HomeMy WebLinkAbout2014 RESULTSMONITORING SYSTEM CERTIFICATION
For Use By All Jurisdiclions Within I he Slate of California
Authority Cited: Chapter 6. 7, Heallh and Safety Code; Chapler 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 svstcm 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: #3364 Fastrip #621 Bldg. No.: ____ _
Site Address: 805 34th Street City: Bakersfield Zip: 9..:....3:....:3:....:0....::.1 __ _
Facility Contact Person: Omero Garcia Contact Phone No.: (661) 393-7000
Make/Model of Monitoring System: Gilbarco EMC Date ofTesting/Servicing: 6/11/2014
B. Inventory of Equipment Tested/Certified
c -b "fi !/serviced --" . ·-----·-···---------... ----------~ ----·
Tank 10: 12000 gal. Regular 1 Tank 10: 12000 gal. Regular 2
1:83 In-Tank Gauging Probe. Model: 847390-107 1:83 In-Tank Gauging Probe. Model: 847390-107
1:83 Annular Space or Vault Sensor. Model: 794390-420 ~ Annular Space or Vault Sensor. Model: 794390-420
1:83 Piping Sump /Trench Scnsor(s). Model: 794380-208 ~ Piping Sump I Trench Sensor(s). Model: 794380-208
0 Fill Sump Sensor(s). Model: 0 Fill Sump Scnsor(s). Model:
1:83 Mechanical Line Leak Detector. Model: FX1V 1:83 Mechanical Line Leak Detector. Model: FX1V
0 Electronic Line Leak Detector. Model: 1:83 Electronic Line Leak Detector. Model:
1:83 Tank Overfill/lligh-Level Sensor. Model: 847390-107 0 ·rank Overfill I lligh-Lcvel 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: 12000 gal. Super Tank 10: 12000 gal. Diesel
1:81 In-Tank Gauging Prohe. Model: 847390-107 181 In-Tank Gauging Probe. Model: 847390-107
181 Annular Space or Vault Sensor. Model: 794390-420 1:83 Annular Space or Vault Sensor. Model: 794390-420
181 Piping Sump I Trench Sensor(s). Model: 794380-208 1:83 Piping Sump I Trench Sensor(s). Model: 794380-208
0 Fill Sump Sensor(s). Model: 0 Fill Sump Sensor(s). Model:
1:83 Mechanical Line Leak Detector. Model: FX1V 1:83 Mechanical Line Leak Detector. Model: FX1DV
0 Electronic Line Leak Detector. Model: 0 Electronic Line Leak Detector. Model:
1:83 Tank Overlillllligh-Level Sensor. Model: 847390-107 1:83 Tank Overfillllligh-Level Sensor. Model: 847390-107
0 Other (specify equipment type and model in Section Eon Page 2). 0 Other (sp<.>eify equipment type and model in Section Eon Page 2).
Dispenser 10: 1&2 Dispenser 10: 3 & 4
1:81 Dispenser Containment Sensor(s). Model: 794380-208 1:81 Dispenser Containment Sensor(s). Model: 794380-208
1:81 Shear Valvc(s). 1:8] Shear Valve(s).
0 Dispenser Containment Float(s) and Chain(s). 0 Dispenser Containment Float(s) and C'hain(s).
Dispenser 10: 5 & 6 Dispenser ID: 7 & 8
1:83 Dispenser Containment Sensor(s). Model: 794380-208 1:83 Dispenser Containment Sensor(s). Model: 794380-208
1:83 Shear Valve(s). 181 Shear Valve(s).
0 Dispenser Containment Float(s) and C'hain(s). 0 Dispenser Containment Float(s) and Chain(s).
Dispenser 10: Trans. East Dispenser 10: Trans. West
1:83 Dispenser Containment Sensor(s). Model: 794380-208 1:81 Dispenser Containment Sensor(s). Model: 794380-208
1:83 Shear Valvc(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' checklists) necessary to verify that this
information is correct and a Plot Plan showing the layout of monitoring equipment. For any equipment capable of generating such
reports, I have also attached a copy of the report; (check all that apply): C8] S~m set-up C8] Alal(fff1\istory/eport
Bryan A Self Signatur:.;,r ~~(~ r4 ~
License.
Technician Name
Certification No.: B37501 ~~~---------------------------
Testing Company Name: Confidence UST Services, Inc.
Site Address: 805 34th Street, Bakersfield, CA 93301 Date ofTesting/Servicing: 6/11/2014
Page 1 of 3
Monitoring System Certification
D. Results of Testing/Servicing
Software Version Installed: 329.02 ~~~---------------------------
c h ~ II h kr omplete t . e o owmg c ec tst:
181 Yes 0 No* Is the audible alarm operational?
181 Yes 0 No* Is the visual alarm operational?
181 Yes 0 No* Were all sensors visually inspected, functionally tested, and confirmed operational?
181 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)
181 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, fa ils to operate, or is electrically disconnected? lf yes: which sensors initiate
positive shut-down? (Check all that apply) 181 Sump/Trench Sensors; 181 Dispenser Containment Sensors.
Did you confirm positive shut-down due to leaks and sensor failure/disconnection? 181 Yes; 0 No.
181 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 of tank capacity does the alarm trigger? 90%
0 Yes* 181 No Was any monitoring equipment replaced? lfyes, identify specific sensors, probes, or other equipment replaced
and list the manufacturer name and model for all replacement parts in Section E, below.
