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Home My WebLink AboutFMC 2012Tanknolo JY 11000 N. MoPac Expressway, Suite 500 Austin, Texas 78759 Phone: (512) 451 -6334 Fax: (512) 459-1459 BAKERSFIELD FIRE DEPARTMENT OFFICE OF ENVIRONMENTAL SERVICES INSPECTOR CRAIG PERKINS 1501 TRUXTUN AVE. BAKERSFIELD, CA 93301 Test Date: 5/11/2012 Order Number: 3403432 I Date Printed and Mailed: 5/30/2012 Dear Regulator, Enclosed are the results of recent testing performed at the following facility: 7- ELEVEN #32376, MKT 2368 9600 BRIMHALL RD. BAKERSFIELD, CA 93312 Testing performed: . ATG IMPACT VALVE LEAK DETECTOR SPILL BUCKET TEST Sincerely, Dawn Kohlmeyer i Manager, Field Reporting i Appendix VI Copies of Monitoring System Certification forth and UST Monitoring Plot Plan available at http://www.swrtb. ca. gov.) 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. 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: 7- ELEVEN #32376, MKT 2368 + Bldg. No.: Site Address: 9600 BRIMHALL RD. City: BAKERSFIELD Zip: 93312 Facility Contact Person: MANAGER Make /Model of Monitoring System: Veeder Root TLS 350 B. Inventory of Equipment Tested /Certified rhn Lr hha anmmn'iafa 1 nvna fn InAirnto cndlfie anidmmnnf ine +nA 1a m,1. A. Contact Phone No.: 588 -4059 Date of Testing /Servicing: 5/11/2012 Tank ID: T2 RUL - RUL Tank ID: r In -Tank Gauging Probe. Model: MAG PROBE r In -Tank Gauging Probe. Model: r' Annular Space or Vault Sensor. Model: VR -420 r Annular Space or Vault Sensor. Model: r. Piping Sump / Trench Sensor(s), Model: VR -352 r; Piping Sump / Trench Sensor(s). Model: r' Fill Sump Sensor(s). Model: r Fill Sump Sensor(s). Model: P Mechanical Line Leak Detector. Model: Vaporless LD -2000 Mechanical Line Leak Detector. Model: r Electronic Line Leak Detector. Model: Electronic Line Leak Detector. Model: r Tank Overfill /High Level Sensor. Model: ATG /FLAPPER Tank Overfill / High -Level Sensor. Model: Other(specify equipment a and model in Section E on Page 2). i Other (specify equipment a and model in Section E on Page 2). Tank ID: T3 PUL - PUL Tank ID: r. In -Tank Gauging Probe. Model: MAG PROBE j In -Tank Gauging Probe. Model: r Annular Space or Vault Sensor. Model: VR -420 r Annular Space or Vault Sensor. Model: r Piping Sump / Trench Sensor(s). Model: VR -352 r Piping Sump / Trench Sensor(s), Model: r Fill Sump Sensor(s). Model: rE Fill Sump Sensor(s). Model: W. Mechanical Line Leak Detector. Model: Vaporless LD -2000 r Mechanical Line Leak Detector. Model: i r' Electronic Line Leak Detector. Model: r Electronic Line Leak Detector. Model: J Tank Overfill /High -Level Sensor. Model: ATG /FLAPPER rj Tank Overfill / High -Level Sensor. Model: Other(specify equipment type and model in Section E on Pa e 2). I Other(specify equipment a and model In Section E on Page 2). Dispenser 1/2 Dispenser 7/8ID: ID: r Dispenser Containment Sensor(s). Model: VR -352 r Dispenser Containment Sensor(s). Model: VR -352 i r Shear Valve(s), r Shear Valve(s). i r Dispenser Containment Float(s) and Chain(s). r Dispenser Containment Float(s) and Chain(s). Dispenser 3/4 Dispenser 9/10ID: ID: r. Dispenser Containment Sensor(s). Model: VR -352 Dispenser Containment Sensor(s). Model: VR 352 ; r Shear Valve(s). Fi Shear Valve(s). r: Dispenser Containment Float(s) and Chain(s). r Dispenser Containment Float(s) and Chain(s). Dispenser 5/6 Dispenser 11/12ID: ID: r Dispenser Containment Sensor(s). Model: VR -352 jJ, Dispenser Containment Sensor(s). Model: VR -352 r Shear Valve(s), r Shear Valve(s). r Dispenser Containment Float(s) and Chain(s). r Dispenser Containment Float(s) and Chain(s). it the racniry contains more tanks or dispensers, copy this Corm. 