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Home My WebLink About10 UNION AVENUE (4)0.Tan mo/ogy 11000 N. MoPac Expressway, Suite 500 Austin, Texas 78759 Phone: (512) 451 -6334 Fax: (512) 459 -1459 4-5g Date Printed and Mailed: 06/01/2011 BAKERSFIELD FIRE DEPARTMENT OFFICE OF ENVIRONMENTAL SERVICES INSPECTOR - S 04JUi C "6 91;Ua 1501 TRUXTUN AVE. BAKERSFIELD, CA. 93301 Test Date: 05/18/2011 Order Number: 3183615 Dear Regulator, Enclosed are the results of recent testing performed at the following facility: CHEVRON # 355920 JITB # 7723 10 UNION AVENUE BAKERSFIELD, CA. 93307 Testing performed: Impact Valve Leak detector tests Monitor Certification Secondary Containment -Spill Container Sincerely, Dawn Kohlmeyer Manager, Field Reporting PURPOSE: COMPLIANCE TEST DATE: 05/18/11 CLIENT: CHEVRON PRODUCTS COMPANY 145 S. STATE COLLEGE BLVD SUITE 400 BREA, CA 92821 TINA SCOLARO 714)671 -3356 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: 3183615 CUSTOMER PO: 15071518 SITE: CHEVRON # 355920 JITB # 7723 10 UNION AVENUE BAKERSFIELD, CA 93307 MINTA 661)861 -0543 Prnr1ur_t Pina Tinhtnacc Tact Racultc TEST TYPE: TLD -1 LINE ID LINE PRODUCT LINE MATERIAL DELIVERY TYPE TEST RESULT A B C D FINAL LEAK RATE (gph) A B C D IMPACT VALVE FUNCTION 1 UNLEADED DW FIBERG PRESSURE SERIAL # ID Y 2 PREMIUM DW FIBERG PRESSURE MODEL # SERIAL # Y 3 DIESEL DW FIBERG PRESSURE P Y Fvictinn I Ina I aalr Ilatarrtnr Tact LINE EXISTING LEAK DETECTOR #1 EXISTING LEAK DETECTOR #2 MANUFACTURER MODEL # SERIAL # RESULT MANUFACTURER MODEL # SERIAL # ID MANUFACTURER MODEL # SERIAL # RESULT MANUFACTURER MODEL # SERIAL # RESULT 1 VAPORLESS LD2000 07121111 P 2 VAPORLESS LD2000 unreadable P 3 RED JACKET FX1 -DV 6138 P Now Ronlacamanf I Ina I a:%k natactnr Tact LINE ID REP ACED LE ECTOR #1 REP CED LEAK DET CTOR #2 MANUFACTURER MODEL # SERIAL # RESULT MANUFACTURER MODEL # SERIAL # RESULT ror owner aetanea report InrotTnatlon, visit www.tanKnology.com ana select un -Lme xeports-WKAY, or contact your local 1 anKnoiogy onice. Tester Name:AXEL MEDINA Technician Certification Number: Printed 06/01/2011 07:20 MTUTTLE INDIVIDUAL TANK INFORMATION AND TEST RESULTS r 743nknolkogy TEST DATE:05 /18/11 8501 N MOPAC EXPRESSWAY, SUITE 400 WORK ORDER NUMBERS 183615 CLIENT:CHEVRON PRODUCTS AUSTIN, TEXAS 78759 (512) 451 -6334 SITE:CHEVRON # 355920 Printed 06/01/2011 07:20 TANK INFORMATION Tank ID: 1 Tank manifolded: No Bottom to top fill in inches: Product: UNLEADED Vent manifolded: YES Bottom to grade in inches: Capacity in gallons: 19,703 Vapor recovery manifolded: YES Fill pipe length in inches: Diameter in inches: 117.00 Overfill protection: YES Fill pipe diameter in inches: Length in inches: 225 Overspill protection: YES Stage I vapor recovery: DUAL Material: Dw FIBERG Installed: ATG Stage II vapor recovery: ASSIST CP installed on: COMMENTS TANK TEST RESULTS Test Method:vaCUTect LEAK DETECTOR TEST RESULTS Test method: LDT -5000 Start (in) End (in) Dipped Water Level: New /passed Failed /replaced New /passed Failed /replaced Dipped Product Level: L.D. #1 L.D. #1 L.D. #2 L.D. #2 Probe Water Level: Make: vAPoRLEss Ingress Detected: Water Bubble Ullage Model: LD2000 Test time: S /N: 07121111 Open time in sec: 8.50 Inclinometer reading: Holding psi: 34 VacuTect Test Type: NOT Resiliency cc: 395 NOT VacuTect Probe Entry Point: TESTED Test leak rate ml /m: 189.0 TESTED Pressure Set Point: Metering psi: 20 