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Home My WebLink About2525 WHITE LANE (6)2s5 MONITORING SYSTEM CERTIFICATION For Use ByAll Jurisdictions Within the State ofCalifornia Authority Cited.• Chapter 6 7, Health and Safety Code; Chapter 16, Division 3, Title 23, California Code ofRegulations This form must be used to document testing and servicing of monitoring equipment. A separate certification or report must be prepared for each monitoring system control panel by the technician who performs the work. A copy of this form must be provided to the tank system owner /operator. The owner /operator must submit a copy of this form to the local agency regulating UST systems within 30 days of this date. A. General Information Facility Name: Chevron Site Address: 2525 White Lane City: Bakersfield Bldg. No.: Zip: 93304 Facility Contact Person: Gaby Jabbour Contact Phone No.: 805 - 4444229 Make/Model of Monitoring System: Veeder -Root TLS 350 B. Inventory of Equipment Tested/Certified appropriateCheektheappropre bo to to to specific egtdpmmt hupft- tWservteed: Date of Testing/Servicing: 10/24/2011 Tank ID: 12000 gal. Regular Tank ID: 12000 gal. Super x] In -Tank Gauging Probe. Model: 847390-107 x] In -Tank Gauging Probe. Model: 847390 -107 x] Annular Space or Vault Probe. Model:Ronan O Annular Space or Vault Sensor. Model: Ronan 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: Mechanical Line Leak Detector. Model: Mechanical Line Leak Detector. Model: U Electronic Line Leak Detector. Model: PLLD L] Electronic Line Leak Detector. Model: PLLD x] Tank Overfill / High Level Sensor. Model: OPW -81-80 x] Tank Overfill / High Leval Sensor. Model: OPW -61-30 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. Mode1:847390 -107 In -Tank Gauging Probe. Model: x] Annular Space or Vault Sensor. Model:Ronan Annular Space or Vault Sensor. Model: X] Piping Sump / Trench Sensor(s). Model:794380-20 Piping Sump / Trench Sensor(s). Model: Fill Sump Sensors(s). Model: Fill Sump Sensor(s). Model: Mechanical Line Leak Decector. Model: Mechanical Line Leak Detector. Model: x] Electronic Line Leak Detector. Model: PLLD Electronic Line Leak Detector. Model: x] Tank Overfill / High Level Sensor. Model: OPW -61-SO Tank Overfill / High Level Sensor. Model: Other (specify equip. type and model in Sec. E on Pg. 2) Other (specify equip. typs and model in Sec. E on Pg. 2) Dispenser ID: 1 & 2 Dispenser ID: 3 & 4 Dispenser Containment Sensor(s). Model: Dispenser Containment Sensor(s). Model: X] Shear Valve(s). x] Shear Valve(s). x] Dispenser Containment Float(s) and Chain(s). x] Dispenser Containment Float(s) and Chain(s) Dispenser ID: 6 8t 6 Dispenser ID: 7 & 8 Dispenser Containment Sensor(s). Model: Dispenser Containment Sensor(s). Model: x] Shear Valve(s). X] Shear Valve(s). U Dispenser Containment Float(s) and Chains(s). x] Dispenser Containment Float(s) and Chain(s). Dispenser ID: Dispenser ID: Dispenser Containment Sensor(s). Model: Dispenser Containment Sensor(s). Model: Shear Valve(s). Shear Valve(s). Dispenser Containment Float(s) and Chain(s) Dispenser Containment Float(s) and Chain(s). If the facility contains more tanks or dispensers, copy this form. Include information for every tank and dispenser at the facility. C. Certification - I certify that the equipment identified in this document