HomeMy WebLinkAboutFMC 2014MONITORING SYSTEM CERTIFICATION
For /he By A fl .luri.wlic1io11s Wi1/ii111hc Stale o(Culifornio
Authority Cited: Chapter 6. 7, Health t111d Safety Code: Chapter 16. Division 3. Title 23. Cal!f'ornia Code ofRegulatiom
This fOrn1 n1us1 be used to docun1cnt testing und servicing of 1noni1oring cquipn1cn1. t\..a'.\CJ!:l(arc_c_coification or rcnort mu-.t ~ prcpuJ¥dJhLcacl!
1nonitoring S\Slc111 control pa1h:I by thl.! tcchrtidan \\'ho perfonn:-. thc \\Orl. J\ COllY ofthi\ fonn n1ust be pro,idcd to the tank >)~tc111 uv .. ncr/opcnuor
The 0\\11Crlopcrator mu'I :i;ubmit a cory of this form to the local agent) fCl!Ulatin# l. 'iT '\)'tern" \\'ilhin 30 day!> orlc~C <loll.:
A. General Information
Bldg. '\o. Facilit) Name: #7773 Fast!!E_ #31
Sir-.Address: 3501 Mt. Vernon Avenue ~-=--------~ C'it): Bakersfield /.ip: 93306
Facility Con1ac1 Person: Omero Ga _ _:r.::.c:..::ia'-----------C'omacr Phone No.: {!fil 393-7000 .
Make/Model of Moniroring Sy~rem: Veeder Root TLS-350 Date of Testing/Servicing: 81412014 __
B. Inventory of Equipment Tested/Certified
c ···--···--. ~ . ·-·-b1 lnlll, 'fj, ...... '" ......... . ................... d/srr"ir-l•ll
Tank ID: 12000 Gal. Regular Tnnk ID: 12000 Gal. Su~er
'81 ln·Tank Gauging Probe Mmkl 847390-107 18J h1·'lon~ Onuru1g P·robc Model· 84739Q.107
[81 Annular Space ur V11uh Sc:nsor Model· 794390-420 18J Annuhu Sp1..:e or Vauh Sen.:.ot. Model 794390-420
~ Piping Sun1p I Trench S<:rtllor(s) Model' 794380-208 [81 P1p1na Sump I Tr~nch Sensor(~). Modd 794380·208
0 Fill Sump Sen~r(~) Model· 0 I ill 'iump Sc:1hor(i.). t-.1odd
~ ~1echaiucal Lint l..tal. Octcc1('Jr Model· FX1V 18J \14.'\:h11111aal L111e Leal. fktc,,;lr.>r. MoJd FX1V
0 Electronic l.1nc l..cal. l>ttC\.h'lf \1odcl· 0 IJcclrt1n1c I inc lrol IJctccwr. 'lodc:I
f&l Tani: 0-<tfill / lhgl>-I <'<I Seo"" \1<idcl· 847390-107 f&l flnl. 0-<tfill / H1!J>-l."'d Sensor. Modd 847390-107
0 Ol!>et l'PC"•li cqwpmcno O)JIC ond model on 'ieclo0n Eon Page 21 0 Odoc:r ("l)C<•I) "l'"P"""'' l)llC and modd m ~ • ., ~ on f'1i< 21
~-
Tank 10: 12000 Gal. Diesel hnk II)·
f&l ln-1 ank Gouging Probe Mndd 847390-107 0 In· Ta.nl G1wf!ang Probe:. .\iudd
181 Annular Space or V1ult ~CO.)l'f Model 794390-420 D Aonuli.11 \pau e>r Vaull Sa!SQr \1odd
f81 Piping Sump I I r..:nch ~n~'ln)). Model· 794380·208 0 Piping Surnp 11 rcnch Scnsor(s). Model.
D Fill Sump S<,,:.ot(;) Model· 0 J·11l Sumi> ~cnsor(i.). Model.
f81 Moch::uucal Lu.e l.cak l)clcttor Model FX1DV 0 ~1cchmucul Lmc l..cak Oc:1ect0r. ~1odcl:
0 Elcctn:nuc I.inc I cak lk1cc1or Modd 0 l;lccll'lmic I.inc I .ciak Detcc1or l\1odcl·
C8I Tank Ovcrlill /I ligh·l...C\'cl Scn~r Model 847390-107 0 1'1u1k <h·crfill /I ligh·l..cvcl Sensor. Mod<:I·
0 Other (specil)· equipment 1ype and model u1 '>cc11on Eon Page 2). 0 ()1hcr (~rec if)' cquipm~ni type and ntodcl in Section E 011 Pa!!&: 2).
Oispen.ser ID: 1-2 Ohpcnscr 10. 3-4
~ 0.sperbl."r Conlammcnt "icnsol'(\) M.-kl: 7!14380-208 ~ l)1)pcn-.cr('cmtninmcn1 Scnsorts) \lode! 794380-208
l8J Shw V1hetsl. 18) ';hear Val~~'(-.)
0 Oii.pm:)(.T <.:ontn11vncnl float(s) J.nd C'hiain(s) 0 lltsp<n.<er CM1amm<111 floal(>) anJ Chain(s)
Dispenser ID: 5-6 Disp<nstr II) 7-8
181 Oispen:.a c.·onllmlllC'nl 'Scnk!ir(") Modd 794380-208 18101.s(l(M(r Con111nmm1 St:ni.or{s) \1odcl· 794380-208
l&l Sh<aT Vahc(s) l&l Shc:ar VahcN
0 Dispensa-Con11mmrn1 floitil(') anJ (·h•1ncs) 0 D1srefbCr CunLt11nmcnt Fbtl(s) and lll11n(s)
Oisp•nsor JO: Transition Sume Dis1lenstr IO:
~ Dispenser C01ut11nmc1u ~n ... or(s). Mudd. 794380-208 0 1)1 .. pc:n~r Con11unm.:n1 St'nsor(i.). f\1odd:
181 Shear Vol\c(S). 0 "ihcar V11hc(~).
0 Dispenc;cr Con1a1nmcn1 Hont(s) 1111d (..'ham(s). D Ubp<:1hcr { 'on111inmcn1 FloaL(s) ru1d Chain(s).
•Jfthe fiu.:ility conlains 1norc 1nnks or dispensers, copy lhis fonn. Include infonuruion f()r every tank and dispenser al lhc fncilily
C. Certification -I certify thnl 1he equipment identified in thi.s docun1cnt wns ins1lccted/serviced in accordance with tht n1anufacturers•
guidelints. Attachctl 10 this ('erHfic:uion is infornnuion (e.g. rnanufacturers' checklists) necessary to verify t111u thil inforn11.ttion is
corr«t and a Plot Plan sho~·ing the ln)Out or monitoring equipn1ent. For nny equip111cnt capable or generating such re1>ort,. I ha\'t nlso
attached a copy or lht rt1>0rt; (chee' 111/ thut apply): l8J System set-upklarm history report
Technician Name (prinr): Dustin Reese Signarurc:~:::J*= f ==:z ___-
Cenification No.: 643426 Lic•'fo-.c. No.: -=8.::04=904=--------------
Tesring Company Name. Confidence UST Services Inc. Phone No.: (661} 340-ll602
Sire Address: 3501 Mt. Vernon Avenue, Bakersfield, CA 93306 Dare of Testing/Servicing: 81412014
Page 1 or 3
Monitoring System Certification
D. Results of Testing/Servicing
Software Version Installed: ....::3:::3c:.l.:.:.O:.:lc_ _____________ _
followin!! checkl" .. ,h
181 Yes 0 No* Is the audible alann operational'?
181 Yes 0 No* Is the visual alann operational?
181 Yes 0 No* Were all sensors visually inspected, functionally tested, and confirmed operational?
181 Yes 0 No* Were all sensors installed at lowest point of secondary containment and positioned so that other equipment will
not interfere with their proper operation?
0 Yes 0 No* If alanns are relayed ro a rernote 1nonitoring station, is all cornn1unications equipment (e.g., 1noden1)
181 NIA operational?
181 Yes 0 No* For pressurilCd piping systems, does the Ull'bine automatically shut down if the piping secondary containment
0 N/A 1nonitoring systern detects a leak, fails to operate, or is electrically disconnected? If yes: \\1hich sensors initiate
positive shut-down? (Check a/I thot apply) 181 Sumpffrench Sensors; 181 Dispenser Containment Sensors.
Did you confinn positive shut-down due to leaks and sensor failure/disconnection? 181 Yes; 0 No.
181 Yes 0 No* For tank systems that utilize the monitoring system as the primary tank overfill waming device (i.e., no
0 N//\ mechanical overfill prevention valve is installed). is the overfill waming alarm visible and audible at the tank
m I point(s) and operating properly? If so, at what percent of tank capacity does the a Jann trigger? 90%
O Yes• 181 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.
181 Yes• 0 No Was liquid found inside any secondary containment systems designed as dry system<? (Check a/I that "PPIJ1
0 Product; 181 Water. If yes, describe causes in Section E, below.
181 Yes 0 No• Was monitoring system set-up reviewed to ensure proper settings? Attach set up reports, if applicable
181 Yes 0 No• Is all monitoring equipn1enl operational per n1~u1ufacturer1s specifications?
• In Section E below, describe how and when these deficiencies were or will be corrected.
E. Comments: Small amounts of fuel/water was found in the UDC of dispenser 7-8, there were also small amounts of
fuel in the in the transition sump. Their transition sump had cup under their commuication lines perventing the 794380-
208 sensor from catching a leak at the earliest point.
Page of 3
Moniloring Systcn1 Certifica1ion
F. In-Tank Gauging I SIR Equipment: 181 Check this box if tank gauging is used only for invcmory control.
O Check this box if no tank gouging or SIR equipmenl is installed.
This section must be completed if in-tank gauging equipment is used to pcrfonn leak detection monitoring.
Complele the following checklist:
181 Ye11 0 No* Has all input wiring been inspected for proper entry and tenninaiion, including testing for ground fouhs?
181 Yes 0 No* \Vere all l~lnk gnuging probes visually inspected for da1nage and residue buildup'!
181 Yes 0 No* Was necurncy of system product level readings tested?
181 Yes 0 No* Was accuracy of sy&iem water level reading• te,tcd?
l8l Yes 0 No* Were all probes reinstalled properly?
l8l Yes 0 No• Were all i1ems on the equipment manufaciurer's maintenance checklist complct~'<l?
• In the Seel ion H, below, describe ho" and when these deficiencies were or will be corrected.
G. Line Leak Detectors (LLD): O Check this box if LLDs are not installed .
..... ··-· -···--~--~ .... -------·--···
181 Yes 0 No* For equipnlcnl stnr1-up or annual cquip1ncrH cc11ification, \Vas a leak sirnulated to verify LLD pcrfonnnnce'!
0 NIA (Check a/11/wt apply) Simulated leak n11e: 1813 g.p.h.; D 0.1 g.p.h ; D 0.2 g.p.h.
l8l Ye> 0 No• Were all LLDs confinned operational and accurate within regulatory requirements?
181 Yes 0 No• Was the tesling apparatus properly calibrated?
181 Yes 0 No• For mechanical LLDs. does the LLD r.!strict product flow if it dctccL• a leak?
0 NIA
0 Yes 0 No* For electronic LLDs. does the turbine uutommically shut off if the LLD detects u leak''
181 NIA
0 Yes 0 No* For electronic LLDs, docs Lhe turbine automatically shut off if any portion of tl1c monitoring system is disabled
181 NIA or disconnected?
0 Yes 0 No• for electronic LLDs. does the iurtiine automatically shut off if any portion of the monitoring system malfunctions
181 NIA or fails a tes1?
0 Yes 0 No• For electronic LLDs. have all accessible wiring connections been 'isuall) in,~'Ctcd?
181 NIA
l8l Ye' 0 No* Were all item-; on Lhc cquipmcnl manufacturer's 1naintcnance checklist co1nple1ed?
• In the Section H, below, describe how and when these deficiencies were or will be corrected.
