf TANK DIAMETER TAtll~ PROFILE FULL VOL
FLOAT SIZE:
w:ITER WARNitiG :
HIGH WATER Llt1JT:
HAX OR LABEL VOL:
OVERFILL LIHIT
HIGH PRODUCT
DELIVER\' LIMIT
LO~J PRODtk-1 :
LEI\1\ ALARM Llt1JT:
2
.000700 ~5.00 I PT 10145
4.0 Jtl.
2.0
3.0
101<15 90Y. 9130 95l;
9637
JO:;
1014
lOOO
99
SUODEII LOSS LIH11": 99 0.73 0.00 TANK TILT : PROBE OFFSF.T
SIPIION MANIFOLD£:[! 'fANI:S
TP! NONE
LitlE MANIFOLDED Tlltn:S
TP: tlONE
LEAK Hltl PERIOIJJC: I Q:; 1014
LEAl\ HIN ANIIUAL : 10:~ 1014
PERIODIC TEST n'PE
STAflDAR£•
AflllliAL TEST FAIL
ALARM DISABLED
PERIODIC TEST FAIL ALARM f>ISABLED
GROSS TEST FAIL
ALARM 0181\DLt:D
AtiN TEST AVERAGttK>: OFF
PER TEST AVEP.fol>HIG: OFF
TANK TEST t!OTIF'/: OFF
TllK TST SIPHOll BREAK:OFF
DELIVERY DELA'I : I Mltl Plt1P THRESHOLD : 10.0()}~
T 3:Utll.EADED PRVDU....""T COD£
THEP.HAL COEFF
TAtlK DIAMETER TANK PROFILE FULL VOL
FLOAT SIZE:
WATER WARtll ti:; :
HIGH WATER LII11T:
~~~ OR LABEL VOL: OVERFILL LIMIT
HIGH PROD~""T
DELIVERY LIMIT
LOW PRODUCT : LEAK ALARt1 LIMIT:
0
.000700 127.50
I PT 12041
4.0 Ill.
2.0 3.0
12041
907.
10837 95::
11439 to:~
1204
1200
99 SUDDEN LOSS LIMIT: 99 1.10
0.00 TANK TILT : PROBE OFFSET :
SIPHON MANIFOLDED TANI:S
Til! NOllE
LINE MANIFOLDED TAtn:S
Til! NONE
LEAl: Hitl PERIODIC!
LEAl: HI N AWIUAL :
10!,
1204
·~: 1204
PERIODIC TEST TYPE
STAtlDARD
AtiNUAl. TEST FAIL ALARM D H:iADI.ED
PERIODIC TE&~ FAIL
AI.ARI'1 DISABLED
GROSS TEST FAIL
ALARI1 DISABLED
AWl TEST AVERAGirl'J: OFF
PER TE!,""T AVERAGir~: OFF
TAll!> TEST NOTIFY: OFF
TNK TST SIPHOfl BREAY.!OFF
DELIVERY DELAY : I MIN PU11P THRESHOLD : I 0. 001:
L&lY. TEST HETIIOD
TEST Otl DATE : ALL TANK
OCT 9. 2008 START TINE : DISABLED
TEb""T RATE :0.20 GAL/H?. DURATION : 2 HOUP.S
TST EARLY STOP:DfSABLED
LEAl: TEST REPORT FORt!AT NORMAl.
LlOUID SEilSOR SETUP
L 1 :PI.lS STP TRI-STATE <SI fiGLE FLMT> CATEGORY : STP SUHP
L 2!Utll. SUP ANN
TRI-STATE <SI tiGLE FLOAT> CATEGORY : AtiNULAR SPACE
L 3:UtiL STP
TRI-STATE <SltiGLE FLOAT>
CATEGORY : STP SUHP
L 4: SUP STP
TRI-STATE <SltiGLE FLOAT> CATEGORY : SfP SUMP
L 5:PLUS AtiN
TRI-STATE <SI tl<>LE fLOAT>
CATEGORY : AtltiUI.AR SPACE
L 6:tl0tffi
NORMALLY CLOSED
CATEGORY : OTHER f.lEUSORS
L 7:
NORHHLL\' CLOSED CATEGOR'/ : OTHER SEtlSORS
L e:
NORHALL\' CLOSED
CATEGORY : OTHER SEIISORS
L 9:DfSP 1-2
NORMALLY CLOSED
CATEGOP.\' : DISPEtiSER PAt~
LIO:DISP 3-4
NORMALLY CLOSED
CATEGORY : DISP.EtlSER PAN
Lll!DlSP 5-o
NORMALLY CLOSED CATEGOP.'I : DISPEilSEP. PAtl
Lt2:DISI-' 7-B NORHALL'/ CLOSED CATEGOICY : DISPENSE?. IWI
LI3!DlSP 9-10
NORHALL'/ CLOSED
CATEGORY : DISPENSER PAll
Lt4:DISP 11-12
NORMALLY CLOSED CATEGORY : DISPEtlSER PAtl
L15!IJISP 7-9
NORHAI.LY CLOSED CATEGORY : DISPENSER PAN
Ll6!
