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 of this form to the local agency regulating UST systems
within 30 days of this date.
A. General Information
Facility Name: #773 Fastrip #31
Site Address: 3501 Mt. Vernon Avenue
Facility Contact Person: Omero Garcia
Make /Model of Monitoring System: Veeder -Root TLS 350
B. Inventory of Equipment Tested /Certified
Check the appropriate boxes to indicate specific equipment inspected /seniced:
Bldg. No.:
City: Bakersfield Zip: 93306
Contact Phone No.: 661 - 393 -7000
Date of Testing/Servicing: 8/11/2011
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
U Annular Space or Vault Probe. Model:Ronan U Annular Space or Vault Sensor. Model: 794390 -420
X] Piping Sump / Trench Sensor(s). Model: 794380-208 U Piping Sump / Trench Sensor(s). Model: 794380 -208
Fill Sump Sensor(s) Model: Fill Sump Sensor(s). Model:
U Mechanical Line Leak Detector. Model:FX1V X] Mechanical Line Leak Detector. Model: FX1V
Electronic Line Leak Detector. Model: Electronic Line Leak Detector. Model:
LXI Tank Overfill / High Level Sensor. Model: 847390 -107 L] 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:
In -Tank Gauging Probe. Model: x] in -Tank Gauging Probe. Model :847390 -107
X] Annular Space or Vault Sensor. Model:794390 -420 Annular Space or Vault Sensor. Model:
X] Piping Sump / Trench Sensor(s). Model: 794380-208 Piping Sump / Trench Sensor(s). Model:
Fill Sump Sensors(s). Model: Fill Sump Sensor(s). Model:
n Mechanical Line Leak Decector. Model :FX1DV Mechanical Line Leak Detector. Model:
Electronic Line Leak Detector. Model: Electronic Line Leak Detector. Model:
Fx] 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
n Dispenser Containment Sensor(s). Model: 794380 - 208 U Dispenser Containment Sensor(s). Model: 794380 -208
x] Shear Valve(s). t U Shear Valve(s).
Dispenser Containment Float(s) and Chain(s). Dispenser Containment Float(s) and Chain(s)
Dispenser ID: 5&6 Dispenser ID: 78,8
x] Dispenser Containment Sensor(s). Model: 794380 -208 U Dispenser Containment Sensor(s). Model: 794380 -208
Lx] Shear Valve(s). Shear Valve(s).
Dispenser Containment Float(s) and Chains(s). Dispenser Containment Float(s) and Chain(s).
Dispenser ID: Transition Sump Dispenser ID:
U Dispenser Containment Sensor(s). Model: 794380 -208 Dispenser Containment Sensor(s). Model:
X] 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 /services in accordance with the
manufacturers' guidlines. Attached to this Certification is information (e.g. manufacturers' checklist) necessary to verify that
this information is correct and a plot plan showing the layout of monitoring equipment. For equipment capable of generating
such reports, 1 have attached a copy of the report; (check all that apply) x §ys0m Set -up E Alar isto report
Technician Name (print): Bryan A Self Signature:
Certification No: B37501 License No: 804904
Testing Company Name: Confidence UST Services, Inc. Phon No: 800- 339 -9930
Site Address: 3501 Mt. Vernon Avenue , Bakersfield, CA 93306 Date of Testing/Servicing: 8/11/2011
D. Results of Testing /Seryicing
Software Version Installed: 327.04
Complete the following checklist:
x] Yes No* Is the audible alarm operational?
x Yes No* Is t e Visua a arm operational?
x Yes No* Were all sensors visually inspected, functionally tested, and confirmed operational?
x I 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? E Sump /Trench Sensors [x] Dispenser Containment Sensors
Did you confirm positive shut -down due to leaks and sensor failure /disconnected? [X] Yes; No;
x] Yes No* For tank systems that utilize the monitoring system as the primary tank overfill warning device (i.e. no
C] 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? L90
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* No Was liquid found inside any secondary containment systems designed as dry systems?
Product; Water. If yes, describe causes in Section E, below.
x No* Was monitoring system set -up reviewed to ensure proper settings? Attach set -up reports, if applicable.
x YeS 7 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 Regular and Diesel PLLD's.
F. In -Tank Guaging / SIR Equipment: [X] 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?
x Yes No* Was accuracy of system product level readings tested?
x Yes No* Was accuracy of system water level readings tested?
x Yes D 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:
x] 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: Lx]3 g.p.h.: 0. I g.p.h.; 00.2 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?
ar ] Yes No* For machamc 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 ifthe LLD detects a leak?
Lx] N/A
Yes No* For electronic LLD's, does the turbine automatically shut off ifany portion of the monitoring system is
x] N/A disabled or disconnected?
Yes No* For electronic LLD's, does the turbine automatically shut off ifany portion of the monitoring system
Cx] N/A malfunction or fails a test?
Yes No* For electronic LLD's, have all accessible wiring connections been visually inspected?
