HomeMy WebLinkAboutFMC 2014MONITORING SYSTEM CERTIFICATION
/·or Use By All .Jurisdictions Within the State o/Califim1i11
A uthurity Cited: Chapter 6. 7, /lea/th and Safety Code; C/111ptcr 16. Division 3, 711/e 23. Ccd!fumiu Code of Regulations
I his fonn 1nu"1 be used to docu1nent tC\ling and servicing of moniloring cquipn1cn1. 1\ scpara.L...: ccnincul_ion pr reoon must be pn.:oarcd for cuch
monjtodng ~\'~lem control pancl b)' the h .. -chnician \\ho perfonn~ 1he: \\.Ork. A cop~ of this fonn mu~I be rrnv1dcd 10th~ 1anl S)·stcm o\\ncrioptrillor.
The: n'~lh.-rlopcnuor most submit a COJ'I) of this fonn 10 the local agcnc)· rtgul3tin~ l 'ST S')~etrr., v.i1hin JO da)'~ of ltSl date.
A. General Information
Facility Name: 7n6 Howard's Market Bldg. No.: 7776
Sile Address: 3300 Planz Road City: Bakersfield, CA Zip: 93309 __
Facility Contact Person: Omero Garcia Con1ac1 Phone No.: (661) 393-7000
Make/Model of Monitoring System: Veeder-Root TLS 350 Ome of Testing/Servicing: 8/13/2014 __
B. Inventory of Equipment Tested/Certified
,._ ,.,.,__ "n ••• ,.._.. .. , ._,.,_ -..V-"'"-"' •v ,.,._.n .. n -.,..,._,.,._ .._ .... ,.,,.,._,., ,.,.,..,._,.n...,~•• '"'""
Tonk ID 12,000 gal. Regular 'lank IU: 121000 gal. Sue!r
1811n-r anl c;..,,.,, Probe. ~k>ckl 847390-107 181 ln·T:ml. Gaugm~ Prob<. \lodd 847390-107
0 Annulilf Sp1ce oc Vault Sensor ~IO<kl 0 Annular Spxc: or Vault Sen\OI' \!odd
0 ~1p1ng ~ump I Trench SeflSOf(S) Mnd<I 0 1'1pu1gSump/Trcnch ~n~lr('\) \1odcl
D 1111 ~11n1p ~••."tOt<~>. Mndcl 0 hll Sump Senso~s) \fodcl
0 Mccluu1".:nl Line Leak Dcu::ctor. Mfldcl 0 Mechanical Line Lenk Dc1cctor Mod ct
18J l~lccLronic Line Leak Detector Model· WPLLD l8J l•.lcctrunic Line Leak r>c1ector Model. WPLLD
18! Tank Ovcrfill / 1 ligh-Lcvel Scn~or Model 847390-107 18J l1111I.. Q,·etfill /High-I cvcl Scn\llf \fodcl. 847390-107
D Otl1<1 l>peciry cquipmcn1 Ill'• and model on Sec1ion r on l'llge 2). 0 Other (sp!cify tquipmcnt 1ypc and model 1n Section Con Page 2)
Tonk ID 12,000 gal. Diesel lank IO:
181 ln-1 alll c;-Probe. Mndcl 847390-107 0 In-Toni. Gaugin~ Probe \!odd
D Anool.ar si-"' Vault Sensor Mndcl 0 Annul:w Space or \'30h Srn:i« \fndd:
0 P1p1n~! C,ump/ Trench Stnsot{s). ~l•dd 0 r•1pmg Sump I Trench <i<lbOI(\) \todcl'
0 I oll 5ump '\tnS<lt(s}. Mndd 0 I oil Sump Scnso~s) \fodcl
0 \tcch;uucal I.me Leal.. ~h:ctor. Mo<kl 0 \tcctuuucal Linc U."Uk DclctlVf \fodel
l8J hlcc1ro111c Linc Leak Detoclnr. Mode.I WPLLD 0 l·h!ctronic Line Leak Detector \\<toe.kl
181 'l'lln~ (Jn:rfill / High-1.evd Sensor Model 847390-107 0 l'iulk O\'crfill /I Jigh-Lcvel Scn'.)4.lr \\<1odcl
0 Other (o.,pcc1(.v cc1uipmertt type and 1nodcl in Section G on Page 2). 0 ()thcr (sp1:cify cquip1nent l)P\' mid n1otlcl m Scciiou I! on Page 2)
Olsptnscr IO· 1-2 Obpcn~er ID: 3-4
181 01\pc1b<I Coniainmen1 Sensor(s) \fod<I 7114380-208 1811>. .. raiser coo1oonn1cn1 5t-1hof1\l \tclClcl Stand Alone sensor
181 ~hear Vah<(s) 181 ~h< .. Vaf\<(s~ 0 °'"J11CrMt Containment Floalts) and (1t1u)(•.) D 0o-pcnscrC001ainmcn1 n .. "•l •d I.haul(>)
Di-'ptn,tr I 0: Obpenstr ID:
0 D1ipe'l1:kr Containment Sensor('>) Mod( I 0 Dnpcnscr Coo1ainmcn1 ~cl'l~of(.,;), Model
0 !>h<OI Vah«(s} 0 Shear Valve(<}.
