HomeMy WebLinkAbout6009 COFFEE ROAD (5)0 F-a;
MONITORING SYSTEM CERTIFICATION
For Use By All Jurisdictions Within the State ofCalifornia
Authority Cited' Chapter 6 7, Health and Safety Code; Chapter 16 Division 3, Title 23, California Code ofRegrllations
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 test date.
A. General Information
Facility Name:
Site Address:
kel (tr(tltn
City: -C 'rIs
Bldg. No.:
Zip:
Facility Contact Person: . ; h L SK /h .11-113 Contact Phone No.: (al ) 3z, 7— Gib
Make /Model of Monitoring System: 11Ada,, l r,—U Date of Testing /Servicing: i/ 3 /J
B. Inventory of Equipment Tested /Certified
Check the appropriate boxes to indicates ecific equipment inspected/serviced:
Tank ID: thn k c 4d Tank ID: z liittG/Jl
ffln -Tank Gauging Probe. Model: In -Tank Gauging Probe. Mode: .4 ic 1
Annular Space or Vault Sensor. Model: y Annular Space or Vault Sensor. Model: Ve- o 3 '
21 Piping Sump / Trench Sensor(s). Model: Va uj i /2ut Eg Piping Sump / Trench Sensor(s). Model: i/P, ti l ?G I
Z Fill Sump Sensor(s). Model: ?,.o -9 tji Fill Sump Sensor(s). Model: t? Z4'Y" -7-0 ;
Mechanical Line Leak Detector. Model: &d Mechanical Line Leak Detector, Model: W J4,k { FX (C
Electronic Line Leak Detector. Model: Electronic Line Leak Detector. Model:
19 Tank Overfill / High -Level Sensor. Model: Q G'L.l 0(151 Tank Overfill / High -Level Sensor. Model: (y PL,% 61 S-z)
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:'71j. 01Lulf Tank ID:
In -Tank Gauging Probe. Model: In -Tank Gauging Probe. Model: d o'c i
Vf Annular Space or Vault Sensor. Mode: V `303 Annular Space or Vault Sensor. Model:
Piping Sump / Trench Sensor(s). Model: ' LeF tl Piping Sump /Trench Sensor(s). Model:
Fill Sump Sensor(s). Model: V v Fill Sump Sensor(s). Model:
Mechanical Line Leak Detector. Model: 1 Mechanical Line Leak Detector. Model:
Electronic Line Leak Detector. Model: Electronic Line Leak Detector. Model:
Tank Overfill / High -Level Sensor. Model OR) rr.l 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).
Dispenser ID: l /Z Dispenser ID: 7
K Dispenser Containment Sensor(s). Model: ' Q Z J ffr Dispenser Containment Sensor(s). Model:
Shear Valve(s). Shear Valve(s).
Dispenser Containment Float(s) and Chain(s). Dispenser Containment Floats) and Chain(s).
Dispenser ID: 1:_ %' Dispenser ID: 76
PTDispenser Conta nment Sensor(s). Model: V ZU' Dispenser Containment Sensor(s). Model: /3L,
E Shear Valve(s). Shear Valve(s).
Dispenser Containment Float(s) and Chain(s). Dispenser Containment Float(s) and Chain(s).
Dispenser ID: ' tL' Dispenser ID: 1
Dispenser Containment Sensor(s). Model: _1_61L & Dispenser Containment Sensor(s). Model: V g.ZeCg %3L1
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 verity that this
information is correct and a Plot Plan showing the layout of monitoring equipment. For any equipment capable of generating such
reports, I have also attached a copy of the report; (check all that apply): System t -up Alarrn history report
Technician Name (print): y . J /vNn t.eltF Signature:
Certification No.: License. No.: 8 /o'-3
Testing Company Name: t(A /ln c .1 L'G --s l a c' L . Phone No.: (r G1
Testing Company Address: -?G pt ( 6"A', -L Date of Testing /Servicing: j ;/
Page 1 of 4
UN -036- 1/4 www.unidoes.org Rev. 01/17 /08
Monitoring System Certification
D. Results of Testing /Servicing
Software Version Installed:
Comnlete the followinu checklist:
Yes No* Is the audible alarm operational?
Yes No* Is the visual alarm operational?
Yes No* Were all sensors visually inspected, functionally tested, and confinned operational?
r 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?
Yes No* If alarms are relayed to a remote monitoring station, is all communications equipment (e.g., modem)
7 N /A operational?
a Yes No* For pressurized piping systems, does the turbine automatically shut down if the piping secondary containment
N/A monitoring system detects a leak, fails to operate, or is electrically disconnected? If yes: which sensors initiate
positive shut -down? (Check all that apply) P Sump /Trench Sensors;, Dispenser Containment Sensors.
Did you confirm positive shut -down due to leaks and sensor failure /disconnection? $ Yes; No.
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 visible and audible at the tank
fill point(s) and operating properly? Ifso, at what percent of tank capacity does the alarm trigger? %
Zr Yes* No Was any monitoring equipment replaced? Ifyes, identify specific sensors, probes, or other equipment replaced
and list the manufacturer name and model for all replacement parts in Section E, below.
Yes* 2 No Was liquid found inside any secondary containment systems designed as dry systems? (Check all that appy)
Product; Water. Ifyes, describe causes in Section E, below.
Yes No* Was monitoring system set -up reviewed to ensure proper settings? Attach set up reports, if applicable
LZ Yes D No* Is all monitoring equipment o erational per manufacturer's specifications?
In Section E below, describe how and when these deficiencies were or will be corrected.
