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Home My WebLink AboutFMC 2014MONITORING SYSTEM CERTIFICATION For Use By All Jurisdictions Within the State of California Authority Cited: Chapter 6. 7, I fea/th and Safety Code; Chapter 16, Division 3, Title 23, California Code of Regulations 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 thi s form to the local agency regulating UST systems within 30 days of test date. A. General Information Facility Name: #7705 Fastrip #641 Bldg. No.: 7705 Site Address: 1200 Coffee Road City: Bakersfield Zip: 93308 ===---- Facility Contact Person: _0"-m---"e_ro-'--G:....a'-'r....:.c....:.ia"--------------Contact Phone No.: (661) 393-7000 Make/Model of Monitoring System: --'V-=e....:.e....:.d....:.e..;...r-....:.R.;..;o:....o:....t:....T'-'L:....S:........:.3....:.5..:..0 _________ Date of Testing/Servicing: 7/10/2014 B. Inventory of Equipment Tested/Certified Check the appropriate boxes to indicate specific equipment inspected/serviced: Tank ID: 12,000 gal. Regular Tank ID: 12,000 gal. Su~er 181 In-Tank Gauging Probe. Model: 847390-107 181 In-Tank Gauging Probe. Model: 847390-107 181 Annular Space or Vault Sensor. Model: 794390-420 181 Annular Space or Vault Sensor. Model: 794390-420 181 Piping Sump I Trench Sensor(s). Model: 794380-208 181 Piping Sump I Trench Scnsor(s). Model: 794380-208 181 Fill Sump Sensor(s). Model: 794380-208 181 Fill Sump Scnsor(s). Model: 794380-208 181 Mechanical Line Leak Detector. Model: FX-1V 181 Mechanical Line Leak Detector. Model: FX-1V 0 Electronic Line Leak Dctcc10r. Model: 0 Electronic Line Leak Detec10r. Model: 181 Tank Overfill I High-Level Sensor. Model: 847390-107 181 Tank Ovcrfill /lligh-Lcvel Sensor. Model: 847390-107 0 Other (specifY equipment type and model in Section E on Page 2). D Other (specify equipment type and model in Section Eon Page 2). Tank 10: 12,000 gal. Diesel Tank ID: 181 In-Tank Gauging Probe. Model: 847390-107 0 In-Tank Gauging Probe. Model: 181 Annular Space or Vault Sensor. Model: 794390-420 D Annular Space or Vault Sensor. Model: 181 Piping Sump I Trench Scnsor(s). Model: 794380-208 0 Piping Sump I Trench Sensor(s). Model: 181 Fill Sump Sensor(s). Model: 794380-208 0 Fill Sump Scnsor(s). Model: 181 Meclumical Line Leak Detector. Model: FX-1DV D Mechanical Line Leak Detector. Model: 0 Electronic Line Leak Detector. Model: 0 Electronic Line Leak Detector. Model: 181 Tank Overfill I High-Level Sensor. Model: 847390-107 0 Tank Overfill I lligh-Lcvel Sensor. Model: 0 Other (specifY equipment type and model in Section Eon Page 2). 0 Other (specify equipment I)'J>e and model in Section Eon Page 2). Dispenser 10: 1&2 Dispenser 10: 3&4 181 Dispenser Containment Scnsor(s). Model: 794380-208 181 Dispenser Containment Scnsor(s). Model: 794380-208 181 Shear Valve(s). 181 Shear Valvc(s). 0 Dispenser Containment Float(s) and Chain(s). 0 Dispenser Containment Float(s) and Chain(r.). Dispenser ID: 5&6 Dispenser ID: 7&8 181 Dispenser Containment Scnsor(s). Model: 794380-208 181 Dispenser Containment Sensor(s). Model: 794380-208 181 Shear Valve(s). 181 Shear Valve(s). 0 Dispenser Containment Float(s) and Chain(s). 0 Dispenser Containment Float(s) and Chain(s). Dispenser ID: Dispenser 10: 0 Dispenser Containment Sensor(s). Model: 0 Dispenser Containment Scnsor(s). Model: 0 Shear Valve(s). 0 Shear Valvc(s). 0 Dispenser Containment Float(s) and Chain(s). 0 Dispenser Containment Float(s) and Chain(s). . . •If the facility contains more tanks or dispensers, copy th1s form. Include mformauon for every tank and d1spcnscr at the fac1hty. 