The URL can be used to link to this page

Home My WebLink About3601 STOCKDALE HWY (8)11000 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: 01/30/2012 Order Number: 3189556 Dear Regulator, P255 Date Printed and Mailed: 02/23/2012 Enclosed are the results of recent testing performed at the following facility: 7- ELEVEN #17721, MKT 2368 3601 STOCKDALE HIGHWAY BAKERSFIELD, CA. 93309 Testing performed: Leak detector tests Monitor Certification Secondary Containment -Spill Container Sincerely, Dawn Kohlmeyer Manager, Field Reporting PURPOSE: COMPLIANCE TEST DATE: 01/30/12 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: 3189556 CUSTOMER PO: CLIENT: 7- ELEVEN, INC. SITE: 7- ELEVEN #17721, MKT 2368 P.O. BOX 711 3601 STOCKDALE HIGHWAY DALLAS, TX 75221 BAKERSFIELD, CA 93309 Manager 972)828 -7908 (661)834 -3093 TEST TYPE: TLD -1 Prnrhirt Pina Tinhtnacc Tact Rpcultc LINE LINE` LINE DELIVERY a, EXISTI IMPACT ID PROD" MATERIAL M EL #,4 TEST, RESULT NAFIL LEAK TE 190 VALVE, SERI# A RESULT TYPE DA_.... g C D ; v_ FUNCTION UL Tank 1 REGULAR DW FLEX PRESSURE UL Tank 1 VEEDERROOT UL Tank 2 REGULAR DW FLEX PRESSURE 3 Premiu 3 PREMIUM DW FLEX PRESSURE P FYistinn I inp I Pak nptpr•_tnr Tact LINE 1EXISTINGILEAK DETECT R41 ';_, EXISTI LEA,, `: T -,. -. MANUF,ACTURER= M EL #,4 SERA# RESUT MANUFACTURER MOt) SERI# A RESULTID n ..? a rx UL Tank 1 VEEDERROOT FX1V 1899 P UL Tank 2 VEEDERROOT LD2000 04041227 P 3 Premiu 3 VAPORLESS LD2000 04041224 P New Renlacement I inP I Pak ptpctnr Test LINE MANUFACTURERSeMODEL}# 3 aSERALA# RESUIT MANUFAC URERYMODEI SERIAL IRESULD,, . n ..? a rx ror owner oetauea report mtormatton, visit www.tanKnology.com ana select Un -Line Keports -WKAN, or contact your local I anknology otthce. Tester Name: EDWIN PINEDA J Technician Certification Number: 8026748 Printed 02/23/2012 06:57 MTUTTLE INDIVIDUAL TANK INFORMATION AND TEST RESULTS J'PP Tank ology TEST DATE: 01 /30/12 8501 N MOPAC EXPRESSWAY, SUITE 400 WORK ORDER NUMBER3189556 CLIENT: 7 -ELEVEN, INC. AUSTIN, TEXAS 78759 (512) 451 -6334 SITE:7- ELEVEN #17721, MKT 2368 Printed 02/23/2012 06:57 4 A FORMATION_ < ' Tank ID: UL Tank 1 Tank manifolded: NO Bottom to top fill in inches: 128.0 Product: REGULAR Vent manifolded: YES Bottom to grade in inches: 134.0 Capacity in gallons: 10,020 Vapor recovery manifolded: YES Fill pipe length in inches: 32.0 Diameter in inches: 92.00 Overfill protection: YES Fill pipe diameter in inches: 4.0 Length in inches: 353 Overspill protection: YES Stage I vapor recovery: DUAL Material: STEEL Installed: ATG and CP Stage II vapor recovery: ASSIST CP installed on: COMMENTS TANK TE$TRESULT3TesttMethod,;VacuTeatYw; aLEAKDE7ECTORTES,T RESULTS u , "' Te5tmethotl EFTAr . Start (in) End (in) Dipped Water Level: New /passed Failed /replaced New /passed Failed /replaced L.D. #1 L.D. #1 L.D. #2 L.D. #2 Dipped Product Level: Probe Water Level: Make: VEEDERROOT Ingress Detected: Water Bubble Ullage Model: Fx1V Test time: S /N: 1899 Open time in sec: 3.00 Inclinometer reading: Holding