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Home My WebLink AboutFMC 2011MONITOWNG 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 ofthis form must be provided to the tank system owner /operator. The owner /operator must submit a copy of this form to the local agency regulating UST systems within 30 days of this date. A. General Information Facility Name: #362 Fastrip #633 Bldg. No.: _ Site Address: 6401 South H Street City: Bakersfield Zip: 93304 Facility Contact Person: Omero Garcia Make/Model of Monitoring System: Veeder -Root TLS -350 B. Inventory of Equipment Tested /CertifiedChecktheappropriateboxestoInKalespecificequipmentinspectedlserviced: Contact Phone No.: 661- 393 -7000 Date of Testing/Servicing: 8/9/2011 Tank ID: 12000 gal. Regular Tank ID: 12000 gal. Super x] In -Tank Gauging Probe. Model:847390 -107 x] In -Tank Gauging Probe. Model: 847390 -107 x] Annular Space or Vault Probe. Model: 794380-303 X] Annular Space or Vault Sensor. Model: 794380 -303 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 1!1 Fill Sump Sensor(s). Model: 794380 -208 x) Mechanical Line Leak Detector. Modei :FX1V x] Mechanical Line Leak Detector. Model: FX1V Electronic Line Leak Detector. Model: Electronic Line Leak Detector. Model: L] Tank Overfill / High Level Sensor. Model: 847390 -107 Cx] 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: Lx] 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: x] Fill Sump Sensors(s). Model: 794380-208 Fill Sump Sensor(s). Model: n Mechanical Line Leak Detector. Model:FX1DV Mechanical Line Leak Detector. Model: Electronic Line Leak Detector. Model: Electronic Line Leak Detector. Model: rx] 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 Fx] Dispenser Containment Sensor(s). Model: 794380-208 0 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 L] Shear Valve(s). X] Shear Valve(s). Dispenser Containment Float(s) and Chains(s). Dispenser Containment Float(s) and Chain(s). Dispenser ID: Dispenser ID: Dispenser Containment Sensor(s). Model: Dispenser Containment Sensor(s). Model: Shear Valve(s). Shear Valve(s). Dispenser Containment Float(s) and Chain(s) Dispenser Containment Float(s) and Chain(s). If the facility contains more tanks or dispensers, copy this form. Include information for every tank and dispenser at the facility. C. Certification -1 certify that the equipment identified in this document was inspected /seryices 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 Sys Set -up Lx] Alarm histo rt Technician Name (print): Bryan A Self Signature: (/li Certification No: 837501 License No: 804904 Testing Company Name: Confidence UST Services, Inc. Phon o: 800 -339 -9930 Site Address: 1604 South H Street, Bakersfield, CA 93304 Date ofTesting/Servicing: 8/9/2011 A Results ofTesting/Servicing Software Version Installed: 327.04 Complete the following checklist: x] Yes No* Is the audible alarm operational? x Yes No* Is t e Visual alarm operational? x Yes No* Were all sensors visually inspected, functionally tested, and confirmed operational? x Yes No* Were all sensors installed at the lowest point of secondary containment and positioned so that other equipment will not interfere with their proper operation? 