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Home My WebLink About#775 FMC Results 7-12-12MONITORING SYSTEM CERTIFICATION For Use B/ All Jurivdictions Within the State ofCalifornia Authority Cited Chapter 6 7, Health and Safety Code; Chapter 16, Division 3, Title 23, Califania 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 ofthis form to the local agency regulating UST systems within 30 days of this date. A. General Information Facility Natne: #7775 Chevron (North) Bldg. No.: Site Address: 4901 South Union Avenue City: Bakersfield Zip: 93307 Facility Contact Person: Omero Garcia Make/Model ofMonitoring System: Veeder -Root TLS 350 B. Inventory of Equipment Tested /Certified Check the appropriate ores to indicate specific equipment Inspected /serviced: Contact Phone No.: 661 - 393 -7000 Date ofTesting/Servicing: 7/12/2012 Tank iD: 12000 gal. Regular 1 Tank iD: 12000 gal. Regular 2 x] in -Tank Gauging Probe. Model: 847390 - 107 x] 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 x] Piping Sump / Trench Sensor(s). Model: 794380 -208 Fill Sump Sensor(s) Model: Fill Sump Sensor(s). Model: x I Mechanical Line Leak Detector. Model: FX1 V Lx] Mechanical Line Leak Detector. Model: syphen Electronic Line Leak Detector. Model: Electronic Line Leak Detector. Model: x] Tank Overfill,/ High Level Sensor. Model: 847390 -107 U Tank Overfill / High Leval Sensor. Model: 847390 -107 Other (specify equip. type and model in Sec. E on Pg. 2) Other (specify equip. type and model in Sec. E on Pg. 2) Tank ID: 12000 gal. Super Tank iD: 12000 gal. Diesel x] In -Tank Gauging Probe. Model: 847390 -107 x] In -Tank Gauging Probe. Model: 847390 -107 x] Annular Space or Vault Sensor. Model:794390 -420 x] Annular Space or Vault Sensor. Model: 794390 -420 x] Piping Sump / Trench Sensor(s). Model: 794380- 208 X] Piping Sump / Trench Sensor(s). Model: 794380 -208 Fill Sump Sensors(s). Model: Fill Sump Sensor(s). Model: x] Mechanical Line Leak Detector. Model: FX1 V x] Mechanical Line Leak Detector. Model: FE Petro Electronic Line Leak Detector. Model: Electronic Line Leak Detector. Model: x] Tank Overfill / High Level Sensor. Model: 847390 -107 x] 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: 1 & 2 Dispenser ID:_38,4 n Dispenser Containment Sensor(s). Model: 794380 - 208 x] Dispenser Containment Sensor(s). Model: 794380 -208 n 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: 718 Lx] Dispenser Containment Sensor(s). Model: 794380 - 208 U 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: Transition Sump North Dispenser ID: Transition Sump South x,] Dispenser Containment Sensor(s). Model: 794380 -208 x] Dispenser Containment Sensor(s). Model: 794380 -208 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 -u x Alarm history report Technician Name (print): Bradley Seykora Signature: Certification No: 840738 License No: 804904 Testing Company Name: Confidence UST Services, Inc. Phone No: 800 - 339 -9930 Site Address: 4901 South Union Avenue, Bakersfield, CA 93307 Date of Testing/Seryicing: 7/12/2012 D. Results of Testing /Servicing Software Version Installed: 327.04 Complete the following checklist: Cx] Yes No* is the audible alarm operational'? x Yes M No* is tie Visual alarm operational'? x Yes No* Were all sensors visually inspected, functionally tested, and confirmed operational? TTYTe 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* Ifalarms 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'? Sump/french Sensors [x] Dispenser Containment Sensors Did you confirm positive shut -down due to leaks and sensor failure /disconnected'? [x] Yes; No; x] Yes No* For tank systems that utilize the monitoring system as the primary tank overfill warning device (i.e. no N/A mechanical overfill prevention valve is installed), is the overfill warning alarm visual and audible at the tank fill point(s) and operating properly'? If so, at what percent of tank capasity does the alarm trigger? L90 % Yes* U No Was any monitonng equipment replaced'? If Yes, identify specific sensors, probes, or other equipment replaced and list the manufacturer name and model for all replacement parts in Section E, below. Yes* No Was liquid found inside any secondary containment systems designed as dry systems? Product; Water. if yes, describe causes in Section E, below. x No* Was monitoring system set -up reviewed to ensure proper settings'? Attach set -up reports, if applicable. x yes No* 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: F. In -Tank Guaging / SIR Equipment: [x] Check this box if tank guaging is used only for inventory control. Check this box if tank guaging or SIR equipment is installed. This section must be completed if in -tank guaging equipment is used to perform leak detection monitoring. lete the following checklist: Cx] Yes No* Has all input wiring been inspected for proper enter and termination, including testing for ground faults? x s No* Were all tank guaging probes visually inspected for damage and residue buildup? iyy—elXs 7 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? Yes I 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: Lx] 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: 3 g.p.h.: 0. I 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? Yes No* For machanical 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 ifthe 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? Lx] 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: SAVE SETUP L)AT(-)) TART TIME: 1.2. 2012 11:06:O j;pI APCHIVE UTILITY 8HVE .:;ETLIP DATA: END TIME: JUL 12. 1 1 :06: 14 Aj-j BYTES 16512 CHEVRON 7'?v-% 4901 S.UNIC.N BAKERSFIELL, CA9:1,107 L.C.1 :3'*II_9307* JUL 1' . 201'2 I1 :I:! All ULLAGE 3490 GALS 130%. LILLAG'E- ^266 GALS TO VOLLPIE = 03182 CAL;_ HEIGHT = 64.14 INCHES WATER VOL = 0 GALS Wi:iTEF = 0. 00 1 NCHES TEMP = 66.7 DEC F T 3:PREMILM V0*lUt,-IE - 6074 GA UL : - AGE = 5957 GA[..; 90... ULLAGE= 475:4 C,AI Ti; VOLUME - 59515 GALS HE 1 ul 11' - 48.3' 1 NCIHES WATER VOL = WriTER = 0.00 I Nll_:HES TEMP = S7.7 DEG F T -::DIESEL I0^tLLIflE = 14,457 C;ALS ULLA(--,E . 9575 GALS 907 ULLoGE= 8371 GALti Tl: VOLUME = 24' 7 GALS I IF. I GHT = 5 1 NCHES WATER VOL = 1.11"iq'Ek - I'l. CIO I M' HEC, TEI-IP . b6 . I DEG F` MANIFuLDED TANKSzINVENTORYTOTAL, T I:LINLEADED I T '-,: LINLEADEDvC'EUME = 180,45 GALS TC VOLUME = 17698 '--,',4LS JARE REV I'S ION LEVEL OFTWAPEP ''46327 101-1 -F. PEATF:ll - 07.02.06.10.20 S-MODLILE9 330160-004-a E;l/'STEI,,I FEATURES: PERIODIC IN-TANK 7EZ-,TS, ANNUAL IN-TAM"' TEF:Tl_' ISD F-MC ETUP JUL 1 '2 2013 14 "1"' YSTEI': UW TS U.S. SYSTEH ENl' L 11-7-1 SYSTEM TIATE,'TIIviE FORI-IAT MON DI) VYV CHE%/j,'!(-*I 7-5 4901 S.UNiQll'_' 13PY.ERSFIELD "'ITI: 107, SHIFT TIME 1 6: OCI 4il•1 SHIFT T I ME SHIFT Til"IF DISABLED SH I FT T I i,iE 4 D I 2ABLED TANK PER' TST 11EEDEr.) WRIN D I SAHLEDTAI'W * ANN TST NEEDED WRIN D I StAKED LINE RE-ENAHLE METHOD p(%SS LINE TEST L I NE PER TS-T NEEDED WRIll D 1 SABLEDL1NEANN TST NEEDED t4RI,4 DISABLED PRINT T(' VOLUMES ENABLED TEMP --OVIpEjttiATION VALUE (DEG F >: E.Fl. cl STICK HEIGHT OFFSET D I SAPll_ ELI LILLr*;E: PATH !".