U N/A
x Yes No I 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: Replaced the Regular and Diesel PLLD's.
Fm'_ TPIP 773 SYSTEM SETUP 01111UNICATIONS SETUP
3501 HT VFPNON AUG I 1 201 1 12:20 PMBAKERSFIELDCA
PORT SETTINGS:
AUG I 1.. 20 1 1 12: 20 Pll SYSTEM U141 TS COMM BOARD : I (EDIMU.S,
Ci"STEll LANGUAGE RS-232 SECURITl
CODE : DISABLED
211STDI STATUS REPORT ENGLISH
SYSTEM DATE,,TIME FORMAT RcCOMMBOARD .3-232)
ALL FUNCTIONS NORMAL MOP DD 111M, HH:M):SS x11 BAUD RATE 9600
INVENTORY REPORT FASTRIP 773
3501 MT VERNON
PARITY NONE
STOP BIT I STOP
BAKERSF1 ELD CA DATA LENGTH: 8 DATA
RS-232 SECURITY
1' 1:UNLL "ADEU CODE : DISABLED
VOLLRIE . 6041 GALS
ULLAr,E - 6. 02" 1 GALS SHIFT TIME I DISABLED COMM BOARD 3 (RS-232,
90% IJI.LA(.,E- 41814 GALS SHIFT TIME 2 DISABLED
SHIFT TIME 3 DISABLED BAUD RATE 9600
TC VOLUME - 5933 GALS SHIFT TIME 4 DISABLED PARITY NONE
STOP 61T I STOPHEIGHT = 55.57 11,11:4 fES
WATER V(A. - 11 GALS
WATER - 0.77 1 I-If,HES TANK PER TST NEEDED WRN DATA LENGTH: 8 DATA
RS-232 SEQUPIT'I"
TEf-IP . 85.3 Mk F DISABLED
TA14K ANN TST NEEDED WRN CODE : DISABLED
DISABLED
T 2: D I E06EL LINE RE-ENABLE METHOD AUTO TPANSMIT SETTING3:
VOLUME . 5876 GAL2
ULLAGE - 6186 PASS LINE TEST AUTO LEAX ALARI'l LIMIT
90,16 ULl.mC;E- 4979 GALS
TG VOLUME - 5005 7ALS LINE PER TST NEEDED WRN DISABLED
AUTO HIGH WATER L1111'r
HEIGHT = 54.38 1 ril-HES DISABLED
LI NE ANN TST NEEDED WRN DISABLED
AUTO OVERFILL LIt4ITWATERVOL - 0 13ALS DISABLED
WATER . 0.00 1 Ni•HES DISABLED
TEMP . 87.0 DEG F PRINT Ti--; VOLUMES AUTO LOW PRODUCT
ENABLED DISABLED
AUTO THEFT LIMIT
T 3;PRh-MIUhl
VOLUME . F3536 0.ml.s TEND C-0111PENSAT ION DISABLED
AUTO DELIVERY START
ULLAGE = 3526 C:ALS VALUE %'DEG F ): 60.0
STICK HEIGHT OFFSET DISABLED
903. ULL o-;E= 2319 C*Q-13 DISA6LED AUTO DELIVERY E14V
TC VOLUME = 8368 (;mLS
HEIGHT - 73.95 11-14"HES ULLAGE: 9Cr %. DISABLED ONAUTOEXTEPIViLINPUT
WATER VOL = o cAE.
WATER = 0.00 INCHES H-PROTrA':OL DHTA FORMAT DISABLED
oFFAurroExTERNmLINPUT
TEMP = 88.1 DEG F HEIGHT
DAYLIGHT SHV I NG T I ME DISABLED
AUTO SENSOR FUEL ALARMDISABLEDDISABLED
k 'k END RE-DIRECT LOCAL PRINTOUT AUTO SENSOR WATER ALARIADISABLEDDISABLED
EURO PROTOCOL PREFIX AUTO SENSOR OUT ALARM
2! DISABLED
SYSTEM SECUR I TY
CODE : 000000
MA I NTENANGE HISTORY
SOFf"Gii-IRE REVISION LEVEL DISABLED RS-232' END OF MESSAGE
VER21ON 331.01 DISABLED
SOFT1,61APru 3463,31-M-8 TANI: CHART 8ECUR)TVCREATED - 1 1 .03.22. 1 r.. 'IS DISABLED
S-1-R)DULE11 330160-004-a
YSTEM FEATURES: CUSTOM ALARMSPERIODIC114-TANK TESTf-`. DISABLEDANNUALIN -TANK TESTS
I SD. APIl
lc,*ERVICE NOTICE
DISABLED
190 3166 COUNTRY
CODE:
VAPOR I-IONI TOR IP413 TYPE
CARS I SD
MAS3,'DENS I TY
DISABLED
1N_TANK SETUP_ _ _ _
T I:UNLEADED
2.U`
PRODUCT CODE 1
THERMAL COEFF 000700
TANK DIAMETER 111.00
TANK PROFILE 1 PT
FULL VOL 12062,
FLOAT SIZE: 4.0 IN.
