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Home My WebLink AboutFMC 2012MONITORING SYSTEM CERTIFICATION For Use By All Jurisdictions Within the State ofCalifornia Authority Cited: Chapter 6 7, Health and Safety Code; Chapter 16, Dtvision 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 ofthis form to the local agency regulating UST systems within 30 days of test date. A. General Information Facility Name: JOHNNYS ARCO Bldg. No.: Site Address: 3333 UNION AVE. City: BAKERSFIELD Zip: 93308 Facility Contact Person: JOHNNY Make/Model of Monitoring System: TLS -350 ERNIE MADINA B. Inventory of Equipment 'Tested /Certified Check the annronrinte boxes to indicate snecific equioment insneeted/serviced: Contact Phone No.: (661) 703 -8083 Date of Testing/Servicing: 1/9/2012 Tank ID: UNL87 Tank ID: UNL87 SYPHON In -Tank Gauging Probe. Model: MAGEIn -Tank Gauging Probe. Model: MAG Annular Space or Vault Sensor. Model: 409 E Annular Space or Vault Sensor, Model: 409 Piping Sump / Trench Sensor(s). Model: 323 Piping Sump / Trench Sensor(s). Model: 323 Fill Sump Sensor(s). Model: 323 E Fill Sump Sensor(s). Model: 323 Mechanical Line Leak Detector. Model: Mechanical Line Leak Detector. Model: Electronic Line Leak Detector. Model: PLLD Electronic Line Leak Detector. Model: Tank Overfill / High -Level Sensor. Model: FLAPPER Tank Overfill / High -Level Sensor. Model: FLAPPER Other (specify equipment type and model in Section E on Page 2). Other (specify equipment type and model in Section E on Page 2). Tank ID: PLUS91 Tank ID: PREM91 E In -Tank Gauging Probe. Model: MAG E In -Tank Gauging Probe. Model: MAG E Annular Space or Vault Sensor. Model: 409 Annular Space or Vault Sensor. Model: 409 E Piping Sump / Trench Sensor(s). Model: 323 Piping Sump / Trench Sensor(s). Model: 323 E Fill Sump Sensor(s). Model: 323 E Fill Sump Sensor(s). Model: 323 Mechanical Line Leak Detector. Model: Mechanical Line Leak Detector. Model: Electronic Line Leak Detector. Model: PLLD Electronic Line Leak Detector, Model: PLLD E Tank Overfill / High -Level Sensor. Model: FLAPPER E Tank Overfill / High -Level Sensor. Model: FLAPPER Other (specify equipment type and model in Section E on Page 2). Other (specify equipment type and model in Section E on Page 2). Dispenser ID: 1/2 Dispenser ID: 314 Dispenser Containment Sensor(s). Model: 323 Dispenser Containment Sensor(s). Model: 323 Shear Valve(s). Shear Valve(s). Dispenser Containment Float(s) and Chain(s). Dispenser Containment Float(s) and Chain(s). Dispenser TD: 516 Dispenser ID: 718 E Dispenser Containment Sensor(s). Model: 323 E Dispenser Containment Sensor(s). Model: 323 E Shear Valve(s). Shear Valve(s). Dispenser Containment Float(s) and Chain(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/serviced in accordance with the manufacturers' guidelines. Attached to this Certification is information (e.g. manufacturers' checklists) necessary o verify that this information is correct and a Plot Plan showing the layout of monitoring equipment. For any equipment capable enerating