was inspected/services in accordance with the manufacturers' guidlines. Attached to this Certification is information (e.g. manufacturers' checklist) necessary to varify that this information is correct and a plot plan showing the layout of monitoring equipment. For equipment capable of generating such reports,l have attached a copy of the report; (check all that apply) x S st Set -up Alarm story port Technician Name (print): Bryan A Self Signature: 9= Certification No: 837601 License No: 804904 Testing Company Name: CoMidence UST Services, Inc. Phone No: 800 -339 -9930 Site Address: 2526 White Lane, Bakersfield, CA 93304 Date of Testing/Servicing: 10/24/2011 D. Results of Testing/Servicing Software Version Installed: 329.01 Complete the following checklist: x] Yes No* Is the audible alarm operational? x Yes M No* Is the Visual alarm operational? xj Yes No+ Were all sensors visually inspected, functionally tested, and confirmed operational? x Yes No* Were all sensors installed at the lowest point of secondary containment and positioned so that other equipment will not interfere with their proper operation? Yes No* 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 ifthe piping secondary N/A containment monitoring system detects a leak, fails to operate, or is electrically disconnected? Ifyes: which sensors initate positive shut -down? U Sump/Trench Sensors Dispenser Co tainment ensors Did you confirm positive shut -down due to leaks and sensor failure /disconnected? E Yes; [ No;' Yes No* For tank systems that utilize the monitoring system as the primary tank overfill warning device (i.e. no U 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? Ifso, at what percent oftank capasity does the alarm trigger? % Yes* U 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? Product; Water. If yes, describe causes in Section E, below. x Was monitoring system set-up reviewed to ensure proper settings? Attach set-up reports, if a pl ca le. x yeS No* Is all monitoring equipment operational per manufacturer's specifications? In Section E below, discribe bow and when these deficiencies were or will be corrected. E. Comments: F. In -Tank Guaging / SIR Equipment: Ex] Check this box if tank guaging is used only for inventory control. Check this box if tank guaging or SIR equipment is installed. This section must be completed if in -tank guaging equipment is used to perform leak detection monitoring. Complete the following checklist: 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 followine checklist: xj Yes x Yes No* Has all input whin been inspected for proper enter and termination,including testing for pond faults? x Yes X Yes No* Were all tank guaging probes visually inspected for damage and residue buildup? x Yes Yes No* Was accuracy of stem product level readings tested? For mac anica LLD's, does the LLD restrict product flow if it detects a leak? x Yes N/A No* Was accuracy of system water level readings tested? X Yes No*1 Were all probes reinstalled properly? x Yes No* I Were all items on the equipment manufacturer's maintenance checklist completed? In the Section H, below, describe how and when these deficiencies were or will be corrected. G. Line Leak Detectors (LLD): Check this box if LLD's are not installed. Complete the followine checklist: xj 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? Yes