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 TEST RESULTS Test type: TLD -1 LINE A B C D Material: Dw FIBERG Diameter (in): Length (ft): Test psi: Bleedback cc: Test time (min): NOT NOT NOT NOT Start time: TESTED TESTED TESTED TESTED End time: Final gph: Result: Pump type: PRESSURE Pump make: FE PETRO COMMENTS Impact Valves Operational: YES Printed 06/01/2011 07:20 INDIVIDUAL TEST DATE: 05/18/11 CLIENT:CHEVRON PRODUCTS TANK INFORMATION AND Sir Tanknobgy 8501 N MOPAC EXPRESSWAY, SUITE 400 AUSTIN, TEXAS 78759 (512) 451 -6334 TEST RESULTS WORK ORDER NUMBER3183615 SITE:CHEVRON # 355920 Printed 06/01/2011 07:20 TANK INFORMATION Tank ID: 2 Tank manifolded: NO Bottom to top fill in inches: Product: PREMIUM Vent manifolded: YES Bottom to grade in inches: Capacity in gallons: 10,369 Vapor recovery manifolded: YES Fill pipe length in inches: Diameter in inches: 117.00 Overfill protection: YES Fill pipe diameter in inches: Length in inches: 225 Overspill protection: YES Stage I vapor recovery: DUAL Material: Dw FIBERG Installed: ATG Stage II vapor recovery: ASSIST CP installed on: COMMENTS TANK TEST RESULTS Tesf Method:vacuTect LEAK DETECTOR TEST RESULTS Test method: LDT- 5000 -: Start (in) End (in) Dipped Water Level: New /passed Failed /replaced New /passed Failed /replaced Dipped Product Level: L.D. #1 L.D. #1 L.D. #2 L.D. #2 Probe Water Level: Make: VAPORLESS Ingress Detected: Water Bubble Ullage Model: LD2000 Test time: S /N: unreadable Open time in sec: 3.88 Inclinometer reading: Holding psi: 32 VacuTect Test Type: NOT Resiliency cc: 225 NOT VacuTect Probe Entry Point: TESTED Test leak rate ml /m: 189.0 TESTED Pressure Set Point: Metering psi: 23 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 TEST RESULTS Test type: TLD -1 LINE A B C D Material: Dw FIBERG Diameter (in): Length (ft): Test psi: Bleedback cc: Test time (min): NOT NOT NOT NOT Start time: TESTED TESTED TESTED TESTED End time: Final gph: Result: Pump type: PRESSURE Pump make: FE PETRO COMMENTS Impact Valves Operational: YES Printed 06/01/2011 07:20 INDIVIDUAL TANK INFORMATION AND TEST RESULTS i Tank nak)gy TEST DATE: 05/18/11 8501 N MOPAC EXPRESSWAY, SUITE 400 WORK ORDER NUMBER3183615 CLIENT:CHEVRON PRODUCTS AUSTIN, TEXAS 78759 (512) 451 -6334 SITE:CHEVRON # 355920 Printed 06/01/2011 07:20 TANK INFORMATION. Tank ID: 3 Tank manifolded: Bottom to top fill in inches: Product: DIESEL Vent manifolded: Bottom to grade in inches: Capacity in gallons: 7,029 Vapor recovery manifolded: Fill pipe length in inches: Diameter in inches: 118.00 Overfill protection: YES Fill pipe diameter in inches: Length in inches: 150 Overspill protection: YES Stage I vapor recovery: NONE Material: Dw FIBERG Installed: ATG Stage II vapor recovery: NONE CP installed on: COMMENTS TANK TEST RESULTS Test Method:vaCUTect LEAK DETECTOR TEST RESULTS Test method: LDT -5000 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: RED JACKET Ingress Detected: Water Bubble Ullage Model: Fx1 -DV Test time: S /N: 6139 Open time in sec: 1.85 Inclinometer reading: Holding psi: 14 VacuTect Test Type: NOT Resiliency cc: So NOT VacuTect Probe Entry Point: TESTED Test leak rate ml /m: 189. o TESTED Pressure Set Point: Metering psi: 12 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 TEST RESULTS Test type: TLD -1 LINE A B C D Material: Dw FIBERG Diameter (in): Length (ft): Test psi: Bleedback cc: Test time (min): NOT NOT NOT NOT Start time: TESTED TESTED TESTED TESTED End time: Final gph: Result: Pump type: PRESSURE Pump make: FE PETRO COMMENTS Impact Valves Operational: YES Printed 06/01/2011 07:20 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 to document testing and servicing of monitoring equipment. If more than one monitoring system control panel is installed at the facility, a separate certification or report must be prepared for each monitoring system control panel by the technician who performs the work. A copy of this form must be provided to the tank system owner /operator. The owner /operator must submit a copy of this form to the local agency regulating UST systems within 30 days of test date. A. General Information Facility Name: CHEVRON # 355920 Site Address: JITB # 7723 10 UNION AVENUE Facility Contact Person: MINTA Make /Model of Monitoring System:TLS -350 B. Inventory of Equipment Tested /Certified Check the appropriate boxes to Indicate specific equipment inspected /serviced City: BAKERSFIELD Contact Phone No: 861 -0543 Date of Testing /Service: 05/18/2011 Work Order Number: 3183615 CA Zip: 93307 Tank ID: 1- UNLEADED Tank ID: 2- PREMIUM In -Tank Gauging Probe. Model: MAG In -Tank Gauging Probe. Model: MAG X Annular Space or Vault Sensor. Model: VR-409 Annular Space or Vault Sensor. Model: VR-409 X Piping Sump/Trench Sensor(s). Model: VR -208 Piping Sump/Trench Sensogs). Model: VR -208 X Fill Sump Sensor(s). Model: VR -208 Fill Sump Sensor(s). Model: VR -208 X Mechanical Line Leak Detector. Model: LD -2000 X Mechanical Line Leak Detector. Model: LD -2000 Electronic Line Leak Detector. Model: Electronic Line Leak Detector. Model: X Tank Overfill/High -Level Sensor. Model: OVERFILL ALARM Tank Overfill /High -Level Sensor. Model: OVERFILL ALARM 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 In -Tank Gauging Probe. Model: X Annular Space or Vault Sensor. Model: VR -409 7 Annular Space or Vault Sensor. Model: X Piping Sump/Trench Sensor(s). Model: VR -208 Piping Sump/Trench Sensogs). Model: X Fill Sump Sensor(s). Model: VR -208 7 Fill Sump Sensogs). Model: X Mechanical Line Leak Detector. Model: FX1 DV 7 Mechanical Line Leak Detector. Model: Electronic Line Leak Detector. Model: Electronic Line Leak Detector. Model: Tank OverfiIUHigh -Level Sensor. Model: OVERFILL ALARM 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: 3-4 Dispenser Containment Sensor(s) Model: VR -208 X Dispenser Containment Sensors) Model: VR -208 XD Shear Valve(s). X Shear Valve(s) ElDispenser Containment Float(s) and Chain(s). 7 Dispenser Containment Floats) and Chain(s). Dispenser ID: 5 -6 Dispenser ID: 7 -8 RI Dispenser Containment Sensor(s) Model: VR -208 X Dispenser Containment Sensogs). Model: VR -208 xO Shear Valve(s). Shear Valve(s). Dispenser Containment Float(s) and Chain(s). 71 Dispenser Containment Float(s) and Chain(s). Dispenser ID: 9 -10 DispenserlD: 11 -12 RI Dispenser Containment Sensor(s) Model: VR -208 X Dispenser Containment Sensor(s). Model: VR -208 Shear Valve(s). X Shear Valve(s). Dispenser Containment Floats) and Chain(s). Dispenser Containment Roat(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): X System set -up XO Alarm history report Technician Name (print): AXEL MEDINA Signature: a Certification No.: b -36644 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: 05/18/2011 Monitoring System Certification Page 1 of 3 Based on CA form dated 03/08 Site Address