HomeMy WebLinkAbout2015 RESULTSMONITORING SYSTEM CERTIFICATION
For Use By All Jurisdictions Within the State of CaliforniaAuthority Cited: Chapter 6.7, Health 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 this form to the local agency regulating UST systems within 30 days of test date.
A.General Information
Facility Name:Bldg. No.:
Site Address:City:Zip:
Facility Contact Person: Contact Phone No.:
Make/Model of Monitoring System:Date of Testing/Servicing:
B.Inventory of Equipment Tested/Certified
Check the appropriate boxes to indicate specific equipment inspected/serviced:
Tank ID:Tank ID:
In-Tank Gauging Probe.Model:In-Tank Gauging Probe.Model:
Annular Space or Vault Sensor.Model:Annular Space or Vault Sensor.Model:
Piping Sump / Trench Sensor(s).Model:Piping Sump / Trench Sensor(s).Model:
Fill Sump Sensor(s).Model:Fill Sump Sensor(s).Model:
Mechanical Line Leak Detector.Model:Mechanical Line Leak Detector.Model:
Electronic Line Leak Detector.Model:Electronic LineLeak Detector.Model:
Tank Overfill / High-Level Sensor.Model:Tank Overfill / High-Level Sensor.Model:
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:Tank ID:
In-Tank Gauging Probe.Model:In-Tank Gauging Probe.Model:
Annular Space or Vault Sensor.Model:Annular Space or Vault Sensor.Model:
Piping Sump / TrenchSensor(s).Model:Piping Sump / Trench Sensor(s).Model:
Fill Sump Sensor(s).Model:Fill Sump Sensor(s).Model:
Mechanical Line Leak Detector.Model:Mechanical Line Leak Detector.Model:
Electronic Line Leak Detector.Model:Electronic Line Leak Detector.Model:
Tank Overfill / High-Level Sensor.Model:Tank Overfill / High-Level Sensor.Model:
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: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).
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).
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 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):System set-up Alarm history report
Technician Name (print):Signature:
Certification No.:License. No.:804904
Testing Company Name:Confidence UST Services, Inc.Phone No.:(800)339-9930
Site Address:Date of Testing/Servicing:
Page 1 of 3
#3360 Farrell'sFastrip
6401WhiteLaneBakersfield93309
OmeroGarcia (661)393-7000
Veeder-RootTLS-350 08/13/2015
12,000gal.Regular
847390-107
794390-303
794380-208
794380-208
FX1V
847390-107
12,000gal.Super
847390-107
794390-303
794380-208
794380-208
FX1V
847390-107
12,000gal.Diesel
847390-107
794390-303
794380-208
794380-208
FX1DV
847390-107
1-2
794380-208
3-4
794380-208
5-6
794380-208 794380-208
7-8
Cameron Mason
B42599
6401WhiteLane Bakersfield,CA9330908/13/2015
794380-208
794380-208
Monitoring System Certification
D.Results of Testing/Servicing
Software Version Installed:
Complete the following checklist:
Yes No*Isthe 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*
N/A
If alarms are relayed to a remote monitoring station, is all communications equipment (e.g., modem)
operational?
Yes No*
N/A
For pressurized piping systems, does the turbine automatically shut down if the piping secondary containment
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*
N/A
For tank systems that utilize the monitoring system as the primary tank overfill warning device (i.e., no
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 oftank capacity does the alarm trigger? %
Yes*NoWas any monitoring equipment replaced? If yes, identify specific sensors, probes, or other equipment replaced
and list the manufacturer name and model for all replacement parts in Section E, below.
Yes*NoWas liquid found inside any secondary containment systems designed as dry systems? (Check all that apply)
Product; Water. If yes, 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:
Page 2 of 3
331.01
90
Monitoring System Certification
F.In-Tank Gauging / SIR Equipment: Check this box if tank gauging is used only for inventory control.
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:
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 the Section H, below, describe how and when these deficiencies were or will be corrected.
G.Line Leak Detectors (LLD):Check this box if LLDs are not installed.
Complete the following checklist:
Yes No*
N/A
For equipment start-up or annual equipment certification, was a leak simulated to verify LLD performance?
(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*
N/A
For mechanical LLDs, does the LLD restrict product flow if it detects a leak?
Yes No*
N/A
For electronic LLDs, does the turbine automatically shut off if the LLD detects a leak?
Yes No*
N/A
For electronic LLDs, does the turbine automatically shut off if any portion of the monitoring system is disabled
or disconnected?
Yes No*
N/A
For electronic LLDs, does the turbine automatically shut off if any portion of the monitoring system malfunctions
or fails a test?
Yes No*
N/A
For electronic LLDs, have all accessible wiring connections been visually inspected?
Yes No*Were all items on the equipment manufacturer’s maintenance checklist completed?
* In the Section H, below, describe how and when these deficiencies were or will be corrected.
H.Comments:
Page 3 of 3
Leak Detector Test Results Sheet
Customer Address: Work Order: Site Address:
Test Date:
Site Contact: Phone:
Technician: Phone: 800-339-9930 ICC No.:
Product Type LLD Type Model Serial No. Check
Valve
Holding
Pressure
Bleed
Off ML.