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 Plot Plan showing the layout of monitoring equipment. For any equipment capable of generating such reports, I have also attached a copy of the report; (check all that apply):. Ml System set- up r Alarm history report Technician Name (print): Edwin Pineda Signature: Certification No.: B37453 License. No.: 743160 Class'A' r Testing Company Name: Tanknology Phone No.: (800) 800 -4633 Testing Company Address: 11000 N. MoPac Expressway Suite 500 Date of Testing /Servicing: 5/11/2012 Monitoring System Certification Paae i of 3 12/07 D. Results of Testing /Servicing Software Version Installed: 329.02 Complete the following checklist: C Yes r No* Is the audible alarm operational? F. Yes M No* Is the visual alarm operational? C Yes r, No* Were all sensors visually Inspected, functionally tested, and confirmed operational? is Yes 0 No* Were all sensors installed at lowest point of secondary containment and positioned so that other equipment will not Interfere wit their proper operation? C Yes No* If alarms are relayed to a remote monitoring station, is all communications equipment (e.g. modem) operational? IT-, N/A r Yes I^ No* For pressurized piping systems, does the turbine automatically shut down if the piping secondary containment monitoring N/A system detects a leak, falls to operate, or is electrically disconnected? If yes: which sensors Initiate positive shut -down? (Check all that apply) WJppy) Sump/Trench Sensors; PO' Dispenser Containment Sensors. Did you confirm positive shut -down due to leaks and sensor failure /disconnection? t: Yes; r No G Yes C No* For tank systems that utilize the monitoring system as the primary tank overfiil warning device (i.e. no mechanical overfill C prevention valve is installed), is the overfill warning alarm visible and audible at the tank fill point(s) and operating properly? IfN/A so at what percent of tank capacity does the alarm trigger? 90% I: Yes* r 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. r Yes* r? No Was liquid found inside any secondary containment systems designed as dry systems? (Check all that apply) rs Product Water. If es describe causes in Section E below. r Yes No* Was monitoring system set -up reviewed to ensure proper settings? Attach set up reports, if applicable Yes rQ No* Is all monitoring equipment operational per manufacturer's specifications? • In section t below, describe now and when these dericiencies were or will be corrected. Monitoring System Certification Page 2 of 3 I 12/07 F. In -Tank Gauging / SIR Equipment: Fi Check this box if tank gauging is used only for inventory control. r' 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: f: Yes r No* Has all Input wiring been Inspected for proper entry and termination, including testing for ground faults? is Yes No* Were all tank gauging probes visually Inspected for damage and residue buildup? f? Yes No* Was accuracy of system product level readings tested? M Yes