such reports, I have also attached a copy of the report; (check all that apply): ® System set -up ® Alarm h' ry report Technician Name (print): RICH PHILLIPS Signature: Certification No.: A29084/1035169-UT License. No.: C611 D40 809850 Testing Company Name: RICH ENVIRONMENTAL Phone No.: (661) 392 -8687 Testing Company Address: 5643 BROOKS CT., BAKERSFIELD, CA 93308 Date of Testing/Servicing: 1/9/2012 Page 1 of 5 UN -036 —1 /4 www.unidocs org Rev. 01/17/08 Monitoring System Certification D. Results of Testing/Servicing Software Version Installed: 329.00 Yes No* Is the audible alarm operational? Yes No* Is the visual alarm operational? Yes No* Were all sensors visually inspected, functionally tested, and confirmed operational? Yes No* Were all sensors installed at 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) N/A operational? Yes No* For pressurized piping systems, does the turbine automatically shut down if the piping secondary containment N/A monitoring system detects a leak, fails to operate, or is electrically disconnected? If yes: which sensors initiate positive shut -down? (Check all that apply) ® Sump/Trench Sensors; ® Dispenser Containment Sensors. Did you confirm positive shut -down due to leaks and sensor failure /disconnection? ® Yes; No. 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 visible and audible at the tank fill point(s) and operating properly? Ifso, at what percent of tank capacity does the alarm trigger? % E Yes* No Was any monitoring equipment replaced? Ifyes, 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? (Check all that apply) Product; Water. Ifyes, describe causes in Section E, below. Yes No* Was monitoring system set -up reviewed to ensure proper settings? Attach set up reports, if applicable Yes No* Is all monitoring equipment operational per manufacturer's specifications? In Section E below, describe how and when these deficiencies were or will be corrected. E. Comments: SENSOR IN 87 SYPHON FILL SUMP AND 91 FILL SUMP NOT WORKING. CUSTOMER WILL ORDER SENSOR TO BE REPLACED. 1/16/12 RICHARD MASON REPLACED SENSOR - RETESTED AND PASSED. Page 2 of 5 UN-036 — 2/4 www.unidocs.org Rev. 01/17/08 Monitoring System Certification I F. In -Tank Gauging / SIR Equipment: Check this box iftank gauging is used only for inventory control. Check this box ifno 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: Yes No* Has all input wiring been inspected for proper entry and termination, including testing for ground faults? Yes No* Were all tank gauging probes visually inspected for damage and residue buildup? Yes No* Was accuracy of system product level readings tested? Yes No* Was accuracy of system water level readings tested? Yes No* Were all probes reinstalled properly? Yes No* Were all items on the equipment manufacturer's maintenance checklist completed? In Section H, below, describe how and when these deficiencies were or will be corrected. G. Line Leak Detectors (LLD): Complete the following checklist: Check this box if LLDs are not installed. Yes No* For equipment