JITB # 7723 10 UNION AVENUE D. Results of Testing /Servicing Software Version Installed: 328.03 Complete the following checklist: Monitoring System Certification Date of Testing/Service: 05/18/2011 X Yes No Is the audible alarm operational? X Yes No Is the visual alarm operational? Q Yes No Were all sensors visually inspected, functionally tested, and confirmed operational? Q 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 • x N/A If alarms are relayed to a remote monitoring station, is all communications equipment (e.g. modem) operational? Q Yes No • N/A For pressurized piping systems, does the turbine automatically shut down if the piping secondary containment monitoring system detects a leak, fails to operate, or is electrically disconnected? If yes: which sensors initiate positive shut -down? (check all that apply) X Sump/Trench Sensors; X Dispenser Containment Sensors. Did you confirm positive shut -down due to leaks and sensor failure /disconnection? 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? 2 ^/o 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. X Yes' No Was liquid found inside any secondary containment systems designed as dry systems? (check all that apply) Product; X 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 Yes 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: gallon o water was removed from unleaded fi sump and diesel i sump. Page 2 of 3 Based on CA form dated 03/08 Monitoring System Certification Site Address: JITB # 7723 10 UNION AVENUE F. In -Tank Gauging / SIR Equipment Check this box if no tank gauging or SIR equipment is installed. Date of Testing /Service: 05/18/2011 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: X Yes No • Has all input wiring been inspected for proper entry and termination, including testing for ground faults? Q Yes No • Were all tank gauging probes visually inspected for damage and residue buildup? 0 Yes No' Was accuracy of system product level readings tested? El Yes No • Was accuracy of system water level readings tested? ElYes No • Were all probes reinstalled properly? X Yes LID 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: Q 3 g.p.h 0.1 g.p.h 0.2 g.p.h X Yes No • Were all LLDs confirmed operational and accurate within regulatory requirements? FX_j Yes E] No Was the testing apparatus properly calibrated? X Yes No' N/A For mechanical LLDs, does the LLD restrict product flow if it detects a leak? Yes No' X N/A For electronic LLDs, does the turbine automatically shut off if the LLD detects a leak? Yes No • Q N/A For electronic LLDs, does the turbine automatically shut off if any portion of the monitoring system is disabled or disconnected? Yes No • M WA 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? LJ Yes No • Were all items on the equipment manufacturers' maintenance checklist completed? In the Section H, below, describe how and when these deficiencies were or will be corrected. H. Comments: Page 3 of 3 Based on CA form dated 03/08 SWRCB, January 2002 Page 1. Secondary Containment Testing Report Form Thisform is intendedfor use by contractors performing periodic testing of UST secondary containment systems. Use the appropriate pages ofthisform to report resultsfor all components tested. The completedform, written testprocedures, and printoutsfrom tests (ifapplicable), should be provided to thefacility owner /operatorfor submittal to the local regulatory agency. 