E. Comments: 1./ tv lc r
i b x ,•..cam. -
Page 2 of 4
IJN-036 - 2/4 www.unidocs.org Rev. 01 /I7 /08
Monitoring System Certification
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.
This section must be completed if in -tank gauging equipment is used to perform leak detection monitoring.
Complete the following checklist:
45 Yes No* Has all input wiring been inspected for proper entry and termination, including testing for ground faults?
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 I No* Was accuracy of system water level readings tested?
Yes No* Were all probes reinstalled properly?
Yes No* Were all items on the equipment manufacturer's maintenance checklist completed?
In Section Fl, below, describe how and when these deficiencies were or will be corrected.
G. Line Leak Detectors (LLD):
Complete the following checklist:
Check this box if LLDs are not installed.
2. Yes No* For equipment start -up or annual equipment certification, was a leak simulated to verify LLD performance?
N/A Check all that apply) Simulated leak rate: J!f-3 g.p.h.; 0.1 g.p.h ; 17710.2 g.p.h.
Yes No* Were all LLDs confirmed operational and accurate within regulatory requirements?
Yes No* Was the testing apparatus properly calibrated?
Yes No* For mechanical LLDs, does the LLD restrict product flow if it detects a leak?
N/A
Yes No* For electronic LLDs, does the turbine automatically shut off if the LLD detects a leak?
N/A
Yes No* For electronic LLDs, does the turbine automatically shut off if any portion of the monitoring system is disabled
JR' N/A or disconnected?
Yes No* For electronic LLDs, does the turbine automatically shut off if any portion of the monitoring system
R N/A malfunctions or fails a test?
Yes No* For electronic LLDs, have all accessible wiring connections been visually inspected?
N/A
9 Yes No* Were all items on the equipment manufacturer's maintenance checklist completed?
In Section H, below, describe how and when these deficiencies were or will be corrected.
H. Comments:
Page 3 of 4
UN -036 — 3/4 www.tinidoes.org Rev. 01/17/03
Monitoring System Certification
UST Monitoring Site Plan
Site Address: fir) 'D -1 60 tit &J. i ,L, --5-(Q ( 4 &A
Date map was drawn: /I l 3 /-/"
Instructions
If you already have a diagram that shows all required information, you may include it, rather than this page, with your Monitoring
System Certification. On your site plan, show the general layout of tanks and piping. Clearly identify locations of the following
equipment, if installed: monitoring system control panels; sensors monitoring tank annular spaces, sumps, dispenser pans, spill
containers, or other secondary containment areas; mechanical or electronic line leak detectors; and in -tank liquid level probes (if used
for leak detection). In the space provided, note the date this Site Plan was prepared.
Page 4 of 4
UN -036 — 4/4 wwwmnidocs.org Rev. 0 1 /17 /OR
Monitoring System Certification Form: Addendum for Vacuum(Pressure interstitial Sensors
L Results of Vacuum/Pressure Monitoring Equipment Testing
This page should be used to document testing and servicing of vacuum and pressure interstitial sensors. A copy of
this form must be included with the Monitoring System Certification Form, which must be provided to the tank
system owner /operator. The owner /operator must submit a copy of the Monitoring System Certification Form to the
local agency regulating UST systems within 30 days of test date.
Manufacturer: Model: System Type: Pressure; Vacuum
Sensor ID
Component(s) Monitored by this Sensor:
Sensor Functionality Test Result: Z Pass; Fail interstitial Communication Test Result: Pass; Fail
Component(s) Monitored by this Sensor:
j Z Sensor Functionality Test Result: 4 Pass; Fail Interstitial Communication Test Result: 3 Pass; Fail
Component(s) Monitored by this Sensor:
S Sensor Functionality Test Result: 14 Pass; Fail Interstitial Communication Test Result: ® Pass: Fail
Component(s) Monitored by this Sensor: VOW-
Sensor Functionality Test Result: LZ Pass; Fail interstitial Communication Test Result: 0 Pass: Fail
Component(s) Monitored by this Sensor: r'-2 d, ,
S Sensor Functionality Test Result: ® Pass; Fail interstitial Communication Test Result: 0 Pass; Fail
Component(s) Monitored by this Sensor:
j ( Sensor Functionality Test Result: Pass; F] Fail interstitial Communication Test Result:, Pass; Fail
Component(s) Monitored by this Sensor:
7 Sensor Functionality Test Result: XPass; Fail interstitial Communication Test Result:, Pass: Fail
Component(s) Monitored by this Sensor:
Sensor Functionality Test Result: Pass; Fail Interstitial Communication Test Result: Pass; Fail
Component(s) Monitored by this Sensor:
Sensor Functionality Test Result: Pass; Fail interstitial Communication Test Result: Pass; Fail
Component(s) Monitored by this Sensor:
Sensor Functionality Test Result: Pass; Fail Interstitial Communication Test Result: Pass: Fail
How was interstitial communication verified?
0 Leak introduced at Far End of Interstitial Space;' Gauge; Visual inspection; q Other (Describe in Sec. J, belo,+)
Was vacuum /pressure restored to operating levels in all interstitial spaces? Yes No (Ifno, describe in Sec. J, Below)
J. Comments:
Page 4 of 4
If the sensor successfully detects a simulated vacuum /pressure leak introduced in the interstitial space at the furthest point fi•om thesensor, vacuum /pressure has been demonstrated to be communicating throughout the interstice.
UN -036A - 1/1 www.unidocs.org Rci% 01/26/06
SWRCB, January 2006
Spill Bucket Testing Report Form
This form is intendedfor use by contractors performing annual testing ofUST spill containment structures. 77te c•ornpletedJbrn1 and
pr•rntouts• from tests (rf'applicable), should be provided to thefacility owner /operatorfor submittal to the local regulatory agency.