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 Sensors[x] Dispenser Containment Sensors Did you confirm positive shut -down due to leaks and sensor failure /disconnected? [X] 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 % Yes* X] No Was any monitoring equipment replaced? if Yes, i enti specific sensors, probes, or other equipment replaced and list the manufacturer name and model for all replacement parts in Section E, below. Yes* No Was liquid found inside any secondary containment systems designed as dry systems? Product; Water. Ifyes, describe causes in Section E, below. Was monitoring system set -u reviewed to ensure ro er settings? Attach set -up reports, if a plicable. KYes* No* I 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: F. In -Tank Guaging / SIR Equipment: LU Check this box if tank guaging is used only for inventory control. Check this box if tank guaging or SIR equipment is installed. This section must be completed if in -tank guaging equipment is used to perform leak detection monitoring. Complete the following checklist: X] Yes No* Has all input wiring been inspected for proper enter and termination, including testing for ground faults? x Yes No* Were all tank guaging probes visually inspected for damage and residue buildup? Yes No* Was accuracy of system product level readings tested? rxj Yes No* Was accuracy of system water level readings tested? x Yes No* Were all probes reinstalled properly? Lx] 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: xj 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: [X]3 g.p.h.: 0.1 g.p.h.; 00.2 g.p.h.; x YesLNo* Were all LLD's confirmed operational and accurate within regulatory requirments? x Yes No Was the testing apparatus properly calibrated? Lx] Yes No* For mac anical 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? N/A Yes No* For electronic LLD's, does the turbine automatically shut off if any portion of the monitoring system is N/A disabled or disconnected? Yes No* For electronic LLD's, does the turbine automatically shut off if any portion ofthe monitoring system N/A malfunction or fails a test? Yes No* For electronic LLD's, have all accessible wiring connections been visually inspected? 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: 6101 S.H irF. BAKIER:SI' I EI.1 'H'a :; :1114 661 -831 1769 AUI 5. 011 8 :5'2 HM SYSTEI °I S'1'HTUi_ REF' :?RT ALL FUrUCT I <<rr : = : -N- JJ IML I NVENTORI' REPORT T I:UNLEADED VOLUME = 79.10 GHLc, ULLHGE = 41160 GALS 90% L ILLAGE= a60 1 -ol TC: VOLUME = 7767 GALS FIE I UHT = 60 .33 INCHES WATER V(- >L = 0 GALS WATER = 0.00 I NC:HES TEMP a 91.0 I)EC: F T 2: PREI °I I Ul•I 1 !F: -2`33 VOLUME - 92ti9 t:ALS ULLHGE _ 2771 GALS 90% ULLAGE= 15'71 L::ALS TC VOLUME _ 043 GHL.S HEIGHT = r.e.9B II,lC.HES WATER llc]l, - 15 i;HJ.:_1 WATER - u. 8n I Nl'HES TEMP 88.7 DEG F T 3: [if ESEI_ VOLUME = 9228 GALS TILLAGE = 277'2 GALS 90% ULLHGE= 1572 GALS TC VOLUME = 9169 GALS HE 1 GHT - 60. `'+7 I NCHES WATER VOL = 15 GALS WATER = 0.76 INCHES TEMP = 88 , ; VEG F x x# x END *- f f :. SYSTEM SETUP HUt; 9. 