1. FACILITY INFORMATION Facility Name: CHEVRON # 355920 Date of Testing: 05/18/2011 Facility Address: JITB # 7723 10 UNION AVENUE, BAKERSFIELD, CA, 93307 Facility Contact: MINTA Phone: (6 61) 861-0543 Date Local Agency Was Notified of Testing: Name of Local Agency Inspector (if present during testing): 2. TESTING CONTRACTOR INFORMATION Company Name: TANKNOLOGY , INC. Pass Fail Not Tested Technician Conducting Test: AXEL MEDINA Component Pass Fail Credentials: a CSLB Licensed Contractor E SWRCB Licensed Tank Tester 0 License Type: A- UT I License Number: 743160- 8 014 6 82 Manufacturer Manufacturer Training Component(s) Date Training Expires 0 0 0 Spill Box 2 PRE FILL X 0 3. SUMMARY OF TEST RESULTS Component Pass Fail Not Tested Repairs Made Component Pass Fail Not Tested Repair Made Spill Box 1 UNL FILL E 0 0 0 0 0 0 Spill Box 2 PRE FILL X 0 0 0 0 0 0 Spill Box 3 DIE FILL a 0 0 0 0 0 0 0 0 0 0 I I 0 0 0 D I 0 I 0 0 Ell 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 El- El 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 I 0 0 0 0 0 0 Ifhydrostatic testing was performed, describe what was done with the water after completion of tests: WATER WAS LEFT IN ON SITE 55 GALLON DRUM. CERTIFICATION OF TECHNICIAN RESPONSIBLE FOR CONDUCTING THIS TESTING To the best ofmy knowledge, thefacts stated in this document are accurate and infull compliance with legal requirements Technician's Signature: , Date: 05/18/2011 SWRCB, January 2006 9. Spill Bucket Testing Report Form This form is intendedfor use by contractors performing annual testing of UST spill containment structures. The completedform and printouts from tests (ifapplicable), should beprovided to thefacility owner /operatorfor submittal to the local regulatory agency. 1. FACILITY INFORMATION Facility Name: CHEVRON # 355920 Date ofTesting: 05/18/2011 Facility Address: JITB # 7723 10 UNION AVENUE, BAKERSFIELD, CA, 93307 Facility Contact: MINTA Phone: (661) 861 -0543 Date Local Agency Was Notified ofTesting: Name of Local Agency Inspector (if present during testing): 2. TESTING CONTRACTOR INFORMATION Company Name: TANKNOLOGY , INC. Technician Conducting Test: AXEL MEDINA Credentials 1: X CSLB Contractor X ICC Service Tech. SWRCB Tank Tester Other (Spec) A- UT License Number: 743160- 8 014 6 82 3. SPILL BUCKET TESTING INFORMATION Test Method Used: Hydrostatic Vacuum Other Test Equipment Used: MEASURING TAPE Equipment Resolution: VISUAL Identify Spill Bucket(By Tank Number, Stored Product, etc) 1 1 UNL FILL Z 2 PRE FILL 3 3 DIE FILL 4 Bucket Installation Type: Direct Bury Eil Contained in Sump Direct Bury Contained in Sump Direct Bury EKI Contained in Sump E] Direct Bury Contained in Sump Bucket Diameter: 11" 11" 11" Bucket Depth: 1411 1411 1411 Wait time between applying vacuum/water and starting test: 0 0 0 Test Start Time (TI ): 0930 0930 0930 Initial Reading (RI ): 1111 10.5 " 1111 Test End Time (TF ): 1030 1030 1030 Final Reading (R F ): 1111 10.511 111t Test Duration: 1 HOUR 1 HOUR 1 HOUR Change in Reading (R F - RI ): 0 0 0 Pass/Fail Threshold or Criteria: 0 0 0 Test Result: 0 Pass Fail El Pass Fail X Pass Fail Pass Fail Comments - (include information on repairs madeprior 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: 05/18/2011 v I State laws and regulations do not currently require testing to be performed by a qualified contractor. However, local requirements Work Order: 3183615 