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Home My WebLink AboutMONITORING SYST 11/28/2011MONITORING SYSTEM CERTIFICATION For Use By All Jurisdictions Within the State ofCalifornia Authority Cited: Chapter 6 7, Health and Safety Code; Chapter 16, Division 3, Title 23, California Code ofRegulations 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 ofthis date. A. General Information Facility Name: Downtown Chevron (South) Bldg. No.: _ Site Address: 2317 L Street City: Bakersfield Zip: 93301 Facility Contact Person: Frank Sullivan Make/Model of Monitoring System: Veeder -Root TLS 350 B. Inventory of Equipment Tested /CertifiedCheektheappropriateboxestoinCatespecificequipmentinspected /serviced: Contact Phone No.: 661 - 303 -0016 Date of Testing/Servicing: 11/28/2011 Tank ID: 12000 gal. Regular Tank ID: 10000 gal. Plus X] In -Tank Gauging Probe. Model: 847390-107 In -Tank Gauging Probe. Model: 847390 -107 U Annular Space or Vault Probe. Model: 794390-420 U Annular Space or Vault Sensor. Model: 794390 -107 x] Piping Sump / Trench Sensor(s). Model: 794380-208 U Piping Sump / Trench Sensor(s). Model: 794380 -208 Fill Sump Sensor(s) Model: Fill Sump Sensor(s). Model: U Mechanical Line Leak Detector. Model:FXIV J Mechanical Line Leak Detector. Model: FX1V Electronic Line Leak Detector. Model: Electronic Line Leak Detector. Model: J Tank Overfill / High Level Sensor. Model: 847390 -107 Tank Overfill / High Leval Sensor. Model: 847390 -107 Other (specify equip. type and model in Sec. E on Pg. 2) Other (specify equip. type and model in Sec. E on Pg. 2) Tank ID: 8000 gal. Super Tank ID: x] In -Tank Gauging Probe. Model:847390 -107 In -Tank Gauging Probe. Model: X] Annular Space or Vault Sensor. Model:794390 -420 Annular Space or Vault Sensor. Model: X] Piping Sump / Trench Sensor(s). Mode1:794380 -208 Piping Sump / Trench Sensor(s). Model: Fill Sump Sensors(s). Model: Fill Sump Sensor(s). Model: n Mechanical Line Leak Detector. Model:FX1v Mechanical Line Leak Detector. Model: Electronic Line Leak Detector. Model: Electronic Line Leak Detector. Model: x] Tank Overfill / High Level Sensor. Model: 847390-107 Tank Overfill / High Level Sensor. Model: Other (specify equip. type and model in Sec. E on Pg. 2) Other (specify equip. typs and model in Sec. E on Pg. 2) Dispenser ID: 1 & 2 Dispenser ID: 3 & 4 n Dispenser Containment Sensor(s). Model: 794380 - 001 X] Dispenser Containment Sensor(s). Model: 794380 -001 7 Shear Valve(s). U Shear Valve(s). Dispenser Containment Float(s) and Chain(s). Dispenser Containment Float(s) and Chain(s) Dispenser ID: 5 & 6 Dispenser ID: 7 & 8 Dispenser Containment Sensor(s). Model: 794380 - 208 U Dispenser Containment Sensor(s). Model: 794380 -001 Shear Valve(s). U Shear Valve(s). Dispenser Containment Float(s) and Chains(s). Dispenser Containment Float(s) and Chain(s). Dispenser ID: 98,10 Dispenser ID: 11 & 12 FX] Dispenser Containment Sensor(s). Model: 794380 -001 x] Dispenser Containment Sensor(s). Model: 794380 -001 X] Shear Valve(s). X] Shear Valve(s). Dispenser Containment Float(s) and Chain(s) Dispenser Containment Float(s) and Chain(s). If the facility contains more tanks or dispensers, copy this form. Include information for every tank and dispenser at the facility. C. Certification - I certify that the equipment identified in this document was inspected /services in accordance with the manufacturers' guidlines. Attached to this Certification is information (e.g. manufacturers' checklist) necessary to verify that this information is correct and a plot plan showing the layout of monitoring equipment. For equipment capable of generating such reports, I have attached a copy of the report; (check all that apply) x System Set -up Ex ]Alarm history report Technician Name (print): Krlstopher Karns Signature: Certification No: 834106 License No: 804904 Testing Company Name: Confidence UST Services, Inc. Phone No: 800- 339 -9930 Site Address: 2317 L Street, Bakersfleld, CA 93301 Date of Testing/Servicing: 11/28/2011 D. Results ofTesting /Servicing Software Version Installed: 329.00 Complete the following checklist: x] Yes No* Is the audible alarm operational? x Yes NOT Is the Visual alarm operational? x Yes No* Were all sensors visually inspected, functionally tested, and confirmed operational? x I Yes No* Were all sensors installed at the lowest point of secondary containment and positioned so that other, equipment will not interfere with their proper operation? Yes No* If alarms are relayed to a remote monitoring station, is all communications equipment (e.g. modem) X N/A operational? x Yes No* For pressurized piping systems, does the turbine automatically shut down if the piping secondary N/A containment monitoring system detects a leak, fails to operate, or is electrically disconnected? If yes: which sensors initate positive shut -down? [x] Sump /Trench Sensors [x] Dispenser Containment Sensors Did you confirm positive shut -down due to leaks and sensor failure /disconnected? [X] Yes; No; U Yes No* For tank systems that utilize the monitoring system as the primary tank overfill warning device (i.e. no L] N/A mechanical overfill prevention valve is installed), is the overfill warning alarm visual and audible at the tank fill point(s) and operating properly? If so, at what percent of tank capasity does the alarm trigger? 90 % U Yes* No Was any monitoring equipment replaced? If Yes, identify specific sensors, probes, or other equipment replaced and list the manufacturer name and model for all replacement parts in Section E, below. Yes* U No Was liquid found inside any secondary containment systems designed as dry systems? Product; Water. If yes, describe causes in Section E, below. x Nb* Was monitoring system set -up reviewed to ensure proper settings? Attach set -up reports, if applicable. LxJ Yes I Lj No* I Is all monitoring equipment operational per manufacturer's specifications? In Section E below, discribe how and when these deficiencies were or will be corrected. E. Comments: During the Monitoring Certification the 208 Sensor in Dispenser # 5 & 6 wasn't working and woudln't go into alarm. Once the the new 208 Sensor was installed the new sensor was retested and confirmed operational. I also had to replace the Super FX I V Leak Detector, because the original wasn't working and wouldn't catch a leak. After the new FXIV Leak Detector was installed, it was retested and confirmed operational. F. In -Tank Guaging / SIR Equipment: M Check this box if tank guaging is used only for inventory control. Check this box if tank guaging or SIR equipment is installed. This section must be completed if in -tank guaging equipment is used to perform leak detection monitoring. Complete the following checklist: Cx] Yes No* Has all input wiring been inspected for proper enter and termination,including testing for ground faults? Yes No* Were all tank guaging probes visually inspected for damage and residue buildup? Yes No* Was accuracy of system product level readings tested? x Yes No* Was accuracy of system water level readings tested? x Yes No* Were all probes reinstalled properly? Lx] Yes 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): Check this box if LLD's are not installed. Complete the following checklist: x] Yes No* For equip. start-up or annual equipment certification, was a leak simulated to varify LLD performance? Check all that apply) Simulated leak rate: Lx]3 g.p.h.: 0.1 g.p.h.; 0.2 g.p.h.; x Yes No* Were all LLD's confirmed operational and accurate within regulatory requirments? x Yes No Was the testing apparatus properly calibrated? L] Yes M No* For machamca LLD's, does the LLD restrict product flow if it detects a leak? N/A Yes No* For electronic LLD's, does the turbine automatically shut off if the LLD detects a leak? L] N/A Yes No* For electronic LLD's, does the turbine automatically shut off if any portion of the monitoring system is x] N/A disabled or disconnected? Yes No* For electronic LLD's, does the turbine automatically shut off if any portion of the monitoring system Lx] N/A malfunction or fails a test? Yes No* For electronic LLD's, have all accessible wiring connections been visually inspected? Cx] N/A Lxj Yes 1 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: DOWNTOWI,1 1S DAILY PEPOPT SOFTItIARE REV ISI011 LEVEL. 