-IRMAT HEIGHT IL,A, - T I HETc3AvTI+_, Elli-ZLit"D START IIATI: APR WEEP I SUN START TIME 2:01-1 AMENDbmTE OCT I.EEY 6 SUNJ I::NEl TIME 2: 00 All PE-DIRECT LoC.:AL PRINTOUT DISABLED ELIP.01 PROTOCOL s CODE Iji!01!IiIJ IvIAlNTE['qA'qC',E HISTOR"; 1) 1SABLFD TANK CHART ,Fl_ URITY DISABLED UST- MS ALAkhIS AEIL TY D 1,.3ABLED ONIh1UP1I:ATIOtVS SETUP FORT :=ETT I N:-,S : 01 °1f °I BOARD : 1 (ED I P1 R5 -2:+2 SECUP. I T''; CODE D I .SABLED C- 01"IPI BOARD 2 iRS -232 BAUD RATE 9800 PAR 1 •I`,' N, ?NE STOP NIT l STOP DoT1 LENGTH: 8 DAT;; RS -232 SECURITY CODE : D I SABLED i'Oi'It'l BOARD 3 :RS -232? BAUD RATE '9600 FAR I TV NONE JTOP E I T I STOP DHTA LENGTH: y DATA RS -232 SECURITY CODE : DISABLED AUTO TRANSI` 11 T SETT I Ni : AI ITC, LEAk ALAR l L I I.11 T DISABLED ALI'm I I I i;h WATER L 11-11 T DISABLED AUTO OVERFILL LIMIT DISABLED ALITO LORI PRODUCT DISABLED AUTO THEFT LIMIT DISABLED AUTO DEL I ., ER'Y START 51 SABLED HUTO UEL I VF..R ' END P 1 t:AE'LED U ITO EXTERNAL INPUT ON DISABLED AUTO EXTERNAL INPUT OFF DISABLED AUTO S-ENSOR FUEL ALARM DISABLED AIITC+ .SE1h12:OR WATER ALARM DISABLED AUTO ISMOR OUT ALART'I DISABLED END OF MESSAGE DISABLED I N- TAN}'. 'SETUP - T I:IINL.EADED I F'RODUC:T (;ODE 1 THERMAL COEFF :. 00i1; 00 TANK D 1 H)11ETER 9G.. Dcl FULL VOL IlCI:' FLOAT SIZE: 4.0 IN. WHTER kIAR'N! NG 2. 0 HIGH 64ATER Lit°IIT: '3.i MAX OR LABEL VOL: 1 0'i' OVERFILL LIMIT 90°: H 113H PRODUCT 9i l 1 X130 DFL. 11iER L 11°1 I T 15% l8u l LOW PR'ODUC'T 5Ui1 LEAK ALARM LIMIT: 99 SUDDEN LOS: LIMIT: ? -+ TANK TILT 7.3Fl PROBE OFFSET U.OLi 51 PHON 11AN i FOLDED TANKS Tq: LINE MANIFOLDED TANKS TO: NONE LEAK MIN PER 1 OD I C : 155 1 U LEAK: M 114 ANNUAL I % 130 PER I iD I TEST TYPE STANDHRD ANNUAL. TEST FAIL ALARM U I SOBLE D PERIODIC; TEST FAIL ALARM DISABLED R'OS TEST FAIL ALARM Df ABL.ED ANN TEST AVER'AG I NG : TOFF PER TEST AVERAGING: OFF TANK. TEST NOTIFY: OFF TNK: TAT SIPHON BREAK:: >FF DEL I VER`:' DELAY 1 M I N PL IMP THRESHOLD 10. T -:UNLEADED F'RODLI:T i'ODC - THFRI °1AI- COEFF 000700 TANK UTAMETER 96.00 TANK PROFILE t PT FULL VC:,L 12032 WATER IAARN I NG 2.0 HIGH IAIATF.R 1.111IT: 3.0 f°tAX OR LABEL , +OL : 12032 WER'FILL LIMIT 90? 10828 HIGH PRODUCT 95% 1 14:10 DEL I1;ER`` L I I °I1 T 15%, I R04 hl F'kQDLIi;T 500 LEAK ALr;RI °1 L 111 I T : 91? SUDDEN LOSS LIIlIT: 99 TAN): TILT 9.88 PROBE OFFSET 0.00 SIPHON t"iANI FOLDED TANKS TO: 01 LIME f"iHfV 1 F( LDED TANKS TO: NONE LEAK h'I I.1 PERIODIC: 1 1 21 D LEAK 11114 ANNIIAI, : I 120 PERIODIC' TEST TYPE STANDARD HNNUAL TES[' FAIL ALARl`l DI MARLED PF..R I OD I 1': TEST F )]L ALARM D 1 ti:r1BLED R; }8 'LEST Fll I L ALARH DISABLED ANN TEST A1JER'A1.:I P!G : OFF PER TEST AVERA(-'11\16-: OL'I' TANK TEST WTI F ; OFF TNK T:=,T SIPHON BREAK : OFF DELIVERY DELAY 1 MIN PUMP THRESHOLD 10.00 IPHDN MANIFOLDED TANKS T4: NONE LINE MAN1FOLDED TANKS Td: NONE LEAK MIN PERIODIC: 1% I 1'1 LEAF: MIN ANNUAL 1 21 I PER' I OD I C TEST TYPE S 1'ANDAR'D ANPIUFIL TEST FOIL ALARH I? I SABLED F'Ek I OD I C,' TEST FOIL ALARM DISABLED GROSS TEST FAIL ALARPI D I SABLEP ANN TEST AVERAGING: OFF PER TEST A'OERAG I NG : OFF TANK' TEST NOTIFY: OFF TNK TST F;IPHON BREAK:OFF DELIVERY DELA`/ 1 HI H FUt "IP THRESHOLD 10.00:';: SIPHON 11AN I FOLDED TANK::; TO' NONE LINE 11H)M FOLDED TANKS TO: NONE LEAK MIN PERIODIC,; I % I 0 LEAF: MIN ANNUAL I "6 120 PERIODIC: TEST TYPE STANDARD ANNUAL TEST FH I L ALARM D I SOSLED PF..R I C5D I C TEST Fr' I L ALARM DISABLED TEST FAIL ALARM D1tiABLED ANN TENT AVERAC;ING: OFF PER TEST AVERAGING: OFF TANK TE _'C NOTIFY: OFF TNK TST SIPHON BRFAI :0FF DELIVERY DELAY I H I N PUMP THRESHOLD 10.011 '6 LEAK TEST METHOD TEST ON DATE : AL.I. THNt FED 6, ''2011' START TIME : D I S"BLEL1 TEST RATE :0.20i GAL •'I IR: DURt 'Tl ()N : ? Hu"URS TST EARLY STDP:DISABLEP LEAF: TEST REPORT FOR11AT Pl(iRt'IHL 1-101IIP SEPISC;R SETUP L I : UNL 1 8 :TP TRI –STATE (SINGLE FLOAT) C'ATEiOR4' STF' BUMF' L ':CINL I ANN TRI – S'l ATE (`; I NC;LE FLO(1T CATEGORY NIdIILAk SmPAi E L :":UNL STF' TRI –STATE (5 ! NGLE FLOA "1' i C,;iTEGORY STF' SU11P L 4 : Ut'•JL 7' ANN TRI – FITATr (SINGLE FLC>AT > CP,TE,'ORY : A01NULOR SP0,C E L 5: F NL FTP TR I –tiTATF i ; I N(' LE FLOAT) 1_'()TEGOR1;' . STP SU11P L E:PNL ANN TR I –STATE (S I M LE FLC -AT y i'ATEc;OR'1' : ANNULAR L : DRL STP TR I – :STATE (:_, I NGLF FL-1A7 i C:ATEi;OR`( . PTP . -UMP L = : U:3L ANN TR 1 –S FATE (S I IVI;LE FLOAT) CATEGORY . ANNULAR SPACE TRI –STATE (SINGLE FLOIiT> CATEi_ OR`! : DISPENSER P'AN L.IO:DISP 3 -4 TRI – ::TATS i I NGLE FLOAT) CATEGORY : D I SPENR ER PAN 1- .11:D1tiP 5-6 TRI – :NOTE (S I N(;LE FL()AT > C :ATEGORV : DISPENSER PAN L.1 :DISF' –8 TRI –STATE (S 1 Nt ;LE FLOcsT CATEC;C)RV : r NNI I_i-R SPACE TR I –STATE ( 1 NC_ I.E 'r'LQ_-4)T 1'ATEI 0RY PIPING UMF LI4:S.TRANS TR 1 – :=;TATS f S 1 N!'L.E FLOAT ) CY)TEC;ORY : P I P I NC; SUPT' T 4 : P I ESEL PRODUCT CODE 4 T 3:PRE19IUH THERI "VAL COEFF :.000450 Pl'( )DUCT C ;DE 3 Ti -INK DIAMETER 96 . 017 THF..R11AL. C'JEFF :. 1007170 TANK PR, ?FILE I PT TANK I' I AMETER 9C.. 00 FULL VOL : 1 '21733 TANK PROFILE I FIT FULL VOL 12031 FLOAT SIEE: 0 IN. FLOAT 1617E: 4.0 I N . IAIATER IJARN I NG HIGH WATER Llt "IIT: 3.0 WATER WARN 1 [96 HIGH WJ 4TER L 11'•11 T : 3, i1 MAX OR LABEL \)0L: I - 132 O'VERF I LL L I M IT 90 %. MAX OR LABEL VOL: 1'?031 10628 O'vERF I LL LIMIT 90P•G HIGH PRODUCT 95`-6 I 0828 1 143D HIGH PR,)DUC:T 95!s DELIVERY LIMIT 15= 1 1 429 1904 DELIVERY LIMIT 15 1804 LOW PRODUCT 500 LEAK ALARM L I (,1 I T : 79 LOW PRC )DUCT 500 HIDDEN LIMIT : 99 LEAF; ALARM LIMIT: 44 TANK TILT 3.75 SUDDEN LOS LIMIT: 99 PROBE OFFSET 0.00 TANK. TILT 2.67 PROBE OFFSET 0.00 IPHDN MANIFOLDED TANKS T4: NONE LINE MAN1FOLDED TANKS Td: NONE LEAK MIN PERIODIC: 1% I 1'1 LEAF: MIN ANNUAL 1 21I PER' I OD I C TEST TYPE S 1'ANDAR'D ANPIUFIL TEST FOIL ALARH I? I SABLED F'Ek I OD I C,' TEST FOIL ALARM DISABLED GROSS TEST FAIL ALARPI D I SABLEP ANN TEST AVERAGING: OFF PER TEST A'OERAG I NG : OFF TANK' TEST NOTIFY: OFF TNK TST F;IPHON BREAK:OFF DELIVERY DELA`/ 1 HI H FUt "IP THRESHOLD 10.00:';: SIPHON 11AN I FOLDED TANK::; TO' NONE LINE 11H)M FOLDED TANKS TO: NONE LEAK MIN PERIODIC,; I % I 0 LEAF: MIN ANNUAL I "6 120 PERIODIC: TEST TYPE STANDARD ANNUAL TEST FH I L ALARM D I SOSLED PF..R I C5D I C TEST Fr' I L ALARM DISABLED TEST FAIL ALARM D1tiABLED ANN TENT AVERAC;ING: OFF PER TEST AVERAGING: OFF TANK TE _'C NOTIFY: OFF TNK TST SIPHON BRFAI :0FF DELIVERY DELAY I H I N PUMP THRESHOLD 10.011 '6 LEAK TEST METHOD TEST ON DATE : AL.I. THNt FED 6, ''2011' START TIME : D I S"BLEL1 TEST RATE :0.20i GAL •'I IR: DURt 'Tl ()N : ? Hu"URS TST EARLY STDP:DISABLEP LEAF: TEST REPORT FOR11AT Pl(iRt'IHL 1-101IIP SEPISC;R SETUP L I : UNL 1 8 :TP TRI –STATE (SINGLE FLOAT) C'ATEiOR4' STF' BUMF' L ':CINL I ANN TRI – S'l ATE (`; I NC;LE FLO(1T CATEGORY NIdIILAk SmPAi E L :":UNL STF' TRI –STATE (5 ! NGLE FLOA "1' i C,;iTEGORY STF' SU11P L 4 : Ut'•JL 7' ANN TRI – FITATr (SINGLE FLC>AT > CP,TE,'ORY : A01NULOR SP0,C E L 5: F NL FTP TR I –tiTATF i ; I N(' LE FLOAT) 1_'()TEGOR1;' . STP SU11P L E:PNL ANN TR I –STATE (S I M LE FLC -AT y i'ATEc;OR'1' : ANNULAR L : DRL STP TR I – :STATE (:_, I NGLF FL-1A7 i C:ATEi;OR`( . PTP . -UMP L = : U:3L ANN TR 1 –S FATE (S I IVI;LE FLOAT) CATEGORY . ANNULAR SPACE TRI –STATE (SINGLE FLOIiT> CATEi_ OR`! : DISPENSER P'AN L.IO:DISP 3 -4 TRI – ::TATS i I NGLE FLOAT) CATEGORY : D I SPENR ER PAN 1- .11:D1tiP 5-6 TRI – :NOTE (S I N(;LE FL()AT > C :ATEGORV : DISPENSER PAN L.1 :DISF' –8 TRI –STATE (S 1 Nt ;LE FLOcsT CATEC;C)RV : r NNI I_i-R SPACE TR I –STATE ( 1 NC_ I.E 'r'LQ_-4)T 1'ATEI 0RY PIPING UMF LI4:S.TRANS TR 1 – :=;TATS f S 1 N!'L.E FLOAT ) CY)TEC;ORY : P I P I NC; SUPT' IOUTPUTRELA" -ETUP R 1_-i:0VERFILL i-`'LARI'l TYPE: STANDARD NORMHLLY ,)PEN TANK ti: NONE ALL :(;VERFILL ml.Hkl-1 ALL:H I -*;H PRODI-K '1' HI.P4RI-I T,01): 0: 1 1-101.111) P.EltlioFl Alfls L 1 :FUEL ALARN L J:FUEL ALOiRM L. 9:FUEL ()L.,-iRP,! L 10: FUEL ALARl`l L I I : FUEL ALARM L 12: FUEL ALARI•: L I OUT ALARM 1. 