ESO) & (ESV) Tcsting Form - Version 1- 6125!!007 Emergency Shutt Off (ESO) & Dispenser Emergency Shutoff Valve (ESV) ANNUAL TEST RECORD LOCATIONS AND TEST DATA Emergency Shut Off (ESO) 'Testing Results On s" in accordance with "ESO Vendor fetter (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: Dis eraser Emergency Shutoff Valve S Testing Results On -/ 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 ( #) in all, would automatically close. Findings listed below: Site Map Of Locution and Placement of Devi= Tested.: v/r jlTB C -STORE 9 #5 L13101 #6 d : Lt1 #2 r L9 11 dsl ` #7 #3dsl 12•:,; , L14 #8 < L12 dsl #4 ; L10 < ds! -- -- — z F)ri L3 UL L2 `STPi ( I ; L1 i L8 U L6 L5 Vj1 (STP! V iST i L4 ESO I )SCJ SUS ' i Si sture Of Representative: Testing company:_ Date: Location Name: n 3 S l Store #: N Stag: ID #: Date Called S.k fardAddress: city: state: C Emergency Shut Off (ESO) fNo, Provide Operational? N Maintenance Log # Date Called Disp, Emergency Shut Off IfNo, Provide Valve (ESV} Operational? Maintenance Log # Date Called Tanknology Inc. 11000 N. MoPac Expressway, Suite 500, Austin, Texas 78759 Emergency Stop Switch Test WO# / Date 3183615 05/18/2011 Site ID 355920 Street address JITI3 # 7723 10 UNION AVENUE City, ST BAKERSFIELD, CA Total Time Testing E -Stop 10 min Location of E -Stop Shut Down Turbine (Y /N) Dispenser (Y /N) Comments /Repairs Outside Wall Yes Yes pass Inside Wall Other Did ESO function correctly (remove 220 from both sides of the relay)? YES NO Test Result (PASS / FAIL) PASS If the test FAILS call the Elite Customer Solutions Center Immediately. Date / Time / Name at Help Desk notified If the test FAILS teach the site personnel alternative emergency shut down procedure e.g. Circuit breakers, pump controller) Date / Time / Name at employee trained If system does not turn back on when the E -Stop Is reactivated, the site personell are to contact the BP Help Desk. The Help desk will talk them through resetting the E -Stop and I or issue a 4 hour contractor response. Technician Signature / Date Rev: March 2007 0 05/18/2011 top T nl W10gy 8501 N MOPAC EXPRESSWAY, SUITE 400 AUSTIN, TEXAS 78759 512) 451 -6334 FAX (512) 459 -1459 TEST DATE:05 /18/11 WORK ORDER NUMBER3183615 CLIENT:CHEVRON PRODUCTS COMPANY SITE:CHEVRON # 355920 COMMENTS Witness Annual Monitor Certification Inspection Testing with Inspector Ernie Medina Bakersfield Fire Department confirmed on 5/3/11. Site contacted on 5/10 and confirmed testing with "MINTA ". Technician checked in and out with 2ndSite and WO # 110518 -050 was given. Found & removed (1) gallon of water from the unleaded fill and the Diesel fill sump. Replaced (1) Phil -tite SWF -100B fill adaptor, (1) Syphon jet assembly, (1) Overfill light bulb PARTS REPLACED QUANTITY DESCRIPTION 1 SWIVEL FILL ADAPTER 1 SIPHON JET ASSEMBLIES 1 Overfill alarm light bulb HELIUM PINPOINT TEST RESULTS (IF APPLICABLE) ITEMS TESTED HELIUM PINPOINT LEAK TEST RESULTS Printed 06/01/2011 07:20 MTUTTLE SITE DIAGRAM i Tan 8501 N MOPAC EXPRESSWAY, SUITE 400 AUSTIN, TEXAS 78759 512) 451 -6334 FAX (512) 459 -1459 TEST DATE: 05/18/11 WORK ORDER NUMBER3183615 CLIENT:CHEVRON PRODUCTS COMPANY SITE: CHEVRON # 355920 9 10 L13 5 # 6 L11 #2 9L91 IT #11 dsl #7 #3 dsl 8 12 L14 #8 JL12 dsl #4 <5 L10 m dsl z @ OLIL L2 STP OI L1 cn O L8 L7 L6 L5 CAS F V STP STP I L4 ESO DSL SU Printed 06/01/2011 07:20 MTUTTLE ATG Information Work Order# 3183615 110100 