21:111 6:5s, AI "I SYSTEM UNITS U.S. S''S'fEI'1 L(- ;P1CUa;GE ENGL 13'H YSTEr'I DHTE; 'TIME F)RmfIAT MON UL" VYYY HH : MM ; SS ;,M 6401 S.H ST. BAKERSF I ELD . C :A93; C14 661-831-4709 SHIFT TIME 1 E.: 00 (;f-I SHIFT T I r9E 21 D I soBL.ED SHIFT TIME 3 DISABLED SH I FT T I I -IE 4 D 1 SABLED TANK PER T:::T NEFfIED UIRN D 1 SABLED TANK ANN TST NEEDED WRN DISABLED LINE RE- ENABLE METHOD PASS L 114E TEST L114E PER TST NEEDED WRN DISABLED L I NE ANN T _T IvEEDEL, WRN DISABLED PRINT TC VOLUMES ENABLED TEr'IP COMFIENSAT I ON AL! IE ( DEG F ) : E-0.0 ST1CY HEIGHT OFFSET DISABLED ULLHGE : 90%' H- PROTOCOL DHTA FOR114T HE . :HT DAYL I C:HT St;W I NG '1* 111E ENABLED ST'AR'T' DATE MAR WEEK 2 :;UN START TIME 2: 00 AI °I END DATE I'dOv WEED: I SUIH END TIME 2:00 AM RE- DIRECT LOCHL PRINTOUT DISABLED EURO F'RO'1'0Ci1L PkEFI;•; SYSTEM SEA_ UR 1'1'1` ODE ; 000000 f ^1H 1 NTENANCE H I STUR'; DISABLED THN1; CHAR'(' -SECUR 1 T`,' D I SIHBLED 1_:U25TOM ALHRIIS DISABLED rtHSS: GErts I TY l. 1 SA1:If.ED 11 COMMI-IN1 CAT I )N i SETUP PORT NETT I NC;S : COHM BOARD 1 !F: -2`33 BAUD RATE r.00 PHR I T`;• NONE S'fOF' B 1 T 1 STOP DATi, LEN +";TH : u, Di)Ti=1 COLE D I SABI •I:D OMM D)AF:T (RS -2'321 BAUD i'rTli : iE.C11 -1 PAR I'l'`; NONE STOP BIT : 1 STF' DATH I_EI'dG1'H : 8 EoTH RS -3' SECUR 1 T' :. CODE : D 1 --HBLED RS -232 SECURIT`! CODE : DISABLED AUTO TRANSI'1 I T : ETT 1 NGS : AUTO LEAK HLHP.M LIMIT DISABLED AUTO HIGH WATER 1-11,11T DISABLED AUTO OVERFILL LIMIT D I STABLED AUTO LOW PRODUCT DISABLED AUTO THEFT LIMIT U I STABLED AUTO DELIVERY START DISABLED AUTO DELIVERY END DISABLED AUTO EXTERNAL INPUT ON DISABLED AUTO EXITRNAI_ I NPUT OFF DISABLED AUTO SENSOR FUEL HLHRM DISABLED AUTO SENSOR WATER ALARM DISABLED AUTO SENSOR OUT iALr3RIH DISABLED RS -232 END OF MESSHGE D15ABLED LEAK TEST METH +;C1, TEST ON DATE : MIA. TANK FEB 6. 2007 START TIME : DISABLED TEST RATE :0.20 1,AL HR DURATION : 2 HOURS TST EARL`; $TOP : D I : TABLED LEAK TEST REPORT FORIIAT NORMAL T 3:DIESEL IN -TANK SETUP T 2:PREMIUM PRODUCT CODE iPRODUCTCODE2THERMALCOEFF :.000,150 THERMAL COEF17 : .000700 TANK DIAMETER 96.00 T I:UNLEHDEC, TANK DIAMETER 96.00 TANK PROFILE 1 PT PRODUCT CODE 1 TANK PROFILE I PT FULL VOL 12000 THERMAL COEFF :.000700 FULL VOL 12000 TANK DIAMETER 196.00 TANK PROFILE I PT FLOAT SIZE: .1.0 IN. FULL VOL : 12000 FLOAT SIZE: 4.0 IN. WATER WARNING 2.0 WATER WARNING 2.0 H113H WATER LIMIT: 3.0 FLOAT SIZE: 4.0 IN. HIGH WATER LIMIT: 3.0 Mw: OR LABEL VOL: 121000 WATER WARNING 3.0 MA)+ OR LABEL VOL: 12000 OVERFILL LIMIT 90 =: HIGH WATER LIMIT: 3.0 OVERFILL LIMIT 90'/ 10800 ICrii00 HIGH PRODU::T 90% MAti OR LABEL VOL: I ='UU0 HIGH PRODUCT 90%. 10800 OVERFILL LIMIT 91,11. 10800 DELIVERY LIMIT 15'14 10800 DELIVERY LIMIT 151: 1800 H 1 raH PRODUCT 90:,, 1800 10900 LOW PRODUCT 1200 DELIVERY LIMIT 113% LOW PRODUCT : I21DO LEAK ALARM LIMIT: 99 IgQO LEAAK ALARM LIMIT: 99 SUDDEN LOSS LIMIT: 99 SUDDEN LOSS LIMIT: 99 TANK TILT 0.00 LOW PRODUCT 1200 TANK TILT 8.00 PROBE OFFSET 0.00 LEAK ALARM LIMIT: 99 PROBE OFFSET 0.00 SUDDEN LOSS LIMIT: 99 TANK TILT 0.00 SIPHON MANIFOLDED TANKS PROBE OFFSET 8.00 jIPHON MAN iFOLDED TANKS TP: 14ONE Tv: NONE LINE MANIFOLDED TANKS LINE MAN1FuLDED TANKS TA: NONE SIPHON MAN 1 FOLDED Ti-mKS T d : 14014E T9: NONE LINE MAN I FOLDE1.1 TANKS LEAK MIN PER 10D 1 C : 1% TP: NONE LEA)' MIN FERIOGIi': I %: 120 1210 LEAK MIN ANNUAL