II. Comments:
Page 3 or 3
~'flDf;~ 0 ""(I ~ust~ ~.~
"'°"'"''....cc w1111cow.-r
Leak Detector Test Results Sheet
Customer Address: Work Order: 32871
Jaco Hill Test Date: 8/4/2014
Site Address:
117773 Fa strip #31
P.O. Bo~ 82515
Bakersfield, CA 93380-2515
Site Contact: Omero Garcia
Technician: Dustin Reese
Product Type LLD Type
Regular UNL Mechanical
Premium UNL Mechanical
Diesel Mechanical
(Choose One) (Choose One}
(Choose One) (Choose One)
Phone: 661-393-7000
Phone: 661-742-1617
Model Serial No.
FXlV
FXlV
FXlDV
(Choose One)
(Choose One}
Check
Valve
3501 Mt. Vernon Avenue
Bakersfield, CA 93306
ICC No.: 8216722-UT
Bleed Leak
Off ML. Rate
Holding Tested:
Pressure
14 PSI 155 ML 3gph@
10 psi
15 PSI 89 ML 3gph@
10 psi
10 PSI 1.5 LT 3gph@
10 psi
3gph@
10 psi
3gph@
10 psi
T~chnician Name: <"9~ Technician No.:
Signature: • ~ Date:
843426
8/4/2014
Pass/Fail
Pass
Pass
Pass
(Choose One)
(Choose One)
. ;,;. ,•
FASTRIP 773 3501 If!' VERllOJI
llA~ERSF.I ELD CA
'
; .j
' I,
AUG 4, 2014 9:07 "'1
,-
SVSTEl'I STATUS REPORT ------------ALL FIJtlCT I DIG llOl<ML
JINEltrORV REPORT
T I : UNL£ADED V0Llt1E • 3141 GAUi UUACE • 11921 CAL.9 90>< WAGE· 7114 CAL.9 TC VOUl1E • 3073 GALS JIEICKT • 34 .07 I llCHE8 IJATER VOL • 0 CAL.9 WATER • 0.00 WCJJt:S T£l'lP • '90. 5 DEO F
T 2:DIESEL VOLIJ1E • 3749 CAL.9
ULLAGE • 8313 CAL.9 90:: ULl.ACE• 7106 GALS TC VOLt.t1E • 3695 CAL.9 HElCltr • 38. 75 WClll:S IJATER VOL • 0 CAlS IJATER • 0. 00 IJICllES
TEl1P • 92. l DEC P
T 3:PREl'11 lf1 VOLU1E • 3196 GALS ULLACE -8966 CA.LS 91ll< UUACE· 7659 CAL.9 TC VOLU1E • 3128 CAL.9 HEIGHT • 34 .SO lllCHES IJATER VOL • 12 GALS
IJATER • 0.01 l~'CllES TEMP • 90, I DEC F
>C X i€ Jir Ji( Ela> " X M )( M
SOFTI.IARE REVIBIOll LEVEL
VERSIOll 331 .DI
SOFTI.IARE• 346331·100-D CREATED -ll.03.22.16.20
B-tlODUl.E• 330\60•004•0 SVBTEl1 FEATURES: PERIODIC JH•TAUK Tl:STS ANllUAL ·111-TAIO: TDITB ISO/APH
--r -:;..::!."'. -• -• '
..I
-
r-
9'/BTEM SETUP ------------AUG 4. 2014 9:07 IV1
SY9TEH UUIT8 U.S. S\'S'Ta1 l.AllCUACB EllCLISll S\'STEl1 DATEITIHl! FORMl\T HOH DD YYYV HH:tt1:SS >.M
FASTRIP 773 3501 MT VERllOll BAKERSFIELD CA
SHIFT TIME I DISABLED SHIFT TlllE 2 DISABLED SHIFT TIME 3 DISABLED SHIFT TIME 4 DISABLED
TAIO: PER TST HEEDED J.IRll DISABLED TAto: AWi TST llEEDED URI! DISABLED
Llllll RE•EllADLB METHOD
P1\SS LINE TEST
Llllll PER TST llEEPED WRll DISABLED LlllE Al/II TST llEF.DED WRll DISABLED
PRlllT TC VOLJ.11E!l EllABLED -TEMP CClll'EtlSAT I OJI VALLE CDEC F )! 60.0
STICK HEICHT OFF!ln DISABLED ULLAGE: 911!<
H·PROTOCOL DATA F01i'11AT HEICltr PAVLICJfT SAVlllJ TIME DISABLED RE-DIRECT LOCAL PRHITOUT
DISABLED
EURO PP.OTOOOL PREFIX s
S'ISTEl1 SEC URI TV CODE : 000000
MAlllTEllAllCE HISTORY
DISilBLEO
TAIO: CHART SECURITY DISABLED
CUSTCtJ A1.AR11i1 DISABLED
S£Ri.:JC£ )®a. DISABLElf
ISO 3166 COIJllTRV CODE:
-·-~.
VAPOR llOlllTORlllJ TYPE CARii ISO
tlASS.-DE I Iii I TV DISABLED
COttWlllC'llTIOllS S8UP ---~ -----
PORT SETT llJGS:
com 80ARI> : I tEOIM ) RS•232 Ba:URITV COPE : DISABLED
com DOAAD : 2 CRS-232) MUD RllTE : S&DO
PAR I TV : l!OllE STOP DIT : l STOP DATA u:rcrn: 9 DATA RS•232 BECURITV COPE : DleABLED
com BOARD : 3 <RS·232l BAUD RATE : 9000 PARITY : llOHE STOP BIT : I STOP DATA l.Elmll: 8 DATA
RS•232 SEX:URITV CODE : DIS1481.EO
AUTO TRAUSl11T SETTJIJGS:
AUTO LEAi: 1\1.1\RH LIMIT DISAfll,ED AUTO HICll lJATER LIHIT DI SABI.ED AUTO OVERFILL LIMIT
DISADLED AUTO LOW PRODU.."T DISAllLED AUTO nlE!'T L!HIT Dl81\8LED AUTO DELIVERY SfART DISA8LED AUTO DELIVERY Erm DISA8LED AUTO EXTl:RllAl. I flPllT Oil DISAEl.EO AUTO EXTl:Rl:AL I llPUT OFF DISADLED AUTO SEllSOR FUEL Al..AAl1
DISADLED AUTO SEllSOR lJi\TER ALAAl1 DISABLED l\UTO SEllSOR OllT ALARM DISABLED
RS•232 EllD OF IESSACE DISAl!tfD
lll·TAtllC S£TUP
T I : Ulll.EADED PRODUCT CODE
TllCRHAL COEFF TAIO: Dlf\METER
TAllJ: PROFILE FULL VOL
I .000700 II I.OD I l>T 12062
FLOAT SIZE: 4.0 111.
