The URL can be used to link to this page

Home My WebLink AboutFMC 2011MONITORING 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 of Regulations 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: Shell Site Address: 4700 Coffee Road Facility Contact Person: Matt Jeffries Make /Model of Monitoring System: Gilbarco EMC B. Inventory of Equipment Tested /Certified Check the appropriate boxes to Indicate specific equipment Inspected /serviced: City: Bakersfield Bldg. No.: Zip: 93308 Contact Phone No.: 661 -496 -7006 Date of Testing/Servicing: 8/30/2011 Tank ID: 10000 gal. Regular (North) Tank ID: 10000 gal. Regular (South) X] In -Tank Gauging Probe. Model: 847390-107 x] In -Tank Gauging Probe. Model: 847390 -107 x] Annular Space or Vault Probe. Model: 794390-420 X] Annular Space or Vault Sensor. Model: 794390 -420 x] Piping Sump / Trench Sensor(s). Model: 794380-208 Piping Sump / Trench Sensor(s). Model: 794380 -208 X] Fill Sump Sensor(s) Model: 794380 -208 Fill Sump Sensor(s). Model: 794380 -208 J Mechanical Line Leak Detector. Model: FX1V x] Mechanical Line Leak Detector. Model: FX1V Electronic Line Leak Detector. Model: Electronic Line Leak Detector. Model: U Tank Overfill / High Level Sensor. Model: OPW -61 -SO Tank Overfill / High Leval Sensor. Model: OPW -6I -SO 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: 10000 gal. Super Tank ID: 10000 gal. Diesel x] In -Tank Gauging Probe. Mode 1:847390 -107 x] In -Tank Gauging Probe. Model: 847390 -107 rxj Annular Space or Vault Sensor. Mode1:794390 -420 x] Annular Space or Vault Sensor. Model: 794390 -420 L] Piping Sump / Trench Sensor(s). Model: 794380-208 X] Piping Sump / Trench Sensor(s). Model: 794380 -208 x] Fill Sump Sensors(s). Model:794308- 208 X] Fill Sump Sensor(s). Model: 794380 -208 x_1 Mechanical Line Leak Decector. Model:FX1y x] Mechanical Line Leak Detector. Model: FX1DV Electronic Line Leak Detector. Model: Electronic Line Leak Detector. Model: x] Tank Overfill / High Level Sensor. Model:OPW -6I -SO x] Tank Overfill / High Level Sensor. Model: OPW -6I -SO 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 8t 4 x] Dispenser Containment Sensor(s). Model: 794390 -420 X] Dispenser Containment Sensor(s). Model: 794390 -420 xl Shear Valve(s). X] Shear Valve(s). Dispenser Containment Float(s) and Chain(s). Dispenser Containment Float(s) and Chain(s) Dispenser ID: 6&6 Dispenser ID: 78,8 U Dispenser Containment Sensor(s). Model: 794390 - 420 x] Dispenser Containment Sensor(s). Model: 794390 -420 x] Shear Valve(s). Shear Valve(s). Dispenser Containment Float(s) and Chains(s). Dispenser Containment Float(s) and Chain(s). Dispenser ID: Dispenser ID: Dispenser Containment Sensor(s). Model: Dispenser Containment Sensor(s). Model: Shear Valve(s). Shear Valve(s). Dispenser Containment Float(s) and Chain(s) Dispenser Containment Float(s) and Chain(s). If the facility contains more tanks or dispensers, copy this form. Include information for every tank and dispenser at the facility. C. Certification -1 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 verify that this information is correct and a plot plan showing the layout of monitoring equipment. For equipment capable of generating such reports, 1 have attached a copy of the report; (check all that apply) x System Set -up Cx] Alarm history report Technician Name (print): Krlstopher Karns Signature: ,O 6 t Ie....