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 to verify that this information is correct and a Plot Plan showing the layout of monitoring equipment. For any equipment capable of generating such reports, I have also attached a copy of the report; (check all that apply): [;gJ Syste~ set-up ~histo report Technician Name (print): DUSTIN REESE Stgnature: ~ ~ ~ Certification No.: B43426 License. No.: -=..:::.4...::9::.:0:..4.:__ ____________ _ Testing Company Name: Confidence UST Services Phone No.: .J..:(8:.;0:.:0:.~.).....:3:.:3:.:9:._-9::.:9:.:3:.:0:..__ ____ _ Site Address: 1200 Coffee Road, Bakersfield, CA 93308 Date ofTesting/Servicing: 7/10/2014 Page 1 of 3 Monitoring System Certification D. Results of Testing/Servicing Software Version Installed: 327.04 ~~~---------------------- c h f II h kl" om pi etc t e o owmg c ec 1St: 181 Yes 0 No* Is the audible alarm operational? 181 Yes 0 No* Js the visual alarm 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 alarms are relayed to a remote monitoring station, is all communications equipment (e.g., modem) 181 N/A operational? 181 Yes 0 No* For pressurized piping systems, does the turbine automatically shut down if the piping secondary containment 0 N/A monitoring system detects a leak, fai Is to operate, or is electrically disconnected? If yes: which sensors initiate positive shut-down? (Check all that apply) 181 Sumpffrench Sensors; 181 Dispenser Containment Sensors. Did you confirm 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 warning device (i.e., no 0 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? If so, at what percent of tank capacity does the alarm trigger? 90% 181 Yes* 0 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. 0 Yes* 181 No Was liquid found inside any secondary containment systems designed as dry systems? (Check all thai apply) 0 Product; 0 Water. If yes, describe causes in Section E, below. 181 Yes 0 No* Was monitoring system set-up rev iewed to ensure proper settings? Attach set up reports, if applicable 181 Yes 0 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: DIESEL LLD FX-1 DV WAS REPLACED AND RETESTED WITH PASSING RESULTS Page 2 of 3 Monitoring System Certification F. In-Tank Gauging I SIR Equipment: 181 Check this box if tank gaug ing is used only for inventory control. 0 Check this box if no 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: 181 Yes 0 No* Has all input wiring been inspected for proper entry and termination, including testing for ground faults? 181 Yes 0 No* Were all tank gauging probes visually inspected for damage and residue buildup? 181 Yes 0 No* Was accuracy of system product level readings tested? 181 Yes 0 No* Was accuracy of system water level readings tested? 181 Yes 0 No* Were all probes reinstalled properly? 181 Yes 0 No* Were all items on the equipment manufacturer's maintenance checklist completed? * In the Section H, below, describe how and when t hese deficiencies were or will be corrected. G. Line Leak Detectors (LLD): 0 Check this box if LLDs are not installed. c h fi I h omplete t e o lowmg c eckhst: 181 Yes 0 No* For equipment start-up or annual equipment certification, was a leak simulated to verity LLD performance? 0 N/A (Check all that apply) Simulated leak rate: 181 3 g.p.h.; 0 0.1 g.p.h ; 0 0.2 g.p.h. 181 Yes 0 No* Were all LLDs confi rmed operational and accurate within regulatory requirements? 181 Yes D No* Was the testing apparatus properly calibrated? 181 Yes 0 No* For mechanical LLDs, does the LLD restrict product tlow if it detects a leak? 0 N/A 0 Yes 0 No* For electronic LLDs, does the turbine automatically shut off if the LLD detects a leak? 181 N/A 0 Yes 0 No* For electronic LLDs, does the turbine automatically shut off if any portion of the monitoring system is disabled 181 N/A or disconnected? 0 Yes 0 No* For electronic LLDs, does the turbine automatically shut off if any portion of the monitoring system malfunctions 181 N/A or fails a test? 0 Yes 0 No* For electronic LLDs, have all accessible wiring connections been visually inspected? 