I% LEAF: MIN PER IOD10: 1% LEAX III ANNUAL : ly 120 120 120 LEAY M I N PN14UAL : I %= PERIODIC TM -T TYPE 120 P ER I OD I G TEST TYPE STANDARD s,rw.)Crr1RD ANNUAL TEST FAIL PERIODIC TEST T`; PE r -,hti l k L 1'! :::1 1 i 1 I. ALARM D 1 SABLED STANUARD d r .F.ti I - I SABLED PERIODIC TEST F1iIL f+NNUHL TEST PER I 101.' Tf_::T FH I L 141-Akt`1 DISABLED r;Lr- rF't•1 C l :+isl_EI.r L. +F:P 1 1111 l `t,1iLED GROSS TEST FAIL PEkIOLIC TEST Fti1L CR053 TEST FHIL ALARM DISABLED aLARt•1 G l t; BLED U 1 SABLED ANN TEST AVERAc;ING: OFF r1R055 TEST FAIL ANN TEST AVEF'ra; I rl':: OFF PER TEST AVERAGING: OFF r~LHRM D l SABI-Ell PER TEST NG OFF TANK TEST' NOTIFY: OFF ANN TEST' AVEF:Hr:I rh', OFF TaNF: fES'I' t r• I ! FY: OFF PER TEST ;AVERAkG I NC; OFF TN): 1:. f SIPHON BREAK OFFTHYTS? 1 f•H•,N BF:k:AK :OFF TANK TEST NOTIFY: OFF liF:L I uFb:V DELAY I MINf1ELiVERYDELAY1MINPUMPTHRESHOLD10.00 TNK TST SIPHON BREAK:OFF PUMP THRESHOLD 10.00 %. DELIVERY DELAY I MIN PUMP THRESHOLD 10.00, LEAK TEST METH +;C1, TEST ON DATE : MIA. TANK FEB 6. 2007 START TIME : DISABLED TEST RATE :0.20 1,AL HR DURATION : 2 HOURS TST EARL`; $TOP : D I : TABLED LEAK TEST REPORT FORIIAT NORMAL L I OU 1 D SENSOR SETUP OUTPUT RELAY SE'T'UP EVR.- 1SD SETUP L I:UNL STP R I :SHUT DOWN TRI -STATE (SINC:LE FLOATS TYPE: EVR TYPE: VACUU•1!- ;SSIST C.ATEGORY : STP SUMP STANDARD VAcUUh ASSIST TYPE NORMALLY CLOSED HEALY VAC L 2 :UNL FILL TANK a: 1 NO?ZLE A/L RANGETRI -STATE (S 1 PK ;LE FLOAT hW l.l 5 MIN: G.y5 CATEC ;OPY : PIPING SUMP LIQUID SENSOR ALMS VAPOR PROCESSOR TYPE L ) :FUEL ALARM Nu VAPOR PROCESSORL3:UIJL AIvN L 4: FUEL ALARM DUAL POINT HYDROSTATIC' L 7 :FUEL ALARM CATEGOR'! : AtvIVIJL,AF.' SPACE L 10 : FUEL ALARM ANALYS I S T I MES L11 :FUEL ALARM TIME: 10:00 All L12 :FUEL ALARM DELAY MINUTE:: I L13:FUEL ALARM L 4 :PREM STP L 1:SENSOR OUT iLHRM TR 1 -STATE c S I :vi L.E 1 "'LOAF) L 4: SENSOR OUT (;LARM ACCEPT HIGH OkVR: CHTE:ORV : ANNULAR. SPACE L 7:SENSOR OUT ALARM D1 SrIBLEDL10 :SENSOR OUT ALARM LI I !SENSOR OUT ALARM Isf) IiOSE Tt;bl -EL12:8ENSOR OUT ALARM ID FP FL HL HA RR L 5:PA.EM FILL, L13:SENSOR OUT ALARM TRI-STATE (SINGLE FLOr,T) L I:SHORT ALARM Ol 33 01 02 01 UU CATEGORY : PIPING SUMP L 4:SHORT ALARM 02 34 0^ 02 01 UU L 7:SHORT ALARM 03 35 03 02 02 UU LIO:SHORT ALARM 04 00 04 02 02 UU L c:PREM ANN LII :SHORT ALARM 05 Ol 05 02 03 UU DUAL POINT HYDROSTATIC L12:SHORT ALARM 06 02 06 02 03 UU sATEGORY : ANNULAR SPACE L13:SHORT ALARM 07 03 07 02 04 UU 08 04 08 02 04 UU ISD SITE ALARMS ISD GROSS PRES FAIL L 7:DSL ;STP ISD DEGRD PRES FAIL ISD A I L(i1J METER MAPTPI -STA'I E (41 W. ;LE FLOAT > I SD VAPOR LEAK FAIL 1- SERIAL NUMSTPSUMP1SDVPPRESFAIL ISD VP STATUS FAIL 1 6759 FIN 1 -2 L S:DSL FILL ISD HOSE ALARMS 3 82988 FMS-t" TRI -STATE ('INGLE FLOAT) mLL:GROSS COLLECT FiiIL 4 6757 FM 7-8 CATEG30F ' : P I F• 1 I`!G SUMP ALL : DEGRD COLLECT FA I L ALL : FLOW C:OLLE(' T FAIL I Sb FUEL GF;AC E HOSE MAPL9: DSL , -,IJN R '2 :OVERFILL ALARh9 1 2 3 4 DUAL POINT HYDRO5lr+t r 1 C' TYPE : FP hIHH ! °1HH h1HH riA G'ATEGOR'( : ANNULAR SFA;£ STANDARD IM1iH NORMALL'i OPEN 00 204 304 gun 5 U 2 Ol 905 205 305 L U 3 TANK 0: NONE 02 x'06 30E, 9u6 U u 3 LlO:UISP 1 -2 03 207 .307 307 5,, U 1 TRI-S7'ATE (SINGLE FLOAT) 04 208 306 900 5 U 4 CATEt OR a : DISPENSER P.1N 1 N -TANK. ALARMS 33 201 301 901 U U 1 ALL :OVERFILL ALARM 34 202 302 902 U U I ALL:HIGH PRODUCT AUiRM 35 203 303 90`s 5 U 2 ALL : MA}( PRODUCT ALARM LII:DISP 3 -4 TR I - t--:TATE CS I M! ;LE FLOAT) LABEL TABLEATEl.:ORY : DISPENSER PAN 1: UNASSIGNED 2: BLEWi Ll_'DISF' 5 -6 3: REGULAR. 