MAY 18, 2011 12:41 PM CHEVRON 2000 10 UNION AVE. BAKERSFIELD Station 355920 SYSTEM STATUS REPORT ALL FUNCTIONS NORMAL 150301 MAY 18, 2011 12:41 PM 1:CHEVRON 2000 150302 MAY 18, 2011 12:41 PM 2:10 UNION AVE. 150303 MAY 18, 2011 12:41 PM 3:13AKERSFIELD 150304 MAY 18, 2011 12:41 PM 4:Station 355920 151700 MAY 18, 2011 12:41 PM SYSTEM TYPE AND LANGUAGE FLAG SYSTEM UNITS U.S. SYSTEM LANGUAGE ENGLISH SYSTEM DATE/TIME FORMAT MON DD YYYY HH:MM:SS xM I50F00 MAY 18, 2011 12:41 PM MON DD YYYY HH:MM:SS xM 160100 MAY 18, 2011 12:41 PM TANK CONFIGURATION DEVICE LABEL CONFIGURED 1 UNLEADED ON 2 PREMIUM ON 3 DIESEL ON 4 OFF 160200 MAY 18, 2011 12:41 PM TANK PRODUCT LABEL TANK PRODUCT LABEL 1 UNLEADED 2 PREMIUM 3 DIESEL 4 160300 MAY 18, 2011 12:41 PM TANK PRODUCT CODE TANK PRODUCT LABEL 1 UNLEADED 2 PREMIUM 2 3 DIESEL 3 3183615 ATG Information Work Order# 3183615 160400 MAY 18, 2011 12:41 PM TANK FULL VOLUME TANK PRODUCT LABEL GALLONS 1 UNLEADED 19703 2 PREMIUM 10369 3 DIESEL 7029 4 0 160700 MAY 18, 2011 12:41 PM TANK DIAMETER TANK PRODUCT LABEL INCHES 1 UNLEADED 117.75 2 PREMIUM 117.75 3 DIESEL 118.00 4 0.00 160900 MAY 18, 2011 12:41 PM TANK THERMAL COEFFICIENT TANK PRODUCT LABEL 1 UNLEADED 0.000700 2 PREMIUM 0.000700 3 DIESEL 0.000450 4 0.000000 161200 MAY 18, 2011 12:41 PM TANK MANIFOLDED PARTNERS TANK PRODUCT LABEL SIPHON MANIFOLDED TANKS LINE MANIFOLDED TANKS 1 UNLEADED NONE NONE 2 PREMIUM NONE NONE 3 DIESEL NONE NONE 4 NONE NONE 162100 MAY 18, 2011 12:41 PM TANK LOW PRODUCT LIMIT TANK PRODUCT LABEL GALLONS 1 UNLEADED 500 2 PREMIUM 500 3 DIESEL 500 4 0 162200 MAY 18, 2011 12:41 PM TANK HIGH PRODUCT LIMIT TANK PRODUCT LABEL GALLONS 1 UNLEADED 18718 2 PREMIUM 9850 3 DIESEL 6677 4 0 162300 MAY 18, 2011 12:41 PM TANK OVERFILL LEVEL LIMIT TANK PRODUCT LABEL GALLONS 1 UNLEADED 17732 2 PREMIUM 9332 3 DIESEL 6326 4 0 162400 MAY 18, 2011 12:41 PM TANK HIGH WATER LEVEL LIMIT 3183615 ATG Information Work Order# 3183615 TANK PRODUCT LABEL INCHES 1 UNLEADED 2.0 2 PREMIUM 2.0 3 DIESEL 2.0 162800 MAY 18, 2011 12:41 PM TANK MAXIMUM VOLUME LIMIT TANK PRODUCT LABEL GALLONS 1 UNLEADED 19703 2 PREMIUM 10369 3 DIESEL 7029 4 0 162900 MAY 18, 2011 12:41 PM TANK DELIVERY REQUIRED LIMIT TANK PRODUCT LABEL GALLONS 1 UNLEADED 2955 2 PREMIUM 1555 3 DIESEL 1054 4 0 170300 MAY 18, 2011 12:41 PM LIQUID TYPE SENSOR LOCATION TYPE 1 UNLEADED ANNULAR TRI -STATE (SINGLE FLOAT) 2 UNLEADED STP SUMP TRI -STATE (SINGLE FLOAT) 3 UNLEADED FILL TRI -STATE (SINGLE FLOAT) 4 SPLIT TANK ANNULAR TRI -STATE (SINGLE FLOAT) 5 PREMIUM STP SUMP TRI -STATE (SINGLE FLOAT) 6 PREMIUM FILL TRI -STATE (SINGLE FLOAT) 7 DIESEL STP SUMP TRI -STATE (SINGLE FLOAT) 8 DIESEL FILL TRI -STATE (SINGLE FLOAT) 9 DISP. 1 -2 TRI -STATE (SINGLE FLOAT) 10 DISP. 3-4 TRI -STATE (SINGLE FLOAT) 11 DISP. 5.6 TRI -STATE (SINGLE FLOAT) 12 DISP. 7-8 TRI -STATE (SINGLE FLOAT) 13 DISP. 9 -10 TRI -STATE (SINGLE FLOAT) 14 DISP. 11 -12 TRI -STATE (SINGLE FLOAT) 15 TRI -STATE (SINGLE FLOAT) 16 TRI -STATE (SINGLE FLOAT) 190200 MAY 18, 2011 12:41 PM SOFTWARE REVISION LEVEL VERSION 328.03 SOFTWARE# 346328 -100•D CREATED - 08.06.06.17,21 S- MODULE# 330160 -004 -a SYSTEM FEATURES: PERIODIC IN -TANK TESTS ANNUAL IN -TANK TESTS ISO 3183615 120600 MAY 18, 2011 12:41 PM CHEVRON 2000 10 UNION AVE. BAKERSFIELD Station 355920 TANKALARM HISTORY TANK UNLEADED HIGH WATER ALARM MAY 18, 2011 10:22 AM OVERFILL ALARM MAY 18, 2011 10:14 AM MAY 28, 2010 10:04AM LOW PRODUCTALARM