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HomeMy WebLinkAboutFMC 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 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 ofthis form to the local agency regulating UST systems within 30 days ofthis date. A. General Information Facility Name: #785 FastriD #32 Site Address: 3701 Ming Avenue City: Bakersfield Facility Contact Person: Omero Garcia Make[Model ofMonitoring System: Veeder -Root TLS 350 B. Inventory of Equipment Tested /Certified Check the appropriate boxes to tospecific equipwenl hnpectedlxerAced: Bldg. No.: Zip: 93309 Contact Phone No.: 661 - 393 -7000 Date of Testing/Servicing: 08/09/2011 Tank ID: 12000 gal. Regular Tank ID: 12000 gal. Super X] In -Tank Gauging Probe. Model: 847390-107 Lx] In -Tank Gauging Probe. Model: 847390 -107 Lx] Annular Space or Vault Probe. Model: 794380-303 X] Annular Space or Vault Sensor. Model: 794380303 x] Piping Sump / Trench Sensor(s). Model: 794380-208 Lx] Piping Sump / Trench Sensor(s). Model: 794380 -208 x] Fill Sump Sensor(s) Model: 794380 -208 U 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: x] Tank Overfill / High Level Sensor. Model: 847390 -107 U Tank Overfill / High Leval Sensor. Model: 847390 -107 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. Model:847390 -107 In -Tank Gauging Probe. Model: x] Annular Space or Vault Sensor. Model:794380 -303 Annular Space or Vault Sensor. Model: X] Piping Sump / Trench Sensor(s). Model: 794380-208 Piping Sump / Trench Sensor(s). Model: Lx] Fill Sump Sensors(s). Model: 794380-208 Fill Sump Sensor(s). Model: x] Mechanical Line Leak Decector. Model:FX1DV Mechanical Line Leak Detector. Model: Electronic Line Leak Detector. Model: Electronic Line Leak Detector. Model: Lx] Tank Overfill / High Level Sensor. Model: 847390 -107 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 Lx] Dispenser Containment Sensor(s). Model: 794380 -208 J Dispenser Containment Sensor(s). Model: 794380-208 X] Shear Valve(s). x] Shear Valve(s). Dispenser Containment Float(s) and Chain(s). Dispenser Containment Float(s) and Chain(s) Dispenser ID: 5 & 6 Dispenser ID: 7&8 x] Dispenser Containment Sensor(s). Model: 794380 -208 x] Dispenser Containment Sensor(s). Model: 794380 -208 x] Shear Valve(s). U 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 - 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 Set -up Alarm hi rep rt Technician Name (print): Bryan A Self Signature: Certification No: 837501 License No: 804904 Testing Company Name: Confidence UST Services, Inc. Phon o: 800- 339 -9930 Site Address: 3701 Ming Avenue, Bakersfield, CA 93309 Date of Testing/Servicing: 08/09/2011 D. Results of Testing/Servicing Software Version Installed: 329.02 Complete the following checklist: x] Yes No* Is the audible alarm operational? s No* Is the Visual alarm operational? YeeEs#n No* Were all sensors visually inspected, functionally tested, and confirmed operational? 