0 Yes* 181 No Was liquid found inside any secondary containment systems designed as dry systems? (Check all that apply)
0 Product; 0 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
181 Yes 0 No* Is all monitoring equipment operational per manufacturer's specifications?
* In Section E below, describe how a nd when these deficiencies were or will be cor rected.
E. Comments:
Page 2 of 3
Monitor ing 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 0 No* Were all items on the equipment manufacturer's maintenance checklist completed?
* In the Section H, below, describe how and w hen these deficiencies were or will be corrected.
G. Line Leak Detectors (LLD): 0 Check this box ifLLDs are not installed.
c h ~ II h kl' omplete t e o owmg c ec 1St:
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 confi1med operational 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 flow 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 fai Is 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, descnbe how and when t hese defic1enctes were or w11l be corrected.
H. Comments:
Page 3 of 3
FASTRIJ> 346 805 34TII BAKERSFIELD CA 661-325-0110
JUU II . 2014 9:40 Al1
SYSTEM Sl'tnl.IS REPORT ------------T 3!DELIV£RV NEEDED
IINENTOR\' REPORT
T I : UULEADED I VOLLt1E • 3974 GALS ULLAGE • 80BB GALS 9~: ULLAGE• 6881 GALS TC VvLLt1E • 3917 GALS HEIGHT • 3-1 .80 ltlCHES WATER VOL • 0 GALS WATER • 0.00 ItiCHES TEMP • 80.4 DEC F
T 2 :UULEADED 2 VOLU'1E • 396<1 GALS
ULLAGE • 8098 GALS SO;~ ULLAGE• 6891 GALS TC VOLLt1E • 3903 GALS HEIGHT • !'14. 73 lflCI!ES
WATER VOL " 0 GALS WI\TER • 0. 00 ltlCHES TEMP • 81.~ DEC F
T 3!PREHILt1 VOLU1E • I 609 GALS ULLAGE • 10453 GALS 90Y. ULLAGE• 9246 GALS TC VOLLt1E • I 585 GALS
HEIGHT • 18.25 IIICHES WATER VOL • 0 GALS
WATER • 0.00 II~HES TEMP • 81.4 DEC F
T 4!DIESEL
VOLUME " 2714 GALS
ULLAGE • 9348 GALS 90% ULLAGE• 8141 GALS TC VOLlt\E • 2466 G.1LS
HEIGHT • 26.39 ltlCHES IJATER VOL -22 GALS WATER • 1 .03 !fiCHES
TEMP • 8u.3 DEC F
t1Aill FOLDED TAtiKS ItNENTORV TOTALS 1' I !UtiLEADED 1
T 2!UtiLEADED 29 B GALS VOLLt1E • 7 3 TC VOLUME • 7820 GALS
M ~ ~ ~ M END N M N * •
SOF1\JI.IRE REVISIOII LEVEL
VERSIOII 329.02 SOFTWAREd 3ol6329-IOO-c
CREATED-09.07.01 .16.29
S-t10DULE11 330160-00<1-a
SYSTEM FEATURES: PERIODIC 111-TA!ll: TESTS AtltHJAL I IFfANK TES1'S
ISO
SYSTEM SETUP ----------JIJN 11. 2014 9:40 At1
SVSTEH UIUTS u.s.
SVSTEH LAHCUAC~
ENGLISH
SVSTEH DATE/TIME FORI1AT MON DD YWV HH:MH:SS l<l'l
FASTRI P 346 805 34TH
BAKEP.SFIELD CA
661-325-0110
SHI FT TIHE I : 6 :00 A11 SHI FT TIMF. 2 : DISABLED SHIFT TIME 3 ! DISABLED
SHIFT TII1E 4 : DISABLED
TANK PER TST NEEDED WRrl
DISABLEO TANK ANN TBT NEEDED WRN
DI SABLED
LWE RE-EtlAELE METHOD
PASS L !tiE TEST
LINE PER TST NEEDED LJRU
DISABLED LINE AtiN TST NEEDED WR/1
DISABLED
PRINT TC VOLUMES
ENABLED
TEHP COMPENSATION VALUE <·DEC F >: 60.0 STICK HEIGHT OFFSET
DISABLED
ULLAGE: 90:;
H-PROTOCOL DATA FORI1AT
HEIGHT
DAYLIGHT SAVING T IME
IliSABLED RE-DIRECT LOCAL PRINTOUT
DISABLED
EURO PROTOCOL PREFI~ s
SVSTEH SECURITY CODI~ : 000000
HAitiTEtiAtiCE HI STORY
DISABLED
TANl: CHAfuo SECURIT'/
DISABLE1tf · • •
CUSTOM Al.ARt1S
fl!:::ABLED
SERVI CE NOTICE
DISABLED
ISO 3166 COUIITR\'
.,CODE: I
t-IASS/DEtiS I TV
DI SABLED
COHMUIIICATIOtS SETUP
PORT SETTitiCS:
I COMM BOARD : 1 <EDIH )
• RS-232 SECURITY . CODE : DISABI.:ED
COHM DOARD : 2 <RS-232>
BAUD P.ATE : 9600
PARITY : NONE
STOP BIT : I STOP DATA LENGTH: 9 DATA
RS-232 SECURITY
CODE : DISABLED
COHH BOARD : 3 <RS-232> BAUD RATE : 9600
PARITY : tiOUE STOP BIT : I STOP DATA LEM.'TH: 8 DATA
J<S-232 SECURITY CODE : DISABLED
AUTO TP.Ata11T SETTJtK;S:
AUTO LEAK ALARH LIMIT
DISABLED
AUTO HIGH lJATER L IMIT
DISABLED AUTO OVERFILL L IMIT DISABLED AUTO LOW PRODUCT
DISABLED AUTO THEFT LIMIT
DISABLED
AUTO DELIVERY !:>TART DISABLED AUTO DELIVERY END
DI SABLED
AUTO EXTERUAL I tiPUT 011
DISABLED
AUTO EXTERNAL I tlPUT OFF
DISABLED AUTO SEtiSOR FUEL ALARM
DISABLED AUTO SENSOR WATER ALAKH DISABLED
AUTO SENSOR OUT ALARM
DISABLED
RS-232 e!ID OF MESSAGE
DISABLED
lfi-TAtll: SETUP
T I :UNLEADED I PRODUCT CODE THERMAL COEFF TANK DIAMETER TANK PROFILE FULL VOL
FLOAT SIZE:
WATER WARtH 00 : HIGH UATER Llt1IT:
MAX OR LABEL VOL: OVERFILL LIMIT
HIGII PRODUCT
DELIVERY LIMIT
I .000700 95.50 I PT 12062
4 .o ltl.