1. FACILITY INFORMATION
FaciliryName: 5 / / G! % „/'eUlh Date of Testing: / /43 t
Facility Address: (jUe! Ll.._r4t RJ .k -,s LZ,ld LA
facility CO:tltaU: u A Phone:
Date Local Agency Was Notified of Testing
Name of Local Agency Inspector (ifpresent durn g testing: Fjhj,e P4G,fr piq
2. TESTING CONTRACTOR INFORMATION
Conijmay Name: rti -
Te.chlucian C:onductuig Test: dtrk
Ccc;lentialsl: JK CSLB Contractor 0ICC Service Tech. SWRCB Tank Tester Other (Specify)
License Number(s): Ct ylc S 3
3. WILL BUCKET TESTING INFORMATION
Test Method Used: Hydrostatic Vacuum Other _
Test .Equipment Used: ,SL% Equipment Resolution: U. O ''
Identify Spill Bucket (l3v Tank
Number, Stored Product, etc.)
1
r`7
2 3
L—
4
Bucker Installation Type: Direct Bury
ZContained in Sum
Direct Bury
Contained in S
Direct Bury
9 Contained in Sun}
Direct Bury
ontained in Sllnlp
Bucket Dlalnr: ter Z N L N 1Z a
Bucket Depth:
Waii tirne between applying
vacualn/water and start of test: J- 1 v* 3 -G 11 j ' U k4 1 1^
Test Start Time (Ti): U : G 5-- u ; u `i`-
nitinl l2.eading (RI):
Tesl End Tirrle (TI.):
Fin it treading (l:r): r N
Test DI-uation (T,: — TI):
Change in Reading (la -RI): 0.0 r n. G " CV.
Passil' ail 11Li-eshold or
r a
Pest 12esult: W Pass Fail Pass Fail A Pass Fail Pass Fail
comments — (include information on repairs made prior to testing, and recommendedfollow -up forfailed tests)
CER'r.IFICATION Or TECHNICIAN RESPONSIBLE FOR CONDUCTING THIS TESTING
1 hereby certify that all the information contained in this report is true, accurate, and in full compliance with legal requirements.
t'echnician's Signature: Date: Tt 3 /
T; --
Stag• laws and regulations do not cun-ently require testing to be performed by a qualified contractor. However, local requirements
may be. more M- ringent.
EVR /ISD SETUP
EVR TYPE: VACUUM ASSIST
VACUUM ASSIST TYPE
HEALY VAC,
NOZZLE ArL RANGE
MAC,: 1.15 MIN: 0.95
VAPOR PROCESSOR TYPE
NONE
ANALYSIS TIMES
TIME: 10:00 AM
DELAY MINUTES: 1
ACCEPT HIGH ORVR:
DISABLED
ISD HOSE TABLE
1-2
2
ID FP FL HL AA RR
O1 O1 01 02 01 02
02 02 02 02 01 02
03 03 03 02 02' 02
04 04 04 02 02 02
05 05 05 02 03 0'
06 06 06 02 03 02
07 07 07 02 04 02
08 08 08 02 04 02
09 09 09 02 05 02
10 10 10 02 05 CI?
11 11 11 02 06 0'
12 12 12 02 06 02
ISD AIRFLOW METER MAP
ID SERIAL NUM LABEL
1 54245 Ff °1 1-2
2 54251 F111 3-4
3 54249 Ff °1 5 -6
4 54253 FM 7 -8
5 53132 FM 9 -10
6 54250 FM 11 -12
ISD FUEL GRF,DE HOSE MAP
BLEND3
1 2 3 4
5:
FP MHH MHH MHH MHH AA
01 201 301 901 U I! I
02 202 302 902 U U 1
103 203 303 903 U U
04 204 304 904 U U -
05 205 905 305 U LI
06 206 306 906 U U
07 207 307 907 U U 4
08 208 308 908 U U 4
09 209 309 909 5 U 5
10 210 310 910 5 U 5
11 211 311 911 5 U 6
12 212 312 912 5 U 6
LABEL TABLE
1: UNASSIGNED
2: BLEND3
3: REGULAR
4: fH I D GRAIiE
5: PREMIUM
Cri CEGcR'`f AIR FLOW METER
s l 1 : FM 5 -6
ZELER
ND2
ND4 '
1.