psi: 17 VacuTect Test Type: NOT Resiliency cc: 95 NOT Entry TESTEDVacuTectProbeEntPoint: Test leak rate ml /m: 189.0 TESTED Pressure Set Point: Metering psi: 10 Tank water level in inches: Calib. leak in gph: 3.00 Water table depth in inches: Results: PASS Determined by (method): Result: COMMENTS COMMENTS LINE TESIiNESULTS . Test: ype: TLD 1k Material: DW FLEX Diameter (in): 1.5 Length (ft): 50.0 Test psi: Bleedback cc: Test time (min): NOT NOT NOT NOT Start time: TESTED TESTED TESTED TESTED End time: Final gph: Result: Pump type: PRESSURE Pump make: RED JACKET COMMENTS Impact Valves Operational: UNKNOWN Printed 02/23/2012 06:57 INDIVIDUAL TANK INFORMATION AND TEST RESULTS Milli, Tanknology TEST DATE:01 /30/12 8501 N MOPAC EXPRESSWAY, SUITE 400 WORK ORDER NUMBER3189556 CLIENT: 7 -ELEVEN, INC. AUSTIN, TEXAS 78759 (512) 451 -6334 SITE:7- ELEVEN #17721, MKT 2368 Printed 02/23/2012 06:57 TANK INFORMATION'" Tank ID: UL Tank 2 Tank manifolded: No Bottom to top fill in inches: 126.0 Product: REGULAR Vent manifolded: YES Bottom to grade in inches: 132.0 Capacity in gallons: 10,020 Vapor recovery manifolded: YES Fill pipe length in inches: 30.0 Diameter in inches: 92.00 Overfill protection: YES Fill pipe diameter in inches: 4.0 Length in inches: 353 Overspill protection: YES Stage I vapor recovery: DUAL Material: STEEL Installed: ATG and CP Stage II vapor recovery: ASSIST CP installed on: COMMENTS TANIC3TE$T RESUL "TS T5t Method VacuT ®ct ; °' s .,. , ,.. ,.,_.v. _w .,.., s; <,LEAFCdI)ETECTQR'TESTyRESl1L7S Test`mefhod:'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: VEEDERROOT Ingress Detected: Water Bubble Ullage Model: LD2000 Test time: S /N: 04041227 Open time in sec: 6.00 Inclinometer reading: Holding psi: 25 VacuTect Test Type: NOT Resiliency cc: 70 NOT Entry TESTEDVacuTectProbeEntPoint: Test leak rate ml /m: 189.0 TESTED Pressure Set Point: Metedng psi: 18 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`1.ESTRESWLTS; .' t ` Te &t type:' LINE A B'. Material: DW FLEX Diameter (in): 1.5 Length (ft): 50.0 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: RED JACKET COMMENTS Impact Valves Operational: UNKNOWN Printed 02/23/2012 06:57 INDIVIDUAL TANK INFORMATION AND TEST RESULTS J'r Tar*nology TEST DATE:01 /30/12 8501 N MOPAC EXPRESSWAY, SUITE 400 WORK ORDER NUMBER3189556 CLIENT: 7 -ELEVEN, INC. AUSTIN, TEXAS 78759 (512) 451 -6334 SITE:7- ELEVEN #17721, MKT 2368 Printed 02/23/2012 06:57 TANK INFORMATION° " Tank ID: 3 Premiu 3 Tank manifolded: NO Bottom to top fill in inches: 126.0 Product: PREMIUM Vent manifolded: YES Bottom to grade in inches: 132.0 Capacity in gallons: 10,020 Vapor recovery manifolded: YES Fill pipe length in inches: 30.0 Diameter in inches: 92.00 Overfill protection: YES Fill pipe diameter in inches: 4.0 Length in inches: 323 Overspill protection: YES Stage I vapor recovery: DUAL Material: STEEL Installed: ATC and CP Stage II vapor recovery: ASSIST CP installed on: COMMENTS TANK iE3TIRESULTS TBSt NlethOd „VacuTact ti , ` _s , EAK`bETEGTOR,);TEST RESULTS e _ TeSt:method'-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: VAPORLESS Ingress Detected: Water Bubble Ullage Model: LD2000 Test time: S /N: 04041224 Open time in sec: 7.00 Inclinometer reading: Holding psi: 26 VacuTect Test Type: NOT Resiliency cc: 60 NOT VacuTect Probe Entry Point: TESTED Test leak rate ml /m: 189.0 TESTED Pressure Set Point: Metering psi: 14 Tank water level in inches: Calib. leak in gph: 3.00 Water table depth in inches: Results: PASS Determined by (method): Result: COMMENTS COMMENTS z SALINE TESTRESl1ltS'9 fs tst;typeTLnlW. LINE A,g C D. e, Material: Dw FLEX FLEX Diameter (in): 2.0 2.0 Length (ft): 25.0 35.0 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: RED JACKET COMMENTS Impact Valves Operational: UNKNOwN Printed 02/23/2012 06:57 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 of Regulations This form must be used 10 document testing and servicing of monitoring equipment. If more than one monitoring system control panel is installed at the facility, a separate certifcation 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: 7- ELEVEN #17721, MKT 2368 Site Address: 3601 STOCKDALE HIGHWAY City: BAKERSFIELD Contact Phone No: 834 -3093 Date of Testing /Service: 01/30/2012 Facility Contact Person: Manager Make /Model of Monitoring System:TLS -350 Work Order Number: 3189556 B. Inventory of Equipment Tested /Certified Check the appropriate boxes to indicate specific equipment inspected /serviced CA Zip: 93309 Tank ID: T1 REG 87 1 Tank ID: T2 87 2 X In -Tank Gauging Probe. Model: MAG PROBE X In -Tank Gauging Probe. Model: MAG PROBE Annular Space or Vault Sensor. Model: Annular Space or Vault Sensor. Model: X Piping Sump/Trench Sensogs). Model: VR -208 Piping Sump/Trench Sensor(s). Model: VR -208 FIII Sump Sensogs). Model: FIII Sump Sensor(s). Model: x Mechanical Line Leak Detector. H Model: FX1V X Mechanical Llne Leak Detector. Model: LID 2000 Electronic Line Leak Detector. Model: Electronic Line Leak Detector. Model: X Tank Overfill /High -level Sensor. Model: ATG Tank Overfill /High -Level Sensor. Model: ATG 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: Tank ID: In -Tank Gauging Probe. Model: MAG PROBE In -Tank Gauging Probe. Model: Annular Space or Vault Sensor. Model: Annular Space orVault Sensor. Model: X Piping Sump/Trench Sensors). Model: VR -208 Piping Sumplrrench Sensor(s). Model: Fill Sump Sensor(s). Model: Fill Sump Sensogs). Model: X Mechanical Line Leak Detector. Model: LD 2000 Mechanical Line Leak Detector. Model: Electronic Line Leak Detector. Model: Electronic Line Leak Detector. Model: Tank Overfill /High -Level Sensor. Model: ATG 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 : 1 -2 Dispenser ID: Dispenser Containment Sensor(s) Model: VR -208 Dispenser Containment Sensor(s) Model: X Shear Valve(s). Shear Valve(s) Dispenser Containment Float(s) and Chain(s). Dispenser Containment Float(s) and Chaln(s). Dispenser ID: 3 -4 Dispenser ID: X Dispenser Containment