HomeMy WebLinkAboutFMC 201211000 N. MoPac Expressway, Suite 500
Austin, Texas 78759
Phone: (512) 451 -6334
Fax: (512) 459 -1459
BAKERSFIELD FIRE DEPARTMENT
OFFICE OF ENVIRONMENTAL SERVICES
INSPECTOR CRAIG PERKINS
1501 TRUXTUN AVE.
BAKERSFIELD, CA. 93301
Test Date: 01/27/2012
Order Number: 3189345
Dear Regulator,
Date Printed and Mailed: 02/23/2012
Enclosed are the results of recent testing performed at the following facility:
CHEVRON 206561
3360 PANAMA LN.
BAKERSFIELD, CA. 93313
Testing performed:
Leak detector tests
Monitor Certification
Secondary Containment -Spill Container
Sincerely,
b omrv, ""'L
Dawn Kohlmeyer
Manager, Field Reporting
PURPOSE: COMPLIANCE
TEST DATE: 01/27/12
CLIENT: CHEVRON PRODUCTS COMPANY
145 S. STATE COLLEGE BLVD
SUITE 400
BREA, CA 92821
ANDREA VILCHIS
714)671 -3223
TANKNOLOGY CERTIFICATE OF TESTING
8501 N MOPAC EXPRESSWAY, SUITE 400 AUSTIN, TEXAS 78759
TELEPHONE (512) 451 -6334 FAX (512) 459 -1459
TEST RESULT SUMMARY REPORT
WORK ORDER NUMBER: 3189345
CUSTOMER PO: 15092506
SITE: CHEVRON 206561
3360 PANAMA LN.
BAKERSFIELD, CA 93313
TAMMY
661)396 -7047
TEST TYPE: TLD -1
Prnrliirt Pina Tinhtnacc Tact Racllltc
LINE^ LINE LINE-, X DE IIYERY t rnx IMPACT
IDS PRODUCT. MATERIAL
1 TEST RESULT FINAL LEAK RATES (g h' VALVE
MODEL# raSERIAL
r%$
ii+ FUNCTION
1 Suprem 1 SUPREME DW FIBERG PRESSURE
BJ 255 P
2 Plus 2 PLUS DW FIBERG PRESSURE
FE PETRO MLD 04090052
3 Unlead 3 UNLEADED DW FIBERG PRESSURE
3 Unlead 3 FE PETRO
FYictinn Line I Pak I']Ptprtnr Test
ALINE:
XISTI , GFL ,'_, D ECtT a;: VE ISTING'LEAKIDE ,
SID MANUFACTURER MOE # SERIAL# RESULT RER—MODEUg#m
MODEL # W SERIAL # RESULT
MANUFACTURERS MODEL# raSERIAL
r%$ RESUI
1 Suprem 1 FE PETRO MLD BJ 255 P
2 Plus 2 FE PETRO MLD 04090052 P
3 Unlead 3 FE PETRO MLD 04121134 P
Now Ranlarpmant I inn I aak natartnr Tact
3 LINE MANUFACTURER
ACEMLEAKIDE, 6 :
Sa +§ A'
MODEL`# ! -
W1.ARa+e
SERIAL# RESULT` MANUFACTURERS MODEL# raSERIAL
r%$ RESUI
rur owner aetauea repurt miormauon, visit www.tanKnoiogy.com ano select un -Line Kepons -wKAr, or contact your iocai i anKnoiogy orrice.
Tester Name: EDWIN PINEDA Technician Certification Number: 8026748
Printed 02/23/2012 06:56 MTUTTLE
INDIVIDUAL TANK INFORMATION AND TEST RESULTS
M11111 Tar*rK*)gy
TEST DATE: 01 /27/12 8501 N MOPAC EXPRESSWAY, SUITE 400 WORK ORDER NUMBER3189345
CLIENT:CHEVRON PRODUCTS AUSTIN, TEXAS 78759 (512) 451 -6334 SITE:CHEVRON 206561
Printed 02/23/2012 06:56
TANK'INFORMATION ,, p2e
Tank ID: 1 Suprem 1 Tank manifolded: NO Bottom to top fill in inches: 168.5
Product: SUPREME Vent manifolded: YES Bottom to grade in inches: 176.0
Capacity in gallons: 11,849 Vapor recovery manifolded: YES Fill pipe length in inches: 45.0
Diameter in inches: 120.00 Overfill protection: YES Fill pipe diameter in inches: 4.0
Length in inches: 245 Overspill protection: YES Stage I vapor recovery: DUAL,
Material: DW FIBERG Installed: ATG Stage II vapor recovery: ASSIST
CP installed on:
COMMENTS
TANK TE$,T;RESULTS :'T;i3sf Meth6 - iiLcuTect a, r LEAK QE7EC TOR TESTT'RESULTS. ' TeStyrhbihod: PTA
Start (in) End (In)
Dipped Water Level: New /passed Failed /replaced New /passed Failed /replaced
Dipped Product Level: L.D. #1 L.D. #1 L.D. #2 L.D. #2
Probe Water Level: Make: FE PETRO
Ingress Detected: Water Bubble Ullage Model: mm
Test time: S /N: BJ 255
Open time in sec: 7.00
Inclinometer reading: Holding psi: e
VacuTect Test Type: NOT
Resiliency cc: eo NOT
VacuTect Probe Entry Point: TESTED
Test leak rate ml /m: 189.0 TESTED
Pressure Set Point: Metering psi: 9
Tank water level in inches: Calib. leak in gph: 3.00
Water table depth in inches: Results: PASS
Determined by (method):
Result:
COMMENTS
COMMENTS
LINETEST RESULTS,,,.—' , ' -Test type TiD 1'
D.... LINE; A -.. B
Material: DW FIBERG
Diameter (in): 2.0
Length (ft): 175.0
Test psi:
Bleedback cc:
Test time (min): NOT NOT NOT NOT
Start time: TESTED TESTED TESTED TESTED
End time:
Final gph:
Result:
Pump type: PRESSURE
Pump make: FE PETRO
COMMENTS Impact Valves Operational: UNKNOWN
Printed 02/23/2012 06:56
INDIVIDUAL TANK INFORMATION AND TEST RESULTS
Milli, M"*rWf0gy
TEST DATE: 01 /27/12 8501 N MOPAC EXPRESSWAY, SUITE 400 WORK ORDER NUMBERS189345
CLIENT:CHEVRON PRODUCTS AUSTIN, TEXAS 78759 (512) 451 -6334 SITE:CHEVRON 206561
TANKANFORMATION
Tank ID: 2 Plus 2 Tank manifolded: NO Bottom to top fill in inches: 172.0
Product: PLUS Vent manifolded: YES Bottom to grade in inches: 176.0
Capacity in gallons: 11,849 Vapor recovery manifolded: YES Fill pipe length in inches: 49.0
Diameter in inches: 120.00 Overfill protection: YES Fill pipe diameter in inches: 4.0
Length in inches: 245 Overspill protection: YES Stage I vapor recovery: DUAL
Material: Dw FIBERG Installed: ATG Stage II vapor recovery: ASSIST
CP installed on:
COMMENTS
TANKTE$T RESULTS TBSt Method VacuTect, Testmethod FTA. LEAKDETECTORTEST;RE,StJLTS,,':"
Start (in) End (in)
Dipped Water Level: New /passed Failed /replaced New /passed Failed /replaced
L.D. #1 L.D. #1 L.D. #2 L.D. #2
Dipped Product Level:
Probe Water Level: Make: FE PETRO
Ingress Detected: Water Bubble Ullage Model: MLD
Test time: S /N: 04090052
Open time in sec: 3.00
Inclinometer reading: Holding psi: 5
VacuTect Test Type: NOT
Resiliency cc: 105 NOT
VacuTBct Probe Entry Point: TESTED
Test leak rate ml /m: 189.0 TESTED
Pressure Set Point: Metering psi: 1s
Tank water level in inches: Calib. leak in gph: 3.00
Water table depth in inches: Results: PASS
Determined by (method):
Result:
COMMENTS
COMMENTS
LINE TES; ,,RESULTS' , s 4 , dTesYtype Tzn i cLINE
Material: Dw FIBERG
Diameter (in): 2.0
Length (ft): 175.0
Test psi:
Bleedback cc:
Test time (min): NOT NOT NOT NOT
Start time: TESTED TESTED TESTED TESTED
End time:
Final gph:
Result:
Pump type: PRESSURE
Pump make: FE PETRO
COMMENTS Impact Valves Operational: UNKNOWN
Printed 02/23/2012 06:56
INDIVIDUAL TANK INFORMATION AND TEST RESULTS
i TarnlQKllf W
TEST DATE :01/27 /12 8501 N MOPAC EXPRESSWAY, SUITE 400 WORK ORDER NUMBER3189345
CLIENT:CHEVRON PRODUCTS AUSTIN, TEXAS 78759 (512) 451 -6334 SITE:CHEVRON 206561
n. o ar .,•' FORMATIO'NTANKIN, ___ r ";NYWrl":
Tank ID: 3 Unlead 3 Tank manifolded: No Bottom to top fill in inches: 176.0
Product: UNLEADED Vent manifolded: YES Bottom to grade in inches: 182.0
Capacity in gallons: 11,849 Vapor recovery manifolded: YES Fill pipe length in inches: 52.0
Diameter in inches: 120.00 Overfill protection: YES Fill pipe diameter in inches: 4.0
Length in inches: 245 Overspill protection: YES Stage I vapor recovery: DUAL
Material: Dw FIBERG Installed: ATG Stage II vapor recovery: ASSIST
CP installed on:
COMMENTS
TANK`TE$T'RESULTS Test6Meth6d :VacuTect ,. ; LEAK DETECTOR TEST RESULTS' "' Test#mettidd FTA
Start (in) End(in)
Dipped Water Level: New /passed Failed /replaced New /passed Failed replaced
L.D. #1 L.D. #1 L.D. #2 L.D. #2
Dipped Product Level:
Probe Water Level: Make: FE PETRO
Ingress Detected: Water Bubble Ullage Model: HLD
Test time: S /N: 04121134
Open time in sec: 8.00
Inclinometer reading: Holding psi: 30
VacuTect Test Type: NOT
Resiliency cc: 320 NOT
ry TESTEDVacuTectProbeEntPoint: Test leak rate ml /m: 189.0 TESTED
Pressure Set Point: Metering psi: 11
Tank water level in inches: Calib. leak in gph: 3.00
Water table depth in inches: Results: PASS
Determined by (method):
Result:
COMMENTS
COMMENTS
k .