PMC SETUP
PMC : VERSION: 01.03
VAPOR PROCESSOR TYPE
NONE
UP ?;i ES OR i:OfVTktiL LEVEL..:
i
SI`9hRTSEf1S(.R SETUP
s I:UNL PROD
CATEGORY VAC SENSOR
PUMP #:
R 1:UNLEADED
VOLUME: 200.0 GALLONS
RELIEF VALVE: : I10
s 2 : VAPOR LINE
CATEGORY VAO SENSOR
PUMP #:
R 1:UNLEADED
VOLUME: 500.0 GALLONS
RELIEF VALVE: : NO
s 3:UNL VENT
CATEGORY VAC: SENSOR
PUMP #:
R 1:UNLEADED
VOLUME: 20.0 GALLONS
RELIEF VALVE. : NO
s 4 :PREM VENT
CATEGORY VAC SENSOR
PUMP #:
R 2: PREM I UM
VOLUME: 20.0 GALLONS
RELIEF VALVE: : NO
S:PREM PROD
CATEGORY VAC SENSOR
PUMP #:
R : PREM I U°1
VOLUME: 500.0 GALLONS
RELIEF VALVE. : I10
s 6:DSL VENT
CATEGORY VAC SENSOR
PUMP #:
R 3:DIESEL
VOLUME: 200.0 GALL01--lS
RELIEF VALVE: : NO
s 7:DSL PROD
CATEGORY VAC SENSOR
PUMP #:
R 3:DIE2EL
VOLUME: 40.0 GALLONS
RELIEF 'OHLVE: : NO
B:ATM
CHTEGOR'r' ATM P SENSOR
s 9:Ffl 1-2
CHTEiFOR'! AIR FLOW METER
Cri CEGcR'`f AIR FLOW METER
s l 1 : FM 5 -6
T1 GGR`! AIR FLOW METER
I:':FN 7 -8
ATEGORY AIR FLOW METER
1 3:FPI 9 -10
C'HT E ter' +RY AIR FLOW METER
sl4:Ff °i 11 -12
C'HTE!- >RY AIR FLOW METER
16: PS 7 -8
CATEGORY VAPOR PRESSURE
I N -TANI: ALHF'f "I
T : LEAK ALARM
LIQUID SENSOR ALMS
L 1 :FUEL ALARM
L 6:FUEL ALARM
L18:FUEL ALARM
L20 : F UEL ALARM
L22:FUEL ALARM
L24:FUEL ALARM
L26:FUEL ALARM
L28:FUEL ALARM
L 1:SENSOR OUT ALARt°t
L 6 :SENSOR OUT ALARM
LIB :SENSOR OUT ALARI °1
L20:SENSOR OUT ALARM
L22:SENSGR OUT ALARM
L24:SENSOR OUT ALARM
L26 :SENSOR OUT ALARM
L28:SENSOR OUT ALARM
L I:SHORT ALARM
L 6:SHORT ALARM
L1B:SHORT ALARM
L20:SHORT ALARM
L22:SHORT ALARM
L24:SHORT ALARM
L26 :SHORT ALARM
L28:SHORT ALARM
ISD SITE ALARMS;
ISD GROSS PRES FAIL
ISD DEGRD PRES FAIL
ISD VAPOR LEAK FAII.
ISD VP PRES FAIL
ISD VP STATUS FAIL
ISD HOSE ALARMS
ALL:.ROSS COLLECT FAIL
ALL : DEGRD COLLECT FAIL.
ALL:FLOW COLLET FAIL
R 3:DIESEL
TYPE:
PUMP CONTROL OUTPUT
TANK 0: 3
IN -TANK ALARMS
T 3 : LEAK ALARM
LIQUID SENSOR ALMS
L11:FUEL ALARM
L1B:FUEL ALARM
L20:FUEL ALARM
L22 : FUEL ALARM
L24:FUEL ALARM
L26:FUEL ALARM
L28 : FUEL ALARM
L11:SENSOR OUT ALARM
L1B:SENSOR OUT ALARM
L20:SENSGR OUT ALARM
L22:SENSOR OUT ALARM
L24:SENSOR OUT ALARM
L26:SENSOR OUT ALARM
L28:SENSOR OUT ALARM
L11:SHORT ALARM
L1B:SHORT ALARM
L20:SHORT ALARM
L22:SHORT ALARM
L24:SHORT ALARM
L26:SHORT ALARI °1
L2E:SHORT ALARM
PUMP SENSOR SETUP
S 1:UNLEADED
TANK 0: 1
DISPENSE MODE:
STANDARD
S 2 : PREM I Uhl
TANK 4: 2
DISPENSE MODE:
STANDARD
S 3 :DIESEL
TANK #: :3
D I SPENSE f'IODE :
STANDARD
OUTPUT RELAY SETUP
R I:UNLEADED
TYPE:
PUMP CONTROL OUTPUT
TANY #: I
I N -TANt: ALARMS
T I : I-EAK ALARM
L. I iU 1 L! SENSOR ALMS
L 1:FUEL ALARM
L. 6 : F UEL ALARM
i_ 1 8 : FUEL ALARM
L ^ii : FUEL ALARM
L2.:FUEL ALARM
L2.4 :FUEL ALARM
L. 'rte : FUEL ALARM
1- -, -:FUEL ALARM
L 1 :SENSOR OUT ALARM
L 6:SENSOR OUT ALARM
LIS :SENSOR OUT ALARM
I_-O:SENSOR OUT ALARM
L.2 :SENSOR OUT ALARM
t -22, SENSOR OUT ALARM
L'_6: SENSOR OUT ALARM
L2B:SENSOR OUT ALARM
L I:SHORT ALARM
L 62HORT ALARM
L18:SHORT ALARM
L20'.SHORT ALARM
L22:SHORT ALARM
L24:SHORT ALARM
L26:SHORT ALARM
L28:SHGRT ALARM
ISD SITE ALARMSISDGROSSPRES FAIL
ISD DEGRD PRES FAIL
ISD VAPOR LEAK FAIL
ISD VP PRES FAIL
ISD VP STATUS FAIL
ISD HOSE ALARMS
ALL:GROSS COLLECT FAIL
ALL:DEGRD COLLECT FAIL
ALL:FLOW COLLECT FAIL
R 2:PREMIUM
TYPE:
TR I - STATE I fV ALE FL. _ *1r17' i
Ci= iTE`tR,' : LEI :F'Efd ER Frii'+I
L19:DISSP 1 -2 ANN
NORMALLY CLOSED
CATEGORY : ANNULAR SPACE
L20:DISP 3 -4
TRI -STATE (SINGLE FLOAT)
CATEGORY : DISPENSER PAN
L21:CiISP 3 -4 ANN
NORMALLY C LOSER
CATEGORY . ANNULAR SPACE
L22:DISP 5 -6
TRI -STATE (SINGLE FLOAT)
CATEGORY : DISPENSER PAN
L23 : D I SP 5 -6
NORMALLY CLOSED
CATEGORY : ANNULAR SPACE
L.2 4:Pi1S -P 7 -8
TRI - .TriTE !SINGLE FLOAT)
TE:::R'r : DISPENSER PAN
7 -8 Atvt54
I'J ir't °1 LL.Y CLOSED
hTE : RY : ANNULAR SPHCE
L= 'r:LIISP 9 -10
TR' 1 - _,'PATE (SINGLE FLOAT:,
J 'ATECIOR'Y : DISPENSER F'AIJ
L27:DISP 9 -10 ANN
NORt °TALL`! CLOSED
HTF.GORY : ANNULAR SPA(; E'
L.28:DISF' 11 -1'2
TRf -STATE (SINGLE FLOAT'
ATE(= ;GR`i` : DISPENSER PAN
L29:DISP 11 -12f ANN
NORMALLY CLOSED
CATEGORY : ANNULAR SPACE
pUMP CONTROL OUTPUT
TANK t4: 2 dAth.