181 N/A 181 Yes 0 No* Were all items on the equipment manufacturer's maintenance checklist completed? * In the Section H, below, descnbe how and when these deficrencres were or will be corrected. H. Comments: DURING TESTING OF THE DIESEL FX-1 DV I FOUND THAT LLD WAS BAD AND NEEDED TO BE REPLACED REPLACED WITH NEW DIESEL FX-1DV AND RETESTED WITH PASSING RES! II I S Page 3 of 3 Leak Detector Test Results Sheet Customer Address: Jamieson Hill PO BOX 82515 Bakersfield, CA 93308 Site Contact: Technician: Dustin Reese Product Type LLDType Regular UNL Mechanical Premium UNL Mechanical Diesel Mechanical Work Order: 32785 Site Address: Test Date: 07/10/14 7705 Fastrip #641 1200 Coffee Road Bakersfield, CA 93308 Phone: 661-615-6033 Phone: 800-339-9930 Model Serial No. FX1V FX1V FX1DV ICC No.: 8216722-UT Check Bleed Leak Valve Off ML. Rate Holding Tested: Pressure 14 psi 80ml 3gph@ 10 psi 12 psi 60ml 3gph@ 10 psi 09 psi 25m I 3 gph@ 10 psi 3 gph@ 10 psi 3gph@ 10 psi 3gph@ 10 psi 3 gph@ 10 psi 3gph@ 10 psi Technician Name: Signature: ~ Technician No.: ~~~Date: 8216722-UT 07/10/2014 Pass/Fail Pass Pass Pass FA~IP 705 1200 COFFEE RD. BAKSSFI ELO CB 93309 661-599-6305 JUL 10. 2014 9:31 AM SYSTEM STATUS REPORT At!. FUtm'IOIS ti0Rl1AL ltNENTORY REPORT T I : JNLEADED VOLU1E • 7147 GALS UL~E • 4995 GALS 90Y. ULLAGE• 3681 GALS TC V•)LlR'fE • 7016 GALS HEIGMT • 63.73 INCHES WAT~ VOL • 0 GALS WAT~ • 0, 00 INCHES TEMP • 96.1 DEC F T 2:?REI11U1 VOLU1E • 7364 GALS ULL.AO:iE " 4668 GAlS 90~; uLL.AGEa 3464 GALS TC V•)LIJ1.E • 7212 GALS HEIG:rT .. 65.32 UICHES WAT~ VOL • 0 GALS WA~ • 0.00 INCHES TEMP • 89.3 DEC F T 3:DIE.Sa VOLUME • 6622 GALS ULLAGE • 5410 GALS 90Y. JLLAGE• 4206 GALS TC V·:>LU1E • 6520 GALS HElGriT • 59.90 HICHES WAT~ VOL • II GALS WA~ • 0. 77 HICHES TEMP • 94.1 DEC F SOF'llJARE REVISION LEVa VERSION 327.04 SOFTWARE~ 346~27-100-E CREATED -07.02.06.10.28 S·MOJULE~ 330160-004-o SYSI:l1 FEATURES: P~IODIC W-TAtll\ TESTS AN~UAL IN-TAN~ TESTS lSD Pli:: SOFTWARE REVISION I.EVF.L VERSIOU 327.04 SOF11JAAE~ 34(;:3:?7-1 00-E CREATED -07 .li:.: • 06 • I 0 .·28 S~ODULEP 330160-004-o SYSl.:M FEATURES: P~IODIC IN-TANK TESTS AN~UAL lN-TAtiK TESTS ISD Pli:: SOFTWARE REVISION LEVEL VERSION 327.04 SOFTWARE~ 346:327-100-E CREATED-07.02.06.10.29 S-MODULEP 330160-004-o SYSl.:M FEATURES: PEIODIC IN-TAU!\ TESTS AN'mAL IN-TANK TESTS lSD m:: S'ISl.:M SETUP ------------ JUL 10. 2014 9:32 ~~ 5'151.:11 UIIITS u.s. S'IST31 LAOOUACE EtiG'-ISH S'IST31 DATE/TIME FORMAT HON DD WYY HH:HM:SS xM FAST~IP 705 1200 COFFEE RD. BA~~FIELD CB 93308 661-599-6305 SHIFT TIHE I : 11 :00 PH SHIFT TIME 2 : DISABLED SHIFr TIME 3 : DISABLED SHIFT TINE 4 : DISABLED TANK PER TST tiEEDED WRII DISA3LED TANK ANN TST NEEDED WRII DISA3LED LINE RE-ENABI£ METHOD PASS LitlE TEST LINE PER TST NEEDED WR/1 DJSA3LED LJ tiE AN/I TST NEEDED WRN OJSA3LED PRHIT TC VOLU1ES EtiAB'!.ED TEMP COMPENSATION VALu; <DEC F >: 60,0 STIC'.< HEIGHT OFFSET 01SA3LED ULLAt:>E : 9 OY. H-PR•JTOCOL DATA FORMAT HEIG:ff DAYLIGHT SAVUIG TINE EllAB!.ED START DATE MAR WEEK 2 SUil STARr TINE 2:00 At1 END !:>ATE OCT WEE~ 6 SU!l END 'riME 2:01:1 AM RE-DIRECT LOCAL PRINTOUT DISA3LED EURO PROTOCOL PREFIX s S'IST31 SECURITY CODE : 000000 MAl tlrEUANCE HISTORY OISA3LED TAilK CHART SECURITY DISA3LED CUST•:>M ALARMS DISA3LED MASS/DEilSI TV DISA3LED COifl;JtUCATIONS SETUP PORT SETTINGS: COI't1 BOARD : I <RS-232) BAUJ RATE : 9600 PARITY : NOtiE STO? BIT : I STOP DATA LE~CTH: 8 DATA RS-232 SECURITY CODE : DISABLED COI'f1 BOARD : 2 <ED1t1 > RS-232 SECURITY CODE : DISABLED COHM BOARD : 3 <RS-232) BAUD RATE : 9600 PARITY : NONE STO? BIT : I STOP DATA LENGTH: 8 DATA RS-232 SECURITY CODE : DISABLED AUTO TRANSMIT SETTINGS: AUTO LEAK ALARM LIMIT DISA3LED AUTO HIGH ~ATER LIMIT DISA3LED AUTO OVERFILL LIMIT DISA3LED AUTO LOW PROD~r DISA3LED AUTO THEFT LIMIT DISA3LED AUTO DELIVERY START DISA3LED AUTO DELIVERY EtiD