No For mac anica LLD's, does the LLD restrict product flow if it detects a leak? x N/A x] Yes No* For electronic LLD's, does the turbine automatically shut off if the LLD detects a leak? N/A x] Yes No* For electronic LLD's, does the turbine automatically shut off if any portion of the monitoring system is N/A disabled or disconnected? x Yes No* For electronic LLD's, does the turbine automatically shut off if any portion of the monitoring system N/A malfunction or fails a test? x Yes No* For electronic LLD's, have all accessible wiring connections been visually inspected? 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: WHITE LIir1E i;HEVR+;rI 252'5 wii I TE LHNE l%EkSF 1 ELD CA 93:304 661-832-9761 OCT 24, 2011 10:03 AM S'I'STEM STHTUS REPORT ALL F'Uh- j(TION3 hIC:Rh1r L I NVENI'ORY PCPORT T 1:DIESEL VOLUME = 20=15 (;HLS ULLAC: ;E - 9977 GALS 90N UILLI•+C ;En 8774 GALS TC: VOLUME = 2024 GHLS HE 1 C;HT - 25.10 1 Igr;HES WATER VOL - U GALS WATER = 0. 00 1 NCHE;S TEMP = 93.0 DE13 F T 2 : SUPRErIE VOLUME = 2693 0-;LS ULLAGE = 9:329 GAL:= 90 % UL1..A+3E= 812E GALS TC VOLWE = 2651 GALS HE I iBHT = 30.52 11101,1ES WATER VOL = 1= '.GALS WATER = 0.80 1 NC:HES TEMP = 62.5 DEG F T 3 : REGULfAR VOLUME = 5857 GALS ULLAGE = 6165 C:ALS 904 ULL)iC ;E= 4962 GALS TC VOLUME - 5769 Gml-S HEIGHT = 54.38 1 NC'HES WHTTR VOL = U GALS LATER a 0.00 INCHES TEMP = 81.2 DEf3 F i t A w) END f R 0 r. A SOFTa+aRE P.E'tl1:= 1,7h1 LEL +EL VERSION 3'29.01 SOFT1,11AREtt C'REATECI - 09.1) 1 . '21:1. 15.44 S- HODULEit ;330160 UU•I-a SYSTF.11 FEIiTURE.S : PhM. I C D I C: 1 IV -TAANK TESTS rNIT)AL l iV -' ,ow TE- T:; ISD SYSTEM UNITS U.S. SYSTEM LANGIIHGE EN" ;L I :SH SYSTEM DA'I'S, '1' 11,1E FORMAT MON DD Y''iYY HH : MIN : SS phi WHITE LANE CHrVF:ON 2525 WHITE LANE BAKERSF I ELD CA 93"7104 661 -532 -9761 SHIFT TIME 1 5 :0D All SHIFT TIME 2 DISHBLED SHIFT TIME 3 D 1:S(18LED SHIFT TIME •1 DISABLED TANK PER TST NEEDED WRIV DISABLED TANK ANN TST NEEDED WRIV DISABLED LINE FE-ENABLE METHOD PASS LINE TEST LINE PER T27T NEEDED WRIV DISABLED L 1 IVE ANN TST NEEDED 6)RIV DISABLED PRINT TC VOLUMES ENABLED TEMP COMPENSHTION VALUE (DEC F ): 60.0 STICK HEIGHT OFFSET DISHBLED ULLAGE: 9W. p 14-PROTOCOL DATA FORMAT HE 1 GHT PRECISION TEST DURATION HOURS: 12 DAYLIGHT SAVING TIME ENABLED START DATE MAR WEEK 2 SUN START TIME 2:00 AM END DATE NOV WEEK Y SUN END TIME 2:00 AM RE -D I REu LOi_r L PR 1 I•ITOUT DISABLED EUP.O F'ROTO('OL PREFIX S SYSTEM SEC UR I TY CODE : 000000 11A I NTENANCE H I S'I'i)RY DISABLED TANK CHART SE,.I.IR I T`! DISHBLED CUSTOM ALARM: DISABLED SERVICE NOT I ,:E D 12ABLED ISO 3166 ! :OUNTRY CODE: I-IASS -, DENS 1 TY DISHBLED f t hll lUh; I isiAT t Oft SETUP I Uk'r SETT I NC;S G'+;1411 B'Ji F.'I+ 1 0 %,S-23'2+ pl:0.1111 ROTE T'Y EVEN STOP BIT I STOP 1'4;T6 LENt:TH: 7 IlHTH CODE : DiSHHLED i::(if9l`I BOARD : 3 1 F:D I r1 > R:2 -232 SE(J)PITY 1,011E : D 15HLf1.ED rc ru'1 BOiAk1! 5 tR-465) NAIID kAT'L" : 24gCi PARITY N < >NE STOP BIT. 'I STOP DHTH LE1,1'rH : 7 11, iTA R -232 SE-. UY. I TY i'ODE D I :;HBLED 01.1M BOARD 6 t R, D+AUL RATE 960Gt I -mPITY NONE S'rOP B 1 r 2 STOP OATH LENGTH: 8 DtiTA F,;-232 SECURITY COIJE I? I SAt I_ED f4ff 't7 TRHI.ISM i T t:E'171 NCS iAUTO I_EmK rAl : %R11 LIMIT D I iSABLEl I AUTO} H1C:11 wji 1'EY. L1M1'r D I SHNL.ED AUTO OVERF I i_i_ 1-1111T LiSABLED 1.11'o LOW 1'PGL,i1!