4 : MID GRADETRI - :STATE (S 1 IvGLE FLOAT) 5 : I RED l Ui9C'ATMOR : D 1 SFPENSER PAN G: GOLD 71 BRONZE 6: SILVERSMHPTSENSORSETUP9: BLEND2L13:LCISP 7 -8 IQ: BLEIVD4TP1 -STATE ; 21 NC ;LE FLOAT) CATEGORY : L I SPEJ,6ER FAN I :PS 1-2 CATEGORY VAPOR PRESC:URE FM 1 -2CATEGORYAIR FLOW METER s 3:FM 3 -4 CATEGORY AIR FLOW METER s 4:FM5 -6 PM.- SETUP l'ATEGOF.Y AIR FLOW METER PROCESSOR CONTROL LEVEL: s S:FM 7 -6 NUNS CAT£GOR`><' AIR. FLOW METER SOFTWARE REV II:ION LEVEL VERSION 327.04 SOFTWAREU 346327 -100 -E CREATED - 07.02.06.10.28 5- MODULEA 330160 -004 -a SYSTEM FEATURES: PERIODIC IN -TANK TESTS ANNUAL IN -TANK TESTS ISD Pl-K: ALARM H I STGR`%' REPORT SY5TEl1 ALARI.1 - - - -- PAPER OUT JUL 23, 2011 11:13 P11 PRINTER ERROR. JUL 23. 2011 11 :13 Pil x N k v END v•, ALARM HISTORY REPORT IN -TANK ALARM - T I:UNLEADED SETUP DATA WARNING JUL 25, 2008 11:14 AM HIGH WATER ALARM AUG 9, 2010 9:09 AM AUG 1 1 , 2009 9:34 AM AUG 3. 2009 9:54 AM OVERFILL ALARM AUG 3. 2011 :18 PM JUL 24. 2011 8:43 AM JUL 17. 2011 6:51 AM HIGH PRODUCT ALARM AUG 3. 2011 2:18 PM JUL 17. 2011 6:51 AM JUN 28. 2011 2':27 PM INVALID FUEL LEVEL AUG 8. 2011 8:44 PM AUG; 6, 2011 2:52 PI °l JUL II. 2011 9:2: PM PROBE OUT AUG 11. 2009 9:36 AM AUG 1 1, 2009 9:25 AI11 AUG 3, 2009 10:39 Art HIGH WATER WARNING AUt3 9, 2010 9:09 All AUG 11, 2009 9:34 AM AUG 3, 2009 9:54 All DELIVERY NEEDED ALARM HISTORY REPORT I N -Twat' ALARM T 2:PREMIUM SETUP DATA WARNING JUL 25. 2008 11:14 AM OVERFILL AL.i431 AUG 6. 2011 3:24 Pil JAN z0. 2011 3:52 AM JAN 5, 2011 9:13 AM HIGH PRODUCT ALARM AUG 6. 2011 3:24 Phi JAN 20. 011 3:52 AM JAN 2. Oil 9:18 PJI INVALID FUEL LEVEL AUG ll. 2009 9:25 AM NOV 24. 2008 11:27 AM PROBE OUT AUG II. 2009 9:35 AM AUG 11. 2009 9:24 All AUG 12, 2008 10:18 AM DELIVERY NEEDED APR 24. 2009 1 l :2'; 1-41 MAR 15, 2009 9:48 AM NOV 24, 2008 11:19 AM AUG 8, 2011 7:34 P1,1 AUG 6, 2011 1:46 PM JUL 14. 2011 9:12 Pill MAX PRODUCT nl-iARM ,, END x A x r: AU(.- 9, 2010 9:37 All JUN 8, 2008 1:08 PM LOW TEMP WARNING AUG 12. ;'008 10:43 All AUG 12, 2008 10:38 All A x A x END A K A 0 ALARII H I STOR'; REPORT IN -TANK ALARM - T 3: N ESEL SETUP DATA WARNI N: JUL 25. 2008 11 :15 HM OVERFILL ALARM JUL 30. ''011 3:10 I'M HUG I1. 200:+ 9:6 AM AUG 12. 2008 9:23 AM L041 PRODUCT ALARM AUG i l . 2009 9:2.1 Arl HIGH PRODUCT I- il.i-iRM JUL ::10. 2011 3: 10 Fill AUG 9. 2010 9:39 AH A(Ki 11 . 2009 9:26 HM PROBE OUT JUL 6. 2010 11:35 AM JUL 6. 2010 10:29 Hm JUL 2. 2010 9:25 HN DELIVERY NEEDED OCT 10, 2010 6 :57 PM AUG 9. 2010 9:03 AM JUL 2. 2010 9:25 HM LOW TEMP WARN 114G JUL S. 2010 12:50 PI1 JUN 8, 2010 11:49 AM W b k 3( r. EraU - A h t R ALARM HISTORY REPORT SENSOR.' ALARM - - - -- L I : LINL STP STP SUMP SENSOR OUT of -HR'M vv-;Y 23. 2011 8:31 Am FUEL ALARM MAY 17. 2011 H:;15 PM FUEL ALARM AUG 9. 2011 9:26 AM k r n A END n X, 3• ALARI °I HISTORY REPORT 3ENSOP. ALARM - - - -- L 2:UNL FILL P I P I NG SUt °IP FUEL ALARM MAY 29, 2011 3:26 Art FUEL ALARM MAY 18, 2011 4:48 AM FUEL ALARM APR 7. 