2.0 3.0
12062 901~ 10855 95Y. 11459 ISY. 1809
LOW PRODUCT : 500 LEAK ALARM LIMIT: 99 SUDDEN LOSS LIMIT: 99 TANK TILT : 2·.50 PROBE OFFSET : 0. Oil
SIPHOtl MANIFOLDED TANKS Til: NONE LINE MANIFOLDED TANKS
Tit: 02
LEA~ Hltl PERIODIC: t:~ : 120 PERIODIC TEST TYPE STAflDARD
PERIODIC TEST FAIL ALARM DISABLED
GROSS TEST FAIL ALARM DISABLED
PER TEST AVERAGING: OFF
TANK TEST NOTIFY: OFF
TtlK TST SIPHOtl BREAK:OFF
DELIVERY DELAY : 1 MW PUMP THRESHOLD : lO.OOY.
T 2:UtlLEADED 2 PRODUCT CODE THERMAL COEFF TANK DIAMETER TANK PROFILE FULL VOL
FLOAT SIZE:
WATER WARtH tiG : HIGH WATER LIMIT:
MAX OR LABEL VOL: OVERFILL LIMIT :
HIGH PRODUv"'T i
DELIVERY LIMIT
2 .000700 95.50 1 PT 12062
4.0 ltl.
2.0 3.0
12062 90Y. 10855 95l~ 11459 [Sl;
1809
LOW PRODUCT : 500 LEAK ALARM LIMIT: 99 SUDDEN LOSS LIMIT: 99 TANK 'l'ILT 0,00 PROBE OFFSET 0,00
SIPHOfl MANIFOLDED TANKS
Til: NONE LINE MANIFOLDED TANKS Til! 01
LEAK Mltl PERIODIC: IP. : 120 PERIODIC TEST TYPE STAtlDARD
PERIODIC TEST FAIL ALARM DISABLED
GROSS TEST FAIL ALARM DISABLED
PER TEST AVERAGING: OFF
TANK TEST NOTIFY: OFF
TtiK TST SIPHOtl DREAK:OFF
DELIVERY DELAY : I MIN PUMP THRESHOLD : IO.OOY.
T 3:PREMIUH PRODUCT CODE THERMAL COEFF TANK DIAMETER TANK PROFILE FULL VOL
FLOAT SIZE:
WATER WARtH tiG : HIGH WATER LIMIT:
MAX OR LABEL VOL: OVERFILL LIMIT ;
HIGH PRODUCT :
DELIVERY LIMIT
3 .000700 95.50 I PT 12062
4.0 Jfl.
2.0 3.0
12062 SOY. 101:355 95Y. 11459 15Y. 1809
LOW PRODU~f : 500 LEAK ALARM LIMIT: 99 SUDDEN LOSS LIMIT: 99 TANK TILT : 1.40 PROBE OFFSET : 0,00
SIPHON MANIFO!.DED TANKS Til: NOtlE LitlE MANIFOLDED TAIIKS Til: tiONE
LEAK ~liN PERIODIC: IP. : 120 PERIODIC TEST TYPE STAflDARD
PERIODIC TEST FAIL ALARM DISABLED
GROSS TEST FAIL ALARM DISABLED
PER TEST AVERAGJt~: OFF
TANK TEST NOTIFY: OFF
TN!\ TST SIPHOtl BREAI::oFF
DELIVER\' DELAY : I MW PUMP THRESHOLD : JO.OOY.
T 4:DIESEL
PRODUCT CODE
THERMAL COEFF TANK DIAMETER TAtlK PROFILE FULL VOL
FLOAT SIZE:
WATER WARNING :
HIGH WATER LIMIT:
MAX OR LABEL VOL:
OVERFILL LIMIT i
HIGII PRODUCT
DELIVERY LIHIT
LOU PRODUCT :
LEAK ALARM LIHIT:
4 .004500 95,50
I PT 12062
4.0 JN.
2.0
3.0
1201)2
9W. 10855
95!: 11459 15Y. 1809
SUDDEtl LOSS l.IHIT!