LINE TEST RESULTS ' f4 Test type TLD1
LINE, A B C- D
Material: Dw FIBERG
Diameter (in): 2.0
Length (ft): 175.0
Test psi:
Bleedback cc:
Test time (min): NOT NOT NOT NOT
Start time: TESTED TESTED TESTED TESTED
End time:
Final gph:
Result:
Pump type: PRESSURE
Pump make: FE PETRO
COMMENTS Impact Valves Operational: UNKNOWN
Printed 02/23/2012 06:56
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 ofRegulations
This form must be used to document testing and servicing of monitoring equipment. If more than one monitoring system control panel is installed at the facility, a separate
certification or report must be prepared for each monitoring system control panel by the technician who performs the work. A copy of this form must be provided to the tank
system owner /operator. The owner /operator must submit a copy of this form to the local agency regulating UST systems within 30 days of test date.
A. General Information
Facility Name: CHEVRON 206561
Site Address: 3360 PANAMA LN.
Facility Contact Person: TAMMY
Make /Model of Monitoring System:TLS 350
B. Inventory of Equipment Tested /Certified
Check the appropriate boxes to indicate specific equipment inspected /serviced
City: BAKERSFIELD
Contact Phone No: 396 -7047
Date of Testing /Service: 01/27/2012
Work Order Number: 3189345
CA Zip: 93313
Tank ID: T1 SUPREME
Y l .,j i f is ,- t
Tank ID: T2 PLUS
X In -Tank Gauging Probe. Model: MAG PROBE X In -Tank Gauging Probe. Model: MAG PROBE
X Annular Space or Vault Sensor. Model: VR-409 Annular Space or Vault Sensor. Model: VR -409
X Piping Sump/Trench Sensor(s). Model: VR -352 Piping Sumpfrrench Sensor(s). Model: VR -352
X Fill Sump Sensor(s). Model: VR -352 Fill Sump Sensor(s). Model: VR -352
X Mechanical Line Leak Detector. Model: FE STP MLD X Mechanical Line Leak Detector. Model: FE STP MILD
Electronic Line Leak Detector. Model: Electronic Line Leak Detector. Model:
X Tank Overfill /High -Level Sensor. Model: PROBE /FLAPPER Tank Overfill /High -Level Sensor. Model: PROBE /FLAPPER
Other (specify equipment type and model In Section E on page 2). Other (specify equipment type and model in Section E on page 2).
Tank ID: T3 Tank ID:
In -Tank Gauging Probe. Model: MAG PROBE In -Tank Gauging Probe. Model:
X Annular Space or Vault Sensor. Model: VR-409 7 Annular Space orVault Sensor. Model:
X Piping Sump/Trench Sensor(s). Model: VR -352 Piping SumpfTrench Sensor(s). Model:
X Fill Sump Sensogs). Model: VR -352 Fill Sump Sensor(s). Model:
X Mechanical Line Leak Detector. Model: FE STP MLD 7 Mechanical Line Leak Detector. Model:
Electronic Line Leak Detector. Model: Electronic Line Leak Detector. Model:
Tank Overfill /High -Level Sensor. Model: PROBE /FLAPPER Tank Overfill /High -Level Sensor. Model:
Other (specify equipment type and model in Section E on page 2). Other (specify equipment type and model in Section E on page 2).
ispenser : 1 -2 Dispenser ID: 7 -8
Dispenser Containment Sensor(s) Model: VR -208 X Dispenser Containment Sensors) Model: VR -208
X Shear Valve(s). X Shear Valve(s)
Dispenser Containment Float(s) and Chain(s). 7 Dispenser Containment Float(s) and Chain(s).
Dispenser ID: 3-4 Dispenser ID:
0 Dispenser Containment Sensor(s) Model: VR -208 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).
Dispenser ID: 5 -6 Dispenser ID:
F1Dispenser Containment Sensors) Model: VR -208 Dispenser Containment Sensors). 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 /serviced in accordance with the manufacturers' guidelines.
Attached to this certification is information (e.g manufacturers' checklists) necessary to verify that this Information is correct.
and a Site Plan showing the layout of monitoring equipment. For any equipment capable of generating such reports, I have also attached
a copy of the (Check all that apply): F71 System set -up Alarm history report
Technician Name (print): EDWIN PINEDA
Certification No.: 8026748 -UT
Signature: Y l .,j i f is ,- t Av
License. No.: 743160 (Class 'A' General Enginering Contractor License)
Testing Company Name:Tanknology Phone No.: (800) 800 -4633
Site Address: 11000 N. MoPac Expressway, suite 500, Austin, TX 78759 Date of Testing /Servicing: 01/27/2012
Monitoring System Certification Page 1 of 3 Based on CA form dated 03/08
Site Address 3360 PANAMA LN.