L —' : UNL :STP ANN L,_;i;.l
1'J RI °WLL `r' C :LOSED L&rE
LATE _aOk.'r AfdhIULAF: SFAS = E SUDDEN LOSS LIMIT:
TANK TILT 2.0-1
PROBE OFFSET 0.00
L 3:UNL FILL SUMP
TRI— STATE (SINGLE FLOAT)
CATEGORY : PIPING SUMP
L 4:UNL FILL ANN
NORMALLY CLOSED
CATEGORY : ANNULAR SPACE
L 5 : UNLD ANN
DUAL POINT HYDROSTATIC
CATEGORY . ANNULAR SPACE
L 6: PREM STP
TRI — STATE (SINGLE
CATEGORY : STP SUMP
L 7 : PREM STP ANN
NORMALLY CLOSED
CATEGORY : ANNULAR SPr -;C'E
L 8 : PRE°1 FILL
TRI —STATE (SINGLE FLOAT?
CATEGORY : PIPING SUMP
L 9:PREM FILL ANN
NORMALLY CLOSED
CATEGORY . ANNULAR SPACE
L10:PREh'1 ANN
DUAL POINT H`,'DROSTAT I ('
CATEGORY : ANNULAR SPACE
1...1 1 = D I E13EL STP
TRI —STATE (:SINGLE FLOAT)
CATEGORY : STP SUMP
L12:DIESEL FILL ANN
f••l, ;RllALLY CLOSED
CATEGORY : ANNULAR SPACE
L1_;:DIESEL FILL
TRI - :3'rATE (SINGLE FLOAT
PIPING SUMP'
L14:DJESEL FILL ANN
JV;Rf °1 ;LI.Y CLOSED
ANNULAR SFAi']
L 1 5 : L! f ESEL ANN
DUAL. 1 O I NT HYDROSTATIC
CATE! OF.•':' : ANNULAR SPACE
L 16 . ?Ef JT BOX
TRI -STATE (SINGLE FLOAT)
CATEGORY : OTHER SENSORS
L17:VENT BOX ANN
TRI —STATE (SINGLE FLOAT)
ANNULAR SPACE
SIPHON MANIFOLDED TANKS
T#: NONE
LINE MANIFOLDED TANKS
TO: NONE
LEAK 111 I N PERIODIC: 1
120
LEAS: MIN ANNUAL 1
120
PERIODIC. TEST TYPE
STANDARD
ANNUAL TEST FA I L
ALARM DISABLED
PERIODIC TEST FAIL
ALARM DISABLED
GROSS TEST FAIL
ALARM DISABLED
ANN TEST AVERAGING: OFF
PER TEST AVERAGING: OFF
TANK TEST NOTIFY: OFF
TNK TST SIPHON BREAK : OFF
DELIVERY DELAY I Ml
PUMP THRESHOLD 10.00
T 3:DIESEL
PRti ' CDLI 'T CODE
THERMAL COEFF :•000450
TAIV}; DIAMETER 96 . UU
PROFILE 1 PT
FULL VOL 12000
L.EHI' 120
LEAK N1I N ANNUAL : 1%
120
PERIODIC TE ST TYPE
STANDARD
ANNUAL TEST FAIL
ALARM DISABLED
PERIODIC TEST FAIL
ALARM DISABLED
GROSS TEST FAIL
ALARM DISABLED
ANN TEST AVERAGING: OFF
PER TEST AVERAGING: OFF
TANK TEST NOTIFY: OFF
TNK TST SIPHON BREAK ':OFF
DELIVER,' DELAY 1 1 °1 I tV
PUMP THRESHOLD : 10.00%
LEAK TEST METHOD
TEST ON DATE : ALL TANK
JAN 14, 2011
START TIME : DISABLED
TEST RATE :0.20 GAL. %'HR
DURATION HOURS
TST EARLY STOP:DISABLED
LEAK TEST REPORTNFORMAT
171-CAT SIZE: 4. 0 I
1,3ATER WARNING 2 •
HIGH WATER LIMIT: 3, 111
rjJR LABEL VOL: 120010
O',JERF•ILL LIMIT 9111"
108010
FI I GH PRODUCT 1140111
DELIVERY LIMIT 1 `
1 Bli1.
PRODUCT 1 0011
LEA}: ALARM LIMIT:
SUDDEN LOSS LIl,UT: 3'+
TAN1; T I LT : 0.00
P1 ?mBE OFFSET 0.00
SIPHON MANIFOLDED TANK'-:"
TO'. NONE
LINE MANIFOLDED TANKS
TO: NONE
LIQUID SENSOR SETUP
L 1 : UNL : 'I'F' :3,LIf'1F'
TF? 1 — : -'T_ ;'I'E : -1 P•J LE F' f..'r7r `
ATEGt:F: f ST SIJI9F
SYSTEM SETUP
NOV 3, 2011 8:26 AM
SYSTEM UNITS
U.N.