231 L LF-l- VERSION 'j29.00 BAKERSFIELD q3j I 807TWAREo 346329 -100 -A b61 --638-0310 DOWNTOWN CHEVRON S. CREATED - 08.1 0.09.1 7.08 2117 1. STREET 140V 28 - 201 1 0: 4:3 AM BAKERISFIELD t"'A 93301 S-•ODULEd 330160-004-a 661-630-0310 SYSTEM FEATURES: . PERIODIC IN-TANK TESTS' NOV 2E, - 21 0 1 1 8:43 Ali ANNUAL IN-TANI, TESTS SYSTEm REPORT ISD FOSS PREP WARN- EvF., VACUUM ASSIST ISDISD VERSION 01.02 I :DEGRD C;OLLEI-:T WARIq REPORT [PATE: NOV 27 1) 5:DEGPD C:01..LErl,r ljARf,j 12-D VERSION 01 .02 h) I :DEGRD (-:OLI-E,-;T wHplq OVERALL STATUS WARN EVR CONTAINMENT WARN E%/R COLLECTION WARN I NVENToRy kpp()RT STAGE1 0 of 0 NOTEST SVSTEM SETUP SELF TEST PASS ISD MONITOR UP -TIRE 100% NOV *--'B. 2101 1 8:44 AN T I :SUPREMEVOLUME . `540 i3ol-.csULLAGE . 5564 loALS ONTP, I 1,11,04T TESTS 90% ULLA(.;E- 4759 CALt-, UNITS TC; 'VOLUME ?520 CAL's GROSE; 95% 3.4w U.S. HEIGHT = 4 479 1 NcHE8 0 Di,RD 751% 3.21,1 1,10 SYSTEM LANGUAGE WATER VOL GALS VAPOR LEAK 0 C:FH WO ENGL, I SH WATER 00.00 INCHES MAX 3.6 WC SYSTEM DATE. ,TIME FORMAT TEMP 71.3 DEG F MlN --3.7 MON DD YYYY l-1H:Mf1:S1'3 xM DOWNTOWN CHEVRON S. T 2:PLUS 2317 L STREET VOLLuiE 39 16 t3ALS 1-1:01.1-ECTION TESTS BAXERSFIELD CA 93301 ULLAGE 622 9 GALS GROSS Di 661-E-38-0310 90% ULLAGE- 51114 CALS2 A/L ( 0 A,,- L c 0) T13 VOLUME - 3875 GALS SHIFT TIME 1 6:00 AM HEIGHT - 38.95 1 N(.-HEi- FP 1: BLEND3 SHIFT TIME " DISABLED WATER Vol- . 0 GALS 0.87< )6) 0,70( 54>W SHIFT TIME 3 DISABLED WATER ' 00.00 1 N1-* HES FP 2: BLENDS SHIFT TIME 4 DISABLED TEMP 74.7 DEG F Ole@< 31) 0.91(104) FP 3: 131 -ENDS TANK PER TsT NEEDED 61RII 0.82( M 0.88(116) DISABLED T 3: UNLEADED FP 4: BLEND3 TANK ANN TST NEEDED WRN VOLUME . 7768 GALS 0-83( 27, 1.71,92(209) DISABLED ULLAGE . 4273 GALS rp,.'.: BLEND3 90% ULL(-iGE= 3068 GMLS 0.77( 4014 0.774 44)1,1 LINE RE-ENABLE METHOD. TC VOLUME - 7714 ,3Ajjc_; FP 6: BLEND3 PASS LINE TEST HEIGHT - 78.41 INCHES 28)1,j 0.82( 54)N WATER VOL - 0 GALS 0-74( FP 7: BLEND3 LINE PER TST NEEDED WRN WATER . 0.00 1 pir;14ES 0.97 ( 22) 0.97(217) DISABLED TEMP . 69.7 E)CG p FP 8: BLEND3 LINE ANN TST NEEDED WRN 0.94( ',2) 0.87(163) DISABLED FP 9: BLENM END 0.98( 25) 0.86(140) PRINT Tt,' VOLUMES FPIO: BLEND3 ENABLED 0.87( 15) 0.87( 64) FPII: BLEND3 TEMP COMPENSATION 0.75( 32) 0.00(273)W VALUE (DEG F ): 60.0 FP12; BLEND3 STICK HElt>T OFFSET 0.84( 16) 0.89( 75) DISABLED ULLAGE ' 90% SELF TEST H4ROTOCOL DA•;Li FORMAT HEIGHT GETUP TEST PiaSS DAYLICHT SAVING TINE SENSOR OUT TEST PASS ENABLED START DATE MAR WEEK 2 SUN TART T Ill 2:00 AM END DATE NOV WEEK I SUN E19D T I ME 2 :00 ;V1 RE-DIRECT LOCAL PR I NTOiiT COMMUNICATIONS SETUP RS -232 Ec1D OF MESSAGE DISABLED DISABLED EURG PROTOC'(iL PREFIX AUTO DIAL ALARM SETUP S PORT SETT1 N :S : COMI'l BOARD : I (ED IM } RS -232 SECURITY SYSTEM SECURITY CODE DISABLED CODE : 000000 COMM BOARD 2 MAINTENANCE HISTORY BAUD RATE : 96110 DISABLED PARITY NONE STOP BIT 2 STOP DATA LENS :TH : 7 DATA TANI: CHART E,_ UR I TY RS -232 SECURITY DISABLED CODE : D I SABLED IN-TANK SETUP COMM BOARD 3 tF•;:MOD) CUSTOM ALARMS BAUD RATE 2400 T I:SUPREr1E DISABLED PARITY ODD PRODUCT i:ODE 1 STOP BIT : I STOP THERMAL COEFF :.000700 DATA LE14GTFI: 7 DATA TANK DIAMETER 127.50 SER1 I': E IdOT I CE RS -232 SEOUR l •fY TANX PROFILE DISABLED CODE : DISABLED VtjL d 104 DIAL TYPE TONE ISO 3166 COUNTRY ANSWER ON 1 RING MODEM SETUP STRING FLOAT SIZE: 4.0 IN. CODE: DIAL TONE 1rlTERVAL: 32 WATER WARNING : 2.0 HIGH WATER LIMIT'. 3.0 MASS /DEI-IS ITY DISABLED AUTO TRANSMIT SETTINGS: MAX OR LABEL VOL: 5104AX OVERFILL L I I-I l T 9o AUTO LEA)( ALARM LIMIT 7293 DISABLED HIGH PRODUCT AUTO HIGH WATER LIMIT 7698 DISABLED DELIVERY LIMIT 10% AUTO OVERFILL LIMIT 810 DISABLED AUTO LOWW PRODUCT LOW PRODUCT 500 DISABLED LEAP ALARM LIMIT: 99 AUTO THEFT LIMIT SUDDEN LOSS LIMIT: 99 DISABLED TANK TILT 2.56 AUTO DELIVERY START PROBE OFFSET 11.00 DISABLED AUTO DELIVERY END DISABLED SIPHON MANIFOLDED TANXS AUTO EXTERNAL INPUT ;44 Tn: NONE DISABLED LINE MANIFOLDED TANKS AUTO EXTER14AL INPUT OFF To, NONE DISABLED AUTO SENSOR FUEL ALARM DISABLED LEA): MIN PERI01114:': 10:6 AUTO SENSOR klATER ALARM 510 DISABLED AUTO SENSOR OUT ALARM LEAF: M114 ANNUAL DISABLED 810 PERIODIC TEST T4'PE STANDARD RECEIVER SETUP: ANI4UAL TEST FAIL ALARM DISABLED NONE PERIODIC 'PEST FAIL ALARH DISABLED ROSS TEST FAIL ALARM D i SABLED ANN TEST AVERAGING: OFF PER TEST AVERAGING: OFF TANK TE`jT NOTIFY: OFF AUTO D 114L TIME SETUP : TAY. "I.ST SIPHON BREAK : DFF NONE DELIVERY DELAY I MIN PUMP THRESHOLD 10.0&"6 T 2: PLUS PRODUCT CODE 2 T 3:0NLEADED LEAK TEST METHOD THERMAL COEFF :,000700 PRODUCT CODE 3 TANK DINMETER 95.00 THERMAL COEFF :.000700 TEST ON DATE : ALL TANK TANK. PROFILE I PT TANK DIAMETER : 1 27.50 OCT 9, 2008 FULL VOL 10145 TANK PROFILE I PT START TIME : DISABLED FULL VOL : 12041 TEST RATE :0.20 (3AL /HR DURATION 2' HOURS FLOAT SIDE: 4.0 IN. COAT SIZE: 4.0 IN. TST EARLY STOP :DISABLED WATER WARNINC; 2.0 HIGH WATER LIMIT: 3.0 WATER WARNING 2.0 LEAK TEST REPORT FORMAT HIGH WATER LIMIT: 3.0 NORM>',L MAX OR LABEL VOL: 16145 OVERFILL LIMIT 40 MAX OR LABEL VOL: 12041 91330 OVERFILL LIMIT 90% NIGH PRODUCT 95i 10837 9637 HICH PRODUCT 95% DELIVERY LIMIT 10% 11439 1014 DELIVERY LIMIT 10% 1204 LOW PRODUCT 1000 LEAK ALARM LIMIT: 99 LOW PRODUCT 1200 SUDDEN LOSS LIMIT: 99 LEA), ALARM LIMIT: 99 TANK. TILT 0.73 SUDDEN LOSS LIMIT: 99 LIQUID SENSOR SETUP PROBE OFFSET 0.00 TANK TILT 1.10 PROBE OFFSET 6.00 L I :PLUS STP SIPHON MEAN t FOLDED Tr+N$'S TR I -STATE (SINGLE FLOiif ) TO: NONE 5 ! PHO V INAW I FOLDED TANKS CATEGORY : STP SUMP LINE MAN1FOLDED TANKS TO: NONE TO: NONE LINE HANIF(yLDED 'fHIVF:S TO: NONE L 2: UNI, SUP FINN TRI -STATE tSINUE FLOAT) LEAK M l N PERI OD I o::: 10" CATEGORY : ANNULAR SPACE 1014 LEAK. MI IV PERIODIC: IG% 1204 LEAP M 114 ANNUAL 10 1014 LEAK 19I N ANNUAL : I on. 1. 3: IJNL STP 1204 TR I -STATE (SINGLE FLOAT) CATEGORY : STP SUMP PERIODIC TEST TYPE STANDARD PERIODIC: TEST TYPE GTANDARD L 4: SUP STP ANNUAL .TEST FAIL NORMALLY CLOSED ALARM D I SABLED ANNUAL TEST FAIL CATEGORY : STP SUMP ALAFI1 DISABLED PERIODIC TEST FAIL iiLARM D 1 SABLED PERIODIC TEST FH 1 L L 5 : NLUS ANN ALARM DISABLED TRl -STATE (SINGLE FLOI-)T) GROSS TEST FAIL CATEGORY : ANNULAR SPACE ALAR11 DISABLED GROSS TENT FAIL ALARM D I SMULED ANN TEST AVERFiG I NG : OFF PER TEST AVERAG I Nia : OFF ANIV TEST AVERAC: l NG OFF L 6 :GASPER PER "PEST AVERAi; I NC; OFF NORMALLY CLOSED TANI: TEST NOTIFY: OFF l: :ATE( :ORV : OTHER SEPISORS TANK TEST NOTIFY: OFF TNK TST SIPHON BREHK.:OFF TN1; TST S1P'Hc?fv 6REAI::OFF DELIVERY DELAY 1 MIN L 7:CASPER PUMP THRESHOLD DELIVERY DELAY 1 MIN NORMALLY CLOSED PUMP THRESHOLD 10.00% CATEGORY : OTHER SENORS L 8 :GASPER NORMALLY CLOSED CATEGORY : OTHER SENSORS L 9 :DISP 1-2 NORMALLY CLOSED CATEGORY : D I SPEII2ER PHN L10 :1)ISP 3 -4 NORMALLY CLOSED GATEGOR11 . D 13PEN:2ER PAN I_II:DISP 5 -6 OUTPUT RELAY SETUP NORMALLY CLOSED - - - - - - - - - - - CATEGORY : DISPENSER F•AN R 1:POS SHUTOFF TYPE: STANDARD L 1 2: D i SP 7 -8 140RI•IALLY CLOSED NORMALLY 'LOSED TANK 11: 1CATEGORYOTHER :SENSORS ISD HOSE mLmRMS ALL:GROSS COLLECT FAIL ALL :DEGRD COLLECT FAIL ALL:FLOW COLLECT FAIL R 2:OVER FILL AL;iRM TYPE: STANDARD NORMALLY OPEN TANK b: NONE IIJ -TANK. ALARIM ALL :OVERFILL AI..ARM ALL:H1GH PRODUCT ALARM ALL:MAX PRODUCT ALARM SI•IARTSENSOR SETUP- - - - s 1 : FIl 1-2 C;ATEGORY AIR FLOW METER s 2:FM 3-4 CATEGOR"" AIR FLOW METER s 3:FM 5 -6 CATEGORY AIR FLOW METER s I : Fll 7 -0 CATEGORY AIR FLOW HETEk s 5--FM 9-10 CATEGORY AIR FLOW METER s ":Fll 