DISA3LED AUTO EXTERNAL INPUT ON DISA3LED AUTO EXTERNAL HIPUT OFF DISA3LED AUTO SENSOR FUEL ALARI'I DISA3LED AUTO SENSOR WATER AlJIRM DISA3LED AliTO SENSOR OUT ALARM DISA3LED RS-232 EtiD OF MESSAGE DISA3LED IN-TANK SETUI' T I : :JNL£ADED PROD!..ICT CODE THERMAL COEFF TANK DIAMETER TANK PROFILE FULL VOL FLOAT S IZE: 1 .000700 11 1.00 l PT 12032 4.0 !fl. WATB WARtlltlG : 2.0 HIGH WATER LltHT: 3,0 MAX •)R LABEL VOL: 12032 OVERFILL LIMIT 95~ 11430 HIGH PRODUCT 951; 11430 DELI~ERV LIMIT 15Y. 1804 LOW ?RODUCT : 500 LEAK ALARM LIMIT: 99 SUDD:::U LOSS LIMIT: 99 TANK TILT 5,40 PROB::: OFFSET 0.00 SIPH-)N HAtliFOLDED TAIIKS Til: NOI4E LINE MANIFOLDED TANKS Til: NONE LEAK MI N PERIODIC: . LEAK MIN ANNUAL : . 1% 120 PERI•)DIC TEST TYPE STANDARD ANNUAL TEST FAIL ALARM DISABLED PERIODIC TEST FAIL ALARM DISABLED GROSS TEST FAIL ALARM DISABLED AIHI 'fEST AVERAGING: OFF PER TEST AVERAGI t-K;: OFF TANK TEST llOTIFY: OFF TN~ TST SIPHON BREAK :OFF DELI'JERV DELAY : 1 HI tl PUMP THRESHOLD : 10.00~ T 2 :?REl1IUM PROD:XT CODE THERI1AL COEFF TAN~ DIAMETER TANK PROFILE FULL VOL FLOAT SIZE: WATE WARN! tlG : HIGH WATER LIMIT: MAX •)R LABEL VOL: OVERFILL LIMIT : HIGH PRODU..,"T DELI'JERY LIMIT LOW ?RODUCT : LEAK ALARM LIMIT: 2 .000700 111.00 I PT 12032 4.0 IN. 2.0 3.0 12032 9~; 11430 95~: 11430 15Y. 1804 SUDD:::N LOSS LIMIT: 500 99 99 5.00 TANK TILT PROlE OFFSET 0.00 SIP»)t~ HAtHFOLDED TAtiKS Til: NONE LINE MANIFOLDED TAI~KS Til: NONE LEAK MIN PERIODIC: . LEAK HIN ANNUAL : I% 120 1% 120 PERI•)DIC TEST TYPE STANDARD ANN~L TEST FAIL ALARM DISABLED PERJ•)DIC TEST FAIL ALARM DISABLED GROSS TEST FAIL ALARM DISABLED ANN TEST AVERAGit.:>: OFF PER TEST AVERAGING: OFF TANK TEST NOTJFV: OFF TIIK TST SIPHON BREAK:OFF DELIVERY DELAY : I HIN PUHP THRESHOLD : lO .OOY. T 3!DIESEL PROD~CT CODE THERHAL COEFF TANK DIAMETER TANK PROFILE FULL VOL FLOAT SIZE: WATS WAR Ill NG : HIGH WATER LIMIT: NAX •)R LABEL VOL: OVER?ILL LINIT ; HIGH PRODUCT ; DELI'JER\' LINIT . LOW ?RODUCT : LEAK ALARM LIMIT: 3 .000450 111.00 I PT 12032 4.0 Itl. 2.0 3.0 12032 9W. 10828 95Y. 11430 ISY. 1804 SUDD::N LOSS LIMIT: 500 99 99 1.00 TANK TILT ! PROS:: OFFSET o.oo SIPH-)tl MANIFOLDED TArll<S Til: NONE LINE MANIFOLDED TAtll<S Til! NONE LEAK MIN PERIOD!~: LEAK MI tl ANNUAL ; 1% 120 IY. 120 PERI•)DIC TEST TYPE STANDARD ANNUHL TEST FAIL ALARM DISABLED PERWDIC TEST FAIL ALARM DISABLED GROSS TEST FAIL D ALARM DISABLE AtlN 'fEST AVERAGING: OFF PER 'fEST AVERAGING: OFF TANK TEST NOTIFY: OFF TNK TST SIPHON BREAY.:OFF DELI'JERV DELAY : I MIN PUMP THRESHOLD : 10.001: LEAK TEST METHOD TEST ON DATE : ALL TANK JAN 15. 2009 START TIME : 2:00 AH TEST RATE :0.20 GAL/HR DURATION : 2 HOURS TST ~RLY STOP!DISABLED LEAK TEST REPORT FORHAT NORMAL LIQUID SENSOR SETUP L I hiNL STP TRI-STATE <SINGLE FLOAT> CATEGORY. : STP SUMP L 2!JNL ANti TRI-STATE <SitiGLE FLOAT> CATE(>ORY : AfiNULAR SPACE L 3!JNL FILL TRI-STATE <SINGLE FLOAT> CATEGORY : OTHER SENSORS L 4:?REH STP TRI-STATE <SINGLE FLOAT> CATE(;ORY : STP SUMP L s:?REH AtiN TRI-STATE (SINGLE FLOAT) CATE•:>ORY : ANNULAR SPACE L 6:?REM FILL TRI-STATE <SWGLE FLOAT> CATE•:>ORV : OTHER SENSORS L 7:DIESEL STP TRI-STATE <SINGLE FLOAT> CATEGORY : STP SUNP L 8 :DIESEL A fiN TRI-STATE {SINGLE FLOAT> CATE•:>ORV : ANNULAR SPACE L 9!DIESEL FILL TRI-STATE <SINGLE FLOAT> CATE•:>ORV : OTHER SENSORS LIO!i:>ISP 1-2 TRI-STATE <SINGLE FLOAT> CATE•:>ORV : DISPENSER PAN LII!DISP 3-4 TRI-STATE <SWGLE FLOAT> CATE•:>ORY : DISPENSER PAN L12:DISP 5-6 TRI-STATE <SINGLE FLOAT> CATEGORY : DISPENSER PAN LI3!DISP 7-8 TRI-STATE <SINGLE FLOAT> CATE•:>ORV : DISPENSER PAN PUMP SENSOR SETUP S I :JNLEADED TANK 11: I DISP::NSE MODE: STr\NDARD S 2!?REMiut1 TANK II! 2 DISP::tlSE MODE: STANDARD OUTPJf RELAY SETUP R I : JNLEADED TYPE: Pl.t1P CONTROL OUTPUT TANK 11: 1 LIQUID SENSOR ALMS L 1 !FUEL ALARM LIO!FUEL ALARM L11 :FUEL ALARM LI2!FUEL ALARM LI3:FUEL ALARM