UATER UAl!tllliC : 2.0
lllCll UATER LIHIT: 3.0 UA TER A1ARt1 FI L TEP. : 1.()1.1
HAl( OR LABEi. VOL:
01/l:JlFILL LIMIT ;
HIGH PRODUCT
qELIVERV LIMIT
LOU PRODU.."1' : LEA~ ALAl<H LIMIT: BUDDEll LOSS LIMIT: TAlit:: TILT : PROD£ OFFmrr :
12062 90IC
10855 95'1 11459 15>:
1009
SOD 99 99 D.00 D.00
SI PHOll MAlll FOLDED TAll~"B n: llOtlE L 11/E MAii i FOLDED TAIO:B
n: t1011E
LEAK NIU 1•£f!IODI~:
LEA); Miii AtlllUAL :
'" 120
u: 120
PERIODIC TEST TYPE STAtlDAAD
Atlt/UAL TEST FAIL l\LA!<M DISABLED
PERIODIC TEST FAIL ALARM DISABLED
CROSS TEST FAIL Al.AAt1 DISABLED
AMI TEST0 IWERAGitlG: OFF PER TEBT IWERACitlG: OFF
TAllK TEST tlOTIFY: OFF
TtlK T8T SIPHOll BREAK:OFF
•-: 'T"T'--DELIVERV DE1AV : I Mltl
PUMP TllR£SllDLD : 10.00U
T 2:DIE9EL PRODUCI' 000£ T~OOt:FP T'A!O: DIAt1BTER TA1'X PROFILE Ftn.L VOL
FLOAT SIZE:
2 .000450 111.00 I l>T 12oi;2
4.0 Ill.
WATER IJl\lWlllC : 2.0 HICH Ul\TER LIHIT: 3.0
WATER nU\lltt FILTER: LOU
tW< OR IAlltL VOL : OVERFILL LIHIT ;
HICll PROllUY'T
DELIVER>' LIHIT
LOU PRODUCT : LEAK ALARH LIMIT: SUDDEN LOSS LIHIT: TAtO: TILT : PROD6 OFFBET :
12062
""" 10855 9s:; 11459 15~ tB09
500 99 99 o.oo
0.00
BIPHOll tWllFOLDED TAtlY.S Tc: HOU£ LIUE 11AUIFOLDED TAUKS TIS: t~UE
LEAi! Hltl PERIODIC:
LEAi! 11111 Atltrl.IAL :
1:i 120
I" 120
PERIODIC TEST TYPE
STAtmARD
AlllLW. TEST FAIL Al.Ar<tl DI SAllUD
PERIODIC TEST FAIL ALARM DISABLED
CROSS TCBT FAIL ALAJ<H DISABLED
Atltl TEST AVERACltl.'.l: OFF PER TE'ST AVERACIUG: OFF'
1 TAtO: TEST tlOTIFY: OFF
TIO: TST SIPHOll BREAl::OFF
DELIVERY DELAY : I HIU PLHP THRESHOLD : I 0. Oil'<
T 3:PRD11111
PRODUCI' CODE TliEP.l1AL COITF TAIO: DI AHETEI! TAtn: PROFILE FULL VOL
3 .000700 11 J.00 I PT 12062
Fl.OAT size: 4.0 ltl.
IJATER IJARtllHO : 2.0 HIOH LJATER LIHIT: 3.0 IJATER ALARM FILTER: LOU
l1AX OR IASEL VOL OllERi'ILL LIHIT
HIGH PRODUCT
DELIVERY LIHIT
LOU PRODUCT : LEAi! ALAR11 LIHIT: SUDDEll 1.058 LIHJT: TAm: TILT : PROBE OFFDrT :
12062 911'< IOOSS
95'< I 1459 15':
1809
500
99 99 o.oo O.OD
91PHOll MnlllFOU>ED TA!<KS
TD! HOfiE LlllE MAlll FOUl£D TAJO:S TU: llOllE
LEAi: Mlfl P£RIODI?:
LEAK H Ill AllUUllL :
I:&
120
1:-: 120
PERIODIC TEST "NPE STAtlOAP.ll
Ar.r:l.)U. TEST FA1L
AIJ\Rt1 DISABl.ED
PERIODIC TEST FAIL ALARtt DISABLED
CROSS tEBT FAIL ALARM DISABLED
AIU! TEST AVEAAC lllC: OFF
I PER TEST AUERAGlllG: OFF
TAtlK TEST tiOTI FY: OFF
TIIK TST SIPllOll DR£AJ::OFF
DELIVERY DELAY : I Mlfl PltlP TltRE9110LD : 10.00::
LEAi! TEST t1ETIIOD --------TEST Otl DATe : ALL TAllK
HAR 22. 201 I START Tlt1£ : DISADLED TEST RATE :O.ZO CALJllP. DURATION : 2 llOURS
Tu"1' EARLY STOP:DISABl.ED
LEAi( TEST P.EPORT FOD91T
llORIW..
LIOUIO SEtlSOR SETUP
L I : U<O. Al:tl 1101!'1ALL V CLOSED CATECORV : AIUOJUIR SPACE
L 2:1lSL AllN TRl-BTATli <SlllGLE FLOAT> CATECORY : All<lULAR SPACE
L 3:PNL Al.t1 TRl-flTATE cSlr>;LE Fl.DAT> CAT£COR'/ : AIUM.AR SPACE
L ol : UNl. STP Till-STATll <Slt>;LE FLOAT> CATEGORY : STP 2Lt1J>
L S:OSL STP TRl-BTATH (Sltct.E FLOAT>
CATEGORY : STP SU1P
L 6: Ptll. STP
Tiii ·STATE ISllK:l.E l'LOATI CflTEGORV : SIP Stt'.P
L 9:01SP 1-2 TRI-STATE (Bll .. "LE FLOAT!