D. Results of Testing /Servicing
Software Version Installed: 330.01
Complete the following checklist:
Monitoring System Certification
Date of Testing /Service: 01/27/2012
X Yes No Is the audible alarm operational?
Q Yes No' Is the visual alarm operational?
X Yes No' Were all sensors visually inspected, functionally tested, and confirmed operational?
Yes No Were all sensors installed at lowest point of secondary containment and positioned so that other equipment will not
interfere with their proper operation?
X Yes No • N/A If alarms are relayed to a remote monitoring station, is all communications equipment (e.g. modem) operational?
0 Yes No • N/A For pressurized piping systems, does the turbine automatically shut down if the piping secondary containment
monitoring system detects a leak, fails to operate, or is electrically disconnected? If yes: which sensors initiate positive
shut -down? (check all that apply) X Sump/Trench Sensors; X Dispenser Containment Sensors.
Did you confirm positive shut -down due to leaks and sensor failure /disconnection? 0 Yes No
Yes No' X N/A For tank systems that utilize the monitoring system as the primary tank overfill warning device (i.e.: no mechanicaloverfillpreventionvalveisinstalled), is the overfill warning alarm visible and audible at the tank fill points(s) and operating
properly? If so, at what percent of tank capacity does the alarm trigger?
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* X No Was liquid found inside any secondary containment systems designed as dry systems? (check all that apply) Product;
Water. If yes, describe causes in Section E, below.
X Yes No Was monitoring system set -up reviewed to ensure proper settings? Attach set -up reports, if applicable.
0 Yes No Tis all monitoring equipment operational per manufacturers' specifications?
In Section E below, describe how and when these deficiences were or will be corrected.
E. Comments:
Replaced rain vaFv_ean_d-sFu_t_off gasket on t2 89 tank due to fail spill bucket test
Page 2 of 3 Based on CA form dated 03/08
Monitoring System Certification
Site Address: 3360 PANAMA LN. Date of Testing /Service: 01/27/2012
F. In -Tank Gauging / SIR Equipment
Check this box if tank gauging is used only for inventory control.
Check this box if no tank gauging or SIR equipment is installed.
Check this box if no tank gauging or SIR equipment is installed.
This section must be completed if in -tank gauging equipment is used to perform leak detection monitoring.
Complete the following checklist:
1E Yes No' Has all input wiring been inspected for proper entry and termination, including testing for ground faults?
X Yes No' Were all tank gauging probes visually inspected for damage and residue buildup?
Yes No Was accuracy of system product level readings tested?
Yes F-1 No Was accuracy of system water level readings tested?
FR ]Yes No • Were all probes reinstalled properly?
QYes I No • Were all Items on the equipment manufacturers' 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 LLDs are not installed.
Complete the following checklist:
0 Yes E] No • E] N/A For equipment start-up or annual equipment certification, was a leak simulated to verify LLD performance?
Check all that apply) Simulated leak rate: X 3 h 0.1 h 0.2 p.h9.p. g.p. g.
FX-1 Yes No' Were all LLDs confirmed operational and accurate within regulatory requirements?
X Yes E] No Was the testing apparatus properly calibrated?
X Yes No ' N/A For mechanical LLDs, does the LLD restrict product flow if it detects a leak?
Yes No' N/A For electronic LLDs, does the turbine automatically shut off if the LLD detects a leak?
Yes No • M N/A For electronic LLDs, does the turbine automatically shut off if any portion of the monitoring system is disabled or disconnected?
Yes No' Q N/A For electronic LLDs, does the turbine automatically shut off if any portion of the monitoring system malfunctions or fails a test?
Yes No' Q N/A For electronic LLDs, have all accessible wiring connections been visually inspected?
LJ Yes No' Were all items on the equipment manufacturers' maintenance checklist completed?
In the Section H, below, describe how and when these deficiencies were or will be corrected.
H. Comments:
Page 3 of 3 Based on CA form dated 03/08
SWRCB, January 2002 Page 1 .
Secondary Containment Testing Report Form
Thisform is intendedfor use by contractors performing periodic testing of UST secondary containment systems. Use the
appropriate pages of thisform to report resultsfor all components tested. The completedform, written testprocedures, and
printouts from tests (if applicable), should be provided to thefacility owner /operatorfor submittal to the local regulatory agency.
1. FACILITY INFORMATION
Facility Name: CHEVRON 206561 Date of Testing: 01/27/2012
Facility Address: 3360 PANAMA LN. BAKERSFIELD, CA, 93313
Facility Contact: TAMMY Phone: (6 61) 396-7047
Date Local Agency Was Notified of Testing
Name of Local Agency Inspector (if present during testing): Esther Duran
2. TESTING CONTRACTOR INFORMATION
Company Name: TANKNOLOGY, INC.