WKTEp WARNING 2.U`
HIGH WATER LIMIT: 3.0
WATER ALARM FILTER: LOW
MAX OR LABEL'VOL: 12062
OVERFILL LIMIT 90X
THERMAL COI;FF :.000700
10855
HIGH PRODUCT 95%
11x59
DELIVER`; LIMIT 15%
TANK PROFILE
1809
LOW PRODUCT 500
LEAK ALARM LIMIT: 99
SUDDEN LOSS LIMIT: fly
TANK TILT cl.00
PROBE OFFSET 0.00
SIPHON MANIFOLDED TANKS
TO: NONE
LINE MAN ?FOLDED TANKS
TO: NONE
LEAK MIN PERIODIC: i
120
LEAK I'll N ANNUAL I
120
PERIODIC: TEST TYPE
3TANDARD
ANNUAL TEST FAIL
ALARM D I :TABLED
PERIODIC: TEST FAIL
ALARM DISABLED
GROSS TEST FAIL
ALARM DISABLED
ANN TEST AVERAGING: OFF
PER TEST AVERAGING: OFF
TANK •Z'E'ST NOTIFY: OFF
TNK TST SIPHON BF.EHI' :OFF
DELIVER`! DELAY I (III PI
PUMP THRESHOLD 10.OT'4
T 2: D I ESEL T 3: PRFJI I UM
PRODUCT CODE 2 PRODUCT CODE 3
THERMAL COEFF :.000450 THERMAL COI;FF :.000700
TANK DIAMETER 111.00 TANK DIAMETER : 111.00
TANK PROFILE I PT TANK PROFILE I PT
FULL VOL : 12062 FULL VOL 12062
FLOAT SIZE: 4.0 I111. 1 FLOAT SIZE: 4.0 IN,
WATER WARNING 2.0 WATER WARNING 2.0
H113H WATER LIMIT: 3.0 HIGH WATER LIMIT: 3.0
WATER ALARM FILTER: LORI WATER ALARM FILTER: LC"
PIAX OR LABEL VOL: 12062 MAX OR LABEL VOL: 12062
OVERFILL LIMIT 9041, OVERFILL LIMIT 90y.
10855 10855
HIGH PRODUCT 95% HIGH PRODUCT 956
11459 11459
DELIVERY LIMIT 15% DELIVERY LIMIT 15%
1809 1804
LOW PRODUCT 500 LOW PRODUCT 500
LEAK ALARM LIMIT: 99 LEAK ALARM LIMIT: 99
SUDDEN LOSS LIMIT: 99 SUDDEN LOSS LIMIT: 99
TANK TILT 0100 TANK TILT 0.00
PROBE OFFSET 0.00 PROBE OFFSET 0.00
SIPHON MANIFOLDED TANKS SIPHON MANIFOLDED TANKS
TO: NONE To! NONELINEMANIFOLDEDTA14KSLINEMANIFOLDED TANKS
Tit: NOPIE Tit: NONE
LEAK M[N PERIODIC: IX. LEAK 111N PERIODIC: 1%
120 120
LEAK 1°! I N ANNUAL IN LEAK. MIN ANNUAL 1%
120 120
PEP 1 OG [ G' TEST TYPE PERIODIC TEST TYPESTANDARDSTANDARD
ANNUAL TEST FAIL ANNUAL TEST FAIL
ALARM DISiiSLED ALARM DISABLED
PERIODIC TEST FAIL PERIODIC TEST FAILALAPN1) 1PABLED ALARPI DISABLED
GROSS TEST FAIL GROSS TEST FA I LALARMDISABLEDALARII DISABLED
ANN TEST AVERAGING: OFF ANN TEST AVERAGI NG: OFF
PER TEST AVEW- ING: OFF PER TEST AVERAGING;: OFF
TANK TEST NOT IICY: OFF TANK TEST NOTIFY: OFF
TPIK TST SIPHON BREAK:OFF TNK TST SIPHON BREAK:OFF
DELIVERY DELAY 1 M114 DELIVERY DELAY 1 MIN
PUMP THRESHOLD 10-00%1. PUMP THRESHOLD 10.00%
LEAK LEST METHOD
TEST ON DATE : ALL TANK
MAR 22_• 2011
START TIME : DISABLED
TEST RATE :0.20 GAL/HR
DURATION : 2 HOURS
TST EHRLY SPOP:DISABLED
LEAK TEST REPORT FORMAT
NORMAL
LIOI.IID SENSOR SETUP OUTPUT - RELAY SETUP - - -
L 1 : UNL AKIN R I : UNL
NORMALLY CLOSED TYPE'
CATEGORY : ANNULAR SPACE PUMP COAfIROL OUTPUT
TANK 0: 1
L 2 : C>.SL HNN 1.1 uU I D SENSOR ALMS
L 4-.FUEL ALARMTkl -STATE (SINGLE FLOAT> 9:FUEL ALARMC :HTEGOP.Y : AIVIVULAR SPHC.'E l.1 4 : FUEL ALARM1 .