3:S7NSOR 01-IT ALARM L I:SENSOR 01-IT ALARN L I CI: t ENI;OR OUT ALARIl L I I :SENSOR OUT ALARPI L I :SENSOR " LIT ( D)RM L T: SHORT AiL'ARI'l 3: SHoRT ALARM 9:SHORT ALARM 1 i_ :SHORT ALARM 1 1 :.SHORT ALARM LI::':SHORT ALARM L I J:S1-R)R` Al-;)RP-1 ISD SITE ALARMS I SE, GROE. PRES, Pi-', I L ISD DD:RD PRIES FA I L ISD VAPOR LEi)X F? "I L VP PRES FAIL SLI VP STATUS FAIL SD SETUP FAIL ISE, HOSE COLLECT FAIL ALL: - LIEGRD COLLECT FA I L ALL :: I_01J COLLECT FAIL R 6: P14L TYPE: NORP-IALL'; CLOSED TANK 0: NONE LICJUID cSENSOR ALMS L 5:FUEL ALiNRII L. 9:FUEL ALARI-I LIO:FLIEL ALARM L I :FUEI. ALARM Ll',':FUEL MLORI'l L b:SEN&DR OUT mLi-)RTl L 9:1SENSOR Gtff ALAR11 L I 0:'._-)'ENSOR OUT ADARln LII:SEN.;OR OUT ADARN L 12, :SENS7OR OUT L 6:SHORT ALARIII L 9:SHORT ALARM 1_10:SHORT Al_r)RN L I I :SHORT' ALARH L.!2-,,:SHORT ;:;D)Rll ISE, SITE ALARMS lSD GROSS PRIES FAIL 12D DEGRD PRES FAIL ISE) VAPOR LEAK FAM.. 3D VP PRE:-' FAIL 12D VP 1._,TAT1_12 FAIL M,D HOSE ALARIII'G' ALL: C;RDS.z, COLLEc'r FA I L ALL :DEGRD COLLECT FAIL ALL :FLOl,J CHLECT FN L R 7: DSL TYPE: STA NL*aRD NOFt-IALLY C'LOSEP TANK tt: NONE LI till ID SENSOR ALMS L '!:FUEL ALARM L 9: FUEL 4tLARM L 10: FuEL ALARM L I I : FUEL ALARM L 12: FI.IFL. ALARM 1. 13: 1: LIEL ALORN L 7:SLNSOF OUT ALAR11 L 9:SENSOR OUT ALARM LIO:SENSOR OUT ALARM Lti.:SENSOR OUT ALARM L12:SENSOR OUT ALARM L13:SENSOR OUT ALARM L 7:SHORT ALARM L 9: SHORT ALARM L I ALARM LII:SHORT ALARM L 12 cHORT ALARM L 13 C_; HORT ;'ALARM R, B : TYPE: STANDARD NORMALLY OPEN TAN•. 0: HONE NO mLAPIll ASSIGNMENTS - L,oTEl.'4*R'/ Vil'Pui-' F-RE- =1 UFF 2:1711 1-.' C:oTE ORY M I R F:L:"Ll METER 5 01'D . 4ORY iiiF..' FLDW METER 4:Fl,,l 5-6 CATEC,'Ok"..' AIR FL'W 111-TER s 5:FM T-8 CATEGORY AIR FLOW 1*1ETE.R EVR/ISD SERIP EVIR TYPE: VACUUVI ASSIST A(:!UUM ASSIST TYPE HEALY VAC, MAX : I. 15 I'll I N: 0. 95 VHPOR PROCESSOR TYPE NO VAPOR PROCESSOR ANALYSIS TINES TIME: I0:00 AN DELAY r1INUTES: I ACCEPT 1 HIGH ORVR: 4 DISABLED 1`11111 MHH HHH I1HH AA I SE, HOSE TABLE 9111 3M 5 U - -1 02 ID FP FL HL AA RR 01 01 01 02 111 1.111 02 02 02 02 01 ULI 00 03 03 02 02 UU 04 04 ga 02 02 UU 05 05 i_-i 5 02 03 ULI 06 06 06 02 03 UU r7 07 07 02 Od UU 08 08 08 02 04 UU P.-K) AIRFLOI•kl METER MAP ID SERIAL NUN 1AW1. 1 8620 FM 1-2 2 8595 FM 3-4 3 8597 FM 5-6 4 8590 FM ?_G 1',:'@ FUEL GRADE HOSE 1`IAP LABEL TABLE 1: Wms IGNED 2: BLEN83 0: REGULAR 4: MID GRADE 5: PREMIUM 6: GOLD 7: HRONZE 8: SILVER 9: BLEND'S' 10: BLENEW PI92 SERIF PRC:CES2'0R CONTROL LEVEL: NONE ALAR[,,l HISTC)R'," REPORI SENSOR ALOR[-i - - - -- L I : UNL 1 STP STP SUMP FUEL ALARM APP l3. 2012 2 :44 T•M FUEL ALARM APR I I - 1 7- :5a PM FUEL ALARM JUL 11. 2011 9:27 011 4 4 ? it END y 4.-' ALARM HISTORY REPORT SENSOR ALANI - - - -- L 2:111NL I ANN ONNULAR SPACE FL IEL ALARM JUL 1:3. 2011 9:37 0[,-1 FUEL ALARhI Mf4R 2.- 2 ^011 8: 25 At-) END ALARII IHSTORY W0101 SEICOR L 3:02 2 STP STP SKIP FUEL ALARM APR 13. 22012 S:57 AM FUEL ALAW JUL 1:3. 20 1 1 9: 20", A1 FL IEL ALARM DEC 18. 2111 504 P11-1 E k s . .-: END it . t --. s MLORI"I HlSTOP,` REPORT SENSC* HLARh1 - --- L 4:UNL 2 ANN ANNULAR SFIAC E SENSOR OUT ALARM SEP PT 201 1 6:08 Al SENSOR OUT ALARM SEP IT. 2011 8:54 AM SENSOR OUT ALARl' I SEP 17, 21-111 8: 54 141 Y ':. * . END .1. X 'k ), ALAR11 REPORT SENSOR ALARM - - - -- L 5:T,fIL STP STP SKIP FUEL ALAWi JUL I ; • 201 1 AN FUEL AI_ARII IJ. 2011 9:23 41 FUEL (TAR11 JUL 13- '2011 END *-, t X x 1 2 3 4 FP 1`11111 MHH HHH I1HH AA 01 201 9111 3M 5 U - -1 02 202 302 902 5 H 1 03 203 S03 903 U 11 2 04 204 304 904 U U 2 05 205 1 05 905 5 U 3 06 206 306 906 5 U 07 207 307 307 U u IJE,' 208 3108 908 U U d LABEL TABLE 1: Wms IGNED 2: BLEN83 0: REGULAR 4: MID GRADE 5: PREMIUM 6: GOLD 7: HRONZE 8: SILVER 9: BLEND'S' 10: BLENEW PI92 SERIF PRC:CES2'0R CONTROL LEVEL: NONE ALAR[,,l HISTC)R'," REPORI SENSOR ALOR[-i - - - -- L I : UNL 1 STP STP SUMP FUEL ALARM APP l3. 2012 2 :44 T•M FUEL ALARM APR I I - 1 7- :5a PM FUEL ALARM JUL 11. 2011 9:27 011 4 4 ? it END y 4.-' ALARM HISTORY REPORT SENSOR ALANI - - - -- L 2:111NL I ANN ONNULAR SPACE FL IEL ALARM JUL 1:3. 2011 9:37 0[,-1 FUEL ALARhI Mf4R 2.- 2 ^011 8: 25 At-) END ALARII IHSTORY W0101 SEICOR L 3:02 2 STP STP SKIP FUEL ALARM APR 13. 22012 S:57 AM FUEL ALAW JUL 1:3. 20 1 1 9: 20", A1 FL IEL ALARM DEC 18. 2111 504 P11-1 E k s . .-: END it . t --. s MLORI"I HlSTOP,` REPORT SENSC* HLARh1 - --- L 4:UNL 2 ANN ANNULAR SFIAC E SENSOR OUT ALARM SEP PT 201 1 6:08 Al SENSOR OUT ALARM SEP IT. 2011 8:54 AM SENSOR OUT ALARl' I SEP 17, 21-111 8: 54 141 Y ':. * . END .1. X 'k ), ALAR11 REPORT SENSOR ALARM - - - -- L 5:T,fIL STP STP SKIP FUEL ALAWi JUL I ; • 201 1 AN FUEL AI_ARII IJ. 2011 9:23 41 FUEL (TAR11 JUL 13- '2011 END *-, t X x END ENE, r, ALARI 1-118TOW! REPORT SENSO ALARM ----- R ALARI-1 H I STORY PEr•CIRT ALARM HISTORY REPORT Ab-Rll HfSTOIRY REPORT SENSOR L 5:PNL STP ALARM - - - -- SEITOR ALARM ----- SENSOR ALARM 8TP SUMP L 7:DSL -,TP L 9:1)1SF, 1-2 L MEW ANN FUEL ALAR!•I SAIST9, JUL 12, - 1 ANNULAR SPAC:E JUL W. 201I 9:32 AN FUEL ALARM SENSOR OUT AL, F0,? JUL 1:3. 2011 9 :48 A11 FUEL i=iL(-)Rll JUL 13 ='01 1 311L 13. 2W 1 32 10 SEP 18. 2M MGM FUEL ALARM JUL I ;-::. 201 t 9:28 All FUEL ALARM 1UL 13. 2011 9: 3:-: AM SENSOk 01-11' ;-)LARI"l DEC I S. 2M 0 5:37 Pf,1 SEP I Lq. 201 1 12: 10 Ah FUEL ALARM JUL 13. 2011 9:27 ",1 FN:,W , S- P OUT ALARM sEf, " 0 1 1 D : 17le. "_ I '- END ENE, EN: :-. 'k w END :X ALt;Rl,,l Hl',TORY REPORT ALARH L E:PNL ANN ANNULAR SPACE FLIEL ALARM JUL 13. 21131 1 `4: 31-1 All I ALAPh RET';)RT SEW_,0R, HLAPM LIO:DISIP 3-4 DISPENSER PAN SENSOR OUT AIL 13. 20H '9: 44 All FUEL HLHR;,l JUL 13- 2011 9::3,1 AM ENE) FUEL ALHRN JUN 29. 2W I 52 PH w ENE) !-i - HISTUR`r REPGRl' ALARI 1-118TOW! REPORT SENSO ALARM ----- R L 1:PNL ANN HLARH Hl,.-nTOR'r REPORT SENSOR ALAR11 ANNULAR L 5: PNL FUEL. SIE1.42OR HLAR11TPJUL13. 2011 9:29 All L 9:1)1SF, 1-2 FUEL qLAW-1 D12PEN.SEP PAN JUL 12, - 1 9:32 AH ENSOP OUT i!_ARM 2131 JUL 1:3. 2011 9 :48 A11 FUEL i=iL(-)Rll JUL 13 ='01 1 Al-i FUEL ALARM 1UL 13. 2011 9: 3:-: AM FUEL ALARM JUL 1:?. 2011 9: 27 Arl END EN: :-. 'k w END :X ALt;Rl,,l Hl',TORY REPORT ALARH L E:PNL ANN ANNULAR SPACE FLIEL ALARM JUL 13. 21131 1 `4: 31-1 All I ALAPh RET';)RT SEW_,0R, HLAPM LIO:DISIP 3-4 DISPENSER PAN SENSOR OUT AIL 13. 20H '9: 44 All FUEL HLHR;,l JUL 13- 2011 9::3,1 AM ENE) FUEL ALHRN JUN 29. 2W I 52 PH w ENE) !-i - I -ORTYSTEHSTATUSREF ALL FaCTHMS NOWAL ri!-ARM HISTORY REPORT SENSOR ALPRI"I - L I C S ARANS• ---- M-TAW ALARM PIP,]N,,* SUMP T SWREMILIM' SENSOR OUT i-)LARl•I PROBE OU-1 JUL. 13. 2W 1 9:48 API JUL 12. 2012 11 FUEL ALoRM JUL 13, 2011 9:36 41 I N-TANX e4LARM ----- T :PREIAIUM INVALID FUEL I,EVEL END ? UL 12. 2012 11 :'20 LHRH HISTORY REPC*,RT IN-Ti4j): T 4: T) I EBEL ZOEUR ctl-ARM QNSOR WAR11 1-12:DISP 7-,c DELIVERY NEEDED 11:23 "'1 L I I : D I SP 5 -6 AHIIUL,R SPACE JUL 12. 2101'2 DIBPENSER PAN SENS-OP OUT PROBE OUT FUEL ALARM JUL 13. 2011 8 AN JUL 12. 2012 1 1 :2ct 111'1 JUL 1:3- 2011 10:2,3 I'VISTORY HPORy ITEL ALARMST- -.' '0R OUT ALAR1,1 JUL 13. 2011 '3:35 AM JUL 1a- 2011 `.:4u, v)rl 1. 1 L4 1*4 TWor4s, FUEL ALARM N- TANK f= LARH FUEL ALAWI MAR 2. 201 1 8:00 ""I T 4: D I EBEL JUL 13. 3011 9::34 AN JUL 1 01 1 L)W 'IEMP WARWWJULI : - 21--11 1 9:,18 Al"j T 4:DIESEL F1.11-1. INVALID FIJFI. LEVEL FUEL ALARM L 1:'. JUL 0 1 1 JUL 12. 2012 Ill :23 API I -ORTYSTEHSTATUSREF ALL FaCTHMS NOWAL ri!-ARM HISTORY REPORT SENSOR ALPRI"I - L I C S ARANS• ---- M-TAW ALARM PIP,]N,,* SUMP T SWREMILIM' SENSOR OUT i-)LARl•I PROBE OU-1 JUL. 13. 2W 1 9:48 API JUL 12. 2012 11 FUEL ALoRM JUL 13, 2011 9:36 41 I N-TANX e4LARM ----- T :PREIAIUM INVALID FUEL I,EVEL END ? UL 12. 2012 11 :'20 ENDND N-TA!'C' ALARH T j:D[EiDEL PROBE OUT JUL 12. 