0 l>1<1pc1tscr ('011111inmt.-nt 1:1011t{s) n1ul ( 'tuun(s) 0 Dispenser Con1ammcn1 Flo.11{s) and C'ha111(s)
Dis1lenscr 10: Dispenser 10:
0 1>1 .. pc11M:1 Co11uunnien1 Seni.ur(s). Model 0 D1~pcnscr CQnt31nmcn1 Stn-.Jll(-.), Model:
D '"""' V.ih<i•) 0 ~h<N Val\<(s) 0 01o;;pmscr Con111nmcn1 tloal(s) and <.'"h11nh) 0 1>1.,paisn Containml"nt n031(>) and Ch;a1n(s)
•Jf1hc fucilil)' contains more 1anls or dispensers. cop)' this form. Include information forc"cry tanL and di~pcn.\Cf al the facilit·~
C. Certification -1 ctrtify that tht tquipmtnt idtntifitd in 1hi~ document "'·as inspected/sen iced in accordance l\ilh lhe n1anurnc1urers'
guidelines. Attached to rhi11 C"ertirication is information (e.g. rn11nur11cturers1 checklists) nrcess11ry to \trify that this infor1nation i.s
correct and a Plot Plan showing the layout of n1onitoring equi1>rnent. for nny equipn1ent capable or generating such reports, I hilve abo
nttnchcd n copy of the re1>0rl; (clteck al/ that appl>~' 18] System sci-up IZJ A In rm istory report
Technician Name (print): Dustin Reese Signature: -;: ,__.,.-
Cenificaiion No.: B43426 License. No.: ....;:;..;;;....;.:;..:...;.
Testing Company Name: Confidence UST Services, Inc. Phone No.: (800) 339-9930
Site Address: 3300 Planz Road, Bakersfield, CA 93309 Date ofTesting.Servicing: 8/13/2014
Page 1 or 3
Moniloring S}•l•m Cer1incation
D. Results of Testing/Servicing
SoOwarc Version lnsrnllcd: 333.0S --"~-=~~~~~~~~~~~~~-
--····,.-·-····-·-··.,. .. ·---··--·-··~··
181 Yes D No• Is the audible alarm operational?
181 Yes D No• Is the visual alarm operational?
181 Yes D No• Were all sensors visuall) inspec11.-d. fwictionally tes1cd. and confinncd operational?
181 Yes 0 No• Were all sensors insrnllcd al lowest point of secondary containment and pusitioned so 1hat other equipment will
not interfere witl1 their proper operation?
D Ye' 0 l\o• If alanns arc relay<d 10 a remo1< monitoring s1mion. is all communica1ions cquipmenl (e.g.. modem)
181 NIA opcralional?
181 Ye<. 0 No• For prcssuri1cd piping ;yslems, docs the 1urbine au1omatically shu1 down if the piping secondary containmem
0 NIA moni1oring S)'lilem detec1s a leak. fails 10 operule, or is electrically disconncc1<d? lfyc.: \\hich sensors ini1ia1e
posi1ive shut-down? (Cltcck all thut upp/y) D Sumprrrcnch Sensors; 181 Dispenser Containmen1 Sensors.
Did you confinn positive shut-down due to leaks and sensor failure/disconnection? 181 Yes; D No.
181 Yes D No• For tank syslcms tha1 u1ilize the moni1oring sys1em as !he primary lank overfill warning device (i.e .. no
0 NIA mechanical overfill prevention valve is instnlled), is the overfill warning alarm visible and audible at the tank
fill poim(s) and operating properly? lfso, m what percent of tank capacity docs the alann trigger? 90%
0 Yes• 181 No Was any monitoring equipment replaced? lf)·es. identify specific sensors, probes, or other equipment replaced
and list the manufacturer name and model for all replaccmem pans in Sec1ion E, belo\\.
O Yes• 181 No Wu;, liquid found inside uny secondary conluinmenl systems designed as dry systems? (Check all 1/tot apply)
0 Produc1: O Wa1er. If yes. describ.: causes in Section E. below.
181 Yes D No• Was monitoring •yslem set-up reviewed 10 ensure proper settings? Attach SCI up repons. if applicable
181 Yes D No• ls all moni1oring equipment opera1ional per mnnufaclurcr's specifications?
*In 51:clion E below, d.,cribe how and when lhcse deficiencies "ere or will be correcled.
E. Comments:
r11gc 2 of 3
Monitoring System Ccrlilic111ion
F. In-Tank Gauging I SIR Equipment: 181 Check 1his box ifcank gauging is used only for inventory comrol.
O Check 1his box if no lank gauging or SIR equipmcnl is insiallcd.
This section must be completed if in-tank gauging equipment is used to perform leak detection monitoring.
Complete the following checklist:
181 Yes 0 l'o• Has all input wiring been inspected for proper entry and 1ennina1ion, including testing for ground fauhs?
!Bl Yes 0 No• Were all tank gauging probes visuall~ inspected for dam.1gc and 1\,-Sidue buildup?
181 Yes 0 No• Was accuracy of system product level readings tes1cd?
181 Yes 0 No• Was nccurncy of sys1cm water level readings tes1ed?
181 Yes 0 No• Were all probes reinsialled properly?
181 Yes 0 No• Were all item~ on 1he equipmenl manufacturer's main1enance checklist completed?
• tn the Section ll, below, describe how and when these deficiencies were or will be corrected.
G. Line Leak Detectors (LLD): O Check this box if LL!);, arc nol installed.
c,
181 Yes 0 No• For equipment stun-up or annual equipment cenifica1ion. "as a leak simulated 10 'erif} LLD performance?
0 NIA fC/rcok ull thm apply) Simula1ed leak rate: 1813 g.p.h.; 0 0.1 g.p.h: 0 0.2 g.p.h.
181 Yes 0 No• Were all LI Os continued operational and accurate -.ithin regula1ory requirements?
181 Yes 0 No• Was the 1es1ing apparatus properly calibraled?
0 Yes 0 No• For mcchnnical LLDs, does the LLD restrict product Oow if it dc1ec1s a leak?
181 NIA
!Bl y C-~ 0 No• For elec1ronic LLDs, does the turbine automalically shm off if the LLD detects a leak?