SYSTEM LANGUAGE
ENS =LISH
SYSTEM DATE!TIME FORMAT
MON DD YY'i'Y HH:I °1l °1:SS x1`1
BIG COUNTRY CHEVRON
6009 COFFEE RD
BAKERSF I ELI% CA 93308
SHIFT TIME I DISABLED
SHIFT TIME 2 DISABLED
SHIFT TIME 3 DISABLED
SHIFT TIME 4 DISABLED
TANK PER TST NEEDED WRN
DISABLED
RS -'232 SECURITY
TANK ANN TST NEEDED WRN
DISABLED
LEAK MIN
LINE RE- ENABLE METHOD
PASS LINE TEST
LINE PER TST NEEDED WRN
DISABLED
1
LINE ANN TST NEEDED WRN
DISABLED
CODE:
PRINT TC VOLUMES
ENABLED
1_41°1P—C, OHPENSHTI ON
VALUE (DEG F ): 60.0STICKHEIGHTOFFSET
DISABLED
ULLAGE: 90%
H- PROTOCOL DATA FORMAT
HEIGHT
DAYLIGHT SAVING TIME
ENABLED
START DATE
MAR WEEK: 2 SUId
START TIME
2:00 AM
END DATE
NOV WEEK I SUN
END TIME
2:00 AM
RE- DIRECT LOCAL PR I NTC -SLIT
DISABLED
EURO PROTOCOL PREF I : -;
S
SYSTEM SEi: UR I T'!
CODE : 000000
MAINTENANCE HISTORY
DISABLED
TANK CHART SECURITY
DISABLED
ANN TEST AVERAGING: OFF
PER TEST AVERAGING: OFF
TANI; TEST NOTIFY: OFF
TNK TST SIPHON BREAK:OFF
DELIVERY DELAY 1 MIN
PUMP THRESHOLD 10.00%
T 2: PREM I Utl
PRODUCT CODE _
THERMAL COEFF :.0007110
TANK DIAMETER 56.00
TANK PROFILE I PT
FULL VOL 12000
FLOAT SIZE
WATER WARNING
HIGH WATER LIMIT:
MAX OR LABEL VOL:
OVERFILL LIMIT
HIGH PRODI_FT
DEL1'•.ER',' LIP91T
4.
C0MM UNICATIONS SETUP
PORT SETT I I*'S :
COMM BOARD : 1 (: ED I I°1 ?
RS -232 SECURITY
CODE : DISABLED
COMM BOARD 2 (FXI °IOD )
BAUD RATE 1200
PAR ITV ODD
STOP BIT 1 STOP
DATA LENGTH: 7 DATA
RS -232 SECURITY
DISABLED
DIAL TYPE TONE
ANSWER ON 1 RING
MODEM SETUP STRING :
D I HL TONE INTERVAL: 3'2
O I N. COI°1M BOARD 3 (RS-232)
CUSTi_*Wl ALARI °15
BAL ID RATE : 9600
2,0
DISABLED
LEAK. 1 °1IN PERIC:DP_': I%
DATA LENGTH: 8 DATA
i20
RS -'232 SECURITY
901% CODE : DISABLED
SERVICE NOTICE
LEAK MIN ANNUAL 1% DISABLED
1 1 400
1GU
15!1
1
ISO 3166 COUNTRY
PERIODIC TEST TYPE CODE:
AUTO HIGH WATER L I I°1 I T
STANDARD
DISABLED
ANNUAL TEST FAIL I°IASSiDENSITY
ALARM DISABLED DISABLED
PERIODIC: TEST FAIL
DISABLED
ALARM DISABLED
GROSS TEST FAIL
AUTO DELIVER`! START
ALARM DISABLED
ANN TEST AVERAGING: OFF
PER TEST AVERAGING: OFF
TANI; TEST NOTIFY: OFF
TNK TST SIPHON BREAK:OFF
DELIVERY DELAY 1 MIN
PUMP THRESHOLD 10.00%
T 2: PREM I Utl
PRODUCT CODE _
THERMAL COEFF :.0007110
TANK DIAMETER 56.00
TANK PROFILE I PT
FULL VOL 12000
FLOAT SIZE
WATER WARNING
HIGH WATER LIMIT:
MAX OR LABEL VOL:
OVERFILL LIMIT
HIGH PRODI_FT
DEL1'•.ER',' LIP91T
4.
C0MM UNICATIONS SETUP
PORT SETT I I*'S :
COMM BOARD : 1 (: ED I I°1 ?