start-up or annual equipment certification, was a leak simulated to verify LLD performance? N/A Check all that apply) Simulated leak rate: ® 3 g.p.h.; 0.1 g.p.h ; 0.2 g.p.h. Yes No* Were all LLDs confirmed operational and accurate within regulatory requirements? Yes No* Was the testing apparatus properly calibrated? Yes No* For mechanical LLDs, does the LLD restrict product flow if it detects a leak? N/A Yes No* For electronic LLDs, does the turbine automatically shut offifthe LLD detects a leak? N/A Yes No* For electronic LLDs, does the turbine automatically shut off if any portion of the monitoring system is disabled N/A or disconnected? Yes No* For electronic LLDs, does the turbine automatically shut off if any portion ofthe monitoring system malfunctions N/A or fails a test? Yes No* For electronic LLDs, have all accessible wiring connections been visually inspected? N/A Yes No* I Were all items on the equipment manufacturer's maintenance checklist completed? In Section H, below, describe how and when these deficiencies were or will be corrected. H. Comments: UN -036 - 3/4 Page 3 of 5 www.unidocs.org Rev. 01/17/08 Monitoring System Certification r UST Monitoring Site Plan site Address: 3333 UNION AVE. BAKERSFIELD, CA. 93305 3ys ..................... ............................... cY est1 fl 4 A - - to t . PCLO P T . . . . . . . . . . . . . . .... - . . . . 0tO Sump v T.. 08:..4k.. . a . . . . . . . 2.. ......................... 3 3 . 3 £ .......... ............. g............. sr+HN iicD(6car^r* ao{ t7ki3 . . . I............... . F ........................... I .... ............................... I ......... I .............. I.............. . Date map was drawn:Q"QQ Instructions If you already have a diagram that shows all required information, you may include it, rather than this page, with your Monitoring System Certification. On your site plan, show the general layout of tanks and piping. Clearly identify locations of the following equipment, if installed: monitoring system control panels; sensors monitoring tank annular spaces, sumps, dispenser pans, spill containers, or other secondary containment areas; mechanical or electronic line leak detectors; and in -tank liquid level probes (if used for leak detection). In the space provided, note the date this Site Plan was prepared. Page 5 of 5 UN -036 — 4/4 www.unidoe8.org Rev. 01/17/08 utlbwl 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 (fapplicable), should be provided to thefacility owner /operatorfor submittal to the local regulatory agency. 1. FACILITY INFORMATION Facility Name: JOHNNY'S ARCO Date ofTesting: 1/9/12 Facility Address: 3333 UNION AVE., BAKERSFIELD Facility Contact: JOHNNY I Phone: (661) 703 -8088 Date Local Agency Was Notified ofTesting : 11/30/11 Name of Local Agency Inspector (fpresent during testing): 2. TESTING CONTRACTOR INFORMATION Company Name: RICH ENVIRONMENTAL Technician Conducting Test: RICH PHILLIPS Credentials: CSLB Contractor X ICC Service Tech. SWRCB Tank Tester Other (Spec) License Number(s): 1035169 -UT 