Leak
Rate
Tested:
Pass/Fail
3 gph @
10 psi
3 gph @
10 psi
3 gph @
10 psi
3 gph @
10 psi
3 gph @
10 psi
3 gph @
10 psi
3 gph @
10 psi
3 gph @
10 psi
Technician Name: Technician No.:
Signature: Date:
JacoHill
P.O.Box82515
Bakersfield,CA93380-2515
35001
08/13/2015
8174721-UT
Regular Mechanical FX1V
CameronMason
(661)393-7000OmeroGarcia
Bakersfield,CA93309
6401WhiteLane
#3360Farrell'sFastrip
18 PSI 200 ml Pass
FX1VMechanicalPremium 23 PSI 150 ml Pass
FX1DVMechanicalDiesel 26 PSI 200 ml Pass
CameronMason 8174721-UT
08/13/2015
pg. 1
Responses Received:
I10200
AUG 13, 2015 11:51 AM
FASTRIP
6401 WHITE LANE
BAKERSFIELD,CA 93309
SYSTEM CONFIGURATION
SLOT BOARD TYPE POWER ON RESET CURRENT
1 8SMARTSENSOR BD 39680 39591
2 4 PROBE / G.T. 164579 164275
3 INTERSTITIAL BD 203255 203027
4 INTERSTITIAL BD 202902 202764
5UNUSED 9885416 9829285
6 UNUSED 9868181 9822084
7 UNUSED 9867504 9814837
8 UNUSED 9859248 9818850
9 STP SENSE BOARD 33066 33081
10 RELAY BOARD 15022 15037
11 UNUSED 9867737 9830926
12 UNUSED 9863722 9819437
13 UNUSED9859368 9819207
14 UNUSED 9851630 9817831
15 UNUSED 9852984 9822120
16 UNUSED 9862977 9825078
COMM 1 RS232 SERIAL BD 14999 15014
COMM 2 RS232 SERIAL BD 15067 15106
COMM 3 ELEC DISP INT. 101804 101873
COMM 4 UNUSED 9865977 9819804
COMM 5 UNUSED 9855623 9815378
COMM 6 UNUSED 9852465 9817579
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AUG 13, 2015 11:51 AM
SOFTWARE REVISION LEVEL
VERSION 331.01
SOFTWARE# 346331-100-B
CREATED-11.03.22.16.28
S-MODULE# 330160-004-a
SYSTEM FEATURES:
PERIODIC IN-TANK TESTS
ANNUAL IN-TANK TESTS
ISD/APM
I11100
AUG 13, 2015 11:51 AM
FASTRIP
6401 WHITE LANE
BAKERSFIELD,CA 93309
PRIORITY ALARM HISTORY
ID CATEGORY DESCRIPTIONALARM TYPE STATE DATE TIME
pg. 2
L 8 OTHER DIE FILL SENSOR OUT ALARM CLEAR 8-13-15 9:58AM
L 7 STP SUMP DIE STP SENSOR OUT ALARM CLEAR 8-13-15 9:58AM
L16 ANNULAR DIE ANN SENSOR OUT ALARM CLEAR 8-13-15 9:58AM
L12 DISP PAN DIS 5-6 SENSOR OUT ALARM CLEAR 8-13-15 9:58AM
L 6 ANNULAR PNL ANN SENSOR OUT ALARM CLEAR 8-13-15 9:58AM
L 4 STP SUMP PNL STP SENSOR OUT ALARM CLEAR8-13-15 9:58AM
L11 DISP PAN DIS 3-4 SENSOR OUT ALARM CLEAR 8-13-15 9:58AM
L 3 OTHER UNL FILL SENSOR OUT ALARM CLEAR 8-13-15 9:58AM
L 5 OTHER PNL FILL SENSOR OUT ALARM CLEAR 8-13-15 9:58AM
L 2 ANNULAR UNL ANN SENSOR OUT ALARM CLEAR 8-13-15 9:58AM
L10 DISP PAN DIS 1-2 SENSOR OUT ALARM CLEAR 8-13-15 9:58AM
L 1 STP SUMP UNL STP SENSOR OUT ALARM CLEAR 8-13-15 9:58AM
L13 DISP PAN DIS 7-8 SENSOR OUT ALARM CLEAR 8-13-15 9:58AM
L 4 STP SUMP PNL STP SENSOR OUT ALARM ALARM 8-13-15 9:56AM
L 3 OTHER UNL FILL SENSOR OUT ALARM ALARM 8-13-15 9:56AM
L16 ANNULAR DIE ANNSENSOR OUT ALARM ALARM 8-13-15 9:56AM
L 2 ANNULAR UNL ANN SENSOR OUT ALARM ALARM 8-13-15 9:56AM
L 1 STP SUMP UNL STP SENSOR OUT ALARM ALARM 8-13-15 9:56AM
L 8 OTHER DIE FILL SENSOR OUT ALARM ALARM 8-13-15 9:56AM
L 7 STP SUMP DIE STP SENSOR OUT ALARM ALARM 8-13-15 9:56AM
L13 DISP PAN DIS 7-8 SENSOR OUT ALARM ALARM 8-13-15 9:56AM
L12 DISP PAN DIS 5-6 SENSOR OUT ALARM ALARM8-13-15 9:56AM
L 6 ANNULAR PNL ANN SENSOR OUT ALARM ALARM 8-13-15 9:56AM
L11 DISP PAN DIS 3-4 SENSOR OUT ALARM ALARM 8-13-15 9:56AM
L 5 OTHER PNL FILL SENSOR OUT ALARM ALARM 8-13-15 9:56AM
L10 DISP PAN DIS 1-2 SENSOR OUT ALARM ALARM 8-13-15 9:56AM
T 3 TANK DIESEL PROBE OUT CLEAR 8-13-15 9:55AM
T 3 TANK DIESEL OVERFILL ALARM CLEAR 8-13-15 9:54AM
T 3 TANK DIESEL PROBE OUT ALARM 8-13-15 9:54AM
T 3 TANK DIESEL OVERFILL ALARM ALARM 8-13-15 9:54AM
T 3 TANK DIESEL PROBE OUT CLEAR 8-13-15 9:53AM
T 3 TANK DIESELPROBE OUT ALARM 8-13-15 9:52AM
T 2 TANK PNL PROBE OUT CLEAR 8-13-15 9:51AM
T 2 TANK PNL OVERFILL ALARM CLEAR 8-13-15 9:50AM
T 2 TANK PNL PROBE OUTALARM 8-13-15 9:50AM
T 2 TANK PNL OVERFILL ALARM ALARM 8-13-15 9:50AM
T 2 TANK PNL PROBE OUT CLEAR 8-13-15 9:49AM
T 2 TANK PNL PROBE OUT ALARM8-13-15 9:48AM
T 1 TANK UNL PROBE OUT CLEAR 8-13-15 9:47AM
T 1 TANK UNL PROBE OUT ALARM 8-13-15 9:47AM
T 1 TANK UNL MAX PRODUCT ALARM CLEAR 8-13-15 9:47AM
T 1 TANK UNL PROBE OUT CLEAR 8-13-15 9:47AM
T 1 TANK UNL OVERFILL ALARM CLEAR 8-13-15 9:46AM
T 1 TANK UNL PROBE OUT ALARM 8-13-15 9:46AM
T 1 TANK UNL OVERFILL ALARM ALARM 8-13-15 9:46AM
T 1 TANK UNL MAX PRODUCT ALARM ALARM 8-13-15 9:46AM
T 1 TANK UNL PROBE OUT CLEAR 8-13-15 9:45AM
T 1 TANK UNLPROBE OUT ALARM 8-13-15 9:45AM
L13 DISP PAN DIS 7-8 FUEL ALARM CLEAR 8-13-15 9:42AM
L13 DISP PAN DIS 7-8 FUEL ALARM ALARM 8-13-15 9:42AM
I11200
