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