• -. Certification No: 834106 Testing Company Name: Confidence UST Services, Inc. Site Address: 4700 Coffee Road, Bakersfield, CA 93308 License No: 804904 Phone No: 800- 339 -9930 Date of Testing/Servicing: 8/30/2011 D. Results of Testing /Servicing Software Version Installed: 329.00 Complete the following checklist: Lx] Yes No* Is the audible alarm operational? x Yes No* Is e Visua a arm operationa ? x Yes No* Were all sensors visually inspected, functionally tested, and confirmed operational? x I 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? Lj Yes No* If alarms are relayed to a remote monitoring station, is all communications equipment (e.g. modem) Hx N/A operational? x Yes No* For pressurized piping systems, does the turbine automatically shut down if the piping secondary N/A containment monitoring system detects a leak, fails to operate, or is electrically disconnected? If yes: which sensors irritate positive shut -down? Lx] Sump/Trench Sensors [x] Dispenser Containment Sensors Did you confirm positive shut -down due to leaks and sensor failure /disconnected'? [X] 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? If so, at what percent oftank capasity does the alarm trigger? 61-SO % 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* U No Was liquid found inside any secondary containment systems designed as dry systems? Product; Water. Ifyes, describe causes in Section E, below. x N * Was monitoring system set -up reviewed to ensure proper settings? Attach set -up reports, if applicable. LxJ Yes No* I Is all monitoring equipment operational per manufacturer's specifications? In Section E below, describe how and when these deficiencies were or will be corrected. E. Comments: Replaced the 8' goodyear hoses on Disp. #1 and #7. F. In -Tank Guaging / SIR Equipment: 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: U Yes No* Has all input wiring been inspected for proper enter and term ination,including testing for ground faults? x Yes No* Were all tank guaging probes visually inspected for damage and residue buildup? x Yes No* Was accuracy of system product level readings tested? x Yes No* Was accuracy of system water level readings tested? x Yes No* Were all probes reinstalled properly? U 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 following checklist: Lx] Yes No* For equip. start-up or annual equipment certification, was a leak simulated to varify LLD performance? Check all that apply) Simulated leak rate: 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? N/A Yes rj No* For electronic LLD's, does the turbine automatically shut off ifthe LLD detects a leak? Lx] N/A Yes No* For electronic LLD's, does the turbine automatically shut off if any portion of the monitoring system is x] N/A disabled or disconnected? Yes 7 No* For electronic LLD's, does the turbine automatically shut off if any portion of the monitoring system X] N/A malfunction or fails a test? F-1 Yes No* For electronic LLD's, have all accessible wiring connections been visually inspected? U N/A LxI 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: BROONSIDE MARKET 4100 COFFIE RD BAKERSFIELD CA 93308 661- 588 -1338 AUG 30, 2011 8- :48'AM SYSTEM WA7'US REPORT ALL FUNCTIONS NORMAL INVENTORY REPORT T I:UIESEL VOLUME = 3548 GALS ULLAGE - 6604 GALS 909 ULLAGE= 5588 BLS TC VOLUME - 3542 GALS HEIGHT - 36.45 11NCHE WATER VOL - 0 GALS WATER a 0,00 INCHES TEMP 93.1 DEG F T 2:.UNLEADED SOUTH VOLUME - 656,1 GALS ULLAGE = 3591 GALS 9M 'ULLAGE- 2575 GALS TO VOLUME - 6454 GALS HEIGHT - 58.97 INCHES WATER VOL - 0 GAL-9 WATER - 0.00 INCHES TEMP = 83.1 DEC F T 3:UNLEADED NORTH VOLUME 6861 GAYS ULLACE - 3291 GALS 9M ULLAGE- 2275 GALS TO VOLUME - 6750 GALS HEIGHT = 61.27 INCHES WATER VOL - 0 GALS WETTER = G.00 INCHES TEMP - 83.0 DEC F T 4:SUPREME VOLUME 7841 GALS ULLAGE - Ml GALS 909 ULLAGE- 1295 GALS TC VOLUME - 7682 GALS HEIGHT - 69 ..07 INCHES WATER VOL - 1-3 GALS WATERER m 0,.80 INCHES 89..0 DEG F X.9xxx END x?; -k 3N SOFTWARE REVISION LEVEL VERSION 39.00 SOFTWAREO 346399 -100 -A C:P.EATED - 08. 