L I !SEtlSOR OUT ALARM LIO!SENSOR OUT ALARM Lll :SENSOR OUT ALARM LI2!SENSOR OUT ALARM LI3!SENSOR OUT ALARM L I :SHORT ALARM LIO!SHORT ALARM 1.11 :SHORT ALARM L12:SHORT ALARM LI3:SHORT ALARM ISO SITE ALARMS lSD GROSS PRES FAIL ISO DEGRO PRES FAIL lSD VAPOR LEAK FAIL ISO VP PRES FAIL lSD VP STATUS FAIL ISO SETUP FAIL lSD SENSOR OUT FAIL lSD :lOSE ALARMS ALL!GROSS COLLECT FAIL ALL!DEGRO COLLECT FAIL ALL:FLOW COLLECT FAIL R 2:?REMIUM TYPE: Pll'1P COtiTROL OUTPUT TANK 11: 2 LIQUID SEt:SOR ALNS L 4!FUEL ALARM L 1 0: FUEL ALARM L11:FUEL ALARM L12:FUEL ALARM L13!FUEL ALARM L 4 :SENSOR OUT ALARM L10!SENSOR OUT ALARM Ll I !SENSOR OUT ALARM LI2!SENSOR OUT AI.ARI1 Lt3:SENSOR OUT ALARM L 4 :SHORT ALARM LtO:SHORT ALARM Lll :SHORT ALARM LI2!SHORT ALARM L13!SHORT ALARM lSD SITE ALARMS ISO GROSS PRES FAIL lSD DEGRD PRES FAIL ISO VAPOR LEAK FAIL ISO VP PRES FAIL lSD VP STATUS FAIL ISO SETUP FAIL ISO SENSOR OUT FAIL lSD riOSE ALARMS ALL!GROSS COLLECT FAIL Att:DEGRD COLLECT FAIL ALL!FLOW COLLECT FAIL 1 !l,3:!)IESEL --, ~-.'P~--STAtiDARD NO~LLV CLOSED TANK 11: 3 LIQUID SEtlSOR ALNS L 7:FUEL ALARM LI O:FUEL ALARM Ll I !FUEL ALARM LI2!FUEL ALARM LJ3:FUEL ALARM L 7:SENSOR OUT ALARH Ll O:SENSOR OUT ALARH Lll :SENSOR OUT ALARH LI2:SENSOR OUT ALARM LI3!SENSOR OUT ALARM L 7:SHORT ALARM Ll O:SHORT ALARM Ll1 :SHORT ALARM LI2!SHORT ALARM LJ 3:SHORT ALARM R 4!•)VERFILL ALARM TYPE: STANDA.RO NORWILLV OPEN TANK p: NONE IN-TANK ALARMS ALL:OVERFILL ALARM ALL!HIGH PRODUCT AlARM ALL!t1AX PRODUCT ALARM SMARTSENSOR SETUP 5 I:P.S.DISP 3-4 CATEGORY VAPOR PRESSURE 5 2:F.H. DISP 1-2 CATE•:>ORV AIR FLOW METER 5 3:?.M. DISP 3-4 CATE•:>OR'I AIR FLOW METER 5 4!?,11. DISP 5-6 CATEI:>ORY AIR FLOW METER 5 5:?.H. DISP 7-8 CATEGORY AIR FLOW METER EVR/ISD SETUP EVR 'f'IPE: VACUIJ'I ASSIST VACU.t1 ASSIST TYPE HEALV VAC NOZZLE A/L RANGE MAX: 1.15 MIN! 0,95 VAPO~ PROCESSOR ~/PE NO VAPOR PROCESSOR AtlAL'/SIS TIMES TIME: IO:OO AM DELA'/ MINUTES: ACCE?T HIGH ORVR: DISA3LEO lSD HOSE TABLE ID rP FL HL AA RR ------------------------01 ut 01 02 01 uu 02 02 02 02 01 uu 03 u3 03 02 04 uu o4 u4 04 02 04 uu 05 as 05 02 03 uu 06 J6 06 02 03 uu 07 ~7 07 02 02 uu 08 08 08 02 02 uu lSD AIRFLOW METER HAP ID s=RIAL NlJ1 LABEL I 8273 2 8308 3 6394 4 13213 F.H. DISP F.H. DISP F .H. DISP F.H. DISP ISD :UEL GRADE HOSE HAP I 2 3 4 FP H~H HHH MHH NHH AA ------------------------01 2D1 301 901 5 N I 02 2D2 302 902 5 N I 03 2J3 303 903 u u 4 o4 2u4 304 904 u u 4 05 2J5 305 905 5 tt 3 06 2J6 306 906 5 tt 3 01 2u7 307 907 u u 2 08 2ue 308 90e u u 2 LABEL TABLE I: UNASSIGNED 2 3LEND3 3 ~EGULAR 4 HID GRADE 5 ?RENILJ1 6 GOLD 7 3RONZE 8 SILVER 9 3LEND2 10 :aLEN04 PI1C SETUP PROC:SSOR CONTROL LEVEL: NONE ALARM HISTORY REPORT -----SENSOR ALARM -----L I !t.JNL STP STP SUMP FUEL ALARM JUL 3, 2014 10:34 AH SENS-:>R OUT ALARM JUl. 3, 2014 10:14 AN ALARM HISTORY REPORT -----SENSOR ALARM -----L 2:·JNI. ANN AtiNU":..AR SPACE FUEL ALARM JUl. 3, 2014 10:28 AH FUEL ALARM JUl. 3, 2014 10:22 AM SENSo:lR OUT ALARM JUl. 3, 2014 10!14 AH ALARH HlSTORV REPORT ----SEtlSOR ALARM -----L 3:JtlL FILL OTH~ SENSORS FUEL ALARM JUt. 3, 2014 10:19 AH SENS-)R OUT ALARM JUl. 3. 2014 10:14 At! A!.ARH HISTORY REPORT ---SEflSOR ALAP.f1 ----- L 4 :?REI1 STP STP SIJ1P FUEL ALARM JUL 3, 2014 10:38 AH SENS-)R OUT ALAR!'! JUt. 3, 2014 10:14 AH FUEL ALARM APR J, 2014 1:45 ~~ ALARM HISTORY REPORT -----SENSOR ALARM -----L 4 :?REM STP STP Sli1P FUEL ALARM JUL 3. 2014 10:38 Al1 SEfG:lR OUT ALARM JUL 3. 2014 10:14 Al1 FUEL ALARM APR 1. 2014 1!45 PH ALARM HISTORY REPORT -----SEfSOR ALARM -----L 5:?REI1 ANN ANNU!.AR SPACE FUEL ALARM JUL 3. 2014 10:24 A11 SENS:>R OUT ALARM JUL 3, 2014 10!14 Al1 FUEL ALARM APR 9, 2014 1:43 PH ALARI1 HISTORY REPORT -----SENSOR ALARM -----L 6:?REM FILL OTHS SENSORS FUEL ALARM JUL 3. 2014 10:29 AM SENS•)R OUT ALARM JUL 3. 2014 10:14 AM ALARM HISTORY REPORT -----SENSOR ALARM -----L 7:!