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? El 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 initate positive shut -down? [] Sump /Trench SensorsL] Dispenser Containment Sensors Did you confirm positive shut -down due to leaks and sensor failure /disconnected? U Yes; No; U Yes No* For tank systems that utilize the monitoring system as the primary tank overfill warning device (i.e. no N/A mechanical overfill prevention valve is installed), is the overfill warning alarm visual and audible at the tank fill point(s) and operating properly? If so, at what percent of tank capasity does the alarm trigger? E9p % x 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. If yes, describe causes in Section E, below. x Was monitoring system set -up reviewed to ensure proper settings? Attach set -up reports, if applicable. x Yes In No* Is all monitoring equipment operational per manufacturer's specifications? In Section E below, discribe how and when these deficiencies were or will be corrected. E. Comments' Replaced the PLLD on Diesel. F. In -Tank Guaging / SIR Equipment: Check this box iftank guaging is used only for inventory control. Check this box iftank 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: E Yes No* Has all input wiring been inspected for proper enter and termination,including testing for ground faults? Yes No* Were all tank guaging probes visually inspected for damage and residue buildup? I xx Yes No* Was accuracy of system product level readings tested? x Yes No* Was accuracy of system water level readings tested? xj Yes No* Were all probes reinstalled properly? E 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. 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: L]3 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? x Yes No* For machanica LLD's, does the LLD restrict product flow if it detects a leak? N/A Yes No* For electronic LLD's, does the turbine automatically shut off if the LLD detects a leak? x] 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 No* For electronic LLD's, does the turbine automatically shut off if any portion of the monitoring system rx] N/A malfunction or fails a test? Yes No* For electronic LLD's, have all accessible wiring connections been visually inspected? Lx] 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: The PLLD on the Diesel failed. 1 put a new FX I DV Red Jacket PLLD on, retested and recieve passing results. RE- DIRECT LOCAL PRINTOUT FASTRIP 785 SYSTEM SETUP DISABLED 3701 MING AVE - EURO PROTOCOL PREFIX BAKERSSFIELD 93309 08 -09 -11 12 :30 PM S 661 -397 -3699 08-09 -II 12:29 PM SYSTEM STATUS REPORT ALL FUNCTIONS NORMAL INVENTORY REPORT T I:UNLEADED VOLUME - 8382 GALS ULLAGE - 3618 GALS 90% ULLAGE- 2418 GALS TC VOLUME - 8266 GALS HEIGHT - 60.94 INCHES WATER VOL - 0 GALS WATER - 2.07 INCHES TEMP - 79.6 DEG F T 2:PREMIUM VOLUME - 5291 GALS ULLAGE - 6709 GALS 90% ULLAGE- 5509 GALS TC VOLUME - 5204 GALS HEIGHT - 41.79 INCHES WATER VOL - 0 GALS WATER - 0.00 INCHES TEMP - 83.3 DEG F T 3:DIESEL VOLUME = 5118 GALS ULLAGE 6882 GALS 90% ULLAGE- 5682 GALS TC VOLUME - 5052 GALS HEIGHT - 40.76 INCHES WATER VOL = 0 GALS WATER - 0.00 INCHES TEMP o 88.3 DEt' F d w w K w END d x X x X SOFTWARE REVISION LEVEL VERSION 329.02 SOFTWAREN 346329 -100 -0 CREATED - U9.07.01.16.29 S-MODULEO 330160-004 -s SYSTEM FEATURES: PERIODIC IN -TANK TESTS ANNUAL 1N -TANK TESTS ISO SYSTEM UNITS U.S. SYSTEM