NORt!ALL V CLOSED CATF.GORY : OTHER SEtiSORS
OUTPUT RELAY SEfUP
R I :POS SIIUTOFF TYPE:
STAUDARD
NORMALLY CLOSED
TANK p:
LIQUID SEtSOR AU1:3
ALL :FUEL ALARM
ALL :SENSOR OUT AI.RI\11 Al.L!SHORT ALARI-1
ALL:WATER ALARI"'
lSD SITE ALARMS ISO GROSS PRES FAIL
lSD D.EGRD PRES FAIL
lSD VAPOP. LEAl: FAIL
lSD VP PRES FAIL
ISO VP STATUS FAIL
lSD HOSE ALARtS ALL:GROSS COLLECT FAIL
ALL!OEGRD COLLECT FAIL
ALL!FLOW COLLECT FAIL
P. 2!0VEP. FILL ALARM TYPE: STANDARD tl:>RHALLV OPEN
TAt~ II: tlOtiE
IN-TAN" ALARMS
ALL:CVERFILL AI.ARI'I ALL!HICH PRODU•:;r AI.ARI'l ALL :111\X FRODL£'f AUIRH
StiARTSEI~OR SETUP
:s 1 :FN 1-2 CATEGORY AIR FLOW t1ETER
:s 2!fl1 3-<l CATEGORY AlP. FI.OW METER
:s 3:Fl1 5-6 CATEGORY AIR FLOt.J METER
:s 4!Fl1 7-8 CATEGORY AIR FLOC,J METER
:s s:FH 9-IO CATEGORY AIR FLOW METER
= G:FM 11-12 CATEGORY AIR fL()C,J METE~
::s e:PS 1-2 CATEGORY VAPOR PRESSURE
EVR/ISD SETUP
EVR TYPE: VACUUM ASSIST VACUUM ASSIST TYPE HEALY VAC
NOZZLE A/1.. RAIIGE
MAX: 1.15 NIN! 0.90
VAPOR PROCESSOR TYPE NO tiE
AtiALVSIS TII1ES TIME: 10:00 AH DELAY HltlUTES:
ACCEP'r HIGH ORVR! ENABLED
lSD HOSE TABLE ID FP FL HL AA RR ------------------------01 33 01 02 01 uu 02 34 02 02 01 uu
03 35 03 02 02 uu 04 00 04 02 tl2 uu 05 01 05 02 03 uu 06 02 06 02 03 uu 07 03 07 02 04 uu
08 04 08 02 04 uu 09 05 09 02 05 uu 10 06 10 02 05 uu
II 07 II 02 06 uu 12 08 12 02 06 uu
IS~ AIRFLOW METER MAP
10 SERIAL tlUM LABEL ------------------------I 23439 2 22237 3 2<1023
<l 21292 5 22240 6 23088
FH 1-2 FM 3-4 FH 5-6
FM 7-1:3 FM 9-10
FM 11-12
lSD FUEL. GRADE HOSE t1AP 1 2 3 4 FP HIIH MHH HHII HHI~ AA
00 104 204 004 u u 2 01 105 205 005 u u 3 02 106 206 006 u u 3 03 107 207 007 u u 4 04 108 208 008 u u 4 OS 109 209 009 U U 5
06 110 21G 010 U U 5 07 111 211 011 u u 6 08 112 212 012 u u 6
09 0 U I U 2 U 3 U 0 10 0 U 2 U I U 3 U 0 11 0 U I U 2 U 3 U 0
32 0 u 1 u 2 u 3 u 0 33 101 201 001 U U I 34 102 202 002 U U I 35 103 203 003 u u 2
LABEL TABLE
I UNASSICIIED 2 BLEND3 3 REGULAR 4 HID GRADE 5 PREMIUM 6 GOLD 7 BROtlZE
8 SILVER 9 BLEIID2 10 ·BLEND4
FI'C SETUP
F11C VERSION: 01.02
VAPOR PROCESSOR rtPE
tiONE
PROCESSOR COtiTROL LEVEL: NOliE
Al.AP.f'l IIISTCRV P.EPO~
-----SEt~OP. ALARM -----
L I :PLUS STP
STv Slk1P