11 -12 CAFEGORY AIR FLOW METER 5 B :PS 3 -4 CATEGORY VAPOR PRESSURE LIQUID SENSOR ALMS 1_l3:DlSP 9-10 L I :FUEL ALARM NORMALLY CLOSED L 3 : FUEL ALARM ATEGORYC : : DISPENSER PAID I 9 : FUEL ALARM 1, 10: FUEL ALARM LII :FUEL ALARM L14:D1SP 11 -12 L12:FUEL ALARM IORMALLY CLOSED 1_ 13 : FUEL ALARM CATEGORY : DISPENSER PAN L15:FUEL ALARM L I:SENSOR OUT ALARM L 3:SENSOR OUT ALARM L15:DISP 7 -8 L 4:SENSOR OUT ALARM NORMALLY 7-8 1_I0:SENSOR OUT ALARM CATEGORY : DISPENSER PAN L11 : :SENSOR OUT ALARM L12:SENSOk 01-IT ALARM L13:SENSOR OUT ALARM L14:SENSOR OUT ALARM L16:CASPER L15:SENSOR OUT ALARM NORMALLY CLOSED L I:SHORT ALARM ATEGOR',' ; OTHER SENSORS L 3: SHORT AI..ARI•I L 4:SHGRT ALARM 1.10:SHORT ALARM LII:SHORT ALARM L12 ;SHORT ALARM L13:SHORT ALARM 1.14 :SHORT ALARM L15 :SHORT ALARM ISD SITE ALARMS ISD CROSS PRES FAIL ISD DEGRD PRES 17AIL ISD VAPOR. LEAK FAIL ISD VP PRES FAIL ISD VP STATUS FAIL ISD HOSE mLmRMS ALL:GROSS COLLECT FAIL ALL :DEGRD COLLECT FAIL ALL:FLOW COLLECT FAIL R 2:OVER FILL AL;iRM TYPE: STANDARD NORMALLY OPEN TANK b: NONE IIJ -TANK. ALARIM ALL :OVERFILL AI..ARM ALL:H1GH PRODUCT ALARM ALL:MAX PRODUCT ALARM SI•IARTSENSOR SETUP- - - - s 1 : FIl 1-2 C;ATEGORY AIR FLOW METER s 2:FM 3-4 CATEGOR"" AIR FLOW METER s 3:FM 5 -6 CATEGORY AIR FLOW METER s I : Fll 7 -0 CATEGORY AIR FLOW HETEk s 5--FM 9-10 CATEGORY AIR FLOW METER s ":Fll 11 -12 CAFEGORY AIR FLOW METER 5 B :PS 3 -4 CATEGORY VAPOR PRESSURE EVR,° I SD SETUP EVR TYPE: VACUUM ASS 1:S•r VA13UUII ASSIST TYPE HEAL"' VAC; NOZZLE A; L R£-1NGE MAX: I.I5, MIN: 0.95 VAPOR PROF. :ESSOR T7PE NONE ANALYS 15 'r I HIES TIME: 10:00 AM DELAY MINUTES: 1 AC :CEPT HIGH ORVR : DISABLED ISD HOSE TABLE Flh 1-2 ID FP 33- FL HL AA RR 01 5 -6 01- 02 01 UU 02 34 02 02 01 UU 03 35 03. 02 02 1.11.1 04 00 04 02 02 UU 05 01 05 02 03 UU 06 02 06 02 03 1.10 07 03 07 02 04 UU 08 04 08 02 04 UU 09 05 09 02 05 UU 10 06 10 02 05 UU It 07 11 02 06 UU 12 08 12 02 06 UU 1 2D 14I RFI-OW METER P1AP ID 13EP. I AL NUM LABEL 1 23439 Flh 1-2 2 22237 FM 3 -4 3 23088 FM 5 -6 4 22240. F11 7 -8 5 21292 FM 9 -10 6 24023 FI "I 1 1 -1 2 15D FUEL uRADE HOSE MAP 1 2 3 ' 4 FP MHH NIHH I`IHH r1HH AA 00 104 204 004 U U 2 01 105 205 005 U U 3 02 1.06 206 006 U U 3 03 107 207 007 U U 4 04 108 208 008 U U 4 05 109 209 009 U U 5 0611021001000 5 07 111 211 011 U U 6 08 112 212 012 U 0 6 091 UOU2U3U 0 10 2 U I U O U 3 U 0 11 3 U 0 U 2 U I U 0 321 0002U3U 0 33 101 201 001 U U 1 34 102 202 002 U U 1 35 103 203 003 U U 2 LABEL 'TABLE I : UNASSI i, N1ED 2' BLEND3 3: REGULAR it: III U GRADE 5: PREMIUM 6: GOLD 7: BRONZE 8: SILVER 9: BLEND2 10: BLEND4 PrIC SETUP PMC' VERSION: 01.02 VAPOR PROCESSOR TYPE NONE PROCESSOR CONTROL LEVEL: NONE ALARM HISTORY REPORT SENSOR hLARM -- -- L I : F•I.US STP STP SUMP SE•rUP wirA WARNING NOV 11, 2011 1: 1 2 PI•I SETUP DATA WARNING, NOV II. 2011 1 :08 P11 SETUP DATA WARNING . NOV 11, 2011 1 :07 PM f n s; END A e x ALARM H 1 s' row REPORT SENSOR AL(;RI.1 L 2 : UNL SUF' ANN ANNULAR SPACE SETUP DATA WARNING NGV 11. 201 1 1 :10 PM SETUP DATA WARNING NOV I I . 22011 1 :10 PI.1 SETUP DATA WARNING NOV I1, 2011 1 :08 PI -I END .. -, oi •. ALARM H[STORY REPORT SENSOR ALARM L 3: UNL STP STP SUMP FUEL ALARM NOV II. 2011 11 :01 PM FUEL ALARM NOV 11, 2011 1:15 I'll SETUP DATA WARN I N13 140V Il, 2011 1:11 PM x t n r * END -. x 1k )% A ALARM HISTORY REPORT SENSOR ALARM - - - -- L 4: SUP STP STP SUMP FUEL ALARM NOV I 1 . 2CII I 1 :35 PI1 SETUP DATA WARNING NOV ll. 2011 11 :14 AM SETUP DATA WARNING NOV 1 1. 2011 1 1: 1 2 r--1M n r r 'r. END r: K s ALARM HISTORY REPORT w A i r END ri R x x x W END , x t; r t. END t r ALAP11 HISTORY REPOP.T ALARM HISTORY REPORT ALARM HISTORY REPORT SENSOR ALARP'I - -- -- L 7 :CASPER SENSOR HLAR111 - -- °- SEIJSOP'. ALARM -- - OTHER SENSORS L 9 :DISP 1 -2 L 5: PLUS ANN SETUP DATA WARN IPK; DISPENSER PAP! ANNULAR SPAG'E NOV II. 2 (11 1 1 :04 PM SETUP DATA WARNING SETUP DATA WARN INr, NOV 11 • 2011 1:04 PM SETUP D;4 TA WARN I NC NOV 11, 2011 12 :24 P1-1NOV NOV 1 1 201 1 I : Od PN1 SE'T'UP DATA WARN PIC: NOV 7. 2011 2: 13 P"1 NOV 11..2011 1:03 PM hlOV I 1 . 2011 T :03 PH SETUP DATA WARNI IVG SETUP DATA WARN INC; SETUP DATA WARNI Ph; NOV 11, 2011 12 :23 PM NOV II. 2011 1:07 PI ^I SETUP DATA WARNING NOV II, 2011 11 :I2 API SETUP DATA WARNING SETUP DATA WARNING NOV 11, 2011 12 :23 PM NOV 11. 011 1 :07 Pfl w A i r END ri R x x x W END , x t; r t. END t r W EIA) • A - r ', x A ' -- i END a A a r. R r* R s END - x ALAP11 HISTORY REPOP.T AI.HRM H i STORY REPORT ALARM HISTORY REPORT 3EPISOR ALARM - - - -- L 6 :Cmf-;PER SENSOR ALARM - -- -- SENSOR ALARM -- -- OTHER SENSORS LIO :DISP 3 -4 L G:CASPER SETUP DATA WAR14ING DISPENSER PAN OTHER SENSORS NOV 11. 2011 1 :04 PM SETUP DATA WARNING 9FTUP DATA WARN I IHG NOV 1 I . 2011 1 1 :57 A"' NOV 11 • 2011 1:04 PM SETUP D;4 TA WARN I NC NOV It, 2011 1.03 PM FUEL HLARM SETUP DATA WARN PIG I NOV 7. 2011 2: 13 P"1 NOV 11..2011 1:03 PM SETUP DHTA WARNING NOV It, 2011 11:18 All FUEL ALAP.M SETUP DATA WARNI Ph; NOV 7. 2011 2 :13 PM NOV 11 . 201 1 11 :15 i-vi W EIA) • A - r ', x A ' -- i END a A a r. R r* R s END - x i r r END r: k s rt END f W. r k END , R )l END ALARM HI STOR`; REPORT END t _ ALARM HISTORY REPORT AL.NF.M HISTORY REPORT SENSOR ALAkti - - - -- SENSOR ALARM --- -- SSENSORGk ALARM - -- L13:UISP 9 -10 L15.DISP 7 -8 DISPENSER PAID LI1:l ISE 5-6 DISPENSER PAN SETUP DATA WA12: DISPENSL-•R PAN SETUP DATA WARNING IJG \J 11• 20l 1 1. 39 FM FUEL. ALAF.hI NOV 11, 201 1 1 1 :37 AI'I ETUP GA-CA WS ARN l h: NGV f I . 20 1 1 1 : 15 Phi SETLIP DATA Wi;RNI W E ?UP DATA WARIJ I NG201t12:37 PIh FUEL ALARM NOV 11. 2011 11:37 All NGV 1 1 . NOV 7. 2011 1 : 09 Pig{ SETU DATA WARNINGSETUP DATA WARNS mc: 12- 36 Pr1 SENSOR OUT Hl_ARhI NOV I 1. 2011 1 1 : 15 AM 1,10v I 1 • 2U 1 1 NOV 7, 2011 1 :08 Pl'i SETUP DATA WARNING DATA WHRI`11"C' 2011 11 :13 All i r r END r: k s rt END f W. r k END , R )l END END'' «. END t _ HLARM HISTORY REPORT r :jLARl9 HISTORY REPORT AL;;Rfl HISTORY REPORT SEIJSUR ril-ARM -- - -- SE14SOR ALARM - - - -- L16:GASPER SEIVSUR ALARM -- - -- Ll- 1:1,ISP 11 -12 OTHER SENSGIDISPENSERPANETUPGA-CA WS ARN l h: 0THER SENSORSO SETUP DATA WARN I NG 1400 1 1 201 1 12:52 Ph AtliNOVll . 2011 DATA WARJI 1C; NOV 1 1 . 2011 1 1 :38 Alh SETUP L'HTH IJHRIJ I PIG SETUP DATA WHRNI N( 2011 11:13 HM SETUP DATA WARNIW..; NOV 11. 2011.11:38 AM NOV 11. NOV 111 2011 11:38 KI'I SETUP DATA WARNING DATA WHRI`11"C' 2011 11 :13 All SETUP DATA WHRN11Jt: NOV It, 2011 11 :38 HI•I Nov 11 . Nov IJOV 11, 2011 1 l :38 AM i r r END r: k s rt END f W. r k END , R )l jOR fAl ----- 3ENr _HRI1TI :SUPREME SENSOR mLARI1 L d:DISP I I -12PROBEOUTL4: SUP STP D113PEPISER PANNOV26. '2011 9:13 Am STP SUMP FUEL ALARMFUELfiLARMNOV28. -':,Oil 9:28 oYl NOV 28, •01 1 9:20 AN 114-TANK I :SUPREME IN-TAIC ALARMlIqV/iLlE, FUEL LEVEL. ----- - ,EIIISOR mLoR11 T 12UPREMENOV20119:14 All L 2: UNL 27P HIC,11 PRODUCT ALARMSTPSUHPNOV28. 2011 9:31 AMFUELALARM Nov 218, 20I 1 9:21 AM IN-TfANK ;ALAPH - - - -- T 3: UNLEADED ---- IN-TANK mLi-iRMPROIsEOUTTI :SUPREMENOV20• 2011 '3:14 AN SENSOR i,,LHRP1 ----- PROBE OUT L ):PLUS STP NOV 28, 2011 9::31 ANSTPSUMP FUEL ALARM 1110V 2'8 - 2011 9:22 HM IN-TANK' T 2:PLUS IN-TANK HL-iRMPpor,E ()Lrl' T 2:FILU,.)* 140V 20. 2011 9: 16 W-1 I-IlC;j-i PROLlyc"r ALARMSORALART-1 NOV 28, 2011 9:3'2 rAf,l L 1-2 DISPEI-ISER Pwq FUEL F:,l.HPm NOV 2:18. 2011 9:2:3 i4m T I : SUPRDIE I NVENTOP", I NCREASE ---- IN-TANK, ALARH r 2:PLUSlN'-PEHSF STmRT PROBE OUTNOV28, 2011 9 :10 HM NOV 26. 2011 9 :3:3 w-j VOLUME . 1872, C;HLS L-10:DISP :i-lHEIGi+r - 31. 8'-" 1 NC.HES DISPENSER PAN WATER = 0.00 1 NC'HES FUEL ALARM TEIIP . 71 .2 DEC F NOV 28. :,Oil 9:24 hm INCREASE END 140V 28. 