`T it I SHBLEI I mu'ro THEi''r L I r1 IT D I S BLED AUTO DELIVERY PAPT ti 1 SHEfLEr+ AUTO DELIVDrl' END DISAHLEr, rAUTGJ EXTERNAL INPUT ON D 15NljLED AUTO E'•''rmmi. I NPUT OFF D l F;I-;BLED iAUTO SENSOp. I I.iEI. A1.AE 11 L1 I SABLLD HUTO SEN:Ok I.li rL R i1Lf;RM DiSHB..ED AUTO SENSOR OUT ALARM D 1SABL.Ei., RS- -'3:.' END OF ME:SSASE I., I., I N-TAN); SETUP 1' i:DIESEL 2.0 PRODUCT CODE I THERMAL COE17F :.000450 12i3c2 1'H NK DI Ai'11 'ER I 1 1.40 TANK PROFLELE 4 PT'i FULL. VOL 1202 Q_ 63.3 1 Nf'lj VOL 9677 55.5 INCH VOL 6011 27.8 1 NC:H VOL 2357 FLOAT :SIZE: 4.0 WATER WARN I NG; 2.0 HIi H WATER LIMIT: 3.0 MH:A OR LA131_i. VOL: 12i3c2 OVERFILL LIMIT 9Ct:6 TO-INK PROFILE IQ@19 H I GH PRODUCT 95 ": 83.3 i N1 H VOL 11421 DELI VERY L 1 111 T 12% 27.13 1NOH VOL 1442 LOW PRODUCT 500 LEA); ALARM LIMIT: 32 SUDDEN LOS:- LIMIT: 25 TANY TILT O.70 PROBE OFFSET 0.00 SIPHON MArJ I FOLDED TANKS Tit: NONE LINE MANIFOLDED TANKS TO: NONE T 2:SUPREME PRODUCT CODE THERMHL COEF17 000,11-10 - TANK OlAMETER III.00 TO-INK PROFILE 4 PTS FULL VuL 12022 83.3 i N1 H VOL 9677 55.5 INCH VOL 6011 27.13 1NOH VOL 2357 FLOAT SiZE: 4.13 WATER WAR141NG HIGH WATER LIMIT: 3.0 MAX OR LABEL VOL: 12022 OVERFILL LIMIT 90 %t Itl@19 HIGH PRODU( :T 95% 11421 DELIVERY LIMIT 12: 1442 LOW PRODUCT 500 LEAK ALARM LIMIT: 32 SUDDEN LOS'S LIMIT: 25 TANK TILT 2.00 PROBE OFFSET 0.00 SIPHON MAN I FOLDEL, TANKS Ta: NONE L 1 NE MAN 1 FOLD1.1) 'rArn;5 TO: NONE LEAK MIN PERIODIC: ++ LEAK M114 (41111LI 1L 0% I..EA)C MIN PER l OD I C• : Or 0 u LEAK MIN ANNUAL : 0: PERIODIC TEST TYPE 0 S'I ANDHRD PERIODIC TEST TYPE STANDARD ANNUAL TEST FAiL ALWk11 DISABLED PERIODIC T'E.yT FAlI ALi•1R11 DISABLED GROSS TEST FA l L i1L /4.11 D I SABLED ANN TEST AVERAGI3 : OFF PER TEST AVEP.H(; l hlr, : OFF T(AriF TEST 1,10T I FY : OFF T1,11'. 'rST SIPHON BREH); :OFF DELIVERY DELAY 1 MIN PUMP THRESHOLD 117.06% ANNUAL TEST FAIL ALARM DISABLED PERIODD' TEST FAIL AI_NRM DlSHBLED i:;ROSS TEST FAIL ALARi•1 D I SHBLED ANN "fEST AVER. iC.'Ii,IG: OFF PER TEST OFF TANK TEST NOTIFY: OFF TINY, TST SIPHON I3Rb,1::OFF DELIVERY DELAY 3 M114 PUMP THRESHOLD 10.UO'. ULHP'. I'I tFkh1A1. L'i.ILI I= Up0'7011 7 HrIK L' I iVrlLT1 'I•: I I I .00 TANK PROF I LL F'ULI. V11- 1202- -2 x13.3 1 N01 VOL 91.77 55.5 1 Nt' tl VOL 6011 27.8 I N1:'Lt VOL 2J57 FLOC+ T 'SIZE: •t . 0 IN. WATER Wi-iRtl I No :: 0 HIi:H LIfirER LIMIT: 3.0 OF LNHFI, VOL: I-u;:. OVERF I LL L 1111'I 9IJ'. 10819 HIGH PRODIJi:'T f 5 =. I 1 •1'? I DELIVERY LIMIT 12'. I X1.12 LOW PPOLnp,T 500 LFmK. 1ALARt•1 I_ 1 P5 I T : Z2 SUDD01 LOSS L I m rr : 5 TAN): T I LT 2.00 PROBE OFFSET O.OG S I PHON K N i TANKS Tv: NONE LINE I°IAN I F'01.14:L l'ti171:13 Tu: NONE LEAK MIN PEN'IvDIC: u -. 0 LEAK M114 ANNUil. 4'- u PERIUU[; TEST TYPE STAND+tRU Hr71'lUfiL TEST FA I I . HI_f \FiI") GI::iiliil,f•:f1 PER 1 OL I TEST Fm I i.. ob-iRM UI:HIiI.GD ROS3 TE:_ T FH I L r;LHRI °t Ul:ialll.E:f wNN TEST F- +vEKAC I NG : OFT PER TEST 01 -F TAN). TENT NOTIFY: OFF rNY TAT SIPHON BkGa); :OFF r,EL I VERY 5FL AY :+ 111 N PUI1P THRF,'SHOLD : 10.00:: LEAK TEST NETHOD E-ST ON DATE : ALL TtaHV JAN 2191 2009 START TIME : DISABLED TEST RATE :0.20 GAL HR DURHTION : 2 HOURS EARLY STOP : D l f1RDLED LEAK. TEST REPORT FORMAT NORVIAL PPE :SURE LINE LEAl, SETUP 0 I:DIESEL TVP : 2.0- 3.01 m F I BEK;I.HSS 2. 