500
99
99 0.20 o.oo TAtlK TILT :
PROBE OFFSET :
SIPHOtl MANIFOLDED TAtlKS Til: NOUE
LINE MANIFOLDED TAtU:S Til: NOtlE
LEAK MW PERIODIC: 1Y. : 120
PERIODIC TEST TYPE
STAIIDARD
PERI ODIC TEST FAIL ALARM DISABLED
GROSS TEST FAIL
ALARM DISABLED
PER TE.bl AVERAGit~: OFC:
TAIIK TEST tiOTIFY: OFF
Till: Tbl SIPHON BREAI::OFF
DEl.IVER\' DELAY : I l'lltl Plt1P THRESHOLD : 1 0. 00::
LEJ.\1~ TEST METHOD
TEST ON DI\TE : ALL TAtn: JUt. 1. 2009 START TIHE : DISABLED TEST RATE :0.20 GAL/I!R
DURATION : 2 HOURS
TST EARLY STOP!DISABLED
LEA~: TEST P.EPORT FORMAT tlORK'IL
LIQUID SEtiSOR SETUP
L I !UUL I STP
TRI-STATE <SlriGLE FLOAT> CATEGORY : STP SUMP
L 2:UJlL I AWl
TRI-STATE CSIOOLE FLOAT>
CATEGORY : AlltiULAR SPACE
L 3:Utn. 2 STP
TRI-STATE CSitiGLE FLOAT> CATEGORY : STP Sl.t1P
L 4!UNL 2 Atlll
NORMALLY CLOSED
CATEGORY : AtltiULAR SPACE
L 5:PREM STP
TRI-STATE CSif~Le FLOAT>
CATEGORY : STP SUMP
L 6:PREI1 ANti
TRI-STATE <Sit~LE FLOAT> CATEGOP.Y : AllNULAR SPACE
L 7:DSL STP
TRI-STATE <SWGLE FLOAT> CATEGORY : STP SUMP
L S:DSL Aim
TRI-STATE <SINGLE FLOAT>
CATEGORY : AtlNULAR SPACE
L 9!DISP 1-2 TRI-STATE CSitiGLE FLOAT> CATEGORY : DISPENSER PAtl
LIO:OISP 3-4 TRI-STATE <SltiGLE FLOAT> CATEGORY : DISPEtiSER PAN
LII:DISP 5-6
TRI-STATE <SitiGLE FLOAT> CATEGORY : DISPErSER PAH
LI2:DISP 7-8 TRI-STATE <SitiGLE FLOAT>
CATEGORY : DISPEtiSER PAtl
L13:E TRAilS SUHP TRI-STATE CSWGI.E FLOAT>
CATEGORY : PIPitlG Sl.t1P
LI4:W TRAUS Sli1P
TRI-STATE <SitiGI.E FLOAT>
CATEGORY : PIPING Sl.t1P
PtJ1P SElSOR SETUP
S I :UtiLEADED 2 TAIIK It: 2 DISPEtiSE MODE: MAtiiFOLDED: ALTERIIATE
S 2: PP.El'11 Lt1
TArn: ~t: 3 DISPEtSE MODE:
STAilDARD
OUTPlff RELAV SETUP
R I :UUL I
TYPE: Pl.t1P CONTROL OUTf'UT TANK It! I
LIQUID SEIISOR At.J'IS
L I :FUEL ALARM L 3!FUEL ALARM
L 9:FUEI. ALAI1f1
LIO!FUEL ALAiltl 1.11 !FUEL ALARM 1.12:FUEL ALARM L 1 !SENSOR OUT ALARM I. 3:SENSOR OUT ALARH L 9!SEtiSOR OUT ALARM
L1 O:SENSOR OUT ALARH 1.11 :SENSOR OUT ALARM LI2:SEIISOR Otrr ALARM L 1 !SHORT ALARH
I. 3 :SHORT ALARM I. 9 :SHORT ALARM I.IO!SHORT ALARM
I. II :SHORT ALARM
L12:SHORT ALARM
lSD SITE ALARMS lSD GROSS PRES FAIL ISO DEGRD PRES FAIL
lSD VAPOR LEA~ FAIL
lSD VP PRES FAIL
ISO VP STATUS FAIL
lSD HOSE ALARMS
ALI.:GROSS COLLECT FAIL
ALI.!DEGRD COLLECT FAIL ALL:FLOW COLLECT FAIL
R 2:UtlLD 2 TVPE: PIJ'1P Cot.fTROL OUTPUT
TAtlK 11: 2
LIQUID SENSOR ALMS L 1 :FUEL ALARM
L 3!FUEL ALARM
L 9 :FUEL ALARM LIO!FUEL ALARM
Ll l :FUEL ALARM L I2:FUEL AI.ARM
L I :SENSOR OUT ALA~1
L 3:SENSOR OUT ALARM L 9:SENSOR OUT ALARI'I
L10:SENSOR OUT ALARM Ll 1 :SENSOR OUT ALARM
Ll2 :SENSOR OUT ALARt1
L 1 :SHORT ALARM L 3:SI!ORT ALARM L 9:SI!ORT ALARM L10:SHORT ALARM L11 :SHORT ALARM
LI2!SI!ORT ALARM
ISO SI'TE ALARMS
I SO CROSS PRES FAIL
ISO VAPOR LEAK FAIL
ISO VP PRES FAIL
ISO VP STATUS FAIL
ISO I!OSE ALARMS ALL:CROSS COLLECT FAIL
ALL:OEGRD COLLECT FAIL ALL:FLOW COLLECT FAI L
R 3:PREI1 TVPE:
PIJ'1P COill'ROL OUTPUT TArn: ll: 3
LIQUID SEtiSOR ALMS
L S:FUEL ALARM
I. 9!FUEI. ALARM
I.IO:FUEL ALARM
1.1 1 !FUEL ALARM