CATEGORY : OJSPEfSER PAU
LIO:OISP 3·.t TRI-STATE lSlllGl.E FLOAT> CATECORV : OISPErlSER PAii
LI I :OISP 5·1i
TRI-STATE <SlllGLE l'LOAT> CATJ:CORY : DISPEf<SER PAii
Lt!?:DISP 7-B
TRl-Sl'l\T£ CSU~ FLOAT> CATEGORY : DISPEflSER PAN
L13:T1MtS SUHP
TRI •STATE CSlllGLE FLOAT> CATEllORV : PIPlllG SU1P
Pl.t'.P SEC.SOR Sl':TUP
9 I : UNLl:ADEO Ti\tQ{ II: I OIBl>ntlSE HOOE: BTAllDARD
6 2:PRE111Lt1 TAIO: 0: 3 OISPl!ISE llOOE:
STAllDl\l<D
O\lfPUf R£1AY SEl'UP
R I :UUL
"rl"°E: PLtlP COllTROL OUTPUT TAUY. 11: I
1.IOUID SEISOR AIJ1S L 4:FUEL Al.ARM L 9:FUEL Al.ARM LIO:FUEL ALARM Lil : FUEL ALARH LI 2: FUEL AU\Rll Ll3:FUEL Al.ARH L •:SEllSOR OUT AL.Am L 9:9El$0R OUT ALARH LIO:SErSOR OUT ALAl<K Lil :SEflSOR OUT ALARH Ll2:9[190R our Al.ARf'1 L13!SEHSOR OUT ALARM L 4lSHORT AlAlll1 L 9lBHORT ALARM LIOlSllORT ALAP.11 LI I :SllORT ALAP.11 Ll2:S!IORT ALARH
Ll3:Sl«)RT Al.ARH
ISi> SITE ALAllHS ISO CROSS PRES FAIL ISO OECRI> PRES FAIL ISO VAPOR LEAi: FAIL ISO VP Pl1EB FAIL ISO VP BTllTl.19 FAIL
ISO llOSC l\LARl19 AU.lGROSS COLLECT FAIL n.Lt.:DEGRO COl.l.ECT FAIL ALLlFLOOJ COl.LECT FAIL --· .... ·~-·~ R 2:s>11L • . TYPE: ~ COtll'ROL OUTPUT TAIO: e: 3
LIOUI D SEllSOR AlJ1il L 6: FUEL A1.ARM L 9: FUEL Al.ARM LIO!FUEL ALARM
LI I : FUEL Al.Alltl L12:FUEL Al.Alltl
LI~: FUEi. AU\Rll L 6 :SE/ISOR our ALAF.11
L 9:Sl!:t:SOR OUT AlARH LIOlSl!/ISOR our ALAP.tt LI I :BEJISOR OUT ALAP.tt L 12 :WISOR OUT ALAl'J1 Ll:J:BEllSOR OUT ALA."'1 L G:SHOlirl' Al.Alai L 9:8HORT ALARM LtO:SHORT ALARH LI I :SHORT ALARM L12:SHORT ALARM Ll:J:SllORT ALAlil'I
ISO SITE ALARr1S ISO CROSS PRES FAIL ISO OCCRD PRES FAIL ISO VAPOR LEAi: FAIL ISO VP PRED FAIL ISO VP STATt.S FAIL
ISO 11091! AlARtlS AU.:CRO!IB COLLECT FAIL ALLlDD:RI> COLLECT FAIL ALL:Fl.()CJ COLLECT FAIL
R :J:teL TYPE: STAllDARO llORMAU.V CLOSED
TA!ll: .: 2
LIOUID ac11:10R l\U'G L 5: FUEi. ;U.A~t
LIO:FUEL ALARM L12lFUEL ALARM Ll:JlFUEL ALARM L S:SEHSOR OUT AIARl1
LIO:SEISOR our AIARl1 Ll2:SEISOR OUT AIARl1 Ll:J:SEtSOR OUT AIARl1 L 5 :SHORT ALAl<l1 LIO:SHORT ALAAl1 Ll2:6HORT ALARH Ll:J:SHORT A1.Alil1
R .t:OllERFILL Al.ARM TVPEl STAlmARO llORMALLV OPEil
TAtll: d: llOllE
111-TAtll: ALARl'S ALL : OVERF I LL A1.Alil1 ALL:HICll PRODUCT A1A1ir1 AU. :MAX PRODUCT ALARH
s:v\RTSalSOR SETUP
:3 t :PS t-2 CAttCORV Vl\POR PRESSURE
~ 2:Fl1 1-2 CATEGORY Al R FLOW ME.'fER
• :J:Ftl 3-~
CATICORV AIR FLOW METER
• 4:FM 5-6 CATEllORV AIR FL041 HETER
• s:m 1-e CATEllORV AIR FLOll t1£T£R
£1/R/ISO SETUP
EVR l\'PE: VACUl.'1 ASSIST W.CUU1 A991ST 'IYPE HEllLV Vl\C
llOZ?LE A,L RAllGE t1t'\X1 1 .15 r11u: o.95
VAPOR PROCESSOR TVPE
llOllE
All'll.11llS TltlES TIHE: 10:00 HI
DD.J'\V 111Htn'ES:
ACCEPT lllCll ORVR:
DISABLED
180 11006 TABLE I 0 PP FL HL AA RR
---------~--~----~---01 01 01 02 01 02 02 02 02 02 01 02 03 03 03 02 02 02 04 04 04 02 02 02 05 05 OS 02 03 02 06 06 06 02 03 02
07 07 07 02 04 02 00 08 09 02 04 02
ISD AIRFl.OU HETER HAP 10 SERIAL 111.'1 LABEL ------------------------' 0679 Fl-I I •2 2 8674 Fl1 3-4 3 0670 Fl1 5-6 4 8684 Flt 7-9
ISD FUEL CRAil£ HOSE 11.'\P I 2 3 4
FP llHH.11HH 11!01 ltllt·AA -------------------01 201 301 901 U U I 02 202 ~02 902 U U I 03 303 303 903 5 u 2 04 20•1 304 ~04 5 u 2 OS 205 305 905 U U 3 06 206 :l06 906 u u 3 07 20·1 :11()7 907 5 u 4 oo 200 ace 909 s u •