L11:FUEL ALARM
L12:FUEL ALARM
L 3' PNL mNl7 L 13 : FUEL ALARI,I
L 4 :SENSOR OUT ALARMTRI -STATE (SINGLE FLOAT' L 9:SENSOR OUT ALARMCAT£GOR`t ANNULAR SPATE L10:SEhISOR OUT ALARM
LII:SEN.SOR OUT ALARM
L12:SENSOR OUT ALARM
L 4 : UNL STF' L 13 : SEI4SOR OUT ALARM
L 4:SHORT ALARMTRI -STATE (SINGLE FLOAT) L '.(:SHORT ALARMCATEGORY : STP SUMP LIO:SHORT ALARM
LII:SHORT ALARM
L 5 : r1SL STI, 1.12' : SHORT ALARM
LI3:SHORT ALARMTRI - STATE (81N. ...LE FLOAT)
CATEGORY : STP SUMP ISD SITE ALARMS
ISD GROSS PRF-S FAIL
L 6 : PNI_ STP IS[, DEGP.D PRES; FAIL
I SD VAPOR. LEAF; FAILTRI -STATE (SINGLE FLOAT ISD VP PRES FAILCATEGORY : STP SUMP ISD VP STATUS FAIL
L A:DISP 1 -2 ISD HOSE ALARMS
ALL : GROS.: COLLECT FAILTR1 -STATE 4.9 1 NGLE FLOAT r
CATEGORY DISPENSER PFiN T
COLLECT L
LAiGFAILALL :FLOWFLOWCOLLECF
R 2:PNL
LIQ:DISP 3 -4 TYPE:
CONTROL OUTPUTTRI -STATE (SINGLE FLOHI') TANK p: 3ATWOFY : DISPENSER. PAN
LII:DISP 5 -6
TRI -STATE (SINGLE FLOAT)
CATEGORY : DISPENSER. FAN
1_12:111ISP 7 -6
TRI -STATE s S I NC:L£ FLOAT)
C :ATEGOYY : DISPENSEP PAN
L13:TRHNS SUNF
TRI - S'THTE < S l NGLE FLOAT i
CATEGORY : PIPING SUMP
PUMP SENSOR SETUP
S I:UNLEADED
TANK u: 1
DISPENSE MODE:
STANDARD
S 21 PREI'I1 Uhl
TANK it: 3
DISPENSE MODE:
STANDARD
L1OUIG SENSOR ALMS
L 6:FUEL ALARM
L 9: FUEL AiAP11
L10:FUEL ALARM
LII:FUEL ALARM
L12:FUEL ALARM
L13:FUEL ALARM
L G:SLNSOR OUT ALARM
L 9 :SEIV OR GU'T ALARM
LI0:SENS6R OUT ALARM
LII:SENSOR OUT ALARM
L12 :SENSOR. OUT ALARM
LI3:SENSOR OUT ALARM
L 6 : S3Fh)RT ALARM
L 9:SHORT ALARM
L1O:SHORT ALARM
L11:SHORT ALARM
L12:SHORT ALARM
L13:SHORT ALARM
ISD SITE ALARMS
ISD GROSS PRES FAILISDDEGRDPRESFAIL.
ISD VAPOR LEAK FAIL
ISD VP PRES FAIL
ISD VP STATUS FAIL.
ISD HOSE AL.lAM%S
ALL:GROSS COLLECT FAIL
ALL:DEGRD c:OLLECT FAILAI.I_ : FLOW .,OLLEC :T Fr I L
R 3 : TJSI.
TYPE:
STAIVDART!LOSEGNORI,IALL`
TANK r: 2
LLUc -,1 N
FLELALAF'
L1O :FULL ALARML12'FUEL ALARML1:3 : FI.IEL ALARM
L 5 - tiN50P. OLiT ALARMlLIG :fiF1V50R OUT
L 1 ? . S&aCR OUT ALAF.ML13: SEr1fiOR OUT ALHPI'lL5:SHORT ALARML10:SHORT ALARM
L 13: SNORT ALARM
R 4:OvERFILL ALARM
TYPE:
STANDAkG
NORf TALI, t OF'EN
TANK 0: 1,1014E
I hl —TAN1: AL.HkMS . ALL :OVERFILL
IAIJA
ALARM
AL.L :H1yIPRODUC;TTALARMHLL : M -
r- IAkTSErpsOR
SETUP - - -
5 I : T's I - ":vOPOk PkE`UkE
CATEC:GF:Y
H1R FL(N.J M6'TERCaTEC•OR",'
s 3 :FM .3 -4 1F. FL <)i! IiECEPC:ATECOk
s `t'F y -tAlk FL01 1 METERC.'Fti1 EGI M.'