0 NIA
181 Yes 0 No• For electronic LLDs, does the turbine automa1ically shul off if any ponion of the monitoring sys1em is disabled
0 NIA or disconnected'!
181 Yes 0 No• For electronic LLDs, does the turbine automalicall> shul off if any portion of the monitoring system rnallunctions
0 NIA or fails a test'.J
181 Yes 0 No• For electronic LLDs, ha-. all accessible "iring connections been visually inspected?
0 l\IA
181 Yes 0 J\o• Were all item> on the equipment manufacturer's maintenance checklist completed?
• tn the Section H, below, d<">cribe how and when these deficiencie;, were or" ill be corrected.
II. Comments:
Page 3 of 3
ltoLAAris 7776 3300 PLAIS RD BAKERSl'I ELD 93309-
.1
' AUG 13. 20!.4 g·:s6 A'I
• sY!ITTl1 STAM lll:P.(>RT
~ iiLi. FuiicT1ors ·,i0R11A~ -
I MIErlTORV RET-Olff. -·•
T 2:UKLEADED VOL\tlE • 6306 CALB· ULl.ACE • 5614 CALB
9Dl< Ullr.CE• 4414 CAl.S
TO VOLlJ1E • 6239 CALB
/!
1 HEICtlf, _ _.. • 50.42 lllCHES
r .... TER.vuL • 14 CAL9 •• ? IJATER • D. 7~ lllCHE!I '°' •Tll1? .• 92.6 D£C.,P1o .... l
-... ""11 ,.,
VOLU1£ • 1389 CAL9 I T 3:SUPER I
ULU\CE • I 0611 Cl\LB 90!; ULU\CE• 9411 Cl\l.S (
TC VOLU1£ • 1357 CAl.S llEICllT • 16.62 lllCHEB L.IATER VOL • 0 CALB
L.IATER • 0.00 ltlCHES
TEii? • 92.8 DEC F
T 4:DIESa VOL&r.E • 4063 GALS
llllACE • 1937 CAUi
900< llLUIC>:• 6737 CAl.S
TC VOLI.t!E • 3995 CAl.S HEICKT • 35.69 lllCHES L.IATER VOL • 0 CALB
L.IATER • O.OO ltlCHES TEMP • 96.7 DEC F
M)l(~>ililEUO•WWM~
'
SOFO\IAAE REVISIOll LEVEL
VERSIOll 333.05 S()FTUARE¢ 346333·100·F
CREA'IED -13.12.11.14.16
S-/11lDULE¢ 330160·016·• SYS!E1 FEA'IURES: PERIODIC ltl·TllllK TEST9 AHNU.'\L ltl·TAIU: TESTS
CSLD
ISD/APM
Pl.LD 0.10 REPETITIV
0.20 REPETITIV
llPUD O. 10 AUTO
0.2D REPETITIV
-!I
• S't'STD1 SETUP
H.¥; 13. 2014 9:57 N1
8'ISTtll Ulll TS u.s.
S'/STD1 LArlOUAOE
ENolLISH S'/STEl1 DAT!VrlME FORMAT HOii OD VVVV HH:Mtt:SS >H
llOIJARD9 ?776
3300 Pl.Ats RD
BAXERSFllU.D 93309
SHIFT TIHE I &:OD H1 SHIFT TIHE 2 DISABLED SHIFT TIHE 3 DISABLED SHIFT TUE 4 DISABLED
TMK PER T8T llEEDED URll
DISABLED
TAllX Atlll TST llEEOED URN DISABLED
LlllE RE·EllADLI? tlETHOD PASS LlllE lEllT
LI NE PER T8T NEEDCD IJRtl •DISABLED
LI NE ANll T8T NEEDED IJRll
...!>ISlllll;ED • .,--••
• PRlr/T TC VOLll1ES
ErlABLEI>
TEMP COIG>El&UIOll WU.UE CDEC F l: 60.0
STICK HEICKT OFFSET DISABLED UUACE: 90><
H·PROTOCOL DATA FORttl\T HEICKT PRECISIOll TEST DURATION
HOURS> 12 O. 20 CPU LlllB TEST
AUTO·COllFIRt\: EllABLED 0, ID CPU LlllE TEST
AUTO•COllFIRt\1 EtlABLED PRINT PRECISION LlllE TEST RESULTS: DISABLED DA'il.IQIT SAVlltC TIHE
EJWILEll START DATE
HAR WEEK I BUH STA.'!T TIHI! 2:00 N1
Ell!> DATE
/IOV IJEEI: I SUtl
END TIHE 2:00 P/1
'
.... ,
RE·DIRECT LOCAL PRlt/TOUT
DISABLED ~
EURO PROTOCOi. PREFIX s
SVSTDI SECUi!llY CODE : 000000
11Alt/T£t1ANCE HISTORY
DISADLED
TAtlK CHART SECURI lY
DISl\llLED
CUSTotl ALARl1S
DIBASLEI>
SERVICE llOTICE
DISAl!LED
160 3166 COUt/TRV
CODE!