Pass
Technician Conducting Test: EDWIN PINEDA
Repairs
Made
Credentials:
Pass
CSLB Licensed Contractor
Not
Tested
SWRCB Licensed Tank Tester
Spill Box 1 SUP FILL
License Type: A -UT License Number: 743160 - 8026748
Manufacturer
Manufacturer Training
Component(s) Date Training Expires
PHILTITE SPILL BUCKET 08/02/2012
Spill Box 2 PLU FILL
3. SUMMARY OF TEST RESULTS
Component Pass Fail
Not
Tested
Repairs
Made Component Pass Fail
Not
Tested
Repair
Made
Spill Box 1 SUP FILL F-1 0 El
Spill Box 2 PLU FILL
Spill Box 3 UNL FILL x
I
I
I
1 I
1:1 El
Eli
If hydrostatic testing was performed, describe what was done with the water after completion of tests:
WATER WAS PUT IN FIVE GALLON BUCKET AND PLACE IN TRUCK FOR NEXT SITE
CERTIFICATION OF TECHNICIAN RESPONSIBLE FOR CONDUCTING THIS TESTING
To the best ofmy knowledge, thefacts stated in this document are accurate and infull compliance with legal requirements
Technician's Signature:_ -- I r, Date: 01/27/2012
SWRCB, January 2006
9. Spill Bucket Testing Report Form
Thisform is intendedfor use by contractors performing annual testing of UST spill containment structures. The completedform and
printouts from tests (ifapplicable), should be provided to thefacility owner /operatorfor submittal to the local regulatory agency.
1. FACILITY INFORMATION
Facility Name: CHEVRON 206561 Date of Testing: 01/27/2012
Facility Address: 3360 PANAMA LN . BAKERSFIELD, CA, 93313
Facility Contact: TAMMY Phone: (6 61) 396-7047
Date Local Agency Was Notified of Testing
Name of Local Agency Inspector (if present during testing): Esther Duran
2. TESTING CONTRACTOR INFORMATION
Company Name: TANKNOLOGY, INC.
Technician Conducting Test: EDWIN PINEDA
Credentials : a CSLB Contractor E ICC Service Tech. 11 SWRCB Tank Tester 1fl Other (Specify) A -UT
License Number: 743160-8026748
3. SPILL BUCKET TESTING INFORMATION
Test Method Used: X Hydrostatic Vacuum Other
Test Equipment Used: TAPE MEASURE Equipment Resolution: VISUAL
Identify Spill Bucket By Tank
Number, Stored Product, etc.)
1 1 SUP FILL 2 2 PLU FILL 3 3 UNL FILL 4
Bucket Installation Type: Direct Bury
0 Contained in Sump
0 Direct Bury
Contained in Sump
1:1 Direct Bury
Contained in Sump
Direct Bury
Contained in Sump
Bucket Diameter: 12 " 12 " 12 "
Bucket Depth: 14 " 14" 14 "
Wait time between applying
vacuum/water and starting test:
0 0 0
Test Start Time (TI ): 0900 0900 0900
Initial Reading (RI ): 10" 10" 10"
Test End Time (TF ): 1000 1000 1000
Final Reading (R F ): 101, 101, 101,
Test Duration: 1 HR 1 HR 1 HR
Change in Reading (R F - Rt ): 0 0 0
Pass/Fail Threshold or
Criteria:
0 0 0
kq !r u"S P E3 _
VTestResult -' ,<.
i'!, o t PI 9'W'rXPassFail:
r.C. <£+"., .yr{J }kXPass, Fail:• s Pass Fail. r '35. :6"!
Pass :°Fail
Comments - (include information on repairs made prior to testing, and recommendedfollow -up forjailed 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: ,b `. .