s 5:FM 7 -OAIR FLOW METERCATF.C4UR`t
EvR 161) SETUP ALriRM HISTORY REPORT
02 01
HLF;RM HISTORY REPORT
r ri - " END •:
I N -THNI: ALARM
02 02'
IN -TFxdK at.HRM - - - --
EVR TYPE: VACUUI -I ASSIST T 1 : UNLFADED
L 2:G3L ANN
VACUUM ASSIST TYPE
03
04
T 4 '
HEALY VHC OVERFILL ALARM
HUiRt 1 HISTORY kEi GRT
JUL 27, 2011 12:36 PlM
NOZZLE H,L RANCE JUL 13. 2011 1:55 PI•I
MA:-': i . 15 hl 1 N: U. 95 JUL 4. 2011 9:31 AM
VAPOR PROC:ESSOF' TYPE
02 04
NONE DELIVER% NEEDED
L I :1.11`41- ANN
08 118
JUN 13. X01l 8: 42 PM
04
JUN 9. 3011 9:37 F'1•I
ANAI.YSIS TIMES
1' 3:PREMIUM JUN 3. 2011
TIME: 10:00 AM
DELAY HI NU'I'I:
ALARM HISTORY REPORT ALARM HISTORY REPORT
SENSOR ALARM
L 3:PNL mpipi Sriiso ALARM - - - --
ANNULAR SPACE L 6:PNL STP
FUEL ALAPIi Q-TP SUMP
JUL 7. 2011 9:133 All
SENSOR OUT ALARM
JUL 7. 2011 9:03 f;M ALARM HISTORY REPORT
FUEL ALARM ----- SENSOR ALARM - - - --
JUL 7. :,oii 7 :1$ Am 1-10:11ISP 3-4
DISPENSER PAN
i -, m A END ;E n m -.
R P. i "; END - t -t -i A ;k x A END A k A: *
fALARMHISTOR%, REPORT
SENSOR AL;4Rrl
L 7:
OTHER SENSORS
HI-mkil HISTORY REPORT ALARM HISTORY REPORT
SENSI)p ;ALHRM ---- SENSOR ALARM
L C1.11,11- 211, LwDISP 5-6
STP suflif-I DISPENSER PAN
ENE, 5., i. m
A s: % -i END • A r -' A A i-, 'i K END -'t I- --i m A
mLARM HISTORY PEPOPT
SENSOR ALARM
OTHER SENSORS
M-iARII HISTOP1.1 REPORT ;iLi.;RM HISTORY REPORT
X SENSOR AI.AF%1'1N2oRAl..;49m
1. 5: DSL STP L12:rjlb'P 7-8
Errp sui* [,ISPEI,)--.,ER PAN
END
i m i. END P jk r- -`- w A p: -, END x 2-t R e v
mLmPN HISTORY REPORT
SENSOR ALmR11 - - - --
L 9:DISP 1-2
DISPENSER PAN
A 't AL 1- x END • % m *
1AL'ARI.1 HISTORY REPORT - - -- IN -TANK ALARM - - - --
T I :UNLEADED
SENSOR ALARM - - - -- SUDDEN LOSS ALARM
L 13: TRAI,IS SUNP AUG t t . 2011 12:40 PM FASTR I F' 773
P1P1NC; SLQIP 3501 MT VERNONBAyEP.SF 1 ELL) CA
AUG it. 2011 12:41 PM
SYSTEM STATUS REPORT -
I N -TAN1; HLARM -
t - f k END x ie r T 1:UNLEADED -- T I:SUDDEN LOSS ALAkiI
PROBE OUT
AUG 11. 2011 12:46 PM
Hit -r,RM HISTORY REPORT - - -- IN-TANK ALARM - - - -- -- I N- TC411; ALARM - -- --
T I:UPILEHDED F 2: 1) 1ESEL
SENSOR Af -Apr1l -- -- I NVr L I D FUEL LEVEL. PROEIE OUT
L14: AUG I1. 2011 12:41 P11 HuC 11. z0 t2:41 F1'i
OTHER SENWRS
IN-TANK ALAF'Ihl - - - -- 1 N —TANK MaLaRll T 3:pREM1 UNIrtnE14DtrkTI:UNLEADED
LOW TEPIP WAPN i rry SUDDEN LOSS PLYAP•M
AUr, tl. 20i1 12:41 Prl HUG 11. 2011 12:42 PM
AL.LiRrl H I YrOP.Y REPORT FASTR I P 77:3 -- 1 N -TANU: ALARM - ----
3501 I'll' VERNON T 3: PREM I Url
CENl30R ALmPm -- - -- FsA}.Ek::1 IELD r:p PROBE OUT
L15: (AuG II. 2011 12:42 Ph
OTHER r:.ENi,ORS
AUG 11. 2011 1 _ : a1 PI -I
SYSTEM STATUS REPORT
f I :SUNPEN LOSS ALHRf•l
T I : I NVHL I D FUEL LEVEL
e t r ENLI s k r r
T I. L()W TEMP WiRNI I Nha
ALARI °I HISTORY REPORT
FASTRIP 773
SENSOR ALARm - - -- - 3501 MT VERNON
LIE,: BAKERSFIELD CA
OTHER SENSORS
HUG II. 2011 12:41 PM
SYSTEM STATUS REPORT
T 1:SUDDEN LOSS: ALARM
END T I : LOLJ TEMP 61APN 1 NG
T ]:UNLEADED
I NVENTORY 1 NCRER2E
I ni REF05E START
AUG It. 2011 12:10 PM
VOLUME r 3685
HEIGHT - 38.26 1 Nr HES
WATER . 0.82 INCHES
TEMP . 85.4 DEG F
I NC'REr;SE END
END
Air- 11. 2011 12:43 PM
VOLUME d 7818 + ALS
HEIGHT - 68.53 INCHES
WATER = 0.76 INCHES
TEMP - 80.E E,E(; F
f3ROSS INCREASE= 4133
TC NET INCREASE- 4053
T 2 : D I E:nEL
END
HUG I1 .
