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HomeMy WebLinkAboutFMC 2015 2/21/07 1 Appendix VI (Copies of Monitoring System Certification form and UST Monitoring Plot Plan available at http://www.waterboards.ca.gov.) MONITORING SYSTEM CERTIFICATION For Use By All Jurisdictions Within the State of California Authority 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: ____________________________________________ In-Tank Gauging Probe. Model: ____________________ Annular Space or Vault Sensor. Model: ____________________ Piping Sump / Trench Sensor(s). Model: ____________________ Fill Sump Sensor(s). Model: ____________________ Mechanical Line Leak Detector. Model: ____________________ Electronic Line Leak Detector. Model: ____________________ Tank Overfill / High-Level Sensor. Model: ____________________ Other (specify equipment type and model in Section E on Page 2). Tank ID: ____________________________________________ In-Tank Gauging Probe. Model: ____________________ Annular Space or Vault Sensor. Model: ____________________ Piping Sump / Trench Sensor(s). Model: ____________________ Fill Sump Sensor(s). Model: ____________________ Mechanical Line Leak Detector. Model: ____________________ Electronic Line Leak Detector. Model: ____________________ Tank Overfill / High-Level Sensor. Model: ____________________ Other (specify equipment type and model in Section E on Page 2). Tank ID: ____________________________________________ In-Tank Gauging Probe. Model: ____________________ Annular Space or Vault Sensor. Model: ____________________ Piping Sump / Trench Sensor(s). Model: ____________________ Fill Sump Sensor(s). Model: ____________________ Mechanical Line Leak Detector. Model: ____________________ Electronic Line Leak Detector. Model: ____________________ Tank Overfill / High-Level Sensor. Model: ____________________ Other (specify equipment type and model in Section E on Page 2). Tank ID: ____________________________________________ In-Tank Gauging Probe. Model: ____________________ Annular Space or Vault Sensor. Model: ____________________ Piping Sump / Trench Sensor(s). Model: ____________________ Fill Sump Sensor(s). Model: ____________________ Mechanical Line Leak Detector. Model: ____________________ Electronic Line Leak Detector. Model: ____________________ Tank Overfill / High-Level Sensor. Model: ____________________ Other (specify equipment type and model in Section E on Page 2). Dispenser ID: ________________________________________ Dispenser Containment Sensor(s). Model: ____________________ Shear Valve(s). Dispenser Containment Float(s) and Chain(s). Dispenser ID: ________________________________________ Dispenser Containment Sensor(s). Model: ____________________ Shear Valve(s). Dispenser Containment Float(s) and Chain(s). Dispenser ID: ________________________________________ Dispenser Containment Sensor(s). Model: ____________________ Shear Valve(s). Dispenser Containment Float(s) and Chain(s). Dispenser ID: ________________________________________ Dispenser Containment Sensor(s). Model: ____________________ Shear Valve(s). Dispenser Containment Float(s) and Chain(s). Dispenser ID: ________________________________________ Dispenser Containment Sensor(s). Model: ____________________ Shear Valve(s). Dispenser Containment Float(s) and Chain(s Dispenser ID: ________________________________________ Dispenser Containment Sensor(s). Model: ____________________ Shear Valve(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.: ________________________________________ Testing Company Name: _______________________________________________ Phone No.:(_______)_____________________________ Testing Company Address: ___________________________________________________________ Date of Testing/Servicing: ____/____/_____________ Monitoring System Certification Page 1 of 4 12/07 CIRCLEK#2708606 1030OAKST.BAKERSFIELD,CA.93304 TONYAPICENO TLS-350 11/02/15 UNL-REG UNL-PREM ✔ ✔ N/A ✔N/A ✔ 794380-409 ✔794380-409 ✔ MAG-102 794380-208 ✔MAG-102 ✔VMILD-2000 ✔794380-208 ✔VMILD-2000 ✔DROPTUBEWITHFLAPPER ✔DROPTUBEWITHFLAPPER UNL-MID ✔MAG-1 ✔ ✔ 794380-409 ✔ MAG-102 ✔ 794380-208 VMILD-2000 ✔DROPTUBEWITHFLAPPER 1/2 3/4 ✔✔ ✔✔ ✔✔ DANIELFRISBEE DANIEL FRISBEE Digitally signed by DANIEL FRISBEE DN: cn=DANIEL FRISBEE, o=IDECO INC., ou, email=THEFRISBEE@YAHOO.COM, c=US Date: 2015.11.02 18:46:10 -08'00' ICC:8175605/VR:B34994 744619 IDECOInc.818 452-9931 7306ColdwaterCyn.STE7,NorthHollywood,CA91605 11/02/15 2/21/07 2 D. Results of Testing/Servicing Software Version Installed: _____________________________________ Complete the following checklist: Yes No* Is the audible alarm operational? Yes No* Is the visual alarm operational? Yes No* Were all sensors visually inspected, functionally tested, and confirmed operational? Yes No* Were all sensors installed at lowest point of secondary containment and positioned so that other equipment will not interfere with their proper operation? Yes No* 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 of tank capacity does the alarm trigger? ________% Yes* 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. Yes* No Was 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: ___________________________________________________________________________________________ __________________________________________________________________________________________________________ __________________________________________________________________________________________________________ __________________________________________________________________________________________________________ __________________________________________________________________________________________________________ _________________________________________________________________________________________________________ __________________________________________________________________________________________________________ __________________________________________________________________________________________________________ __________________________________________________________________________________________________________ __________________________________________________________________________________________________________ __________________________________________________________________________________________________________ _________________________________________________________________________________________________________ __________________________________________________________________________________________________________ __________________________________________________________________________________________________________ __________________________________________________________________________________________________________ __________________________________________________________________________________________________________ __________________________________________________________________________________________________________ __________________________________________________________________________________________________________ Monitoring System Certification Page 2 of 4 12/07 ✔ ✔ ✔ ✔ ✔ ✔ ✔ ✔ -87LINELEAKDETECTORFAILEDINITIAL.REPLACEDLIKEFORLIKEVMILD-2000 MLLD.RETESTAFTERREPAIRS,PASS. -87TURBINRELAYFAILEDTOWORKPROPERLYONINITIALTESTING(NOPOSITIVE SHUTDOWN).REPLACEDRELAYANDRETESTED-PASSAFTERREPAIRS. ✔ ✔ ✔ 329.01 ✔ ✔ 2/21/07 3 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: ___________________________________________________________________________________________ __________________________________________________________________________________________________________ __________________________________________________________________________________________________________ __________________________________________________________________________________________________________ __________________________________________________________________________________________________________ __________________________________________________________________________________________________________ __________________________________________________________________________________________________________ __________________________________________________________________________________________________________ __________________________________________________________________________________________________________ __________________________________________________________________________________________________________ __________________________________________________________________________________________________________ Monitoring System Certification Page 3 of 4 12/07 ✔ ✔ ✔ ✔ ✔ ✔ ✔ ✔ ✔ ✔ ✔ ✔ ✔ ✔ ✔ ✔ ✔ !" !" !" ! ## $%& ! ’ %( )&*(## +&#,-.)/# 0&%#1#*2 3&$451#*2 6&7(8 9&%55 #80#,5 :&;5< ’ %( )&*(## +&#,-.)/# 0&%#1#*2 3&$451#*2 6&7(8 9&%55 #80#,5 :&;5< ’ %( )&*(## +&#,-.)/# 0&%#1#*2 3&$451#*2 6&7(8 9&%55 #80#,5 :&;5< ’ %( )&*(## +&#,-.)/# 0&%#1#*2 3&$451#*2 6&7(8 9&%55 #80#,5 :&;5< (818)452-9931 IDECOInc. TONYAPICENO 1030OAKST. CA 93304 11/02/15 CIRCLEK#2708606 BAKERSFIELD,CA. VMILDT-890 FE-PETRO VMI LD-2000 VMI LD-2000 FIBERGLASS 2" UNL-REG(87)UNL-PREM(91) 50'50' 30PSI 30PSI 3 3 YES YES REPLACED NO UNL-MID(89) 50' 32PSI 3 YES NO 2/21/07 4 Monitoring System Certification UST Monitoring Site Plan Site Address: ________________________________________________________________________________________________ . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Date map was drawn: ____/____/____. Instructions If you already have a diagram that shows all required information, you may include it, rather than this page, with your Monitoring System Certification. On your site plan, show the general layout of tanks and piping. Clearly identify locations of the following equipment, if installed: monitoring system control panels; sensors monitoring tank annular spaces, sumps, dispenser pans, spill containers, or other secondary containment areas; mechanical or electronic line leak detectors; and in-tank liquid level probes (if used for leak detection). In the space provided, note the date this Site Plan was prepared. Monitoring System Certification Page 4 of 4 12/07 OA K S T . STORE UNL-PREM(91) ESO TLS-350 DISP1/2 DISP3/4 FILLSUMPS -208SENSORS