Sensor(s) Model: VR -208 Dispenser Containment Sensogs). Model: X Shear Valve(s). Shear Valve(s). Dispenser Containment Float(s) and Chain(s). Dispenser Containment Float(s) and Chain(s). Dispenser ID: Dispenser ID: Dispenser Containment Sensor(s) Model: Dispenser Containment Sensor(s). Model: Shear Valve(s). Shear Valve(s). Dispenser Containment Float(s) and Chain(s). Dispenser Containment Float(s) and Chain(s). If the facility contains more tanks or dispensers, copy this form. Include information for every tank and dispenser at the facility. C. Certification I certify that the equipment identified in this document was inspected /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): EX System set -up X Alarm history report Technician Name (print): EDWIN PINEDA lei (i gSinature: ..s.- Certification No.: b -37453 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: 01/30/2012 Monitoring System Certification Page 1 of 3 Based on CA form dated 03/08 Site Address 3601 STOCKDALE HIGHWAY D. Results of Testing /Servicing Software Version Installed: 329.02 Complete the following checklist: Monitoring System Certification Date of Testing /Service: 01/30/2012 M Yes No ` Is the audible alarm operational? O Yes No • Is the visual alarm operational? Yes No Were all sensors visually inspected, functionally tested, and confirmed operational? F71 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 I No' N/A I If alarms are relayed to a remote monitoring station, is all communications equipment (e.g. modem) operational? a 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 aIId sensor failure /disconnection? x Yes No x Yes No' 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? 90 ]/, Yes* x No Was any monitoring equipment replaced? If yes, identify specific sensors, probes, or other equipment replaced and list the manufacturer name and model for all replacement parts in Section E, below. Yes' Ox 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. x YesQ No' Is all monitoring equipment operational per manufacturers' specifications? In Section E below, describe how and when these deficiences were or will be corrected. E. Comments: Page 2 of 3 Based on CA form dated 03/08 Monitoring System Certification Site Address: 3601 STOCKDALE HIGHWAY F. In -Tank Gauging / SIR Equipment Check this box if no tank gauging or SIR equipment is installed. Date of Testing /Service: 01/30/2012 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: 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? E]Yes No' Was accuracy of system water level readings tested? X Yes No ` Were all probes reinstalled properly? x 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. G. Line Leak Detectors (LLD) : Check this box if LLDs are not installed. Complete the following checklist: x Yes No' 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 g.p.h 0.1 g.p.h 0.2 g.p.h x Yes E] No • Were all LLDs confirmed operational and accurate within regulatory requirements? x Yes 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' El N/A For electronic LLDs, does the turbine automatically shut off if the LLD detects a leak? Yes No ' 0 N/A For electronic LLDs, does the turbine automatically shut off if any portion of the monitoring system is disabled or disconnected? Yes ONO 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' x N/A For electronic LLDs, have all accessible wiring connections been visually inspected? 