No* Was accuracy of system water level readings tested? Yes ir No* lWere all probes reinstalled properly? Yes r 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): r Check this box if LLDs are not installed. Complete the following checklist: M Yes r No* For equipment start-up or annual equipment certification was a leak simulated to verify LLD performance? (Check all that r N/A apply) Simulated leak rate: W, 3 g.p.h.; r 0.1 g.p.h; L_.; 0.2 g.p.h. j r Yes r No* Were all LLDs confirmed operational and accurate within regulatory requirements? I f: Yes r No* Was the testing apparatus properly calibrated? C: Yes r No* For mechanical LLDs, does the LLD restrict product Flow if it detects a leak? r` N/A r Yes r No* For electronic LLDs, does the turbine automatically shut off If the LLD detects a leak? N/A f" Yes` No* For electronic LLDs, does the turbine automatically shut off if any portion of the monitoring system is disabled or disconnected? M N/A r Yes r No* For electronic LLDs, does the turbine automatically shut off if any portion of the monitoring system malfunctions or fails a test? P, N/A t^ Yes r No* For electronic LLDs, have all accessible wiring connections been visually inspected? r N/A C Yes No* Were all Items on the equipment manufacturer's maintenance checklist completed? ! In the sectlon M, below, describe how and when these deficiencies were or will be corrected. rayc J V J iL/ V f SWRCB, January 2002 Page 1 of 1 Secondary Containment Testing Report Form Thisform is intended for use by contractors performing periodic testing of UST secondary containment systems Use the appropriate pages of this form to report results for all components tested. The completedform, written test procedures, and printoutsfrom tests if applicable), should be provided to thefacility owner /operatorfor submittal to the local regulatory agency. 1. FACILITY INFORMATION Facility Name: 7- ELEVEN #32376, MKT 2368 jDate of Testing: 5/11/2012 Facility Address: 9600 BRIMHALL RD. , BAKERSFIELD, CA 93312 Facility Contact: MANAGER Phone: 5884059 Date Local Agency Was Notified of Testing: 4/20/2012 Name of Local Agency Inspector (if present during testing): None Present 2. TESTING CONTRACTOR INFORMATION Company Name: TANKNOLOGY INC. Pass Technician Conducting Test: Edwin Pineda Not Tested Credentials: r CSLB Licensed Contractor r SWRCB Licensed Tank Tester License Type: A License Number: 743160 Manufacturer Manufacturer Training Component(s) Date Training Expires OPW Phase 1 EVR 8/2/2012 3. SUMMARY OF TEST RESULTS Component Pass Fail Not Tested Repair Made Component Pass Fail -, i Not Tested Repairs Made Spill Box T2 RUL rul fill X Spill Box T3 PUL put fill X I I , If hydrostatic testing was performed, describe what was done with the water after completion of tests: CERTIFICATION OF TECHNICIAN RESPONSIBLE FOR CONDUCTING THIS TESTING I. . To the best ofmy knowledge, thefa lctsstatedinthisdocumentareaccurateandinfullcompliancewithlega requirements Technician's Signature: Qj I) A 1.. . Date: 5/11/20121 WO: 3403432 i i Page 1 of 1 SPILL /OVERFILL CONTAINMENT BOXES Facility is Not Equipped With Fill Riser Containment Sumps r_? Fill Riser Containment Sumps are Present, but were Not Tested r Test Method Developed By: r Spill Bucket Manufacturer!: Industry Standard r Professional .Engineer r Other (Specify): Test