2011 9:16 AN VOLUME 4145 CAL:' flTfl-TiANK HE I GHT 64.88 I PICHES 2: FLUB: 11NIV,A1.11) FUEL LEVELWATER TEMP 0.00 1 NCHE2 Nov --,a. '261 1 9::-114 All] 69.6 DEG F SENSOR oiL;ARI,l L.15:1)ISP 7-8 ROSS I lq,_'REASF 2':'71 DISPDISER PANTCNETINVREASE5aFUELFiLARM 140V 28 - 2011 9: 1-:16 AM SENSOR ALARM - - - -- I.II:DISP 5 -6 DISPENSER Pr;N SOR OUT ALARM NOV 28, 2011 4:34 0,11 T I :SUPREME INVENTOR INCREASE INCREASE START NOV 28. '2011 9::32 AM VOLUME = 2329 GALS HEIGHT = 42.04 INCHES WATER = 0.00 INCHES TEMP = 51.5 DEG F I MC-PEASE END NOV 28, 2011 9:36 AM NOV 28, X011 V:'„ 4 AM VOLUME 2552 GALS HEIGHT = 44.93 INCHES WATER a 0.00 INCHES TEMP m 51.5 DEG F GROSS IN:REASE= 223 T1* NET J N(,REAc,Ea SENSOR ALARI`1 1.11 :UISP 5 -6 DISPENSER PAN FUEL ALARM NOV 18. -1311 9:35 km I N- TAI IIC ALARM - - --- f 3: UNLEADED HIGH PRODUCT AL /iRJ-1 NOV 28. 2011 9:35 I;M I hJ-TANI: fiLHf?I`1 - - - -- T 3: UNLEADED PROBE OUT NOV 2a, 1 9:35 ;tt 1 hIVENTOR% I NCREASE. INCREASE START NOV 28. 2011 9:32 AM V0LUME = 4702 GALS HE I GHT - 44.78 I NCHI:S WATER - 0.52 INCHES TEMP = 51.3 DEG F I N+:REASE END NOV 28. 21.111 9:35 All VO1..UME = 7250 GALS HE 1 GHT - 6:3.84 I N::HE'S WATER = 0.99 1 NCHES TEMP = 50.8 DEG F GROSS INCREASE- :REASE- 2548 TC NET INCREASE= 2565 SENOR F,1_ARt••I - - - -- LlI:D1:.P 5 -6 D I SPENSEf? PAN FUEL ALARM NOV 26. 2011 9 :37 AM SENSOR ALARM - -- - LII :DISP S -E, DISPENSER PAN SENSOR OUT ml -ARI1 NOV 28. 2011 9:38 mM T 3 : UNLEADED IPIVENTORY INCREASE INCREASE START NOV 28. 2011 4-:34 Art VOLLIME = 4244 C:ALSHEIGHT = 46. 64 1110HESWATER = 0.00 IPcHESTEPIP = 49.8 DEG F 1 NCREASE END NOV 28, 2011 9:36 AM VOLUME 10354 13ALSHEIGHT102.28 1NCHESWATER1 . 15 1 Nt>ESTEMF` 49.4 DEG F 1,ROSS I WI REASE- 61 10TCNETINCREASE- 6156 EJvSOR l l.fihJ °I - - - -- 1_II:G15P 5 -6DISPENSERPAN FUEL. ALARM NOV 26, 2011 9:39 H1.1 L 5:PLU'S, APIN TRI-STHTE <SIN13LE FLOAT) CATEGORY : ANNULAR SPA,::E SENSOR ALARM LI I :Dl.c3F' 5-6 L 6(' 3ASPER DISPENSER PAN NORMALLY CLOSED SE14SOR OUT AD:01 13ATEGORY : OTHER SENSORS Wk NOV 28'. 2101 1 9: C13 t-111 LDI, 5-6 DISPENSER PAN L 7;(;ASPER SENSOR OUT mUiPII NORW-iLLY CLOSED NOV 2t3. 9,41 AM CATEC3okll " OTHER f"Elti-;ORS L B:CPSPER L I 3:D(S*P 9-10 SENSORLIOIJIDSEN50kSETUPNORMALLYCLOSEDL3: U19L STPCATEGORYDISPENSERPANSTPSUMP L I : PLUS STP SENSOR OUT tiLmR111 SENSOR OUT fALARM TRI -Sl'ATE FLOAT) 5-6 NOV '20, 2011 9:4 , AM NOV '28, 2011 9 412 AM STP SM"If, L 14 : D I SP 11-12 L 9:DISP 1-? NORMALLY LOSED WRMALLY CLOSED CATEGORY DIESPEP4SER PHI') CATEGORY L '2: L114L SUP ANN SENSOR OUT ALAR• SENSOR OLIT mLoRl"I SYSTE11 STATUS' REPORT TRI -STATE FJ_(_')AT) NOV IeB. 2011 9'41 AM NOW 28, '2011 9:42 AM ANI'lULmR SPOCF 7-6 NORMALLY L 16 : D IS*P 7-H L I i SEN.,'SoR OUT F~LmRm CATEGORY NORMALLY CLOSED mTEG'ORY Oil.3PENSER PAN EI,JSvR tiLtARM1. 3: UNL. `;'TP TRI-STAII iSff*3j..F FI_Oi'iTj 1, 2:Ufll SLIP ANN C(ATEGORY ST15 I,*,UI-IP ANNULAR SPAt' E 6: C'F),3PER SENSOR OUT ALARM NORmALLY C3.01":)ED NOV 28. '011 9:42 MI 1. 4: --iLlp Errp CATEGORY ETHER SE11630RS NORMALLY k-1*1_0SED CATE1I"OR1' : 131'P SUMP L 5:PLU'S, APIN TRI-STHTE <SIN13LE FLOAT) CATEGORY : ANNULAR SPA,::E SENSOR ALARM LI I :Dl.c3F' 5-6 L 6(' 3ASPER DISPENSER PAN NORMALLY CLOSED SE14SOR OUT AD:01 13ATEGORY : OTHER SENSORS Wk NOV 28'. 2101 1 9: C13 t-111 LDI, 5-6 DISPENSER PAN L 7;(;ASPER SENSOR OUT mUiPII NORW-iLLY CLOSED NOV 2t3. 9,41 AM CATEC3okll " OTHER f"Elti-;ORS L B:CPSPER DISPENSEP Pr01 SENSOR hLARM NORMALLY CLOSED LjI:vIsp 5-6 CATEGOR" 1 OTHER SENSOR'_:) DISPENSER PA19 BAKERSFIELD 93301 SENSOR OUT tiLmR111 661-630-0:310 LII:DISP 5-6 NOV '20, 2011 9:4 , AM TRI-STATE SENSOR ALFARIIIL9:DISP 1-? 1.. 5.F'LUS WIN L -:.:Ulll- SUP ANN WRMALLY CLOSED ANNULAR SPAGE AIINUL;iR $PACT, CATEGORY DISPENSEP PRN SENSOR OUT ALAR• SENSOR OLIT mLoRl"I SYSTE11 STATUS' REPORT NOV IeB. 2011 9'41 AM NOW 28, '2011 9:42 AM Lll):DlSP 3-o NOR11MLLY CLOSED CATEGORY DISPENSEP Pr01 DOWNTOWN ".'HEVRON S. 2317 L STREET BAKERSFIELD 93301 661-630-0:310 LII:DISP 5-6 TRI-STATE SfIKA_E FLOmTs NOV 28. 2011 mm CATEGORY DISPEPSER PAN L -:.:Ulll- SUP ANN AIINUL;iR $PACT, SENSOR OLIT mLoRl"I SYSTE11 STATUS' REPORTNOW28, '2011 9:42 AM1_12:111SP 7-6 NORMALLY C102E[i L I i SEN.,'SoR OUT F~LmRm CATEGORY OTHER SENSORP, I SD r;RoS.s* LURES wA&,4 h I DEt.*,RD lOLLECT WFAPN h 5:bEGRD -:OLLE,-'T WF0,1 I-d I :bECI'*P[i i-:01.1.E("T ItJ(.iRN SE14SOR iLmRll SENSOR ALARM - ----- SENSOR ADARll -- L I I : D I SP 5-6 1_13:DISP 9-10 L15:DISP 7-8 DISPENSER PWJ DISHNSER PAN DISPENSER PAN FUEL ALARM FUEL ALARM FUEL. ALARM MOV 28, '2011 9:404 AM NOV 26, 2011 10:01 All NOV 28, 2011 10:61 AM SENSOR ALARM ----- ------ SENSOR ALARM ------ SENSOR ALARM - - - -- L 5:PLUS AN111 L 9:D19P 1-2 L 16: (,ASPER ANNULAR SPACE DISPENSER PAM OTHER SENSORS SENSOR OUT ALARM FUEL i •iLARM FUEL ALARM NOV 28. 2011 9:49 0411 NOV 28. 2011 10:01 All NOV 28. 2011 10:01 AN OF' ALARM SENSOR (ALARPI SENSOR ALARM LIO:Dlc;,P 3-4 L 5:PLUS Al'INLII *.LllcP 5-6 DISPENSER PAN ANNULAR SPACE DIGPENE,ER r,AN FUEL ALARM SENSOR OUT ALARM SENSOR OUT ALARM NOV 28, 2011 10:Gt AM NOV 28. 2011 10:01 At'l NOV or3. -_-C1II 9: 50 Am SENSOR iLARM SEPISSOR ALARM . 30,60R i4l.fiRPI L I I: r, 1:3P 5-6 L 1: PLUS STP LII:F)ISP 5-6 DISPENSER PAN SIT, SUMPDISPENSERPA14FUELALARMSENSOROUT ALARM FUEL ALAR11 140V "'0. 21311 10:01 All 140V 28, 2011 10:01 All NOV 28. 2011 9:50 All SEN-jOR ----- SENSOR ALARM SENSOR ml.,MPM ----- 1.12:DIST., 7-8 L MIC STP L 5:PLUS ANN OTHER SENSOPS S,rp sumr.• ANNULAR SPACE FUEL ALARM SENSoP OUT ALmR11 FUEL ALMR11 NOV 28, 2011 10:01 All NOV *--,6. -:,oil 10:01 AM 140V 28. 2011 9:53 All SEl,**,0R ALARM SENSOR ALARM L 14: D I Sp, 11-12 L 4 SUP 9TP L •?;uNL SUP HMN DISPENSER F,FN STP SUMP ANNULAR SPIACE FUEL ALARM FlJEI_ ALARM FUEL ALARM NOV 28. 2011 10:01 AM NOV 28. 2011 10:01 All NOV 26. 2011 9:54 All SENSOR ALARN L 6:Ci4,...-,PER OTHER SENSORS FUEL ALAR(Il 1110V 28. 2011 10:01 AM SENSOR ALARM L 'I:C:(ASF'ER OTHER SENSORS FUEL fALARI-I NOV 28. 2011 10:01 4-1 SENSOR kLARI'l ----- I. 6:CASVEk OTHER SENSORS FUEL HLAPII NOV 28. 2011 10:01 Hil SFN80R AD-iRH - - - -- L 2:1.INL SUP ANN ANWULtiR SPACE SENSOR OUT ALARM NOV 28. 2011 10:01 AVl SWRCB, January 2006 Spill Bucket Testing Report Form Thisform is intendedfor use by contractors performing annual testing ofUSTspill containment structures. The completedform and printoutsfrom tests (ifapplicable), should be provided to thefacility owner /operatorfor submittal to the local regulatory agency. 1. FACILITY INFORMATION Facility Name: Downtown Chevron (South) Date of Testing: 11/28/2011 Facility Address: 2317 L Street, Bakersfield, CA 93301 Facility Contact: Frank Sulivan Phone: 661- 303 -0016 Date Local Agency Was Notified.of Testing: 11/9/2011 Name of Local Agency Inspector (ifpresent during testing): Ernie Medina 2. TESTING CONTRACTOR INFORMATION Company Name: Confidence UST Services, Inc. Technician Conducting Test: Kristopher Karns Credentials': X CSLB Contractor X ICC Service Tech. X SWRCB Tank Tester Other (Spec) License Number(s): CSLB #804904 ICC #5264406 -UT SWRCB# 09 -1743 3. SPILL BUCKET TESTING INFORMATION Test Method Used: x Hydrostatic Vacuum Other Test Equipment Used: Lake Test Equipment Resolution: 0.0625" Identify Spill Bucket (By Tank Number, Stored Product, etc. I Regular 2 Plus 3 .Super 4 Bucket Installation Type: Direct Bury x Contained in Sump Direct Bury x Contained in Sump Direct Bury Contained in Sump Direct Bury Contained in Sum Bucket Diameter: 1 12.00" 12.00" 12.00" Bucket Depth: 12.00" 12.00" 12.00" Wait time between applying vacuum /water and start of test: 5 min. 5 min. 5 min Test Start Time (Tj): 9:15 AM 9:15 AM 9:15 AM Initial Reading (Ri): 10.00" 9.75" 10.25" Test End Time (TF): 10:15 AM 10:15 AM 10:15 AM Final Reading (RF): 10.00" 9.75" 10.25" Test Duration (TF — Ti): 1 hour 1 hour 1 hour Change in Reading (RF - Rj): 0.00" 0.00" 0.00" Pass/Fail Threshold or Criteria: 0.0625" 0.0625" 0.0625" Test Result: X Pass Fail X Pass Fail X Pass Fail Pass Fail Comments (include information on repairs made prior to testing, and recommendedfollow -upforfailed tests) CERTIFICATION OF TECHNICIAN RESPONSIBLE FOR CONDUCTING THIS TESTING I hereby certify that all the information contained in this report is true, accurate, and in full compliance with legal requirements. Technician's Signature: Date: 11/28/2011 State laws and regulations do not currently require testing to be performed by a qualified contractor. However, local requirements may be more stringent. 