3. SPILL BUCKET TESTING INFORMATION Test Method Used: X Hydrostatic Vacuum Other Test Equipment Used: VISUAL I Equipment Resolution: 0 Identify Spill Bucket (By Tank Number, StoredProduct, etc. 1 UNL87 2 UNL87 SYPHON 3 PLUS89 4 PREM91 Bucket Installation Type: Direct Bury X Contained in Sump Direct Bury X Contained in Sump Direct Bury X Contained in Sump Direct Bury X Contained in Sum Bucket Diameter: 12" 12" 12" 12" Bucket Depth: 16" 16" 16" 16" Wait time between applying vacuum /water and start oftest: l OMIN l OMIN l OMIN IOMIN Test Start Time (Ti): 1:30 1:30 1:30 1:30 Initial Reading (Rj): 14" 14" 14" 14" Test End Time (TF): 2:30 2:30 2:30 2:30 Final Reading (RF): 14" 14" 14" 14" Test Duration (TF —Tj): l -HOUR 1 -HOUR 1 -HOUR 1 -HOUR Change in Reading (RF - Rj): 0 0 0 0 Pass/Fail Threshold or Criteria: 000 0.00 0.00 0.00 Test Result: X Pass Fail X Pass Fail X Pass Fail X Pass Fail Comments — (include information on repairs made prior to testing, and recommendedfollow -upforfailed tests) CERTIFICATION OF TECH CIAN RESPONSIBLE FOR CONDUCTING THIS TESTING 1 hereby certify that all the informatlon twined in this report is true, accurate, and in full compliance with legal requirements. Technician's Signature: Date: 1/9/12 State laws and regulations do not currently require testing to be performed by a qualified contractor. However, local requirements may be more stringent. RICH ENVIRONMENTAL 3305 BRITTAN ST. BAKERSFIELD, CA. 93308 OFFICE (661)326 -8402 FAX (661)326 -8934 PRODUCT LINE LEAK DETECTOR TEST WORK SHEET W /p #: FACILITY NAME: JOHNNY'S ARCO FACILITY ADDRESS: 3333 UNION AVE. BAKERSFIELD PRODUCT LINE TYPE: PRESSURE I 1 eti t PRODUCT LEAK DETECTOR TYPE TEST TRIP PASS BELOW P.S.I. OR SERIAL NUMBER 3 G.P.H. FAIL UNL87 L/D TYPE: ELECTRONIC YES p PASS SERIAL # VEEDER -ROOT PLUS89 L/D TYPE: ELECTRONIC YES p PASS SERIAL # VEEDER -ROOT PREM91 L/D TYPE: ELECTRONIC YES p PASS SERIAL # VEEDER -ROOT L/D TYPE • PASS YES SERIAL # FAIL I CERTIFY THE ABOVE TESTS WERE CONDUCTED ON THIS DATE ACCORDING TO RED JACKET PUMPS FIELD TEST APPARATUS TESTING PROCEDURE AND LIMITATIONS. THE MECHANICAL LEAK DETECTOR TEST PASS / FAIL IS DETERMINED BY USING A LOW FLOW THRESHOLD TRIP RATE OF 3 GALLONS PER HOUR OR LESS AT 10 P.S.I. I ACKNOWLEDGE THAT ALL DATA COLLECTED IS TRUE AND CORRECT TO THE BEST OF MY KNOWLEDGE. TECHNICIAN: RICH P IPS SIGNATURE: DATE: I /9/12 ARCO am,,Pm 82765 3333 Union Ave H- PROTOCOL DATA FORMAT Bakersfield HEIGHT PRECISION TEST DURATIONCA93305HOURS: 12 JAN 9, 2012 12:29 PM DAYLIGHT SAVING TIMEENABLED SYSTEM DATE /TIME FORMAT START DATE MON DD YYYY HH:MM:SS xM MAR WEEK 3 SUN SYSTEM STATUS REPORT START TIME 2:05 AM ALL FUNCTIONS NORMAL END DATE NOV WEEK 1 SUN Bakersfield END TIME CA 93305 2:00 AM SHIFT TIME 1 10:00 PM RE- DIRECT LOCAL PRINTOUT r DISABLED SHIFT TIME 3 DISABLED EURO PROTOCOL PREFIX SHIFT TIME 4 DISABLED S SOFTWARE REVISION LEVEL VERSION 329.02 SOFTWARE# 346329 -100 -C CREATED - 09.07.01.16.29 S- MODULE# 330160 -D04 -a SYSTEM FEATURES: PERIODIC IN -TANK TESTS ANNUAL IN -TANK TESTS ISD SYSTEM