FUEL At.ARtl JUN 2. 2013 c:o~ ~
SENSOR OUT Al.ARM ~~v 2e. 2012 9:41 AM
FUEL. ALARM NOV 28. 2012 9:24 ~1
~ ~ ~ K ~ END W k * ~ ~
ALARr1 HISTORY REI'ORT
-----SENSOR ALARM -----L 2:Ut.U. SUP AtiN
AtltlULAR SPACE SENSOR OUT ALARM NOV 29. 2012 9!41 AM
FUEL ALARM NOV 28. 2012 9:33 AH
FUEL ALARM FEB 24. 2012 2:34 FH
M ~ ~ ~ * EllD w w w k ~
ALARM HISTORY REI'OR'f
-----SEtSOR AlARf1 -----L 3:UtiL STP STPSil1P
fUEL ALAP.H
JUN 2. 2013 7:14 Pf1
SENSOR our ALARM NOV 29. 2012 9!41 AM
FUEL ALAR~! tiOV 29. 2012 9!23 AM
M ~ ~ -~ END ~ M ~ A K
ALARH HISTORY REPORT
----SENSOR AlARM -----L 4! SUP STP
STPSil1P
SEIISOR Our AI..AP.M
SEP 23. 2013 7:3o Pf1
SENSOR OU'i' AlARM SEP 23. 2013 7:26 PM
SENSOR Our ALARI1
SEP 23. 2013 7:25 PM
W ~ K ~ ~ END W ~ M M W
ALARt1 HISTORY P.EPOP.T
-----SEtiSOR ALARM -----L 5!PLUS Atm
AtltlULAR SPACE SEIISOR our ALARM NOV 29. 2012 9:41 AM
FUEL ALAAM NOV ::!8· 2012 5:33 Al1
FUEL fii..ARM FEB 24. 2012 2:37 PM
w M M ~ ~ END M K ~ ~ ~
ALARM HISTORY REPORT
-----SF.IISOR AlARM -----
L 6:ti011E
OTHER SENSORS FUEL AlARM NOV 29. 2012 9!41 ~
ShiUP DATA WI\RNlNG JAN 23. 2012 9:59 AH
M M W ~ ~ EIIO K W ~ K M
AUIRM HISTOR'/ REPORT
-----SEIISOR AI..ARH -----L 7:
OTHER SEtiSORS
FUFJ. ALARM NOV 28. 2012 9!41 AM
SETUP DATA WAP.NI 11•:: JAN 23. 2012 9:59 AM
K K ~ K M E~D ~ ~ W M ~
ALHRN HISTORY REPORT
--··--SEtiSOR At.ARH -----L 0:
OTHER SENSORS
FUEL ALARM
NOV 29. 2012 9!•11 AH
SETUP DATA WARNltiG JAN 23. 2012 9:59 AM
~ ~ ~ ~ ~ EIID ~ K ~ K ~
ALARl1 HISTOP.\' REPORT
-----SEtSOR AIJ\P.M -----L 9:DISP 1-2
DISPEtiSER PAtl
FUEl. AlflRM
NOV 29. 2012 9:~1 AN
FUEL AI.ARM NOV 20. 21112 9:26 Al'l
FUEL ALARM
FEB 24. 2012 2:16PM
M ~ ~ * ~ END M K ~ ~ ~
ALARM HISTOR'.' REPORT
-----SEtrSOR AU'IRt'l ----
LIO:DISP 3-4
DISPEtiSER PAtl
FUEL ALARM NOV 28. 2012 9:41 AM
FUEL ALARM NOV 28. 2012 9:27 ~1
FUEl. ALARM
FEB 24. 2012 2:19PM
A ~ M K X EUD ~ ~ ~ ~ •
ALARM HISTORY RF.PORT
-----SENSOR AlARM---·-LII :DISP 5-6 DISPEI-ISER PAll
FUEL ALARM NOV 28. 2012 9:41 ~1
FUEL lllARM NOV 28. 2012 9:28 AM
SEtlSOR OUT ALARM NOV 28. 2012 9:28 ~1
... )t " M )( EtlD ... )I ;.; It ~
ALAAI1 HISTOP.Y REPORT
-----SE~.AR ALARt1 -----LI2:DISP 7-8
DISPENSER PAll
FUEL ALARM
tiOV 28. 2012 9:41 A11
SETUP DATA t.JARtH 00 JAN 23. 2012 9:58 AH