t Date: 01/27 /2012
1 Qr.f. 1-- 4 J. -,+ ........o..+h, --- +—f;— t!. t— --f' r.. 4 t.., ., ......17L7o.1 ........ t— U.......... L,...,I
Work Order: 3189345
ESO) & (ESV) Testing Form - Version 1- 625/2007
Emergency Shut Off (ESO) &
Dispenser Emergency Shutoff Valve (ESV)
ANNUAL TEST RECORD LOCATIONS AND TEST T)ATA
Testing
Company: Date: 0 ) Z Z
Location Name: UGG61 Store #:
Maintenance Log #
Stat: ID #:
Date Called
Address: 336 G a,(\A v" : City: State: 4
Emer enc Shut Off SO Testin Results
On Q I f13 I I JL in accordance with "ESO Vendor Letter (3- 21- 05).doc ", from Valero's Retail
Compliance Department, as a part of annual compliance testing, this representative tested the
Emereencv Shut Off (ESO) switches indicated on this sketch. Findings listed below:
Emergency Shut Off (ESO) IfNo, Provide
Operational? y rJ Maintenance Log # Date Called
On 01 ( . in. accordance with NFPA 30A this representative tested the automatic- closing feature
of the Dispenser Emergency Shutoff VALVE(S) (ESV) located in the supply lines at the base of each
individual island type dispenser indicated on the diagram below. Each device ( #) Z— in all,
would automaticallv close. Findings listed below:
Disp. Emergency Shut Off IfNo, Provide
Valve (ESV) Operational? NICY Maintenance Log # Date Called
Site Map Of Locati and Placement ofDevices Tested:
D 0V
8
e =z
aSit
d (
e
Tanknology Inc. 11000N. MoPac Expressway, Suite 500, Austin, Texas 78759
t,
ianknak)gy
8501 N MOPAC EXPRESSWAY, SUITE 400
AUSTIN, TEXAS 78759
512) 451 -6334
FAX (512) 459 -1459
TEST DATE:01 /27/12 WORK ORDER NUMBER3189345
CLIENT:CHEVRON PRODUCTS COMPANY SITE:CHEVRON 206561
COMMENTS
COCO Site, Conducted Witness Monitor Certification Testing with Inspector Ernie Medina
Bakersfield Fire Dept, site contacted 1/20/12 and confirmed with "TAMMY RAY / ALMA ". Technician
called into 2ndSite and WO # 120127 -090 was given. All tests passed
PARTS REPLACED
QUANTITY DESCRIPTION
1 REPLACEMENT DRAIN VALVE ASSY; HANDLE -5 GAL CAPACTIY
1 SHUT OFF O RING
1 SWIVEL FILL ADAPTER
HELIUM PINPOINT TEST RESULTS (IF APPLICABLE)
IFx dll -- _ -
V O
ITEMS TESTED r
0,51 C'., W''Eve-
Printed 02/23/2012 06:57 MTUTTLE
0,51 C'., W''Eve-
Printed 02/23/2012 06:57 MTUTTLE
SITE DIAGRAM
v 7anknolocgy
8501 N MOPAC EXPRESSWAY, SUITE 400
AUSTIN, TEXAS 78759
512) 451 -6334
FAX (512) 459 -1459
TEST DATE: 01 /27/12 WORK ORDER NUMBER3189345
CLIENT:CHEVRON PRODUCTS COMPANY SITE: CHEVRON 206561
1 #3
o
0
STP STP STP L10 L11
L6 L9 L3 #2 #4
T# 2 T# 3 T# 1PlusUnleadedSupreme12K12K12K
5 8 L2
A A A #7 #5
lO IO lO L 13'777 L1 477
L4 L7 L #8 #6
S ESO
CHEVRON #206561
3360 PANAMA LANE
w~ BAKERSFIELD,CA.93313Ocas
Printed 02/23/2012 06:57 MTUTTLE
ATG Information
Work Order # 3189345
Ll
110100
JAN 27, 2012 12:59 PM
CHEVRON USA CSI -1849
3360 PANAMA LANE
BAKERSFIELD CA 93304
SS-206561 PH-396-7047
SYSTEM STATUS REPORT
ALL FUNCTIONS NORMAL
Ll
150301
JAN 27, 2012 12:59 PM
1:CHEVRON USA CSI -1849
i
150302
JAN 27, 2012 12:59 PM
2:3360 PANAMA LANE
150303
JAN 27, 2012 12:59 PM
3:BAKERSFIELD CA 93304
n
150304
JAN 27, 2012 12:59 PM
4:SS- 206561PH- 396 -7047
151700
JAN 27, 2012 12:59 PM
SYSTEM TYPE AND LANGUAGE FLAG