Method Used By: Pressure r Vacuum rr Hydrostatic r Other (Specify): Test Equipment Used: LAKE TEST Equipment Resolution: 0.062 in. cam-; ,k e4" >T •i 4,. Z ,4.t;. a rTank T2FRUL RULE': 3Tank T3 -'PUL PUL' t` rl xrSIII Box # 'SP r S III f3oz # A r'Flll Direct sr s Bucket Diameter: 12.00 12.00 Bucket Depth: 12.00 14.00 Wait time between applying pressure /vacuum /water and 0 min 0 min min min starting test Test Start Time: 09:00:00 09:00:00 Initial Reading p,l: 11.50 13.00 Test End Time: 10:00:00 10:00:00 Final Reading oar. 11.50 13.00 Test Duration: 1 hr 1 hr Change in Reading y : 0.00 0.00 Pass /Fall Threshold or Criteria: 0.00 0.00 Test Result4# Passe Afil#- }YPass , r y} 3 dA l R JJhh 4. I" Comments ? (include information on repairs made prior to testing, and recommended follow -up for failed tests) W0: 3403432 i i 'i Tanknolo Site DiagramgY(This site diagram is for reference only and is not drawn to scale) Work Order: 3403432 Date: 5/11/2012 Site ID / Name: 3237617- ELEVEN #32376, MKT 2368 Address: 9600 BRIMHALL RD, City: BAKERSFIELD State: CA Zip: 93312 VENTS OO CAS ; H2O 12 410 EA m ICE ,. 5 REG PREM 10K 10K v r 00 - 7 #5 N. Z4STPSTP A 11 l3 l#4 #2 ` S 31 W.O.# SC1- 3403432 I10100 MAY 11, 2012 12:55 PM 235431 7 -11 32376 9600 BRIMHALL BAKERSFIELD,CA 93312 B0687875505001 SYSTEM STATUS REPORT T 3:DELIVERY NEEDED 150301 MAY 11, 2012 12:55 PM 1:235431 7 -11 32376 I50302 MAY 11, 2012 12:55 PM 2:9600 BRIMHALL I50303 MAY 11, 2012 12:55 PM 3:BAKERSFIELD,CA 93312 I50304 MAY 11, 2012 12:55 PM 4:B0687875505001 I51700 MAY 11, 2012 12:55 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 11, 2012 12:56 PM MON DD YYYY HH:MM:SS xM I60100 MAY 11, 2012 12:56 PM TANK CONFIGURATION DEVICE LABEL CONFIGURED 1 OFF 2 RUL ON 3 PUL ON 4 OFF f i i 160200 MAY 11, 2012 12:56 PM TANK PRODUCT LABEL TANK PRODUCT LABEL 1 2 RUL 3 PUL 4 I60300 MAY 11, 2012 12:56 PM TANK PRODUCT CODE TANK PRODUCT LABEL 1 2 RUL 3 PUL 4 160400 MAY 11, 2012 12:56 PM TANK FULL VOLUME TANK PRODUCT LABEL 1 2 RUL 3 PUL 4 I60700 MAY 11, 2012 12:56 PM TANK DIAMETER . TANK PRODUCT LABEL 1 2 RUL 3 PUL 4 160900 MAY 11, 2012 12:56 PM TANK THERMAL COEFFICIENT TANK PRODUCT LABEL 1 2 RUL 3 PUL 4 I61200 MAY 11, 2012 12:56 PM TANK MANIFOLDED PARTNERS TANK PRODUCT LABEL 1 2 RUL 3 PUL 4 I62100 1 2 3 4 GALLONS i 0 j 10028 10028 0 i INCHES 0.00 96.00 96.00 0.00 i i 0.000000 0.000700 0.000700 0.000000 SIPHON MANIFOLDED TANKS LINE MANIFOLDED TANKS NONE NONE NONE NONE NONE NONE NONE NONE MAY 11, 2012 12:56 PM TANK LOW PRODUCT LIMIT TANK PRODUCT LABEL GALLONS 1 0 2 RUL 900 3 PUL 769 4 0 162200 MAY 11, 2012 12:56 PM TANK HIGH PRODUCT LIMIT TANK PRODUCT LABEL GALLONS 1 0 2 RUL 9526 3 PUL 9526 4 0 162300 MAY 11, 2012 12:56 PM TANK OVERFILL LEVEL LIMIT TANK PRODUCT LABEL GALLONS 1 0 2 RUL 9025 3 PUL 9025 4 0 162400 MAY 11, 2012 12:56 PM 2 RUL 1.5 3 PUL 1.5 I62800 MAY 11, 2012 12:56 PM TANK MAXIMUM VOLUME LIMIT TANK PRODUCT LABEL GALLONS 1 0 2 RUL 10028 3 PUL 10028 4 0 162900 MAY 11, 2012 12:56 PM TANK DELIVERY REQUIRED LIMIT TANK PRODUCT LABEL GALLONS 1 0 2 RUL 1504 3 PUL 1504 4 0 170300 MAY 11, 2012 12:56 PM LIQUID TYPE SENSOR LOCATION TYPE 1 RUL STP SUMP DUAL FLT. HIGH VAPOR 2 RUL ANNULAR TRI -STATE (SINGLE FLOAT) 3 PUL STP SUMP DUAL FLT. HIGH VAPOR 4 PUL ANNULAR TRI -STATE SINGLE FLOAT) 5 235431 7 -11 32376 TRI -STATE SINGLE FLOAT) 6 TRI -STATE SINGLE