" )( :,( K ;( Ellll " )( " )( )(
ALARI1 HI51'0RY J<EPOP.T
-----SENSOR ALARM -----LI3!DISP 9-10
DISPENSER PAll
FUEL ALARM NOV 28. 2012 9:41 AM
FUEL ALARM FEB 24. 2012 2:10 P~l
SETUI' DATA WARtH~~~ JAN 23. 2012 9:58 AM
~ )( " ~ • ElD )( ;( )( X "
ALAP.H HISTORY REPORT
-----SEtiSOR ALARM -----LJ4:DISP 11-12 DISPENSER f'Atl
FUEL ALARM tiOV 28. 2012 9:41 Al1
FUEL ALARt'l
NOV 28. 2012 9:32 Al"l
FUEL ALARM
FEB 24. 2012 2:29 PM
• w * ;( w EtiO )( " w ~ ~
Al.AI\11 HlSTOP.V REPORT
-----SEUSOP. AU\Rt1 -----
L15!D1SP 7-8
DISPENSER PAN FUEL ALAR~I
NOV 28. 2012 9:41 AN
FUEL ALARI1 t~V 28. 2012 9:29 AH
FUEL AlfiRM
FEB 24. 2012 2:26 fM
)( W Joi It W EtlD )( )I " ;.; >€
ALARH HISfORV REPORT
-----SEtlSOR ALARI-1 -----LI6:
OTHER SENSORS
FUEL ALI\RM
tiOV 28. 2012 9:41 AN
FUEL ALARM FEB 24. 2012 2:10 FH
SETUP DATA WARNIII.:> JAN 23. 2012 9:58 AM
W ~ )( ~ ~ E~D M W ~ jo( ~
ARCIIIVE lJflLITY ----------SAVE SETUP DATA: ST~RT TIME:
NOV 1~. 2013 9:10:01 ~1
f\RCIIIVE lJfiLIT'/
SAVE SETUP DATA:
EtlD TINE: NOV 13. 2013 9!11!49 AM
BYTES :. 1395:?
T 3!UIIlEitDED
II /1/EiifOR'I m:P.EASE
I tiCREiiSE START NOV 13. 2013 9:13 AH
VOLI.t\E HEIGtrr
IJATER TEMP
.. 2160 GALS
" 29.~9 ltlCIIES
• il.OO Jt~HES • 72.1 DEC F
Jr~REASE EtlD tiOV 13. 2013 9:18 AM
V01.lt1E
HEIGtrr WATER TEMP
.. 8821 GALS
• 87.61 IIICIIES
" 1.17 m:HES .. 6!).9 OEG F
GROSS I tiCREASE" 6661 TC tiET INCREASE• 6619
-----SEtSOR AI..ARN -----L I :PLUS STP
STP SUtiP PUEL ALARM NOV 13. 2013 9:18 AH
-----SENSOR ALARM -----
L 3!UNL STF'
STI> SltiP
FUEL At.AP.I'I NOV 13• 2013 9:19 ~1
-----SElSOR ALARI'I -··---(. 4: SUP STP
STP St.a1P FUEL ALARM tiOV 13. 2013 9:22 AH
T 2!PLU9
I tNEiifORY I t,.;;REASE
1 t~R£ASE START NOV 13. 2013 9!21 AM
V01.lt1E HEIGHT WATER TEMP
• 8060 GALS .. 70.39 Jt~HES
• 0.00 INCIIES " 68.4 DEl':> F
INCREASE EtH\
tlOV 13. 2013 9:24 Arl
VOLUME • 8117 GALS
HEIGHT • 70.87 ltiCHES
WATER " 0. 79 !riCHES TEMP • 67.5 DEC F
GROSS I tiCREASE•
TC NET II'ICREASE•
57 62
-----SEtiSOR ALARI'I -----L 9:D1SP 1-2 DISPErSER PAll
FUEL ALARM NOV 13. 2013 9:25AM
-----SEtSOR AUIRtt -----LtO:DISP :3-4
DISPEIISER PAN FUEL ALAR11 NOV 13. 2013 9:30 ~1
-----SENSOR ALAAM -----LII :OISP 5-6
DISPENSER PAN
SENSOR OUT ALARU NOV 13. 2013 9:33 ~1