MAY 18, 2011 10:13 AM HIGH PRODUCT ALARM MAY 18, 2011 10:15 AM MAY 28, 2010 10:04 AM INVALID FUEL LEVEL MAY 18, 2011 10:13 AM 3183615 ATG information Work Order# 3183615 PROBE OUT MAY 18, 2011 10:27 AM MAY 18, 2011 10:12 AM MAY28, 2010 10:53 AM HIGH WATER WARNING MAY 18, 2011 10:22 AM DELIVERY NEEDED MAY 18, 2011 10:13 AM MAY 15, 2011 2:50 PM MAY 11, 2011 9:02 AM MAX PRODUCT ALARM MAY 18, 2011 10:18 AM MAY 28, 2010 10:04 AM LOW TEMP WARNING MAY 18, 2011 10:28 AM TANK 2 PREMIUM HIGH WATER ALARM MAY 18, 2011 10:40 AM OVERFILL ALARM MAY 18, 2011 10:30 AM MAY 28, 2010 10:01 AM LOW PRODUCT ALARM MAY 18, 2011 10:29 AM JUL 27, 2010 4:11 PM HIGH PRODUCT ALARM MAY 18, 2011 10:30 AM MAY 28, 2010 10:01 AM INVALID FUEL LEVEL MAY 18, 2011 10:29 AM PROBE OUT MAY 18, 2011 10:46 AM MAY 18, 2011 10:28 AM JUL 27, 2010 4:11 PM HIGH WATER WARNING MAY 18, 2011 10:40 AM MAY 28, 2010 10:08 AM DELIVERY NEEDED MAY 18, 2011 10:29 AM MAY 18, 2011 10:28 AM MAY 17, 2011 12:59 PM MAX PRODUCT ALARM MAY 18, 2011 10:30 AM MAY 28, 2010 10:01 AM LOW TEMP WARNING MAY 18, 2011 10:47 AM MAY 28, 2010 10:53 AM TANK 3 DIESEL HIGH WATER ALARM MAY 18, 2011 11:18 AM OVERFILL ALARM MAY 18, 2011 11:12 AM LOW PRODUCT ALARM MAY 18, 2011 11:10 AM HIGH PRODUCT ALARM MAY 18, 2011 11:12 AM INVALID FUEL LEVEL MAY 18, 2011 11:11 AM PROBE OUT MAY 18, 2011 11:28 AM MAY 18, 2011 11:10 AM HIGH WATER WARNING MAY 18, 2011 11:18 AM DELIVERY NEEDED MAY 18, 2011 11:09 AM MAY 5, 2011 1:30 PM APR 28, 2011 3:19 PM MAX PRODUCT ALARM MAY 18, 2011 11:13 AM LOW TEMP WARNING MAY 18, 2011 11:28 AM 130200 MAY 18, 2011 12:42 PM CHEVRON 2000 10 UNION AVE. BAKERSFIELD Station 355920 LIQUID ALARM HISTORY REPORT SENSOR LOCATION 1 UNLEADED ANNULAR MAY 18, 2011 9:44 AM SENSOR OUT ALARM MAY 18, 2011 9:33AM FUEL ALARM MAY 18, 2011 9:33AM FUEL ALARM 2 UNLEADED STP SUMP MAY 18, 2011 9:44AM SENSOR OUT ALARM MAY 18, 2011 9:31 AM FUEL ALARM MAY 28, 2010 9:56AM SENSOR OUT ALARM 3 UNLEADED FILL MAY 18, 2011 9:44 AM SENSOR OUT ALARM MAY 18, 2011 9:31 AM FUEL ALARM MAY 18, 2011 9:30AM FUEL ALARM 4 SPLIT TANKANNULAR MAY 18, 2011 9:44AM SENSOR OUT ALARM MAY 18, 2011 9:27 AM FUEL ALARM MAY 18, 2011 9:27 AM FUEL ALARM 5 PREMIUMSTP SUMP MAY 18, 2011 9:44 AM SENSOR OUT ALARM MAY 18, 2011 9:25 AM FUEL ALARM MAY 28, 2010 9:56 AM SENSOR OUT ALARM 6 PREMIUM FILL 3183615 ATG information Work Order# 3183615 MAY 18, 2011 9:44 AM SENSOR OUT ALARM MAY 18, 2011 9:28 AM FUELALARM MAR 20, 2011 6:56 PM FUEL ALARM 7 DIESEL STP SUMP MAY 18, 2011 9:44 AM SENSOR OUTALARM MAY 18, 2011 9:29 AM FUEL ALARM MAY28, 2010 9:56 AM SENSOR OUTALARM 8 DIESEL FILL MAY 18, 2011 9:44 AM SENSOR OUTALARM MAY 18, 2011 9:29 AM FUEL ALARM MAR 23, 2011 6:01 PM FUEL ALARM 9 DISP.1 -2 MAY 18, 2011 9:44 AM SENSOR OUTALARM MAY 18, 2011 9:35 AM FUEL ALARM MAY 28, 2010 9:56 AM SENSOR OUT ALARM 10 DISP.3 -4 MAY 18, 2011 9:44 AM SENSOR OUT ALARM MAY 18, 2011 9:34 AM FUEL ALARM MAY 28, 2010 9:56 AM SENSOR OUT ALARM 11 DISP.5 -6 MAY 18, 2011 9:44 AM SENSOR OUT ALARM MAY 18, 2011 9:37 AM FUEL ALARM MAY 28, 2010 9:56 AM SENSOR OUT ALARM 12 DISP.7 -8 MAY 18, 2011 9:44 AM SENSOR OUT ALARM MAY 18, 2011 9:37 AM FUEL ALARM MAY 28, 2010 9:56 AM SENSOR OUT ALARM 13 DISP.9 -10 MAY 18, 2011 9:44 AM SENSOR OUT ALARM MAY 18, 2011 9:40 AM FUEL ALARM MAY 28, 2010 9:56 AM SENSOR OUT ALARM 14 DISP.11 -12 MAY 18, 2011 9:44 AM SENSOR OUT ALARM MAY 18, 2011 9:41 AM FUEL ALARM MAY 28, 2010 9:56 AM SENSOR OUT ALARM 3183615