SYSTEM UNITS
U.S.
SYSTEM LANGUAGE
ENGLISH
SYSTEM DATE/TIME FORMAT
MON DD YYYY HH:MM:SS xM
I50F00
JAN 27, 2012 12:59 PM
MON DD YYYY HH:MM:SS xM
160100
JAN 27, 2012 12:59 PM
TANK CONFIGURATION
DEVICE LABEL CONFIGURED
1 SUPREME ON
2 PLUS ON
3 UNLEADED ON
4 OFF
Fl
160200
JAN 27, 2012 12:59 PM
TANK PRODUCT LABEL
TANK PRODUCT LABEL
1 SUPREME
2 PLUS
3 UNLEADED
4
rl
160300
JAN 27, 2012 12:59 PM
TANK PRODUCT CODE
TANK PRODUCT LABEL
1 SUPREME
2 PLUS 2
3 UNLEADED
4 4
3189345
ATG Information Work Order# 3189345
l
1,
160400
JAN 27, 2012 12:59 PM
TANK FULL VOLUME
TANK PRODUCT LABEL GALLONS
1 SUPREME 11849
2 PLUS 11849
3 UNLEADED 11846
4 0
U
n
160700
JAN 27, 2012 1:00 PM
TANK DIAMETER
TANK PRODUCT LABEL INCHES
1 SUPREME 120.00
2 PLUS 120.00
3 UNLEADED 120.00
4 0.00
U
160900
JAN 27, 2012 1:00 PM
TANK THERMAL COEFFICIENT
TANK PRODUCT LABEL
1 SUPREME 0.000700
2 PLUS 0.000700
3 UNLEADED 0.000700
4 0.000000
C1
G
161200
JAN 27, 2012 1:00 PM
TANK MANIFOLDED PARTNERS
TANK PRODUCT LABEL SIPHON MANIFOLDED TANKS LINE MANIFOLDED TANKS
1 SUPREME NONE NONE
2 PLUS NONE NONE
3 UNLEADED NONE NONE
4 NONE NONE
1
f]
162100
JAN 27, 2012 1:00 PM
TANK LOW PRODUCT LIMIT
TANK PRODUCT LABEL GALLONS
1 SUPREME 750
2 PLUS 750
3 UNLEADED 750
4 0
U
162200
JAN 27, 2012 1:00 PM
TANK HIGH PRODUCT LIMIT
TANK PRODUCT LABEL GALLONS
1 SUPREME 11256
2 PLUS 11256
3 UNLEADED 11253
4 0
U
162300
JAN 27, 2012 1:00 PM
TANK OVERFILL LEVEL LIMIT
TANK PRODUCT LABEL GALLONS
1 SUPREME 10664
2 PLUS 10664
3 UNLEADED 10661
4 0
0
L1
162400
JAN 27, 2012 1:00 PM
TANK HIGH WATER LEVEL LIMIT
3189345
ATG Information Work Order# 3189345
TANK PRODUCT LABEL INCHES
1 SUPREME 2.0
2 PLUS 2.0
3 UNLEADED 2.0
D
162800
JAN 27, 2012 1:00 PM
TANK MAXIMUM VOLUME LIMIT
TANK PRODUCT LABEL GALLONS
1 SUPREME 11849
2 PLUS 11849
3 UNLEADED 11846
4 0
0
162900
JAN 27. 2012 1:00 PM
TANK DELIVERY REQUIRED LIMIT
TANK PRODUCT LABEL GALLONS
1 SUPREME 1421
2 PLUS 1421
3 UNLEADED 1421
n
17D300
JAN 27, 2012 1:00 PM
LIQUID TYPE
SENSOR LOCATION TYPE
1 91 ANNULAR TRI -STATE (SINGLE FLOAT)
2 91 FILL DUAL FLT. DISCRIMINATING
3 91 STP SUMP DUAL FLT. DISCRIMINATING
4 89 ANNULAR TRI -STATE (SINGLE FLOAT)
5 89 FILL DUAL FLT. DISCRIMINATING
6 89 STP SUMP DUAL FLT. DISCRIMINATING
7 87 ANNULAR TRI -STATE (SINGLE FLOAT)
8 87 FILL DUAL FLT. DISCRIMINATING
9 87 STP SUMP DUAL FLT. DISCRIMINATING
10 DISP. PAN 1 -2 TRI -STATE (SINGLE FLOAT)
11 DISP. PAN 3-4 TRI -STATE (SINGLE FLOAT)
12 DISP. PAN 5 -6 TRI -STATE (SINGLE FLOAT)
13 DISP. PAN 7 -8 TRI -STATE (SINGLE FLOAT)
14 TRI -STATE (SINGLE FLOAT)
15 TRI STATE (SINGLE FLOAT)
16 TRI STATE (SINGLE FLOAT)
190200
JAN 27, 2012 1:00 PM
SOFTWARE REVISION LEVEL
VERSION 330.01
SOFTWARE# 346330 -100 -B
CREATED - 10.07.23.17.25
S- MODULE# 330160 -004 -a
SYSTEM FEATURES:
PERIODIC IN -TANK TESTS
ANNUAL IN -TANK TESTS
ISD
3189345
120600
JAN 27, 2012 1:00 PM
CHEVRON USA CSI -1849
3360 PANAMA LANE
BAKERSFIELD CA 93304
SS-206561 PH-396-7047
TANK ALARM HISTORY
TANK 1 SUPREME
HIGH WATER ALARM JAN 27, 2012 11:40 AM
OVERFILL ALARM JAN 27, 2012 11:21 AM
LOW PRODUCT ALARM JAN 27, 2012 11:16 AM
HIGH PRODUCT ALARM JAN 27, 2012 11:21 AM
JAN 27, 2012 11:18 AM