Vl\POR MOlllTORltlC TVPE
CARB IBD
t\ASS/DEll91 lY
DISABLED
FISCAL HEICKT SECURllY
DISABLED
ltNEllTORV Al.ARl1S U/llTS
COHFIC: STANDARD 11AX OR LASE!.: VOLlJ1E
HIGH PRDDtx;T: ~ MAX
OVERFILL : l: MAX
DEi.iV llEEDED: l: MAX
l.OIJ PRODtx:T : VOLll1E
AlARl1 REDtx:TIOll ENADLED
COtt1UlllCATI OIS SETUP·
POJ!T SETT mes:
OOtfl DOAA D : I I ED UI l RS-232 SECURllY OODE : DISABl..EI>
OOtfl BOARD : 3 <RS·232l BAUD RATE : 9600 PARITY : llOUE
STOP BIT : I STOP DATA L£11GTH: 8 DATA RS-232 SECURITY CODE : DISABLED
COtt1 BOARD : 6 <RS-495> OAUD RATE : 1200
PARITY : ODO STOP BIT : 2 BTOP DATA LEtlGTIH ? DATA
RS-232 BECURITY CODE : DISABLED
COM1 BOARD : 6 C R9·232 > BAUi> RATE : 9600
PARITY. : tlOllE
STOP BIT : I STOP DATA LEN::TH: 8 DATA
RS-232 BECIJl!llY ,..co~~ :.D..!.atPLE} •• -••
AUTO TRAll9t11T SETTlllCS:
AUTO LEAK ALARtt' LIHIT DISABLED AUTO HICH LIATER LIHIT DISABLED
AUTO OVERFILL LIMIT
DISABLED AUTO LOIJ PRODUCT
DISABLED AUTO THEFT LIMIT
DISABLED AUTO DELIVERY START
DISABLED AUTO DELIVERY EllD
DISABLED AUTO EXTERNAL lllPUT 011 DISABLED AUTO EXTERNllL CllPUT OFF DISABLED AUTO SEllSOR FUEL AlARll
DISABLED AUTO SEllSOR LIATER ALARll
DISABLED AUTO SEllSOR OUT AIARll
DISABLED
RS·232 EtlD OP MESSAOE DIBADLED
IN·TAllK SETUP ----------
T 2: Uln.EAOEO PRODUCT CODE T!IERl1AL COEFF TANK DIAHETER
TANI: PROFILE FULL VOL
FLOHT SIZE: LIATER MllllMUH
IJATER IJARll! llG HIGH UATER LIHITI
2 .000100
96.00 I PT
12000
4.0 111. o.ooo
2.0 3.0
WATER ALARM ·FILTER: LOii
l'J\X OR lA8EL VOLUME : 12000
HIGH PRODUCT
" tv\)( : 95.0
<CALLOts> : 11400
OVERFILL LIMIT
" l'J\X : 90.0
ICALLOIBl : 10800
DELlllERV LIHIT
" l'J\X : 10.0 <CALLOtlS) : 1200
LOii PRODu:T VOLi.ti£ : 1200
LEAK Al.ARN LIHIT: 99
SUDDEll LOSS LIHIT: 99 TANI( TILT : 1.00 PROBE OFFSET : o.oo
SIPHOH HAlllFOLDED TAllttS
T~: I/ONE
LlllE MANIFOLDED TAtlKS n: llONE
LEAK HIH PERIODIC: '" : 120
LEAK Hiii AWIUAL : ...
: 120
PERIODIC TEBT TYPE BTAllOARD
AHNUAL TEST FAIL ALARM Dl6Alll.ED
PERIODIC TEST FAIL ALARM DISABLED
CROSS TEST FA! L AlAlll1 DISADLED
AWi TEBT AVERACHIG: OFF
PER TEST AVF.RAOINO: OFF
TANK TEST tlOTIFY: OFF
TtlX TST SIPHOll BREAK:OFF
DELIVERY DELAY : l Hltl PUHP THRESHOLD : 10.00t:
T 3:SUPER
PRODUCT CODE
THEXHAL COEFF TAlll: DI AKETCR TAlll: PROF I LE FULL VOL
3 .000700 96.00
I PT
12000
FLOAT SIZE: 4.0 Ill.
!MITER HllllHl.t1 : 0.000
LIATER l..'l\Rtllli:l : 2.0 HIGH IJATER LIMIT: 0.0
LIATER ALARM FILTER: LOii
MAX OR LABEL VOLL11E : 12000
HIGH PRODUCT J; MAX ICALLONSl
OVERFILL LIMIT n l'J\X <CALLONSl
DELIVERY LIHIT :: MAX
<CALLOllS>
LOU PRODu:T
VOLll1E
~s.o 11400
90.0
IOBDO
10.0
1200
1200
I.EA>: Al.ARN LIHIT: 99
SUDDEll LOSS LIHIY: 99 TAt!K TILT : 4.00 PROBE OFFSET : 0. 00
Bl PHOll HAlll FOLDED TAllKS n: tlONE LlllE 1\11111 FOLDED TA!lf:S
Td: I/ONE
LEA!: Hiii PERIODIC:
LEAK H It/ AtlNUAL :
p:
120 .,,
120
PERIODIC TEST 1YPE
BTAllDARD
Atun.v\L TE:."'T FAIL ALAl<H DISADLED
PERIODIC TEST FAIL
ALARM DISABLED
CROSS TEST FAIL
ALARM DISABLED
Atltl TEST AVERAC I tlG: OFF PER TEST AVERAC I tlG: OFF
TAtlK TEST t/OTI FY: OFF
WK TST SIPl!Otl BREAl::OFP
DELIVERY DELAY : I NIH
Plt1P ·rHRESHOLD : 10.oon
T 4:DIESEL
PRODOOT CODE THEAIW. COEl'F TA Ill( DI Pl'llrrER TArll( PROF I L2
FULL VOL
FLOAT SIZE: WATER 111111111.11 :