10.09.17 ,'08 S- MODULEO 330160-004 -a SYSTEM FEATURES: PERIODIC IN -TANK TESTS ANNUAL IN-TANK TESTS ID S5`YTEM SETUP AUG 30. 2011 8:48 AM SYSTEM UNITS U.S.. SYSTEM LANGUAGE ENGLISH SYSTEM DATElT- I ME FORMAT MON DD YYY1' HH : MM : SS xM BROOKSIDE.MARKET 4700 COFFIE RI) BAI:ERSF8- 1'IEL4 -CA 9330861 -58.338 SHIFT TIME 1 1:00 AM SHIFT TIME 2 DISABLED SHIFT TIME 3 DISABLED SHIFT TIME 4 DISABLED TANK PER TST NEEDED WRN D:1,SABLED TANK ANN TST NEEDED WRN DISABLED LINE RE- ENABLE METHOD PASS LINE' TEST LI.NE PER TST NEEDED WRN DISABLED LINE. 'ANN TST NEEDED WRN D ISABL:ED PRINT TC VOLUMES ENABLED TEMP cOMPENSATION VALUE (1)EG, F ) . :. 60.0 SIICSCKKHEFGHT OFFSET ULLAGE: 9OX H- PROTOCOL,DATA FORMAT HEIGHT DAYLIGHT SAVING TIME D1BABUD RE- DIRECT LOCAL PRINTOUT DISABLED EURO PROTOCOL PREFIX S SYSTEM SECURITY - CODE : 000000 MAINTENANCE HISTORY DISABLED THSAB CHART SECURITY 4USTOM ALARMS DISABLED 3ERV.ICE ,NOTICE DISABLED ISO 3166 COU.NtRY CODE: MASSo,4ENSITY DISABLED COMMUNICATIONS SETUP POaT SETTI NGS:: COMM BOARD : 3 '(ED.IM ) RS-202 SECUR LTY CODE : DISABLED COMM BOARD 5 (mom S SAUD RATE 9600 PARITY NONE STOP BI.T I STOP DATA LENGTH: B DATA R8 -232 SECURITY CODE DISABLED COMM BOARD 6 (RS -.232) BAUD. RATE 9600 PARITY NONE STOP BIT 1 STOP DATA LENGTH 8 DATA RS =232 SECURITY CODE : DISABLED AUTO TRANSMIT SETTINGS: AUTO LEAK ALARM LIMIT D.I SA8LED AUTO .HIGH IJATEP. LIMIT DISABLED AUTO'OVERFIL'L LIMIT AUTO LLO(4 PRODUCT DFW. LED AUTO THEFT LIMIT D I SABL.ED AUTO DELIVERY4TART DI..SAIILED AUTO' DEL [VERY END DI S#1BLED. AUTO EXTERNAL INPUT ON DISABLED AUTO EXTERNAL INPUT OFF DISABLED.. AUTO: SENSOR FUEL AIARpt DISABLED AUTO. SENSOR WATER. ALARM D L'SABLED AUTO SEN66R OUT ALARM DISABLED RS-232 END OF MESSAGE DISABLED C, I N -TANI: SETUP T I:DIESEL PRODUc* f CODE t THERMAL COEFF :.000045 TANK DIAMETER 95.75 TANK PROFILE t PT FULL VOL 10152' FLOAT SIZE: :1.0 IN. WATER. WARNING 2.0 HIGH WATER LIMIT: 3.0 MAX OR LABEL VOL: 10152 OVERFILL LIMIT 95% TANK DIAMETER 9644 HIGH PRODUCT 95% FULL VOL 9644 DELIVERY LIMIT 5% MAX OR LABEL VOL: 507 LOW PRODUCT 500 LEAX ALARM LIMIT: 99 SUDDEN LOSS LIMIT: 99 TANK TILT 0.90 PRONE OFFSET 0.00 SIPHON MANIFOLDED TANKS Tit: NONE L114E MANIFOLDED TANKS Ti:: NONE LEAK MIN PERIODI":: 04 0 LEAK MIN ANNUAL 17 101 PERIODIC TEST TYPE OUI": LIQUID SENSOR SETUP OUTPUT RELAY SETUP T 4:SUPREME PRODUCT CODE 4 THERMAL COEFF :.000700 L 1:REGULAR SOUTH R 1 : REC;ULAR SOUTH TYPE: TAN)' DIAMETER 95.75 TRI -STATE (SINGLE FLOAT) STANDARDTANKPROFILEIPTCATEGORY : ANNULAR SPACE NORMALLY CLOSEDFULLVOL10152 TANK 9: 2 FLOAT SIZE: 4.0 1N. 1. 2:REGULAR SOUTH WARNING 2.0 TR l - STATE (S I NGLE FLOAT) CATEGORY : PIPING SUMP IJ- TAIJIC ALARMS HIGH WATER LIMIT: 3.0 T 2:LOW PRODUCT ALARM MAX OR LABEL VOL: 10152 L 3:REGULAR SOUTH LIQUID SENSOR ALMS L 3:FUEL ALARMOVERFILLLIMIT95r. TRI .STATE (SINGLE FLOAT.) L13:FUEL ALARM9644CATEGORY : STP SUMP L14:FUEL ALARMHIGHPRODUCT95Y. L15:FUEL ALARM9654 DFL I VERY LIMIT 5% L 4 'REGULAR NORTH L16 : FUEL ALARM L 2:SENSOR OUT ALARM507TR:.:' PATE (SINGLE FLOAT) ANNULAR SPA(:E L 3:SENSOR OUT ALARM LUW PRODUCT 5D0 L13:SENSOR OUT ALARM L14 : SENSOR OUT ALARMLEAKALARMLIMIT: 99 L16:SENSOR OUT ALARMSUDDENLOSSLIMIT: 99 TANK TILT 2.30 L 5:REGULAR NORTH OUT ALARML16: HIGHPROBEOFFSET0.00 TRI - STATE (SINGLE FLOAT) L 3:H1GH LIQUID ALARML L13:H1GH