LANGUAGE ENGLISH SYSTEM DATE /TIME FORMAT MM -DD-YY HH :MM:SS xM FASTRIP 785 3701 MING AVE BAKERSFIELD 93309 661- 397 -3699 SHIFT TIME 1 6:00 AM SHIFT TIME 2 DISABLED SHIFT TIME 3 DISABLED SHIFT TIME 4 DISABLED TANK PER TST NEEDED WRIV DISABLED TANK ANN TST NEEDED WRN DISABLED LINE RE-ENABLE METHOD PASS LINE TEST LINE F'ER TST NEEDED WRN DISABLED LINE ANN TST NEEDED WRN DISABLED PRINT TC VOLUMES ENABLED TEMP COMPENSATION VALUE (DEC F I: 60.0 STICK HEIGHT OFFSET DISABLED ULLAGE: 90%t H- PROTOCOL DATA FORMAT HEIGHT DAYLIGHT SAVING TIME ENABLED START DATE MAR WEEK I SUN START TIME 2:00 AM END DATE NOV WEEK I SUN END TIME 2:00 AM 4 SYSTEM SECURITY CODE : 000000 MAINTENANCE HISTORY DISABLED TANK CHART SECURITY DISABLED CUSTOM ALARMS DISABLED SERVICE NOTICE DISABLED ISO 3166 COUNTRY CODE: MASS /DENSITY DISABLED COMMUNICATIONS SETUP' PORT SETTINGS: COMM BOARD : 1 (EDIM ) RS -232 SECURITY CODE : DISABLED COMM BOARD 2 (RS -232) BAUD RATE 9600 PARITY NONE STOP BIT 1 STOP DATA LENGTH: 8 DATA RS -232 SECURITY CODE : DISABLED COMM BOARD 3 (RS -232) BAUD RATE 9600 PARITY NONE STOP BIT I STOP DATA LENGTH: 8 DATA RS -232 SECURITY CODE : DISABLED AUTO TRANSMIT SETTINGS: AUTO LEAK ALARM LIMIT DISABLED AUTO HIGH WATER LIMIT DISABLED AUTO OVERFILL LIMIT DISABLED AUTO LOW PRODUCT DISABLED AUTO THEFT LIMIT DISABLED AUTO DELIVER`; START DISABLED AUTO DELIVERY END DISABLED AUTO EXTERNAL INPUT ON DISABLED AUTO EXTERNAL INPUT OFF DISABLED AUTO SENSOR FUEL ALARM DISABLED AUTO SENSOR WATER ALARM DISABLED AUTO SENSOR OUT ALARM DISABLED RS -232 END OF MESSAGE DISABLED IN -TANK SETUP T I:UNLEADED PRODUCT CODE 1 THERMAL COEFF :.000700 TANK DIAMETER 96.00 TANK PROFILE 4 PTS FULL VOL 12000 72.0 INCH VOL 9999 48.0 INCH VOL : 6355 24.0 INCH VOL 2505 FLOAT SIZE: 4.0 IN. WATER WARNING 2.0 HIGH WATER LIMIT: 3.0 MAX OR LABEL VOL: 12000 OVERFILL LIMIT 90% 10800 HIGH PRODUCT 95% 11400 DELIVERY LIMIT 15: 1800 LOW PRODUCT 1200 LEAK ALARM LIMIT: 99 SUDDEN LOSS LIMIT: 99 TANK TILT 0.00 PROBE OFFSET -3.00 SIPHON MANIFOLDED TANKS TO: NONE LINE MANIFOLDED TANKS TO! NONE LEAK HIN PERIODIC: 1% 20 LEAK MIN ANNUAL : 1% 120 PERIODIC TEST TYPE STANDARD ANNUAL TEST FAIL ALARM DISABLED PERIODIC TEST FAIL ALARM DISABLED GROSS TEST FAIL ALARM DISABLED ANN TEST AVERAGING: OFF PER TEST AVERAGING: OFF TANK TEST NOTIFY: OFF TNK TST SIPHON BREAK:OFF DELIVERY DELAY 1 MIN PUMP THRESHOLD IO.00X T 2:PREMIUM PRODUCT CODE 2 THERMAL COEFF 000700 TANK DIAMETER 96.00 TANK PROFILE 4 PTS FULL VOL 12000 72.0 INCH VOL 9999 49.0 INCH VOL 6355 24.0 INCH VOL 2505 FLOAT SIZE: 4.0 IN. WATER WARNING 2.0 HIGH WATER LIMIT: 3.0 MAX OR LABEL VOL: 12000 OVERFILL LIMIT 90% 10800 HIGH PRODUCT 95% 11400 DELIVERY LIMIT 15% 1800 LOW PRODUCT 1200 LEAK ALARM LIMIT: 99 SUDDEN LOSS LIMIT: 99 TANK TILT 0.00 PROBE OFFSET 0.00 SIPHON MANIFOLDED TANKS TO: NONE LINE MANIFOLDED TANKS TO: NONE LEHK MIN PERIODIC: Ii 120 LEAK MIN ANNUAL : IX 120 PERIODIC TEST TYPE STANDARD ANNUAL TEST FAIL ALARM DISABLED PERIODIC TEST FAIL ALARM DISABLED GROSS TEST FAIL ALARM DISABLED ANN TEST AVERAGING: OFF PER TEST AVERAGING: OFF TANK TEST NOTIFY: OFF TNK TST SIPHON BREAK:OFF DELIVERY DELAY : I MIN PUMP THRESHOLD : I0.00% T 3:11IESEL L 6:PNL ANN S L 2:UNL FILL L 8:DSL FILL PRODUCT CODE 3 LEAK TEST METHOD TRI -STATE CATEGORY SINGLE FLOAT) PIPING SUMPTHERMALCOEFF :.000450 CATEGORY : PIPING SUMP PER TEST AVERAGING: OFF TANK DIAMETER 96.00 TEST ON DATE : ALL TANK PERIODIC: Ie L 3:UNL ANN TANK PROFILE 4 PTS JUL 1. 