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FASTRIP
6401 WHITE LANE
BAKERSFIELD,CA 93309
NON-PRIORITY ALARM HISTORY
ID CATEGORY DESCRIPTION ALARM TYPE STATE DATE TIME
pg. 3
T 3 TANK DIESEL HIGH PRODUCT ALARM CLEAR 8-13-15 9:55AM
T 3 TANK DIESEL HIGH PRODUCT ALARM ALARM 8-13-15 9:54AM
T 2 TANK PNL LOW TEMP WARNING CLEAR 8-13-15 9:51AM
T 2 TANK PNL LOW TEMP WARNING ALARM 8-13-15 9:51AM
T2 TANK PNL HIGH PRODUCT ALARM CLEAR 8-13-15 9:50AM
T 2 TANK PNL HIGH PRODUCT ALARM ALARM 8-13-15 9:50AM
T 2 TANK PNL LOW TEMP WARNING CLEAR 8-13-15 9:49AM
T 2 TANK PNL LOW TEMP WARNING ALARM 8-13-15 9:49AM
T 1 TANK UNL DELIVERY NEEDED CLEAR 8-13-15 9:48AM
T 1 TANK UNL INVALID FUEL LEVEL CLEAR 8-13-15 9:48AM
T 1 TANK UNLHIGH PRODUCT ALARM CLEAR 8-13-15 9:47AM
T 1 TANK UNL DELIVERY NEEDED ALARM 8-13-15 9:47AM
T 1 TANK UNL INVALID FUEL LEVEL ALARM 8-13-15 9:47AM
T 1 TANK UNL HIGH PRODUCT ALARM ALARM 8-13-15 9:46AM
T 3 TANK DIESEL HIGH PRODUCT ALARM CLEAR 8-07-15 10:20AM
T 3 TANK DIESEL HIGH PRODUCT ALARM ALARM 8-07-15 10:05AM
T 2 TANK PNL HIGH PRODUCT ALARM CLEAR8-07-15 9:59AM
T 2 TANK PNL HIGH PRODUCT ALARM ALARM 8-07-15 9:58AM
T 2 TANK PNL DELIVERY NEEDED CLEAR 8-07-15 9:57AM
T 2 TANK PNL DELIVERY NEEDED ALARM 8-07-15 9:56AM
T 1 TANK UNL LOW TEMP WARNING CLEAR 8-07-15 9:55AM
T 1 TANK UNL LOW TEMP WARNING ALARM 8-07-15 9:55AM
T 1 TANK UNL HIGH PRODUCT ALARM CLEAR 8-07-15 9:54AM
T 1 TANK UNL HIGH PRODUCT ALARM ALARM 8-07-15 9:54AM
T 1 TANK UNL INVALID FUEL LEVEL CLEAR 8-07-15 9:54AM
T 1 TANK UNL DELIVERY NEEDED CLEAR 8-07-15 9:54AM
T 1 TANK UNLDELIVERY NEEDED ALARM 8-07-15 9:53AM
T 1 TANK UNL INVALID FUEL LEVEL ALARM 8-07-15 9:53AM
SYSTEM PRINTER ERROR CLEAR 8-04-15 8:27AM
SYSTEM PAPER OUTCLEAR 8-04-15 8:27AM
SYSTEM PRINTER ERROR ALARM 8-04-15 8:27AM
SYSTEM PAPER OUT ALARM 8-04-15 8:27AM
SYSTEM PRINTER ERROR CLEAR8-04-15 8:27AM
SYSTEM PAPER OUT CLEAR 8-04-15 8:27AM
SYSTEM PRINTER ERROR ALARM 8-04-15 8:23AM
SYSTEM PAPER OUT ALARM 8-04-15 8:23AM
SYSTEM PRINTER ERROR CLEAR 7-15-15 7:01AM
SYSTEM PAPER OUT CLEAR 7-15-15 7:01AM
SYSTEM PRINTER ERROR ALARM 7-15-15 7:01AM
SYSTEMPAPER OUT ALARM 7-15-15 7:01AM
SYSTEM PRINTER ERROR CLEAR 7-15-15 7:01AM
SYSTEM PAPER OUT CLEAR 7-15-15 7:01AM
SYSTEM PRINTER ERROR ALARM 7-15-15 7:01AM
SYSTEM PAPER OUT ALARM 7-15-15 7:01AM
SYSTEM PRINTER ERROR CLEAR 7-15-15 7:01AM
SYSTEMPAPER OUT CLEAR 7-15-15 7:01AM
SYSTEM PRINTER ERROR ALARM 7-15-15 7:00AM
SYSTEM PAPER OUT ALARM 7-15-15 7:00AM
SYSTEMPRINTER ERROR CLEAR 7-15-15 7:00AM
SYSTEM PAPER OUT CLEAR 7-15-15 7:00AM
I20600
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FASTRIP
6401 WHITE LANE
BAKERSFIELD,CA 93309
TANK ALARM HISTORY
pg. 4
TANK 1 UNL
OVERFILL ALARM AUG 13, 2015 9:46 AM
AUG 7, 2015 9:54 AM
JUL 31, 2015 4:15 AM
HIGH PRODUCT ALARM AUG 13, 2015 9:46 AM
AUG 7, 2015 9:54 AM
AUG 14, 2014 9:15 AM
INVALID FUEL LEVEL AUG 13, 2015 9:47 AM
AUG 7, 2015 9:53 AM
JUN 7, 2015 1:13 AM
PROBE OUT AUG 13, 2015 9:47 AM
AUG 13, 2015 9:46 AM
AUG 13, 2015 9:45 AM
DELIVERY NEEDED AUG 13, 2015 9:47 AM
AUG 7, 2015 9:53 AM
JUL 8, 2015 4:58 PM
MAX PRODUCT ALARM AUG 13, 2015 9:46 AM
LOW TEMP WARNING AUG 7, 2015 9:55 AM
AUG 14, 2014 9:16 AM
JUL 25, 2014 10:47 AM
TANK 2 PNL
OVERFILL ALARM AUG 13, 2015 9:50 AM
AUG 7, 2015 9:58 AM
AUG 14, 2014 9:18 AM
HIGH PRODUCT ALARM AUG 13, 2015 9:50 AM
AUG 7, 2015 9:58 AM
INVALID FUEL LEVEL JUL 25, 2014 9:26 AM
AUG 14, 2013 1:34 PM
PROBE OUT AUG 13, 2015 9:50 AM
AUG 13, 2015 9:48 AM
AUG 7, 2015 9:58 AM
DELIVERY NEEDED AUG 7, 2015 9:56 AM
JUN 29, 2015 2:35 PM
JUL 25, 2014 9:25 AM
LOW TEMP WARNING AUG 13, 2015 9:51 AM
AUG 13, 2015 9:49 AM
AUG 14, 2014 9:19 AM
TANK 3 DIESEL
OVERFILL ALARM AUG 13, 2015 9:54 AM
AUG 7, 2015 10:05 AM
AUG 14, 2014 9:20 AM
HIGH PRODUCT ALARM AUG 13, 2015 9:54 AM
AUG 7, 2015 10:05 AM
AUG 14, 2014 9:20 AM
pg. 5
INVALID FUEL LEVEL JUL 25, 2014 10:43 AM
PROBE OUT AUG 13, 2015 9:54 AM
AUG 13, 2015 9:52 AM
AUG 7, 2015 10:19 AM
DELIVERY NEEDED JUL 25, 2014 9:22 AM
LOW TEMP WARNING JUL 25, 2014 9:24 AM
AUG 14, 2013 1:37 PM
AUG 14, 2013 1:05 PM
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I30200
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FASTRIP
6401 WHITE LANE
BAKERSFIELD,CA 93309
LIQUID ALARM HISTORY REPORT
SENSOR LOCATION
1 UNL STP
AUG 13, 2015 9:56 AM SENSOR OUT ALARM
AUG 13, 2015 9:33 AM FUEL ALARM
AUG 7, 2015 9:49 AM SENSOR OUT ALARM
2 UNL ANN
AUG 13, 2015 9:56 AM SENSOR OUT ALARM