2 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 Secondary Containment Testing Report Form Page 1 . Thisform is intendedfor use by contractors performing periodic testing of USTsecondary containment systems. Use the appropriate pages ofthisform to report results for all components tested. The completed form, written test procedures, and printoutsfrom tests (ifapplicable), should be provided to the facility owner /operator for submittal to the local regulatory agency. 1. FACILITY INFORMATION Facility Name: 7- ELEVEN #17721, MKT 2368 Date of Testing: 01/30/2012 Facility Address: 3601 STOCKDALE HIGHWAY BAKERSFIELD, CA, 93309 Facility Contact: Manager Phone: (661) 834 -3093 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: X CSLB Licensed Contractor SWRCB Licensed Tank Tester License Type: A -UT License Number: 743160-8026748 Manufacturer Manufacturer Training Component(s) Date Training Expires OPW SPILL BUCKET 02/06/2012 Spill :. 3. SUMMARY OF TEST RESULTS Component Spill BOX 1 REG FILL Spill :. Spill Box 3 PRE FILL 000 00 0000 00 0000 0 a000 MAoo Ifhydrostatic 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, the facts stated in this document are accurate and in full compliance with legal requirements Technician's Signature: n . Date: 01/30/2012 SWRCB, January 2006 9. Spill Bucket Testing Report Form Thisform is intendedfor use by contractors performing annual testing of USTspill containment structures. The completedform and printoutsfrom tests (ifapplicable), should be provided to thefacility owner /operatorfor submittal to the local regulatory agency. 1. FACILITY INFORMATION Facility Name: 7- ELEVEN #17721, MKT 2368 DateofTesting: 01/30/2012 Facility Address: 3601 STOCKDALE HIGHWAY BAKERSFIELD, CA, 93309 Facility Contact: Manager Phone: (661) 834 -3093 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 : E CSLB Contractor a ICC Service Tech. SWRCB Tank Tester Other (Specify) A -UT License Number: 743160-8026748 3. SPILL BUCKET TESTING INFORMATION Test Method Used: El Hydrostatic Vacuum Other Test Equipment Used: TAPE MEASURE Equipment Resolution: VISUAL Identify Spill Bucket By Tank Number, Stored Product, etc.) 1 1 REG FILL Z 2 REG FILL 3 3 PRE FILL 4 Bucket Installation Type: X Direct Bury Contained in Sump X Direct Bury Contained in Sump X Direct Bury Contained in Sump Direct Bury Contained in Sump Bucket Diameter: 12" 12 " 12 " Bucket Depth: 101, 101, 101, Wait time between applying vacuum /water and starting test: 0 0 0 Test Start Time (TI ): 0900 0900 0900 Initial Reading (RI ): 9" 9" 9" Test End Time (TF ): 1000 