0IDF C UST 0 vZOOV towi• Invoice No.: 28182 Site: Downtown Chevron (South) 2317 L Street Bakersfield, CA 93301 Repairs Requested: Monitoring System Certification, Spill Bucket Testing, and Leak Detector Testing. Repairs completed: Monitoring System Certification, Spill Bucket Testing, and Leak Detector Testing. During the Monitoring Certification the 208 Sensor in Dispenser # 5 & 6 was broken and woudn't go into alarm. Also the Super FX1 V Leak Detector wasn't working, and failed to catch a leak. After these items were replaced, both the new 208 Sensor in Dispenser # 5 & 6, and the new FX1 V on the Super were retested and confirmed operational. Required Repairs, Still Pending: No further repairs are required. Technician Name: Kristopher Karns Signature:,,,`;., Date: 11/28/2011 Downtown Chevron (South) 2317 L Street Bakersfield, 93301 11/28/2011 6 1 A qI 1= Veeder Root TLS - 350 2= External Overfill Alarm 3= Emergency Shut Off Switch 4= Veeder Root ATG Probe 5= Veeder Root 208 Sump Sensor 6= Veeder Root 001 Sump Sensor 7= Veeder Root 420 Annular Sensor 8= Red Jacket FX1 V Leak Detector 9= 12000 Gallon Regular STP Sump 10= 10000 Gallon Plus STP Sump 11= 8000 Gallon Super STP Sump 12= Regular OPW Direct Burrial Spill Bucket 13= Plus OPW Direct Burrial Spill Bucket 14= Super OPW Direct Burrial Spill Bucket 8 7 4 3 6 6 4,5,8,9 00 0 Pass MONITORING SYSTEM CERTIFICATION For Use By All Jurisdictions Within the State ofCalifornia Authorihv Cited: Chapter 6.7, Health and Safeh, Code; Chapter /6, Division 3, Title 23, California Code of Regulations This form must be used to document testing and servicing of monitoring equipment. A separate certification or report must be prepared for each monitoring system control panel by the technician who performs the work. A copy of this form must be provided to the tank system owner /operator. The owner /operator must submit a copy of this form to the local agency regulating UST systems within 30 days of this date. A. General Information Facility Name: Downtown Chevron (North) Site Address: 2317 L Street Facility Contact Person: Frank Sullivan Make /Model of Monitoring System: Veeder -Root TLS -350 B. Inventory of Equipment Tested /Certified Check the appropriate boxesto indicate specific equipment inspected /serviced: City: Bakersfield Bldg. No.: Zip: 93301 Contact Phone No.: 661 - 327 -5008 Date of Testing/Servicing: 11/28/2011 Tank ID: 12000 gal. Regular Tank ID: 8000 gal. Plus L] In -Tank Gauging Probe. Model: 847390-107 L] In -Tank Gauging Probe. Model: 847390 -107 x] Annular Space or Vault Probe. Model: 794390-420 X] Annular Space or Vault Sensor. Model: 794390 -420 x] Piping Sump / Trench Sensor(s). Model: 794380-208 L] Piping Sump / Trench Sensor(s). Model: 794380 -208 Fill Sump Sensor(s) Model: Fill Sump Sensor(s). Model: J Mechanical Line Leak Detector. Model:FX1V L] Mechanical Line Leak Detector. Model: FX1V Electronic Line Leak Detector. Model: Electronic Line Leak Detector. Model: X] Tank Overfill / High Level Sensor. Model: 847390 -107 Tank Overfill / High Leval Sensor. Model: 847390 -107 Other (specify equip. type and model in Sec. E on Pg. 2) Other (specify equip. type and model in Sec. E on Pg. 2) Tank ID: 8000 gal. Super Tank ID: 12000 gal. Diesel x] In -Tank Gauging Probe. Model - 847390- 107 L] In -Tank Gauging Probe. Model: 847390 -107 L] Annular Space or Vault Sensor. Model:794390 -420 x] Annular Space or Vault Sensor. Model: 794390 -420 L] Piping Sump / Trench Sensor(s). Model -794380-208 E Piping Sump / Trench Sensor(s). Model: 794380 -208 Fill Sump Sensors(s). Model: Fill Sump Sensor(s). Model: x Mechanical Line Leak Decector. Model:FX1V Mechanical Line Leak Detector. Model: FX1DV Electronic Line Leak Detector. Model: Electronic Line Leak Detector. Model: L] Tank Overfill / High Level Sensor. Model: 847390-107 E Tank Overfill / High Level Sensor. Model- 847390 -107 Other (specify equip. type and model in Sec. E on Pg. 2) Other (specify equip. typs and model in Sec. E on Pg. 2) Dispenser ID: 13 & 14 Dispenser ID: _15 & 16 R1 Dispenser Containment Sensor(s). Model: 794380 -208 Dispenser Containment Sensor(s). Model: 794380 -208 X] Shear Valve(s). U Shear Valve(s). Dispenser Containment Float(s) and Chain(s). Dispenser Containment Float(s) and Chain(s) Dispenser ID: 17 & 18 Dispenser ID: 198,20 x] Dispenser Containment Sensor(s). Model: 794380 -208 L] Dispenser Containment Sensor(s). Model: 794380 -208 x] Shear Valve(s). U Shear Valve(s). Dispenser Containment Float(s) and Chains(s). Dispenser Containment Float(s) and Chain(s). Dispenser ID: Dispenser ID: Dispenser Containment Sensor(s). Model: Dispenser Containment Sensor(s). Model: Shear Valve(s). Shear Valve(s). Dispenser Containment Float(s) and Chain(s) Dispenser Containment Float(s) and Chain(s). If the facility contains more tanks or dispensers, copy this form. Include information for every tank and dispenser at the facility. C. Certification -I certify that the equipment identified in this document was inspected /services in accordance with the manufacturers' guidlines. Attached to this Certification is information (e.g. manufacturers' checklist) necessary to varify that this information is correct and a plot plan showing the layout of monitoring equipment. For equipment capable of generating such reports, 1 have attached a copy of the report; (check all that apply) x System Set -up rxj Alarm history report Technician Name (print): Kristopher Karns Signature:c mac^ Certification No: 834106 License No: 804904 Testing Company Name: Confidence UST Services, Inc. Phone No: 800 - 339 -9930 Site Address: 2317 L Street, Bakersfield, CA 93301 Date of Testing/Servicing: 11/28/2011 A Results of Testing /Servicing Software Version Installed: 329.00 Complete the following checklist: L] Yes No* Is the audible alarm operational? x Yes No* Is the Visual a ann operational? x Yes No* Were all sensors visually inspected, functionally tested, and confirmed operational? x Yes No* Were all sensors installed at the lowest point of secondary containment and positioned so that other equipment will not interfere with their proper operation? Yes No* If alarms are relayed to a remote monitoring station, is all communications equipment (e.g. modem) Hx N/A operational? TO Yes No* For pressurized piping systems, does the turbine automatically shut down if the piping secondary N/A containment monitoring system detects a leak, fails to operate, or is electrically disconnected'? If yes: which sensors initate positive shut -down? U Sump/Trench Sensors[x] Dispenser Containment Sensors Did you confirm positive shut -down due to leaks and sensor failure /disconnected? [X] Yes; No; L] Yes No* For tank systems that utilize the monitoring system as the primary tank overfill warning device (i.e. no r ] N/A mechanical overfill prevention valve is installed), is the overfill warning alarm visual and audible at the tank fill point(s) and operating properly? If so, at what percent of tank capasity does the alarm trigger? 