AUG 13, 2015 9:39 AM LOW LIQUID ALARM
AUG 13, 2015 9:39 AM HIGH LIQUID ALARM
3 UNL FILL
AUG 13, 2015 9:56 AM SENSOR OUT ALARM
AUG 13, 2015 9:35 AM FUEL ALARM
AUG 7, 2015 9:48 AM SENSOR OUT ALARM
4 PNL STP
AUG 13, 2015 9:56 AM SENSOR OUT ALARM
AUG 13, 2015 9:34 AM FUEL ALARM
AUG 7, 2015 9:48 AM SENSOR OUT ALARM
5 PNL FILL
AUG 13, 2015 9:56 AM SENSOR OUT ALARM
AUG 13, 2015 9:36 AM FUEL ALARM
AUG 7, 2015 9:48 AM SENSOR OUT ALARM
6 PNL ANN
AUG 13, 2015 9:56 AM SENSOR OUT ALARM
AUG 13, 2015 9:38 AM HIGH LIQUID ALARM
AUG 13, 2015 9:38 AM LOW LIQUID ALARM
7 DIE STP
AUG 13, 2015 9:56 AM SENSOR OUT ALARM
AUG 13, 2015 9:35 AM FUEL ALARM
AUG 7, 2015 9:49 AM SENSOR OUT ALARM
8 DIE FILL
AUG 13, 2015 9:56 AM SENSOR OUT ALARM
AUG 13, 2015 9:36 AM FUEL ALARM
AUG 7, 2015 9:48 AM SENSOR OUT ALARM
pg. 6
10 DIS 1-2
AUG 13, 2015 9:56 AM SENSOR OUT ALARM
AUG13, 2015 9:41 AM FUEL ALARM
AUG 7, 2015 9:48 AM SENSOR OUT ALARM
11 DIS 3-4
AUG 13, 2015 9:56 AM SENSOR OUT ALARM
AUG 13, 2015 9:40 AM FUEL ALARM
AUG 7, 2015 9:48 AM SENSOR OUT ALARM
12 DIS 5-6
AUG 13, 2015 9:56 AM SENSOR OUT ALARM
AUG 13, 2015 9:41 AM FUEL ALARM
AUG 7, 2015 9:48 AM SENSOR OUT ALARM
13 DIS 7-8
AUG13, 2015 9:56 AM SENSOR OUT ALARM
AUG 13, 2015 9:42 AM FUEL ALARM
AUG 7, 2015 9:49 AM SENSOR OUT ALARM
16 DIE ANN
AUG 13, 2015 9:56 AM SENSOR OUT ALARM
AUG 13, 2015 9:37 AM HIGH LIQUID ALARM
AUG 13, 2015 9:37 AM LOW LIQUID ALARM
I31600
AUG 13, 2015 11:51 AM
FASTRIP
6401 WHITE LANE
BAKERSFIELD,CA 93309
SMART SENSOR ALARM HISTORY REPORT
SENSOR LOCATION
1 VP SENSOR DIS 3-4
2 FM DIS 1-2
3 FM DIS 3-4
4 FM DIS 5-6
5 FM DIS 7-8
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IV0100
pg. 7
AUG 13, 2015 11:51 AM
FASTRIP
6401 WHITE LANE
BAKERSFIELD,CA 93309
ISD ALARM STATUS REPORT
EVR TYPE: VACUUM ASSIST
ISD TYPE: 01.04
VAPOR PROCESSOR TYPE: NONE
OVERALL STATUS:PASS EVR VAPOR COLLECTION :PASS
EVR VAPOR CONTAINMENT :PASS
ISD MONITOR UP-TIME : 99%
EVR/ISD PASS TIME :100%
WARNING ALARMS
DATE TIME DESCRIPTIONREADING VALUE
15-01-25 10:06:56 A/L RATIO DEGRADATION FP 1 BLEND3 0.80
15-01-08 10:08:59 CONTAINMENT GROSS OVER PRESSURE WEEKLY 95% 2.55
15-01-01 10:09:13 CONTAINMENT GROSS OVER PRESSURE WEEKLY 95% 1.58
14-12-25 10:07:16 CONTAINMENT GROSS OVER PRESSURE WEEKLY 95% 2.90
14-12-18 10:07:50 CONTAINMENT GROSS OVER PRESSURE WEEKLY 95% 2.92
14-12-11 10:06:58 CONTAINMENT GROSS OVER PRESSURE WEEKLY 95% 3.06
14-12-04 10:07:09 CONTAINMENT GROSS OVER PRESSURE WEEKLY 95% 2.91
14-11-27 10:07:37 CONTAINMENT GROSS OVER PRESSURE WEEKLY 95% 2.87
14-11-20 10:08:05 CONTAINMENT GROSS OVER PRESSURE WEEKLY 95% 3.00
14-11-13 10:08:10 CONTAINMENT GROSS OVER PRESSURE WEEKLY 95% 2.90
FAILURE ALARMS
DATE TIME DESCRIPTION READING VALUE
11-10-02 10:02:09 A/L RATIO GROSS BLOCKAGE FP 2 BLEND3 BLKD
11-10-02 10:02:09 A/L RATIO GROSS BLOCKAGE FP 1 BLEND3 BLKD
11-09-12 10:04:11 A/L RATIO GROSS BLOCKAGE FP 1 BLEND3 BLKD
11-09-08 10:03:18 CONTAINMENT GROSS OVER PRESSURE WEEKLY 95% 2.72
11-08-22 00:01:32 A/L RATIO GROSS BLOCKAGE FP 4 BLEND3 BLKD
11-08-22 00:01:32 A/L RATIO GROSS BLOCKAGE FP 3 BLEND3 BLKD
10-12-27 10:01:40 A/L RATIO GROSS BLOCKAGE FP 8 BLEND3 BLKD
10-12-27 10:01:40 A/L RATIO GROSS BLOCKAGE FP 7 BLEND3 BLKD
10-12-26 10:01:25 A/L RATIO GROSS BLOCKAGE FP 7 BLEND3 BLKD
10-04-28 10:03:50 VAPOR CONTAINMENT LEAKAGECFH@2 INCHES WC 9.09
SHUTDOWN & MISCELLANEOUS EVENTS
DATE TIME DESCRIPTION ACTION/NAME
15-08-13 10:07:55 READINESS ISD:PP EVR:PP ISD & EVR READY
15-08-13 09:59:30 READINESS ISD:PP EVR:NN EVR READINESS PENDING
15-08-13 09:59:30 ISD STARTUP
15-08-13 09:59:09 ISD SHUTDOWN
15-08-07 10:06:42 READINESS ISD:PP EVR:PP ISD & EVR READY
15-08-07 09:50:20 READINESS ISD:PP EVR:NN EVR READINESS PENDING
15-08-07 09:50:20 ISDSTARTUP
15-08-07 09:49:38 ISD SHUTDOWN
15-07-02 10:06:09 READINESS ISD:PP EVR:PP ISD & EVR READY
15-07-02 05:16:32 READINESS ISD:PP EVR:NN EVR READINESS PENDING
pg. 8
Responses Received:
200
FASTRIP
6401 WHITE LANE
BAKERSFIELD,CA 93309
AUG 13, 2015 11:52 AM
TANK PRODUCT GALLONS INCHES WATER DEG F ULLAGE
1 UNL 5895 47.34 0.8 82.8 6105
2 PNL 5925 47.53 0.0 86.5 6075
3 DIESEL 3929 34.82 0.0 87.0 8071
I90500
AUG 13, 2015 11:52 AM
SOFTWARE REVISION LEVEL
VERSION 331.01
SOFTWARE# 346331-100-B
CREATED-11.03.22.16.28
S-MODULE# 330160-004-a
SYSTEM FEATURES:
PERIODIC IN-TANK TESTS
ANNUAL IN-TANK TESTS
ISD/APM
I50500
AUG 13, 2015 11:52 AM
SYSTEM TYPE AND LANGUAGE FLAG
SYSTEM UNITS
U.S.