2012 1 1 :2ct 111'1 I'VISTORY HPORy 1. 1 L4 1*4 TWor4s, 1-1 1 p I Pic; swu N- TANK f= LARHONNULARSPACE1;t.m:;vh., 6 'r T 4: D I EBELSENSOROUTKAW; JUL 1 01 1 L)W 'IEMP WARWWJULI : - 21--11 1 9:,18 Al"j lul F1.11-1. FUEL ALARM L 1:'. JUL 0 1 1 JUL IL,'. 2011 9:35 vv-1 FLIE1, #4101 FUEL ALAPM MAR :--'0 1 1 1 L: I C. Pf•INAR16:1-10 AM CHEVRON 775 4901 OOKERSFIELV CA93307 60-30-03137 JUL 12. 2012 11 END I -ORTYSTEHSTATUSREF ALL FaCTHMS NOWAL ri!-ARM HISTORY REPORT SENSOR ALPRI"I - L I C S ARANS• ---- M-TAW ALARM PIP,]N,,* SUMP T SWREMILIM' SENSOR OUT i-)LARl•I PROBE OU-1 JUL. 13. 2W 1 9:48 API JUL 12. 2012 11 FUEL ALoRM JUL 13, 2011 9:36 41 I N-TANX e4LARM ----- T :PREIAIUM INVALID FUEL I,EVEL END ? UL 12. 2012 11 :'20 MANIFOLDED TANKS INVENTORY INCREASE r I:UNLEADED I T 2:UNLE,-DED VOLUME = 8;; 56 GALS SENSOR -)LHAPH ----- LIO:DISP 3-1 DISPENSER Ff..N FUEL ALARM JI-11. 1'2. 201'-2 1 1 :37 AH ENSOR ALARM - - - -- L 9:D1. DISPENSER PAN FUEL ol-APN JUL 12, '201 -4, 11 :37 ovi ENSOR AbARlll Ll I :DlSr- 5-6 DISPENSER PAN FLIEL ALARM 3 UL 12. 2012 1 1 :37 AM T I : UNLEADED I I rIVf .'NTURY INCREoSE SEN:0R ALART L I : UHL I STP I N1-"REi'1'1E START STP SUMP JUL 1*2. '---'012 1 1 : 213 AN FUEL ALARM JUL. 121 ''01 11 :31 Arl T 3:PREl"111-11"I VOLUME = 0 GALS I NVENTOR"." I N:'REASE HE I GHT = 0.00 T NCHES WATER . 11. 1)1-( 1 NCHES SE TARTINCREAS TEMP 0. C1 DEC" F JUL 12. 20122 1 1 :'--"1 Al"I T '.*: I I I) FUEL LEVEL I NC!PEA.S.E ENDVOLUME . '268t?, Gi'AL JUL 12, 2012 11 AM I ll:- I GHT - 26.39 INCHES WATER . 0.77 1 NCHES VOLUME = 675 1-;ALS SE-1112()R i-AbIARVI TEmr, 8E.. DEi- F HE I r;HT = tD5. 57 1 NCHES L. 3:LINL '-:' STP WATER q. no I wi ip STT' symr, TEMP DEG F FUEL ALARM INCREASE ENE, JUL 12. 21-11 11 -6 AN JUL 1-2. 1 :29 H!'l ROSS I INCREASE= 8756 VOLI IMF 8 GALS r,,-: NET INCREASE= 95,85 1IE 1 -.;111' - .49, 27 1 NCHES t, IATEP = t-1. CsCi I N(::HES TEI-11• . 07.4 DEC; F T 2:UNLEADED 2 INVENTORY INCREASE I NOREA"E STARTTC, NET I Nj':RFA!-.1L- 3-461 T1 IL 12. 'du l2 29 Mill 7HF.t-! L 5:PNL VOLUME 7139 GALS STP SUP-11-- HEIGHT = 55.06 7 NGHE2- FUEL ALARM WATER = 0.00 T N'HES JUL. I''. ^01:` 1 1 : :"16 t4-1 TEMP EE-.!:- DEG F INCREASE END JUL 12. -, o I,-, I I:L31 611 °I VOLUME = 7120 GALS HEIC;HT 5,1 .9.t INCHESi)LARI"l WATER Ct. 00 NCHE8, T I :LINLE(ADED I TEMP 66.4 DEC; F PROPE OUT L 7 : DE'.L ST1, JUL 12. '2012 1I :39 PAH STP St-l"IP GROSS INCREASE- I FUEL ALARM TC NET I NCREk-E- to JUL 12.- 2012 11:36 All MANIFOLDED TANKS INVENTORY INCREASE r I:UNLEADED I T 2:UNLE,-DED VOLUME = 8;; 56 GALS SENSOR -)LHAPH ----- LIO:DISP 3-1 DISPENSER Ff..N FUEL ALARM JI-11. 1'2. 201'-2 1 1 :37 AH ENSOR ALARM - - - -- L 9:D1. DISPENSER PAN FUEL ol-APN JUL 12, '201 -4, 11 :37 ovi ENSOR AbARlll Ll I :DlSr- 5-6 DISPENSER PAN FLIEL ALARM 3 UL 12. 2012 1 1 :37 AM SENSOR ALARM 111-TANS AL F'M --- 7-9 T 1:UNLD41DED I H ANNULAR SPA (E HIGH PRODUCT ALARPIFUELALARP1JULI . '201 11 1 1JUL12. ':1-112 1 1 ::3S IN-TANK ALARM ----- SENSOR )D)F'11 T I : UNLEADED IL4; UNL 2 ;)NN PROPF 0111ANNULAR '_,'P W:E - 1 1 :42 4-1FUEL )LAPI-i 121. 2-101" JUL 12. 2012 11:39 AM ALARM T I : UNLEADED I 1-06A TEI,,IF' WPIRN INC; L 2: Ut'.11- I ANN JUL 12. 2012 1 1 :42 Al"IANNULARSPACE FUEL ALARM JUL 12. 11 :38 AM IN-TANY' ALARM - ---- T 2': UNLEADED 2 HIGH PRO[jo-'T i4.ART'lEN1ORoLoR1,1 ----- J UL 12? 201.E I I :4 1 "11L6:1-1111- WOJ ANVWLr -'iR SPr)k-.E FUEL ALARM JUL 12'. _'2012 1 1 :39 API N-DANK ALARM T UNLEADED 2 PROBE OUT P ALAFI-l JUL 12. ?01'2' 1 1 :4J AM L S:DSL ANNULAR SPACE FUEL ALARM JUL 12. 21-112 1 1 ::_-,9 ot°! 1--- IN-TANK ALARM T 3:PFEf,'1IUI"I HIGH PRODUCT r;LAR(,'I JUL 12. _7012' 11:44 A11 CHEV+,'oN '7%15 4901 :_!.UHICIN BAKERSFIELD CiV436U7 661 - 391 -9337 JUL 12. 2012 11 :40 PH SYS IN-TANK ALARHTEMSTATUS, REPORT T 3:PREMIUM PROBE vUT L 2:FUEL ALARM JUL. I' ll. 11 :45 W1 L. 4:FUEL PD)RM L 6:FUEL AD-'OI L 8:FUEL ALARM IN-TPNY, T 3: PREM I U11 Lot,.) TEMP WARN I Nt' - 4 JUL 12. 2012 11 :.16 r)I'l IN-TANK oLAIRM T H1, 3H PRONCT OLAP'l J UL 12. ii I 2 I I :4h Al"I I,j-'rANJ' ALARH r 4 '. I) I ESEL F,Rr)E,,F- C)UT JUL 12. 2012 11 :46 Al"I T I:UNLEADED 1 I N1 ?EIqT0RV I NCR'EASE I NCR'EASE START JUL 12'. 201'2 11:44 HM VOLUME = 9482 L_aALS HE t UHT = 70. 56: 1 NC NES IAATER = Cl. 00 I NC. HED TFMP _ 'D7.'--: DEG F I N(:R'EASE ENE) JUL 12. ;'012 11 :46 AM VOLUME = 9483 GALS HEIGHT = 70.59 1NCHES WATER = 0.00 1 N('HES TEMP = 94.7 DEG F GROSS I NC:R'EASE= 1 TC' 14F.T I N(,RF.A:;E= 18 T ? : UPJI..F.AF)FD - INVENTOR" ' f I NC. REASE I NC;RF.A,?,E START JUL 1''. 2012 11 :441 All i.'C;1.1YlIF. = U GALS HEIGHT = 0.00 INCHES WATER, = 0:00 1 NC: HEti TEMP = 0.0 DEG F I NC'REASF. END JUL l2. '2012 11:46 AM VOI.LIME = 8556 GALS HEIGHT = 61.3 INCHES WATER = 0.B1 INCHFS TEMP = 10 1 .4 DEG F GRO,2s I NCREA; E= 8556 TC NET INCREASE= P306 MAN I FOLDED TANK'S INVENTORY INCREASE T 1 :UNLEADED 1 T 2: UNLEADED VOLUME = 81557 GALS SENSOR ALARM ----- L14:S.TRAN P I PI NG SUMP FUEL ALARI °I JUL 1:2, . 20112 11:47 111 T ^ : PPEt1 I UM I NVENT',-JR'Y 11'4i REASE INCREASE START JUL 1 2012 11 :41 AM VOLUME = 6219 GALS HEIGHT = 49.28 INCHES: WATER = 0,00 i NCHES TEMP - 101.8 DEG F INCREASE END JUL 12, 2012 11:47 AM VULIIME = 999E (,';)LS HE I CHT = 74..'35 INCHES WATER = I . 10 1 NCHF.ti TF.MP = I U DEG F GROSS I NUREOSE= 3779 TC: NET I NC,REASE= E.65 SENSOR ALARPI - -- - f.14:S.TRAIT P. I P I lNG SUP9F FUEL ALARI -I JLIL 12. 2012 I1 :47 fV1 CHEVRON' 775 4901 S.UNION BAKER'SF [ F..L.D C 9330'l 661 -: ?41 -9387 JUL 12. 1012 11 :48 6f °i YtiTEM STATUS REPORT ALL FUNC:T IONS NORMAL, T 4:DIE8EL I N'VENTORY I NCREASL I Nic,REA:'E START JLIL 12. -'012 11 :46 Al"! VOLUME = 5997 HE I (-,*HT = 44. 74 1 NCHES bWATEP = 6. 00 1 INCHES TEMP =- 104.4 DEG F 1 N'REA:_-E END JUL 1 '. 2012 1 1 :48 All VOLUME = 9997 GAL HE I GHT = 74 .:-w I NC;HE: hIATER = D,86 INC=HES TEMP = 104.5 DEG F GROSS I NC:REASE= 4500 C NET I NC'REASE- 4410 SENSOR ALARII - -- L SUMP P I P I iNG SUMP FUEL ALARM JUL 1 2• '201 2 1 1: 49 AM SENOR ALARM - -- - 1,13:N.TRAN: SUMP P i P I INS. =:UIIP FUEL AL-API-1 JUL 1 20 i t 1:50 A! °! SENSOR ALARI -I - - -- L14:S,TRAN.S P I P I 1C., ;BLIMP FUEL. AL.ARP9 JIJL 12. '201'2 11 :50 API GHEVTM 775 4901 S.Ulq[k.)N R-AKM?,j-'1 ELL) (:i193307 61 -:'91-9387 JUL 12. 21112 H :52 AM SYSTE)•I ET(-tTUS REPORT ALL NOV,V-)L SENZ;OR ALARI-I L I I JqSP 5A DISPEPCER F•N S -EPF0N OUT ALARM JUL 12. 2012 11:52 "M 2EN OR AbWl - - - -- L 1 2 : Iv . TRANS SUMP P I F1 I Pit.; SLH P SENSOR our ALARM JUL 12. 2012 H :52 al SEI,G,0R L 9:f11;iP 1--1, Df',F'E(4.',ER 17-- e-01 SENSOR OUT ALARM JUL 12. 11:521 W•I D1'PEW-:'.F-R PAN BENSC•R OUT f-il-ARM JUL 12. 20 1 -2 11 :52 t4l L12:111SP 7-8 ANNULAR SPA1.7E ENSOR OUT ALARVI JUL 12. 2012 11 :52 AM SENSOR AD:%RM L 5:PNL STF, STP SUI•IF, SENSOR 01-11' mLARI" J UL 12. 20 12 11 :52 AM S-Er-GOR mL 4,71 L 140 .'TRANS PIP I lw: SUMP SENSOR OUT AL"RH JUL 12. 2012 I I : 52 AM SENSOR ALARM - - - -- L I :UNL I SIT' 7,rp soll) SENSOR OUT ALARI-1 JUL 12. 2012 11 :52 Ah SENSOR ALARM - - - -- L 6:PtIL ANN SENSOR OUT ALARM JUL 12. '2012 " :52 AM SENSOR A'LlARV L V:D'ol STP So, SUVIF SENSOR OUT ALARM JUL 12. 2012 11 :52 4"l SMOR AWK1 L 2:UNL I ANN ANNULAR SPACE SENSOR OUT ALARM JUL 12. 2012 H 'Al-I SENSDR HLARI-I L :-j:L1I,iL ? STP sn' Sol, SENSOR Our ALARM J LL 12 - ',z'O I I I :52 3EN2OR ALARM L 4: LINL ;- ANN AtllIULOR SPACE SE112OP OUT ALARM 20 12JUL12 11 :52 At p,EjON ALARM L 8: AL ANN ANNULAR SPACE RENSOR OUT (;Lf=RPI 1 UL 12. 201 "2 I I : 5' All CHEF. FKA1 77 4901 S.UMON 661 - 291-939? JUL 12. 