-----ZEISOR Al.fiP.H Lll :otSP 5-6 DISPENSER PAN FUEL ALARN NOV 13. 2013 9:33 AM
-----SElSOR ALARM ----
Lt5:DISP 7-8 DISPENSER PAtl FUEl.. ALARN NOV 13. 2013 9:34 AM
-----SEtlSOR ALARt-1 ----LI4:DISP 11-12 DISPENSER PAN
FUEL ALARM NOV 13. 2013 9:39 AM
----IN-TAtl~ ALARH -----T 2:PL"US
HIGH PRODUCT At.AAI1 llOV 13. 2013 9:50 AM
---ltl·TAtn: ALARM -----T 2:PLUS OVERFILL ALARH NOV 13. 2013 9:50 AH
----lti-TAUY. ALARM -----T 2:PLUS PROBE our NOV 13. 2013 9:51 AH
----ltl-TANK ALARM -----T 2:PLUS INVALID FUEL l.EVEL NOV 13. 2013 9:51 AM
----IN-TAll~ AI..AAI'1 -----T 3: UtllEADED
HIGH PRODUCT AU\RM NOV 13. 2013 9:52 AH
----l ti-TAtU\ ALARM -----T 3:UtlLEADED
OVERFILL AlARM NOV 13. 2013 9!52 AM
----IN-TANK ALARM -----T 3!UHLEADED
PROBE our
t~V 13. 2013 9:52 AH
T 2!PLUS I NVEifTOR'/ 1 t.,;REASE
lliCREASE STAJ::T NOV 13. 2013 9:49 ~~
VOLU1E
HEIGHT
WATER
TEMP
• 6117 GALS
• 70.97 It~HES
• 0.77 m::HES .. 61.9 DEG F
INCREASE END NOV 13. 2013 9:53 ~1
V0Lli1E HEIGHT
WATER
TEI1P
.. 9ti52 GALS
• 85.93 Jt.,;HES ,. 0.77 INCHES • 62.0 IJEG F
CROSS INCREASE• 1535
TC NET I NCR EASE• 1533
----IN-TAtll: ALARM -----
T I :SUPREI"IE HIGH PkODUCT A~1
tlOV 13. 2013 9:5-t AM
----I N-TAIIK ALARH •• • -·· T l :SUPREJ1E
OVERFlU. HLARti .• Noy 1.3 .•. .lO.J3 9.:5.1 Arl •.•
T 3:UNLEADEO
I fNEtffORY I IICREASE
lt~REASE START NOV 13. 2013 9:51 ~1
VOLIJHE
HEIGHT WATER TEI1P
• 8751 Gt\LS
.. 86.99 INCHES
.. 0.00 W::HES
• 62.5 DEG F
ltii";REF.SE EtiD NOV 13. 2013 9:54 ~~
VOLI.t1E
HEIGHT
WATER TEI1P
• 11299 GALS
•I 13.20 IUCHE!3 • 0.00 INCitES
a 62.9 DEG F
CROSS INCREASE• 25~8 TC NET I tiCREASE• 2540
----lti-TAH•: ALARH -·-··-T I :suPRE11E
PROIJE OUT
IIOV 13. 2013 9:55 AN
T I :SUPF.EI1E
111VEIITORY 1 fiCR&\SE
I tiCREASE START NOV 13. 2013 9:53 AM
VOLI.t1E
HEIGHT
WATER TENP
• 5753 Ct)l.S
• 05.18 IUCIII'S 0.00 UICIIES • 67.8 DEG F
ItiCREASE ErlD
NOV 13. 2013 9:56 AN
VOl.\JI1E
liE I GifT
WATER
TD1l'
• 7705 CAL'3
"115.22 ltlCHEB ., 0.00 It~HES
• 67.8 DEG F
GROSS l UCREF.S.E• 1952 TC NET l tiCREASE• 19-12
-----SE!~R ALARM --· --1. 5:PLUS Atltl
AtHIUU\R SPACE
FUEL ALARM NOV 13. 2013 9:59 ~1
----• SENSOR AlfiRH L 2:Ufll. SUP ANN
ANNULAR SPACE
FUEL ALARI1 trov 13. 2013 1o:oo AN
----ISO HOSE AtARH .....