SECURITYCODE : 000000 MAINTENANCE HISTORYDISABLED TANK CHART SECURITYDISABLED CUSTOM ALARMS DISABLED SERVICE'NOTICEDISABLED SYSTEM SETUP JAN 9, 2012 12:29 PM - 3166 COUNTRY CODE: SYSTEM UNITS P I SiDENSITY ABLERU.S. SYSTE SLANGUAGE ENGL SYSTEM DATE /TIME FORMAT MON DD YYYY HH:MM:SS xM ARCO am,lPm .82765 3333 Union Ave. Bakersfield CA 93305 SHIFT TIME 1 10:00 PM SHIFT TIME 2 DISABLED COM11UNICATIONS SETUPSHIFTTIME3DISABLED SHIFT TIME 4 DISABLED TANK PER TST NEEDED WRN PORT SETTINGS: DISABLED -' TANK ANN TST NEEDED WRN COMM BOARD 1 (S -SAT ) DISABLED BAUD RATE 9600 LINE RE- ENABLE METHOD PARITY NONE STOP BIT : 1 STOPPASSLINETESTDATALENGTH: 8 DATA LI.NE PER TST NEEDED WRN RS -232 SECURITY CODE : DISABLEDDISABLED. LINE ANN TST NEEDED WRN DTR NORMAL STATE: HIGH DISABLED COMM BOARD : 2 (EDIM ) PRINT TC VOLUMES I RS -232 SECURITY CODE : DISABLEDENABLED TEMP COMPENSATION COMM BOARD 3 (RS -232) BAUD RATE 4200VALUE (DEG F ): 60.0 PARITY ODDSTICKHEIGHTOFFSET DISABLED STOP BIT 1 STOP ULLAGE: 91r4 DATA LENGTH: 7 DATA RS -232 SECURITY CODE : DISABLED AUTO TRANSMIT SETTINGS: AUTO LEAK ALARM LIMIT Iv DISABLED AUTO HIGH WATER LIMIT DISABLED AUTO OVERFILL LIMIT DISABLED AUTO LOW PRODUCT DISABLED AUTO_ THEFT LIMIT DISABLED AUTO DELIVERY 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 RECEIVER SETUP: NONE AUTO DIAL TIME SETUP: NONE RS -232 END OF MESSAGE DISABLED AUTO DIAL ALARM SETUP J —TANK SETUP 1:UL MID ORA 0.8 1.0 2ODUCT CODE 2 iERMAL COFFF 000700 Nl; DIAMETER 117.58 MIX PROFILE 4 PTS 10369FULLVOL 88.2 INCH VOL 8509 88.2 INCH VOL 1555 29.4 INCH VOL 19495 OAT SIZE: 2.0 IN. kTF.R WARM NG '. : GH WATER LIMIT: 0.8 1.0 X OR LABEL VOL: 10369 IERFILL LIMIT 000700 TANK DIAMETER 9332 GH PRODUCT 95% 9850 LIVERY LIMIT 10369 88.2 INCH VOL 1555 W PRODUCT 4 ,J0 AK ALARM LIMIT: 99 JDDEN LOSS LIMIT: 0.00aNKTILT OBE OFFSET 0.00 PHON MANIFOLDED TANKS t: .NONE NE MANIFOLDED TANKSisNONE AK MIN PERIODIC: O AK ill N ANNUAL O iR I OD I C TEST TYPESTAIVDARD 4NUAL TEST ALAR L MDISABLED RIQDIC TpLA DISABLED ZOSS TEST FAILALARM DISABLED 4N TEST AVERAGING: OFF R TEST AVERAGING: OFF INK TEST NOTIFY: OFF JK TST SIPHON BREAK :OFF LIVERY DELAY 1 MIN JMP THRESHOI —D : 10.00% T 2:UNLEADED R PRODUCT CODE 1 THERMAL COEFF :..000700 TANK DIAMETER 117.58 TANK, PROFILE 4 PTS FULL VOL 10369 88.2 INCH VOL 8509 58.8 INCH VOL 5299 29.4 INCH VOL 1945 FLOAT SIZE: 2.0 IN. WATER WARNING : 0.8 HIGH WATER LIMIT: 1.0 MAX OR LABEL VOL: 10369 OVERFILL LIMIT 90310 9332 HIGH PRODUCT 95% 9850 DELIVERY LIMIT 15% 1555 LOW PRODUCT 400 LEAK ALARM LIMIT: 99 SUDDEN LOSS LIMIT: 99 TANK TILT 0.00 PROBE OFFSET 0.00 SIPHON MANIFOLDED TANKS T #: NONE LINE MANIFOLDED TANKS T #: NONE LEAK MIN PERIODIC: Dye 0 LEAK MIN ANNUAL 0% 0 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 : 10.00% tool ea T 3:UNLEADED R PRODUCT CODE 1 THERMAL COEFF 000700 TANK DIAMETER 117.58 TANK PROFILE 4 PTS FULL VOL 10369 88.2 INCH VOL 8509 58.8 INCH VOL 5299 29.4 INCH VOL 1945 FLOAT SIZE: 2.0 IN. WATER WARNING 1.0 HIGH WATER LIMIT: 2.0 MAX OR LABEL VOL: 10369 OVERFILL LIMIT 99 HIGH PRODUCT 985% DELIVERY