3189345
ATG Information Work Order # 3189345
INVALID FUEL LEVEL JAN 27, 2012 11:53 AM
JAN 27, 2012 11:16 AM
PROBE OUT JAN 27, 2012 11:53 AM
JAN 27, 2012 11:16 AM
HIGH WATER WARNING JAN 27, 2012 11:40 AM
DELIVERY NEEDED JAN 27, 2012 11:16 AM
DEC 28, 2011 10:44 AM
DEC 5, 2011 4:07 PM
MAX PRODUCT ALARM JAN 27, 2012 11:22 AM
TANK 2 PLUS
HIGH WATER ALARM JAN 27, 2012 12:11 PM
LOW PRODUCT ALARM JAN 27, 2012 11:15 AM
HIGH PRODUCT ALARM JAN 27, 2012 11:17 AM
INVALID FUEL LEVEL JAN 27, 2012 12:14 PM
JAN 27, 2012 11:15 AM
PROBE OUT JAN 27, 2012 12:14 PM
JAN 27, 2012 11:18 AM
JAN 27, 2012 11:15 AM
HIGH WATER WARNING JAN 27, 2012 12:11 PM
DELIVERY NEEDED JAN 27, 2012 11:14 AM
DEC 8, 2011 6:34 AM
DEC 4, 2011 2:08 PM
LOW TEMP WARNING JAN 27, 2012 11:52 AM
TANK 3 UNLEADED
HIGH WATER ALARM JAN 27, 2012 11:17 AM
OVERFILL ALARM JAN 27, 2012 11:23 AM
NOV 11, 2011 10:09 AM
LOW PRODUCT ALARM JAN 27, 2012 11:14 AM
HIGH PRODUCT ALARM JAN 27, 2012 11:24 AM
INVALID FUEL LEVEL JAN 27, 2012 11:14 AM
PROBE OUT JAN 27, 2012 11:29 AM
JAN 27, 2012 11:13 AM
HIGH WATER WARNING JAN 27, 2012 11:17 AM
DELIVERY NEEDED JAN 27, 2012 11:14 AM
MAX PRODUCT ALARM JAN 27, 2012 11:24 AM
LOW TEMP WARNING JAN 27, 2012 11:31 AM
1
L1
130200
JAN 27, 2012 1:00 PM
CHEVRON USA CSI -1849
3360 PANAMA LANE
BAKERSFIELD CA 93304
SS-206561 PH-396-7047
LIQUID ALARM HISTORY REPORT
SENSOR LOCATION
1 91 ANNULAR
JAN 27, 2012 9:28 AM SENSOR OUT ALARM
JAN 27, 2012 9:07 AM FUEL ALARM
JAN 27, 2012 9:07 AM FUEL ALARM
2 91 FILL
JAN 27, 2012 9:28 AM SENSOR OUT ALARM
JAN 27, 2012 9:06 AM LIQUID WARNING
JAN 27, 2012 9:06 AM LIQUID WARNING
3 91 STP SUMP
JAN 27, 2012 9:28 AM SENSOR OUT ALARM
JAN 27, 2012 9:05AM LIQUID WARNING
SEP 27, 2011 12:24 PM FUEL ALARM
4 89 ANNULAR
JAN 27, 2012 9:28 AM SENSOR OUT ALARM
JAN 27, 2012 9:16 AM FUEL ALARM
SEP 27, 2011 12:25 PM FUEL ALARM
5 89 FILL
JAN 27, 2012 9:27 AM SENSOR OUT ALARM
JAN 27, 2012 9:14 AM LIQUID WARNING
SEP 27, 2011 12:25 PM FUEL ALARM
6 89 STP SUMP
JAN 27, 2012 9:28 AM SENSOR OUT ALARM
JAN 27, 2012 9:13 AM HIGH LIQUID ALARM
JAN 27, 2012 9:13 AM LIQUID WARNING
7 87 ANNULAR
JAN 27, 2012 9:28 AM SENSOR OUTALARM
JAN 27, 2012 9:12 AM FUEL ALARM
SEP 27, 2011 12:26 PM FUEL ALARM
8 87 FILL
3189345
ATG Information
JAN 27, 2012 9:28 AM SENSOR OUT ALARM
JAN 27, 2012 9:11 AM HIGH LIQUID ALARM
JAN 27, 2012 9:11 AM HIGH LIQUID ALARM
9 87 STP SUMP
JAN 27, 2012 9:27 AM SENSOR OUT ALARM
JAN 27, 2012 9:08 AM HIGH LIQUID ALARM
JAN 27, 2012 9:08 AM LIQUID WARNING
10 DISP. PAN 1 -2
JAN 27, 2012 9:27 AM SENSOR OUT ALARM
JAN 27, 2012 9:18 AM FUEL ALARM
SEP 27, 2011 12:27 PM FUEL ALARM
11 DISP. PAN 3-4
JAN 27, 2012 9:27 AM SENSOR OUT ALARM
JAN 27, 2012 9:19 AM FUEL ALARM
SEP 27, 2011 12:27 PM FUEL ALARM
12 DISP. PAN 5 -6
JAN 27, 2012 9:27 AM SENSOR OUT ALARM
JAN 27, 2012 9:22 AM FUEL ALARM
SEP 27, 2011 12:27 PM FUEL ALARM
13 DISP, PAN 7 -8
JAN 27, 2012 9:27 AM SENSOR OUT ALARM
JAN 27, 2012 9:21 AM FUEL ALARM
SEP 27, 2011 12:28 PM FUEL ALARM
F1
110100
JAN 27, 2012 1:01 PM
CHEVRON USA CSI -1849
3360 PANAMA LANE
BAKERSFIELD CA 93304
SS- 206561PH- 396 -7047
SYSTEM STATUS REPORT
ALL FUNCTIONS NORMAL
d
3189345
Work Order # 3189345