RS -232 SECURITY
CODE : DISABLED
COMM BOARD 2 (FXI °IOD )
BAUD RATE 1200
PAR ITV ODD
STOP BIT 1 STOP
DATA LENGTH: 7 DATA
RS -232 SECURITY
DISABLED
DIAL TYPE TONE
ANSWER ON 1 RING
MODEM SETUP STRING :
D I HL TONE INTERVAL: 3'2
O I N. COI°1M BOARD 3 (RS-232)
BAL ID RATE : 9600
2,0 PAR ITV NONE
3.L, STOP BIT I STOP
DATA LENGTH: 8 DATA
12000 RS -'232 SECURITY
901% CODE : DISABLED
10800
1 1 400 HUT'•;, TRANSMIT SETTINGS:
15!1
1 AUTO LEAK ALARM LIMIT
I! 1 SABLED
AUTO HIGH WATER L I I°1 I T
DISABLED
AUTO OVERFILL LIMIT
DISABLED
AUTO LOW PRODUCT
DISABLED
AUTO THEFT LIMIT
DISABLED
AUTO DELIVER`! START
DISABLED
AUTO DELIVER'! END
DISABLED
AUTO EXTERNAL INPUT ON
DISABLED
AUTO EXTERNAL INPUT OFF
DISABLED
AUTO SENSOR FUEL ALARM
DISABLED
AUTO SENSOR WATER ALARM
DISABLED
AUTO SENSOR OUT ALARM
DISABLED
REi :E I VFR SETUP:
NONE
AUTO DIAL TIME SETUP:
NONE
RS -232 END OF MESSAi; E
DISABLED
AUTO DIAL ALARM SETUP
IN-TANK SETUP
T 1:UNLEADED
12000
PRODUCT CODE 1
THERMAL COEFF 00070
TANK DIAMETER 96.00
TANK PROFILE 1 FT
FULL VOL 12000
FLOAT SIZE: 4.0 IN.
WATER WARNING; 2.0
HIGH WATER LIMIT: 3.0
MAX OR LABEL VOL: 12000
OVERFILL LIMIT 90%
10900
Hl(-;H PRODUCT 95%
11400
DELIVERY LIMIT 15%
1900
LOW PRODUCT 1000
LEAK ALARM LIMIT: 99
SUDDEN LOSS: LIMIT: 99
TANK TILT 3.60
PROBE OFFSET 0.00
S I PHOI'J MAN I FOLDED TANKS
T#: NONE
LINE MANIFOLDED TANKS
Tu: NONE -
L Pil_r)Prq
FHCEFUEL
NOV 3, 2011 12" =t pp9
BIC,,
009 RDRHYEkS'FIELD C'H
01 pf°j
STHTUc, REPORT
6LL FUNCTIONS NORMhL
L
P I ILL s,.ut,,jp'
OUTNOV - HLHkhI20111 :21 ppl
L M& FILLNf- , —
UEL pl
3 2
L 3:UNL FILL S-'-UMPPTPINC . , sUpIp
FUEL HLAPP,j
NOV 3 - 201 1 1 : 25 Pm
L ----- 3:UNL, FILL SnUMP'
SEt'is-'OR OUT HLARt-jNO'-,; 3- 20l I I : 26
LJ N"OF
U lf SFILLUMPP1PI "UMPFUEL
11-jov 3. 01 7
L 4: U11L F I LL , ANvjULAp SPAC'E '
44N
FUEL
NOV- 011
L 4 FILL HNN
FUEL
BIG COUPITRV CHEVRC41
6009 C';)FFEE PEI
BAKERSFIELD CA 9:3308
NOV 3. 2i11 1 1 :42 P11
S'/13TEf',1 STATUS REPORT
ALL FUV-1( TICNS NORI"IAL
20'4,OR Hl_hRtl - - - --
L 9:PREM FILL ;101N
Ai•NLILAR :Pi CE
FUEL r'_1LAPH
N"Yq 1:54 Pill
BIC, k_,'(WNTR',Z C'HE's,'Rof'4
6009 COFFEE RD
BAYERISFIELD ("A 93308
1140,/ 20 1 1
ISTATUS REPORT
ALL FUlICT101,13 NOR11AL
i'o L'
E"TEP'l S. TI-12'. REPORT
L 9:FUEL ALARM CHE',.)J.=
BIG 6009 COFFEE RE,
6009 "-FEF RE EEPSFIELE 98508
BHKERETIELD 96306
110,v, s, 20!! 0,
S`1`2',TEM STHTUE-'. REFRT
26"i"STEM 2-i-TH-TI-12-1, REPORT - - - - - - - - - - - -
L 9:FUEL ALARtl
BlG COUNTRY C'HPVROI--1
bUU9 COFFEE RD
D EECFIELD C" 93:30@
3', 2o!! 2 :l0 PT'l
EM S :DTHTUS REPORT
ALHRIl ----- - - - - - - - - - - - -
E 9:PRE1yI FILL AQV-.J L 9:FUEL HD'tl BIG COUNTRY CHE%-`RON
AP-JNULHR s2 E 6009 C OFFEE RE,
FUEL ALHRM B(4,:ERSFIELD 93308
PIO'v' 3, 20!! 2 :u9 p[--I
JOV 3, 20!! 2: 17 PM
S Ell SD US REPORT
L 9:FUEL Al-HRI-I
C101-111TR"! CHEVRON
01-- -.OFFEE RE,
61009 COFFEE RE, BHKEG FIELD 93306
BAKERETIELD CA 933081
NCA) S. 21311 2 :10 Fil
STEM STr'lTU;2-', REPORT
EH SITHTUS, REPORT - - - - - - - - - - - -
L :J:Fl-lEL ' ARM
L cj:FUEL ADiRll L 9:PREM FILL HIAN
Atll'-W1R SPA
FUEL " AR11
3. 20!! III J:23, PH
P-1 L r:PRE[l FILL ANN
1FHE
COFFEE R
BAKESFIELD CA 98308
20!!
GI RI-1 -
n * END * * * * *
ALARM HISTORY REPORT
IN -TANK. ALARM - - - --
T 1:UNLEADED
DELIVERY NEEDED
OCT 15, 2011 7:10 P1"
ALARM HISTORY REPORT
SEIISOR ALARM - - - --
L I :UNL STP SUMP
STP SUMP
END
END * * * * *
ALARM HISTORY REPORT
ALARM - - - -- j
T '2 : PREM I UM J ALAR19 H I STORY REPORT
SENSOR ALARM - - - --
DELIVERY NEEDED L 2 :UNL STP ANN
OCT 24, 'O11 2:18 PM ANNULAR SPACE
x * ;, * * END * * * * *
ALARM HISTORY REPORT
IN -TANY ALARM - - - --
T 3:DIESEL
END *. *. .* * *.