LIMIT 185 LOW PRODUCT 400 LEAK ALARM LIMIT: 99 SUDDEN LOSS LIMIT: 99 TANK TILT 0.00 PROBE OFFSET 0.00 SIPHON MANIFOLDED TANKS T #: NONE LINE MANIFOLDED TANKS T #: NONE LEAK MIN PERIODIC: O% LEAK MIN ANNUAL 00 PERIODIC TEST TYPE STANDARD ANNUAL TEST FAIL ALARM DISABLED PERIODIC TEST DISABLED GRASS 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 10.00% T 4 :UL PREMIUM PRODUCT CODE THERMAL COEFF 000700TANKDIAMETER TANK PROFILE 117.58 FULL 10359 4 PTS 88.2 INCH VOjL 850458.8 INCH VOL 29.4 INCH VOL 5249 1945 FLOAT SIZE: 2.0 IN. WATER WARNING 1.0HIGHWATERLIMIT: 2.0 MAX OR LABEL VOL: 10369OVERFILLLIMIT90% HIGH PRODUCT 4332 950 DELIVERY LIMIT 4850 15% 1555 LOW PRODUCT 400 SUDDEN ALARM 99TANKTILT0.00PROBFOFFSET0.Q0 SIPHON MANIFOLDED TANKSTo: NONE LINE MANIFOLDED TANKST#: NONE LEAK MIN PERIODIC: 00 0 LEAK MIN ANNUAL : 04 0 PERIODIC TEST TYPE STANDARD ANNUAL TEST FAIL ALARM DISABLED PERIODIC TEST FAIL ALARM DISABLED GROSS TEST FAIL ALARM DISABLED ANN TEST AVERAGING: OFFPERTESTAVERAGING: OFF TANK TEST NOTIFY: OFF TNK TST SIPHON BREAK:OFF DELIVERY DELAY . I MINPUMPTHRESHOLD : 10.00% LEAK TEST METHOD TEST ON DATE : ALL TANKOCT9, 2008STARTTIME : DISABLEDTESTRATE :0.20 GALsHRDURATION : 2 HOURS TST EARLY STOP :DISABLED LEAK TEST REPORT FORMAT NORMAL PRESSURE LINE -LEAK SETUP 0 1 :89 TYP:2.0i3.0IN FIBERGLASS 2.0IN DIA LEN: 200 FEET 3.OIN DIA LEN: 0 FEET SHUTDOWN RATE: 3.0 GPH LOW PRESSURE SHUTOFF:YES LOW PRESSURE : 5 PSI T 1:UL MID GRA DISPENSE MODE: STANDARD SENSOR: NON- VENTED PRESSURE OFFSET: O.OPSI MECHANICAL BLENDER: NO 0 2 :87 TYP :2.0i3.0IN FIBERGLASS 2.0IN DIA LEN: 150 FEET 3.,0IN DIA LEN: 150 FEET SHUTDOWN RATE: 3.0 GPM LOW PRESSURE SHUTOFF:YES LOW PRESSURE : 5 PSI T 2:UNLEADED R DISPENSE MODE: STANDARD SENSOR: NON- VENTED PRESSURE OFFSET: O.OPSI MECHANICAL BLENDER: NO 9 3 :91 TYP:2.0i3.01N FIBERGLASS 2.0IN DIA LEN: 150 FEET 3.0IN DIA LEN: 150 FEET SHUTDOWN RATE: 3.0 GPH LOW PRESSURE SHUTOFF:YES LOW PRESSURE : 5 PSI T 4:UL PREMIUM DISPENSE MODE: STANDARD SENSOR: NON- VENTED PRESSURE OFFSET: O.OPSI MECHANICAL 'BLENDER: NO LINE LEAK LOCKOUT SETUP LOCKOUT SCHEDULE DAILY START TIME: DISABLED STOP TIME : DISABLED LIQUID SENSOR SETUP L 1:DIS 1 -2 TRI -STATE (SINGLE FLOAT) CATEGORY : DISPENSER PAN L 2:DIS 3 -4 TRI -STATE (SINGLE FLOAT) CATEGORY : DISPENSER PAN L 3:DIS 5 -6 TRI -STATE (SINGLE FLOAT) CATEGORY : DISPENSER PAN L 4:DIS 7 -6 TRI -STATE (SINGLE FLOAT) CATEGORY : DISPENSER PAN L 5:89 FILL TRI -STATE (SINGLE FLOAT) CATEGORY : PIPING SUMP L 6:89 STP TRI -STATE (SINGLE FLOAT) CATEGORY : STP SUMP L 7:89 ANNULAR TRI - SPATE (SINGLE FLOAT) CATEGORY : ANNULAR SPACE L 8:87 MAIN FILL TRI -STATE (SINGLE FLOAT) CATEGORY : PIPING SUMP L 9:87 MAIN STP TRI -STATE (SINGLE FLOAT) CATEGORY : STP SUMP L10:87 MAIN ANNULAR TRI -STATE (SINGLE FLOAT) CATEGORY : ANNULAR SPACE L11:87 SLAVE FILL TRI -STATE (SINGLE FLOAT) CATEGORY : PIPING SUMP L12:87 SLAVE SUMP TRI -STATE (SINGLE FLOAT) CATEGORY : PIPING SUMP Llb:87,SLAVE ANNULAR PLLD LINE DISABLE SETUP TRI- STATE .