SYSTEM LANGUAGE
ENGLISH
SYSTEM DATE/TIME FORMAT
MON DD YYYY HH:MM:SS xM
I50201
AUG 13, 2015 11:52 AM
SHIFT TIME 1 : 7:00 AM
I50202
AUG 13, 2015 11:52 AM
SHIFT TIME 2 : DISABLED
I50203
AUG 13, 2015 11:52 AM
pg. 9
SHIFT TIME 3 : DISABLED
I50204
AUG 13, 2015 11:52 AM
SHIFT TIME 4 : DISABLED
I54600
AUG 13, 2015 11:52AM
TANK PER TST NEEDED WRN: DISABLED
I54900
AUG 13, 2015 11:52 AM
TANK ANN TST NEEDED WRN: DISABLED
I55300
AUG 13, 2015 11:52 AM
LINE RE-ENABLE METHOD
PASS LINE TEST
I55600
AUG 13, 2015 11:52 AM
LINE PER TST NEEDED WRN: DISABLED
I55900
AUG13, 2015 11:52 AM
LINE ANN TST NEEDED WRN: DISABLED
I50D00
AUG 13, 2015 11:52 AM
PRINT TC VOLUMES
ENABLED
I50E00
AUG 13, 2015 11:52 AM
TEMP COMPENSATION
VALUE (DEG F ): 60.0
pg. 10
I60B00
AUG 13, 2015 11:52 AM
STICK HEIGHT OFFSET ENABLE STATUS
DISABLED
I51400
AUG 13, 2015 11:52 AM
H-PROTOCOL DATA FORMAT
HEIGHT
I51A01
AUG 13, 2015 11:52 AM
DAYLIGHT SAVING TIME
ENABLED ON
I51B00
AUG 13, 2015 11:52 AM
DAYLIGHT SAVING TIME
START DATE MAR WEEK 2 SUN 2:00 AM
END DATE NOVWEEK 1 SUN 2:00 AM
I51600
AUG 13, 2015 11:52 AM
RE-DIRECT LOCAL PRINTOUT
DISABLED
I50400
AUG 13, 2015 11:52 AM
232 SECURITY CODE
PORT SECURITY CODE STATUS
1 000000 DISABLED
2 000000 DISABLED
3 000000 DISABLED
4 000000 DISABLED
5 000000 DISABLED
6 000000 DISABLED
I21900
pg. 11
AUG 13, 2015 11:52 AM
TANK CHART SECURITY
DISABLED
I5BD00
AUG 13, 2015 11:52 AM
CUSTOM ALARM LABELS
DISABLED
I56000
AUG 13, 2015 11:52 AM
MASS/DENSITY
DISABLED
I88101
AUG 13, 2015 11:52 AM
PORT SETTINGS:
COMM BOARD : 1 (RS-232)
BAUD RATE : 9600
PARITY : NONE
STOP BIT : 1 STOP
DATA LENGTH: 8 DATA
RS-232 SECURITY
CODE : DISABLED
I88102
AUG 13, 2015 11:52 AM
PORT SETTINGS:
COMM BOARD : 2 (RS-232)
BAUD RATE : 9600
PARITY : NONE
STOP BIT : 1 STOP
DATA LENGTH: 8 DATA
RS-232 SECURITY
CODE : DISABLED
I88103
AUG 13, 2015 11:52 AM
PORT SETTINGS:
COMM BOARD : 3 (EDIM )
RS-232 SECURITY
CODE : DISABLED
pg. 12
I88104
AUG 13, 2015 11:52 AM
I88105
AUG 13, 2015 11:52 AM
I88106
AUG 13, 2015 11:52 AM
I52000
AUG 13, 2015 11:52 AM
RECEIVER AUTO DIAL TYPE & START TIME
RCVR LOCATION LABEL DIAL TYPE START TIME
1 ON DATE ??? 13, 2015 DISABLED
2 ON DATE ??? 13, 2015 DISABLED
3 ON DATE ??? 13, 2015 DISABLED
4 ON DATE ??? 13, 2015 DISABLED
5 ON DATE ??? 13, 2015 DISABLED
6 ON DATE ??? 13, 2015 DISABLED
7 ON DATE ??? 13, 2015 DISABLED
8 ON DATE ??? 13, 2015 DISABLED
I60100
AUG 13, 2015 11:52 AM
TANK CONFIGURATION
DEVICE LABEL CONFIGURED
1 UNL ON
2 PNL ON
3 DIESEL ON
4 OFF
I60200
AUG 13,2015 11:52 AM
TANK PRODUCT LABEL
TANK PRODUCT LABEL
1 UNL
2 PNL
3 DIESEL
4
I60300
AUG 13, 2015 11:52 AM
TANK PRODUCT CODE
TANK PRODUCT LABEL
1 UNL 1
pg. 13
2 PNL 2
3 DIESEL 3
4 4
I60900
AUG 13, 2015 11:52 AM
TANK THERMAL COEFFICIENT
TANK PRODUCT LABEL
1 UNL 0.000700
2 PNL 0.000700
3 DIESEL 0.000450
4 0.000000
I60700
AUG 13, 2015 11:52 AM
TANK DIAMETER
TANK PRODUCT LABEL INCHES
1 UNL 96.00
2 PNL 96.00
3 DIESEL 96.00
4 0.00
I60A00
AUG 13, 2015 11:52 AM
TANK FULL VOLUME
TANK PRODUCT LABEL TANK PROFILE GALLONS 1 UNL
1 PT 12000 2 PNL 1 PT 12000 3 DIESEL
1 PT 12000 4 1 PT0
I60400
AUG 13, 2015 11:52 AM
TANK FULL VOLUME
TANK PRODUCT LABEL GALLONS
1 UNL 12000
2 PNL 12000
3 DIESEL 12000
4 0
I60500
AUG 13, 2015 11:52 AM
TANK 4 POINT VOLUMES
TANK PRODUCT LABEL GALLONS
1 UNL 12000 0 0 0
2 PNL 12000 0 0 0
3 DIESEL12000 0 0 0
4 0 0 0 0
pg. 14
I60600
AUG 13, 2015 11:52 AM
TANK 20 POINT VOLUMES
TANK PRODUCT LABEL GALLONS
1 UNL 12000 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
2 PNL 12000 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
3 DIESEL 12000 0 0 0
00 0 0
0 0 0 0
0 0 0 0
0 0 0 0
40 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
I61500
AUG 13, 2015 11:53 AM
TANK PRODUCT LABEL METER DATA
1 UNL NO
2 PNL NO
3 DIESEL NO
4 NO
I62F00
AUG 13, 2015 11:53 AM
MAG PROBE FLOAT SIZE
TANK PRODUCT LABEL FLOAT SIZE:
1 UNL 4.0 IN.
2 PNL 4.0 IN.
3 DIESEL4.0 IN.
I62700
AUG 13, 2015 11:53 AM
TANK HIGH WATER WARNING LIMIT
TANK PRODUCT LABEL INCHES
1 UNL 2.0
2 PNL 2.0
3 DIESEL 2.0
pg. 15
I64200
AUG 13, 201511:53 AM
WATER ALARM FILTER
TANK PRODUCT LABEL
1 UNL LOW
2 PNL LOW
3 DIESEL LOW
I62400
AUG 13, 2015 11:53 AM
TANK HIGH WATER LEVEL LIMIT
TANK PRODUCT LABEL INCHES
1 UNL 3.0
2 PNL 3.0
3 DIESEL 3.0
I62800
AUG 13, 2015 11:53 AM
TANK MAXIMUM VOLUME LIMIT
TANK PRODUCT LABEL GALLONS
1 UNL12000
2 PNL 12000
3 DIESEL 12000
4 0
I62300
AUG 13, 2015 11:53 AM
TANK OVERFILL LEVEL LIMIT
TANK PRODUCT LABEL GALLONS
1 UNL10800
2 PNL 10800
3 DIESEL 10800
4 0
I62200
AUG 13, 2015 11:53 AM
TANK HIGH PRODUCT LIMIT
TANK PRODUCT LABEL GALLONS
1 UNL 11400
2 PNL 11400
3 DIESEL 11400
4 0
I62900
AUG 13, 2015 11:53 AM
pg. 16
TANK DELIVERY REQUIRED LIMIT
TANK PRODUCT LABEL GALLONS
1 UNL 1800
2 PNL 1800
3 DIESEL 1800
4 0
I62100
AUG 13, 2015 11:53 AM
TANK LOW PRODUCT LIMIT
TANK PRODUCT LABELGALLONS
1 UNL 500
2 PNL 500
3 DIESEL 500
4 0
I62600
AUG 13, 2015 11:53 AM
TANK LEAK ALARM LIMIT
TANK PRODUCT LABELGALLONS
1 UNL 99
2 PNL 99
3 DIESEL 99
4 99
I62500
AUG 13, 2015 11:53 AM
TANK SUDDEN LOSS LIMIT
TANK PRODUCT LABELGALLONS
1 UNL 99
2 PNL 99
3 DIESEL 99
4 99
I60800
AUG 13, 2015 11:53 AM
TANK TILT
TANK PRODUCT LABEL INCHES
1 UNL 8.00
2 PNL 0.00
3 DIESEL 10.00
4 0.00
I60B00
AUG 13, 2015 11:53 AM
STICK HEIGHT OFFSET ENABLE STATUS
DISABLED
pg. 17
I60C00
AUG 13, 2015 11:53 AM
TANK STICK HEIGHT OFFSET
TANK PRODUCT LABEL INCHES
1 UNL 0.00
2 PNL 0.00
3 DIESEL 0.00
4 0.00
I61200
AUG 13, 2015 11:53 AM
TANK MANIFOLDED PARTNERS
TANK PRODUCT LABEL SIPHON MANIFOLDED TANKS LINE MANIFOLDED TANKS
1 UNL NONE NONE
2 PNL NONENONE
3 DIESEL NONE NONE
4 NONE NONE
I63600
AUG 13, 2015 11:53 AM
PERIODIC LEAK TEST MIN VOLUME
TANKPRODUCT LABEL GALLONS
1 UNL 120
2 PNL 120
3 DIESEL 120
4 0
I62A00
AUG 13, 2015 11:53 AM
ANNUAL LEAK TEST MIN VOLUME
TANK PRODUCT LABEL GALLONS
1 UNL 120
2 PNL 120
3 DIESEL 120
4 0
I62C00
AUG 13, 2015 11:53 AM
TANK PERIODIC TEST TYPE
TANK PRODUCT LABEL PERIODIC TEST TYPE
1 UNL STANDARD
2 PNL STANDARD
3 DIESEL STANDARD
4 STANDARD
I62D00
pg. 18
AUG 13, 2015 11:53 AM
TANKLEAK TEST FAIL ALARMS
TANK PRODUCT LABEL
1 UNL GROSS TEST FAIL ALARM DISABLED
PERIODIC TEST FAIL ALARM DISABLED
ANNUAL TEST FAIL ALARM DISABLED
2 PNL GROSS TEST FAIL ALARM DISABLED
PERIODIC TEST FAIL ALARM DISABLED
ANNUAL TEST FAIL ALARM DISABLED
3 DIESELGROSS TEST FAIL ALARM DISABLED
PERIODIC TEST FAIL ALARM DISABLED
ANNUAL TEST FAIL ALARM DISABLED
4 GROSS TEST FAIL ALARM DISABLED
PERIODIC TEST FAIL ALARM DISABLED
ANNUAL TEST FAIL ALARM DISABLED
I63100
AUG 13, 2015 11:53 AM
TANK LEAK TEST AVERAGING
TANK PRODUCT LABEL ANNUAL PERIODIC
1 UNL OFF OFF
2 PNL OFF OFF
3 DIESEL OFF OFF
4 OFF OFF
I63000
AUG 13, 2015 11:53 AM
IN-TANK LEAK TEST NOTIFY
TANKPRODUCT LABEL TANK TEST NOTIFY:
1 UNL OFF
2 PNL OFF
3 DIESEL OFF
4 OFF
I63200
AUG 13, 2015 11:53 AM
TANK TEST SIPHON BREAK
TANK PRODUCT LABEL SIPHON BREAK
1 UNL OFF
2 PNL OFF
3 DIESEL OFF
4 OFF
pg. 19
I61000
AUG 13, 2015 11:53 AM
TANK DELIVERY DELAY
TANK PRODUCT LABEL
1 UNL 1
2 PNL 1
3 DIESEL 1
4 1
I63A00
AUG 13, 2015 11:53 AM
LOW LEVEL PUMP THRESHOLD FOR SEQUENTIAL LINE MANIFOLD
TANK PRODUCT LABEL PUMP THRESHOLD
1 UNL 10.00%
2 PNL 10.00%
3 DIESEL 10.00%
4 10.00%
I61100
AUG 13, 2015 11:53 AM
LEAK TEST METHOD
------------
TEST ON DATE : ALL TANK
MAR 22, 2011
START TIME : DISABLED
TEST RATE :0.20 GAL/HR
DURATION : 2 HOURS
TST EARLY STOP:DISABLED
I61300
AUG 13, 2015 11:53 AM
CSLD PROBABLITY OF DETECTION
I61400
AUG 13, 201511:53 AM
CSLD CLIMATE FACTOR
I61600
AUG 13, 2015 11:53 AM
TANK PRODUCT LABEL CAL UPDATE
1 UNL IMMEDIATE
2 PNL IMMEDIATE
3 DIESEL IMMEDIATE
4IMMEDIATE
pg. 20
I61A00
AUG 13, 2015 11:53 AM
IN-TANK LEAK TEST EARLY STOP
TANK PRODUCT LABEL TST EARLY STOP:
1 UNL DISABLED
2 PNL DISABLED
3 DIESEL DISABLED
4 DISABLED
I61B00
AUG 13, 2015 11:53 AM
IN-TANK LEAK GROSS TEST AUTO-CONFIRM
I61C00
AUG 13, 2015 11:53 AM
CSLD REPORT ONLY
I62B00
AUG 13, 2015 11:53 AM
TANK LAST ANNUAL TEST
TANK PRODUCT LABEL DATE
1 UNL ??? 0, 0
2 PNL ??? 0, 0
3 DIESEL ??? 0, 0
4 ??? 0, 0
I63300
AUG 13, 2015 11:53 AM
LEAK TEST REPORT FORMAT: NORMAL
I63400
AUG 13, 2015 11:53 AM
RECONCILIATION WARNING LIMIT
TANK PRODUCT LABEL GALLONS