ALARM HISTORY REPORT
SENSOR ALARM - - - --
L 3:UNL FILL PUMP
PIPING SUMP
ALARM HIS-TOR"' REPORT
SENSOR ALARI °1 - - - --
L 4:UNL FILL ANN
ANNULAR SPACE
FUEL ALARM
JAN 14, 2011 8:05 AM
END * * * *
ALHPJ'l HISTORY REPORT
SENSOR ALARM - - - --
L F : Uf lLD ANN
AIVP•JULAR SPACE
HIGH LIQUID ALARM
SEP 23, 2011 3:17 Pm
x * * A *. END .X * * x *
ALARM HISTORY REPORT
SENSOR HLHRI °1 - - - --
L 6:PREM STP
STP SUMP
I - DNLl .. .. * * ,
ALARM HISTOR:I REPORT
SENSOR ALARM
L 'l:PREM STP ANI-4
ANNULAR SPACE
FUEL ALmRll
JAI'-J 14. 2011 8:05i Ai°j
END * * A ;-,, A
ALARM HI2;TO?'-Z REPORT
SENSOR ALARt"I
L 8:PREM FILL
PIPINCI, SUrIP
r * END * x * * *
ALARM HISTORY REPORT
SENSOR ALHR(-,l - - - --
L 9:PREM FILL AhJIV
ANNULAR SPACE
M,
ALARM HISTOR"I' REPORT
SEtlSOR ALARM -----
LI0:PRE["l ANN
ANNULAR SPACE
END * A *. * X.
ALARM HISTOR"i" REPORT
SENSOR ALARM -----
Lll:DIESEL STP
STP SUMP
c * * k END * * * i'
HLHRM HISTORY REPORT
SEt,-JSOR ADmiRtl -------
L12:DIEc3EL FILL ill,,Jll
ANNULAR SPACE
FUEL ALARI'l
OCT 4, 2011 3:0'2' H-1-1
END
ALARM H I STOR',Z REPORT
PiEl•SeDR -" iLAPI"l -----
L13:DIESEL FILL
PIPING SUMP
END * * * * *
ALARM H1,23TOR"I" FlEPC,?T
SENSOR ALARM -----
L14:DIESEL FILL ANN
ANNULAR SPAS -'E
FUEL ALARM -
OCT 14, 2011 10:28 All
FUEL ALARM
JAN 14, 2011 13:05 AM
END * * it *
ALARM H I STORY REPORT
SENSOR ALARM -----
L15:DIESEL ANN
ANNULAR SPACE
END
ALARM HISTORY REPORT
SENSOR ALAM"I - - - --
L 16 : VENT BOX
OTHER SENSORS
x END
IHLARM HISTORY REPORT
SENSOR ALARM -----
L17:VENT BOX ANN
ANNULAR SPACE
END x * * x *
HL.fAPl,,l His'r-')Rz REPORT
LiG:LjlSP 1-2
DISPENSER PAN
x * * x* ENE x x* x r
ALARM H I STORY REPORT
SENSOR ALARM3
L19:DISP 1-22 ANN
ANNULAR SPACE
7-- <* END * -* * x X
L Rfl HISTORY REPORT
SENSOR ALARM
L.'20:1-)TSP 3-4
lil--lPENSER PAN
x It ;-; * ENE, * x x X
ALARM HISTORY REPORT
SENSOR ALARM -----
L21 :DI'SP 3-4 ANN
ANNULAR SPACE
END
ALARt"l H I STORY REPORT
SENSOR ALARM -----
L22:DISP 5-6
DISPENSER PAN
X It' x END x x* x*
ALARM HISTORY REPORT
SENSOR ALARM -----
L,D3:DISP 5-6
ANNULAR SPACE
FUEL f:il-ARM
JAN 14, 2011 8:05 AI 'l
x * * * * END X x * * x
ALARM H'c"Top" REPORT
3k * * E1-JD * * * * A
ALr"IRM H I ST0'R',,,' REF,C.',P'r
SENSOR ADHRM -----
L25:DISP 7-8 WVl
AP•11,-IULAP SPHI-E
FUEL HLDPtl
OCT 5, 2011 ID:23 L=M
FUEL ADHRll
JAN 14, 2011 8:05 kl
A X * X END * * 3-c * *
tiDHRl,,] H I STS RI ' I REPORT
SENSOR ALA?M -----
9-10
DISPENSER PHN
X * *, * END * * * * *
ALARM REPORT
EPJSOR Hl—ARt°jL27: L) 9-1C, H'NN ----- oW'JUDAR SPACE
END
ALARM H I STOR• REPORT
L28:DISP 11"12DISPENSERPW--i
x * DIE) * * , , },
ALARM HISTOR'l REPORT
SE(1230R f LHR,lL2,j:DISF) ANNANNULARS'PAC'E
EWL,
ADHRll HI ST, :-+RY REPORT
01HRTSENSOR ALHRtl --
s I : UNL PROD
A ENE) * * *. * *
ALHRll HISTORY REPORT
SNAPTSENSOR HDHRtl --
s 2:VAPOR LINE
C&IMUNPDATION ALARM
SEP 26. 22011 4: 57 FIM
DID * 4 *. * *
AD RM HISTORY REPORT
SMART SENSOR HL6RM --
s 3:UNL VENT