90 % Yes* X] No Was any monitoring equipment replaced? If Yes, identify specific sensors, probes, or other equipment replaced and list the manufacturer name and model for all replacement parts in Section E, below. I-1 Yes* No Was liquid found inside any secondary containment systems designed as dry systems? x] Product; E] Water. Ifyes, describe causes in Section E, below. r x Was monitoring system set-up reviewed to ensure proper settin s? –A_tta_cT_set-up reports, if applicable. LxJ Yes I Ej No* I 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: Removed approximately 0.5 gallons of fuel from the Spuer STP sump (leaking from leak detector). F. In -Tank Guaging / SIR Equipment: Check this box if tank guaging is used only for inventory control. Check this box if tank guaging or SIR equipment is installed. This section must be completed if in -tank guaging equipment is used to perform leak detection monitoring. Complete the following checklist: Yes No* Has all input wiring been inspected for proper enter and tennination,including testing for ground faults? Yes No* No* Were all tank guaging probes visually inspected for damage and residue buildup? x Yes Waste testing apparatus properly calibrated? No* Was accuracy of system product level readings tested? Yes No Was accuracy of system water level readings tested? x Yes No* Were all probes reinstalled properly? E Yes No* Were all items on the equipment manufacturer's maintenance checklist completed? In the Section H, below, describe how and when these deficiencies were or will be corrected. G. Line Leak Detectors (LLD): Check this box if LLD's are not installed. Complete the following checklist: x] Yes No* For equip. start-up or annual equipment certification, was a leak simulated to varify LLD perfonnance'? Check all that apply) Simulated leak rate: [x]3 g.p.h.: 0.1 g.p.h.; 00.2 g.p.h.; x Yes No* Were all LLD's confinred operational and accurate within regulatory requinnents? x Yes No Waste testing apparatus properly calibrated? Yes No For mac amca LLD's, does the LLD restrict product flow if it detects a leak? N/A Yes No* For electronic LLD's, does the turbine automatically shut off if the LLD detects a leak? x] N/A Yes No* For electronic LLD's, does the turbine automatically shut off if any portion of the monitoring system is x] N/A disabled or disconnected? Yes No* For electronic LLD's, does the turbine automatically shut off if any portion of the monitoring system U N/A malfunction or fails a test? Yes No* For electronic LLD's, have all accessible wiring connections been visually inspected? X] N/A x Yes No Were all items on the equipment manufacturer's maintenance checklist completed? In the section H, below, describe how and when these deficiencies were or will be corrected. H. Comments: DOWNTOWN i HEVROI4 NO. SYSTEM SETUP 2317 L ST. BAKERSFIELD.CA NOV 28, 2011 11:52 All NOV 26, 2011 11:51 AM SYSTEI.1 UNITS U.S. SYSTEM LAIdGUA",E S, STE11 STATUS REPS P'fENGLISH SYSTEhI DA'PFiT I h1F FORMAT I) 7 : DEC:RD COLLECT WARN MON DD YYY l' HH :I °IM : SS dl h e :DEGRD COLLECT WHR14 DOWNTOWN CHEVRON NO. 2317 L ST. BAK•.ERSFIELD.CA INVENTORY REPORT SHIFT TIME I DISABLED T I:PLUS SHIFT TIME 2 DISABLED VOLUME a 3271 t:ALti SHIFT TIME 3 DISABLED ULLAGE = 4758 GALS SHIFT TIME 4 DISABLED 90V ULLAGE- 3955 GALS TC VOLUME - 4243 t3ALS TANK PER 'PST NEEDED WRN HEIGHT = 51.25 INCHES DISABLED WATER VOL = 0 +GALS TANK ANN TST NEEDED WRN WATER = 0.00 IN:HES DISABLED TEMP n 72.0 DEG F LINE RE- ENABLE METHOD PASS LINE TEST T 2: UNLEADED VOLUME = 6121 GALS LINE PEP. TST NEEDED WRN ULLAGE = 3923 GALS DISABLED 90.1 ULLAGE= 2718 GALS LINE ANN TST NEEDED WRN TC VOLUME - 8055 GALS DISABLED HEIGHT - 76.64 1Nl: :HES WATER VOL - 0 GALS PRINT TC VOLUMES WATER . 0.00 INCHES ENABLED TEMP - 71.6 DEG F TEMP COMPENSATION VALUE (DEG F ): 60.0 T 3:SUPREME STICK HEIGHT OFFSET VOLUME a 4232 GALS DISABLED ULLAGE ° 3797 ULLAGE: 90% 90% ULLAGE- 4 GALS TC VOLUME - 4188 GALS H- PROTOCOL DHTA FORMAT HEIGHT - 62.56 1NCHE5 HEIGHT WATER VOL - 0 GALS DAYLIGHT SAVING TIME WATER a 0.00 INCHES ENABLED TEMP m 74.7 DEG F START DATE MAR WEEK 2 SUN START TINE T 4:DIESEL 2:00 All VOLUME - 3327 GALS END DATE ULLAGE a 6717 GALS 140V WEEK 1 SUN 9Ui ULLAGE- 7512 GALS END TIME TG VOLUME - 3303 GALS 2 :00 AM HEIGHT - 30.44 1NCHES WATER VOL - 0 GALS RE- DIRECT LOCAL PRINTOUT WATER = 0.00 INCHES DI &ABLED TEMP = 76.2 DEG F EURO PROTOCOL PREFIX S END SOFTWARE REVI,S1ON LEVEL VERSION 329,60 SOFTWARE0 346329 -100 -A CREATED - 06.10.09.17.06 S- MODULEV 330160 -004 -b SYSTEM FEATURES: PERIODIC_ IN -TANK TESTS ANNUAL. IN-TANS TESTS LSD SYSTEM SE1.`URITY CODE : 000000 MAINTENANCE HISTOP',' D I SmBLED TANK (,HART SEC:URi,r,, DISABLED CUSTOM ALARMS DISABLED SERVICE NOTICE DISABLED ISO 3166 COUNTRY CODE: I°IASS/ DENS 1 TY DISABLED T UCTRS -23_' END OF MESSAGE CODE yPRODUCTCODEOCOMMUPIICHTIONSSETUPDISABLEDTHERMALi;OEFF 000'700 TANK DIAMETER 120.00 AUTO DIAL ALARM SETUP THldl: PROF 1 LE I PT FULL VOL : 12044 PORT SETTINGS: COMM BOARD : I (ED IM ) FLOAT SIZE: 4.0 I1V. RS -232 SECURITY CODE : DISABLED WATER WARN 1 Pp.; 2.0 HIGH WATER LIMIT: 3.0 COMM BOARD 2 (RS-2`,-V7) BAUD RATE : 9600 MAX OR LABEL. VOL: 12Uaa PARITY EVEN O'JEkFILL LIMIT 939STOPBIT : 1 STOP 10839 DATA LENT ;TH: 7 DATA HIGH PRODUCT 95% RS -232 SECURITY 1N -TANK SETUP 11441 CODE : DISABLED DELIVERY LIMIT 10% 1204 COMM BOARD 3 (FXMOD) T I:PLUS BAUD RATE : 2400 PRODUCT CODE 1 L061 PRODUCT 500 PARITY ODD THERMAL COEFF :.000700 LEAP ALARM L I I °I I T: 99 STOP BIT : I STOP TANS,: D1 Ah1ETER _ 120.00 SUDDEN LOSS LIMIT: 50 DATA LENGTH: 7 DATA TANK PROFILE ! PT TANK TILT 0.00 RS -232 SECURITY FULL VOL 6029 PROBE OFFSET 0.00 CODE : DISABLED DIAL TYPE : TONE ANSWER ON I RING FLOAT SIZE: 4.0 IN. SIPHON MANIFOLDED THIVL ' MODEM SETUP STRING : TO. NONEWATERWARNING7.0 LINE MANIFOLDED TANK.`: DIAL TONE INTERVAL: 32 HIGH WATER LIMIT: 3.0 Tu: NONE MAX OR LABEL VOL: 8029 AUTO TRH14SVI I T SETTINGS: OVERFILL LIMIT 90i LEHt; MIN PER t GG 1 C : 1 014 72_6 1204 AUTO LEAK ALARM 1-1111T HIGH PRODUCT 95Y DISABLED 7627 LEAK MIN ANNUAL : 10% AUTO HIC,11 WATER LIMIT DELIVERY LIMIT 10% 1204 DISABLED 802 AUTO OVERFILL LIMIT DISABLED LOW PRODUCT 500 PERIODIC TEST 'TYPEAUTOLOWPRODUCTLEAKALAPIILIMIT: 99 aUICK DISABLED SUDDEN LOSS LIMIT: 50 AUTO THEFT LIMIT TANK. TILT 0.60 ANNUAL TEST FAILDISABLEDPROBEOFFSET0.00 HLARI °I DISABLED AUTO DELIVER,,, START DISABLED PERIODIC TEST DISABLEDAUTODELIVERYENDSIPHO14MANIFOLDEDTANKS DISABLED TO: NONE AUTO EXTERNAL INPUT ON LINE MANIFOLDED TANKS GROSS TEST FAILDISABLEDTO: NONE ALARM DISAUL.ED AUTO EXTERNAL INPUT OFF DISABLED i1NN TEST AVERAGING; OFF AUTO SENSOR FUEL. ALARM LEAK MIN PERIODIC: 10. PER TEST AVERriGIN1.: OF DISABLED 80 AUTO SENSOR WATER ALARM TANK TEST NOTIFY: OF DISABLED LEAK III N ANNUAL I on.* AUTO SENSOR OUT ALARM 802 TN1: TST SIPHON bREHI; : +FF DISABLED DELIVERY DELAY I 1 t1 hl PEP. I OD I C. TEST TYPE PUMP THRESHOLD : 10.00% OUIC)" ANNUAL TEST FiAlL RECEIVER SETUP: ALARM DISABLED NONE PERIODIC TEST FAIL ALARM DISABLED GROSS TEST FAIL ALARM D I SABLED ANN TEST AVERAG I IJC; : OFF PER TEST AVERH(:ING: OFF TANK. TEST NOTIFY: OFF TNK TST SIPHON BREAK:OFF AUTO DIAL TIME SETUP: DELIVERY DELAY I MIN NONE PUMP THRESHOLD : 10.00% T :!:SUPREME PRODUCT CODE 3 THERMAL GOEFF :.000700 TANK DIAMETER 120.00 TANK PROFILE 1 PT FULL VOL 8029 FLOAT SIDE: 4.0 WATER WARNING 2.O HIGH WATER. LIMIT: 3.0 MAX OR LABEL VOL.' 8FJ29 OVERFILL LIMIT 901. 7226 HIGH PRODUCT 95% 7627 DELIVERY LIMIT 100 802 LOW PRODUCT 500 LEAK ALARM LIMIT: 99 SUDDEN LOSS LIMIT: 99 TANK TILT 0.96 PROBE OFFSET 0.00 SIPHON )-IAN I FOLDED TANKS Tu: NONE LINE MANIFOLDED TANKS Tp: NONE LEAK MIN PERIODIC: I O%s 80'2 LEAK MIN ANNUAL 10: 802 PERIODIC TEST TYPE STANDARD ANNUAL_ TEST FAIL ALARM DISABLE[) PERIODIC TEST FAIL ALARM DISABLED GROSS TEST FA i i_ ALARM DISABLED ANN TEST AVERAGI Ni:: OFF PER TEST AVERAC:I PIG: OFF TANK TEST NOTIFY: OFF TNK TST SIPHON BREAK :OFF DELIVERY DELAY I MIN PUMP THRESHOLD 10.00% T 4 : [i I ESEL PRODUCT CODE 4 THERMAL COEFF :.000450 TANK DIAMETER 120.00 TANK. PROFILE I PT FULL VOL 12044 FLOA "T, SIZE: WATER WARNING HIGH WATER LIMIT: MAX OR LABEL VOL: OVERFILL LIMIT H I GH PRODUX "T DELIVERY LIMIT 4.0 IN. 3.0 LOW PRODUCT LEAK ALARM LIMIT: SUDDEN LOSS LIMIT TANK. TILT PROBE OFFSET 1 044 90% 10839 75 11441 10% 120,1 1200 99 99 2.66 0.00 SIPHON MAN i FOLDET) TANk:S Td: NONE LINE MAN I FOLDED 'TANK'S TO: 140NE LEAK MIN PERIODIC: 10 1204 LEAK MIN ANNUAL 10% 1204 PERIODIC TEST TYPE STANDARD ANNUAL TEST FAIL ALARM D I SABLE[) PERIODIC TEST FAIL ALARM DISABLED GROSS 'TEST FAIL ALARM DISABLED ANN TEST AVERAGING,: OFF PER TEST AVERAGING: OFF TANK TEST NOTIFY: OF17 TNK TST SIPHON BREAI':OFF DELIVERY DELAY I MIN PUMP THRESHOLD 10.00'/ LEAK TEST METHOD TEST ON DATE : ALL TANK OCT 9. 