ANNULARS -409SENSORS STPSUMPS -MLLD'S/ATG'S -MAG-102SUMP SENSORS UNL-REG(87) UNL-MID(89) 1030OAKST.BAKERSFIELD,CA.93304 11/02/15 Page ____ of ____ 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 for submittal 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: IDECO INC. Technician Conducting Test: Credentials1: CSLB Contractor ICC Service Tech. SWRCB Tank Tester Other (Specify) __________________License Number(s): 744619 License Type: C10 / A / HAZ 3.SPILL BUCKET TESTING INFORMATION Test Method Used: Hydrostatic Vacuum Other: Visual Lake Test (Specify)_____________________Test Equipment Used: Measuring Device Equipment Resolution: N/A Identify Spill Bucket (By Tank Number, Stored Product, etc.) 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: N/A N/A N/A N/A Test Start Time (TI): Initial Reading (RI): Test End Time (TF): Final Reading (RF): Test Duration (TF – TI): 1 hr. 1 hr. 1 hr. 1 hr. Change in Reading (RF -RI): Pass/Fail Threshold or Criteria: 0.002 in. 0.002 in. 0.002 in. 0.002 in. 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) Spill Box manufacture: 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. POMECO(OPW) -UNL-MID(89)FILL,VISUALLYFAILEDINITIALTEST.REPLACEDSPILLBOXANDRETEST SAMEDAY-PASSAFTERREPAIRS. CIRCLEK#2708606 1030OAKST. TONYAPICENO MEASURINGDEVICE DANIELFRISBEE DANIEL FRISBEE Digitally signed by DANIEL FRISBEE DN: cn=DANIEL FRISBEE, o=IDECO INC., ou, email=THEFRISBEE@YAHOO.COM, c=US Date: 2015.11.02 18:46:25 -08'00' ✔ UNL-REGFILL ✔ 11.5" 12" 9:45AM 9" 10:45AM 9" 60MIN 0" ✔ SHANEGARDNER UNL-PREMFILL ✔ 11.5" 12" 9:45AM 9" 10:45AM 9" 60MIN 0" ✔ BAKERSFIELD,CA. UNL-MIDFILL ✔ 11.5" 12" 9:45AM - - - - - ✔ 11/02/15 ✔ 11/02/15 93304 UNL-MIDFILL ✔ 11.5" 12" 4:30PM 9" 5:30PM 9" 60MIN 0" ✔ ENVIRONMENTAL HEALTH DIVISION HAZARDOUS MATERIALS MANAGEMENT SECTION 1241 E. Dyer, Suite #120 Santa Ana, California 92705 (714) 754-1768 UNIFORM SUMMARY SHEET FOR TANK TEST RESULTS CHECK APPROPRIATE BOX: All of the Tanks/Associated piping DATE: have tested tight. Some of the Tanks & Associated piping have failed tightness test. Reason for Test: X Annual Test Suspected Leak Retest after Repair New Tank X Other (Explain) Electronic Leak Detection Certification Test Method Is:Volumetric Non-Volumetric (Explain) Tank Name: Facility Address: Location City: Zip: Tank Operator: Name: Phone: Name: Phone: Tank Address: Owner City: State: Zip: AGE T E S T R E S U L T S TANK OF TANK PRODUCT TANK PRODUCT FILL, VENT, TEST NO. TANK CAPACITY TYPE LINE VAPOR DATE Mo./Yr. Gal./Hr. Pass/Fail Gal./Hr. Pass/Fail Pass/Fail Method of Product Line Test: N/A Method of Vent/Vapor/Remote Fill Line Test: N/A Indicate which (if any) Tanks are Manifolded: N/A Pressure Loss Leak Detector was tested and is Operational. Date Tested Results are attached. The Test Results have been conducted and performed by a Tester Certified according to the requirements of the tank test equipment manufacturer. The Tester is Licensed by the Water Resources Control Board Office of Tank Tester Licensing and meets the requirements of Subchapter 17, Title 23 of the California Code of Regulations. The Tank Owner has been notified of these results, and has been advised of the reporting requirements for integrity testing. The data and calculations necessary to produce the Test Results are attached to this form. Testing Company: IDECO, Inc. Name of Test Method: Veeder Root Printed Name of Tester: License No. Exp. Date: Signature of Tester: Date: 11/02/15 CIRCLEK#2708606 1030OAKST. BAKERSFIELD,CA.93304 FE-PETRO VMI LD-2000 VMI LD-2000 FIBERGLASS 2"11/02/15 11/02/15 11/02/15 11/02/15 11/02/15 11/02/15 DANIELFRISBEE 11/02/15 ✔ MC(OAK-2) < I10100 NOV 2, 2015 5:50 PM CIRCL K 1030 OAK ST 661-861-8048 BAKERSFIELD,CA.93304 SYSTEM STATUS REPORT ALL FUNCTIONS NORMAL > < I20100 NOV 2, 2015 5:50 PM CIRCL K 1030 OAK ST 661-861-8048 BAKERSFIELD,CA.93304 IN-TANK INVENTORY TANK PRODUCT VOLUME TC VOLUME ULLAGE HEIGHT WATER TEMP 1 UNL-REG(005) 7185 7066 2499 61.69 0.00 83.53 2 UNL-PREM 6606 6521 3078 57.26 0.82 78.41 3 UNL-MID 6637 6547 3047 57.49 0.00 79.19 > < I51700 NOV 2, 2015 5:50 PM SYSTEM TYPE AND LANGUAGE FLAG SYSTEM UNITS U.S. SYSTEM LANGUAGE ENGLISH SYSTEM DATE/TIME FORMAT MON DD YYYY HH:MM:SS xM > < I50F00 NOV 2, 2015 5:50 PM MON DD YYYY HH:MM:SS xM > < I60100 NOV 2, 2015 5:51 PM Page 1 MC(OAK-2) TANK CONFIGURATION DEVICE LABEL CONFIGURED 1 UNL-REG(005) ON 2 UNL-PREM ON 3 UNL-MID ON 4 OFF > < I60200 NOV 2, 2015 5:51 PM TANK PRODUCT LABEL TANK PRODUCT LABEL 1 UNL-REG(005) 2 UNL-PREM 3 UNL-MID 4 > < I60300 NOV 2, 2015 5:51 PM TANK PRODUCT CODE TANK PRODUCT LABEL 1 UNL-REG(005) A 2 UNL-PREM C 3 UNL-MID B 4 4 > < I60400 NOV 2, 2015 5:51 PM TANK FULL VOLUME TANK PRODUCT LABEL GALLONS 1 UNL-REG(005) 9684 2 UNL-PREM 9684 3 UNL-MID 9684 4 0 > < I60700 NOV 2, 2015 5:51 PM TANK DIAMETER TANK PRODUCT LABEL INCHES 1 UNL-REG(005) 89.75 2 UNL-PREM 89.75 3 UNL-MID 89.75 Page 2 MC(OAK-2) 4 0.00 > < I60900 NOV 2, 2015 5:51 PM TANK THERMAL COEFFICIENT TANK PRODUCT LABEL 1 UNL-REG(005) 0.000700 2 UNL-PREM 0.000700 3 UNL-MID 0.000700 4 0.000000 > < I61200 NOV 2, 2015 5:51 PM TANK MANIFOLDED PARTNERS TANK PRODUCT LABEL SIPHON MANIFOLDED TANKS LINE MANIFOLDED TANKS 1 UNL-REG(005) NONE NONE 2 UNL-PREM NONE NONE 3 UNL-MID NONE NONE 4 NONE NONE > < I62100 NOV 2, 2015 5:51 PM TANK LOW PRODUCT LIMIT TANK PRODUCT LABEL GALLONS 1 UNL-REG(005) 1000 2 UNL-PREM 1000 3 UNL-MID 490 4 0 > < I62200 NOV 2, 2015 5:51 PM TANK HIGH PRODUCT LIMIT TANK PRODUCT LABEL GALLONS 1 UNL-REG(005) 9325 2 UNL-PREM 9325 3 UNL-MID 9325 4 0 > < I62300 NOV 2, 2015 5:51 PM TANK OVERFILL LEVEL LIMIT Page 3 MC(OAK-2) TANK PRODUCT LABEL GALLONS 1 UNL-REG(005) 8834 2 UNL-PREM 8834 3 UNL-MID 8834 4 0 > < I62400 NOV 2, 2015 5:51 PM TANK HIGH WATER LEVEL LIMIT TANK PRODUCT LABEL INCHES 1 UNL-REG(005) 3.0 2 UNL-PREM 3.0 3 UNL-MID 3.0 > < I62800 NOV 2, 2015 5:51 PM TANK MAXIMUM VOLUME LIMIT TANK PRODUCT LABEL GALLONS 1 UNL-REG(005) 9684 2 UNL-PREM 9684 3 UNL-MID 9684 4 0 > < I62900 NOV 2, 2015 5:51 PM TANK DELIVERY REQUIRED LIMIT TANK PRODUCT LABEL GALLONS 1 UNL-REG(005) 490 2 UNL-PREM 490 3 UNL-MID 490 4 0 > < I70300 NOV 2, 2015 5:51 PM LIQUID TYPE SENSOR LOCATION TYPE 1 87 ANNULAR TRI-STATE (SINGLE FLOAT) 2 91 ANNULAR TRI-STATE (SINGLE FLOAT) 3 89 ANNULAR TRI-STATE (SINGLE FLOAT) 4 TRI-STATE (SINGLE FLOAT) 5 TRI-STATE (SINGLE FLOAT) 6 TRI-STATE (SINGLE FLOAT) Page 4 MC(OAK-2) 7 87 FILL TRI-STATE (SINGLE FLOAT) 8 91 FILL TRI-STATE (SINGLE FLOAT) 9 89 FILL TRI-STATE (SINGLE FLOAT) 10 TRI-STATE (SINGLE FLOAT) 11 TRI-STATE (SINGLE FLOAT) 12 TRI-STATE (SINGLE FLOAT) 13 TRI-STATE (SINGLE FLOAT) 14 TRI-STATE (SINGLE FLOAT) 15 TRI-STATE (SINGLE FLOAT) 16 TRI-STATE (SINGLE FLOAT) > < I20600 NOV 2, 2015 5:52 PM CIRCL K 1030 OAK ST 661-861-8048 BAKERSFIELD,CA.93304 TANK ALARM HISTORY TANK 1 UNL-REG(005) HIGH WATER ALARM DEC 12, 2011 11:38 