2012 12:25 PH SYSTEH STATUS REP ,-)PT ALL FUNt-T101,12 NORMAL SWRCB, January 2006 Spill Bucket Testing Report Form Thisform is intended.for use by contractors performing annual testing of UST spill containment structures. The completed.form and printoutsfi-om tests (ifapplicable), should be provided to thefacility owner /operator, for submittal to the local regulatory agency. 1. FACILITY INFORMATION Facility Name: #7775 Chevron (North) Date of Testing: 7/12/2012 Facility Address: 4901 South Union Avenue, Bakersfield, CA 93307 Facility Contact: Omero Garcia Phone: 661- 393 -7000 Date Local Agency Was Notified of Testing : 6/19/2012 Name of Local Agency Inspector (ifpresent during testing): Ernie Medina 2. TESTING CONTRACTOR INFORMATION Company Name: Confidence UST Services, Inc. Technician Conducting Test: Bradley Seykora Credentials: X CSLB Contractor X ICC Service Tech. SWRCB Tank Tester Other (Specify) License Number(s): CSLB #804904 ICC #81 1 1231 -UT 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.) l Regular l 2 Regular 2 3 Super 4 Diesel Bucket Installation Type: CI Direct Bury x Contained in Sump Direct Bury x Contained in.Sump Direct Bury x Contained in Sump Direct Bury x Contained in Sump Bucket Diameter: 12.00" 12.00" 12.00" 12.00" Bucket Depth: 13.50" 14.00" 14.00" 14.50" Wait time between applying vacuum /water and start oftest: 5 min. 5 min. 5 min. 5 min. Test Start Time (Ti): 1 1:45am 1 1:45am 1 1:45am 1 1:45am Initial Reading (Rj): 11.50" 11.25" 11.25" 10.75" Test End Time (TF): 12:45 pm 12:45 pin 12:45 pm 12:45pm Final Reading (RF): 11.50" 11.25" 11.25" 10.75" Test Duration (TF — Ti): 1 hour I hour 1 hour I 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 X Pass 0 Fail X Pass Fail X Pass Fail Comments — (include information on repairs made prior to testing, and recommendedfollo44; -up for-failed tests) CERTIFICATION OF TECHNICIAN RESPONSIBLE FOR CONDUCTING THIS TESTING I hereby certify that all the information contained in this report is true, accurate, and in full compliance with legal requirements. Technician's Signature: Date: 7/12/2012 State laws and regulations do not currently require testing to be performed by a qualified contractor. However, local requirements may be more stringent. 7775 Chevron ( North ) 4901 South Union Avenue Bakersfield, CA 93307 1 1 4i 9, 00 4 as 5,14 00u 0a 5,168 x i 1= Veeder Root TLS - 350 2= External Overfill Alarmd 3= Emergency Shut Off Switch 4= Veeder Root ATG Probe 5= Veeder Root 208 Sump Sensor 6= Veeder Root 420 Annular sensor 7= FX1V Line Leak Detector 8= FX1DV Line Leak Detector 9= Regular 1 Master STP Sump 10= Regular 2 Siphon STP Sump 11= Super STP Sump 12= Diesel STP Sump 13= Regular 1 Fill Sump 14= Regular 2 Fill Sump 15= Super Fill Sump 16= Diesel Fill Sump MONITORING SYSTEM CERTIFICATION For Use By All Jurisdictions Within the ,State of California Authority Cited: Chapter 6 7, Health and Safety Code; Chapter 16, Division 3, Title 23, California Code cfRegulations 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: #7725 Fastrip #19 Site Address: 4901 South Union Avenue Facility Contact Person: Omero Garcia Make/Model of Monitoring System: Veeder -Root TLS 350 B. invento of Equipment Tested /Certified Check the appropriate boxesto indicate specine equipment Inspected /serviced: Bldg. No.: City: Bakersfield Zip: 93307 Contact Phone No.: 661 - 393 -7000 Date of Testing/Servicing: 7/12/2012 Tank ID: 12000 gal. Regular Tank iD: 12000 gal. Super x] In -Tank Gauging Probe. Model: 847390 -107 U 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 x] Piping Sump / Trench Sensor(s). Model: 794380 -208 Fill Sump Sensor(s) Model: Fill Sump Sensor(s). Model: x I Mechanical Line Leak Detector. Model: FXi V x] Mechanical Line Leak Detector. Model: FXiV Electronic Line Leak Detector. Model: Electronic Line Leak Detector. Model: x] Tank Overfill / High Level Sensor. Model: 847390 -107 U Tank Overfill / High Leval Sensor. Model: 847390 -107 Other (specify equip. type and model in Sec. E on Pg. 2) Other (specify equip. type and model in Sec. E on Pg. 2) Tank iD: 12000 gal. Diesel Tank ID: x] In -Tank Gauging Probe. Model: 847390 -107 in -Tank Gauging Probe. Model: x] Annular Space or Vault Sensor. Model: 794390 -420 Annular Space or Vault Sensor. Model: x] Piping Sump / Trench Sensor(s). Model: 794380 -208 Piping Sump / Trench Sensor(s). Model: Fill Sump Sensors(s). Model: Fill Sump Sensor(s). Model: x-1 Mechanical Line Leak Decector. 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 F] 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: 9&10 Dispenser ID:_11 & 12 x_1 Dispenser Containment Sensor(s). Model: 794380 -208 x] Dispenser Containment Sensor(s). Model: 794380 -208 x_] Shear Valve(s). L] Shear Valve(s). Dispenser Containment Float(s) and Chain(s). Dispenser Containment Float(s) and Chain(s) Dispenser ID: 13 & 14 Dispenser ID: 15 & 16 x] Dispenser Containment Sensor(s). Model: 794380 - 208 U Dispenser Containment Sensor(s). Model: 794380 -208 x] Shear Valve(s). 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). Ifthe 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, I have attached a copy of the report; (check all that apply) [j] System Set -up U Alarm history report Technician Name (print): Bradley Seykora Signature: Certification No: 840738 License No: 80490 Testing Company Name: Confidence UST Services, Inc. Phone No: 800 - 339 -9930 Site Address: 4901 South Union Avenue, Bakersfield, CA 93307 Date ofTesting/Servicing: 7/1212012 D. Results of Testing /Servicing Software Version Installed: 327.04 Complete the following checklist: L] Yes No* Is the audible alarm operational? x Yes No* Is the Visual alarm operational? x Yes I I 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? El Yes No* If alarms are relayed to a remote monitoring station, is all communications equipment (e.g. modem) HX N/A operational? x Yes No* For pressurized piping systems, does the turbine automatically shut down if the piping secondary N/A containment monitoring system detects a leak, fails to operate, or is electrically disconnected? If yes: which sensors initate positive shut - down? E Sump /Trench Sensors [x] Dispenser Containment Sensors Did you confirm positive shut -down due to leaks and sensor failure /disconnected? L] Yes; No; x] Yes No* For tank systems that utilize the monitoring system as the primary tank overfill warning device (i.e. no N/A mechanical overfill prevention valve is installed), is the overfill warning alarm visual and audible at the tank fill point(s) and operating properly? If so, at what percent of tank capasity does the alarm trigger? 