4 .00045D 96.0D
I PT
12000
4.0 IN.
0.000
lo.IATER IJAAlllN(l : 2.0 HIGH WATER LINIT: 3.0
lo.IATER ALARll FILTER: LOU
MAX OR LABEL VOLIJ1E : 12000
HICH PRODUCT n r-W< : 95.0
<CAL.LOtSI : 11400
OVERFILL Llt11T n tW< : 90.0 <CALLOrSI : 10900
DELIVERY LINIT X HAX : 10.0
<CALLDIS> : 1200
LOU PRODUCT VOLl.t1E : 1200
LEAX AIARl1 LllllT: 99
SUDDEN LOSS LINIT: 99 TAllK TILT : 0.00
.... .PROBE...O~~ O·QD I
SIPHOll HAlllFOLDED TAtlKS
TP: UONE LINE HAIHFOLDED TAtlKB n: llONE
LEAX 11111 PERIODIC: I>: : 120
LEAX 11111 AtlHl.11\L : 1:i
120
PERIODIC TEST TVPE BTAllDARD
All!IUAL TEST FAIL
AIARl1 D ISABl.£D
PERIODIC TEST FAIL AU\Rll DISABLED
CROSS TEST FAIL ALARll DI SABLED
Allll TEST AVEl!AC lllC: OFF PER TEST AVEl!AClllC: OFF
TAlll< TEST llOT I F'I: OFF
THK TST SIPllOll OREAK:OFF
DELIVERY DELAY : I HIN
PIJ1P THRESHOLD : IO. ooo:
LEAK TEST llETHOD
TEST CSLD : ALL TAii!(
Pd • 95!:
CLIHATE FACTOR:llOllERl\TE
GROSS TEST AUTO-COllFIRll: DISAOLED
REPORT ONLY:
DI~
TST £ARLY STOP:DISABLED
L£AK TEST REPORT FO-T llORHAL
Ul'LI.D LI NE LEAK SETUP
U I :SUPER
TVP: 2. 0 Ill STEEL LIHE l.EllCTH: 100 fEl!T D.20 CPH TEST: REPETITIV
0.10 GPH TEST: DISABLED SHUTDOUll RATE: 3.0 CPH T O:SUPER
DISPENSE MODE: STANDARD
PRESSURE OFFSET: 0. DPS I
u 2:Ulil.EADED
TVP:2.0 IN STEEL
LI NE LEllCTH: 200 FEET 0.20 GPH TEST: REPETITIV 0.10 CPH TEST: DISABLED SHUTIXllJll RATE: O.D CPH
T 2: UNLEADED DISPEllSE MODE:
STANDARD
PRESSURE OFFSET: O.OPSI
U O:DIESEL
TYR:2.D Ill STEEL •••• -LINE LEJICTH: 150 FEET 0.20 CPH TEST: REPETITIV 0.10 CPH TEST: DISABLED
SHUTIXllJN RATE: 0.0 CPH T 4:DIESEL DISPEllSE HOOE:
STAllDARD
PRESSURE OFFSET: O.Ol'SI
LI NE LEAK LOCKOUT SETUP ------------LOCKOUT SCHEDULE
DAILY START TIHE: DISABLED STOP Tl HE : DI SABLED
LIQUID SEllSOR SETUP
L I :uoc 1-2
TRI ·STATE <SlllGLE FLOAT> CATEGORY : DISPEl$ER PAN
OUTPl!T RELAY SETUP
R l :OVERFILL ALARll TYPE:
STAllDARD
tiORNALLY OPEii
TAllK o: tlOllE
ltl·TAIO: ALARllS
ALL:OUERFILL ALARll AtL:HICH PRODUCT ALARll ALL:HAX PRODUCT ALAR11
t.IPLLD LlllE DISABLE SETUP
t.I I :SUPER
LIOUID SENSOR llUtS ALL:FU£L ALARtt
ALL :SEllSOR OUT ALARH ALL:SHORT ALMt1
180 SITE ALARtl9
ISD CROSS PRES FAIL ISD D£GRD PRES FAIL ISD VAPOR LEAK FAIL ISD VP PRES FAIL
ISO VP STATIB FAIL ISD SETUP FAIL
ISD SEllSOR OUT FAIL
160 HOSE Al.ARMS ALL:CROSS COLLECT FAIL ALL:DECRD COLLECT FAIL
ALL:FLOU COLLECT FAIL
W 2:u1UADED
LIQUID SC:tlSOR ALMS
ALL: FUEL ALAAl1
ALL ISEtlSOR OUT ALARH ALL :SllOR!' ALARH
ISD SITE ALARMS ISO GROSS PRES FAIL
ISO DEGRO PRES FAIL
ISO VAPOR LEAK FAIL ISO VP PRES FAIL
I SD VP STATUS FAIL
160 SETUP FAIL IBD BEllSOR OUT FAIL
I SD HOSI! ALARl1S ALLIGROSS COLLECT FAIL ALL:DEGRD COLLECT FAIL
ALL:FLOtJ COLLECT FAIL
t.I 3:DIESEL
LIQUID BEllSOR AU19 ALL:FUEL ALARM ALL:SEllSOR OUT ALARl1 ALL:SllORT ALARH
611ARTSEllSOR SETUP
s I :VP SEllSOR 3·4
CATEOORY VAPOR PRESSURE
s 211/FH 1-2 CATEOORY AIR FLOt.I llETER
s 3:1/FH 3-4 CAT£GORY A IR FLOt.I llETER
EVR/ISD SETUP
EVR lYPE: VACU111 ASSIST
VACUll1 ASSIST lYPE HEALY Vtv;
llOZZLE NL RANGE HAX: 1.15 11111: 0.95
VAPOR PROCESSOR 1"PE llOt!E
AllALVSIS TIHES
TlllE! 10:00 AH DELAY Ml NI/TES:
ACCEPT HIGH ORVR:
DISABLED
I SD llOSE TABLE
ID FP FL HL AA RR
01 01 01 02 01 00 02 02 02 02 DI 00 03 03 03 02 02 00
04 04 04 02 02 00
ISD AIRl'LOt.I METER t'AP
ID SERIAL 11111 LABEL
------------------~----1 61643 VFll 1-2
2 61730 VFll 3·4
ISO FUEL GRADE HOSE MAP