>1ESEL STP STP SUMP FUEL ALARM JUL 3. 2014 10:52 AM FUEL ALARM JUL 3. 2014 10:39 AM SENS•:>R OUT ALARM JUL 3. 2014 10:14 AM ALARM HISTORY REPORT -----SENSOR ALARM -----L e:DIESEL ANN ANNULAR SPACE FUEL ALARM JUL 3. 2014 10:29 AH SENS•)R OUT ALARM JUL 3. 2014 10:14 AH FUEL ALARM MAR 17. 2014 12:07 PH ALARM HISTORY REPORT -----SENSOR ALARM -----L e:DIESEL ANN Atltllf!-AR SPACE FUEL ALARM JUL 3. 2014 10:29 AM SENS•)R OUT ALARM JUL 3. 2014 10:14 AM FUEL ALARM NAR 17. 2014 12:07 PM ALARM HISTORY REPORT -----SENSOR ALARM -----L 9::;)[ESEL FILL OTHS SENSORS FUEL ALARM JUL 3. 2014 10:21 AM SENS·)R OUT ALARM JUL 3. 2014 10:14 AM ALARI1 HISTORY REPORT -----SENSOR ALARM -----L 9:::>1ESEL FILL OTHS SENSORS FUEL ALARM JUL 3. 2014 10:21 AM SENS>)R OUT ALARM JUL 3. 2014 10:14 AH ALARM HISTORY REPORT -----SENSOR ALARM ---- L10:DJSP 1-2 DJSP~tlSER PAN FUEL ALARM JUL 3. 2014 10:46 Ar-t SENS)R OliT ALARM JUL 3. 2014 10:14 AM FUEL ALARM FEB 18. 2014 10:34 AM ALARI1 HISTORY REPORT -----SENSOR ALARH ----- LIO:DISP 1-2 DISP::NSER PAtl FUEL ALARM JUL 3. 2014 10:46 AM SEI'&)R OliT ALARM JUL 3. 2014 10:14 AM FUEL ALARM FEB 18. 2014 10:34 AM ALARM HISTORY REPORT ----SEtlSOR ALARit -----1.11 ::>JSP 3-4 DISPzNSER PAN FUEL ALARM JUL 3. 2014 10:47 AH SENS>)R OliT ALARM JUL 3. 2014 10:14 AM ALARH HISTORY REPORT -----SENSOR ALARM -----L12:;)1SP 5-6 DISP::NSER PAN FUEL ALARM JUL 3. 2014 10:42 AM SEIIS-)R OliT ALARM JUl. 3. 2014 10:14 AM ALARH HISTORY REPORT -----SENSOR AtARtt -----L13:DJSP 7-8 DISP::tiSER PAN FUEL ALARH JUL 3. 2014 10:49 AM SENS.)R OliT ALARM JUL 3. 2014 10:14 AH fASniP 705 1200 COFFEE RD. BAK~SFfELD CB 93309 661-589-t.305 Jur. to. 2014 9:35 flti S\'::>"TEJ1 STATUS REPORT AI.-FUtlCTJOtlS tiO!ltfAL f NVEWORV REPORT T I:JIILEADED VOLUME • 7147 GALS ULLA(>E • 4885 GALS 90~' :JLLAGE• 3681 GALS TC V•)LUME • 7016 GALS HEIC:IT • 63.73 ltlCHES WAT~ VOL A 0 GALS WATE.~ • 0.00 INCitE:! TENP .. St.. I DEC r T 2:?REt1llJt1 VOLtJI1E " 7364 GAl;·· ULLA•~E • 4668 GAL.:S 901: JLLACE• 3464 CAl£ TC V~LUME • 7212 GALS HEIC-IT • 65.32 ltiCHES WAT~ VOL • 0 GALS WATE • 0.00 INCHES TEl'lP • 89.3 DEC F T 3::>1ESEL VOU.t1E • 6622 GALS · ULLAO:>E • 541 0 C(ILS 9Qn Jll.F;GE• 4206 GALS TC V•)Ll.t1£ .. 6520 GALS HEJC-IT • 59,90 IM:HES WAT~ VOL • II GALS IJAT~ • 0. 77 INCHES TEMP • 94.1 DEC F -----SENSOR ALARM -----LtO:DISP 1-2 DJSPEtiSER PAtl FUEL ALARM JUL 10. 2014 9:37 Mt -----SEtlSOR ALARH ---- L12:)JSP 5-6 DISE::tiSER PAll FUEL ALARM JUl. 1 Q. 201 ~ 9:~0 AN -----SElSOR AUIRtf -----l.l:l::>ISP 7-B DISP=NSER PAll FUEL ALARM JUL 10· 2014 9:42 AM -----SEtlSOR ALARM --~- L1 I ::::>ISP 3-4 DISP=NSER PAN FUEL ALARM JUL 10. 2014 9:44 AN -----SENSOR ALARM -----L I :JNL STP STP Stl1P FUEL A1.ARt1 JUL 10. 2014 9:46 AN -----SElSOR ALARM -----L 4:?REN STP STP Stl1P FUEL ALARM JUL 10. 2014 9:47 AH -----SENSOR ALARM -----L 7::;)JESEL STP STP SUMP FUEL ALARM JUL 10. 2014 9:48 AM -----SENSOR ALARt1 ----- L 5:?REI1 ANN AtlNlf-AR SPACE FUEL ALARM JUL 10. 2014 9:49 At1 --~--SEIISOR ALARM -----L 2:uNL ANN ANNIJ':.AR SPACE FUEL ALARM JUL 10. 2014 9:49 AM ----SEIISOR ALARM ----L 2:JNL ANN ANNILAR SPACE FUEL ALARM JUL 10. 2014 9:50 AN -----SENSOR ALARM -----L 5:?REM ANN AtiNIJ'!.AR SPACE FUEL ALARM JUL 10. 2014 9:50 AM -----SENSOR ALARt1 -----L 9:i)IESEL FILL OTH~ SENSORS FUEL ALARM JUL 10. 2014 9:51 AM -----SENSOR ALARM ----- L 6:?REI1 FILL OTHE SENSORS FUEL ALARM JUL 10. 2014 9:51 Al'l -----SEtlSOR ALARM -----L 3::.JNL FILL OTHB SENSORS FUEL ALARI1 JUL 10. 2014 9:52 AN -----SElSOR ALARM -----L B:DIESEL ANN AtlNIJ':.AR SPACE FUEl. ALARM JUL 10. 2014 10:06 AM -----SEilSOR ALARtl ----L13::;)1SP 7-8 DISP=NSER PAll SEIS)R OUT ALARM JUL 10. 2014 10:27 AN -----SENSOR ALARM -----[. 9::)1ESEL FILl. OTHE.~ SENSORS SEtlS·:>R OUT ALARM JUL 10. 2014 10:27 AN -----SENSOR ALARM ----- L 5:?REM ANti AtiNlJ'-AR SPACE SENS·:>R OUT ALARM JUL 10. 