LIQUID ALARMCATEGORY : PIPING SUMP L1.4:HIGH LIQUID ALARM SIPHON MANIFOLDED TANKS L15:HIGH LIQUID ALARM L16:HIGH LIQUID ALARMTO: NONE L 6:REGULAR NORTH LINE MANIFOLDED TANK`; TRI -STATE (SINGLE FLOAT) ISD SITE ALARMSTO: NONE CATEGORY . STP SUMP ISD GROSS PRES FAIL JSD DEGRD PRES FAIL L.fAI; MIN PERIODIC: 0% L QPREME ISD VAPOR LEAK FAIL ISD VP PRES FAIL0TRI -STATE (SINGLE FLOAT) ISD VF STATUS FA I LGATE( •')RY : ANNULAR SPACE LEAK MIN ANNUAL l: ISD HOSE ALARMS101ALL:FLOW COLLECT FAIL PERIODIC 'TEST TYPE L B:SUPREME TRI -STATE (SINGLE FLOAT) PMC ALARMS VP EMISSIONS FAILU1C1: CATEGORY PIP 1 NG SL4 IP VP PRESSURE FAIL ANNUAL TEST FAIL ALARM DISABLED L 9:SUPREME R 2:REGULAR NORTH TPI -STATE (SINGLE FLOAT) TYPE: STANDARDRDPlayIUliIC: TEST FAIL CATEGORY ! STP SUMP NORMALLY CLOSEDALARMDISABLED Gxo. :s TEST FAIL LIO:DIESEL TANK 0: 3 ALARM DISABLED TRI -STATE (SINGLE FLOAT) CATEGORY ' ANNULAR SPACE IN -TANK ALARMSANN 'TEST AVERAGING: OFF T 3:LOW PRODUCT ALARMPERTESTAVERAGING: OFF TANK TEST NOTIFY: OFF L11:DIESEL LIQUID SENSOR ALMS L 6:FUEL ALARMTRI- -STATE (SINGLE FLOAT) L13:FUEL ALARMTNKTSTSIPHONBREAK:OFF CATEGORY : PIPING SUMP L14:FUEL ALARM DELIVERY DELAY : 15 I °IIN L15:FUEL ALARM L16:FUEL ALARMPUMPTHRESHOLD10.00% L12:DIESEL TRI -STATE (SINGLE FLOAT) L 5:SENSOR OUT ALARM CATECORY : STP SUMP L 6 :SENSOR OUT ALARM L13:SENSOR OUT ALARM L14:SENSOR OUT ALARM L13:D1SPENSER 1 -2 L15 :SENSOR OUT ALARM TRI -STATE (SINGLE FLOAT) L16:SENSOR OUT ALARM CATEGORY : DISPENSER PAN L 6:HIGH LIQUID ALARM L13:HIGH LIQUID ALARM L14:HIGH LIQUID ALARM LI5:HIGH LIQUID ALARM L14:DISPENSER 3 -4 ISD SITE ALARMSTRI - STATE iSINGLE FLOAT) CATEGORY : DISPENSER PA14 ISD GROSS PRES FAILLE-A)'. TEST METHOD ISD DEGRD PRES FAIL TEST QN I+;-:TE ALL 'TANK- ISD VAPOR LEAK FAIL ISD VP PRES FAILOCT9. 20108 START '1'11"11" : DISABLED L15:DISPENSER 5 -6 ISD VP STATUS FAIL TEST RATE :0.20 43AL /HR TRI -STATE (SINGLE FLOAT) ISD HOSE ALARMSDURATION2HOURSCATEGORY : DISPENSER PAN ALL:FLOW COLLECT FAIL TST EHRL`; STOP :DISABLED PMC ALARMS LEAK TEST REPORT FORMAT L1.6:D[SPENS}3R 7 -8 VP EMISSIONS FAIL VP PRESSURE FAILNORMALTRI- STATE (SINGLE FLOAT) CATEGORY : DISPENSER PAN R,3:UPREME R 7:0.1 SP 5 -6 EVRZISD SETUPTYPE,.! , TYPE.:. STANDARD STANDARD NORMALLY CLOSED NORMALLY CLOSED TANK 9: 4 TANK 0: NONE E"VR TYPE:' BALANCE BALANCE NOZZLE TYPE I N -TANK ALARIhG L.I QU ID ,SENSOR ALMS, VST T 4: LOW PRODUCT ALARM L f'5::,F'UEL- ALARM c, ; VAPOR PROCESSOR T',FE LIQUID SENSOR ALMS R a :dmi> 7--8 VST VAPOR PROCESSOR, L 9:FUEL ALARM TYPE ". L13:FUEL ALARM LJ•4:FUEL ALARM STANDARD NORMALLY CLOSED ANAL%iSIS TIMES L15:FUEL ALARM t1ME:, 9,:00 AM L18 : FUEL ALARM TANK' u : NONE DELAY M-1 NUM: 1 L•13:SENSOR OUT ALARM L 44 : SENSOR OUT ALARML95: SENSOR OUT ALARM LI.OU LD :SENSOR ALMS ACCEPT HIGH ORVR : L16:SENSOR OUT ALARM L..16 :FUEL ALARM DISABLED ISD SITE ALARMS R 9; dSD HOSE TABLE ID FP FL HL AA RRI•SD CROSS PRES FAIL T5'tyE : ISD OEGRD PRES FAIL STANDARD 011 01 01 - -02 01 ULI -- ISD V(\POR LEAK FAIL NORMALLY 'CL:OSED 02 02 02 02' 01 UUISDVPPRESFAIL03030302Q2UUISDVPSTATUSFAILTANK' 0: I-PNE OA 04 OA 02 02 UU ISD ROSE Ai_ARMS 05 05 05 02 03 UU 06 04 06 02 03 UUALL:FLOW COLLECT FAIL IQUID:SENSOF ALItiS 07 07 d2' 04 UU PMG ALARMS ALI:: FUEL. ALARM 0808 08 09 02 04 UU VP EM1SSI.ONS FAIL RIO.:VST CONTROL OPENVPPRESSUREFAILTYPE: TSD AIRFLOW METER MAP R 4:DIESEL VAPOR PROCESSOR NOVAPOR CLOSED ID- SERIAL,NUM LABEL. - y TlPE: STANDARD, NO . AL:ARIyI A I GNMSNTS' - 1', 28082 DISP .1--2 F 2 24,945 D I SP 3 -4• FNORMALLYCLOSED325313D1SP5 -E F TANK 0: 1 R1'J`:VST CONTROL CLOSED 4.24957 D18P 7-8 F TYPE: tN -TANK ALARMS STANDARD NORMALLY CLOSED fSD FUEL GRADE HOSE MAP T -I :LOW PRODUCT ALARM Flp h1,HH MHH MHH MHH_AATANK0: NONE x' 201I. OU 1 D SENSOR ALMS 01 101 30d 9 U 1L_ 12 : FUEL ALARII 02 102. 