LABEL TABl.E -------··------·---' : UllASS IQIED 2: 01.Ellll:J 3: RECUIAR
4: 1110 CRADE 5: PREMIUI 6: COLD 1: DROIG!E 0: SILVER 9: BLEllD2 10: DLEllD4
'·
Pl1C SETUP
PtlC VEl!SIOll: 01 .04
VAPOR PROCESSOR TVPE
tlOllE
PROCllSSOR .:OttrROl. LEVEL: NOllE
Al.ARH 111 ST ORV REPORT
----l!Etl!:OR A!J\Rf1 ----L I : UNL At/II
AllllULAR SPl\CE FUEL ALARH JUL 21. 2014 12:15 Ptt
FUEL Al.ARM JUL 21. 201• 12:06 PH
FUEL nLARH JUL 21. 2014 12:05 P11
M X M h. M EHD x x x x >c:
ALARM 111 STORY REPORT
---SEllSOR Al.ARM ---L 2:DSL AIUI AtlflULAR SrACE
FUEL Al.Alll1 JIL 21. 2014 12:09 Ptt
SEllSOR Ollf AlAlit1 JUL 21. 2014 11:34 Fi1
FUEL Al.ARN APR 8. 2014 1:42 Fi1
M I< l< )( >t EtlD M M lii )( M
A1Alitl HISTORY RfPOl'IT
-----8£1190R ALA!it1 ---L 3:Pla AN1 AllNULAR SPACE
FUEL AlARl1 JUL 21. 2014 3:16 fl1
FUEL ALARN
JUL 21. 2014 3:14 Ptt
FUEL ALJIRl1 JUL 21. 2014 12:23 PM
1i W If W M EUl' j( M )l 1of X
ALARM HISTORY REPORT
-----BEllSOR Ill.ARM -----L 4: Ulll. STP
STP...SltlP FUEL Al.ARN JUL 21. 1014 11 :41 f.11
S£11SOR Ollf Al.ARM
JUL 21. 2014 11 :34 PH
FUEL ALl<RN JUL 2. 2014 2:51 PM
)( )( )( M M EtlD N X K M II(
AIARM lllSTORV REPORT
-··--!lCUSOP. ALAlit1 -----L12:DUW 7-0 DISPE1131:R f'All FUEL AUIRM JUL 21. 2014 11 :45 AM
SEISOR OUT ALARH JUL 21. 2014 11134 AM
FUEL ALARH AUG 6. 2013 I :39 "1
X >< >C M X ENO M )I' Iii M M
A1.AR11 HIBTORV R£PORI'
---SEllSOR ALARH --
L13:TRAllS SUllP PIPlll<l SU1P SEISOR OUT AIAllll JUL 21. 2014 II :3• A'I
~
FUEL AIAR!1 l1AR 26. 2014 10:13 Al1
SEllSOR OUT ALAJlt1 HAR 26. 2014 10:04 AM
x K M x M EHD K X X ,. M
FASTRIP 773 3501 HT VERNOll
BAXERSFIELD CA
AUG 4. 2014 9:09 fJ1
SYSTEl1 STATUS REPORT
ALL FUllCTIOllS llORMAL
--Ill-TAii: AIARtt ---· T 2:DIESEL DELIVERY llEEOCD Atx;: 4~ 2014 9: 14 IJt
----Ill-TANK AIARtt -----T 2:01ESEL PROBE OUT AUG 4. 2014 9: 15 AH
--lll•TAID: AIARtl --T 21DIEBEL LOW TD1J> WARll I tn AIJC 4. 2014 9:16 AH
----Ill-TANK ALAAl1 ---T 3:PREl:lll.tl SUDDEll LOSS AIAP.11 AUC 4. 2014 9:17 Al1
--111-TArlK ALAAl1 ·-·-T 3:PREH1Ltl DEL I \/ERV llfl:DED AUC 4. 2014 9:17 Al1
FASTRIP 773 3501 111' VERtiOH BAXERSFIELD CA
AlX: i;. 2014 9: 17 Ht
SVSTfJ1 BTATU9 11£PORI'
T 3:SUDDEll LOSS ALAR!1
T 3:DELIVERV NEEDED
-·--lll•TAlll: Al.AAll ··.·--T 3:PREMILl'I PROBE OUT AUG 4. 2014 9:17 AM
--IU•TAllK Al.AJiti ---T 3:PREl11Ltl UlLI T&J> UARll rnc AUG 4. 2014 9:18 llH
-·--lll•TAtO: AIARtt --·--T I : UllLEADED SUDDEll LOSS AIAl<tl AUC 4. 2014 9:18 1\11
--lll·TAll: Al.ARl1 -··-T I :WILEAllED D£L IVERV tlEED£D AUG 4. 2014 9:19 ff1
----lll·TAllK AIARN -----T I : UtrLF.ADEO LO<J PRODll.,"T AIAR!1 AUG 4. 2014 9:191>11
I U•TIHlK ALARtt T t : UtlLEl\DED
llNAL ID FUEL LEVEL AU:: 4, 2014 9:19 All
----111-TAIU: Al.A!ll1 ---T I : UUl.EADED PROBE OUT AOO 4. 2014 9:19 NI
T I :UtlLEADED llNEllTORY lllCREASE
lllCREASE srART AU:: 4. 2014 9:20 All
T I: llNALID FUEL UM!L
VOl.U1E -4:1!1 GALS HEIC»IT • B ,62 llCHES 1.11\TEI! • I • Z7 llCHES TEMP • 90.0 09' F
lllCREASE EllD AU:: 4. 2014 9:23 All
VOLLH£ HEIGIIT IJATER TD1P
• 10226 CAl..S • 87. 74 llCHE9
• 0.00 llCHES • 92.3 DID P
CROSS 11.:REASH• 9793 TC tlET llCREASE• 9571
-·-SEISOR Al.AAt1 ---·· L 9:DISP 1•2 DISPEllSEI! PAii
S91SOR OUT ALAAtl
AUQ 4. 2014 10:04 NI
-··· SEtlSOR ALllRtl ·----Lt 3:TRAllS SUllP PIPlllC Sl.11P SEISOR OUT ALAl<H AUG 4. 2014 10!04 AH