01 Id 0 1H LEN: 100 FEET 3.01 N DIA LEVI : 0 FEET SHUTDOWN RATE: 3.0 GPH LOW PRESSURE SliUTOFF:NO LOW PRESSURE : U PSI T ):DIESEL DISPENSE MODE: hTANDARD SENSOR: H 1 t:H PRESSURE PRESSURE OFFtitT: IJ.OPSI 0 2 : SUPREI.IE TIP : 2 .0: s. O1 N F I BIERCL.ASS DIN DIA LEN: 160 FEET 3.0114 DIA LEN: U FEET SHUTDOWN RATL: :3.0 OPH L061 PRESSURE SHUTVFF:NO LOW PRESSURE 0 PSI T 2:SUPREI•IE DISPENSE MODE: SThNDARD SENSOR: HIGH PRESSURE PRESSURE OFFftET : O.OPS I G 3:kEi:Ul..i•Ik TYP : 2.0. 3.0I N F I BERGLoS ' 2.01N DIA LEN: 180 FEET 3.iillV DIA LEN: 0 FEET SHUTDOWN RATE: 3.0 GPH LOW PRESSURE SHUTOFI :: rlo LOW PRESSURE U PSI T 3:REGULAR DISPENSE MODE: STANDARD SENSOR: H I i:H PRESSURE PRESSURE OFFSET: 0.0F Sl LINE LEAK LO,,K,OIJT SE'I'UL• LOCKOUT SCHEDULE DAILY START TIME: DISABLED STOP TIME : DISABLED L 1 CAJ I D SEhI:-,*OR ::3E'I'IJP I_ I :D I ESEL will NORMALLY' MOSED CATEGORY : ANNULAR SPt;CE L 2:DIESEL STP TRI - STATE (SIrx :LE FLOAT) C rEGoRY : STP SLUIP L 3:31.1PREME ANN NORMALLY CLOSED CATEGORY : ANNULAR S'PHCE L d:SUPREtyE STP TRI -STATE (SINGLE FLOAT) CATEGORY : STP SUMP L 5 : REi:UI_AR wol NORI"ViLLY CLOSED CATEGORY : ANNULAR, SPru:E L 6: REC.ULAR sTp 1'R I -:STATE t. S l NGL.E Fl-UHT) CATEWR`! : OTHER jFNSORs PLLD L I IJE D I S tRLE SETUP 0 1 :DIL• iEI- T I :H 1 GH WATER HLtiP.I-I T I : LOW PRUDi.n_"I' ALAH'I LIQUID SENSOR ALMS L, I :FUEL ALARM L 2 : FUfiL ALARM L I :SENSOR OUT ALARM L 2:SENSOR OUT HI_HI2t °I L I :SHORT ml-ARM L 2:SHORT ALARM L 2:1-110H 1-101.111) ALARM C: -2:2UPRENE 1 N -TAN}' HI_I- iRf°ISi T 2: H I C:H WATER HLAPI•I T 2 :LOW PRODUCT of -mRI•I L 101.11 D P:EITSOR ALMS L 3: FLIEL ALAkhI L 4 : FUE:L ALARM L 3 :SE1'ISUR OUT ALARM L i:SENSOR OUT ALARM L 3:51•tOR'f ALARM L 4:SHORT ALARM ISD SITE ALoPMS ISD GROSS PRES FAIL ISD DECP.D PPES FAIL ISD VAPOR LEA}! FAIL ISD VP PRES FAIL ISD HOSE ALARMS ALL : GROSS i ,,)LLECT FAIL ALl_ : DEC:RD COLLECTf FAIL ALL:FLOW COLLECT FAIL 0 3: REGULAR I N -TAM): ALARMS T 3:HIGH wmTER ALARM T 3:0U1 PRODUCT ALHRI°I LIQUID ;EWSGR ALMS L 5: FUEL ALAkt•I L 6: FUEL ALPtRM I- S' SENSOR OUT AI-4 -t I L 6 :SENSOR' OUT ALARM L 5:SHORT ALARM L 6:SHORT ALARM L 6:1111',11 I_ I OU I D ALARM ISD SITE ALARI IS ISD GFOSS PRES FAIL EVR.ISD SETUP ISD DEGRD PRES FAIL ISD VAPOR LEAK FAIL ISD VP PRES FAIL EVR TYPE; BALANCE 15D HOSE ALARMS ALL : GROSS COLL.E(;T FAIL BALANCE NOZZLE TYPE ALL : DECRD COLL.EC T F;)1 l_ VST 0-1LL : FLOW COLLECT FAIL VAPOR PP.00ESSOK TYPE VEEDER -ROUT POLISHER ANALYS I S TI 11E! TIME: 10:00 AM DELAY 111 NU'1'LS : I ISD FUEL GRADE" HOSE MAP 1 3 4 FP 11HH MHH (`IHII llIHH AA OU 401 501 901 U IJ 1 01 402 502 902 U U 1 02 403 503 9013 0 U 03 404 504 904 0 U 2 04 405 505 905 U U 3 05 406 506 906 U U 3 06 407 507 907 0 U it 07 408 508 900 0 U 4 LABEL TABLE A0,*EPT HIGH ORVR: 2: DISABLED 3: REGULAR. Si APTSENF:GR SETUP M I D GRADE 5: PREMIUM ISD HOSE TABLE DRONZE 1 D FP FL HL HI.1 RP s 1:PRESS SENSOR BLEND4 CATEGORY VAPOR PRESSURE Ci 1 00 01 01 Li 1 UU 02 01 02 0' 01 UU s 2 : GAIV I STEP 03 02 03 02 02 UU CATEGORY VAPOR VALVE 04 03 04 02 02 UU 05 04 05 02 03 UU s 4:FM I - 06 05 06 02 03 uU CATEGORY AIR FLOW METER 07 06 07 04 UU Ott 07 08 02 04 UU t 5:FM 3 -4 Cr TEGOPY AIR FLOW PIETER ISD AIRFLOW METER NAP s 6 :Fhl 5 -6 ID SERIAL NUM LABEL CATEGORY AIR FLOW METER 1 36974 FIJI I -2 s 7:FM 7 -8 2 36687 F19 3 -4 0A CEGC >RY AIR FLOW METER 3 36611 I"11 5 -6 4 36598 FM 7 -8 s 8 : ATMP PRESSURE CATEGORY ATM P SENSOP ISD FUEL GRADE" HOSE MAP 1 3 4 FP 11HH MHH (`IHII llIHH AA OU 401 501 901 U IJ 1 01 402 502 902 U U 1 02 403 503 9013 0 U 03 404 504 904 0 U 2 04 405 505 905 U U 3 05 406 506 906 U U 3 06 407 507 907 0 U it 07 408 508 900 0 U 4 LABEL TABLE I: UNASSIGNED 2: BLEND3 3: REGULAR. 