(SINGLE FLOAT) Q 3:91 CATEGORY : ANNULAR SPACE Q 1:89 LIQUID SENSOR ALMS L 1:FUEL ALARMLIQUIDSENSORALMSL2:FUEL ALARM L14:91 FILL L I :FUEL ALARM L 3 :FUEL ALARM TRI -STATE (SINGLE FLOAT) L 2 :FUEL ALARM L 3:FUEL ALARM L 4:FUEL ALARM CATEGORY : PIPING SUMP L 4:FUEL ALARM L15 -FUEL ALARM I.15--SENSOR OUT ALARML6:FUEL ALARM L 1:S}iORT ALARM L15:91 STP L 1:SENSOR OUT ALARM L 2 :SHORT ALARM STATE (SINGLE FLOAT) 2:SENSOR OUT ALARM L 3:SHORT ALARMACTEEGORYSTPSUMPCATEGORYL3:SENSOR OUT ALARM L 4:SHORT ALARML4:SENSOR OUT ALARM L15:SHORT ALARML6:SENSOR OUT ALARM L16:91 ANNUIrAR L 1:SHORT ALARM PRESSURE LINE LEAK TRI -STATE (aINGLE FLOAT) L 2:SHORT ALARM Q 31PLLD OPEN ALARM CATEGORY ANNULAR SPACE L 3:SHORT ALARM L 4:SHORT ALARM ISD SITE ALARMSL6:SHORT ALARM ISD GROSS PRES FAILISDDEGRDPRESFAILISDSITEALARMSISDVAPORLEAKFAILISDGROSSPRESFAILISDVPPRESFAILISDDEGRDPRESFAIL ISD VAPOR LEAK FAIL ISD HOSE ALARMSISDVPPRESFAILALL:GROSS COLLECT FAILISDVPSTATUSFAILALL :DEGRD COLLECT FAIL ALL:FLOW COLLECT FAILISDHOSEALARMS ALL:GROSS COLLECT FAIL ALL:DEGRD COLLECT FAIL OUTPUT RELAY SETUP ALL:FLOW COLLECT FAIL Q2:87 R 1:OVERFILL ALARM TYPE' LIQUID SENSOR ALMS STANDARD L i:FUEL ALARM NORMALLY OPEN L 2:FUEL ALARM L 3:FUEL ALARM TANK #: NONE L 4:FUEL ALARM AIARTSENSOR SETUPL9:FUELALARM L12:FUEL ALARM IN -TANK ALARMS L 1:SENSOR OUT ALARM s 1:AFM 1 -2ALL:OVERFILL ALARM L 2:SENSOR OUT ALARM CATEGORY AIR FLOW METER ALL:HIGH PRODUCT ALARM L 3:SENSOR OUT ALARM ALL:MAX PRODUCT ALARM L 4:SENSOR OUT ALARM s 2:AFM 3 -4L9:SENSOR OUT ALARM CATEGORY AIR FLOW METERL12:SENSOR OUT ALARM L 1:SHORT ALARM s 3:AFM 5 -6L2:SHORT ALARM CATEGORY AIR FLOW METERL3:SHORT ALARM L 4:SHORT ALARM s 4:AFM 7 -8L9:SHORT ALARM CATEGORY AIR FLOW METERL12:SHORT ALARM ISD SITE ALARMS CATEGORY- 2VAPOR PRESSURE ISD GROSS PRES FAIL ISD DEGRD PRES FAIL s 6:CANASTERISDVAPORLEAKFAILCATEGORYVAPOR VALVEISDVPPRESFAIL ISD HOSE ALARMS s B:ATM PRESSURE CATEGORY ATM P SENSORALL:GROSS COLLECT FAIL ALL:DEGRD COLLECT FAIL ALL:FLOW COLLECT FAIL EVR/ I SD SETUP EVR TYPE: BALANCE 13ALANCE NOZZLE TYPE VST VAPOR PROCESSOR TYPE VEEDER-ROOT POLISHER ANALYSIS TIMES TIME: 9:45 AM DELAY MINUTES: ACCEPT HIGH ORVR: ENABLED ISD HOSE TABLE ID FP FL HL AA RR 01 01 01 02 04 UU 02 02 02 02 04 UU 03 03 03 02 01 UU 04 04 04 02 01 UU 05 05 05 02 02 UU 06 06 06 02 02 UU 07 07 07 02 03 UU 08 08 08 02 03 UU ISD AIRFLOW METER MAP ID SERIAL NUM LABEL 1 31692 AFM 3 -4 2 31784 AFM 5 -6 3 31509 AFM 7 -8 4 31346 AFM 1 -2 ISD FUEL GRADE HOSE MAP 1 2 3 4 FP MHH MHH MHH MHH AA 01 101 301 201 U U 4 02 102 202 302 U U 4 03 103 203 303 U U 1 04 104 304 204 U U 1 05 105 305 205 U U 2 06 106 206 306 U U 2 07 107 307 207 U U 3 08 108 308 208 U U 3 LABEL TABLE 1: UNASSIGNED 2: BLENDS 3: REGULAR 4: MID GRADE 5: PREMIUM 6: GOLD 7: BRONZE 8: SILVER 9: BLEND2 10: BLEND4 PMC SETUP PMC VERSION: 01.02 VAPOR PROCESSOR TYPE VEEDER -ROOT POLISHER ALARM HISTORY REPORT SENSOR ALARM -- - -- L I:DIS 1 -2 DISPENSER PAN SENSOR OUT ALARM JAN 9, 2012 1:54 PM FUEL ALARM JAN 9. 2012 1:54 PM SENSOR OUT ALARM JAN 9. 