I 2 3 4
FP HHH 11HH HHH 111111 AA ------------------------01 201 301 901 5 lJ I 02 202 302 902 5 U I
03 203 303 903 5 u 2
04 204 304 904 5 u 2
LABEL TADLE
I UllASSIGllED
2 lll.EllD3
3 REGULAR
4 MID GRADE
5 PREl'llll1 6 GOLD
7 BROl!ZE 8 SILVER 9 BLEllD2
10 BLEllD4
ALARM HISTORY REPORT
-···-BEtlSOR l\IJ\RH -----L llUDC 1·2
DISPENSER PAN
FUEL ALARM AUG 13. 2014 9:42 A'1
SEISOR OUT ALARtl AUG 5. 2014 12:19 Pt1
FUEL ALARM
AOO 5, 2014 11 :44 A'1
M M x M M EllO >c X X M M:
CSLD HOHTllL V REPORT
AOO 13. 2014 9:58 All
CURREllT l101/Tll
0.2 CAvHR TEST
T 2: UNLEADED PRODE SERIAL Nl.11 240669
110 TEST DATA AVAILADLE
T 3:SUPER PROBE SERIAL Nl.11 2110665
tlO TEST DATA AVAILABLE
T 4:DIEBEL PROSE BERlnL lltJM 24065~
AUG 5, 2014 8:32 Ptl RESULT: PASS
AUG 5. 2014 7:12 Pt1
RESULT: llO RESULTS AVAIL
HOUilRDS 7776 3300 PLANS RD DAl:ERSFIELD 93309
AUG 13. 2014 9:5e Al1
IJPLLD LlllE LEA!(
TEST HISTORY
IJ I :SUPER
LAST 3.0 GAVHR PASS: AUG 13. 2014 9:27 Al1
FIRST 0.20 CAVHR PASS
EACH HOllTH:
AUG I. 2014 3 14 Al1 JIA. 4, 2014 4 43 Al1
JUlt 2. 2014 2 13 Al1
HAY 3, 2014 2 32 Al1
Fl RST 0. I 0 GAVllR PASS
EACH l1011Tlt:
X M -.: iC M Et~D X M l( W X
llOU\RDS 7776 3300 PLANS RD
Blll:ERSFI ELD 93309
AUG 13. 2014 9:59 1'11
IJPLLD LlllE LEAK
TEST HISTORY
IJ 2:u1n.EADEO
LAST 3.0 CAVHR PASS: AUG 13. 2014 8:57 All
FIRST 0.20 GAVHR PASS EACH llOllTH:
AUG I. 2014 4 09 Al1 JUL 6. 2014 2 41 A11
JUI! 5, 2014 12 22 Al1 HAY 2. 2014 3 14 Al1
FIRST 0.10 GAVllR PASS
...,EACH llOHTH: •• -;---·-·
)( M M M M EUD J( )( X Jit M
HOIJAADS 7776
3300 PLANS RD
BAKERSFIELD 93309
AUG 13, 2Dl4 9:59 AH
IJPLLD LlllE LEAK TEST HISTORY
IJ 3:DIESEL
LAST 3. O GAVHR PASS: AUG 13. 2014 9:00 All
FIRST 0.20 CAIJHR PASS
£ACH llOllnt:
AUG 3. 2014 4 48 P11
JUI. 1. 2014 I 47 AH
JUN 2. 2014 8 38 AH HAY 2. 2014 e 17 AH
FIRST 0.10 CAL/llR PASS
EACH llOllTH:
M X X X M EllD M. M M )( J(
ISO HOtlfllLY REPORT
"°""'RDS 7776 3300 PLANS R17" DAKERilPIEl.D 93309
AUG 13. 2014 9:59 Al1
EVR TYPE: VACUUM ASSIST
160 VERSIOll 01.os
REPORT MTE: AOO 2014
OVERALL STATLS IJARll
EVIi COllTA 1 lf1EllT IJARH
EVIi COLLECTIOll PASS STACE! I or I llOTEST
SELF 1tsr PASS IBl> llOlllTOR UP·TIHE: 99'< E\/R/160 PASS TJHE: 03':
DATE TIHE DEVICE HOSE
DESCRIPTIOlt VALUE
LAST I 0 IJARlll llGS
8-03 10:02 180 VAPOR LEAK IJARll0.34
0-01 10:02
I SD CROSS PRES IJARll3. 81
LAST 10 FAILURES
LAST LO HISC EVEllTS
8-06-14 10:02A11
REAOWESS ISO
IBD & EVR READY
O·DS-14 12ll6Pl1 READlllESS ISO
ISDIPP EVR:rm PEllDlllC
0·05·14 12:161'11 ISO STARTUP 1-01-10 12:0CP11
0-05-14 12:t•P11
I SD S llUTDOIJll 1-01-10 12:00A11
0-01-14 12:04P11
TEST HAllUALLY CLEARED
COllTAllllEllT CROSS & DCRD
----111-TAIO: ALARl1 -----T 2:Ulil.EADED
Ill CH WATER ALARM AUG 13. 201~ 10:07 Ali
----111-TAllK AIARH -----T 3:SUPER
llNALI D FUEL LEVEL
AUG 13. 2014 10:10 AH
---IH-TAllK ALARM ----T 3:SUPER
LOIJ Pl!OOUCT ALARM AUG 13• 2014 10:10 Al1
---111-TAl!l: Al.ARM -----T ():SUPER
DELIVERY llEEOEO AUG 13. 2014 10: 10 AH
T 3:SUPER llNEHTORV lllCREASE
lllCREASE START
AUG 13. 2014 10:07 AH
VOLl.t1E HEIGHT WATER TEMP
• 7671 CllLS • 58.58 lllCHE!I • o.oo lllCHES • 94.3 DEG F
INCREASE ErlD
AUG 13, 2014 10:1 I AM
VOLU1E llEIGllT WATER
T£HP
• I 0404 a/ILS • 77 .69 IHCHE!I • 0.00 INCHES • 94.9 DEG F
GR¢SS INCREASE• 2733
TC NET llCREASE• 2664
----111-TAtn: ALARM -----T 2:uta.EADED OVERFILL ALARM AUG 13, 2014 10:1 I AH