1.12!FUEL ALARM
L 5:SENSOR OUT ALARH
I. 9 :SENSOR OUT ALARM
L10!SENSOR OUT ALARM L1 1 :SEtiSOR OUT ALARM
L12:SEtlSOR OUT ALARM
L S:SHORT ALARM L 9:SHORT ALARM L10:SHORT ALARM
L11 :SHORT ALARM
ISO SITE ALARMS
ISO CROSS PRES FAIL
ISO DECRD PRES FAIL
ISO VAPOR LEAK FAIL
ISO VP PRES FAIL
lSD VP STATUS FAIL
lSD HOSE ALARMS AI.L:CROSS COLLECT FAIL
ALL:DEGRD COLLECT FAIL ALL:FI.OW COLLECT FAI L
R 4 :DSL T'JPE:
STANDARD NORMALLY CLOSED
TAN>: ll: 4
LIQUID SEtiSOR ALMS
L 7: FUEL ALARM LIO:FUEL ALARM
1.1 1 !FUEL ALARM LI2!FUEL ALARM
L13 :FUEL ALARM LI 4:FUEL ALARM
L ?:SENSOR OUT ALARt1 LI O!SENSOR OUT ALARM
L11 :SENSOR OUT ALAP.t1
L12!SENSOR OUT ALARM L 14 :SEIISOR OUT ALAP.t1 L "7!SHORT ALARM-
LIO!SI!ORT ALARM Ll l :SHORT ALARM L12:SIIORT ALARM
Ll3!SHORT ALARM
L l 4 :SHORT ALARM
l SD SITE ALARMS
lSD CROSS PRES FAI L
lSD DEGRD PRES FAI L ISO VAPOR LEA>: FAI L
ISO VP PRES FAIL
ISO VP STATUS FAI L
lSD HOSE ALARMS ALL :GROSS COLLECT FAIL ALL:DEGRD COLLECT FAIL
ALL :FLOW COLLECT FAIL
R S:OVERFILL ALARM
TYPE: STAtlDARD
tiORHALLY OPEN
TANK 11: NONE
-NO ALARM ASSICtlMEtll'S -
SHARTSENSOR SETUP
:J I :VP 1-2
CA'fECORY VAPOR PRESSURE
s 2:FJ1 1-2
CATEGORY AIR FLOW METER
s 3:FJ1 3-4 CATEGORY AIR FLOW METER
:~ 4:FH 5-G CATEGORY AIR FLOW METER
!! 5:FM 7-8
CATEGORY AIR FLOW METER
EVR.d SO SETUP
EVR TYPE: VACULJ1 ASSIST
VACUUM ASSIST TYPE
HEALY VAC
NOZZLE A/L RANGE MAX: 1.15 MIN: 0.95
VA~OR PROCESSOP. TYPE
NONE
ANALYSIS TIMES TIME: 1o:oo Al1 DELAY HltiUTES:
ACCEPT HIGH ORVR:
DISABLED
I SO !lOSE TABLE
ID FP FL HL AA RR
0 1 01 01 02 01 uu
02 02 02 02 01 uu
03 03 03 02 02 uu
04 0~ 04 02 02 uu OS OS 05 02 03 UU
06 06 06 02 03 uu
07 07 07 02 04 uu OB 08 OB 02 04 UU
lSD AIRFLOW METER HAP
ID SERIAL tiUM LABEL
I 8448
2 8409
3 8408 4 8455
FM 1-2 FM 3-4
FM 5-6
FM 7-8
l SD FUEL GRADE HOSE HAP I 2 3 4
FP MHH HHH MHH MI!H AA ------------------------01 201 301 901 u u l
02 202 302 902 U U I 03 203 303 903 5 u 2
04 204 304 904 5 u 2
OS 205 305 905 U U 3 06 206 306 906 u u 3
07 207 307 907 5 u 4 DB 208 308 908 5 U 4
LABEL TABLE ------------------------l: UNASSICtffiD
2: BI.EilD3
3 : REGULAR 4: MID GRADE
5: PREMIUM 6: GOLD 7: BRONZE 8: SI LVER
9: BI.END2 10: BLEND4
PMC SETUP
FMC VERSIOtl: 01,02
VAPOR PROCESSOR TYPE NONE
PROCESSOR COtlTROL LEVEL: NONE
ALARM HISTORY REPORT
-----SYSTEM ALARM -----PAPER OUT MAY 17. 2014 2:17 AH PRINTER ERROR JUN II. 2014 9:36AM
ALARM HISTORY REPORT
----I tl-TAIIK ALARM --.,---
T I !UNLEADED I
OVERFILL ALARM DEC 31. 2013 3!29 PM
OCT 28. 2013 7!24 AM
SUDDEN LOSS ALARM AUG 29. 2013 3!45 AM AUG 28. 2013 2!42 AM
I NVALIO FUEL LEVEL AUG 30. 2013 4!11 PH AUG 28. 2013 8:53 PM AUG 27. 2013 4!43 PH
DELIVERY NEEDED APR 6. 2014 4!46 PH JAN 31. 2014 6!08 PM DEC 16. 2013 1!13 AH
l
ALARM HISTORY REPORT I
----Ill-TANK ALARM -----
T 2!UIILEADED 2
OVERFILL ALARM APR 15. 2014 5:17AM
LOW PRODUCT ALARI1 DEC 11. 2013 9:29AM
SUDDEfl LOSS ALAFitl AUG 30. 2013 3:39 AM
INVALID FUEL LEVEL DEC 11. 2013 9:29AM
DELIVER'/ NEEDED APR 6. 2014 4:51 FM JAtl 31. 2014 6:03 F11 DEC 16. 2013 1:09 AH