-·---SEllSOP. ALAAM ··---LIO:DISP 3-4 DI SPEllSEI! PAii
SEISOR 01.n' Al.AD'S Au.# 4. 2014 10:04 All
----SEllSOR ALARl1 ----· Lii :DISP 5-6 DISPEllSER PAtl SEtlSOR OUT ALARl1 AOO 4. 2014 10:04 Al1
----· SEtSOR Al.ARit ···-· Ll2:01SP 7·8
DISPEllSER PAii
SDSOR OUT ALARl1
AUQ 4. 2014 I 0!04 A11
----SEISOR Al.ARit ·-··· L S:DSL STP
STP Sl.l'IP SEUSOR OUT 'lt:AP.11
AUQ •• 2014 10:04 Pl1
-----SEllSOR ALARl'I ···-· L 6:PllL STP
SIP Sl.l'IP
SEJISOR OUT AIARH AU:: 4. 2014 IO:Q.l All
----· SEUSOR ALAAl1 -···· L S:DSL STP STP Sl.l'IP SEllSOR OUT ALARl1
AUG 4. 2014 10:05 rt1
···-· SEllSOR ALARM ••••• L 1 : UHL A fit I AtlllULAR SPACE
FUEL ALAAtl AIJC 4. 2014 10:05 111'1
--SEtlSOR ALARl1 ---L 2:DSL ANN ANtlULAR SPACE
SENSOR OUT ALAl<11 AUG 4. 2014 1o:os PM
--SEISOR ~ ••••• L 3:PllL A111
AlHllAJ\11 SPACE
SEllSOR OUT Al.AP.ti
AUG 4. 201• 10:05 Art
---SEISOR ALARrl ·-··· L 4:UNL STP STP Sl.l'IP SE/SOR 0111' ALAl<t1 AUi) 4. 2014 10:05 Al1
---SEISOR l\LARtl ••••• L 4:UIL STP SIP SltlP FUEL ALAR11
-AUG ,--1-2Dl!L.1-'>H Art
FASTRIP '173 3501 l1T llERllOll BAKERSFIELD CA
1WC 4. 2014 10:12 At1
SVSTEl1 STATUS REPORT
ALL FUICTIOIC3 llORHAL
---SEllSOP. lll..ARll ---L S:r&. STP
STP StklP FUEL ALARM AUG 4. 2014 10:19 Atl
----SEllSOR ALARM -----L 6:PUL STP
6TP Slt1P FUEL ALAP.t1 AUG 4. 2014 10:21 At1
-----SEllSOR ALAlltl -----L 2:DSL AWi AllNULAR SPACE
FUEL ALARM AUG 4. 2014 10:23 At1
---SEllSOR ALARM -----L I :UllL Allll
AIUIULAR SPACE FUEL ALARM AUG 4. 2014 10:23 IV1
----SEl<SOR Al.Alltl ----L 3:Plll. Ahtl ir~~~ ~ I0:23"'1
• --6Cll$0R ALAAtl ---L 13 :TRA1e SUliP PIPINi: Sl.tlP
FUEL Al.ARH AUG 4. 2014 10:28 All
-----SEllSOR Al.ARtl ----L 9:DISP 1-2 DISPEISER PAii
FUEL AUll!M AUG 4. 2014 10:30 Atl
-----SEllSOR ALARll -----LI I :DISP 5·6 DISPENSER PAN
FUEL Al.Alll1 AUC 4. 2014 10:31 1\11
----BE/SOR Al.ARH ----L12:DJSP 7·0
OISPEllSER PAii FUEL ALARM AUG 4. 2014 10:33 A11
---SEIE:OR AlARt1 ---LIO:DISP 3-4 OISPli/ISER PAii FUEL ALARH AUG 4. 2014 10:34 1V1
T 3:PREl11U11 1111/EllTOP.V 11.cl!EASE
I !!CREASE START AUO 4. 2014 10:35 H1
llOLl.HE UEICflT UATER TEl1P
-0042 GALS • 76.32 lllCHEB .,.. O.OD JUCHES • 97.9 DEC F
lllCRl!A!lli EllD AUO 4. 2014 10:37 A11
VOLU1E HEICllT lo/ATER TEMP
• 9240 CA1.S • 79.46 lllCHES
• 0. 00 lllCHES • 98.0 DEil F
CROSS lllCREASE• 390
lC HET I HCREASE-397
... -----"'-..
----111-TAIU: Af.ARM -----T 3:PREl11Ltt
OVERFILL AlARt1 AIJO 4. 2014 10:38 F.11
---1 ll·TANX Al.ARM -----T 3!PR011lt1 PROBE OUT AUG 4. 2014 10:38 ff!
----!ll·TAIO: AU\RN -----T 3:PREl11Ltt 111\/AL ID FlJEL LEVEL AUG 4. 2014 10:39 1111
--lll•TAl:J: ALAl!l1 ----T 2:DIESEI. OllERJ' I LL A1.ARtl AUG 4. 2014 I0:40 AH
T 2:DIESE1.
lllVEflTORY lflCREASE
1 llCREilSE STAR!' AUG I. 201• 10139 All
VOLi.ti!! • 9720 C..lB 11£1GllT • 75.37 llCllES IJATER • 0.00 lllC!IES TEllP • 100.9 DEG F
lflCREASE Elm
At.C 4~ 2014 10:42 f.Ji
\IOLll1£ -114:?? GnlB llEIGllT • 99.03 IHCllES lolATER • D. 00 ll«:JIES
TCl1I' • 100.3 llEG F
GROSS lllCR£ASE• 2709 TC 11£T lllCR£ASE• 2662
•• -DISllEflSEI! l)LARU ----• F • . .
-:·{·"! ······~·ll""' . ;; .t;·:. .,,, ·.'f'l•h ,... • s ·~, ··' ·-'~>·~· . . . . ~'
-~ ~,.. ' . ' : ._,., .,. ,, ..:. ' ·-:.! >OI M'l"vcliuou BA~ERSFIELD CA
AOO 4. 2014 I :OO PH
9\'STEH STATl.S P.EPORT
/\Lkl'UJ~_IOIS tlOP.tl'<L
----fll•TAIO: ALARH ----T 2:DIESE1.