2011 5:21 P11 Hl_HRM HISTORY RR FPokT SENSOR ALARM L 3:UNL HNN ANNULAR SPACE FUEL ALARM AUG 9. .'•-'010 9:34 HM SENSOR OUT ALARM HUG 11. 3U09 9 :21 AM FUEL ALARM AUG I1 . 2009 +:15 H1l h r.• A E I11I3 A r. it w ALARM HISTORY REPORT SE14SOP. +;LHRhI - - - -- L 4 : PREM S'TP ANNULAR SPACE FUEL ALARM AUG 4, 2011 6:11 AM FUEL ALARM JUL 25, 2011 9:O8 Al-1 FIJEL ALARM AUG 9. 2010 9:2F AM 4 *. A R END 4 x x x ALARH HISTORY REPORT ISDISOR HLARM L 5:PREM FILL P 1 P I NG SU11P FUEL ALARM I °IAY 29, 2011 3:3 All FUEL ALARM MAR 23. 2011 7:07 PtI FUEL ALARM MAR 20, 2011 4:12 Pil y j; k *' 'r, i.i END .4 ; 3e R ALARM HISTOR`r REPORT SENSOR ALARM - -- L E:PREM ANN ANNULAR SPACE FUEL ALARM AUG 91 1010 9:33 AM SENSOR OUT ALARM AUG II. 2009 9:21 AM FUEL ALARM AUG i1. 2009 9:15 AM h* w a w END n X, A x .. ALFRI.1 HlST0RV REPORT SENSOR ALARM - - - -- L 7:DSL STP STP SUMP FUEL ALARM AUG 9, 2010 7:27 AM FUEL ALARM JUL 19, 2010 11:00 PM SENSOR OUT wLARf °1 HUG 1 1 • 2009 9: 1 F"N ALARM HISTORY REPORT SENSOR ALARM -- - -- L 8:DSL FILL PIPINU SUMP FUEL ALARM MAY 29. 21'01 1 4: 02 A49 FUEL ALARM MAY 1 B. '201 1 4:34 AM FUEL ALARM APR 7. 2011 5: 19 Pf•l A 'r r A 4 END r. % ,i A ALARM HISTORY REPORT SENSOR ALARM - - -- L 9:11SL ANN ANNULAR SPACE LOW L I GU I D AL(-iRM AUG 2' 2011 :51 PI'l LOW LIQUID ALARM AUG 2, 2011 2:43 PM HIGH LIQUID ALARM AUG 2, 2011 7:42 AM ALARM HISTORY REPORT SENSOR "LAR11 - - - -- L10:DISP 1 -2 DISPENSER PA11 ENSOR OUT ALARMAUG9. 2010 9:42 AM FUEL ALARM AUG 9. 2010 9 -' AM FUEL ALARM FEB 15. 2010 11:21 Afl i, , A A END ii * n " •, ALARM H (STOR`{ REPORT SENSOR ALARPI - - - -- LII:DISP 3 -4 DISPENSER PAN SENSOR OUT HLARl'1 AUG 9, 2010 9:42 AM FUEL ALARM AUG 9. 2010 9:215 AM FUEL ALARM AUG 1 1 . 20,79 9:10 Atli EN x 4 A` x END w x A r 4 iE t w :. x END A 14 t ALARM HISTORY REPORT SENSOR ALiiRN - - - -- L12:1jISP 5 -6 DISPENSER FAN SENSOR OUT ALARM AW 9. 2010 9 :42 AM FUEL ALARM AUG 9. 2010 9:24 Fel FUEL ALARM AW ) 1 . 2009 9:10 All X 4)i ;% x END X A x pi s ALiAP11 HISTORY REPORT SENSOR HLHhM1 L13:DISP 7 -8 DISPENSER PAN SENSOR OUT ALHFN•l A03 9. 2010 9:41-:1 AM FUEL ALARM ALk: 9. 2010 9:24 API FUEL ALARM HUG 11 . 2'009 9:09 Hm r k A; K END • A r r FP.STR I P 61101 S.H'r. BAI;ERSF I ELD . CA93's(:t E•61- 831 -4709 Alk; 9, 2011 10:26 A49 SYSTEM STATUS REPORT ALL FUNi'T 1 ONS NORMAL INVENTORY REPORT T I:UNLEADED VOLUME 7927 GALS UI.I HCE - 4073 GALS 917x. UI.LHGE- 2873 GALS Tr' VOLUME - 7754 GALS HEIGHT - t;l :l.'2 1 IN1: :PIES WATER VOL - 17 GALS WATER - 0. 00 1 NCHES TEMP - 91.0 DEC F T 2: PREII I Ull VOLLIME 92217 GALS ULLAo;E _ 21773 GALS 90',. ULLAkZ= 1573 GALS TC VOLUME = 9041 GALS HEIGHT - 68.96 1N1 HES WATER VOL = 18 1::ALS WATER 0.89 IN+ :HES TEMP - 88.7 DEC: F T 3:DIESEL. VOLUME 9212 GALS ULLAGE _ :788 C7ALS 9(%: ULLi ;E- 1 588 GALS TC VOL.UIlE _ 9093 GALS HEIGHT - 68.66 INCHES WATER VOL - 0 i; ALS WATER = 0. DO 1NC*HES TEMP m 88.6 DEG F k k I w. A END k t 9E r D ALARM HISTORY REPORT 1N-TAN): ALARM - T I:UNLEHDED SETUP DATA WHRN1NG JUL 25. 2008 It :14 AN HIGH WATER ALARM AUI; 9. 2010 9:09 HM AUG 1 1 , 2009 9:34 AI'1 Htr; 3. 2009 9:54 AM OVERF I LL A1..fiRM AUG 3 • 201 1 2: 1 ti JULJUL '24. 