AUIRI1 HISTORY REPORT
----lti·TAtll~ ALARM -----
T 3:f'REI11UN
INVALID FUEL LEVEL AUG 25. 2013 4!49 PM
DELIVERY NEEDED JUN 10. 2014 7:39 AM HAY 21. 2014 6:08AM MAY 14. 2014 5!04 PM
I ALARM HISTORY REPORT
----IN-TANK ALARM -----
T 4:DIESEL
DELIVERY NEEDED MAY 23. 2014 4:49 PM HAY 16. 2014 8:28 AM HAY 6. 2014 I2!42 PM
ALARN IIISTORY REPORT
-----SENSOR ALARM -----L I :UNL I STP STP Str1P FUEL ALARM DEC 11. 2013 9:18AM
SETUP DATA l.JARNlNG JUL I. 2009 8!04 AM
ALARM HISTORY REPORT
-----SENSOR ALARM -----L 2:UNL 1 ANN AtlNULAR SPACE FUEL AI.ARM JUN 11. 2014 9!30 AM
SETUP DATA WARtHtlC JUL 1. 2009 8!04 AM
AlARM IUSTORV REPORT
-----SEIISOR ALARM -----L 3!UtiL 2 STP
STP Sl.tfP SETUP DATA WARtll NG
JUL 1. 2009 8!04 AM
ALAP.M HISTORY REPORT
-----SENSOR ALARM -----L 4!UNL 2 ANN
A!HlULAR SPACE
FUEL ALARM JUtl 11. 2014 9!31 f.l1
FUEL ALARM NOV 21. 2013 7:20 PH
FUEL ALARM JUL 1. 2oo9 a:os AH
ALARI-1 HISTORY REPORT
-----SEt~OR ALARM -----L 5!PREJ1 STP STPSI..tfP FUEL ALARH JUtl 4. 201-1 10:15 AM
FUEL t\LARH NOV 20. 2013 2:17 ~
SETUP DATA WARIHfiG
JUL 1. 2009 a:04 AM
iE * M M * END * * iE ;( IE
ALARM HISTORY REPORT
-----SENSOR ALARH -----
L 6:PREM ANti
ANNULAR SPACE
FUEL ALARM JUtl 11. 2014 9:33 AM
SETUP DATA WARtllfiG
JUL 1. 2009 8!04 AH
;( x * ii ii EIID * ,; l( )t *
ALARM HISTORY REPORT
-----SENSOR ALARM -----L 7:DSL STP
STP SUMP
FUEL ALARM JUN 5. 2014 9:34 AM
SEt~OR OUT ALARM JUtl 5. 2014 9:20 AH
FUEL ALARM JUtl 5. 201-1 9:19 AH
ALARM IIISTORY REPORT
-----SEUSOR ALARM ----
L 8 :0SL AIIN
ANIIULAR SPACE
FUEL ALARH JUN II· 2014 9:3~ AM
FUEL ALARM JUN 5. 2014 9:10AM
SEt~OR OUT ALARM
JUN 5. 2014 9:05AM
ALARM HISTORY REPORT
-----SENSOR ALARH -----L 9:DISP 1-2 DlSPEt~ER PAN SETUP DATA IJAR/Hf~
JUL 1. 2009 8:04 AH
* i< * * it EIID j( * )( j( j(
ALARM IIISTORY REPORT
-----SEUSOR ALARM -----LIO:DlSP 3-4 DISPENSER PAtl FUEL ALARM
JUN 4. 2014 8:39 f.l1
SETUP DATA WARtntl~ JUL 1. 2009 8:04AM
ALARM HISTORY REPORT
-----SEIISOR ALARM -----
LII !OISP 5-6 DISPENSER PAN
FUEL ALARM JUN 2. 2014 10:45 AM
SETUP DATA WARtH tlG JUL 1. 2009 8:0~ AM
)( )( M M M END X * * )( *
ALARM IIISTORY REPORT
----SEtSOR ALARM -----LI2:DISP 7-8 DISPEtiSER PAN FUEL ALARM JUN 2. 2014 10:38 AM
SETUP DATA WARtHtiG JUt 1. 2009 8:o~ Al1
* )( )( * I( EtlD * )( )( * )(
ALARM HISTORY REPORT
-----SENSOR ALARM -----LI3:E TRANS SU1P PIPitiG Sl.t1P FUEL ALARM JUN 2. 2014 1!48 PN
SETUP DATA WARNING JUl. 1. 2009 8:04AM
A1.ARt1 HISTORY REPORT
-----SENSOR ALARM ----LI4:W TRANS Sll'IP PlPitiG SUHP SETUP DATA lJARtHtiG Jut 1. 2009 8:04AM
At.ARtl HISTOR'/ REPORT
----• G\'ST.EM fiLAP.t1 --··--PAPER OUT NAY 17. 2014 2:17 AM PRitrTER ERP.OR JUN tl. 2014 9:36 Pi-1
AlARM HISTOP.Y REPORT
----W-TAIII: ALARM -----
•'T I :UULEADED I
ovlfRFII.L to~~ JUU 11 •. ':lll141"11:29 AM DEC 31. 2013. 3:29 P11
OCT 28. 2013 7:24 AM
SUDDEII LOSS fll.AP.M JUN 11. 2014 11!2G AM AUG 29. 2013 3:45 AM AUG 28. 2013 2!42 AM
IIIGII PROI'IJI.,""T ALARM JUN 11. 2014 11!29 AM JUil 11. 2014 II :J 4 AM