1 UNL 0
2 PNL 0
3 DIESEL 0
40
I63500
pg. 21
AUG 13, 2015 11:53 AM
RECONCILIATION ALARM LIMIT
TANK PRODUCT LABEL GALLONS
1 UNL 1
2 PNL 1
3 DIESEL 1
4 1
I63900
AUG 13, 2015 11:53 AM
ACCU CHART END SHAPE FACTOR
TANK PRODUCT LABEL
1 UNL
END FACTOR: NONE
2 PNL
END FACTOR: NONE
3 DIESEL
END FACTOR: NONE
4
END FACTOR: NONE
I78000
AUG 13, 2015 11:53 AM
I77700
AUG 13, 2015 11:53 AM
I77800
AUG 13, 2015 11:53 AM
I78C00
AUG 13, 2015 11:53 AM
I78300
AUG 13, 2015 11:53 AM
I78F00
AUG 13, 2015 11:53 AM
pg. 22
I78700
AUG 13, 2015 11:53 AM
I70200
AUG 13, 2015 11:53 AM
LIQUID LABEL
DEVICE LABEL
1 UNL STP
2 UNL ANN
3 UNL FILL
4 PNL STP
5PNL FILL
6 PNL ANN
7 DIE STP
8 DIE FILL
9
10 DIS 1-2
11 DIS 3-4
12 DIS 5-6
13 DIS 7-8
14
15
16 DIE ANN
I70300
AUG 13, 2015 11:53 AM
LIQUID TYPE
SENSOR LOCATION TYPE
1 UNL STP TRI-STATE (SINGLE FLOAT)
2 UNL ANN DUAL POINT HYDROSTATIC
3 UNL FILL TRI-STATE (SINGLE FLOAT)
4 PNL STP TRI-STATE (SINGLE FLOAT)
5 PNL FILL TRI-STATE (SINGLE FLOAT)
6 PNL ANNDUAL POINT HYDROSTATIC
7 DIE STP TRI-STATE (SINGLE FLOAT)
8 DIE FILL TRI-STATE (SINGLE FLOAT)
9 TRI-STATE (SINGLE FLOAT)
10 DIS 1-2 TRI-STATE (SINGLE FLOAT)
11 DIS 3-4 TRI-STATE (SINGLE FLOAT)
12 DIS 5-6 TRI-STATE (SINGLE FLOAT)
13 DIS 7-8 TRI-STATE (SINGLE FLOAT)
14 TRI-STATE (SINGLE FLOAT)
15 TRI-STATE (SINGLE FLOAT)
16 DIE ANN DUAL POINT HYDROSTATIC
I70400
AUG 13, 2015 11:53 AM
LIQUID CATEGORY
pg. 23
SENSOR LOCATION CATEGORY
1 UNL STP STP SUMP
2 UNL ANN ANNULAR SPACE
3 UNL FILL OTHER SENSORS
4 PNL STP STP SUMP
5 PNL FILL OTHER SENSORS
6 PNL ANN ANNULAR SPACE
7 DIE STP STP SUMP
8 DIE FILL OTHER SENSORS
9 OTHER SENSORS
10 DIS 1-2 DISPENSER PAN
11 DIS 3-4 DISPENSER PAN
12 DIS 5-6 DISPENSER PAN
13 DIS 7-8 DISPENSER PAN
14 OTHER SENSORS
15 OTHER SENSORS
16 DIE ANN ANNULAR SPACE
I74200
AUG 13, 2015 11:53 AM
I74300
AUG 13, 2015 11:53 AM
I74400
AUG 13, 2015 11:53 AM
I74700
AUG 13, 2015 11:53 AM
I74800
AUG 13, 2015 11:53 AM
I74900
AUG 13, 2015 11:53 AM
I7BC00
AUG 13, 2015 11:53 AM
I80200
AUG 13, 2015 11:53 AM
I80300
AUG 13, 2015 11:53 AM
pg. 24
I80400
AUG 13, 2015 11:53 AM
I80700
AUG 13, 2015 11:53 AM
RELAY LABEL
DEVICELABEL
1 UNL
2 PNL
3 DSL
4 OVERFILL
I80900
AUG 13, 2015 11:53 AM
RELAY ORIENTATION
RELAY DESIGNATION ORIENTATION
1 UNLNORMALLY CLOSED
2 PNL NORMALLY CLOSED
3 DSL NORMALLY CLOSED
4 OVERFILL NORMALLY OPEN
I80B00
AUG 13, 2015 11:53 AM
RELAY TANK ASSIGNMENT
RELAY DESIGNATION TANK
1 UNL 1
2 PNL 2
3 DSL 3
4 OVERFILL 1
I80A00
AUG 13, 2015 11:53 AM
RELAY TYPE
RELAY DESIGNATION TYPE
1 UNL STANDARD
2 PNL STANDARD
3 DSL STANDARD
4 OVERFILL STANDARD
I80C00
AUG 13, 2015 11:53 AM
pg. 25
I80800
AUG 13, 2015 11:53 AM
RELAY SETUP REPORT
R 1:UNL
TYPE:
STANDARD
NORMALLYCLOSED
TANK #: 1
LIQUID SENSOR ALMS
L 1:FUEL ALARM
L10:FUEL ALARM
L11:FUEL ALARM
L12:FUEL ALARM
L13:FUEL ALARM
L 1:SENSOR OUT ALARM
L10:SENSOR OUT ALARM
L11:SENSOR OUT ALARM
L12:SENSOR OUT ALARM
L13:SENSOR OUT ALARM
L 1:SHORT ALARM
L10:SHORT ALARM
L11:SHORT ALARM
L12:SHORT ALARM
L13:SHORT ALARM
ISD SITE ALARMS
ISD GROSS PRES FAIL
ISD DEGRD PRES FAIL
ISD VAPOR LEAK FAIL
ISD VP PRES FAIL
ISD VP STATUS FAIL
ISD HOSE ALARMS
ALL:GROSS COLLECT FAIL
ALL:DEGRD COLLECT FAIL
ALL:FLOW COLLECT FAIL
R 2:PNL
TYPE:
STANDARD
NORMALLY CLOSED
TANK #: 2
LIQUID SENSOR ALMS
L 4:FUEL ALARM
L10:FUEL ALARM
L11:FUEL ALARM
L12:FUEL ALARM
L13:FUEL ALARM
L 4:SENSOR OUT ALARM
L10:SENSOR OUT ALARM
L11:SENSOR OUT ALARM
L12:SENSOR OUT ALARM
L13:SENSOR OUT ALARM
pg. 26
L 4:SHORT ALARM
L10:SHORT ALARM
L11:SHORT ALARM
L12:SHORT ALARM
L13:SHORT ALARM
ISD SITE ALARMS
ISD GROSS PRES FAIL
ISD DEGRD PRES FAIL
ISD VAPOR LEAK FAIL
ISD VP PRES FAIL
ISD VP STATUS FAIL
ISD HOSE ALARMS
ALL:GROSS COLLECT FAIL
ALL:DEGRD COLLECT FAIL
ALL:FLOW COLLECT FAIL
R 3:DSL
TYPE:
STANDARD
NORMALLY CLOSED
TANK #: 3
LIQUID SENSOR ALMS
L 7:FUEL ALARM
L10:FUEL ALARM
L12:FUEL ALARM
L 7:SENSOR OUT ALARM
L10:SENSOR OUT ALARM
L12:SENSOR OUT ALARM
L 7:SHORT ALARM
L10:SHORT ALARM
L12:SHORT ALARM
R 4:OVERFILL
TYPE:
STANDARD
NORMALLY OPEN
TANK #: 1
IN-TANK ALARMS
ALL:OVERFILL ALARM
ALL:HIGH PRODUCT ALARM
ALL:MAX PRODUCT ALARM
I79000
AUG 13, 2015 11:54 AM
EDIM:1 VR:349634-003-C TD:06.05.11.11.15
pg. 27
I79100
AUG 13, 2015 11:54 AM
I72300
AUG 13, 2015 11:54 AM
FASTRIP
6401 WHITE LANE
BAKERSFIELD,CA 93309
SMARTSENSOR ASSIGNMENT