I NVENTOP.Y I NC:REE;SE
114CREASE START
4 688) GALS
HE 1 I::HT
AUG' I1. 2011 12:41 Phl
VOLUME a 53:+8 CALE;
HEIGHT - 50.92 INCHES
WATER = 0.00 1 NC'HES
TEMP = 87.0 DEr; F
INGkENSL END
HUG I1 . 2TII1 12:44 PM
VOLUME 4 688) GALS
HE 1 I::HT 61 .65 1 NCIIL -
WATER 0.80 1 NCHEO
TEMP 89.6 DEG F
CROSS t 1483
Tf; NET t NCREASE= 1 456
SEI4SOR ALARM - - - --
L 4:UNL STP
STP SUMP
FUEL ALARM
AUG 11. 2011 12:56 P1M
SENSOR ALARM - - - --
L 5:DSL STP
STP SUI -iP
FUEL ALARM
AUG )1, 2011 12:58 PPI
aEPt -:OR ALARM - - - --
L 6: P14L STP
STP SUMP
FUEL ALAPM
AUG 11, 2011 12:58. PM
SENSOR ALARM
L 6:PML STP
STP SUMP
FUEL ALARI-t
AUG I1. 2011 1:01 PM
TENSOR ALARM
Ll:3:TPhl,lS SUMP
PIPING SUMP
FUEL ALARM
AUG II. 2011 1:02 PM
F+;STR 1 P 773
3501 MT VERNON
BAVERSFIELG GA
HUC: 1 i . 201 t I :0'2 PM
SYSTEM STATUS REPORT
ALL FUM:710r."; NORPWL
SECOR ALARM
LII:DISP 5 -6
DISPENSER PAN
FUEL ALARM
AUG II. 2011 1:03 PH
T 3 : PREM t UM
iNVENTORY INGREHSE
i NGkL" +SSE :1'HRT
AUG II. :'011 1 :01 PM
VOLUME o 9522 C:ALS
HE I ('I-ET e 61 .74 1 NC; HES
WATER a 0.93 INCHES
TEMP - 106.8 DE1: F
INCPEA.SE END
AUG 11. 2011 1:04 PM
VOLUME a 4585 CAL:
HEIGHT - 8c.16 INCHES
WATER - 0.95 iMCHES
TEMP - 10+x.9 DES:: F
G;RCr; 1 t`ti'REF1EEa b3
T(: NET INCREASE- 60
SEriSOR ml.r 1
1-12:1)i!;P 7 -13
DISPENSER PAN
FUEL ALARM
ALK: 11 . 2011 1 :05 PM
SENSOR ALAR1*1 - -- --
LIO :D1SP 3 -4
L12PENS'ER PAN
FUEL ALARM
AUG 11. 201) 1:06 FM
SENSOR ALARM _
I. 9:DISP 1 -2
DISPENSER PAN
FUEL ALARM
AUG H. 2011 1:07 PM
SENSOR ALARM --
L I:UNL ANN
ANNULAR SP(v.;E
FUEL ALARM
AUG I1. •?011 1:08 PM
SENSOR mi-ARIN
L 2 : DSi. ANN
HNNUL-HR SPACE
FUEL ALHPM
AUG i l . 2011 1 :06 PI^I
2ENSOP AL.ARMI - - --
L 3:PId1- ANhI
ANNULAR SPAi'E
FUEL_ ALARM
AUG 11. 2011 1:08 PM
FASTRIP 77;
3501 MT VERNON
BAKERSFIELD CA
AUG 11 • 4-011 1:08 F11
SYSTEM STAI'U ,' PEPORT
L 1:FUEL ALARM
L 2 : FUEL ALARtl
L 3 : FUEL KLARr1
FW,TR 1 P 773
3501 MT VERNON
EYAKERSF I ELD CA
AL437 I I , 201 1 1 : 08 PI.1
S." I'F.I'l STATUS REPORT
L t:FUEL ALARM
L 2: FUEL ALARM
L 3 : FUEL. ALARM
SENSOR 14LARII - - - --
L 5:DSL STP
S ?P SUMP
SENSOR OUT ALARM
AUG II. 2011 1:12 PM
SENSOR ALARM - - - --
L 6:PNL STP