9p % 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. x] Yes* No Was liquid found inside any secondary containment systems designed as dry systems? Product; [x] Water. If yes, describe causes in Section E, below. x No* Was monitoring system set -up reviewed to ensure proper settings? Attach set -up reports, if applicable. Lx] Yes No* 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' The Diesel FX -1 DV failed to catch a 3 gph leak at 10 psi and was replaced and the 420 annular sensor was replaced on the Diesel tank. After installation all new components were tested and confirmed operational. Roughly 2.5 to 3 gallons of water was removed from the Diesel Annular and roughly .5 gallons of water was removed from the Diesel STP. F. In -Tank Guaging / SIR Equipment: [x] Check this box iftank guaging is used only for inventory control. Check this box iftank 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? x Yes No* Were all tank guaging probes visually inspected for damage and residue buildup? x Yes No* Was accuracy of system product level readings tested? x Yes No* Was accuracy of system water level readings tested? xj Yes No* I Were all probes reinstalled properly? Yes No* 1 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: E3 g.p.h.: 0.1 g.p.h.; 0.2 g.p.h.; x -Yes No* Were all LLD's confirmed operational and accurate within regulatory requirments? x Yes No* Was the testing apparatus properly calibrated? L] Yes No* For machanical 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? Lx] N/A Yes No* For electronic LLD's, does the turbine automatically shut off if any portion of the monitoring system is x] N/A disabled or disconnected? Yes No* For electronic LLD's, does the turbine automatically shut off if any portion of the monitoring system x] N/A malfunction or fails a test? Yes No For electronic LLD's, have all accessible wiring connections been visually inspected? Lx] N/A TxJ Yes Lj 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: The Diesel FX- I DV failed durring testing and was replaced, after installation of the new FX -I DV it was tested and confirmed operational. iPIJ11%?E UTILIT-,' START Two T D I E.-,E L. SETUP Jul. 1-1. I_'O 7 C:AL.:__', sAvE SETUP r,AT,4: 819:J ENI) TOM: EN&L. I SHJLIL12Ci12, HYTES AT1612PONDID170' HWOUISS 111 GAL,:' FmSTMF 725 W 50 WHITS WXQR k5L = FIAKEF,SI-IELD (r% GAS 661 I . 00 SHIFT TIME 1 12:01-1 i-'Ifl TEHT = SHIFT TIi,IF '.7., D k:'mDLEL, DE,.; r cOlIFT TIHE :3 11I'2;-;BL.E1l SHIFT TIME 'I FmSTN F 725 TANK PER TST NEREll WPVI4901DISmBLEI; TANK ANN TST NEEDED I.-JRN661DISABLED JUL I_; . 51 Fv.l LiNE PE-EllFiELE METHt.)E, FASS LINE TE::;T STATU:_- F'E:,._)PT L I NE PER WE NEEDED 6IRP) DISABLED MLL FWWTk)N6PJQKwL L I PIE H01H T; ;T NEEDED DISABLED I t.i.'EwTcjR,j, RENFT PRINT Tl:' V'.,L.1_111DS ENABLED T K W&EKOD 72F, ULLAUE 4174 GALS VALUE qW F 0 90r STIHN HEIGHT (WFSET Ti.- 7;715 Gi.',LS DI 2ABLED HE 16 HT = X9.59 INCHES WATER VC.'L 0 GA L2'. Fjf:,TH F_)RVIHT14A, VIE F., UU I VICHES HE I GHTTENT* 8?. 5 EEG F DAYU,311T TIME EMBLED T 2:PIRE11101 725 START DATE RLIAIE . 4589 ?mLS PER WEE 2 m1 P,'I';:)RT TIMEULL,;G'E = 7,11 1 GAL.-; 2:00 AI•Igotloj"&F - f;ll e"['-.7: END DATE UOLUME X51 U ?,MUD Pj"w WED: I SUNHEIC:HT :-:9. clr: 114:* HE.- EI ID T I HE Ci. 77 1 Pp-:HP,-i TEPID T D I E.-,E L. 7 '-* 5 0LUIlL . I_'O 7 C:AL.:__', ULD v:Z = 819:J 901 MWOV 6993 GmLS TO WALINE = 3760 GAL,:' HEIGHT - W 50 WHITS WXQR k5L = A GAS lde-;TER I . 00 1 Pl,.-HF.: TEHT = DE,.; r END RE-C, IRF(:'T LOCHIL PFIWT -.AlT C, I SmDLEP EURO TPEFI:.'. SYSTEM 2',EC,'lJRI T•,. MDE : IADQDJ D I SABLED TAWP: ::Hi Wi' SE(:UR: T' USTOM ALi44lS rd CABLED Isf -,BLED C'OP4t °ILIJV 1 C'AT [ +: r +;: -: _iETUF F'0F.'T SETT I fdi_ CC411-1 Br7ARD : I { EC! 11.1 ) CODE DISrBLED C:Cd9hI GC:'HPD - : F' - =':J'" 6A1A, FY-iTE 9613G . PAP I T';' P•PJNE STOP NIT t JT =:F' DATH LENGTH: B Df;TA RS -232 SEi "'i.IR I T',, C >_ ;GE Lit:hBLED AUTC TF.'HIt!-,P•I I T SETTING:_ l IT J LEAK r= ;L%;F.'I °! L l f °I I T Ci [ SAEILED AUTO I l l f'M I:.IriTEP L I H I T DI_AELEE. r;l fT:_; c VEPF I i_1_ I_': H l T DISABLED LUTO L >(,,I D I I AL-'LELi HUTC+ THEFT L 1('11 T DiSAPLFD P,Ul'O C EL 11 %EF' ST)PT Li I SABLED AUTC> DEL 11 %Ek`f END UISABLED AUTO F;,:TERIJAL INPUT C +1 I? 1 StiBLED AUTO E.- :TERNAL INPUT '_F'F Li f SABLED AUTO SEfVS = +R FUEL ot-14.'f`1 DISABLED AUTO T=ENSOR I.:IATEF, AL.ARr °1 D f,ABLEP AUTO tiFIV:= : + ; >F,' t;!JT f"LAPH DISABLED EI'JD `_'F P(EE:E:HGE Ll1: -ABLER T l : UNLEADED 725 T'HERI,Vil- .::GEFF :.0007Clu THNK Di AVIETEP 96. 00 TANk: PKIF 1 LE 1 PT FULL '1C >L I'21-IIII FLC >AT SIZE: 4. 0 HIGH WATER I..IHlT: 3.0 OP LABEL %!(L : 1,21-1011 JIPHC;I'd H NI LDED Td : hlOhJE LINE 1'1AIV I P)LDEU TO: td-)NF LEVY MIN PERI01'11C: 1 12 0 LEAK 1 °i 1 H HPlIVUAL : t F'ER I iL' I C: TEST TYP'E AIVNI.Irmhl. TF._T FAIL PEF K. D I r' TE=:T Ff I L ALr -tell D l SABLED GR' +S`' TEGT FA I L ALAk'I "1 CI 1 :r BLED ANN TEST A JERi; I N =; : C >FF PER TENT .-,FF Ti1411i; Z'ES'T NC >T 1 F'1: F TN)': '1)T :_11 PHON EREA}'::OFF DEL I t %ERY DELHY I I-1111.1 PUMP THRESHC LD : 1 U. 01-1" 6 I : PREP11 IAl ^'?5 F ROIiI u'T ::!DE THERM(il- [_; "EFF T 4W. L 1 rP1ETEP THP•IY PROFILE 1 PT FULL '':C >L = I:'Oilp FL T SIZE: J.il 6Jr;'1'Ek I:JARf'•! I I'•l =; _ . U HIi_;H L.IATEP I.IPIIT: r+.lERF I LL L I H I T yu °<. 1 08CIiJ Hl,-;H FRODIIC'T l i.1CICI DEL MER'`I L I I'll T I CI "•i. DELIVER "' UNIT L."'W F'R(;CrUC'T 12UCI LEAK I GiILI SUDDEI,i L;; =_ ;F_: 1_ 11-11 T : 59 TANk: T I LT 1-1. uiI PROBE .FFSET u.00 JIPHC;I'd H NI LDED Td : hlOhJE LINE 1'1AIV I P)LDEU TO: td-)NF LEVY MIN PERI01'11C: 1 12 0 LEAK 1 °i 1 H HPlIVUAL : t F'ER I iL' I C: TEST TYP'E AIVNI.Irmhl. TF._T FAIL PEF K. D I r' TE=:T Ff I L ALr -tell D l SABLED GR' +S`' TEGT FA I L ALAk'I "1 CI 1 :r BLED ANN TEST A JERi; I N =; : C >FF PER TENT .-,FF Ti1411i; Z'ES'T NC >T 1 F'1: F TN)': '1)T :_11 PHON EREA}'::OFF DEL I t %ERY DELHY I I-1111.1 PUMP THRESHC LD : 1 U. 01-1" 6 I : PREP11 IAl ^'?5 F ROIiI u'T ::!DE THERM(il- [_; "EFF T 4W. L 1 rP1ETEP THP•IY PROFILE 1 PT FULL '':C >L = I:'Oilp FL T SIZE: J.il 6Jr;'1'Ek I:JARf'•! I I'•l =; _ . U HIi_;H L.IATEP I.IPIIT: r+.lERF I LL L I H I T yu °<. I FIR Hit "H PRODiIC'T 5 "'• 11dUO DELIVER "' UNIT 1,200 L•r I GiILI L.EAI: ALARPI L I NI I T : 59 SUDDEN LO:=y2 L l f'11 T : Ti~Nk: TI(.T 1-1. CIO PRt;BE t ?FF'SET i S I I'HC >Pl f'Ir -;I'•I l FOLDED T- ;rdl:; Td: P•lilVF LINE llb N I FOLDED Tr-rd}:S Tii: NC"NE LEAI: LEAk: P1 I I`I AWfJI If;L 1 `: 12i1 TE`3T TYF'F. I? tPJDAPD ITA JF L TEST Fr+1 L. ALr;Pf•1 U I S;BLED PER l ; >Ci i i; TENT FA I L 6LARI'l D I SAELEL, TEST Fi -; I L LAP'1 DI`:A °LEC: Ai•UJ TEST A>.rErcr G I i'JG : OFF PER TEST .iEktiG 1 h•1G : FP THI ll' TENT NOT l F ;' : !1FF Till' Tf_T SI IK"I'l BPEHI::C',FF DELIVER +' DEL;`! l 1`11 I'J F'Uf IP THRE IH JLp ICI . hIir'„ T 3: DI ESF. L 72-t 1 10 LFAI: TE,-*,T HETH;_lD D'D SUDDEI-4 LOSS LII--IIT: THER11"I'L C%_07 I-CO-4 5U TEST C)N DATE ALL TANY DIr:iMETEP qE. CIO JAN 1 .1. 201 1 1'-011: PROFILE I PT START T 111 DIS-"LLED FULL 'MYL 1 20FI0 TDk;T Pl'-,TE DURA'T 1 ON FLC,I4T SILE: TST E"RL'C' 1,4A07k LEAK. TEST F. J ATEF'("RT Fl,"Rl I- Hii-,'H IJATER L111IT: 0 C)R EASEL VOL: I "I--- ovERFILL LIHIT 913% Hj,_;H l:-R;_K;,_ICT DEI_I%!ER'Y I- II-liT I rr% HANIF-A.DED T`14S TO: NONE L 111E 1,1" N I FOLDED Td: W0 (,:F_ LF-i)): 11IN PERIODIC": 1,%. I PEF[e)[11C TE.-*.T TYPE D-ill_ DI";HB.ED PER1,11,11" TEST F"IL DlSAFLEF.l TEST F;'IIL ANN TEtJ OFF PFR TMT OFF T_-A4K TD T '+'TIF',-: OFF Tfli: T:':'T 'SIPHiJl EIF,EAI:;-':)FF DELAY 1 1-11 - N PI IMP LliDUID SETUP L I :1-INL STP TRi -E;TiL;TE (SINGLE Fb_,AT, TP EUI',IP L UNL i:4NN FD"AT, L :PREH STP TRI -,--,TATE (SIVJG'LE FLe',-ATe Ct"TEC"':jR.V : STV L;1_w1F' 1. l:F'REI"I TRI -STATE FD_,AT'. L 5: EISL STP L wwi TRI -STATE (c,IM,,'LF FL0(iT% TRI -STATE ':SIN) LE FLCI" -J• ATEC;C1`R.Y : Dl PEI,JSER P44 L O;Ej[SF' TRI -STATF, FIJ)"T', C:HTEG(.)Rl` : DISPEI-T;ER PAN L TRl--2;T,-l'TE "SINI-1E Fl_(__)AT) L 11-1: 1) 1 c',P 15 IIT" FT 1;- L L % 1_ L C ) c' ED T EG, (- R",' : PAN A - IT- PI - IT FE- D- HY SETT IF R, I : LIVILEADED T,z PF : T,,`,NDARD TAW),: d: I L I :FUEL ALARl'l L 7:FI-IEL ALARI'l L 8:FI-IEL ; iD)RI'l L 1:FLIEL AL14"I'1 L 1 1-1: FI_IFL ALARM L I HLAPI"l L 7 LIT ALARM L a :8 E I R OUT t:-,I_;)FJl L 9 : S, E I ISO R OUT "--LAPH L I A : 2 E 0 R _)UT ; L 1- F`(' I L i :SHORT "'LAPI-I L ',:SHORT .'ID)Rlll L L 9:1201DRT i-iLARll Liu:SHORT ALHRll I'S.D ;:;ITE ALARMS I' ll" D (3Fll_)SS PRE.", FAIL I,.!;D DEGRD PPES7 F'.(L V()Pi)R LEi)K FAIL VP PRE.S, F61 1!-,D VeP !