4: M I D GRADE 5: PREMIUM 6: GOLD 7: DRONZE 8: SILVER 9: BLEND2 10: BLEND4 PMr. SETUP PH(: VEP.S I UIV : 01 .02 VAPOR PROCESSOR 'TYPE VEEDER- ROOT POLISHER H1-ARM HISTORY kEPiiF'T SYSTEN PAPER OUT OC'T 7. 2011 12:02 Pl,l PRILATER ERROR 0C °1' 7. 201 1 12: ri2 PI"I REMO'T'E U I S'PI -we' ERROR SEP B. '2011 4:3G Pit ti .. .. r. rNp .. .. ALARM H l :;:TORY REPORT T I : [' I ESEL SUDDEN LOSS +,LARM mur, 217. 2,010 B: 05 Pr•l I NVI•IL I D FUEL. LEVEL OCT 17. 2010 1:35 AM SEP 29, ?010 2:50 PI °1 DELIVERY NEEDED OCT 2t. 2011 8:08 A;'I OCT 14. 2011 8:5G All OC:T 7, 201 1 1 : 0F PM r 's EI`JB 3t r r. : x ALARM H 1 S'I'tjR` REPOR'r 114-THNY•. ALARM - - - -- T '3 : SUPREME DELIVERY NEEDED SEP 26. 20111 12:43 F'M AUG 26. 2011 4:09 Pill AUG 19. 2011 5:36 PM r,; A n END t w A. HLARM HISTORY REPORT 1N —TANK ALARM — T 3: REGULt4R OVERFILL ALARM JUN 29. 2011 2:11 HM MAR 17, 2011 3:52' ALAI FEB 7, 2011 4:17 All HIGH PRODUCT ALARM AUG 29. 2010 8 :3? PM PROBE OUT APR 29. 2011 9::36 AM APR 29. 2011 9:24 HM DELIVERY NEEDED U:T 8, 20iI 8:3? PM SEP 16. 2011 6:37 PM JI.IL 1, '2011 9:21 PN LOW TEMP WARNING APR 29. '2011 9:38 AM y, r x x END x< A v .. a ALHRfl HISTORY REPO >RT SENSOR )LmRrl - - - -- L 1 : 01 ESEL AN111 A14NULAR SPACE FUEL ALARM OCT 5. 2010 9:21 AM FUEL HLHRl,I OCT 5, 2010 9:20 t;l•l FUEL ALARM OC:T 5. 2010 9:14 AM x 'A X X .. END ; .. f ALARM HISTORY REPORT SENSOR ALARM - - - -- L 2: D I ESEL STP STP SUMP FUEL ALARM APR 8. 2011 9:16 AM FUEL HLr RI•I MAR, 28, 2011 2 :02 PM FUEL ALARM MAR 28. 2011 2:02 P11 i, x x x '% END x ALARII H I STORY PEPOPT SENSOR wLl•1Fr1 -- - -- L 2:DIESEL STP arF' :,'UMP FUEL ALARM APR B. 2011 9:16 AM FUEL AL-iRM hVAP, tB. 2011 2:0:: PH FUEI. Al -f4Ri1 MHR 26. 2011 2:1 2 Phl s; x x x i END « '0 r: 4 AI..F1Rhl H I STORY RL•:PUkT SENSOR F;LmRri - - - -- L 3:SUPP.EME >4NII HIVNULo-)R SPHCE SETUP DATH WI;RIV I Plr': OrT 2.1. 2011 10:02 AM FUEL HLHRM Cx:T 24. 2011 9:53 AM SETUP DmTH WAPN I N- 140V I . 2010 10:10 01.1 ALAF41 HISTORY REPORT SENSOR ALAFM -- L 4:SUPREhIE STP 5TP SUMP FUEL ALARM r•1hR 17. 2011 3:05 W1 SEN:;OR OUT ALARM OCT 5. 2010 9:21 Ali SENSOR OUT ALARM OCT 5. 201 CI 9:211 13M x H x x 'r. END .i . A r t HLHRM HISTORY REPORT SENSOR ALARM - - - -- L 5:REk3ULAR ANN ANNULAR SPACE FUEL HLARM OC'T 5, 20111 9:21 AM FUEL ALARM OCT 5. 2010 9 :20 NM FUEL HLHRh1 OCT 5. 2010 9:15 AM A ErID . .t ". 'i . . . r . END 's . k .• i ALHklhl H I STORY REPCIFT SENSOR 04LARM - - - -- L 6 : REGULAR STP OTHER. SEIVSOkS FUEL MLAR11 APP 13, 2131 1 1 1 FUEL HLARM APR 9, 2011 9:24 Ahi SENSOR, OUT HLARIh OCT 5. 201 u 9: i FrM ri x k i END r. s ii k .. TRE,'!_w"URE LINE 1-CM), 1.DARH SENSOR HLARM 1,N.iHITE LANE CHEVRONLI :Lj I ESEL it-11,111 2525 WHITE LANE I-HUTDOWH HLI;Rll HNNI-11-e-iR BHKERSFIELD 0A 93304 C-(;T 24. I I 10:19 1-91 rijEl- "ADAR11 6J-832-9701ClOCT24. 2011 10:221 AM OCT 24, 2011 10:24 HM SYSTEM STATUS REPORT ALL FUm,,rioi%iLi i,toF.liAi, r'ENSOk 'Loflll L *:PE,','LlL.t4P 'F, FIRES-.AAE LIPIL LEmK ALAPll C:THER 0 2:aIPPEME FUEL ADIRN H-LD tiHUTDOWN HLHPI-I I'*T 24. 