302'202 9 U 11.1, 6:FUEL .ALARM I'N. -TANK ALARMS 03 104 :303 203 U U 2LI'I:SENSOR O.UT ALARM ALL:.OVERFILL ALARM 04 : 204 U U 2104304L12:SENSOR OUT ALARM ALL:HfGH•PRODUCT ALARM 05 105 305 205 U U 3L16:SENSOR OUT ALARM 06 1,06 306 206 U U. 3 ISD S l l ALARMS 07 1,07 .307 207 4 U '.4 19D GROSS PRES FAIL 08 108 308,208'4 U 4 ISD.DEGRD PRES FAIL ISD VAPOR LEAK FAIL LABEL TAHLEISDVPPRESFAIL ISD VP STATUS FAIL 1': UNASSIGNED - R 5.: D I SP 1-2 2: BLEND3 , 3: REGULM' TYPE: STANDARD MARTSEIVSOR SETUP 4:.M'[D' GRADE PREMIUMNORMALLYCLOSED6: 6: GOLD TANK 4: NONE n, s I_ :D.I.SP- 1• -2 FLOW METER 7' BRONZE 8; SILVERCATEGORYAIRFLLOW . METER 9.: BLEND2 L GU1D SENSOR ALMS s 2i1)1SP 3 -J. FLOW METER 10: BIEND4 L13:FUEL ALARM CATEGO9V AIR FLOW METERL !:SENSOR OUT ALARM L 2:SENSOR OUT ALARM 5 3:DlSP 5- 6.FLOW METER. CATEGORY AIR ;FLOW -METERR61: D 1 SIP 3 -4 TYPE: s 4:DISP 7 -8 FLOW METERSTANDARDCATEGORYAIRPLOW. METERNORMALLYCLOSED s 7 :. PRESSURE SEry°SORTAWN : NONE CATEGORY VAPOR PRESSURE PMC` ,SETUP LIOU1D SENSOR ALMS PMC VERSION: 01.04 L14:FUEL ALARM ALL:SENSOR OUT ALARM VAPOR PROCESSOR TYPEVSTVAPORPROCESSOR PROCESSOR CONTROL LEVEL: FULL MAX RUNT'11hE MINUTES: .30 014: Q . 200 •L NCwE OFF': =0.200 INCHES ALARM H1 S'fOR`! REPORT AU P.M HISTORY REPORT NLARI"l HISTORY REPORT SENSOR ALARM - - - -- L I: P.EGULAP, SOUTH ANNULAR SPACE FUEL Aij Rw AUG 19. 2010 10:17 AM SENSOR OUT ALARM AU1 :: 18, 2009 1 J : 32 AM FUEL HLAkM ALIG 18, 2009 10:55 AN v '• . ,. v ENE x T > .. ALARM HISTORY REPORT I--.- SENSOR ALtyPM - - - -- L 3 : W-ULAR SOUTH STP SUMP FUEL ALARM DEC 6. 2010 10:12 AM FUEL ALARM AUG 19. 2010 9:59 AM SENSOR OUT ALARM AUK; 18, 2009 11 :32 AI-I r. -k END * x x x ALARM III STORY REPORT SENSOR ALARM - - - -- L 4:RE(-.:ULAR NORTH ANNULAR SPACE FUEL ALARM AUG 19, 2010 10 :16 AM E:NSOR OUT ALARM Auc. 18. 2009 11:32 km FUEL ALARM AUK; 18, 2009 10:53 HM ie k * x 3, CND C% ti :e t * SENSOR ALARM - - - -- L 5:REGULAP. NORTH PIPING SUMP FUEL ALARM AUG 19. 2010 10:11 HM SENSOR OUT ALARM AUG 18. 2009 11:32 AM FUEL ALARM AUG 18, 2009 10:16 "1 X A x x x END . . - .. . . ALARM HISTORY REPORT SENSOR ALARM -- L 6: REGULAR NORTH STF SUMP FUEL. ALARM AUG J9. 2010 10:00 AM SENSOR OW ALARM AUG 18. 2009 11 :32 AM FUEL ALARM AUC 18. 2009 10:29 AM t* 1< R x END q -i x r h L- 2:P.ECULAR SOUTH P 11.1 w. su1'IF FUEL HJ.i.IRM MAP. 10. 20 t 1 4:57 PM FIJEI. NLApm JAN 30. 2011 5:12 PP1 FUEL, ALARM DEG 18. 2010 1 :55 PM I--.- SENSOR ALtyPM - - - -- L 3 : W-ULAR SOUTH STP SUMP FUEL ALARM DEC 6. 2010 10:12 AM FUEL ALARM AUG 19. 2010 9:59 AM SENSOR OUT ALARM AUK; 18, 2009 11 :32 AI-I r. -k END * x x x ALARM III STORY REPORT SENSOR ALARM - - - -- L 4:RE(-.:ULAR NORTH ANNULAR SPACE FUEL ALARM AUG 19, 2010 10 :16 AM E:NSOR OUT ALARM Auc. 18. 2009 11:32 km FUEL ALARM AUK; 18, 2009 10:53 HM ie k * x 3, CND C% ti :e t * SENSOR ALARM - - - -- L 5:REGULAP. NORTH PIPING SUMP FUEL ALARM AUG 19. 2010 10:11 HM SENSOR OUT ALARM AUG 18. 2009 11:32 AM FUEL ALARM AUG 18, 2009 10:16 "1 X A x x x END . . - .. . . ALARM HISTORY REPORT SENSOR ALARM -- L 6: REGULAR NORTH STF SUMP FUEL. ALARM AUG J9. 2010 10:00 AM SENSOR OW ALARM AUG 18. 2009 11 :32 AM FUEL ALARM AUC 18. 2009 10:29 AM t* 1< R x END q -i x r h ALARM HISTORY REPORT ALARM HISTORY REPORT ALARM HISTORY REPORT SEN.SftR ALARM - - --- L 9:SUPREME ANNULAR SPACE FUEL ALARM AUG 19. 2010 IU :15 AM . SEPISOR OUT ALARM AUG I8. 