AM DEC 21, 2010 10:28 AM OVERFILL ALARM NOV 4, 2014 12:24 AM AUG 22, 2012 12:34 AM JUL 11, 2012 5:21 PM LOW PRODUCT ALARM JUN 30, 2013 8:37 PM APR 4, 2013 2:38 PM DEC 4, 2012 9:16 AM HIGH PRODUCT ALARM DEC 12, 2011 11:30 AM MAY 3, 2011 8:53 PM INVALID FUEL LEVEL DEC 4, 2012 9:16 AM OCT 4, 2012 12:52 PM DEC 12, 2011 11:27 AM PROBE OUT DEC 4, 2012 11:41 AM DEC 4, 2012 9:15 AM DEC 12, 2011 11:40 AM HIGH WATER WARNING DEC 12, 2011 11:38 AM DEC 21, 2010 10:17 AM DELIVERY NEEDED OCT 4, 2012 12:51 PM DEC 21, 2010 10:13 AM MAX PRODUCT ALARM DEC 12, 2011 11:30 AM Page 5 MC(OAK-2) LOW TEMP WARNING DEC 4, 2012 11:43 AM DEC 12, 2011 11:41 AM DEC 21, 2010 10:37 AM TANK 2 UNL-PREM HIGH WATER ALARM DEC 12, 2011 11:32 AM DEC 21, 2010 10:23 AM OVERFILL ALARM DEC 12, 2011 11:37 AM DEC 21, 2010 10:56 AM LOW PRODUCT ALARM DEC 12, 2011 11:29 AM DEC 21, 2010 10:11 AM HIGH PRODUCT ALARM DEC 12, 2011 11:38 AM DEC 12, 2011 11:35 AM INVALID FUEL LEVEL DEC 4, 2012 9:33 AM DEC 12, 2011 11:44 AM DEC 12, 2011 11:29 AM PROBE OUT DEC 4, 2012 11:46 AM DEC 4, 2012 9:31 AM DEC 12, 2011 11:44 AM HIGH WATER WARNING DEC 12, 2011 11:32 AM DEC 21, 2010 10:23 AM DELIVERY NEEDED DEC 21, 2010 10:12 AM TANK 3 UNL-MID HIGH WATER ALARM DEC 12, 2011 11:31 AM DEC 21, 2010 10:28 AM OVERFILL ALARM DEC 12, 2011 11:32 AM DEC 21, 2010 10:30 AM LOW PRODUCT ALARM DEC 7, 2010 10:45 AM DEC 7, 2010 10:32 AM HIGH PRODUCT ALARM DEC 12, 2011 11:32 AM INVALID FUEL LEVEL DEC 4, 2012 11:45 AM DEC 4, 2012 9:28 AM DEC 12, 2011 11:43 AM PROBE OUT DEC 4, 2012 11:44 AM DEC 4, 2012 9:27 AM DEC 12, 2011 11:42 AM HIGH WATER WARNING DEC 12, 2011 11:31 AM DEC 21, 2010 10:28 AM Page 6 MC(OAK-2) DELIVERY NEEDED DEC 7, 2010 10:45 AM DEC 7, 2010 10:32 AM MAX PRODUCT ALARM DEC 12, 2011 11:32 AM > < I30200 NOV 2, 2015 5:52 PM CIRCL K 1030 OAK ST 661-861-8048 BAKERSFIELD,CA.93304 LIQUID ALARM HISTORY REPORT SENSOR LOCATION 1 87 ANNULAR NOV 2, 2015 2:40 PM FUEL ALARM NOV 2, 2015 2:22 PM FUEL ALARM NOV 2, 2015 1:16 PM SENSOR OUT ALARM 2 91 ANNULAR NOV 2, 2015 1:16 PM SENSOR OUT ALARM NOV 2, 2015 10:38 AM FUEL ALARM NOV 2, 2015 9:29 AM FUEL ALARM 3 89 ANNULAR NOV 2, 2015 1:16 PM SENSOR OUT ALARM NOV 2, 2015 10:39 AM FUEL ALARM NOV 2, 2015 9:29 AM FUEL ALARM 7 87 FILL NOV 2, 2015 1:16 PM SENSOR OUT ALARM NOV 2, 2015 1:13 PM FUEL ALARM NOV 2, 2015 9:23 AM FUEL ALARM 8 91 FILL NOV 2, 2015 1:16 PM SENSOR OUT ALARM NOV 2, 2015 9:26 AM FUEL ALARM NOV 10, 2014 9:35 AM SENSOR OUT ALARM 9 89 FILL NOV 2, 2015 1:16 PM SENSOR OUT ALARM NOV 2, 2015 9:26 AM FUEL ALARM DEC 12, 2014 6:49 AM FUEL ALARM > < I31600 NOV 2, 2015 5:52 PM CIRCL K 1030 OAK ST 661-861-8048 BAKERSFIELD,CA.93304 Page 7 MC(OAK-2) SMART SENSOR ALARM HISTORY REPORT SENSOR LOCATION 1 87 TURBINE NOV 2, 2015 1:13 PM INSTALL ALARM NOV 2, 2015 1:13 PM WATER ALARM NOV 2, 2015 1:12 PM INSTALL ALARM 2 91 TURBINE NOV 2, 2015 9:30 AM WATER ALARM NOV 2, 2015 9:30 AM INSTALL ALARM NOV 10, 2014 9:20 AM INSTALL ALARM 3 89 TURBINE NOV 2, 2015 9:31 AM WATER ALARM NOV 2, 2015 9:31 AM INSTALL ALARM NOV 10, 2014 9:16 AM WATER ALARM 9 UDC 3-4 10 UDC 1-2 11 UDC 1-2 PRESS SENSOR MAY 29, 2013 8:51 PM COMMUNICATION ALARM MAY 29, 2013 4:19 PM COMMUNICATION ALARM MAY 29, 2013 2:57 PM COMMUNICATION ALARM > < I90200 NOV 2, 2015 5:52 PM SOFTWARE REVISION LEVEL VERSION 329.01 SOFTWARE# 346329-100-B CREATED - 09.01.29.15.44 S-MODULE# 330160-004-a SYSTEM FEATURES: PERIODIC IN-TANK TESTS ANNUAL IN-TANK TESTS ISD > Page 8