2012 1:49 PM ALARM HISTORY REPORT SENSOR ALARM ----- L 2:DIS 3 -4 DISPENSER PAN FUEL ALARM 2 ;05 PMJAN9, 2012 SENSOR OUT ALARM JAN 9, 2012 1:55 PM FUEL ALARM JAN 9, 2012 1:54 PM ALARM HISTORY REPORT SENSOR ALARM - - - -- L 3:DIS 5 -6 DISPENSER PAN SENSOR OUT ALARM JAN 9. 2012 1:57-PM SENSOR OUT ALARMJAN9, 2012 1:49 PM SETUP DATA WARNINGJUL1. 2009 8:58 AM ALARM HISTORY REPORT SENSOR ALARM - - - -- L 4:DIS 7 -8 DISPENSER PAN-, SENSOR OUT ALARM JAN 9, 2012 1:56 PM FUEL ALARM JAN 9, 2012 1:56 PM SENSOR OUT ALARM JAN 9, 2012 1:56 PM ALARM HISTORY REPORT SENSOR ALARM -- L 5:89 FILL PIPING SUMP SENSOR OUT ALARM JAN 9. 2012 1 :49 P111 FUEL ALARM JAN 9, 2012 1:20 PM SETUP DATA WARNING JUL 1. 2009 8:58 AM ALARM HISTORY REPORT L- 1 L 6:89SSpOR ALARM,---- - STP SUMPSENSORNSOJANOUT ALARM9, 2012 1:49 PM JAN ALARM9, 2012 1;19 pM SETUP DATA WARNINGJUL1, 2009 8 :58 AM ALARM HISTORY REPORT SENSOR ALARM - - - -- ANNULARASPAER SENSOR OUT ALARM JAN 9, 2012 1:49 PM FUEL ALARM JAN 9, 2012 1:20 PM SETUP DATA 61ARNING JUL 1, 2009 8:58 AM ALARM HISTORY REPORT SENSOR ALARM - - - -- L 8 :87 MAIN FILL PIPING SUMP SENSOR OUT ALARM JAN 9, 2012 1:49 PM FUEL ALARM JAN 9, 2012 1:29 PM FUEL ALARM JAN 6, 2012 11:38 AM ALARM HISTORY REPORT L 9:- SENSOR ALARM -_ STP SUMPAIN STP - -- SENSOR OUT ALARMJAN9, 2012 1 :49 pM SENSOR OUT ALARplJAN9, 2012 1:25 PM JAN ALARM9, 201'2 1:25 PM ALARM HISTORY REPORT SENSOR ALARM - - - -- L10 :87 MAIN ANNULAR ANNULAR SPACE SENSOR OUT ALARM 49 PM JAN 9, FUEL ALARM PM JAN 9• 2012 FUEL ALARM2012 1;31'PMJAN9• x ALARM HISTORY REPORT 1.11 87SENSOR ALARM - - - -- PIPING SUMP SENSOR OUT ALARMJAN9, 2012 1:49 PM SENSOR OUT ALARMJAN9, 2012 12:45 PM SETUP DATA WARNINGJUL1, 2009 8 :58 AM ALARM HISTORY REPORT L12:87SSLAAVE SUMPPM - PIPING SUMP SENSOR OUT ALARMJAN9, 2012 1:49 PM SENSOR OUT ALARMJAN9, 2012 1:26 PM FUEL ALARM JAN 9. 2012 1:26 PM ALARM HISTORY REPORT SENSOR ALARM ------ L 13:87 SLAVE ANNULAR ANNUI -AR SPACE SENSOR OUT ALARM JAN 9, 2012 1:49 PM FUEL ALARM JAN 9, 2012 1:34 PNI SETUP DATA WARNING JUL 1. 2009 8:58 AM ALARM HISTORY REPORT SENSOR ALARM - - - -- L14:91 FILL PIPING SUMP SENSO9,02012LARM49 PM JAN JAN 09,02012112.49 PM JULUP DATA WARNING AM 1, 2009 ALARM HISTORY REPORT SENSOR ALARM - - - -- L15:91 STP STP SU141P SENSOR OUT ALARM JAN 9, 2012 1:49 PM SENSOR OUT ALARM JAN 9. 201' 1 :42 PM FUEL ALARM " JAN 9: 2012. 1:42 PM ALARM HISTORY REPORT SENSOR ALARM 1.16:91 ANNULAR ANNULAR SPACE SENSOR OUT ALARM JAN 9, 2012 1:49 PM FUEL ALARM JAN 9, 2012 1:36 PM SETUP DATA WARNING JUL 1, 2009 8:58 AM Lf6w . 1 /11/ MONITOR CERT. FAILURE REPORT SITE NAME: ,7-6 ALL,- Ane-a DATE: Z- ADDRESS: 3333 vA-4oN AUL"' TECHNICIAN: RICHIE PHILLIPS CITY: e A SIGNATURE: REPAIRS: r? jc;a, rim)° °n- sz_ L A? g Fi G r - , i•L a eff— .dam,y_ PARTS INSTALLED: NONE THE ABOVE NAMED PERSON TAKES FULL RESPONSIBILITY OF NOTIFYING THE APPROPRIATE PARTY TO HAVE CORRECTIVE ACTION TAKEN TO REPAIR THE ABOVE LISTED PROBLEMS AND NOTIFYING RICH ENVIRONMANTAL FOR ANY NEEDED RETESTING. THIS ALSO RELEASES RICH ENVIRONMENTAL OF ANY FINES OR PENALTIES OCCURING FROM NON - COMPLIANCE. A COPY OF THIS DOCUMENT HAS BEEN LEFT ON -SITE FOR YOUR CONVIENENCE. a