2014 10:27 AM -----SENSOR ALARM ----L10:DlSP 1-2 DlSP=NSER PAll SENS·:>R OUT ALARM JUL 10. 2014 10:27 AN --~--SEtlSOR ALARM -----L 1 :JNL STP STP SUMP SEIIS>)R OUT ALARM JUL 10. 2014 10:27 AM -----SENSOR ALARM ----LII :DISP 3-4 DISP:=NSER PAN SEI&:>R our ALARM JUL 10. 2014 10:27 AM -----SEr:SOR ALARM ----- LI2!DISP 5-6 DISPENSER PAll SEI&:>R our ALARM JUL 10. 2014 t0!27 AH -----SENSOR ALARM -----L G!PREM FILL OTHS SENSORS SEtS:>R Our ALARM JUL 10. 2014 10:27 At1 -----SE!lSOR ALARII -----L ?!DIESEL STP STPSLt1P SENS:>R our AlARM JUL 10. 20t4 10:27 AM --~--SENSOR ALARM -----L 8:DIESEL ANN AN!llJ!-AR SPACE SENS·:>R OUT ALARM JUL tO. 2014 10:27 AM -----SENSOR ALARM ---- L 2:\Jtll. ANN AllNULAR SPACE SEtSo:>R Our ALARM JUL 10. 2014 10!27 AH "------SEtiSOP. ALARt1 -----L 3!JilL FILL OT~ SENSOP.S SENS•:>R OUT ALARM JUL 10. 20t4 10:27 AH -----SEtiSOR ALARH -----L 4!?REI1 STP STP Sl.t1P SEIIS•)R OUT ALARM JUL tO. 2014 10:27 AM ----ltl-TAllK ALARM ----- T t : JNLEADED SUDD:::N LOSS A!J.\RM JUL 10. 20t4 10!32 AH ----I ti-TAIII: ALARM -----T I :JNLEADED f-ROB::: OUT JUL 10. 2014 10:32 Al'l / _,.-' ----ltl-TA!ll: ALARM -----T I : JtlLEADED DELI'JERV NEEDED JUL 10. 2014 10:33 AM ----IN-TANI: ALARM -----T I : JllLEADED ItNA:.ID FUEL LEVEL JUL 10. 2014 10!33 AM T I : :Jtll.EADED ltiVE'lTORY It~REASE I NCR:::ASE START JUL 10. 2014 10:33 AM VOLU1E HEJC,ff WAT~ TEMP • 1301 CALS • 18.33 IIICHES • 5.81 INCHES a 84.9 DE.:> F ltiCIS\SE Etlfl JUL 10. ~014 10:35 AM VOLLt1E HEJC,ff WAT~ TEMP • 8405 CALS • 73.11 INCHES " 0. 90 INCHES • 85.4 OEG F GROSS ltiCREASEu 7104 TC lET I tiCREASE• 6978 ----I II-TANK Al.AF.11 -----T I : .JtiLEAOED HIGH PRODUCT ALAPJ1 JUL 10. 2014 10:35 AM ----IN-TAll!: ALARM -----T I : JNLEADEO PROS::: our JUL 10. 2014 10:36 AM ----I U-TAtn: til.ARH ----- T 2:?REMill1 SUOO:::tl LOSS ALARM JUL 10. 2014 10!39 AM ----lti-TAtiK ALARM -----T 2:?REMill1 PROS:= OUT JUL 10. 2014 10:38 AM ----HI-TAN!: ALARM -----T 2:?REHIUH DELI'JERY NEEDEl• JUL JO, 2014 10:39 AN ----lti-TI-\11" Al.ARM -----T 2:?REI1JU1 HIGH PROD~-r ALARH JUL JO, 2014 10!39 AM ----I N-TAtll: ALARM -----T 2!?REHIUM PRO~ OUT JUL 10. 2014 10:40 AN ----ltl-TAfiK ALAilM -----T 2:?REMI UH LOW TEMP WARIIIIIG JUL 10. 2014 10:40 All ----I ti-TAtll< ALARM -----T 3::>1ESEL PROB::: OUT JUL 10. 2014 10:41 AN ----11'1-TAtiK ALARM -----T 3:::>1ESEL HIGH PRODUCT ALARM JUL 10. 2014 10:43 AN ----I tl-TAtU: ALARM -----T 3:JJESEL OVERFILL ALARM JUL 10. 2014 10:43 AM T 3:Z>IESEL ltNENTORV I NCREASE lNCP.=:ASE START JUL 10, 2014 10:42 AH VOLU1E HEIG:IT WATS TEMP " 6886 CAts " 61.81 WCHES • 0.00 INCHES " 94.3 DEC F ltlCR::ASE END JUL 10. 2014 10:45 AM VOLIJ1E HEIG:IT WATS TEMP • 1 150~ CAts •101.11 INCHES • 0.00 INCHES • 95.2 DEC F GR0'3S ltf.:REASE• 4618 TC tET WCREASE• 4542 ----I N-TANI: ALI'\RH -----T 3::;:>1ESEL PROB:: OUT JUL 10. 2014 10:45 AN T 3:JIESEL INVENTORY I NCR EASE I NCICASE START JUL 10. 2014 10:46 AN VOLUI'IE HEICriT WATS TEHP " 5051 GALS " 49.49 ltiCHES • 0.00 INCHES a 98.6 DEC F WCR::ASE END JUL 10. 2014 10!48 AM VOLU1E HEIG:IT WATS TEMP • 6625 CAts • 59.91 INCHES • 0.00 ltiCHES • 98.5 DEC F GROSS I NCREASE• 1574 TC tGT WCREASEa:...._.......,_,4..,._ _ _, FA~IP 705 1200 COFFEE RD. BAK~SFIELD CB 93308 661-589-6305 JUL 10. 2014 12:08 PN S\"3TEM STATUS REPORT ALL FUN\,-riONS tiORMAL SWRCB, January 2006 Spill Bucket Testing Report Form This form is intended for use by contractors performing annual testing ofUSTspi/1 containment structures. The completed form and printouts from tests (if applicable), should be provided to the facility owner/operator for submillal to the local regulat01y agency. I. FACILITY INFORMATION Facility Name: #7705 Fastrip #64 1 I Date of Testing: ·-07/10/20 14 Facility Address: 1200 Coffee Road , Bakersfield, CA 93308 Facility Contact: Omero Garcia I Phone: 661-393-7000 Date Local Agency Was