2009 L 9:DSL ANNFULLVOL : 12000 START TIME : DISABLED DUAL POINT HYDROSTATIC72.0 INCH VOL 9999 TEST RATE :0.20 GAL:HR CATEGORY ANNULAR SPACE48.0 INCH VOL : 6355 DURATION 2 HOURS 24.0 INCH VOL 2505 PERIODIC TEST TYPE TRI -STATE (SINGLE FLOAT) TST EARLY STOP:DISABLED STANDARD CATEGORY : STP SUMP FLOAT SIZE: 4.0 IN. LEAK TEST REPORT FORMAT TRI - STMT BOX SINGLE FLOAT) WATER WARNING 2.0 NORMAL CATEGORYCATEGORY PIPING SUMP HIGH WATER LIMIT: 3.0 PUMP SENSOR SETUPPERIODICTESTFAIL MAX OR LABEL VOL: 12000 LII:DISP 1 -2 SINGLE FLOAT) OOVERFILL LIMIT 90: CATEGORYCATEGORY DISPENSER PAN 10800 HIGH PRODUCT 95% 11400 DELIVERY LIMIT 15% L12:DISP 3 -41800TRI -STATE SINGLE FLOAT) LOW PRODUCT 1200 LIQUID SENSOR SETUP CATEGORY DISPENSER PAN LEAK ALARM LIMIT: 99 SUDDEN LOSS LIMIT: 99 TANK TILT 3.00 L I:UNL STP L13:DISP 5 -6PROBEOFFSET0.00 TRI -STATE (SINGLE FLOAT) TRI -STATE SINGLE FLOAT) CATEGORY : STP SUMP CATEGORY DISPENSER PAN SIPHON MANIFOLDED TANKS TO: NONE L 6:PNL ANN S L 2:UNL FILL ALARM DISABLED D LINE MANIFOLDED TANKS TRI -STATE (SINGLE FLOAT) L14:DISP 7 -8TO: NONE ANN TEST AVERAGING: OFF S CATEGORY : PIPING SUMP TRI -STATE (SINGLE FLOAT) PER TEST AVERAGING: OFF S 2 : PREI•I1 UM CATEGORY : DISPENSER PAN LEAK MIN PERIODIC: Ie L 3:UNL ANN TRI -STATE (SINGLE FLOAT) 120 DUAL POINT HYDROSTATIC CATEGORY : ANNULAR SPACE LEAK MIN ANNUAL : 1% 120 L 4:PNL STP PERIODIC TEST TYPE TRI -STATE (SINGLE FLOAT) STANDARD CATEGORY : STP SUMP ANNUAL TEST FAIL ALARM DISABLED L 5:PNL FILL TRI -STATE (SINGLE FLOAT) PUMP SENSOR SETUPPERIODICTESTFAILCATEGORY : PIPING SUMP ALARM DISABLED GROSS TEST FAIL LL 6:PNL ANN SS ):UNLEADED ALARM DISABLED DDUAL POINT HYDROSTATIC T DISPENSE MODE: CATEGORY ANNULAR SPACE D STANDARDANNTESTAVERAGING: OFF S PER TEST AVERAGING: OFF S 2 : PREI•I1 UM TANK TEST NOTIFY: OFF L o S TANK N: 2 DISPENSE MODE: TRI -STATE (SINGLE FLOAT) R 3:DIEBEL OUTPUT RELAY SETUP TYPE: EVR?ISD SETUPSTANDARD NORMALLY CLOSED R (:UNLEADED TYPE: PUMP CONTROL OUTPUT TANK 0: 1 LIQUID SENSOR ALMS L 1 :FUEL ALARM L11:FUEL ALARM L12:FUEL ALARM L13:FUEL ALARM L14:FUEL ALARM L I:SENSOR OUT ALARM L11:SENSOR OUT ALARM L12:SENSOR OUT ALARM L13:SENSOR OUT ALARM L14:SENSOR OUT ALARM L 1:SHORT ALARM Ll1:SHORT ALARM L12:SHORT ALARM L13:SHORT ALARM L14:SHORT ALARM ISD SITE ALARMS ISD GROSS PRES FAIL ISD DEGRD PRES FAIL ISD VAPOR LEAK FAIL ISD VP PRES FAIL ISD VP STATUS FAIL ISD HOSE ALARMS ALL:GROSS COLLECT FAIL ALL:DEGRD COLLECT FAIL ALL:FLOW COLLECT FAIL R 2-PREMIUM TYPE: PUMP CONTROL OUTPUT TANK 0: 2 LIQUID SENSOR ALMS L 4:FUEL ALARM LII:FUEL ALARM L12:FUEL ALARM L13:FUEL ALARM L14:FUEL ALARM L 4:SENSOR OUT ALARM L W SENSOR OUT ALARM L12:9ENSOR OUT ALARM L13 :SENSOR OUT ALARM L W SENSOR OUT ALARM L 4:SHORT ALARM Lll:SHORT ALARM L12:SHORT ALARM L13:SHORT ALARM L14:SHORT ALARM ISD SITE ALARMS ISD GROSS PRES FAIL ISD DEGRD PRES FAIL ISD VAPOR LEAK FAIL ISD VP PRES FAIL ISD VP STATUS FAIL ISD HOSE ALARMS