201 1 10:19 HM OCT ':4, 2011 10:22 i-vrl ARCHIVE UTILITY WAVE ciETW DATA: START TIME: OCT 24, 2011 10:26:09 #'V-1 FIRFS;IIPE LINE LEHK I-EPISOR Hb-iRH L 3:SUPREME (-410 tq,L[o U (-:,r 24. I ILI: l': pri FUEL HLHRMOCT01GPI- 2 Cj I I I ID : 22 W, SIT, PRESSURE LINE LEAK 01-HRM 0 ll:REGULAR T'll-D ALt-oRll r'T 24 - 20 1 1 10 : 19 i4l'l OC:T 24. 201 1 10: 22 AM APCHIVE UTILITY SfA\IE 7.;E'I'UP D,A,ri^k: END TIME: 0"1 24. 2101 1 10:21w I",; mN B"I"Mc), : 15872 LINE L17-Ai•: i ENWR fit,i4pll F'PESSURL LINE LEAF: Ab-%RmS-';U]-AR ANN1:j i :to I E2EL L :KE, ANNULAP SF'Al-E PLLD llr'HUTDOWN til_HRNFUELALARP,l oci 24 - 201 1 10: 22 HM OCT 24. T-101 i:Am sEn,,Op Al-hyll SENSOR ALARM J,lE":;EL SM, L 3:2UPREVIE olliq ll, ss UNP APINULFiR SPm(_'E FUEL AJ_ Pfi FUEL ALARM ol,:,r 7,4. 7,cil 1 113:2.10 14-1 M' 24. 2011 10: 28 mil PPE,S,-;URE 1-111IF LE;,I'. iiLi.iRll PRBSSURE L[PIE LEAK ADiRM i,j I: El J ESEL (,) I :DI ESEL F,LL[, ',-.:oHUTf,(_AJN rL.f:%RH N.11, SHUTDOWN AL-iRM OCT 2,1 • 2101 1 10 : 21 AH 0f::T 24. 2'01 1 10:'29 AM L I :D I ESEL ANN FI-IEJ- Al.oRII Of:'T '24. 20 1 1 10:'28 All SENSOR ALmPll L. STP sp sumP SEMOR wr musm ot,,*r 2.1. 2011 mil S'EITS0,R OUT ALPRl'l OCT 24. -,!) I I 1 11 : 2'8 All LIP ,E 1.1111E LE*,.' N.f-)P.111 6l 1 1 u: 2'G Hm FUEL tAl-HR.1-1 T 2 LI - I I I 11-1 : 28 All L OTHEP SEPISOK', SENSOR OUT HU-iPll WHITE LANE C'HEVPOI'4 2525 WHITE Li-ANE f-A 9:1304 6M - 0309781 OCT' 211. 2011 113:30 All SYSTEN STATUS REF,owr ALL FUNC*T I ONS NORNmL WHITE LANE -,HEVR0N 21525 WHITE LANE INKERSFIELD 0i 93304 1561-832-9781 OCT 24, 2011 10:73C1 N1 S'I'm'FUS REPORT iLL FIL11,10TIONS NOPMAL LA-11 TE LANE C'FIEVRON 2525, '.-,IHITE LANE BiAKER';'NELF) ('A 92:30.1 661 - 832 -97191 OCT 24 • 201 1 10 :4 1 Hl"I T I :DIESEL VOU-1111" . LILLA(;E = 9976 13AL2 90% Ml-kGE= 8773 GALS TC VOLT 31E - 2212.1 IIE I C.HT - 25. 10 1 N•HES WATER VOL = 0 ALS WATER . 0.00 1 N1,11ES I-Er-lP . 8J. I DEG F T PSUPREME VOLUME . 2694 GALS lJLLmGE = 9J28 GN-S' 90: !kLmGE= 8125 CALS TO VOLUME - 2650 GALS HE I GHT - 30.52 1 HCHES WiATER VOL - 12 GALS WATER . 0.81 1 IIICHES TEMP = 82.6 DEG F T 3 AEG MAR VOLUME . 5857 GALS) ULLpi','E = E.165 GoUni 90% 496' GALS TC; VOLUME - 5769 GALS HE I - 54.313 I W.1I ES WATER VOL - 0 .(-iLS WATER . 0.00 1 PICHES TErlF' . al.2 DEC, F PRESSURE LINE LEr4!. Hb,R-I'l 0 3: FE(;'JLAR GROL'DIS L I 14E FA I L OCT , 2,1, 2i-1I I ICI : 5U All F,PEI-:',SUPE L I NE I-EtAK. AbliPtl Q 3AE6ULiiR PLLD RHlrh,,,66mq Oi'.,T 24, 2011 10:51) f-Ml WHITE Lt-AIIIE GHEVP(.)N 2525 WHITE LANE BmKEPSFIELD CA 93q04 661-832-9781 oc*r 24 - 2o i I I 1): 51) Am Sl;'S,TEI,l 1MATI-12 REPORT 3: C;JdC)SS L I NE' Fm I L G 3:rLLri SHUTIJOWN PPE'SSLIPE LINE I..E(--,I: D ':SUPREME RC,SS L I 14F FFi I L Ot','T 24. 2011 10:56 All PRESSURE LINE ml-mlill C.) 2:SUPREME PLLP SHUTDOWN ml-tARI" OCT 24, 201 1 10: S6 P11 wo I rL LWIF CHEVRON Z525 66rri:-: LANE WHITE LmPIE "HFVR0Iq DAKFIRSFIELD r, KiJU-1 95:5 WHITE Lo4NF fIt"I -8 2-9781 i1H)-Ek:;FIELD 0A 92304 661-832-9781 0T 2 10:56 A1• OCT 24. 21311 11 :05 AM SYSTEH STi-fl*lj:i P.,EK,ORT c",'S TW,I SToTUS REI:,OP'I* LINE FmIL 1 L I PIE VIA I I., HL•Vf,l 0 •:13ROSS LINE FoM. 0 2'(;ROSS LINE FmIL i:PLLD SHUTDOWN ALARM Q 2:PLLr) SHUTDOWN HLARM 4o 3:13RUSS LINE FHIL 4 3:PLLIP SHUTrKupi HI-iiRli L1141: I-DAK "I-441H,11 0,1 1 :(,1 ESEL s:.),0SS LINE F,01- OCT 24. YOH ll*,I).l 011 WHITE LMNE C'HaIRON 2525 WHITE LmPIE W-WERSFIE'Ll) 661-832-9781 01—f 24. 