h I :FPI : Bl.EUD3 OEGRO COLLECT WARN t~V 13. 2013 10:02 AH
----ISO I!OSE ALARM ----hii:FI-'11: BLEt103
GROSS COLLECT WARN
NOV 13. 2013 10:02 AM
-----SEUSOR AI.AAI-1 -----L13:01SP 9-10 D I SPEf'SE?. PAt I
FUEl. ALARf-1
NOV 13. 2013 IO:OA ~1
-----SEtiSOR ALARM L14:DISP 11-12 DISPENSER PAN
FUEL ALARM
tiOV 13. 2013 10:08 At1
-----SEN£0R ~LARH -----
1. 9:DISP 1-2
DISPEJBER PAll
FUEl.. AU\RM NOV 13. 2013 10:08 Al-l
--.. ··-SENSOR ALAI<H -----l.IS:DISP 7-8 DISPEtlSEP. Mil FUEL ALARH NOV 13. 2013 10:08 AH
-----SENSOR ALARM -----LIO:DISP 3-4 DISPENSER PAN
FUEL ALARM NOV 13. 2013 10:09 ~I
-----SENSOR ALARM -----LI6:
OTHER SEtlSORS
FUEL Al.ARI'I NOV 13. 2013 10:08 AN
----SEtSOk ALARH -----1. 3:UNL STP
STPSLtiP
SENSOR OUT ALARM
uov 13. 2o13 1o:oe AM
-----SEtiSOR ALAJ\H -----LII :DISP 5-6
DISPENSER PAll
FUEL ALARM
NOV 13. 2013 IO:OB AM
-----SEUSOR ALARM ----L 4: SUP STP SiP SUMP
SENSOR OUT A~P.H NOV 13. 2013 10!08 N1
-----SENSO?. ALARM -----L12!DISP 7-8
DISPENSER PAN
FUEl. ALARM NOV 13. 2013 10:08 AH
-----SENSOR Al.ARt1 -----L S:PLUS ANN
AtltiULAR SPACE SENSOR OUT ALHRM NOV 13. 2013 to:oa AM
-----SENSOR ALA?.M -----L I :PLUS Sl'P
STP Sll1P
SEIISOR OUT ALAAM NOV 13. 2013 10!09 1\H
-----SENSOR ALARM -----
L 6:tl0tiE
OTHER SENSORS
FUEL ALARM NOV 13. 2013 10:09 Al1
----SEtlSOR Al.ARtl -----L 7:
OTHER SEtlSORS
FUEL ALAFJ1
tiOV 13. 2013 10!09 AM
-----SElSOR ALARM -----L 2!UNL SUP ANN ANNULAR SPACE
SENSOR OUT ALARM rrov to. 2010 1o:og AH
-----SENSOR ALA!ltl ----L a:
OTHE?. SENSORS
FUEL ALAR11
tiOV 13. 2013 10!09 Al1
-----SENSOR kLARH -----L14!DISP 11-12
DISPENSER PAN
FUEL ALARH NOV 13. 2013 10:22 I'J1
"'
SWRCB, January 2006
Spill Bucket Testing Report Form
This form is intended for use by contractors pe1jorming 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 submillalto the local regulatory agency.
1. FACILITY INFORMATION
Facility Name: Downtown Chevron (South) I Date ofTesting: 11/13/2013
Facility Address: 23 17 L Street, Bakersfield, CA 9330 I
Facility Contact: Frank Sulivan I Phone: 661-303-0016
Date Local Agency Was Notified ofTesting: 10/31/2013
Name of Local Agency Inspector (if present during testing): Ernie Medina
2. TESTING CONTRACTOR INFORMATION
Company Name: Confidence UST Services, Inc.