SITP SUMP
SENSOR OUT AIJ-01
AUG 11. 2011 1:12 PM
SENSOR ALAF19 - - - --
L S:DISP 1 -2
DISPENSER PAN
SENSOR OUT ALARM
AUG. 11 . 2011 1 :12 Phl
SENSOR ALARM - - - --
L10:D1SP 3 -4
DISPENSER, PAN
SENSOR OUT ALARM
AUG It. 2011 1:12 PM
SENSOR ALARM
L 3 : Pr1L ANM
ANNULAR SPACE
SENSOR OUT ALARM
AUG 11, 2011 1: 1 12 Pill
SENSOR ALARM
L 4 : UNL STP
STP SUMP
SENSOR OUT ALARM
AUG 11. 2011 1:12 PM
SENSOR. ALARM -- --
LII:DISP 5 -6
DISPENSER PAN
SENSOR OUT AL6F11
AUG 11. 2011 1 :1', PM
SEIISOR ALARf1
L12:DISP 7-8
DISPENSER PAN
SENSOR OUT ALARM
AUG I I . 2011 1 :12 Pt-I
SENSOR ALARM
1.1 3 : TRANS SUPIP
PIPING SUMP
SENSOR OUT ALARM
A03 111 '3011 1 :I2 Pill
SENSOR ALARM
L 2:[0.31. ANN
ANNULAR SPACE
SENSOR OUT ALARM
AUG 11, 2011 1:12 Phi
i N—TAIVI: ALARM - - - --
T 1 : UNLEADED
HIGH PROW: :T ALARM
AUG I 1 , 2011 1 : 16 Phi
IN —TANI, ALARM - - - --
T I:UNLEADED
OVERF I LL ALARM
AUG ll. 2011 1:16 TIM
I N -TANK ALi;FI °I - - --
T I : UNI.EADEEI
PROBE OUT
AUG 11. 2011 1:IG PM
1N -TANK ALARM - - - --
T I:UNLEADED
LOW TEP9F, WAR. N I Ni
AUG 11 • 2011 1 : 17 PI °I
1N -TAN): ALARM - - - --
T ':DIESEL
HIGH PRODUCT ALARM
HUG 11, 2011 1:17 PM
IN-TANK ALr&'9 - - - -•-
T 2:DIESEL
PROBE OUT
AUG. H- 21011 1: 17 Pl l
F.,6TRIP 77:3
3501 1'1T VERNON
BAKERSF 1 ELD 1: :M
AUG 11, 2011 1 :10 FK•1
5Y5TF(9 STATUS REPORT
T 1 :LOW TEMP WAF'Pl I PIG
T 2 : H I i;;H PRODUCT HLARM
T 2: PROBE OUT
T I:UNLEADED
INVENTORY INCREASE
I PI' :REASE START
AUG 11. 2011 1 :15 PI °I
VOLUME a 7B I q GALS
HEIGHT - 50.55 111C*HF »y
WATER e 0.70 I NC11F-5
TEMP - 105.3 DEG F
I NCREASE END
AUG 11. '?011 1:1a rM
VOLUME 11792 C;ALS
HEIGHT -104.73 1NL;HES
WATER a 1.0:3 INCHES
TEMP = 104.6 DEC: F
GROSS INCREASE= 3973
TC P16T INCREASE- 3@52
IN -TANK ALARM - - - --
T 2:DIESEL
LOW TEMP WARNING
AUG 11 • 2011 1:18 PM
1 N- TAPIK. HLARli - - - --
T 3 : PREIN I UM
HIGH PRODUCT HLARM
AUG 11. 2011 1:19 PI1
IN-TANK HLARII - -- -
T J : PREM J V1l
I °1ri >: PRODUCT ALARM
AUG. 11 . 2011 1 :I'3 F111
IN-TAN)`; ALA121 °1 - - - --
T 3 : PREH I Ull
OVERFILL ALAI hl
AUG 11. 2011 1:19 PIh
IN -TANK ALARM - - - --
T 3 : PREI °I I UM
PROBE OUT
AUG 11, 2011 1:19 PM
T 2:V1ESEI.