ALL:GROSS COLLECT FAIL ALL:DEGRD COLLECT FAIL ALL:FLOW COLLECT FAIL TANK 0: NONE LIQUID SENSOR ALMS L 7:FUEL ALARM LII:FUEL ALARM L12:FUEL ALARM L13:FUEL ALARM L14:FUEL ALARM L 7:SENSOR OUT ALARM LII:SENSOR OUT ALARM L12:SENSOR OUT ALARM L13:SENSOR OUT ALARM L I CCENSOR OUT ALARM LII :SHORT ALARM L12:SHORT ALARM L13 ;SHORT ALARM L14:SHORT ALARM R 4:OVERFILL TYPE: STANDARD NORMALLY OPEN TANK 0; NONE IN-TANK ALARMS ALL:OVERFILL ALARM ALL :HIGH PRODUCT ALARM SPIARTSENSOR SETUP 3 1:VP 1 -2 CATEGORY VAPOR PRESSURE s 2:FM 1 -2 CATEGORY AIR FLOW METER s 3:FM 3 -4 CATEGORY AIR FLOW METER s 4:FM 5 -6 CATEGORY AIR FLOW METER s 5 :FM 7 -8 CATEGORY AIR FLOW METER EVR TYPE. VACUUM ASSIST VACUUM ASSIST TYPE HEALY VAC NOZZLE A/L RANGE MAX: 1.15 MIN: 0.95 VAPOR PROCESSOR TYPE NONE ANALYSIS TIMES TIME: 10:00 AM DELAY MINUTES: I ACCEPT HIGH ORVR: DISABLED ISD HOSE TABLE ID FP FL HL AA RR 01 01 01 02 01 UU 02 02 02 02 01 UU 03 03 03 02 02 UU 04 04 04 02 02 UU 05 05 05 02 03 UU 06 06 06 02 03 UU 07 07 07 02 04 OU 08 08 08 02 04 UU ISD AIRFLOW METER MAP ID SERIAL NUM LABEL 1 7329 FM 1-2 2 7378 FM 3 -4 3 7309 FM 5 -6 4 6956 FM 7 -8 ISD FUEL GRADE HOSE MAP I 2 3 4 FP 11HH MHH MHH MHH AA 01 201 301 901 U U 1 02 202 302 902 U U 1 03 203 303 903 5 U 2 04 204 304 904 5 U 2 05 205 305 905 U U 3 06 206 306 906 U U 3 07 207 307 907 5 U 4 08 208 308 908 5 U 4 LABEL TABLE 1: UNASSIGNED 2: BLEND3 3: REGULAR 4: MID GRADE 5: PREMIUM 6: COLD 7: BRONZE 8: SILVER 9: BLEND2 10: BLEND4 PhiG SETUP PMC VERSION: 01.02 VAPOR PROCESSOR TYPE NONE PROCESSOR CONTROL LEVEL: NONE T I:UNLEADED INVENTORY INCREASE INCREASE START 06-09-11 12 :28 PM T 1:1NVALID FUEL LEVEL VOLUME - 2700 GALS HEIGHT o 25.40 INCHES WATER - 18.35 INCHES TEMP a 78.5 DEC F I NCREA.SE END 08-09-11 12:31 FM VOLUME - 8382 GALS HEIGHT e 60.94 INCHES WATER a 2.07 INCHES TEMP e 79.3 DEC F GROSS INCREASE* 5682 TC NET INCREASE- 5603 ALARM HISTORY REPORT SYSTEM ALARM ----- PAPER OUT 06 -12 -11 6:51 AM PRINTER ERROR 06 -12 -11 6:51 AM x x f Q R END n o 4 A ALARM HISTORY REPORT IN -TANK ALARM - - - -- T I:UNLEADED OVERFILL ALARM 08 -05 -11 1:09 PM 07 -31 -11 3:18 AM 07 -31 -11 3:03 AM LOW PRODUCT ALARM 05 -21 -11 6:14 PM 04 -25 -11 10:54 PM 04 -22 -11 4:34 PM SUDDEN LOSS ALARM 06 -28 -11 10:36 AM 05 -16 -11 1:32 PM 08 -18 -10 8:47 AM HIGH PRODUCT ALARM 06 -08 -I1 11 :39 AM 02 -22 -II 4:00 AM 01 -22 -11 10:15 AM INVALID FUEL LEVEL 08 -09 -11 12:28 PM 04 -22 -11 7:49 PM 09 -04 -10 9:45 AM PROBE OUT 08 -09 -11 12:27 PM 08 -18 -10 9:38 AM 08 -I8 -10 8:48 AM DELIVERY NEEDED 06 -28 -11 11:55 AM 06 -01 -11 7:42 AM 05-21 -11 3:25 PM LOW TEMP WARNING 08 -18 -10 9:38 AM 08 -18 -10 8:49 AM x x x r x END x A w* A 4 ALARM HISTORY REPORT IN-TANK ALARM - - - -- T 2 : PREM I Uhl SUDDEN LOSS ALARM 08 -IB -10 8:49 AM HIGH PRODUCT ALARM 08 -18 -10 9:39 AM PROBE OUT 08 -18 -10 9:39 AM 08 -18-10 8:49 AM x» x u a END 4 x A u a ALARM HISTOP,' REPORT IN -TANK ALARM - - - -- T 3:DIESEL H 1 GH PRODUCT ALARM 08-18 -10 9:40 AM PROBE OUT 08 -18-10 9:41 AM 06 -18-10 8:50 AM ALARM HISTORY REPORT IN -TANK ALARM - - - -- T 4: x x ;i ,* END x 4 .