ltNALID FUEL LEVEL AUG 30. 2013 4!11 PM AUG 28. 2013 8!53 PM
AUG 27. 2013 4!43 PM
PROBI! OUT JUtl11. 2014 11!31 AM JUN 11. 2014 11:26 AM
DELIVERY NEEOED APR G. 2014 4:46 Pl'l JAN 31. 2014 G:08 PM DEC 16. 2013 1!13 Al1
ALARM HISTORY REfJORT
----IN-TAt~ Al-ARM -----
T 2:UtlLEADED 2
OVERFILL AI.ARH APR 15. 2014 5:17AM
LOW PP.OD~""T ALARM DEC 11. 2013 9:29AM
SUDDEN LOSS Al-ARM AUG 30. 2013 3:39 A11
HIGH PRODUCT ALARM JUN 11. 2014 11:21 AM
HNALID FUEL LEVEL DEC 11. 2013 9:29AM
DELIVERY NEEDED APR G. 2014 4:51 fM JAN 31. 2014 6:03 Ftl DEC 16. 2013 1:09AM
Al-ARM HISTORY REPORT
----lfi-TAtll\ Al-ARM -----
T 3:PREl11UM
OVERFILL ALARM JUN 11. 2014 3:28 PN
SUDDEN LOSS ALARM JUN Jl, 2014 3:17PM
HIGH PRODUCT ALARM JUil 11. 2014 3:27 PM
ltNALID FUEL LEVEL JUII 11. 2014 3:32 PN AUG 25. 2013 4!49 PM
PROBE OUT JUN 11. 2014 3:31 PM JUN II • 2014 3: 17 I'-M
DELIVERY tlEEDED JUri 11. 2014 3:32 PM JUII 10. 2014 7:39 Al'l MAV 21. 2014 6:08 AH
.j
ALARM HISTORY REPORT
----IN-TANK ALARM -----
T 4:DIESEI..
OVERFILL ALARM JUN 11. 2014 3:14PM
HIGH PRODUCT ALARM JUtlll . 2014 3:14PM
PROBE OUT JUN 11. 2014 3:16PM JUN 11 . 2014 3:09PM
DEI..IVEP.\' NEEDED JUN 11. 2014 3:09PM NAV 23. 2014 4:49 PH NA'I 16. 2014 8:28 AM
LOW TEMP WARtH NG JUN 11. 2014 3:17PM
ALARM HISTORY REPORT
-----SENSOR ALARM -----
1.. l :UNL I STP
STP SlJ1P SENSOR OUT ALARH JUN 11. 2014 It :02 AM
FUEL ALARM JUN 11. 2014 9:52AM
FUEL ALARM DEC 11. 2013 9:19AM
ALARM IIJSTORY REPORT
----SEtiSOR ALARM -----L 2:UNL I ANN
AtltlULAR SPACE
SENSOR Olfl' ALARM JUN 11. 2014 11:02 AM
FUEL ALARM JUN 11. 2014 9:30AM
SETUP DATA WARN I NG JUL 1. 2009 8:04AM
ALARM HISTORY REPORT
-----SENSOR AlARM -----1.. 3:UtlL 2 STP
STPSIJ1P SENSOR Olfl' AlARM
JUN 11. 2014 11:02 AH
FUEl. AlARM JUN 11. 2014 9:57 AH
SETUP DATA WARtlWC JUL t. 2009 8:04AM
AlA'Rl1 HISTORY REPORT
-----SENSOR AlARM -----1.. 4:UNL 2 ANN
ANNULAR SPACE
FUEl. AlARM JUtl 11. 2014 11:02 AM
FUEL AlARM JUU ll. 2014 9:31 AH
FUEL AlARM NOV 21. 2013 7:20 PH
AU\RM HISTORY REPORT
-----SENSOR ALARM -----1.. 5:PREM STP
STPSUMP
SENSOR Olfl' AlARM JUN 11. 2014 11 :02 ~1
FUEL AlARM JUtl 11. 2014 9:53AM
FUEL ALARM JUN 4. 2014 tO:tS AH
ALARM HISTORY REPORT
-----SENSOR ALARM -----1. 6:PREM ANil ANNULAR SPACE
SENSOR OUT ALARM JUN 11. 2014 11:02 AM
FUEL ALARM JUtl 11. 2014 9:33AM
SETUP DATA Ut\RNI tiG
JUL 1. 2009 8:04AM
ALARM HISTORY REPORT
-----SENSOR ALARM -----L ?:DSL !:iTP
STPSUNP SENSOR OUT ALARM JUN II. 2014 11:02 AM
FUEL ALARM JUN 11 . 2014 9:56 AN
FUEL Al.f\RM
JUN 5. 2014 9:34 AM
ALARM IUSTOR\' REPORT
-----SENSOR ALARM -----L 8:0SL AtlN ANNULAR SPACE
SENSOR OUT ALARM JUt~ 11. 2014 11:03 AN
FUEL ALARM
JUN 11. 2014 9:34AM
FUEL ALARM JUN 5. 2014 9:10 AH
ALARM HISTORY REPORT
-----SENSOR ALARM -----L 9:DJSP 1-2
DISPENSER PAN SEtiSOR OUT ALARM
JUII 11. 2014 II :02 t\M
FUEL ALARM JUN 11. 2014 10:48 AM
SETUP DATA WARN It~ JUL 1. 2009 8:04AM
ALARM HISTORY REPORT
----SENSOR ALARM -----LIO:DtSP 3-<1
DISPENSER f-AN
FUEL ALARM JUN 11. 2014 12:20 PH