1000 1000 Final Reading (R F 9tv 7 J 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 S.x" -P - .,'° A j'4 ^aY' Test`>eResult. - y . i'l C'"' -'' i; X -.Pass tFail S "'S i ' -,, X Passe Fail f X Pass Tail Wass a Fail° Comments - (include information on repairs made prior to testing, and recommendedfollow -upforfailed tests) CERTIFICATION OF TECHNICIAN RESPONSIBLE FOR CONDUCTING THIS TESTING I hereby certify that all the information contained in this report is true, accurate, and in full compliance with legal requirements. Technician's Signature: n Q Date: In b 01/30/2012 C r..re 1....,,..,., .7 A. --+ --d– ro,+ —, +- 1— ..e.f ....0.7 1.., ., I:F.va ...... M.,.. r... L....,o.,or 1.....,1 e.,...o...e „tom Work Order: 3189556 ESO) & (ESV) Testing Forth - Version 1- 625/2D07 Emergency Shut Off (ESO) & Dispenser Emergency Shutoff Valve (ESV) ANNUAL TEST RECORD LOCATIONS AND TEST DATA Testing Company: Date: Location Name: Operational? Store #: I Maintenance Log # Stag TD #: Date Called Address: X60 j S C ,L City: State: Emereency Shut (off SO Testinji Results On 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 Emergency Shut Off ESO switches indicated on this sketch. Findings listed below: Emergency Shut Off (ESO) IfNo, Provide 7Operational? R/ N I Maintenance Log # Date Called 1 7 Dispenser Emereencv Shutoff Valve (ESV) Testine Results On d 1 130 ( 17- 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 ( #) L4— in all, would automatically close. Findings listed below: Disp. Emergency Shut Off f No, Provide Valve (ESV) Operational? N Maintenance Log # Date Called : 1 7 Site Map OfLocation and Placement o Devices Tested: d d V 3 ' e s ul Tanknology Inc. 11000 N. MoPac Expressway, Suite 500, Austin, Texas 78759 P- n 8501 N MOPAC EXPRESSWAY, SUITE 400 AUSTIN, TEXAS 78759 512) 451 -6334 FAX (512) 459 -1459 TEST DATE:01 /30/12 WORK ORDER NUMBER3189556 CLIENT: 7 - ELEVEN, INC. SITE:7- ELEVEN #17721, MKT 2368 COMMENTS Conducted Witness Annual Monitor Certification Testing with Inspector Ernie Medina Bakersfield Fire Dept. Testing on 1/23/12 was cancelled by Inspector Esther due to rain. Site contacted 1/26/12 and confirmed testing with "ROG ". All tests passed. PARTS REPLACED 3 rte F QUANTITY DESCRIPTION " HELIUM PINPOINT TEST RESULTS (IF APPLICABLE) dE} ' m ! y ar _ ' Y' i b _ t A"4' t = , jHELIUM PINPOINT °LEAK TEST RESULTS k - a { ITEMS TESTED 2 dE} ' m ! y ar _ ' Y' i b _ t A"4' t = , jHELIUM PINPOINT °LEAK TEST RESULTS k - Printed 02/23/2012 06:57 MTUTTLE SITE DIAGRAM r Tanknobgy 8501 N MOPAC EXPRESSWAY, SUITE 400 AUSTIN, TEXAS 78759 512) 451 -6334 FAX (512) 459 -1459 TEST DATE: 01/30/12 WORK ORDER NUMBER3189556 CLIENT: 7— ELEVEN, INC. SITE:7— ELEVEN #17721, MKT 2368 Printed 02/23/2012 06:57 MTUTTLE E 3 Direct Bury Fill/Vapor Buckets N S A O O ® 4 w 4L O 3® O O O 9 5 2 T# 2 T# 1 Regular UL Tank 2 Regular UL tank 1 7 -11 #17721 3601 Stockdale Hwy 2 L 10K 10K Bakersfield, CA 933091 STP L4 STP L3 661.834.3093 Permit #S- 2123 -1 -10 1 ESO T3 STP AO T# 3 