Notified of Testing: Name of Local Agency Inspector (if present during testing): 2. TESTING CONTRACTOR INFORMATION Company Name: Confidence UST Services, Inc. Technician Conducting Test: Dustin Reese Credentials 1: lEI CSLB Contractor lEI ICC Service Tech. 0 SWRCB Tank Tester 0 Other (Specify) License Number(s): CSLB #804904 ICC #8216722-UT 3. SPILL BUCKET TESTING INFORMATION Test Method Used: !EI IIydrostatic 0 Vacuum ~Other Test Equipment Used: Lake Test Equipment Resolution: 0.0625" Identify Spill Bucket (By Tank J Regu lar 2 Super 3 Diesel 4 Number, Stored Product, etc.) 0 Direct Bury 0 Direct Bury 0 Direct Bury 0 Direct Bury Bucket Installation Type: lEI Contained in Sump lEI Contained in Sump lEI Contained in Sump 0 Contained in Sump Bucket Diameter: 12.00" 12.00" 12.00" Bucket Depth: 11.00" 13.00" 13.00" Wait time between applying 5 min. 5 min. 5 min. vacuum/water and start of test: Test Start Time (T1): 9:12AM 9:12AM 9:12AM Initial Reading (R1): 09.50" 09.50" 09.50" Test End Time (T F): I 0:12AM I 0:12A M I 0:12AM Final Reading (RF): 09.50" 09.50" 09.50" Test Duration (T F-T1): I hour I hour I hour Change in Reading (RF-R1): 0.00" 0.00" 0.00" Pass/Fail Threshold or 0.0625" 0.0625" 0.0625" Criteria: Test Res ult: x Pass Fail lEI Pass OFaii lEI Pass O Fail 0 Pass 0 Fail Comments-(include information on repairs made prior to testing, and recommended[ollow-up[or failed tests) CERTIFICATION OF TECHNICIAN RESPONSIBLE FOR CONDUCTING THIS T ESTING I hereby certify that all the information contained in this report is true, accurate, and in f ull compliance with legal requirements. Tochn;dan's s;gnatuce: ~ ---;;;?~ Date: 07/10/2014 1 State laws and regulations do not currently require testing to be performed by a qualified contractor. I Iowever, local requirements may be more stringent. FIR HY I II .. • 111!111 I ~ II il~~,~ I I 1 1 I~ i 'I ~ ... ~ ~' .~~ ~ ~ ""'02 ~ ~ ,..,. ~ 0~ n ~ i r=~ ~ ~ • ("")~ -< ~-- 0 Oa:: ~ s::::~ ~ -o z )> > ~~~;I I I I I~ I :-u =til~ i lEGEND I FIRE HYDRANT I FIRE EXTINGUISHER G. GAS METER/SHUT .OFF w+ WATER SHUT ..OFF • OVERFill ALARM • ESO A ANNULAR PN PNVENTS TlS VEEDER~OOT TlS 350R H HEALY RANT ~ L1 87STP l2 87 ANNULAR· SITE PLOT PLAN for: #705 FASTRIP #641 l3 87 FILL l4 91 STP l5 91 ANNULAR 1200 COFFEE RD. BAKERSFIELD, CA 93308 (661) 615-6033 l6 91 FILL l7 DSLSTP l8 DSLANNULAR l9 DSLFILL l10 UDC1·2 l11 UDC3·4 l12 UDC 5 • 6 l13 UDC 7 • 8 l t1 F. r r ~ CIRCUIT FIRE BREAKER _......EXT! 'f ~ CIRCUIT ~ _...c; BREAKER ~ I D --i [/ FIRE Y' EXTINGUISHER M~ • CIRCUIT BREAKER ® ....___~~t?..., 1_ c oi:E:!!r 2 I I Ill 5 ~ 6 \ .._ ~ ·~-,~--• _•-~ IV. '\,k -- BIU...a&.RD. Name: Street: City: Terms: ~f\0~ .. CJO (It'\ \UST¥ ~ +' )),uc'f\0 "SUlLO WITH CONFIDENCE" Lie. 970703 "COMPUANCE Wmi CONAOENCE' Lic.804904 Toll Free #: 1-800-339-9930 Confidence UST 16250 Meacham Road Bakersfield CA 93314 Descriotion of work oerformed: ~r-r·MB~ Job Order /Invoice #: 3;t\ ~CO Date Called Tome To Whom Site Name: 11 0"5 t~b-th :If-Jot{/ Street: /d.C::l0 t1 J-~~ £'-cl City: .R7.fer,r.el::l State: 04 Zip: Store No: I RepalrDa~ I-to~;. Cf33~ A ~r ILD1.5l3 /Y?dltf~r 144 eerl;-1,~. 1 7)~rluOJ L 1,11'7(;) , FX-tl>V ., L .aL.. J Bad. fl.. e 0/r..~c F j ~~ /lQ J f_L J w:fl, c:-~'/101 ~))..k; ..411 Ln~u1d 1alnrm~ T"Dt!.. ~ J.o ~k,~a-Glr /;/-}<?a f-ICJYJ / { TRAVEL and LABOR (0.5 Hour M1n1mum Labor Charge) OVERTIME (5:00 PM -7:00AM) Date Techniclan(s) Name l·':.'<,··,:::•· .. :i."',~~ Start End Total OT Start OTEnd OTTotal ? ... tf>~Ji/1 n~"' 'D~P. Travel Labor I ""' Travel Date Techniclan(s) Name I -~~·· .. ; Start End Total OT Start OTEnd OTTotal Travel Labor Travel Date Technlclan(s) Name Start End Total OT Start OTEnd OTTotal Travel Labor Travel SUPPLIES -M ATERIALS -RENTALS Check One Qty. UST Pji(S Site Parts T "":D\t'"~eJ LLD i'X-\.\JV v COMMEN TS INVOICE \1 'il ·~:: SITE