_ITHTIIti FHIL I SD HOSE ALL.: GROSS C'OLLEC'T FAIL ALL :DE(';PD FAIL LL:FLoL,,l COLLD.T FAIL R -,:PFE[,,1IUI,I TYPE: TANK 0.' 2' LIQUID SEN'SvR 6LII-1 L :-,,:FI-IEL (-)Lf)PI,I L 7:FLIEL HLAPP-1 L R:FIIFL L 9:FLIEL L, -Rll L 1 1-1: FLIEL AL SRI I L :3 : S. E hG ., OUT L 7:SEIJS:--)R ')UT _--LARI"I L 8:SEIqE,-C)P LIT "'- L 0 f-1 I P. I.I I_j:SEf,J:_V j P U T 7:SHORT L E::SHORT ALHPH L 9:S'HoPT ALAF.V,l LIO:SHORT ALARI,l ISD SITE (iLiiRill-,' ISll GR'e)!_iS PRE;`, Fi,[L I:=T.l PPE'2' FAIL I',-;F, WAPOR LEAK, D-ill_ I'S'D VP PRES FAIL 1SD •-),P 'STATUS FFllL 1S HOSE ALAR1,12-D' LL:GROSS ('()LLE(:T FAIL HLl_:DE;RD NLLE,_'T FAIL ALL :FLOW COLLECT FfilL 1 10 LEA}' AL,-F',1 LIHIT: D'D SUDDEI-4 LOSS LII--IIT: 419 TANI: TILT CIO PROBE OFFSET CII-I HANIF-A.DED T`14S TO: NONE L 111E 1,1" N I FOLDED Td: W0 (,:F_ LF-i)): 11IN PERIODIC": 1,%. I PEF[e)[11C TE.-*.T TYPE D-ill_ DI";HB.ED PER1,11,11" TEST F"IL DlSAFLEF.l TEST F;'IIL ANN TEtJ OFF PFR TMT OFF T_-A4K TD T '+'TIF',-: OFF Tfli: T:':'T 'SIPHiJl EIF,EAI:;-':)FF DELAY 1 1-11 - N PI IMP LliDUID SETUP L I :1-INL STP TRi -E;TiL;TE (SINGLE Fb_,AT, TP EUI',IP L UNL i:4NN FD"AT, L :PREH STP TRI -,--,TATE (SIVJG'LE FLe',-ATe Ct"TEC"':jR.V : STV L;1_w1F' 1. l:F'REI"I TRI -STATE FD_,AT'. L 5: EISL STP L wwi TRI -STATE (c,IM,,'LF FL0(iT% TRI -STATE ':SIN) LE FLCI" -J• ATEC;C1`R.Y : Dl PEI,JSER P44 L O;Ej[SF' TRI -STATF, FIJ)"T', C:HTEG(.)Rl` : DISPEI-T;ER PAN L TRl--2;T,-l'TE "SINI-1E Fl_(__)AT) L 11-1: 1) 1 c',P 15 IIT" FT 1;- L L % 1_ L C ) c' ED T EG, (- R",' : PAN A - IT- PI - IT FE- D- HY SETT IF R, I : LIVILEADED T,z PF : T,,`,NDARD TAW),: d: I L I :FUEL ALARl'l L 7:FI-IEL ALARI'l L 8:FI-IEL ; iD)RI'l L 1:FLIEL AL14"I'1 L 1 1-1: FI_IFL ALARM L I HLAPI"l L 7 LIT ALARM L a :8 E I R OUT t:-,I_;)FJl L 9 : S, E I I SO R OUT "--LAPH L I A : 2 E 0 R _)UT ; L 1- F`(' I L i :SHORT "'LAPI-I L ',:SHORT .'ID)Rlll L L 9:1201DRT i-iLARll Liu:SHORT ALHRll I'S.D ;:;ITE ALARMS I' ll" D (3Fll_)SS PRE.", FAIL I,.!;D DEGRD PPES7 F'.(L V()Pi)R LEi)K FAIL VP PRE.S, F61 1!-,D VeP !_ITHTIIti FHIL I SD HOSE ALL.: GROSS C'OLLEC'T FAIL ALL :DE(';PD FAIL LL:FLoL,,l COLLD.T FAIL R -,:PFE[,,1IUI,I TYPE: TANK 0.' 2' LIQUID SEN'SvR 6LII-1 L :-,,:FI-IEL (-)Lf)PI,I L 7:FLIEL HLAPP-1 L R:FIIFL L 9:FLIEL L, -Rll L 1 1-1: FLIEL AL SRI I L :3 : S. E hG ., OUT L 7:SEIJS:--)R ')UT _--LARI"I L 8:SEIqE,-C)P LIT "'- L 0 f-1 I P. I.I I_j:SEf,J:_Vj P U T 7:SHORT L E::SHORT ALHPH L 9:S'HoPT ALAF.V,l LIO:SHORT ALARI,l ISD SITE (iLiiRill-,' ISll GR'e)!_iS PRE;`, Fi,[L I:=T.l PPE'2' FAIL I',-;F, WAPOR LEAK, D-ill_ I'S'D VP PRES FAIL 1SD •-),P 'STATUS FFllL 1S HOSE ALAR1,12-D' LL:GROSS ('()LLE(:T FAIL HLl_:DE;RD NLLE,_'T FAIL ALL :FLOW COLLECT FfilL F., 1-i : ri I E` iFl. TYPE: r 1, I'HN): p : :j L 5: FUEL HLARI"I L 1: FUEL LIU:FUEL ALARI"I L (AIT L ' 'R OUT i)D-;Flll LICI:SENSXjR OUT ol_r%Rfl L 5:'HOP'r oL')P.I'l L G':SHORT HLOIRT'l L1u:1-3K',F.T mLARI%,l R 4:0VERFILL FID'IPI-l T' PE: ST(il,IDARD JORMALLY .'J'EN ToNK it: N""'WE 1-TANI: ol-AR112'. i-I-1-:0VERFILL "'LAR11 ALL:HI'_,'H PRC"DUl_"T AL"-Pll LL:I"IA:,: PRoDIJrT Al-HRIl I-lA.RT°•EIl'.-.;_)F. SETUP TE,-4C)F.`/ VHPOP fPE;SUPE 3 '-':F( -,l 3-1c, CATEG"",RV A[ R FU'4,1 HETFP 3: FI'I I1CATEGOF.'`i AIFL; .)I,l I-IFTFP C'AJECI'OPY AIR F'L'-I,.., IlETER 5:FM 15-16 ATEC4-'_)F.",' rIR FLC>bl HFTF.R' E%iR., SETUP prv_ SETUP EtiC;DF TYPE E•JR TYPE: v;Ar_:IUI_II*'l '':-SP,'-Ti. N01•EC:IJU[l A'.:3c'.IS'T TYPE HEAL'c' VAC; NOZZLE A,L RAIlJ'_,'E I*AlE cqC)NE AI*,IAL',,"SIS TIHE.S FP PIHH I*IHH I-IHH HHIJ rA TII"IE: 11-1:010 At"I 1-19 "D A 1 2101 901 11 11 1 DELA',,, 1,111,IUTES: I Hl'STOIR`,' RFP•; )PT SENSOR AL F.'I-I HPSTC>P' REP . RT EPT H113H ('RVR: L I :1111L STP la ;'06 31 j6 =nc, U U DISABLED TV 1:JUIlP L '-':LIIIL ID )0.1.1 5 1 FUEL LAPVI IS-D HOSE TABLE JUH 25. 11 IL. 1:-3. 21-11 1 1 1 A" ID FP FL HL AA PP FIIEL f:,L`Flll 201 i I I 14 i l 1 01 09 111 02, Cl 1 02 N 25 711-112-` lu 4: Ila 11 02, 10 C12 0'2, C, I 0'' cl: 1"I1 D (,'Rr.DE 201 1 9:51- 4.1 ID 3 1 1 03 cy_ Cl2 02 FUEL "'L(-01 6: GOLD ij4 12 Fl cl, 71G. 0.71 julJ PH 05 17 05 02 0 ID I: EILE*ND _' 06 18 ID 6, 02 ID 3 Ij . 2 I G: BLEND4 137 19 07 02 LL1 02! 1-18 2n1 05 02 0 02 1 , -.' D A I RFL(--)I,.l mETEF.' I-l-'P ID SERIAL NUM LABEL 1 8E,39 FIl `-11-1 14880 P"I I I - I END 8 6r . F11 1:-1-14 8625 R-1 Ic"D FUEL l_;RADE HOSE 11AF 1 2 :--1 11 FP PIHH I*IHH I-IHH HHIJ rA 1-19 "D A 1 2101 901 11 11 1 It X1 1*.; :3 IT i SIT- 5 11 12 5 U AL F.'I-I HPSTC>P' REP . RT 17 2n5 65 9i15 u I I la ;'06 31 j6 =nc, U U 21 -3 ? 0 7 '107 5 11 4 L '-':LIIIL ID )0.1.1 5 1 FUEL ALoPM 11 IL. 1:-3. 21-11 1 1 1 A" LABEL TABLE RJEL A'LY',PI"I 1: 1 -,'NED 201 i I I 14 i l 1 2: BLEND!" 3: RE'_,*I_I1.."P OUT HLAP.l I cl: 1"I1 D (,'Rr.DE 201 1 9:51- 4.1 5: PREll I Ulf 6: GOLD BRONZE 0: 21LVEP, I: EILE*ND _' I G: BLEND4 END REP,`PT RET,')FT Hl'.:"ToR%I; RVY T i i f :- E - ALiPH IAISIT d,`,' RFT(:P'l L 4:PPB1 Ajoi ANNULmR SPACE FUEL J LIL I ' '01 1 1 1 1 FUEL r,LARri Jill. 1:, 5 API FUEL 7LAF:ri IIIIAP J, 21 ri I I 10 ID (;["I n - :` 1 E 111 L 5: DSL S'VP STP SUl"ll, FUEL J 11 L 1.3. 2 1-11 1 1I I '= HI"I FUEL ALAPI,l jUL 20 I I I I I I rAH END *,-: ALARl',1 REP 01-:1 L A-HN FLIEL FI-IE[. ALAPI,l P IH' P 5• --;)Fi) .2' PH FUEL A1_ARH 11()R 5. LFiJ2, PH F:, I- ic,.,:_ P 1- L A Pt I L 7:Dl--*,P 9 -10 FUEL J I I L 1:3 - '2 ID I I I I At"' i'LAY-19 H ST(`R`Y. V%'EF;.jP,T L 3 :PPEH STP STP• FUEL HL'RM 0 1 52 FUEL "LAF , T-1 FUFI, fAD4111 FUEL 1 1 JUL 121, 7101 1 1 1 1 c HI-I i i f :- E - ALiPH IAISIT d,`,' RFT(:P'l L 4:PPB1 Ajoi ANNULmR SPACE FUEL J LIL I ' '01 1 1 1 1 FUEL r,LARri Jill. 1:, 5 API FUEL 7LAF:ri IIIIAP J, 21 ri I I 10 ID (;["I n - :` 1 E 111 L 5: DSL S'VP STP SUl"ll, FUEL J 11 L 1.3. 2 1-11 1 1I I '= HI"I FUEL ALAPI,l jUL 20 I I I I I I rAH END *,-: ALARl',1 REP 01-:1 L A-HN FLIEL FI-IE[. ALAPI,l PI H' P 5• --;)Fi) .2' PH FUEL A1_ARH 11()R 5. LFiJ2, PH F:, I- ic,.,:_ P 1- L A Pt I L 7:Dl--*,P 9 -10 FUEL J I I L 1:3 - '2 ID I I I I At"' i'LAY-19 H ST(`R`Y. V%'EF;.jP,T L D I _PEIT:-:,. p TION FUFL 7UL FUFI, fAD4111 C, 1 1 1 1 HLAR11 13. 2`Ull I I 4 F.HD MARIA HI STS RV REPORT L 920SP 13-14 D1, FE1,0ER, rr=ipj SE112OF C)UT ALmF31 JUL M. 2011 11:18 w FUEL ALAM-1 JUL 1:3. 2011 11 :13 4") END ALmPf,,l HIs.T,:-)R'',,' REF,-:RT SEITE-C LIMUSP 15-16 D PEIVER PNA FUEL ALAR11 JUL 13. 2011 1'? tt)r,,l FUEL HLAP[--) 3t It, I j. 0 1 1 11 :14 f4,1 END - - - - 114`17,NI: i-il-ARII T 20RE11M 705 PROBE 'AT JUL 12. '201'2' 9:15 ;:Af-I IN TAM,W' -- -- T I :110LEWIED 725 PKWE OUT 31 IL 12.- LIC, 12 9:19 F-,Vl L 6: USL (011-4 FUEL HLA43.1 JUL 1:-', 20121 9:19 Al"I T I WCERM 725 L(I.J PFoDUCT l-t;Prl JUL 1z. 21:112, 9:210 rti MAW P&ARM T KWILEMED V25 DELI%--'ER'( NEFFiFF, JUL 12, '2012 AA ,l T <:PPEHIUM 72 5 INVEHTQRY IIACREASE I H(: REA E 'START JUL 12. 2012 9:I6 AM t.;01U(-IE = 171 i-. 1,4ALS, HEIGHT = 1'=+.26 INCHES WATER = 0.00 [ IAA- AC, TENT' = :32.9 DEG F I [K:RE ,E EHE, Jill.. 12. -a:20 A'I i dL 1 1,* HT = X9.56 wHTER m -1.@7 TEMP = 84.7 DID3 F GROSS II&RE&GE- 4535 T,-,! 1AFT INC'KEriSE- 4455 IN-TW 11: L;LARI I -- - - T *-::DIESEL 7z15 PROBE OUT 1I II 1 III -j:22, LT,l T pl-MLEAWD 725 JUL 12. 2012 HI-I II-IE HE 1 G1 IT I)ViTEF* = TEMP = 95 A DEC,' F I "AME END JUL i-'. 20 1'-' j:-` i4l dol-A II-IE 5666 HEIGHT WATER 0.79 111CHE';-; TEI,IP g6. 6 DEG F ROSS Tt: NET 4934 SENOR ADAW SENSOR ;QARri ---- ---- IN-THNIC ALMI ----- L I:UNL '-TF 15 T I:UNLEADEF, 7,15 STP SKIF DQPEWER P•i PROBE OUT FUEL HLAPm FUEL ALW-i JUL 12. 20i2 Hl,l JUL IL. X012 'P: 2::t JUL 12. AI °l iD Rll I I :UfALEADED 725ALAPH L :-;:PRFV1 STP L 2: WC ANI•I STP SUMP A1,11,411LAP, sr'AcE JUL AllL1'. FUEL FUEL PLAW-i JUL I -,,U 12 9: 24 Hr1 JUL 1 :2. zi-i I '-- 9: 2a, f4m T I :UIILDHDED 7_'5 L °:fjf'S.P OVERFILL 4LHPll , DISPEIISEP PHw JUL I--'. 