Premium O FO10K PREM Overfill TLS CP Alarm VENT L5 0 #8 7 CAS DUMP- BREAKERS Printed 02/23/2012 06:57 MTUTTLE ATG Information Work Order# 3189556 0 110100 JAN 30, 2012 11:42 AM 235067 7 -11 17721 3601 STOCKDALE HWY BAKERSFIELD,CA. 80749954505001 SYSTEM STATUS REPORT D 5:ALARM CLEAR WARNING 0 150301 JAN 30, 2012 11:42 AM 1:235067 7 -11 17721 IJ 0 150302 JAN 30, 2012 11:42 AM 2:3601 STOCKDALE HWY 150303 JAN 30, 2012 11:42 AM 3:BAKERSFIELD,CA. Q 150304 JAN 30, 2012 11:42 AM 4:80749954505001 Q 151700 JAN 30, 2012 11:42 AM SYSTEM TYPE AND LANGUAGE FLAG SYSTEM UNITS U.S. SYSTEM LANGUAGE ENGLISH SYSTEM DATE/TIME FORMAT MON DO YYVY HH:MM:SS xM n Q I50F00 JAN 30, 2012 11:42 AM MON DD YYYY HH:MWSS xM 0 Q 160100 JAN 30, 2012 11:42 AM TANK CONFIGURATION DEVICE LABEL CONFIGURED 1 REGULAR UL TANK 1 ON 2 REGULER UL TANK 2 ON 3 PREMIUM ON 4 OFF n Q 160200 JAN 30, 2012 11:42 AM TANK PRODUCT LABEL TANK PRODUCT LABEL 1 REGULAR UL TANK 1 2 REGULER UL TANK 2 3 PREMIUM 0 Q 160300 JAN 30, 2012 11:42 AM TANK PRODUCT CODE TANK PRODUCT LABEL 1 REGULAR UL TANK 1 2 REGULER UL TANK 2 3 PREMIUM 3 4 4 3189556 ATG Information Work Order# 3189556 Q Q 160400 JAN 30, 2012 11:43 AM TANK FULL VOLUME TANK PRODUCT LABEL GALLONS 1 REGULAR UL TANK 1 10028 2 REGULER ULTANK 2 10028 3 PREMIUM 10020 4 0 Q 160700 JAN 30, 2012 11:43 AM TANK DIAMETER TANK PRODUCT LABEL INCHES 1 REGULAR UL TANK 1 94.00 2 REGULER UL TANK 2 94.00 3 PREMIUM 92.00 4 0.00 Q 160900 JAN 30, 2012 11:43 AM TANK THERMAL COEFFICIENT TANK PRODUCT LABEL 1 REGULAR UL TANK 1 0.000700 2 REGULER UL TANK 2 0.000700 3 PREMIUM 0.000700 4 0.000000 0 Q 161200 JAN 30, 2012 11:43 AM TANK MANIFOLDED PARTNERS TANK PRODUCT LABEL SIPHON MANIFOLDED TANKS LINE MANIFOLDED TANKS 1 REGULAR UL TANK 1 NONE NONE 2 REGULER ULTANK 2 NONE NONE 3 PREMIUM NONE NONE 4 NONE NONE Q 162100 JAN 30, 2012 11:43 AM TANK LOW PRODUCT LIMIT TANK PRODUCT LABEL GALLONS 1 REGULAR UL TANK 1 900 2 REGULER UL TANK 2 900 3 PREMIUM 900 4 0 Q Q 162200 JAN 30, 2012 11:43 AM TANK HIGH PRODUCT LIMIT TANK PRODUCT LABEL GALLONS 1 REGULAR UL TANK 1 9519 2 REGULER UL TANK 2 9519 3 PREMIUM 9519 4 0 Q 0 162300 JAN 30, 2012 11:43 AM TANK OVERFILL LEVEL LIMIT TANK PRODUCT LABEL GALLONS 1 REGULAR UL TANK 1 9018 2 REGULER UL TANK 2 9018 3 PREMIUM 9018 4 0 162400 JAN 30, 2012 11:43 AM TANK HIGH WATER LEVEL LIMIT 3189556 l ATG Information Work Order# 3189556 TANK PRODUCT LABEL INCHES 1 REGULAR UL TANK 1 1.5 2 REGULER UL TANK 2 1.5 3 PREMIUM 1.5 162800 JAN 30, 2012 11:43 AM TANK MAXIMUM VOLUME LIMIT TANK PRODUCT LABEL GALLONS 1 REGULAR UL TANK 1 10020 2 REGULER UL TANK 2 10020 3 PREMIUM 10020 4 0 162900 JAN 30, 2012 11:43 AM TANK DELIVERY REQUIRED LIMIT TANK PRODUCT LABEL GALLONS 1 REGULAR UL TANK 1 1503 2 REGULER UL TANK 2 1503 3 PREMIUM 1503 170300 JAN 30, 2012 11:43 AM LIQUID TYPE SENSOR LOCATION TYPE 1 DISP PAN 1 -2 TRI -STATE (SINGLE FLOAT) 2 DISP PAN 3-4 TRI -STATE (SINGLE FLOAT) 3 RUL 1 TURBINE TRI -STATE (SINGLE FLOAT) 4 RUL 2 TURBINE TRI -STATE (SINGLE FLOAT) 5 PUL TURBINE TRI -STATE (SINGLE