* :x x ALARM HISTORY REPORT SENSOR ALARM - - - -- L 1:UNL STP STP SUMP FUEL ALARM 07-20-11 9:34 AM FUEL ALARM 06 -25 -11 8:10 AM FUEL ALARM 05-16-1) 1 :06 Pli A A X X *END O X A A R ALARM HISTORY REPORT SENSOR ALARM - - - -- L 2:UNL FILL PIPING SUMP FUEL ALARM 05 -18 -11 9:14 AM FUEL ALARM 03 -21 -11 8:27 PM FUEL ALARM 03 -14-11 11:56 PM x x x x x END x R a 0 x ALARM HISTORY REPORT SENSOR ALARM - - - -- L 3:UNL ANN ANNULAR SPACE LOW LIQUID ALARM 08 -18 -10 9:31 AM HIGH LIQUID ALARM 08 -18 -10 9:26 AM LOW LIQUID ALARM 08 -18-10 9:27 AM x x h* x END A 'd x x x 'd ALARM HISTORY REPORT SENSOR ALARM - - - -- L 4:PNL STP STP SUMP FUEL ALARM 07 -07 -11 1:09 PM SENSOR OUT #ALARM 08-18 -10 9:21 AM FUEL #ALARM 08-18 -10 9:10 AM a x x k x END x x x R x ALARM HISTORY REPORT SENSOR ALARM - - --- L 5 :PNL FILL PIPING SUMP FUEL ALARM 07 -22 -I1 10:12 AM FUEL ALARM 01 -02 -11 6:39 PM FUEL ALARM 12 -20 -10 3:23 PM A x x x x END x x p x x ALARM HISTORY REPORT ALARM HISTORY REPORT ALARM HISTORY REPORT SENSOR ALARM - - - -- L 6:PNL ANN ANNULAR SPACE LOW LIQUID ALARM 08 -18 -10 9,32 AM LOW LIQUID ALARM 08 -18 -10 9 :31 AM HIGH LIQUID ALARM 08 -18 -10 9:28 AM X k W x x END A x e x w ALARM HISTORY REPORT SENSOR ALARM - -- L 7:DSL STP STP SUMP FUEL ALARM 07 -06 -11 5:06 AM FUEL ALARM Oe -18 -IY 9:43 AM FUEL ALARM 05-16 -11 5:06 PM SENSOR ALARM - - - -- L 8:DSL FILL PIPING SUMP FUEL ALARM 03-14 -11 9:16 PM FUEL. ALARM 12 -19 -10 4:19 AM FUEL ALARM 08 -18-10 9:25 AM x x u x A END A x A o 4 ALARM HISTORY REPORT SENSOR ALARM - - - -- L 9:DSL ANN ANNULAR SPACE LOW LIQUID ALARM 08 -04 -II 8:09 AM HIGH LIQUID ALARM 08 -04 -11 7:49 AM HIGH LIQUID ALARM 09-04-11 6:12 AM R A t* x END A x x x x pxxxAxEIVDwxukx SENSOR ALARM -- LIO:VENT BOX PIPING SUMP FUEL ALARM 08 -18 -10 9:29 AM SENSOR OUT ALARM 08 -18 -10 9:21 AM x x x* END x w x x ALAP,M HISTORY REPORT SENSOR ALARM -- - -- LII:DISP 1 -2 DISPENSER PAN SENSOR OUT ALARM 08-18 -10 9:21 AM FUEL ALARM 08 -18 -10 9:13 AM x x X x v END x R x x A ALARM HISTORY REPORT 114- TAhI }; ALARM - - - -- SENSOR ALARM - - - -- T I:UNLEADED FASTRIP 785 L12:DISP 3-4 HII:H PRODUCT ALARM 3701 MINu AVE DISPENSER PAN 08-09 -11 1:32 PM BAKERSFIELD 93309 SENSOR OUT ALARM 661- 397 -3699 08 -18 -10 9:21 AM 08 -09 -11 1:33 PM FUEL ALARM 08-18-10 9 :15 AM IN -TANK ALARM - - - -- T I:UNLEADED PROBE OUT 08 -09 -II 1:33 PM r x p x a END x R x x R SYSTEM STATUS REPORT ALL FUNCTIONS NORMAL ii 1F A ii i4 FNr1 w w i` u r IN -TANK ALARM - - --- T I :UNLEADED LOW TEMP WARN IN4 08 -09 -11 1:33 PM IN -TAN}; ALARM - - - -- T 2: PREM I Uhl HIGH PRODUCT ALARM 08 -09 -11 1 :33 PM ALARM HISTORY REPORT SENSOR ALARM - - - -- L13:DISP 5 -6 DISPENSER PAN 114-TANK ALARM - - - -- SENSOR OUT ALARM T 2:F•REMIUM 08 -18 -10 9:21 AM PROBE OUT 08 -09 -11 1 :314 P19 FUEL ALARM FASTRIF' 785 08 -18 -10 9:16 AM 3701 MING AVE BAKERSFIELD 93309 661 -397 -3699 08 -09 -1 1 1 .33 PI -I S'YSTEPI STATUS REPORT T 2:HIGH PRODUk':T ALARM E14D I N -TAI4K ALARM - - --- T 3:DIESEL HIGH PRODW::T ALARM 08 -09 -I1 1:34 PM FAS'TR I P 785 ALARM HISTORY REPORT 3701 MING AVE BAKERSFIELD 9;3309 SENSOR ALARM - - - -- 661 -397 -3699 L14:DISP 7 -6 DISPENSER PAN 08 -09 -11 1:33 PM FUEL ALARM 03 -14-11 7:10 PM FUEL ALARM SYSTEM STATUS REPORT 08 -18 -10 10:42 AM T 2:HICH PRODUCT ALARMFUELALARM OS -18 -10 