DEVICE LABEL CATEGORY
01 VP SENSOR DIS 3-4 VAPOR PRESSURE
02 FM DIS 1-2 AIR FLOW METER
03 FM DIS 3-4 AIR FLOW METER
04 FM DIS 5-6 AIR FLOW METER
05 FM DIS 7-8 AIR FLOW METER
06 UNKNOWN
07 UNKNOWN
08 UNKNOWN
09 UNKNOWN
10 UNKNOWN
11UNKNOWN
12 UNKNOWN
13 UNKNOWN
14 UNKNOWN
15 UNKNOWN
16 UNKNOWN
17UNKNOWN
18 UNKNOWN
19 UNKNOWN
20 UNKNOWN
21 UNKNOWN
22 UNKNOWN
23 UNKNOWN
24 UNKNOWN
25 UNKNOWN
26 UNKNOWN
27 UNKNOWN
28 UNKNOWN
29 UNKNOWN
30UNKNOWN
31 UNKNOWN
32 UNKNOWN
33 UNKNOWN
34 UNKNOWN
35 UNKNOWN
36 UNKNOWN
37 UNKNOWN
38 UNKNOWN
39 UNKNOWN
40 UNKNOWN
IV4E00
AUG 13, 2015 11:54 AM
pg. 28
FASTRIP
6401 WHITE LANE
BAKERSFIELD,CA93309
EVR/ISD SETUP
TYPE: VACUUM ASSIST
VACUUM ASSIST TYPE: HEALY VAC
IV4F00
AUG 13, 2015 11:54 AM
FASTRIP
6401 WHITE LANE
BAKERSFIELD,CA 93309
NOZZLE A/L RANGE
A/L RATIO: 0.95 -1.15
IV4000
AUG 13, 2015 11:54 AM
FASTRIP
6401 WHITE LANE
BAKERSFIELD,CA 93309
VAPOR PROCESSOR TYPE
NONE
IV4700
AUG 13, 2015 11:54 AM
FASTRIP
6401 WHITE LANE
BAKERSFIELD,CA 93309
ASSESSMENT TIME
START TIME: 10:05 AM
TIME DELAY MINUTES: 1
IV5200
AUG 13, 2015 11:54 AM
FASTRIP
6401 WHITE LANE
BAKERSFIELD,CA 93309
ACCEPT HIGH ORVR: NO
IV4A00
pg. 29
AUG 13, 2015 11:54 AM
FASTRIP
6401 WHITE LANE
BAKERSFIELD,CA 93309
ISD HOSE TABLE
HOSE FP FP AFM HOSE
ID ID LABEL ID LABEL
01 01 01 01 BLEND3
02 02 02 01 BLEND3
03 03 03 02 BLEND3
04 04 04 02 BLEND3
05 05 05 03 BLEND3
06 06 06 03 BLEND3
07 07 07 04 BLEND3
08 08 08 04 BLEND3
IV4B00
AUG 13, 2015 11:54 AM
FASTRIP
6401 WHITE LANE
BAKERSFIELD,CA 93309
PRODUCT/HOSE MAP TABLE
FP AFID M1/H1 M2/H2 M3/H3 M4/H4
01 01 02/01 03/01 09/01 xx/xx
02 01 02/02 03/02 09/02 xx/xx
03 02 02/03 03/03 09/03 xx/xx
04 02 02/04 03/04 09/04 xx/xx
05 03 02/05 03/05 09/05 xx/xx
06 03 02/06 03/06 09/06 xx/xx
07 04 02/07 03/07 09/07 xx/xx
08 04 02/08 03/08 09/08 xx/xx
IV4900
AUG 13, 2015 11:54 AM
FASTRIP
6401 WHITE LANE
BAKERSFIELD,CA 93309
LABEL TABLE
ID LABEL
01 UNASSIGNED
02 BLEND3
03 REGULAR
04 MID GRADE
05 PREMIUM
06 GOLD
07 BRONZE
08 SILVER
09 BLEND2
pg. 30
10 BLEND4
IV1000
AUG 13, 2015 11:54 AM
ISD VERSION: 01.04
SWRCB, January 2006
Spill Bucket Testing Report Form
This form is intended for use by contractors performing annual testing of UST spill containment structures. The completed form and
printouts from tests (if applicable), should be provided to the facility owner/operator forsubmittal to the local regulatory agency.
1.FACILITY INFORMATION
Facility Name:Date of Testing:
Facility Address:
Facility Contact:Phone:
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:
Credentials1:CSLB Contractor ICC Service Tech. SWRCB Tank Tester Other (Specify)
License Number(s):CSLB#804904 ICC#
3.SPILL BUCKET TESTING INFORMATION
Test Method Used:Hydrostatic Vacuum Other
Test Equipment Used:Lake TestEquipment Resolution:0.0625”
Identify Spill Bucket (By Tank
Number, Stored Product, etc.)
1234
Bucket Installation Type: Direct Bury
Contained in Sump
Direct Bury
Contained in Sump
Direct Bury
Contained in Sump
Direct Bury
Contained in Sump
Bucket Diameter:
Bucket Depth:
Wait time between applying
vacuum/water and start of test:
Test Start Time (TI):
Initial Reading (RI):
Test End Time (TF):
Final Reading (RF):
Test Duration (TF – TI):
Change in Reading (RF -RI):
Pass/Fail Threshold or
Criteria:
Test Result: Pass Fail Pass Fail Pass Fail Pass Fail
Comments –(include information on repairs made prior to testing, and recommended follow-up for failed tests)
CERTIFICATION OF TECHNICIAN RESPONSIBLE FOR CONDUCTING THIS TESTING
I hereby certify that all the information contained in this report is true, accurate, and in full compliance with legal requirements.
Technician’s Signature:________________________________________________ Date:_________
1 State laws and regulations do not currently require testing to be performed by a qualified contractor. However, local requirements
may be more stringent.
#3360Farrell'sFastrip 08/13/2015
6401WhiteLane Bakersfield,CA93309
OmeroGarcia(661)393-7000
07/14/2015
Kris Karns
CameronMason
8174721-UT
Regular
12.00"
14.00"
5min.
9:00 am
11.00"
10:00 am
11.00"
1hour
0.00"
0.0625"
Super
12.00"
14.00"
5min.
9:00 am
11.00"
10:00 am
11.00"
1hour
0.00"
0.0625"0.0625"
Diesel
12.00"
14.00"
5min.
9:00 am
11.00"
10:00 am
11.00"
1hour
0.00"
08/13/2015