Technician Conducting Test: Bradley Seykora
Credentials 1: X CSLB Contractor X ICC Service Tech. ..... SWRCB Tank Tester [l Other (Specify)
License Number(s): CSLB #804904 ICC# 8111231-UT
3. SPILL BUCKET TESTING INFORMATION
Test Method Used: x Hydrostatic 0 Vacuum 0 Other
Test Equipment Used: Lake Test Equipment Resolution: 0.0625"
Identify Spill Bucket (By Tank I Regular 2 Plus 3 Super 4
Number, Stored Product, etc.)
Bucket Installation Type: " Direct Bury 0 Direct Bury 0 Direct Bury 0 Direct Bury
x Contained in Sump x Contained in Sump Contained in Sump Contained in Sump
Bucket Diameter: 12.00" 12.00" 12.00"
Bucket Depth: 12.00" 12.00" 12.00"
Wait time between applying 5 min. 5 min. 5 min vacuum/water and start of test:
Test Start Time (T1): 9:00AM 9:00AM 9:00AM
Initial Reading (R1): 8.50" 7.25" 7.25"
Test End Time (TF): 10:00 AM 10:00 AM 10:00 AM
Final Reading (RF): 8.50" 7.25" 7.25"
Test Duration (T F-T1): I hour I hour I hour
Change in Reading (RF-R1): 0.00" 0.00" 0.00"
Pass/Fail Threshold or 0.0625" 0.0625" 0.0625" Criteria:
Test Result: j2g Pass 0 Fail j2g Pass OFail j2g Pass OFail 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 iuformatioll coutaiuetl ill this report is true, accurate, am/ ill full compliauce with legal requiremeuts.
Techn;dan's s;gnatuce: ~ D"e: 11/13/2013 ,
1 State laws and regulations do not currently require testing to be performed by a qualified contractor. However, local requirements
may be more stringent.
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Job Order /Invoice #: 3Jt;88A-
DatoCalled lime To Whom
~0 WITH CONFIDeNCf." -cQt,IPUANCE WITH CONAOENCE"
Lic.970703 Lic.804904
Toll Free #: 1-800-339·9930
Name: Confidence UST Site Name: Su 1/ y :$ (l /,.p Vf"r-.~>..• 7 <:._,.., lA.r:lf::. )
Street: 16250 Meacham Road Street: 1_ 3 17 /_ ~.Jr~rt--
City: Bakersfield CA 93314 City:~ ke~~:,_, /,.} State: r. ,4-Zip: ?JZo I
Terms: Store No:
Description of work oerformed:
~ I
~krLA ?~!J ~t>J q; &r~,./, tJ. '.£.. ~ A.IPLI f?U"'S:r!l'fr.P~.,f--~X-~ V ~1\r. ~
rgP~ ... • ./ r/1!., e;\>w -~·tt s~..r:viL .c _.._kp.Jr:_y--..-.-.£_, <i' I /rr...::-... h duff!!.~
'Je:L r.r;t;t'IV..r / Uu ti/w-r · Ji., <;),,:// ~cl<'~f-Jes.J-~~ ~ ·/ , . i31"
_IS'h 1'/ J.l : .1... c. ,._.,.. ./ Ji .' .t 1.. (',J lh J'I..J-\ ..1 & IJ'IV
w~-\ IP 1 vh ''{ r.JU Bode. ;p;__ ~w-f 4.~-.~..J.-7 t.L.f 11/L t"r&>!w//s
0"-' L,.~rlf A-,7/ .. c.J.. 7 J.J,.,.,-:>/,s 4-> ~ro6>~t-f'.&JV"f"".P. ~ c4-~. / ~L.~ ~ .... C7
TRAVEL and LABOR (0.5 Hour Minimum Labor Charge) OVERTIME (5:00 PM ·7:00AM)
Date Technlclan(s) Name Start End Total OT Start OTEnd OTTotal
JI,J1·1'J ~~q,.J{,~.; ~ ..,k,{Z Travel
Labor 1-Lr
Travel
Date Technlclan(s) Name Start End Total OT Start OTEnd OTTotal
Travel
Labor
Travel I
Date Technoeian(s) Name Start End Total OT Start OTEnd OTTotal
Travel
Labor I
Travel
SUPPLIES-MATERIALS -RENTALS Check One I
Qty. UST Parts Site Parts
.( ~.J' ~~eke:{-~ x-j. y t?b )<J
1. "P\.-1 r:,· (( ~u-iv-/,. .t::'~R~r' XJ
--
COMMENTS
Store Employee Pnnt Name;
Store Employee Signature:
INVOICE· WHr