FLOAT) 7 DISP 1 -2 DUAL FLT. HIGH VAPOR 8 DISP 3 -4 DUAL FLT. DISCRIMINATING 9 DISP 5 -6 DUAL FLT. DISCRIMINATING 10 DISP 7 -8 DUAL FLT. DISCRIMINATING 11 DISP 9 -10 DUAL FLT. DISCRIMINATING 12 DISP 11 -12 DUAL FLT. DISCRIMINATING 13 2012 10:41 TRI -STATE SINGLE FLOAT) 14 11, 2012 TRI -STATE SINGLE FLOAT) 15 APR 17, TRI -STATE SINGLE FLOAT) 16 APR TRI -STATE SINGLE FLOAT) I90200 MAY 11, 2012 12:56 PM SOFTWARE REVISION LEVEL VERSION 329.02 SOFTWARE# 346329 -100 -C CREATED - 09.07.01.16.29 S- MODULE# 330160 -106 -a SYSTEM FEATURES: PERIODIC IN -TANK TESTS ANNUAL IN -TANK TESTS CSLD BIR ISD 120600 MAY 11, 2012 12:56 PM 235431 7 -11 32376 9600 BRIMHALL BAKERSFIELD,CA 93312 B0687875505001 TANK ALARM HISTORY TANK 2 RUL HIGH WATER ALARM MAY 11, 2012 10:41 AM OVERFILL ALARM MAY 11, 2012 10:32 AM APR 17, 2012 12:42 AM APR 10, 2012 5:29 AM LOW PRODUCT ALARM MAY 11, 2012 10:31 AM APR 25, 2012 8:22 PM MAR 29, 2012 9:14 PM HIGH PRODUCT ALARM MAY 11, 2012 10:34 AM MAY 11, 2012 10:32 AM APR 17, 2012 12:44 AM INVALID FUEL LEVEL MAY 11, 2012 10:49 AM MAY 11, 2012 10:31 AM PROBE OUT MAY 11, 2012 11:20 AM MAY 11, 2012 10:48 AM MAY 11, 2012 10:30 AM HIGH WATER WARNING MAY 11, 2012 10:41 AM DELIVERY NEEDED MAY 11, 2012 10:31 AM APR 28, 2012 4:40 PM APR 25, 2012 5:23 PM MAX PRODUCT ALARM MAY 11, 2012 10:35 AM TANK 3 PUL HIGH WATER ALARM MAY 11, 2012 11:27 AM OVERFILL ALARM MAY 11, 2012 10:32 AM LOW PRODUCT ALARM MAY 11, 2012 10:29 AM i r i - i HIGH PRODUCT ALARM MAY 11, 2012 10:34 AM MAY 11, 2012 10:31 AM INVALID FUEL LEVEL MAY 11, 2012 11:32 AM AM MAY 11, 2012 10:30 AM PROBE OUT MAY 11, 2012 11:31 AM MAY 11, 2012 11:21 AM 9:21 MAY 11, 2012 11:00 AM HIGH WATER WARNING MAY 11, 2012 11:27 AM DELIVERY NEEDED MAY 11, 2012 11:32 AM PUL MAY 10, 2012 5:22 PM APR 20, 2012 7 :19 PM MAX PRODUCT ALARM MAY 11, 2012 10:35 AM 130200 MAY 11, 2012 12:57 PM 235431 7 -11 32376 9600 BRIMHALL BAKERSFIELD,CA 93312 B0687875505001 LIQUID ALARM HISTORY REPORT SENSOR LOCATION 1 RUL STP SUMP MAY 11, 2012 9:21 AM SENSOR OUT ALARM MAY 11, 2012 9:07 AM FUEL ALARM MAY 11, 2012 9:07 AM FUEL ALARM 2 RUL ANNULAR MAY 11, 2012 9:21 AM SENSOR OUT ALARM MAY 11, 2012 9:09 AM FUEL ALARM JUL 1, 2009 8:02 AM SETUP DATA WARNING 3 PUL STP SUMP MAY 11, 2012 9:21 AM SENSOR OUT ALARM MAY 11, 2012 9:11 AM LIQUID WARNING MAY 11, 2012 9:11 AM LIQUID WARNING 4 PUL ANNULAR MAY 11, 2012 9:21 AM SENSOR OUT ALARM MAY 11, 2012 9:12 AM FUEL ALARM JUL 1, 2009 8:02 AM SETUP DATA WARNING 7 DISP 1 -2 MAY 11, 2012 9:21 AM SENSOR OUT ALARM MAY 11, 2012 9:16 AM LIQUID WARNING MAY 11, 2012 9:16 AM LIQUID WARNING 8 DISP 3 -4 4' MAY 11, 2012 9:21 AM SENSOR OUT ALARM MAY 11, 2012 9:17 AM LIQUID WARNING MAY 11, 2012 9:17 AM LIQUID WARNING 9 DISP 5 -6 MAY 11, 2012 9:21 AM SENSOR OUT ALARM MAY 11, 2012 9:15 AM LIQUID WARNING MAY 11, 2012 9:15 AM LIQUID WARNING ;. 10 DISP 7 -8 MAY 11, 2012 9 :21 AM SENSOR OUT ALARM MAY 11, 2012 9:15 AM LIQUID WARNING MAY 11, 2012 9:14 AM LIQUID WARNING 11 DISP 9 -10 MAY 11, 2012 9:21 AM SENSOR i OUT ALARM MAY 11, 2012 9:13 AM LIQUID WARNING MAY 11, 2012 9:13 AM LIQUID WARNING 12 DISP 11 -12 MAY 11, 2012 9:21 AM SENSOR OUT ALARM i I MAY 11, 2012 9:14 AM LIQUID WARNING MAY 11, 2012 9:14 AM LIQUID WARNING 110100 MAY 11, 2012 12:57 PM 235431 7 -11 32376 9600 BRIMHALL EAKERSFIELD,CA 93312 80687875505001 SYSTEM STATUS REPORT T 3:DELIVERY NEEDED