SENSOR OUT ALARM JUN 11. 2014 11:03 AM
FUEL ALARM JUN 11. 2014 10:49 AM
ALARM HtSTOR'/ REPORT
-----SEtiSOR ALARM -----l.lt:OJSP 5-6
DISPEtiSER PAN SENSOR OUT ALARM JUN 11. 2014 11:03 AH
FUEL ALARM JUN 11. 2014 11:01 AM
FUEL ALARM JUN 2. 2014 10:45 AM
ALARI1 HISTORY REPORT
-----SENSOR ALAAH -----L12:IJISP 7-8 DISPEtiSER PAN SENSOR OUT ALARM JUH 11 . 2014 11:03 AH
FUEL AUiRH JUN 11 . 2014 10:50 AH
FUEL ALARM JUN 2· 201<1 10:38 AH
ALARM IIISTORY REPORT
-----SEr~OR ALARM -----Lt3:E TRAilS SUMP
PIPitl\.1 Sl.t1P SEt~OR OUT ALARM JUN II· 2014 11:02 AM
FUEL ALARM JUtl 11. 201<1 10:52 Pl1
FUEL ALARM JUN 2. 2014 1:49 PH
ALARM HISTORY REPORT
-----SEtiSOR ALARM -----L14:W TRANS SUMP PIPING SUMP SEtiSOR OUT ALARM JUN tt. 2014 11:02 AH
FUEL AUIRM JUN II· 201<1 10:48 AH
SETUP DATA WARNING JUL I · 2009 8:04 AH
11 " ;, 1i " J:'JIO X lot lot ){ lf
SWRCB, January 2006
Spill Bucket Testing Report Form
This form is intended for use by contractors performing annual testing ofUST spill containment structures. The completed form and
printouts from tests (if applicable), should be provided to the facility owner/operatorfor submittal to the local regulatory agency.
1 FACILITY INFORMATION
Facility Name: #3346 Fastrip #621 I Date ofTesting: 06/11/2014
Facility Address: 805 341h Street, Bakersfield, CA 9330 I
Facility Contact: Omero Garcia I Phone: 661 -393-7000
Date Local Agency Was Notified of Testing : 6/6/2014
Name of Local Agency Inspector (if present during testing): Shane Gardner
2 TESTING CONTRACTOR INFORMATION
Company Name: Confidence UST Services, Inc.
Technician Conducting Test: Bryan A Self
Credentials 1: X CSLB Contractor X ICC Service Tech. X SWRCB Tank Tester 0 Other (SpecifY)
License Number(s): CSLB #804904 ICC #8022804-UT SWRCB # 11 -1756
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 1 Regular I 2 Regular 2 3 Super 4 Diesel
Number, Stored Product, etc.)
Bucket Installation Type: 0 Direct Bury 0 Direct Bury 0 Direct Bury 0 Direct Bury
x Contained in Sump x Contained in Sump x Contained in Sump x Contained in Sump
Bucket Diameter:
Bucket Depth:
Wait time between applying
vacuum/water and start of test:
Test Start Time (T1):
Initial Reading (R1):
Test End Time (T F):
Final Reading (RF):
Test Duration (T F-T1):
Change in Reading (RF -R1):
Pass/Fail Threshold or
Criteria:
Test Result: X Pass OFail X Pass D Fail X Pass OFa il X Pass OFail
Comments -(include information on repairs made prior to testing, and recommended follow-up for .failed tests)
All Spill buckets were tested with the annual monitoring cert
CERTIFICATION OF TECHNICIAN RESPONSIBLE FOR CONDUCTING THIS TESTING
I hereby certify that all the information contained in this report is true, ate, and in .full compliance with legal requirements.
Date: 06111120 14
1 State laws and regulations do not currently re ire testing to be performed by a qualified contractor. However, local requirements
may be more stringent.
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