INVENTORY INCREASE
INCREASE START
HUG 11. 2011 1:IB PM
VOLUME = 4736 GALS
HEIGHT - 46.09 IM_HES
WATER o 0.00 INf;HES
TEMP - -99.0 DEG F
I NcREkSE ENE,
AUG, It. 2011 1:21 PM
VOLUME 5869 GALS
HE I GHT 54.3:! INCHES
WATER 0.00 INCHES
TEMP 99.0 DEG F
ROSS I N::REASE- l 133
Ti; NET I NI REASC— 1 214
IN -TANK ALARM - - - --
T O:PREMIUM
LOW TEmr, WmRN I NC;
AUG' I1. 2011 1:21 PI-1
T ;i : PRENI l UM
INVENTOR' I IV(:REASE
IN REASE START
AUG Il. 2011 1 :i8 PM
VOLUME 9585 GAL:
HEIGHT - 82.27 INC HES
WATER = 0.55 INCHES
TEMP - 109.5 DEG F
INCREASE ENE;
AUl.: 11, 2011 ) :22 PM
VOLUME - 12062 GALS
HEIGI4T - 113.83 INCHES
WATER. - 2.65 INCHES
TEMP - 109.5 DEG F
IAOSS INCREASE= 2477
TC NET INCREASE= 2392
FwSTRIP 773
3501 MT VERNON
5AKERSF I ELD CA
AUG It. 2011 2:38 PM
isrEM STATUS REPORT
i-iLL FUNCTIONS NORMML
INVENTORY REPORT
T I:UNLEADED
VOLUME - 5960 GALS
ULLAGE o 61 C12 GALS
9Ce. ULLAGE- 4895 OWLS
T(r VOLUME 5854 GALS
HEIGHT 54.99 14 HES
WATER VOL 14 GALS
WATER? 0.89 1 N(;IIES
TEMP e5-'I DEC; F
T !:r])ESL : :L
VOLUME = 5860 GALS
ULLAGE e 6194 GALS
90v ULI -MCE- 4987 GALS
Tl:: VOLUME - 5796 C;Au,,
HE I GHT - 54.32 1 IrrIIE.S
WATER VOL o 0 GALS
WATER o 0.00 1 NGHE.S'
TE111P o 87.1 DEG F
T 3: Pkt7M 1 Uli
VOLUME = 8543 GALS
ULLAGE = 3519 GALS
90:6 ULLac:E= 2312 GALS
Tr; VOLUME ° 9374 GALS
HEIGHT o 74.00 1W 11ES
WATER VOL - 0 (;ALS
WATER. e 0.00 INCHES
TEMP m 88.2 DEG F
4 k t END l +i p -
SWRCB, January 2006
Spill Bucket Testing Report Form
Thisform is intendedfor use by contractors performing annual testing ofUST spill containment structures. The completedform and
printoutsfrom tests (if applicable), should be provided to thefacility owner /operatorfor submittal to the local regulatory agency.
1. FACILITY INFORMATION
Facility Name: #773 Fastrip #3 I 1 Date of Testing: 8/1 1/201 1
Facility Address: 3501 Mt. Vernon Avenue, Bakersfield, CA 93306
Facility Contact: Omero Garcia Phone: 661- 393 -7000
Date Local Agency Was Notified of Testing : 7/13/2011
Name of Local Agency Inspector (ifpresent during testing): Ernie Medina
2. TESTING CONTRACTOR INFORMATION
Company Name: Confidence UST Services, Inc.
Technician Conducting Test: Bryan A Self
Credentials': 0 CSLB Contractor 0 ICC Service Tech. 0 SWRCB Tank Tester Other (Spec)
License Number(s): CSLB 4804904 ICC #8022804 -UT TT #11 -1756
3. SPILL BUCKET TESTING INFORMATION
Test Method Used: 0 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
0 Contained in Sump
Direct Bury
0 Contained in Sump
Direct Bury
OContained in Sump
Direct Bury
Contained in Sum
Bucket Diameter: 12.00" 12.00" 12.00"
Bucket Depth: 14.00" 14.50" 14.50"
Wait time between applying
vacuum /water and start of test: 5 min. 5 min. 5 min.
Test Start Time (Tj): 1:30 pm 1:30 pm 1:30 pm
Initial Reading (Rj): 10.25" 11.001, 11.001,
Test End Time (TF): 2:30 pm 2:30 pm 2:30 pm
Final Reading (RF): 10.25" 11.001, 11.001,
Test Duration (TF — Ti): I hour 1 hour 1 hour
Change in Reading (RF- Ri): 0.00" 0.00" 0.00"
Pass /Fail Threshold or
Criteria: 0.0625" 0.0625" 0.0625"
Test Result: 0 Pass Fail 0 Pass Fail x 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
hereby certify that all the information contained in this report is true, accurate, and in full compliance with legal requirements.
Technician's Signature: Date: 8/11/2011
State laws and regulations do not c (ntly require testing to be perfonned by a qualified contractor. However, local requirements
may be more stringent. (/
0
00 Regular 304
1
0 Diesel 0 3
5
1
00 3
Super 0 4
Sensor Key
1) 208 Senser
2) 420 annular senser
3) ATG Probe
4) FX1 V PLLD
5) FX1 DV PLLD