2011 8:43 AM JUL 17. 2011 6:51 1;111 HIr:H P'Roriyur ALARM AUG 9, 2011 9:23 41 AUC 3. 0I 1 2:1A F'M JUL 17. 21(11 6'51 AM I NVAL. I D h UEL. LEVEL AU.:: H. 2011 8:44 PM HUG 6. 2011 2 :52 Phl JUL 11 • 201 1 9:27 P1.1 PRUNE OUT AU; 9. 2011 9:23 AM AUG.. 9, 2011 9:03 FV`9 Alp; 11. 2009 9:36 Ftl HIGH WATER WARN 1 1C. ALA:: 9. 2010 9:05 AM AU13 1 1 , 'E'009 9:34 AM riLlG 3 • -1 9:5-1 Ahl tiEL I VER'! NL•'ErjED AUC: G. 2011 7: ;i4 PM AUG 6. 2011 1:46 PM JUL 14, 2011 9:12 PM MAX PROE10"T mLARM huG 9. li I o 9: 37 AM JUN 8. 2008 1:08 PM LOW TEMP WARNING HU(' 1 '2008 10: 43 of l AUK:: 121. :2008 10:38 AM i r F.I71. a .. f. .. - IN-TANK. ALARM T 2: PREH I ull SETUP DATA WARNING,' JUL 25. 2008 11:14 fd•1 OVERFILL ALARM AW 6, 2011 3:2,1 PH JAN 20. 2011 3:52 AM JAN 5. 2011 9:13 AH HIGH PRODUCT Al j4RM AUG. 9. 2011 9:16 HH Alk3 6, 2011 3:24 PH JAN 20, 2011 3:52 API INVALID FUEL LEVEL AU; 9, 2011 9:03 iiM AUG 11. 2009 9:25 AM NOV 24, 2008 11:27 AM PROBE OUT HUG 9, 2011 9:16 HM AUG 9. 2011 9:02 AH AUG 11. 2009 9:35 HN9 DELIVERY NEE[jEI7 APR 24, 2009 11:29 HM MAP. I5. 2009 9:48 Hrl 140'V 24, 2008 1 1 : 1 y Hhi r .. .. r END * - t r. .. INRM HISTORY REPORT IN -TANY ALARM - T 3: DIESEL SETUP DATf -1 WARNINW JUL 25. 2'008 11:15 AM OVERFILL ALtAk l JUL 30. 2011 3:10 PM AUG 11. 2009 9:26 All AUG 12, 2008 9:23 Am LOW PRODUCT ALARM AUG 11. 2009 9:24 AM HIGH PRODUCT ALARM AU, 9. 2011 9:15 AM JUL 30. 2011 3:10 PM AUG 9, 2010 9:39 AM PROBE OUT AUG 91 2011 9:15 Ffl AUG 9. 2011 9:01 AM JUL 6. 2010 11:35 AM DELIVERY NEEDED AUG 9. 2011 9:02 AM OCT 10, 2010 6:57 PM AUG 9. 2010 9:03 AM LOW TEN°IP WARN I Nt: JUL 6. 2010 12:50 FM JUN 8. 2010 11:49 AM X u: It ENI, k r R AIJiRM HISTORY REPORT IN -TANK ALARM - - - -- T 4: a W « . •E END SENSOR HLAPM - - - -- L I:UNL STP S'l'P SUMP SENSOR OUT AL;AP11 AU: 9. 2011 9:27 AM FUEL ALARM HIX1 5. 2011 9:08 41 SENSOR OUT ALARM NIAY 23, 2011 8:31 All x v R =. END n •,. - . ALARM HISTORY REPORT SENSOR ALARM - -- -- L 2:UNL FILL PIPING SUMP SENSOR OUT ALARM AUG 9, 2011 9:2? AM FUEL ALARM AUG 9. 2011 5:10 "Ill FUEL ALARM MAY La, 2011 3:26 All 1' .. a . ENE, _ k r ! r ALHRI.1 HIS-TORY REPORT SENSOR ALARM - - - -- L :J:UNL ANN NNNULAP. SPACE SE14SOR OUT Hl_i,RI•I HU: 9. !011 4:27 HM LOW L I OU I D HbiRM AUG 9. 2011 9:14 Art HIGH LIGUID HLI;RM AUG 9. 2'011 9:14 API ic A. x x A EIdL * X f >_ ALARM H1STOR', REPORT SENSOR HLHRM - - - -- L 4 :PREM STP I IVNULHk SPA::E aGNSOk OLf( HLHRM AUG 9. 2011 4:27 API FUEL ALARM ALIG 9. 2011 9:07 Hh1 FUEL ALARM ALBS 4, 2011 6:11 AM ALARM HISTORY REPORT SENSOR ALARI -I -- L 5 : PRE1"1 FILL PIP114G SUMP SENSOR OUT ALARM AI C. 9, 2011 9:27 HP1 FUEL ALAP11 HUG 9, 2011 9:11 AI.1 FUEL ALARr'1 MAY 29, 2011 -3:32 A"1 x x = END > : x ALARII HISTORY REPOT SENSOR ALARM - - - -- L 6:PREI11 ANN ANNULAR SF'AC:E SENSOR OUT ALARr1 AUC: 9. 2011 9:27 AM LOW L1OUID ALARM AUG 9. 2011 9: Ili AM HIGH L1i+1-1ID ALARM HUG 9. 201 1 9: I _, HM ALARM HISTORY REPORT SENSOR ALARM -- - -- L 7:DSL STP STP SUMP SENSOR OUT ALAR11 AUG 9. 2011 9:'7 AM FUEL ALARPt AUG 9, 2011 9:07 A1,1 FUEL ALARM HUG 9, 21010 9:27 A! °1 i s i! , I END HLHRr'1 H I S1': "iF REPciRI SENSOR r LHP.Pi - -- -- L 8:[GSL FILL PIPINC SUMP SENSOR OUT ALARM AUG 9. 