2006 START TIME : DISABLED TEST RATE :0.20 GAL / HR DURATION : 2 HOURS TST EARLY STOP:DISABLED LEAK TEST REPORT FORMAT NORMAL LIQUID SENSOR SETUP L 1:69 STP TRI —STATE (SINGLE FLOAT) CATEGORY : STP SUMP L 2:89 -87 ANN TRI —STATE (SINULE FLOAT) CATEGORY : ANNULAR SPACE L 3:67 STP TRI —STATE (SINGLE FLOAT) CATEGORY ; STP SUMP L 4:91 STP TRI —STATE (SIN3LE FLOAT) CATEGORY : STP SUMP L 5: DSL 5•TP TR1—STATE 4SINGLE FLOAT) CATEGORY : STP SUMP L 6:91 DSL ANN TRI —STATE 4SI11GLE FLOAT) CATEGORY : ANNULAR SPACE L 7:PAN 15 -16 TRI —STATE (SINGLE FLOAT) CATEGORY : D l SPENSER PAN 1_ B : PAhI 1 7 -1 6 TRI —STATE (SINGLE FLOAT) CATEGORY : DISPENSER PAN L 9:PHN 19-20 TRI —STATE (SIPIi;LE FLOAT) CATEGORY : DISPENSER PAN LIO:PAN 13 -14 NORMALLY CLOSED CATEGORY : DISPENSER PAN OUTPUT RELAY SETUP EVR:ISD SETUP PMC SETUP P110 VERSION: 01 .02 R I:POS SHUTOFF TYPE: STANDARD NORMALLY CLOSED TANK 0: 1 LIQUID SENSOR ALMS ALL: FUEL ALARM ALL:-SENSOR OUT ALARM ALL:SHORT ALARM ISD SITE ALARI18 ISD GROSS PRES FA I L ISD DEGRD PRIES FAIL ISD VAPOR LEAK FAIL ISD VP PRES FAIL ISD VP STATUS FAIL ISD HOSE ALARMS ALL:GP.OSS COLLECT FALL. ALL:DEGRD COLLECT FAIL ALL:FLOW 001 -LECT FAIL R 2:OVERFILL ALARM TYPE: STANDARD NORMALLY OPE14 TANY, P: NONE I N -TAN1' ALARM., ALL:OVERFLLL ALARM ALL :HIGH PRODU %'T ALARM ALL:MAX PRODUCT ALARM SMARTSEIIISOR 5E'TUP 5 1:FM 13 -14 CATEGORY AIR FLOW METER s 2:F11 15 -16 CATEGORY AIR FLOW METER s 3: F1°1 1 7 -1 8 CATEGORY AIR FLOW HETER s 4 : FIB! 19 -20 CATEGORY AIR FLOW METER s 8:PS 19 -20 CATEGORY VAPOR PRESSURE EVR TYPE: VACUUM ASSIST VACUUM ASSIST TYPE HEALY VA. 14OZZLE A/L RANGE I•IAX : 1, 15 I'll N: U. 95 VAPOR PROCESSOR TYPE NONE ANALYSIS TIMES TIME: 10:00 AM DELAY MINUTES: I ACCEPT HIGH ORVR: DISABLED ISD HOSE TABLE ID FP FL HL rAm RR Ol 10 13 02 01 IlU 02 11 14 02 01 UU 03 09 15 02 02 UU 04 32 16 02 02 UU 05 17 17 02 03 UU 06 18 18 02 03 UU 07 19 19 02 04 UU 08 20 20 02 04 UU ISD AIRFLOW METER MAP ID SERIAL NUM LABEL l 22219 FM 13 -14 2 22221 FM 15 -16 3 23386 FM 17 -18 4 8260 FPI 19 -2ii ISD FUEL GRADE HOSE MAP 1 2 3 4 FP 11HH MHH hlHli MHH AA 00 0 U 2 U I U U U 0 01 1 U 2 0 0 0 U U 0 02 1 U 2 0 0 0 U U 0 03 1 U 2 U 0 0 0 U 0 04 1 U 2 U 0 0 0 U 0 051 U2000UU 0 06 1 U 2 U 0 U U U 0 07 1 U 2 U,0 U U U 0 08 1 U 2 U 0 0 0 U 0 09 103 003 203 3 U 2 10 201 101 001 3 U I 11 3 U 002 202 102 1 17 105 005 205 3 U 3 18 106 006 206 3 U 3 19 107 007 207 3 U 4 20 108 008 208 3 U 4 32 104 004 204 3 U 2 33 1 U 2 0 0 0 U U 0 34 I U 2 U 0 U U U 0 35 1 U 2 0 0 0 U U 0 LABEL TABLE I: UNASSIGNED 2: BLEND3 3: REGULAR 4: MID GRADE 5: PREMIUM 6: GOLD 7: BRONZE 8: SILVER 9: BLEND2 10: BLEND4 VAPOR PROCESSOR TYPE NONE PROCESSOR CONTROL LEVEL: NONE ALARM HISTORY REPORT SENSOR ALARM L 1:89 STP STP SUMP FUEL ALARM NOV 18, 2011 S+:C12 AM FUEL ALARM NOV 18. 2011 9:02 AM FUEL ALARM NOV 16. 2011 3:05 PM x is x x+ END k, ri r '• x ALARM HISTORY REPORT SENSOR ALARM - - - -- L 2:89 -87 A14N ANNULAR SPACE FUEL ALARM NOV 18. 2011 9:02 AM FUEL ALARM 140V 18. 2011 9:02 AM FUEL ALARM SEP 28, 2010 11:28 AM x= A# i END h - * s A ALARM HISTORY REPORT ALARM HISTORY REPORT ALARM H I STOR';' REPORT SENSOR ALARM -- - L 3:67 STP STP SUMP SETUP DATA WARNING NOV 18. 2011 4:08 PM SETUP DATA WARNING NOV 18. 2011 4: 05 Phl SETUP DATA WARNING. NOV 18, 2011 4:05 PH 4 A 4 x w END x A* r.' s ALARM HISTORY REPORT SENSOR ALARM L 4:91 STP STP SUMP FUEL. ALARM NOV 18. 2011 9:02 AM FUEL ALARM NOV 18. 2011 9:02 AM SETUP DATA WARNING JUN 21, 2011 1:30 PM SENSOR ALARM - - - -- L 4:91 STP STP SUMP FUEL ALARM NOV 18. 2011 9:02 AM FUEL ALARM NOV 18. 2011 9:02 AM SETUP DATA WARNING JUN 21. 2011 1:30 PM P r k ;,,' .. END x x*. :. +, ALARM HISTORY REPORT SEI4SOR ALARM - - - -- L 5:DSL STP STP SUMP FUEL ALARM NOV 16. 2011 9:04 AM FUEL ALARM NOV 18, 2011 9:02 All FUEL ALARM NOV 18. 2011 9:02 All SENSOR ALARM - - --- L 5:DSL STP STP SUMP FUEL ALARM NOV 18. 2011 9:04 AM FUEL ALARM NOV 18. 2011 9:02 AIM FUEL ALARM NOV 18, 2011 9:02 AM x END ALARM H 1 STORY RE'F'OR'f SENSOR ALARM - - --- L 6:91 DSL ANN ANNULAR SPACE FUEL ALARM NOV 16. 2011 9:02 All FUEL ALARM NOV 18, 2011 9:0^ AM SENSOR OUT ALARM NOV 18, 2011 8:13 AM END * A 1i * } r n END A X X 0 d ALARM H 1;;'TORY REPORT ALARM HISTORY REPORT SENSOR ALARM - -- -- SENSOR ALARM - - -- L B:PAN 17 -16 L 7:PAN 15 -16 DISPENSER PAN DISPENSER PAN SENSOR OUT ALARM SENSOR OUT ALARM NOV 16, 2011 5:04 HMNOV18, 2011 10:18 All FUEL ALARM FUEL ALARM NOV 18, 2011 9:04 All NOV 18. 201 l 10:1.3 All SENSOR OUT ALARM SENSOR OUT ALARM hK)V 19. 2011 9:03 AM NOV I&, 2011 10:10 AM X X 0 d END X x n n} x END A; ALARM HISTORY REPORT SENSOR ALARM - - - -- LIO:PAN 13 -14 DISPENSER PAN SENSOR OUT ALARM NOV 18. 2011 8 *.37 AM FUEL ALARM NOV 18, 2011 8:37 Ail SENSOR OUT ALARM NOV 18, 2011 8:35 All 1111-TANK ALARM ------ T 2: UNLEADED PROBE OUT NOV 28, 2011 12 :11 PIh I N -TANI: ALARM -- --' T 4: L', I ESEI_ PROLE OUT NOV 28. 2011 12:12 PH 11V-'TAN?{ ALARP1 - - -...- T 3:SUPP.EME PROBE OUT NOV ''28, 2011 12:14 PH ALARM HISTORY REPORT ALAR11 HISTORY REPORT SENSOR ALARM - - - -- SE14SOR ALARM - - - -- L S:PAN 19 -20 L 7-PAN 15-16 DIS'PE14SER PAN DISPERSER PAN SENSOR OUT ALARM SEl,r;OR OUT ALARM NOV 18, 2011 9:21 AM NOV 18, 2011 10:1$ AM FUEL ALARM NOVL18, 20M II 9:20 All NOV 18. 2011 10:13 All SENSOR OUT ALARM SENSOR OUT ALARM NOV 18, 2011 5:12 All NOV 16. 2011 10:10 All END X x n n} x END A; ALARM HISTORY REPORT SENSOR ALARM - - - -- LIO:PAN 13 -14 DISPENSER PAN SENSOR OUT ALARM NOV 18. 2011 8 *.37 AM FUEL ALARM NOV 18, 2011 8:37 Ail SENSOR OUT ALARM NOV 18, 2011 8:35 All 1111-TANK ALARM ------ T 2: UNLEADED PROBE OUT NOV 28, 2011 12 :11 PIh I N -TANI: ALARM -- --' T 4: L', I ESEI_ PROLE OUT NOV 28. 2011 12:12 PH 11V-'TAN?{ ALARP1 - - -...- T 3:SUPP.EME PROBE OUT NOV ''28, 2011 12:14 PH SE14SOk HLNkl1 - - - -- L 4:91 STP STP SUI °IP FUEL ALARM NOV 28. 2011 12:'<I Phl SEI.ISGR ALARM - - - -- L 6:91 DSL ANN ANNULAR SPACE FUEL ALARM NOV 28 • :'01 1 12 : 42 PH ENSOR ALARM - - - -- L 5 : DSL 'STP STP SUMP FUEL ALAP.M NOW 28, 2011 1 :3: Phi SENSOR ALARM - - - -- T I:PLUS L B :PAN 17 -18 T 2: UNLEADED INVENTORY INCREASE DISPENSER PAN 1N'VENTGRY INCCREASE FUEL ALARM INCREASE START NOV 28. 2'1011 12:34 Ph1 INCREASE :START NOV 28. 2011 12:16 PM NOV 213, 2011 12:12 PM VOLUME = 3272 GALS VOLUME 5306 GALS HEIGHT = 51.25 INCHES HEIGHT = 54.40 INCHES WATER _ 0.00 1NCHES WATER 1.89 I NQ:HES TEMP = 7_'.0 DEC F TEI1P 70.7 DEC; F INCREASE END INCREASE END NOV 28, 2011 12:19 Pit SENSOR ALARM -- - -- NOV '28. 2011 12:14 FM VOLUME 4030 GALS L 9:PAN 19 -20 DISPENSER PAN VOLUME _ 7n58 SAL'' HEIGHT - 60.18 1NCHES FUEL ALARM FIE I GMT b4 43 l N+. HF.S WATER 0.00 1 NCHES NOV 28 • 201 1 12:36 _ . PI1 WATER 0. r0 I v; H1:5 TEMP = 70.7 DEG F TEMP = 70.2 DEr: F GROSS INCREASE- 758 GR02:5 INCREASE- 1 279 TC NET I NC'REASE= 755 TC NET 1NCREASE= 1273 SENSOR Hl-ARM -- - -- LIO:PAN 13 -14 DISPENSER PAN FUEL ALARM NOV 28. 2011 12:'38 PM SENSOR LHF.M - - - -- I N -TANK ALHRI•-1 L 3:87 STP T 3:5UPREME STP SUMP LOW TEMP WAR111NG ALAFUELALARM 110V 28. 201 1 12:15 P11 NOV 2B • 201 I j9:29 P11 SEI,ISOR ALARII - -- -- L 7:PAN 15 -16 DISPENSER PAN FUEL ALAPI'I NOV 28. 2011 12:40 PM IN-TANK ALARrl SENSOR ALARM -- -- T I:PLUS L 1:89 STP PROBE OUT STP SUMP NOV 28. 2011 12:16 PM FUEL ALARIl NOV 28. 2011 12::30 PI'I SEITSOP, HLAPI1 --- -- L 2:89-87 AKIN ANPIULAR SPAl,E FUEL ALARM NOV 28. 2011 12:42 PI °1 SE14SOk HLNkl1 - - - -- L 4:91 STP STP SUI °IP FUEL ALARM NOV 28. 