21011 11:05 H-1 14F.IFSI. UPE LINE LEAP: E --'EL VSTEII STmTLIS REPORTb PLIJ) SHUTDWN ml-mPI-1 - - - - - - - - - - - - G!: T 2a. 2611 11:1-14 HM 1 I :GROSS L I 14E FA 11_ G I :T,I-Ll) SHUTDOWN HLARH G 2: *;R0SS, LINE FA I L 0 2:PLLD SHUTDOWN mLHRI,l 3::ROSS L I HE FA I L 1HITE LAIIF Clif ' VR0Iq 3:PLL[o SHUTDOWN i-if-HP.1-1 2525 WHITE LAWE BHK ERSF I ELD 661 -032 9781 01**T 24, 2'011 11 : IDS All S', A1: 3TEf1 :—;Ti-;T1jS RE1,0K1' G I LINE FAIL I :F,LI-D 'SHUTDOWN W-API'l CU 2:GPOS2 I- INL FAIL Gj '?:PLLI) SHUTDOWN kLHRI,l 1:1 Vo-01- C-i SHITHiO14PI r0.,ARM WHITI: LANE "107VP01-1 661 -832-9701 OC*r 24. 2ol I I I : I? mm SY!t',TIYI REPUPT 6 1: RQSS L 11-1 E Fi; I L I : PLU SHLl•rrjowjj ;ALtARM LINL PHIL 2:PLI-D SIIUTEJOVIN 61-HRI-I 121 3: GROSS LINE FAIL i D;PILLI.*, SHUTDOWN i-iLHPM PPL-3SUPE LINE LEAK i4i-iiPll C4 '':SUPREME PLLI., 4ifff.Xmi,i ALARI-i 01--r 24. 2011 1):43 Fill i•iIlJr4lJI-mR SPmcE FUEL i-)UAM Cll`T 24. 201 1 It :4'j I-q.1 WHITE LANE 1"l-ID)RON 2525 WHITE LHhIE DfAKM*nFIELD CH 9330.1 661-832-9781 0",'T 24 • 201 1 1 1 : -1i i4ll 2Y;TEM STATUS REPORT L 3:FUEL ml-AR11 0 2.PLI..D SHUTrOWN HLPARM WHITE LANE CHLMN 2,5215 WHITE I-mHE Si-WERSFIELI, --'- 93304 661-832-9781 CCT 24. 2011 1 :43 0411 SYSTEM STATUS L 3:FUEL mLARI-I Q 2:PLL1, 31-1UT[JOWN SWRCB, January 2006 Spill Bucket Testing Report Form This form is intendedfor use by contractors performing annual testing ofUST spill containment structures. The completedform and printoutsfrom tests (fapplicable), should beprovided to thefacility owner /operatorfor submittal to the local regulatory agency. 1. FACILITY INFORMATION Facility Name: Chevron I Date of Testing: 10/24/2011 Facility Address: 2525 White Lane, Bakersfield, CA 93304 Facility Contact: Gaby Jabbour I Phone: 805- 444 -4229 Date Local Agency Was Notified of Testing: 10/18/2011 Name of Local Agency Inspector (tfpresent during testing): Ester Duran 2 Super 2. TESTING CONTRACTOR INFORMATION Company Name: Confidence UST Services, Inc. Technician Conducting Test: Bryan A Self Credentials: I] CSLB Contractor OO ICC Service Tech. El SWRCB Tank Tester Other (Spec) License Number(s): CSLB# 804904 ICC# 8022804 -UT SWRCB# 11 -1756 3. SPILL BUCKET TESTING INFORMATION Test Method Used: OO Hydrostatic Vacuum 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: XDirect Bury Contained in Sump x Direct Bury Contained in Sump x Direct Bury Contained in Sump Direct Bury Contained in Sum Bucket Diameter: 12.00" 12.00" 12.00" Bucket Depth: 13.50" 13.50" 14.00" Wait time between applying vacuum/water and start oftest: 5 min. 5 min. 5 min. Test Start Time (T,): 10:00 am 10:00 am 10:00 am Initial Reading (RI): 10.00" 10.25" 9.75" Test End Time (TF): 11:00 am 11:00 am 11:00 am Final Reading (RF): 10.00" 10.25" 9.75" Test Duration (TF — Tj): 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 recommendedfollow -upforfailed tests) CERTIFICATION OF TECHNICIAN RESPONSIBLE FOR CONDUCTING THIS TESTING Ihereby certify that all the Information contained in this report is true, accurate, and Infull compliance with legal requirements. Technician's Signature: ` Date: 10/24/2011 State laws and regulations do not currently require testing to be performed by a qualified contractor. However, local requirements may be more stringent.