2011 9:27 HM 4=UEL ALARM HUG 9 • 20111 9: 12 (All FUEL ALARM r"Y 29. 2011 4:02 HM X k A !( END s . . . : ,. . A END ^ M m. * k y R r x x END F ! .. ALtiRPI HISTORY REPORT SEh1.SGR aL.t;RM - - - -- 1. 9: raSL ANN tiNNULAR SPAGE SENSOR OUT ALARM Au" 9. 8011 9:27 AM Low LIQUID ALHRM AUG 9. 2011 9:13 API H113H LIGuID ALARM AUG 9, 2011 9:12 FUI r ; . END r . ALARM HISTORY REPORT SENSOR HLARN 1-10:DISP 1 -2 DISPEI,63ER PpiPI SENSOR Our ALAR11 AW 9. 2011 9:27 ,aM FUEL ALHRM Ar)G 9. 2011 :+:08 AM SEW-30R OUT HLHFI -I ALG; 9. '201L) 9: •1 ^ Hf-1 ALARM HISTORV REPORT LII:DISP 3 -4 DISPENSER PAN SENSOR OUT ALARM AUG 9. 2011 9:27 AM FUEL ALARM f4 0' 9. 201 1 9: o9 Sri SENSOR OUT HLHRM AUG 9. 2010 9:42 "1 z ;t s k k END n it r r, i AL 4RM H I s•roRY REPOP.T SEP60R ALARM - - - -- L1:61SP 5-6 DISPENSER PAN SENSOR OUT ALARM AUC: 9, 2011 9:27 }ir1 FUEL ALARM AUG 9. 2011 9:10 AP1 SENSOR OUT AI_HRm RUG 9, 2010 9:42 hrl A .. • , .. END , • . * A k END , k SENOR #ALARM - -- -- L13:D1SP 7 -6 Dl>;PEN.,3ER PAN SENSOR OUT i+LARM AW 9. 201 1 9:27 141 FUEL HLHRM k"3 9. 2011 9:09 Aw SE14BOR OUT ALARM AUG 9, 2010 9:"'2 w'1 ii r. END is 1 ' 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 (fapplicable), should be provided to thefacility owner /operatorfor submittal to the local regulatory agency. 1. FACILITY INFORMATION Facility Name: #362 Fastrip #633 1 Date of Testing: 8/9/2011 Facility Address: 6401 South H Street, Bakersfield, CA 93304 Facility Contact: Omero Garcia I Phone: 661- 393 -7000 Date Local Agency Was Notified of Testing: 7/12/2011 Name of Local Agency Inspector (fpresent during testing): Ernie Medina 2. TESTING CONTRACTOR INFORMATION Company Name: Confidence UST Services, Inc. Technician Conducting Test: Bryan A Self Credentials: X CSLB Contractor X ICC Service Tech. SWRCB Tank Tester Other (Spec) License Number(s): CSLB #804904 ICC 48022804 -UT TT 911 -1756 3. SPILL BUCKET TESTING INFORMATION Test Method Used: x Hydrostatic Vacuum Other Test Equipment Used: Lake Test L Equipment Resolution: 0.0625" Identify Spill Bucket (By Tank Number, Stored Product, etc. l 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: 11.25" 11.75" 12.00" Wait time between applying vacuum /water and start of test: 5 min. 5 min. 5 min. Test Start Time (Ti): 9:00am 9:00am 9:00am Initial Reading (Rj): 9.00" 9.00" 9.25" Test End Time (TF): 10:00am 10:00am 10:00am Final Reading (RF): 9.00" 9.00" 9.25" Test Duration (TF — Ti): 1 hour 1 hour I 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 X Pass Fail X Pass Fail Pass Fail Comments — (include information on repairs made prior to testing, and recommendedfollow -up forfailed tests) CERTIFICATION OF TECHNICIAN RESPONSIBLE FOR CONDUCTING THIS TESTING 1 hereby certify that all the information contained in this report is true, accurate, and in full compliance with legal requirements. Technician's Signature: Date: 8/9/2011 State laws and regulations do not gently require testing to be performed by a qualified contractor. However, local requirements may be more stringent. C) o! ca E coc c a 1 1 02 00 Regular 3 4 1 1 O O O Super 3 4 1 1 O O Diesel 3 5 South H. ST ES Overfill Alarm TLS 350 Key 1) 208 Sump Senser 2) 303 Annular Senser 3) ATG Probe 4) FX1 V PLLD 5) FX1 DV PLLD