PROOE·OUT AUG 4. 201• 10140 Al1
T 3:PREMIU1 lllVEllTORY UICREASE
lflCREAS! START AOO 4. 2014 10107 AH
\IOLU1£ HEICKT UATER TCl1I'
• 9240 CALS • 79.46 lllCHES
• O. 00 lflCHES
• 98.3 DEG F
m::11£ASE am AOO 4, 2014 10•41 AH
VOLlltE
HEICllT
lolATER
TCl1I'
• 11405 CAIS • 99.55 lflCHES • D.00 lflCHES
• 9e.o DEG F
CROSS lllCREAS£• 21&5
TC llET fllCREASE• 21 OB
---ltl-TAffK Al..ARl1 ••••• T I :UllLEADEO
lllGll PRODUCT Al..ARl1 AUG 4. 2014 10:41 AH
·---fll·TAllK ALARH ••••• T I llllll..EADED
SUDDEtl LOSS ALARH AUG 4. 2014 10:42 AH
--ltl-TAllK Al..Alit1 ••••• T I :Ufll..EAOED PROBE OUT AUG 4. 2014 10142 AH
SWRCB, Jnnunry 2006
Spill Bucket Testing Report Form
711ir form is imendedfor use by mmractors performing a1111ual 1e.11ing of UST spill containment \true/I/res. The completed form and
prlmourr from tests (if appli<'<1b/eJ. should he pro>'ided to the /uc1luy owner/operator for >11hn111111l to the local regulatory agency
I. FACILITY INFORMATION
racilit)' Name: u7773 Fa'1rip 1131 I Date of Tc,ting: 8'412014
1·acility Address: 3501 Mt. Vcmon Avenue. Bakc,.,,licld, C'A '13306
I acility Contact: Omero Garcia --,~Ph_o_n-e:--6-6-1--3-9-3--7-0-00______ ---1 -Date Local Agency Was Notified ofTcs1ing: --'"'-~~~~~~~ 7/2812014
Nnrnc of Local Agency ln;pcctor (/fpresem during 1esti11x): Shane Gardner
2. TESTING CONTRACTOR INFOllMATION
Com an} Name: Con fidcncc UST Sen·ices, Inc.
T <'Chnician Conducting Test: Dus1in Reese
Crcdcn1ials': !Bl CSI B Con1rac1or !Bl ICC Service Tech, SWRCB Tank Tesler J Other (Specify)
Liccno;c lwmber(s): CSLB 11804904 ICC i/8216722-U r SWRCB
3. SPILL BUCKET TESTING INFORMATION
Tcs1 Me1hod Used: 181 llydrostatic r Vuc1111n1 U OLl1er
l'est Uquipmenl Used: Lake Tcs1 F.quiprncnl Rcsolu1ion: 0.0625''
ldcntif> Spill Bucket (By Tan4 I Rcguhir 2 Super 3 Di<,,,cl 4
,\ 11mMr, SIOred Product, etc.)
Direct Bury Direct Bui) J Direct Bui')' C Direct Bui) Buc~cl Installation Type: IBI Contained in Sump !Bl Con1aincd in Sump IBJContaincd in Sump C Contained on Sumo -Bude! Diameter: 12.00" 12.00" 12.00" -Ruckel Depth: 13.00" 13.50" 13.00" -Wait lime between applying 5 min. 5 1nin. 5 n1in. vacuum/warer and siart oftest:
Tcs1 S1ar1 Time (T1): IO:OOam I O:OOa111 IO:OOam
lni1ial Reading (R1): I 0.00" I 0.2S" 10.25"
Te>t Fnd Time (Tr): I l:OOam 11 :003111 ll:OOam
~
Final Reading (R,): 10.00" 10.25" 10.25"
fcsl Duration (T,-T1): 1 hour I hour I hour
Change in Reading {R,. -R1): -0.00" 0.00" 0.00"
Pass/Fail TI1reshold or 0.0625" 0.062S" 0.0625" Cri1cria:
Tesl Result: IBl Pass 0 Fail IBl l'nss 0 Fail -li?J Pass 0 Fail 0 Pass 0 Fail
Comments -(include itiformatlon 1111 repair.• made prior to te>1ms. and recommended[ollow-upfor failed test")
CERTIFICATION OF TECHNICIAN RESPONSIOLE FOR CONDUCTING THIS TESTING
I hereby certify tltat al/ tlte i11form111/on comai11ed in this re1111r1 Is true, ttccurate, mu/ ill full c11111p//a11ce witlt legal requirements.
T<'Chnician's Signa1ure::2)~ ~ ~-, -Oa1c: 8!.!1'2014
1 Slate ln-.s and regulations do not curTcntly require lesting to be perfom1cd b} a qualified con1rac1or. Ho" ever. local requirements
n1a) be n1ore slringent.
SITE PLOT PLAN for:
01 S-021.003018
1713 MT, VERNON AYI.
BAKEASFIElA CA t3J.OI
IJ 11~ Ill
;: ~ ;__,_1--,a
~ ffi~! ....
~ ""' l I -~o ~ W 6-;=g s q
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I
i
• I
• I
E :!!! ;. i: • 1
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l~t!1~1 II~
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• 1~)11~-II~· o IT ll'C (l'C I ~· I I lil ) l Dia
CATCf'lBASIN
~ Ultl'ftMITY AVll
--I
• • •
LEGEND
L 1 17 ANNULAR
L2 ML ANNULAR:
L.3 It ANNULAR
LA 17 Ill'
LI Oll.ITP
LI •111'
U UOC1·2
L10 UOC:,....
L11 UOCU
Lt2 UOC 7-a
L1l TitAHa SU.t.P
eso
OFA • • "' s • • ®
*
EMERGENCY IHUT.OFF
OVERl'l..L Al.ARM
PROOUCT IPM.L COHTA'Nlilt
VAPORll'l..LCONTAINf~
AJKJUA
-~ GAS UETEA aHUT.off
WATIR WSTllt IHUT..QPI'
HEAl.YCAS
~ACUATION MU'TWO "°""1'
-'