21CII22 9:29 Ntl FUEL L,4RII JUL 1'-'. 9:27 4-1 T PPREPMAI 725 CA..'EPFILL Af-:)Rhl JUL 1 2. 21112 41 T I :W&DOED 725 LNS,DP mLARII ----- SEN-,oF., L S:EjSL STP L cl:PREII HIJId so, STIP IJNUL iR SV4':F. JUL 12. 2012 i-Vl FUEL ALARpi FUEL ADRll JUL 1L. 2012 9:25 JUL 12. 2012 HE I C,*HT = 40.90 1 Ilk-, I IES W TER = 0. 7e I W1:'HE'.:-', TFI IP = 87.1 E E1 F INCREASE END JUL 12. 202 9:31 RI LIAIE = I Ci 7,-j 1 FH2TRIF' 7-jr- HE I t HT = 80.90 1 1,11--'HE.S L 4901 WATER 1:1 . 1:1 NCHE2, PHII DA*.ERSF I ELF) cH TEI*IF' I DEC; F FUEL r,Li;Rl,l 661 JUL 12. 21j1'c' :L'5 1 JUL 12. -101LI! 9:29 vd-! F. U. 1 5 125 Tl:: NE r 1 5iJ C' Y'STEM ST;-;TU::5, PEP :;PT L 2:FUEL HLAPM L 4:FUEL ALARII SENSOR HL HF.'141 I. 8WASP 114L L 6: FUEL HLF 1'1 "I IIISPEH:=EP PAN FUEL ALARI-I JUL 12. L VDSL WIN ANNULHP SPiLit-:E FUEL JUL 201,2 4-1 T I :UIILDHDED 7_'5 L °:fjf'S.P OVERFILL 4LHPll , DISPEIISEP PHw JUL I--'. 21CII22 9:29 Ntl FUEL L,4RII JUL 1'-'. 9:27 4-1 T PPREPMAI 725 CA..'EPFILL Af-:)Rhl JUL 1 2. 21112 41 11, j -, FH I'lle HLI RI- - I - - - -- f PRE[l I I-If-I 2 El IE UR '1_;-iRll PR-:'BE OUT L 5:DSL ::,TP I liL 12 • 2_ 1-112 4-1 STF' SUMPSEI,Ic'-OR OUT "`LiiRl,l JUL l m "012 All SEI OlTF r:;Le2JUL12. T *2:P5REI'IJI_II-I 725 1 hl-YENTORY I IAC.'REk.:_*E SENSIDR HLHRI'l L 2:D1SP I I 12 1:1',PEN17'ER PHN SEN`(+.' ',1UT 3 UL 12 - 2U1< 9: 1' AM T :-:: 111 E_EL F,-_;TPI 7`5CAiEffILLHD:+f-,I ,- J LIL I _ - 2C, 12 -,I-'l BrKEF2F I ELD Q:7- a 7 JUL E 1, I.C"o R "LARI-I STEll ST6TIJ:'- REP()FT L 2:11!11- ANN ANNULA"P SF,H'E lIlJ-T"-I',IK' ALART'l L SEHSOR Ol , IT vi , Li RV-1 3:"Ij ;Wl T :`:111D=;EL 725 PR()EIE C)LIT 1 '74 EwS R L 3:PPEM STT, sTLANVI F? ; D'EWSC*.R ()LIT ALAT:-11 T D 1 E S, E L 7',, t, )NNLILAR JUL 12. 2 LOkl TE11P (.16P.111146' FUEL rI L A RT, I 7 LIL 12 it 1 9 4. .1 L '. 21 - 211-11 9 All T 725 SEItISOR "L'F I NC, PF12E RT ( FT lNVE,ITCF.-' 1,W!RE cF L 7:11SP 9-10JUL12" 201 5::30 lN('.REk-E 2;Tl-RT I _' 9::_ JUL 1', _Jl' J4 il "I PI-1 JUL 1*2. 2CW_- HE I k,HT 19.t-,9 IHI:iHES LIATER 0.0? 11-11-,HES TEMP 8'7. 7, DEC, F HE I t3l-IT = 4 1 da 11, P _: HE',", L-JHTER = 0 . K I [•Jr;HF:'- TEHP F I N,':PEHSE ENL, JUL 12 201'2 9:.5 HI'l 11,11- , :P.Ei_i2,E END JIOLU12 10^4E JUL 12. 2012 9:,111 I'l HE 1,1"HT 60.50 1 Nf_:HEl!,7 SPISC)R kJATER' i-i .3a 1 lll':HE:='- 16LUME = 1 060 1 7; ALS L I IJUL STPTRIPan. Pi DF--" F HE I t,HT = :-:" Cl . 9 9 1 Hj_'HU: TPS1,,"TEP = I-[. Ali I Hf*71 iES JR CUT i;L-RflTDIP -3 LIEI_' F JUL 4.7 Ii)rl TC: NET I Ill"REriSE= 1321 Ti: HET ( 53 SENSIDR HLHRI'l L 2:D1SP I I 12 1:1',PEN17'ER PHN SEN`(+.' ',1UT 3 UL 12 - 2U1< 9: 1' AM T :-:: 111 E_EL F,-_;TPI 7`5CAiEffILLHD:+f-,I ,- J LIL I _ - 2C, 12 -,I-'l BrKEF2F I ELD Q:7- a 7 JUL E 1, I.C"o R "LARI-I STEll ST6TIJ:'- REP()FT L 2:11!11- ANN ANNULA"P SF,H'E lIlJ-T"-I',IK' ALART'l L SEHSOR Ol , IT vi , Li RV-1 3:"Ij ;Wl T :`:111D=;EL 725 PR()EIE C)LIT 1 '74 EwS R L 3:PPEM STT, sTLANVI F? ; D'EWSC*.R ()LIT ALAT:-11 T D 1 E S, E L 7',, t, )NNLILAR JUL 12. 2 LOkl TE11P (.16P.111146' FUEL rI L A RT, I 7 LIL 12 it 1 9 4. .1 L '. 21 - 211-11 9 All E i)DRl"l L G: E AMI JUL 12. 21012' 9:43 ;Al SEWGR mWRTI L a:PRPI Q41N Al-lNlJLi4P SPA E SE OUT ALHRTI JUL 12, 2012 i4l L 9:NsIP Dl ENSER SEN'So.')R OUT A JUL 12. 21--1121, 9:d3 W Elo:DlSR 15 -l6 FUEL ADARll JUL 12. 21--112 9:,1::: F411 L t-'.:zL ANI'l FUEL ALARI M 12. 2W2 L 6r• AHn ANNUL gP E FUEL ALAPll JUL 12. :CJIL' L S:L,SL sn. SAq FUEL WWI JUL 12 - 202 10: 17 t4 I FASTKI 725 BAKEGFIELD G61 -:--j 97 - 9 7 II I L 12. ZU 1 2' 1 1 ; AS HI'l ALE P-11 KI I SWRCB, January 2006 Spill Bucket Vesting Report Form Thisform is intended_for use by contractors performing annual testing of UST spill containment structures. The completedform and printoutsfrom tests (ifapplicable), should be provided to the facility owner /operatorfor submittal to the local regulatory agency. 1. FACILITY INFORMATION Facility Name: #7725 Fastrip #19 1 Date of Testing: 7/12/2012 Facility Address: 4901 South Union Avenue, Bakersfield, CA 93307 Facility Contact: Omero Garcia I Phone: 661- 393 -7000 Date Local Agency Was Notified of Testing: 6/19/2012 Name of Local Agency Inspector (ifpresent during testing): Ernie Medina 2. TESTING CONTRACTOR INFORMATION Company Name: Confidence UST Services, Inc. Technician Conducting Test: Bradley Seykora Credentials: X CSLB Contractor X ICC Service Tech. SWRCB Tank Tester Other (Specify) License Number(s): CSLB #804904 ICC #811123 1 -UT 3. SPILL BUCKET TESTING INFORMATION Test Method Used: x Hydrostatic Vacuum CI Other Test Equipment Used: Lake Test Equipment Resolution: 0.0625" Identify Spill Bucket (By Tank Number, Stored Product, etc.) 1 Regular 2 Super 3 Diesel 4 Bucket Installation Type: Direct Bury x Contained in Sump Direct Bury x Contained in Sump Direct Bury x Contained in Sump Direct Bury Contained in Sum Bucket Diameter: 12.00" 12.00" 12.00" Bucket Depth: 14.50" 13.75" 15.00" Wait time between applying vacuum /water and start of test: 5 min. 5 min. 5 min. Test Start Time (Ti): 9:15 AM 9:15 AM 9:15 AM Initial Reading (Rj): 11.25" 11.25" 11.75" Test End Time (TF): 10:15 AM 10:15 AM 10:15 AM Final Reading (RF): 11.25" 11.25" 11.75" Test Duration (TF — Ti): 1 hour 1 hour 1 hour Change in Reading (RF - Ri): 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 recommendedfolloi4, -up for• failed tests) CERTIFICATION OF TECHNICIAN RESPONSIBLE FOR CONDUCTING THIS TESTING I hereby certify that all the information contained in this report is true, accurate, and in full compliance with legal requirements. Technician's Signature: Date: 7/12/2012 State laws and regulations do not currently require testing to be performed by a qualified contractor. However, local requirements may be more stringent. 7725 Fastrip #19 2O 4901 South Union Avenue Bakersfield, CA 93307 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 420 Annular Sensor 7= FX1V Line Leak Detector 8= FX1DV Line Leak Detector 9= Regular STP Sump 10= Super STP Sump 11= Diesel STP Sump 12= Regular Fill Sump 13= Super Fill Sump 14= Diesel Fill Sump 6 O1 O 4,5,7,9 12 11 1 9O 5 O O 4,5,7,10 13 16 15 14 13 0 4,5,8,11 14 5 5 oof loF' O Sub -Total Job Order / Invoice #2-ql 6 ICE`S COMPLIANCE WITH CONFIOENCP Toll Free #: 1 -800- 339 -9930 Date Call Made Time To Whom Station Control Number Repair Date Invoice Date 77.2 S % /2-/ t-' Gclt iX -1 bV L Ec bi e eC/' Name Confidence UST Services, Inc. Total B Material Site Name: 7725 X4:&4r / oStreet16250MeachamRoad Street 7 —Z !.(Nrr,N V city Bakersfield,Ca 93314 City StatKo Zip p7 Terms Store Number:7'2c Description of work performed: be, (-E A Rate Total Isar z, qb, e l 17 "1C- FSV r/ a eta a 1 2. •lam 3 s w..- yr Tax ( If applicable) Total C Total B May we please have your comments regarding service / equipment provided by the above named contractor: Store Employee Printed Name - — Store Employee Signature Labor Date Name /Number Class Hours Hourly aRateArrivedDepartedLaborTravelTotal AM PM AM PM AM PM AM PM AM PM AM PM Contractor Supplied - Materials - Rentals Amount Sub -Total Quantity Total A Labor 2 t-' Gclt iX -1 bV L Ec bi e eC/' Total B Material Total C Mileage Total Amount Invoice A + B + C Accounting Breakdown Mileage Miles Rate Total Sub Total Handling % Tax ( If applicable) Total C Total B May we please have your comments regarding service / equipment provided by the above named contractor: Store Employee Printed Name - — Store Employee Signature Da, V II Approved By Date E _ _ilvt!! Y