---111-TAllX ALARtl -----T 2:Ulll.EADEO
LOIJ TEl1P r.JARlllllG
AUG 13. 2014 10:12 AH
----IN-TAIO: AU\RH ----T 4:DIESEL OVERFILL ALARM
AUG 13. 2014 10:13 141
T 2:UllLEAl>ED
llNEHTORY I llCREASE
lllCREASE START· AUG 13. 2014 10:10 l'l1
T 2: INVALID FUEL LEVEL VOLU1E • 1239 GALS
llEIGllT • 15.36 INCllE!I WATER • 6.45 lllCHES
-T£11P" • 92 .1-DEG F"
I llCREASE EJID AUG 13. 2014 10:13 Ali
VOLU1E HEIGHT IJATER TEMP
• 10969 GALS • 92.47 lllC!tES
• 0. 00 lllCltES
• 95.6 DEG F
CROSS lllCREASE• 9730
TC NET lllCREASE• 9484
----111-TAtn: ALARM -----T 4:DIESE!. LOW TEl1P UARIUllG
AUG 13· 2014 10:14 AH
T 4:DIESEL
llNEHTORV lllCREASE
IHCREASE START AUG 13. 2014 10:12 Al1
VOLl.tlE
HEIG!IT WATER
TB1P
-6862 CllLS • 53.43 111.'.:HES
• 0.00 lllCHES
• 100.3 DEC F
I NCRl:ASE EllD AUG 13. 2014 10:16 AM
VOLU1E HEIClll"
WATER
TEMP
• 11139 GALS
• 04 .04 lt/CllES
• 0. 77 I NCllDI
• 100.5 DEO F
CROSS INCREASE• 4277 TC NET INCREASE• 4198
HQ6.W!DS 7776
3300 PLAllS RD
BAKERSFIELD 93309
AUG 13. 2014 10: 19 Al1
S'ISTEl1 STATUS REPORT
ALL FUllCTIONS NORMAL
HOIJARDS 7776 3:100 PLAHS RD llAXERSFIE!.D 93309
AUG 13. 2014 10:20 AH
S'ISTEl1 STATUS REPORT
ALL FUtlCT IONS tK>Rt1AL
HOl.IAADS 7776
3300 PLA:s RI>
SAl;ER$F I ELD 9330'3
AUG 13. 2014 10:20 Al'I
SV8T01 STATUS REPORT ------------ALL FUllCTIOIS NORHAL
llPLLD L HIE LEAK Al.ARl1
IJ I !SUPER llPLLD SHISTDOIJll AU1
AUG 13. 2014 10:21 AH
IJPLLD LI llE LEAK ALARl1
IJ 2:UNLEADED
IJPLLD SKUTDOIJll AU1
AUG 13. 2014 10:21 Al'I
IJPLLD L 111£ LEAi: ALARM
IJ 3:DIESEL UPLLD SHUT'DOUH AU1 AlJC 13. 2014 10:21 Al'I
-----SENSOR Al.ARl1 -----L I :!JDC 1-2
DISPEISER PAil BEllSOR OIST ALA."'1
AUG 13. 2014 10:21 Al'I
IJPLLD Liii£ LEAK Al.ARl1 IJ 2:Ulll.F.ADED CROSS Liii£ FAIL
AUG 13· 2014 10:43 Al'I
uPLLD LlllE LEAi: Al.ARl1
W 2:UH1.F.ADED
WPLLD SHUTDOWll AU1 AUC 13· 2014 10:43 AH
lfOC.W!ll97776
3300 PLAIS RO SAXF.RSFIELD 9330'3
AOO 13. 2014 10:44 AH
SYSTEM STATUS REPORT
II 2:CROSS Liil£ FAIL
11 :rnJPLLD SHUTDOUll AU1
l!OIJAADS 7776 3300 PLANS RO llAICERSFIELD 9330'3
AUG 13. 2014 10:44 AH
SVSTEM STATUS REPORT ------------W 2:CROSS LlllE FAIL
II 2:11PLLD SHUTDOUtl AU1
HOUARllS 7776
3300 PLAHS RD BAKERSFIELD 93309
AUG 13. 2014 10:44 AH
SVSTEM STATUS REPORT ------------IJ 2:CROSS LlllE FAIL
W 2 :l.IPLLD SllUTDOUll AUi
l/PU.0 Liii£ LEAK Al.ARl1
IJ I :61.IPER
CROSS Lllll! FAIL AUG 13. 2014 1o:so AH
WPLLD LI 11£ LEAK Al.ARl1 II I :SOPER
llPLLD SHUTDOl/11 AU1 AUC 13. 2014 10:50 All
l.'PLLD LI llE LEAi: ALARM
IJ 3:01ESEL CROSS LlllE FAIL AUC 13. 2014 10:59 AH
LIPLLD LINE LEAK Al.ARl1 Ll 3:DIESEL
WPLLD SlllSTDOllll AU1 AUC 13. 2014 10:59 AH
---SEllSOR Al.ARl1 ----L i:UDC 1-2
DISPEllSER PAN FUEL Al.ARN AOO 13. 2014 II :OO AH
HOl4'\ROS 1776 3300 PLAIS RD BAKERSFIELD 93309
AUG 13. 2014 11:12 Al1
SYSTEM STATUS REPORT
ALL FUNCTI ors tlDRMAL
----ltl-TAtlK Al.Allt1 ·----T 2!UNL£ADED
HIGH PRODUCT Al.ARtl AUG 13. 2014 ll!l5At1
--I N·TAlll: Al.ARl1 -·-·· T 4!DIESEL HIGH PRODUCT Al.AAt1 AUG 13. 2014 11:21 AM
ALAJlt1 HISl'ORV REPORT
-··-ltl-TAIO: Al.ARll ----
T 3:SUPER
LOU PRODUCT ALARtl AUG 13. 2014 10:10 A'1 AUG 13. 2014 10!04 At1 AUG e. 20lol 9:43 A'1
lllGH PRODUCT Al.ARM AUG 13. 2014 10107 A'1 AUG 5. 2014 12154 Pt1
llN;.t!D FUEL LEVEL AUG 13. 2014 10:10 A~ _AUG 13. 2014 10!04 1111 AUG 5. 2014 12:57 Pl1
PROBE our AUG 5. 2014 12:56 P11 AUG 5. 2014 11!31 Al1
DELIVERV tlEEOED AUG t3. 2014 IO!IO AM AUG 13. 2014 10:04 AM AUG 8. 2014 9143 AM