9 :52 AM ii 1F A ii i4 FNr1 w w i` u r IN -TANK, ALARM - - - -- T 2:PREMIUM LOW TEMP WARNING 08 -09 -11 1:34 PII IN-THNK ALARM - - - -- T 3:DIESEL PROBE OUT 06 -09-11 1:35 PM 114 -TANK HLARM - - - -- T 3:DIESEL LOW TEMP WARNING 06 -09 -11 1:35 Phi T I :UNLEADED INVENTORY INCREASE INCREASE START 08 -09 -II 1:33 PM VOLUME - 7227 GALS HEIGHT - 53.51 INCHES WATER - 0.00 INCHES TEMP - -99.0 DEC F INCREASE END 08 -09 -I1 1:37 Phl VOLUME - 8077 GALS HE113HT = 58.95 INCHES WATER. = 0.00 INCHES TEMP - 99.0 DEG F GROSS INCREASE- 850 TC NET INCREASE- 944 T 2:PREMIUM INVENTORY INCREASE INCREASE START 08-09 -11 1:34 PM VOLUME - 4787 GALS HEIGHT - 38.79 INCHES MATER - 0.00 INCHES TEMP - 99.0 DEC; F I NCREASE END 08 -09 -11 1:37 PM VOLUME o 5293 GALS HEIGHT - 41.80 114CHES WATER o 0.00 INCHES TEMP = -99.0 DEC F GROSS INCREASE 506 TC NET INCREASE- 562 IN -TANK ALARM - - - -- T 2:PREMIUM SUDDEN LOSS ALARM 00 -09 -11 12:34 PM IN -TANK ALARM - - - -- T 3:DIESEL INVALID FUEL LEVEL 08 -09 -II 12:36 Pl T 2:PREMIUM INVENTORY INCREASE INCREASE START 08 -09 -II 12:34 PM VOLUME = 2703 GALS HEIGHT = 25.42 INCHES WATER = 0.00 INCHES; TEMP - 82.7 DEG F INCREASE END 08 -09 -II 12:39 PM VOLUME = 8840 GALS HEIGHT - 63.96 INCHES WATER m 1.06 INCHES TEMP - 88.7 DEG F GROSS INCREASE 6137 TC NET INCREASE 6001 T 3:DIESEL INVENTORY INCREASE I N' :REASE START 08-09 -11 12:37 PM T 3:INVALID FUEL LEVEL VOLUME - 2751 GALS HEIGHT = 25.75 114CHES WATER a 15.40 INCHES TEMP - 88.3 DEG F INCREASE END 08 -09 -11 12:43 Ply VOLUME - 8147 GALS HEIGHT - 59.41 INCHES WATER = 0.00 INCHES TEMP - 99.0 DEG F GROSS INCREASE- 5396 TC NET INCREASE 5288 SENSOR ALARM - - - -- - - - -- SENSOR ALARM - - - -- L I:UNL STP - - - -- SENSOR ALARM - - - -- STP SUMP L1: DISE 3-4 L 9:DSL ANN FUEL ALARM DISPENSER PAN ANNULAR SPACE 08 -09 -11 1:16 PM FUEL ALARM HIGH LIGU1U ALARhI 08 -09 -I1 1:19 PM 08-09 -I1 1:24 Pli SENSOR ALARM - - - -- L 4:PNL STP STP SUMP FUEL ALARM 08 -09 -11 1:16 P19 SENSOR ALARM - - - -- L 7:DSL STP STP SUMP FUEL ALARM 08 -09 -11 1:17 PM SENSOR. ALARM - - - -- I-II:DISP 1 -2 DISPENSER PAN FUEL ALARM 08 -09 -I1 1:17 PM SENSOR ALARM - - - -- 1-13 :DISP 5 -6 DISPENSER PAIV FUEL ALARM 08 -09 -11 1:18 PM SENSOR ALARM - - - -- L14:DISP 7 -8 DISPENSER PAN FUEL ALARM 08 -09 -11 1:19 PM SENSOR ALARM - - - -- LlO:VENT BOX PIPING SUMP FUEL ALARM 08 -09 -11 1:20 PM SENSOR ALARM L 2:UNL FILL PIPING SUMP FUEL ALARM 08 -09 -11 1 :22 PM SENSOR ALARM -- - -- L 5:PNL FILL PIPING SUMP FUEL ALARM 08 -09 -11 1:- PH SENSOR ALARM - - - -- L 8:11SL FILL PIPING SUMP FUEL ALARM 08 -09 -11 1:23 PM SENSOR ALARM - - - -- L 9:DSL ANN ANNULAR SPACE LOW LIQUID ALARM 08-09-11 1 : 23 P?l p FASTRIP 785 3701 MING AVE BAK.ERSFIELD 93309 661- 397 -3699 08 -09 -11 1 :24 PM S'Y'STEM STATUS REPORT ALL FUNCTIONS NORMAL SENSOR ALARM - - - -- L 6:PNL ANN ANNULAR SPACE LOW LIQUID ALARM 08 -09 -11 1:24 PM SENSOR ALARM - - - -- L 6:PNL ANN ANNULAR SPACE HIGH LIQUID ALARM 08 -09 -11 1:24 PM SENSOR ALARM - --- L 3:UNL ANN ANNULAR SPACE LOW LIQUID ALARM 08 -09 -11 1:25 PM SENSOR ALARM - - - -- L 3:UNL ANN ANNULAR SPACE HIGH LIQUID ALARM 08 -09 -II 1:25 PM SENSOR ALARM - - - -- - - - -- SENSOR ALARM - - - -- L 3:UNL ANN - - - -- SENSOR ALAR11 - - - -- L 5:PNL FILL ANNULAR SPACE LI2:DISP 3 -4 PIPING SUMP LOW LIQUID ALARM DISPENSER. PAN SENSOR OUT ALARM 08 -09 -I1 1:25 PM SENSOR OUT ALARM 08 -09-11 1:27 PM 08 -09 -11 1:27 PM SENSOR ALARM - - - -- L 9:D13L ANN ANNULAR SPACE SENSOR OUT ALARM 08 -09 -11 1:27 PM SENSOR ALARM - - - -- L10:VENT BOX PIPING, SUMP SENSOR. OUT ALARM 08 -09 -11 1 :27 PM SENSOR ALARM - - - -- LII:DISP 1 -2 DISPENSER PAN SENSOR OUT ALARM 08 -09 -II 1:27 PM SENSOR ALARM -- - -- L13:DISP 5 -6 DISPENSER PAN SENSOR OUT ALARM 08 -09 -11 1:27 PM SENSOR ALARM - - - -- L 7 :DSL STP STP SUMP SENSOR OUT ALARM 08-09 -II 1:27 PM SENSOR ALARM - - - -- L14:DISP 7 -8 DISPENSER PAN SENSOR OUT ALARM 08-09 -11 1:27 PM SENSOR ALARM - - --- L 8:DSL FILL PIPING SUMP SENSOR OUT ALARM 09-09 -I1 1:29 PM SENSOR ALARM - - - -- L I:UNL STP STP SUMP SENSOR OUT ALARM 08 -09 -II 1:27 PM SENSOR ALARM - - L 2:UNL FILL PIPING SUMP SENSOR OUT ALARM 08 -09 -11 1:27 PM SENSOR ALARM - - - -- L 3:UNL ANN ANNULAR SPACE SENSOR OUT ALARM 08 -09 -I1 1:27 PIM 0 SENSOR ALARM L 4:PNL STP STP SUMP SENSOR OUT ALARM 08 -09-11 1:27 P11 SENSOR ALARM - - - -- L 6:PNL ANN ANNULAR SPACE SENSOR OUT ALARM 08 -09-11 1:27 PM FAS•fR I P 785 3701 MING AVE BAKERSFIELD 93309 661- 397 -3699 08 -09 -11 1:26 PM SYSTEM STATUS REPORT Al I VIINfT RIf,tJN(1L'f1A1 SWRCB, January 2006 Spill Bucket 'Testing Report Form Thisform is intendedfor use by contractors performing annual testing of UST 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: #785 Fastrip #32 1 Date of Testing: 08/09/2011 Facility Address: 3701 Ming Avenue, Bakersfield, CA 93309 Facility Contact: Omero Garcia I Phone: 661- 393 -7000 Date Local Agency Was Notified of Testing: 7/13/2011 Name of Local Agency Inspector (rfpresent during testing): Ernie Medina 2. TESTING CONTRACTOR INFORMATION Company Name: Confidence UST Services, Inc. Technician Conducting Test: Bryan A Self Credentials': Z CSLB Contractor O ICC Service Tech. O SWRCB Tank Tester Other (Spec) License Number(s): CSLB #804904 ICC #8022804 -UT TT# 11-1756 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 2 Super 3 Diesel 4 Bucket Installation Type: Direct Bury x Contained in Sump Direct Bury x Contained in Sump Direct Bury x Contained in Sump Direct Bury Contained in Sum Bucket Diameter: 12.00" 12.00" 12.00" Bucket Depth: 13.00" 13.00" 12.75" Wait time between applying vacuum /water and start of test: 5 Min. 5 Min. 5 Min. Test Start Time (Tj): 1:00pm 1:00pm 1:00pm Initial Reading (Rj): 9.75" 9.50" 9.75" Test End Time (TF): 2:00pm 2:00pm 2:00pm Final Reading (RF): 9.75" 9.50" 9.75" Test Duration (TF — Tj): 1 hour 1 hour 1 hour Change in Reading (RF - Rj): 0.00" 0.00" 0.00" Pass /Fail Threshold or Criteria: 0.0625" 0.0625" 0.0625" Test Result: x Pass Fail 9 Pass Fail D 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 I hereby certify that all the information contained in this report is true, accurate, and in full compliance with legal requirements. Technician's Signature: a UAO — 47T — Date: 08/09/2011 State laws and regulations do not currKntly require testing to be performed by a qualified contractor. However, local requirements may be more stringent. Ming ST