FLOAT) 6 TRI -STATE (SINGLE FLOAT) 7 TRI -STATE (SINGLE FLOAT) 8 TRI -STATE (SINGLE FLOAT) 190200 JAN 30, 2012 11:43 AM SOFTWARE REVISION LEVEL VERSION 329.02 SOFTWARE# 346329 -100 -C CREATED - 09.07.01.16.29 S- MODULE# 330160 -162 -A SYSTEM FEATURES: PERIODIC IN -TANK TESTS ANNUAL IN -TANK TESTS CSLD BIR PLLD 0.10 AUTO 0.20 REPETITIV WPLLD 0.10 AUTO 0.20 REPETITIV D 120600 JAN 30, 2012 11:43 AM 235067 7 -11 17721 3601 STOCKDALE HWY BAKERSFIELD,CA. 80749954505001 TANK ALARM HISTORY TANK 1 REGULAR UL TANK 1 HIGH WATER ALARM JAN 30, 2012 10:57 AM OVERFILL ALARM JAN 30, 2012 10:50 AM JAN 30, 2012 10:45 AM LOW PRODUCT ALARM JAN 30, 2012 10:41 AM NOV 14, 2011 11:54 AM HIGH PRODUCT ALARM JAN 30, 2012 10:51 AM JAN 30, 2012 10:48 AM 3189556 ATG Information Work Order # 3189556 JAN 30, 2012 10:45 AM INVALID FUEL LEVEL JAN 30, 2012 10:41 AM NOV 14, 2011 11:58 AM PROBE OUT JAN 30, 2012 11:00 AM JAN 30, 2012 10:40 AM NOV 16, 2011 10:28 AM HIGH WATER WARNING JAN 30, 2012 10:57 AM DELIVERY NEEDED JAN 30, 2012 10:41 AM NOV 14, 2011 11:49 AM MAX PRODUCT ALARM JAN 30, 2012 10:51 AM LOW TEMP WARNING JAN 30. 2012 11:01 AM TANK 2 REGULER UL TANK 2 HIGH WATER ALARM JAN 30, 2012 10:49 AM OVERFILL ALARM JAN 30, 2012 10:42 AM SEP 25, 2011 4:54 AM LOW PRODUCT ALARM JAN 30, 2012 10:39 AM NOV 13, 2011 6:24 PM HIGH PRODUCT ALARM JAN 30, 2012 10:43 AM INVALID FUEL LEVEL JAN 30, 2012 10:58 AM JAN 30, 2012 10:40 AM JAN 30, 2012 10:39 AM PROBE OUT JAN 30, 2012 10:58 AM JAN 30, 2012 10:39 AM NOV 16, 2011 10:47 AM HIGH WATER WARNING JAN 30, 2012 10:49 AM DELIVERY NEEDED JAN 30, 2012 10:39 AM NOV 25, 2011 5:19 PM NOV 12, 2011 6:23 PM MAX PRODUCT ALARM JAN 30, 2012 10:43 AM TANK 3 PREMIUM HIGH WATER ALARM JAN 30, 2012 10'R5 AM OVERFILL ALARM JAN 30, 2012 10:53 AM LOW PRODUCT ALARM JAN 30, 2012 10:57 AM JAN 30, 2012 10:42 AM NOV 14, 2011 11:27 AM HIGH PRODUCT ALARM JAN 30, 2012 10:54 AM INVALID FUEL LEVEL JAN 30, 2012 10:57 AM JAN 30, 2012 10:42 AM NOV 14, 2011 11:30 AM PROBE OUT JAN 30, 2012 11:34 AM JAN 30, 2012 10:56 AM JAN 30, 2012 10:41 AM HIGH WATER WARNING JAN 30, 2012 10:45 AM DELIVERY NEEDED JAN 30, 2012 10:57 AM JAN 30, 2012 10:42 AM NOV 14, 2011 11:20 AM MAX PRODUCT ALARM JAN 30, 2012 10:54 AM LOW TEMP WARNING JAN 28, 2012 3:55 PM C7 130200 JAN 30, 2012 11:44 AM 235067 7 -11 17721 3601 STOCKDALE HWY 6AKERSFIELD,CA, 80749954505001 LIQUID ALARM HISTORY REPORT SENSOR LOCATION 1 DISP PAN 1 -2 JAN 30, 2012 9:22 AM SENSOR OUT ALARM JAN 30, 2012 9:21 AM FUEL ALARM 2 DISP PAN 3-4 JAN 30, 2012 9:22 AM SENSOR OUT ALARM JAN 30, 2012 9:21 AM FUEL ALARM 3 RUL 1 TURBINE JAN 30, 2012 9:22 AM SENSOR OUT ALARM JAN 30, 2012 9:19 AM FUEL ALARM 4 RUL 2 TURBINE JAN 30, 2012 9:22 AM SENSOR OUT ALARM JAN 30, 2012 9:18 AM FUEL ALARM 5 PUL TURBINE JAN 30, 2012 9:22 AM SENSOR OUT ALARM JAN 30, 2012 9:20 AM FUEL ALARM NP-M IS ATG Information Work Order# 3189556 110100 IAN 30, 2012 11:45 AM 235067 7 -11 17721 3601 STOCKDALE HWY 13AKERSFIELD.CA. 80749954505001 SYSTEM STATUS REPORT D 5:ALARM CLEAR WARNING 3189556