2009 11:32 AM FUEL ALARM AlIG 18. 2009 10:5! AN r. t A A X END :t x k x% ALARM HI S1'ORY REPORT SENSOR ALARM - - -- L $ : SUPREME PIPING SUMP FUEL ALARM MAR 20 • 2011 5:19 Pi °1 FUEL ALARM DEC 19. 2010 3 :32 AM FUEL ALARM AUG 19. 2010 10:13 AM y t} v• E1111 h• .. n SENSOR ALARM -- -- 1_ 9,SUPREME STP SL"P FUEL ALARM SEP 24, 2010 8:35 AM SENSOR OUT ALARM AUG 19. 2010 10:23 AM FUEL ALARM AUG 19, 2010 10:00 AM A A END k •r. x s x ALARM H1STOPY REPORT SEW30R ALARM L10:0113S£L ANNULAR SPACE SENSOR OUT ALARM AUG 19. 2010 10 :23 AM FUEL Al-ARM AUG 19, 2010 10:18 All SEhEOR OUT ALARM AUG 18, 2009 12:03 PM u t} r. X END s A N k SENSOR AL V;51 - LII:AIESEL PIPING SUIlp FUEL ALARM JUN 24, 2011 11:30 AN FUEL ALARM DEC 18. 2010 6:53 PM SENSOR OUT ALARM AUG 19. 2010 10:23 AM v END k e ALARM HISTORY REPORT SENSOR ALARM -- L12:DIESEL STP "P FUEL ALARM MAR 23. 2011 12:31 F11 FUEL. ALARM DEC 16. 6,010 4 :10 PM SENSOR OUT ALARM AUG 19, 2010 10 :23 AM 4 END .:xxxm ALARM HISTORY REPORT SENSOR ALARM - - - -- L I 0 : 111 SPENSER 1-2 DISPENSER PAN SENSOR OUT ALARM AUG 19. 2010 10:23 All FUEL. ALARM AUG 19, 2010 10:01 AM FUEL ALARM AUG 19. 2010 9:46 AM t L . t END -i . i x ALARM HISTORY REPORT SENSOR ALARM - -- - L14:DISPENSER 3 -4 DISPENSER PAN SENOR OU'f ALARM AUC: 19. 2010 10:23 W FUEL ALARM AIJG 19. 2010 10 :02 All FUEL. ALARM RUG 19. 2010 9:45 (4111 w x 0: END _. .. .. x i ALARIII HISTORY REPORT SENSOR ALARM - -- - L.. 15 : D I SPENSER 5 -6 DISPENSER PAN SENSOR OUT ALARM AUG 19, 2010 10:23 All FUEL ALARM AUG 19, 2010 10:02 AM FUEL ALARM AUG 19. 2010 9:43 A1'1 v e r t T END 1* A n >` ALARM HISTORY REPORT SENSOR - - - -- L16:DISPENSEI•: ' / -i: DISPENSER F'F,N SENSOR OUT ALARM AUG Iy. 2010 10 :23 AM FUEL ALARM AUG 19, 2010 10 :03 HM FLIEL ALARM AUG 19, 2010 9:40 A( °I tAI•rx END AxA• x SENSOR ALARM - - - -- L 9:SUPREME STP SUMP FUEL ALARM AUG 30, 2011 9:10 AM SENSOR ALARM - - - -- 1. b:REGULAR NORTH STP SUMP FUEL. ALARM AUG 30. 2011 9:10 AM 0 SENSOR ALARM - - - -- L 3:REGULAR SOUTH STP SUMP FUEL ALARM AUG 30, 2011 9 :11 All SENSOR mLARM LIF:DIESEL STP SUMP FUEL ALARM AUG 30. 2011 9:12 #V l SENSOR ALARhI - - -- 1-13 :13ISPENSER 1 -2 DISPENSER PAN FUEL ALARM AUG 30. 2011 9:13 AM SENSOR ALARM - - - -- 1.111'DISPENSER 3 -4 D I I NFOISER PAN FUEL ALARM AUG ,jU, 201) 9:14 All SENSOR ALARM - - - -- 1.1 5 : E' 1SPENSER 5-6 DISPENSER PAN FUEL_ ALARM AUG 30. 2011 9:16 AM SENSOR ALARM - - - -- 1-16 :1DISPENSER 7 -8 DISPENSER PAN FUEL ALARM A00 30 • '2011 9:18 AM r-h12CR ALARH L 7 ::SUPREME ANNULAR SPACE FUEL ALARM AUG 30. 2011 9 :19 AM SENSOR ALARM - - - -- 1. I : REGULAR SOUTH ANNULAR SPA,--'E FUEL ALARM AUG: 30. 2011 9:20 NM S;ENSOR ALARM - -- - L ,l : REGULAR NORTH ANNUIJiR SPACE FUEL. AI.ARM AUG 30, 2011 9:20 AIM SENSOR ALARf'I - - -- L10:DIEyEI- ANNIiLAR SPACE FUEL ALARM AUG 30. 2011 9:20 Ahl BROO1;S I DE MARKET 4700 COFFIE RD BAKER.SFIELD CA 93308 661 - 588 -1338 AUG 30, 2011 9:21 AM svgrEhl STATUS REPORT L 1 : FUEI. ALARM L 3:FUEL ALARM L 4: FUEL ALARM L E.: FUEL ALARM L 7:FUEL ALARM L 9:FUEL ALARM L 1 O : FUEL ALARM 1.12:FUEL ALARM L13:FUEL ALARM L14:FUEL ALARM L)5:FUEL ALARM I_ i E.: FUEL AbL011 INVENTOR' REPORT T ):DIESEL VOLUME = 3543 GALS ULLAGE = 6609 GALS 90% ULLAGE= 5593 GALS TC VOLUME - 3537 GALS HEIGHT = 36.41 1NCHES WATER VOL = 0 GALS WATER = 0.00 INCHES TEMP - 93.1 DEG F T 2:UNLEADED SOUTH VOLUME - 6547 GALS ULLAGE - 3605 GALS 90:> ULLAGE= 2589 GALS TC VOLUME = 6440 GALS HEIGHT - 58.87 INCHES WATER VOL = 0 GALS WATER = 0.00 1NCHES TEMP - 83.1 DEC F T 3: UNLEADED NORTH VOLUME = 6860 GALS ULLAGE - 3292 GALS 90: ULLAGE= 2276 GALS TC VOLUME = 6749 GALS HEIGHT = 61.27 INCHES WATER VOL - 0 GALS WATER = 0.00 INCHES TEMP = 83.0 DEG F T 4 : SUF'REhIE VOLUME 7838 GALS ULLAGE - 2314 GALS 90% ULLAGE= 1298 GALS TC VOLUME - 7678 GALS HEIGHT - 69.04 INCHES WATER VOL = 13 GALS WATER = 0.82 INCHEC3 TEMP m 89.0 DE(; F xx',iX END y u *t SEI SOF ALARM -- -- L 2:REGULAR SOUTH PIPING SUMP FUEL ALARM AUG 30, 2011 9:24 AM S1: NF.;OR ALARf1 L 5:PEGULAR NORTH pIPING SUMP FUEL ALARM ti:25 AUG; 30. 