2011 12:'<I Phl SEI.ISGR ALARM - - - -- L 6:91 DSL ANN ANNULAR SPACE FUEL ALARM NOV 28 • :'01 1 12 : 42 PH ENSOR ALARM - - - -- L 5 : DSL 'STP STP SUMP FUEL ALAP.M NOW 28, 2011 1 :3: Phi 1 N- TANl•: I,LARI °1 - I N -TANK i -iLARN - - - -- IN -THNK 'ALARM - - - -- T I:PLUS -- - T 4:D1E.SEL T 3:Si!PREME HII_:H PRODUCT AI -ARwI Hl,aH PRODUCT' Al -I =iRM LOW 28, IF Inh l 12 NOV 28, 2011 12:56 PM NON! '2'Ci 201 1 12:44 Pf ^I NOV ^c8, '--'Oil I _ 4EJ P'I"i GROSS INCREASE= 1398 TC NET INCREASE= 1402 T I; PLUS I N -TANY A1,ARI-I - - - -- ALARM - - -° IP! -TANL: ALARM - - - -- INVENTORY I NCRLrdSE T a: DIESELNK T 3 : ,UPREf IE NOV 28. :011 12.56 PM MAX PRODUCT ALARM PROBE OUT 1 N1::REASE START NOV 28. 2011 12:56 P11 NOV 28, 2011 1.2:45 PM NOV 28. 2011 12:46 PM ANNULAR SPACE VOLUME 11029 ALS INCREASE END 140V 28. 201) 12:48 Pro HEIGHT 60.17 1NCHES INVENTORY I NCRID4SE WATER 0.00 l NC:11ES HE I GHT -124.29 1 N(,HES 1 NCREASE START fEl °Ip a 55.8 DEG F rEi °IP a 57.3 GEC: F VOLUME = 11019 CAL$ l NCF.EASE END GROSS I NcREASE- 6935 WATER = 0.00 1 NC'HES NOV 28, 011 12:49 PM I N -TAIJh AI_ARP1 - 1111-TAIIIK ALARM - - - -- INCREASE END DiKERSFIELD,C:A IN- Tk T T 1 : PLUS VOLUME 5,427 GALS OVERF l LL (kLARI °I HIGH PRODUCT ALARM HEIGHT 76.80 11,11;HE_: NOV 28. 2011 12 :57 PM NOV 28, 2011 12:46 pr9 WATER 0.93 1 NCIUE^ IN-TANK ALf;RII - - - -- TC' NET 1 IVj::F.£A:3Em 270f, TEMP 55.7 DEG F PROBE OUT GROSS INCREASE= 1398 TC NET INCREASE= 1402 T a:DIESEL I N -TANY A1,ARI-I - - - -- INVENTORY I NC:REASE T I: PLUS PROBE OUT INCREASE STARTNOV28, 2011 I ::116 PM NOV 28. :011 12.56 PM VOLUME - 51 U9 GALS HE11>T = 52.64 INCHES WATER = 0.00 INCHES SENOR I,LHRI°I - --- TEMP . 56.1 DEG F L 6:91 DSL ANN ANNULAR SPACE SENSOR OUT ALARM INCREASE END 140V 28. 201) 12:48 Pro NOV 2b, 2011 12:58 PI °I T 3::.;UF'REME INVENTORY I NCRID4SE VOLUME = 12044 i3HLS HE I GHT -124.29 1 N(,HES 1 NCREASE START WATER = 0.00 1 NCIIES Nov 28, 2011 ) 2:4,1 PI.1 rEi °IP a 57.3 GEC: F VOLUME = 11019 CAL$ HEIGHT - 60.05 1 P CHES GROSS I NcREASE- 6935 WATER = 0.00 1 NC'HES TC: NET I NG'REASE= 6945 TEMP = 57.1 DE(:, F DOWNTO411 i::HEVRC 1 r!v . 2317 L ST. INCREASE END DiKERSFIELD,C:A NOV 28, 2011 1,:47 PM VOLUI•tE . 6118 GAL :3 NOV 28. 201) 12:55 Pul HEIGHT = 93.58 INCHE:; WATER . 0.95 INCHESTEMP56.7 DEC. F S`C T'ENI STATUS kLl•oRT GROSS I Mh REASR- G699 L 6:SENSOR OUT mLARM IN-TANK ALf;RII - - - -- TC' NET 1 IVj::F.£A:3Em 270f, T 4: D I ESEL PROBE OUT NOV 28. 2011 12: 58 PN DOWNTOWN CItEVN.GI +I r10. — SENSOR. ALAPN - - -- IN—TANK ALARM - - - -- 2317 L ST. L NUL DSL ANN T -2: UNLEADED BAKER :FIELD -CA SENSOR SPARE HIGH PRODUCT ALARM SENSOR OUT ALARM NOV 28. 2011 1:00 Pt °I NOV 8. 2UII 1:07 Prl IN—TANK Al_AFr1 - - - -- T 2:UNLEADED PROBE OUT NOV 28. '?011 I :00 vtl SENSOR ALARM -- - -- L 6:91 DSL ANIV ANNULAR SPAC :E SENSOR OUT ALARM NOV 29, 2011 1:02 PM T 2: UNLEADED I NVENTORY I rltREASE INCREASE START NOV 29. 2011 1:01 Pli VOLUME = 5761 GALS HEIGHT - 57.96 INCHES WATER . 0.00 INCHES TEMP = 59.5 DEG F I NCR.EASE END NOV 28. 2011 t:03 PM VOLUME . 61109 GALS HEIGHT - 76.55 INCHES WATER Q 0.00 INCHES TEr1P = 59.0 DEC: F GROSS INCREASE- 2340 TC 14ET I NCREA:SE- 2352 NOV 28. 2011 1:07 PM SYSTEH STATUS REPORT ALL FUNCTIONS NORMAL SENSOR ALARM -- - -- L 5: DSL STP S1 P .SUMP SENSOR. OUT ALARM NOV 28. 2011 1:07 Pm SENSOR ALARM - - - -- L 1:89 STP STP SUI.1P SENSOR OUT ALARM NOV . 26 . 201 '1 1 :07 I'll SENSOR ALARM - - - -- L 2:89 -97 ANN ANNULAR SPACE SENSOR OUT ALARM NOV 128, 2011 1:07 PM TENSOR ALMF :r1 - - - -- L 3:87 STP STP SUMP SENSOR OUT ALARM NOV 28, 2011 1:07 PM SENSOR ALARM -- -- L 4:91 STP STP SUr1P SE14SOR OUT ALARM NOV 28. 2011 1:07 Pt••I SENSOR ALARM - - - -- L 7:PAN 15 -16 DISPENSER PAN SENSOR OUT ALARM NOV 28, 2011 1:0? P11 SENSOR ALARM - - - -- L 8 :PAN 1 ? -18 DISPENSER PAN SENSOR OUT ALARM NOV 28, 2011 1:07 PM SENSOR ALAR11 -- °_- L 9 : PAP1 19-210 DISPENSER PAN SENSOR OUT ALAR11 NOV 28, 2011 1 :07 Prl SEIV:a R rl_ARr9 - - -- 1.10:PAN 13,14 DISPENSER PAN FUEL HLARI °1 NOV '26, 2011 1:09 PM DOWNTOWN CHEVRON NO. 2317 L 2r. BAICERSF I ELD, CA NOV 28, 2011 1:08 PM S'1STEM STATI.IS REPUR'r ALL FUNCT10N5 NORMAL DOWNTOWN CHEVRON NO, 2317 L ST. BAKERSFIELD.CA NOV 28, 2011 1:47 PM SYSTEll STFaus RL'PORT ALL FUNCTIONS 14ORP -IAL INVENTOR`; REPORT T I: PLUS 3276 GALS VOLUME n 3280 GALS ULLAGE = 4749 GALS 90% ULLAGE- 3946 GALS TC VOLUME = 3251 GALS HEIC:HT = 51.34 1HCHES WATER VOL = 0 GALS WATER o 0.00 INCHES TEMP = 7' . 1 DEG F T 2: UNLEADED VOLUME. = 8107 C3ALS ULLAC:E s 3937 GALS 90</ ULLAGE- 27:32 GALS TC VOLUME = 5040 GALS HEIGHT = 76.53 1NCHES' WATER VOL - 0 GALS WATER = 0.010 1l* HES TEMP n 71.6 DEG F T 3:SUPREME VOLUME o 4235 GALS ULLAGE = 3794 i,ALS 90% ULLAGEm 2991 GALS TC VOLUME = 4191 GALS HEIGHT v 62.59 INCHES WATER VOL m 0 GALS WATER 0.00 1 N(IlliGS TEMP = 74.8 DEC; F T 4:DIESEL VOLUME 3276 GALS ULLAGE 6766 GALS 90% ULLAGE= 7563 GALS T1' VOLUME _ 1251 GALS HEIGHT 38.01 1NC:HES WATER VOL a 0 GALS WATER 0.00 INCHES TEMP 76.3 DEC: F w x sj END n Pt x .. SWRCB, January 2006 Spill Bucket Testing Report Form This form is intended.for use by contractors pe fa-ming annual testing ofUSTspill containment structures. The completed.form and printouts -om tests (ifapplicable), should be provided to thefacility owner /operator.for submittal to the local regulatory agency. 1. FACILITY INFORMATION Facility Name: Downtown Chevron (North) Date of Testing: 11/28/2011 Facility Address: 2317 L Street, Bakersfield, CA 93301 Facility Contact: Frank Sullivan Phone: 661- 327 -5008 Date Local Agency Was Notified of Testing : 11/9/11 Name of Local Agency Inspector (ifpresent during testing): Ernie Medina 2. TESTING CONTRACTOR INFORMATION Company Name: Confidence UST Services, Inc. Technician Conducting Test: Kristopher Karns Credentials: & CSLB Contractor F9 ICC Service Tech. x SWRCB Tank Tester Other (Specifj) License Number(s): CSLB# 804904 ICC# 5264406 -UT TT# 09 -1743 3. SPILL BUCKET TESTING INFORMATION Test Method Used: O Hydrostatic Vacuum Other Test Equipment Used: Lake Test Equipment Resolution: 0.0625" Identify Spill Bucket (Bv Tank Number, Stored Product, etc. 1 Regular 2 Plus 3 Super 4 Diesel Bucket Installation Type: Direct Bury x Contained in Sump Direct Bury x Contained in Sump Direct Bury x Contained in Sump Direct Bury O Contained in Sum Bucket Diameter: 12.00" 12.00" 12.00" 12.00" Bucket Depth: 11.75" 12.25" 12.00" 12.25" Wait time between applying vacuum/water and start of test: 5 min. 5 min. 5 min. 5 min. Test Start Time (Ti): 9:20am 9:20am 9:20am 9:20am Initial Reading (Ri): 10.00" 10.25" 9.75" 11.001, Test.End Time (TI.): 10:20am 10:20am 10:20am 10:20am Final Reading (RF): 10.00" 10.25" 9.75" 11.001, Test Duration (TF - Ti): 1 hour 1 hour 1 hour 1 hour Change in Reading (RF- Ri): 0.00" 0.00" 0.00" 0.00" Pass /Fail Threshold or Criteria: 0.0625" 0.0625" 0.0625" 0.0625" Test Result: x Pass Fail OO Pass Fail 0 Pass Fail x Pass Fail Comments - (include information on repairs made prior to testing, and recommendedfollow -upforfailed tests) CERTIFICATION OF TECHNICIAN RESPONSIBLE FOR CONDUCTING THIS TESTING I hereby certify that all the information contained in this report is true, accurate, and infull compliance with legal requirements. Technician's Signature: -e, Date:_I 1/28/2011 State laws and regulations do not currently require testing to be performed by a qualified contractor. However, local requirements may be more stringent. Downtown Chevron (North) 2317 L Street Bakersfield, CA 93301 11/28/2011 13 14 17 18 5 5 15 16 19 20 5 5 O 4,5,7,9 OO 4,5,7,10 O 10 I o 4,5,7,11 16 4,5,7,12 O 1= Veeder Root tIS - 350 2= External Overfill Alarm 3= Emergency Shut Off Switch 4= Veeder Root ATG Probe 5= Veeder Root 208 Sump Sensor 6= Veeder Root 420 Annular Sensor 7= Red Jacket FX1 V Leak Detector 8= Red Jacket FX1 DV Leak Detector 9= 12000 Gallon Regular STP Sump 10= 8000 Gallon Plus STP Sump 11= 8000 Gallon Super STP Sump 12= 12000 Gallon Diesel STP Sump 13= Regular OPW DB Spill Bucket 14= Plus OPW DB Spill Bucket 15= Super OPW DB Spill Bucket 16= Diesel OPW DB Spill Bucket