X K X ll k EUO A X X X X
Al.Alill HISTORY REPORT
•••• IN·TAllK Al.AJlt1 --
T 4!DIESEL
OVERFILL Al.ARl1 AUG 13• 2014 10:13 AH AUO 5. 2014 12:34 Pt1
LOW PRODUCT l\LA?.tl AUG 10. 2014 10:01 AH
HIGH PRODUCT l\LA?.tl AUG 13. 2014 11:21 AH
DELIVERY UE£D£11 AUG 13. 2014 10:01 Flt
LOU 'ID1P LIARtll l<C AUG 13. 2014 10:14 AH AUG 5. 2014 12:35 Pt1 AUG 5. 2014 11 :39 At1
M >C lC K X £1() lf )( li K W
HOIJAROS 7776 3300 PI.Ats RD llAXERSFIEl.D 93309
AUG 13. 2014 11:26 A'1
SYSTEll STATUS REPORT ------------ALL FUNCTIONS NORMAL
S WRCll, January 2006
Spill Bucket Testing Report Form
This form ,_, mtemled jiv 1isc by c011lrllcf<N\ perfor111i11g a1111ulll testing<>! IJST spill co11tt11111ne111 structure; The completed form and
printoms /mm rests (if applicable) . .<hmtfd he pro•·ided 10 the fllcilil)• 01rner-·operator fllr .\llb111i11a/ to the lucol regulatllr)' agency.
FACILITY INFORMATION
f'acilil)• Name: #7776 Howard's Market I Uoie ofTcs1ing: 8113/2014
Facilil) Addre~s: 3300 Planz Road , llakerslicld, CA 93309
Facilil} Comae!: Omero Gareia I Phone: 661-393-7000
Date Local Agency Was No1i11ed of'les1ing: 7117/14
Name of Local Agency I nspcctor (ifprese111 during 1esri11g): Shane Gurdner
2. TESTING CONTRACTOR INFORMATION
Company Name: Confidence US r Services. Inc.
Technician Conduc1ing Tesi: Dustiit Reese
Credcmials1: IE! CSLB C'ontrac1or IBJ ICC Service Tech. '.J SWRCB Tank Tester 'J Other (.~pecify)
Licen<,e /l.umber(s): CSLB #804904 ICC #8216 722-UT SWRCB~
Tcs1 Method Used: IE! Hydrostntic I Vacuum IOtlwr
Test Equipment Used: Lake Test Equipment Resolution: 0.0625"
ldentit) Spill Bucket (By Tank I Regular 2 Super 3 Diesel 4
Number. Stored Product. ere.!
Bucket Installation Type: O Direct 13ury l Direct Bury C Direct Oury '" Direct Rury
0 Contained in Sumo !Bl Contained in Sump ®Contained in Sumo _ Contained in Sumo
Bucket Diameter: 12.00"' 12.00" 12.00"'
Bucket Depth: 12.50" 12.50" 13.oo··
Wait time between applying 5 n1in. 5 1nin. 5 min. vacuum/water and star! of test:
Test Stan Time (T1): 09:40AM 09:40AM 09:40AM
Initial Reading (R1): 9.18" 9.14" 9.50 ..
Test End Time (T,): 10:40AM 10:40 AM 10:40AM
Final Reading (R,): 9.18" 9.14" 9.50"
Test Duration er, -T1): I hour I hour I hour
Change in R<-ading (R, -R1): 0.00" 0.00 .. 0.00"
Pass/Fail lhreshold or 0.0625" 0.0625" 0.0625" Criteria:
Test Result: IBl Pn.s Ofail IBJ Pass OFail IBI Puss OFail D Pass Ofail
Com men ls -(i11clude itifcxma1ion on r~putn made prior to 1es1ing. a11tl recammend•dfi>llow-upfor /utled 1ests)
CERTIFICATION OF TECHNICIAN RESPONSIBLF: FOR CONDUCTING THIS TESTING
I lterehy certify tltat a/11111! i11[ormatio11 co111a/11ed /11 111/s report is true, accurate, 0111/ /11 full co111pl/u11u witlt legal requiremelll<.
Technician's Signature: ____ _ Date: 8/13/2014
1 S1a1e law~ and regulations do not currenlly require testing to be perfonncd by a qualified contractor. I Iowever. local requirements
may be more ~tringcnl.
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SITE PLOT PLAN for:
1176 HOWARD'S MARKET
3300 Planz Rd.
8ak•11fteld, CA 93309
(661) 665-0417
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WA '1£11 SNUTOFF ft MAIN
ANODE
EMERGENCY SHUTOFF
PRODUCT
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CIRCUIT ; BRUK!R
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