2011 f EN'oOR ALARM -- -'- L S:t:UPREME PIPING SUMP FUEL ALARM AUG 30. 2011 9:25 AM SENSOR ALAR"' L1I :DIESEL. PIP11,IG FI FUELF AUG 30, 3011 9 :2t• P41 BROOICSIDE MARKET '-'-' SENSOR ALARM - - - -- 4700 COME RD L 9:SUPREME BAKERSFIELD CA 93308 STP SUMP 661 -588 -1338 SENOR OUT ALARM AUG 30. 2011 9:32 AM AUG 30. 2011 9:26 HM SYSTEM STATUS REPORT ALL FUNCTIONS NORMAL INVENTORY REPORT SENSOR ALAP111 - - - -- SENSOR ALARM -- ULLAGE L 6:REGULAR NORTH T I:DIE56L 90% ULLAGE o STP SUMP VOLUME = 3544 GALS SENSOR OUT ALARM ULLAGE o 6608 GALS AUG 30. 2011 9:32 HM 90% ULLAGE- 5592 GALS 0.00 INCHES TC VOLUME = 3538 GALS 83.1 DEG F HEIGHT = 36.41 INCHES INCHES WATER VOL = 0 GALS 0 0.00 WATER = 0.00 INCHES TEMP TEMP o 93.1 DEC F L 2:REGULAR SOUTH T ":UNLEADED VOLUME o SOUI'H 6548 CAI-S SENSOR ALARM -- ULLAGE 3604 GAL.. L 7: SUSENSO 90% ULLAGE o 588 GALS ANNULAR SPACE SENSOR OUT ALARMALARMTCVOLUMEo HEIGHT Q 6441 GALS 58.87 INCHES AUG 30 2011 AM WATER VOL o 0 GALS PIPING SUMPMPALA WATER . 0.00 INCHES U ALARM RM TEF1P Q 83.1 DEG F AUG 30. 2011 AM T 3:uNLEADED NORTH VOLUME = 6861 GALS ULLAGE a 3291 GALS 7843 90% ULLAGE- 2275 GALS SENSOR ALARM -- ' TC VOLUME a 6750 GALS L B :SUPREMEHEIGHTa61.28 1NCHES PIPING SUMP MPALA41ATERVOL = WATER a 0 GAL.„' 0.00 INCHES U ALARMRM 83.0 DEG F AUG 30. 2011 AM T 4:SUPREME VOLUME = 7843 GALS ULLAGE o 2309 GALS 9(r4 ULLAGE- t293 GALS TC VOLUME = 7683 GALS HEIGHT ' = 69.09 INCHES WATER VOL = WATER = 0 0.00 GALS INCHES SENSOR ALARM -- TEMP 89.0 DEC: F L 2:REGULAR SOUTH PIP[ 14G SUMP SEN30R OUT ALARM t ENDR_e A(K:30. 2011 9:32 AM SENSOR ALARM - - - -- L10:D1ESEL SENSOR ALARM - -- ANNULAR. SPACE L 5:REGULAR NORTH SENSOR OUT ALARM PIPING SUMP AUG 30. 2011 9:32 AM SENSOR OUT ALARM AUG 30. 2011 9:32 HM SENSOR ALARM - - - -- L1.3:DISPENSER 1 -2 SENSOR ALARM - - -- DISPENSER ;PAN L ):REGULAR SOUTH SENOR OUT ALARP1 A14NUI -AR SPACE AUG 30, 2011 9 :32 IAM SENSOR. OUT ALARM AUG 30.. 2011 9:32 Al-I 1- SENSOR ALARM - - - -_ L 3:REC:ULAR SOUTH STP SUMP SENSOR OUT ALARM AUG 30. 2011 9:32 AM BROOYS 1DE MARKET 4700 COFFIE RD WERSFIELD CA 93300 661- 588 -1338 AUG 0. 2011 9:33 Ail SENSOR ALARM - - - -- SYSTEM STATUS'REPORTLCREGULARNORTH ANNULAR SPACE ALL FUNCTIONS NORMALSENSOROUTALARM AUG 30. 2011 9:32 AM INVENTORY REPORT T l:D1ESEL VOLUME = 3541 GALS ULLA13E = 6611 GALS 90% ULLAGE= 5595 GALS TC VOLUME = 3535 GALS HEIGHT - 36.39 1140HES WATER VOL - 0 GALS SENSOR ALARM - - - -- WATER = 0.00 INCHESLII:UIEN TEMP = 93.1 DECDEG FPIPINGSUMP SENSOR OUT ALARM AUG 30. 2011 9:32 Art T 2: UNLEADED SOUTH VOLUME = 6547 GALS ULLAGE - 3605 GALS 90% ULLAGE- 2589 GALS TG VOLUME = 6441 GALS HEIGHT - 58.87 INCHES WATER VOL - 0 GALS WATER a 0.00 INCHES TEMP - 83.1 DEG F SENSOR ALARM - - - -- L12:DIESEL T 3:UNLEADED NORTH STP SUMP VOLUME - 6861 GALSSENSOROUTALARMULLAGE - 3291 GALSAUG30. 2011 9:32 AM 90%. ULLAGE = 2275 GALS TG' VOLUME - 6750 GALS HEIGHT - 61.27 INCHES WATER VOL - 0 GALS WATER = 0.00 INCHES TEMP - 83.0 DEG F T 4:SUPREME VOLUME - 7840 GALSSEPP.30k ALARM - - - -- ULLAGE - 2312 GALSL14:DISPENSER 3 -4 90% ULLAGE- 1296 GALSDISPENSERPANTCVOLUME = 7680 GALSSENSOROUTALARMHEIGHT - 69.06 INCHESAUG30, 2011 9:32 AM WATER VOL - 0 GALS WATER = 0.00 INCHES TEMP = , 89.0 DEG F xxW END ;sXAA SENSOR ALARM L15:DISPENSER 5 -6 DISPENSER PAN SENSOR OUT ALARM AUG 30. 2011 9:32 AM SEIkSOR ALARM L16:D1SPENSER 7 -8 DISPENSER PAN SENSOR OUT ALARM ALr, 30. 201;1 9:32 AM SWRCB, January 2006 Spill Bucket Testing Report Form Thisform is intendedfor use by contractors performing annual testing ofUST spill 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: Shell I Date ofTesting: 8/30/2011 Facility Address: 4700 Coffee Road, Bakersfield, CA 93308 Facility Contact: Matt Jeffries I Phone: 661 - 496 -7006 Date Local Agency Was Notified of Testing: 7/26/2011 Name of Local Agency Inspector (ifpresent during testing): Ester Duran 2. TESTING CONTRACTOR INFORMATION Company Name: Confidence UST Services, Inc. Technician Conducting Test: Kristopher Karns Credentials: X CSLB Contractor X ICC Service Tech. X SWRCB Tank Tester Other (Specify) License Number(s): CSLB: 804904 ICC: 5264406 -UT SWRCB# 09 -1743 3. SPILL BUCKET TESTING INFORMATION Test Method Used: X Hydrostatic Vacuum Other Test Equipment Used: Lake Test Equipment Resolution: 0.0625" Identify Spill Bucket (By Tank Number, Stored Product, etc.) 1 Regular (North) 1-i—Regular South) 3 Super 4 Diesel Bucket Installation Type: Direct Bury X Contained in Sump Direct Bury X Contained in Sump Direct Bury X Contained in Sump Direct Bury X Contained in Sum Bucket Diameter: 12.00" 12.00" 12.00" 12.00" Bucket Depth: 12.50" 13.00" 13.50" 13.00" Wait time between applying vacuum /water and start of test: 5 min. 5 min. 5 min. 5 min. Test Start Time (Ti): 9:00 AM 9:00 AM 9:00 AM 9:00 AM Initial Reading (Ri): 10.00" 10.50" 10.50" 10.25" Test End Time (TO: 10:00 AM 10:00 AM 10:00 AM 10:00 AM Final Reading (RF): 10.00" 10.50" 10.50" 10.25" Test Duration (TF - Tj): 1 hour 1 hour 1 hour 1 hour Change in Reading (RF - Rj): 0.00" 0.00" 0.00" 0.00" Pass/Fail Threshold or Criteria: 0.0625" 0.0625" 0.0625" 0.0625" Test Result: X Pass Fail X Pass Fail X Pass Fail X Pass Fail Comments - (include information on repairs made prior to testing, and recommendedfollow -up forfailed tests) CERTIFICATION OF TECHNICIAN RESPONSIBLE FOR CONDUCTING THIS TESTING I hereby certify that all the information contained in this report is true, accurate, and in full compliance with legal requirements. Technician's Signature: Date: 8/30/2011 State laws and regulations do not currently require testing to be performed by a qualified contractor. However, local requirements may be more stringent. G0#FtDRact' UST Cam[Awa ,,,.,00,10,0CMr. Invoice No.. 27356 Site: Shell 4700 Coffee Road Bakersfield, CA 93308 Repairs Requested: Replace 8' Goodyear hoses on dispenser #1, and #7 due to the old hoses being ripped. Repairs completed: I replaced the 8' Goodyear hoses on #1, and 7 due to old hoses being ripped. Once the new hoses were installed they were tested for proper operation. Required Repairs, Still Pending: No further repairs are required. Technician Name: Kristopher Karns Signature: 41;Z Date: 8/30/2011 1= Veeder Root TLS 350 2= Emergency Shut Off Switch 3= Veeder Root ATG Probe 4= Veeder Root 208 Sump Sensor 5= Veeder Root 420 Annular Sensor 6= Veeder Root 420 Dispenser Sen. 7= Red Jacket FX1 V LLD 8= Red Jacket FX1 DV LLD 9= 10000 Gallon Regular North STP 10= 10000 Gallon Reg South STP 11= 10000 Gallon Super STP 12= 10000 Gallon Diesel STP 13= Regular North Fill Sump 14= Regular South Fill Sump 15= Super Fill Sump 16= Diesel Fill Sump 3,4,7,11 0 4,15 O She[ 4700 Coffee Road Bakersfield,CA 93308 8/30/2011 2 4 * 6 * v 3,4,7,9 3,4,7,1 3,4,8,1 2 4,13 4,14 4,16 O O O 1