HomeMy WebLinkAboutUST-MONIT. SYSTEM 9/7/2011MONITORING SYSTEM CERTIFICATION
For Use By All jllrisdic/ions Within fhe Siale a/California
AII/lloril)' Cited: Chapter 6. 7, Nealill and Safety Code: Chapter /6, DMsion 3, Til/~ 23. Califol'llia Code o/Reglltalions
1l1is form must be used to document testing ~nd servicing of mon itoring equipment. A separate cenificat ion or report must be
prepared for each monitoring system control panel by the technician who performs (he work. A copy of this (onn must be provided
to the lank system owner/operator. The owner/operator must submit a copy of this form to Ihe local agency regulating uST systems
within)O days of this date.
A. General Information
Faci lity Nam e: L Petro Mobil Bldg. No.: ____
Sile Address: oB"'O"O-'3,,4"'h-'-"s'- ________________ City: Bakersfield Zip: 93301
Facility COlli act Persou : P'-"el~e~r~C~lo~v~'__ _____________COl1laC( Phone No.: 925·673-5500 _~en
Make/Model of MonilOring Systenl : ,V~e~e~d~e~r~-R~o~o~I ~L~S"_'3~50"'__________~Dafe of TestingiServic ing:~T 9/712011
Tank 10: 10000 gal. Regula r Tank. 10: 10000 gal. Plus
[,] In-Tank Gauging Probe. Model:847390-107 [,] In·Tank Gauging Probe. Model: None
[,] Annular Space or Vault Probe. Model:794390-409 [,] Annular Space: or Vault Sensor. Model: 794390-409
[,] Piping Sump I Trench Sensor($). Model: 794380-208 [,] Piping Sump ! Trenc h Sensor(s). Mode l: 794380-208
0 Fill Sump Sensor(s) Model: 0 Fill Sump Sensor(s). Model:
~I Mechanical Li ne Leak Detector. Model: FX1\l [,] Mechanical Line Leak Detector. Model: FX 1\I
0 Electronic Line Leak Detector. Mode l: 0 Electronic Line Leak Detector. Model:
[,] Tank Overfill ! Hi gh Leyel Sensor. Model:oPW-61-S0 [,] Tank Oyerfill / Hi gh Leva] Sensor. ModeJ: OPW-Sl-S0
0 Other (specify eq uip. type and mode l in Sec. Eon Pg. 2) 0 Other (specify equ ip. type and model i\1 Sec. Eon Pg. 2)
Tank 10: 10000 sal. Sueer Tank 10:
[,1 In-Tank Gauging Probe. Model :847390-107 0 In-Tank Gauging Probe. Model:
[,] Annular Space or Vault Sensor. Model:794390-409 0 Annular Space or Va ult Sensor. Model:
[<J Piping Sump / Trench Sensor(s). Model:794380-208 0 Piping Sump / Trench Sensor(s). Model:
0 Fill Sump Sensors(s). Model: 0 Fill Sump Sensor(s). Model:
Gl Mechanical Line Leak Decector. Mod<:l:FX10V 0 Mechanical Cine Leak Detector. Mode):
0 Electronic Line Lellk Detector. Model: 0 Electronic Line Leak Detector. Model:
[,] Tank Ovcrtill l High Level Sensor. Model:OPw-61-50 0 Tank Overfill / Kigh Level Sensor. Model:
0 Ot her (spIX;ify equi p. type ~nd model in $cc. E on Pg. 2) 0 Other (specify equip. typs and model in Sec. Eon Pg. 2)
Oispenser 10: 1 & 2 Oispen ser 1.0: 3&. o Dispenser Containment Sensor(s). Model: o Dispenser Containment Sensol"(s). Model:
[i] Shear Valve(s). ~ Shear Valvc(s).
~ Dispenser Contattunenl FloaHs) and Chain(s). ~ DisllCnser Comaillment Float(s) and Chain(s)
Dispenser 10: 5&6 Dispenser 10: 7&8
0 Dispenser Containment Sensor(s). Model: o Dispenser Containment Sensor(s). Model:
[,] Shear Valye(s). ~Shear VaJ ve(s).
i'J Dispenser Containment Float(s) and Chains(s). ~ Dispenser Containment Flo::tl(s) and Chain(s).
Ois pen~er 10: Oispcn5cr 10: o Dispenser Contain ment Sensor(s). Model: 0 Dispenser Containment Sensor(s). Model:
o Shear Va lve(s). 0 Shear Valye(s). o Dispenser Cont ainmenl Float(s) and Chain(s) 0 Dispenser Containment Float(s) and Chain(s).
~Ifthc facility contains more tanks or dis nsers, copy Ihi ~ fonn. Include infonnationror eye tank and dispenser at the fac ility.
C. Certification _I ee niry that the e'luipment identified in this document was inspetted/services in ac('o rdance with the
manufactul·ers' guidlines. Alloched to this Certification is information (e.g. manufacturers' checklist) nece.s~Ary to yarify that
this information is eo rrcc.t nnd Q plot plan showing the layout of monitoring equipment. For equipment capable of gene~ting
such reporls, I ha l,lC attached A eo py or the report; (check al/lha/ appf~) . 0~~Se,-up I!J A~h~}j rei!'rt
Technician Name (pri nt): Bryan A Setf SIgnature: ~ J A. (A ~-. A<<tf
Certification No: !B"3~7!SO~'"-_______ __________ License NO:,8"O~',90~'~_ _l--------------~
Phone N : 800-339·9930Testing Company NfI1lle: Confidence UST Servtces. tnc.
Site Address: 800 34th 51 Bakersfletd. CA 93301 Dale ofTeslinglServlcmg. ,'c"c'o20c'c''-_ _ _
O. Results of Testing/Servicing
Software Version Installed: 15.01
Co mplete the following checklist:
[oJ y" Is the audible alann operational? D No' ,
Is the Visua alann operatlOna .
Yes No' , Were alf sensors visua ly In spected. functiona Iy tested, an con Irmed operational? Yes No'" ., Were all sensors installed at the lowest pomt of secondary containment alia positioned so that other
equipment will not interfere with their proper upcrntiort?
y" D No"
I f alarms are relayed to a remote monitormg station, is a ll cOlnmun ications equ ipment (e.s. modern) 10 Yes 18 No' x N/A operational?
For pressurized piping systems, does the turbine automatica lly shut down if the piping secondary
containment monitoring system detects a leak, fa ils to operate. or i~ electrica ll y disconnected? tfyes:
hJ Yes DNa·
ON/A
whic.h sensors initale posit ive shut-down? ~SumplTre/lch SensorsO Dispenser COlllai nmen t :rrors
Did you confirm positive shut-down due to leaks and sensor failure/discon nected? GJ Ycs; No: iii Yes For tank systems that utilize the monitoring system as the primary tank overtlll waming device (i.e. no QNo·
mechanica l overfill prevention valve is installed), is the ove rfill waming alann Visual and audible 31 LJN/A
the lank fi ll point(s) and operating properly? If so, 31 what percent of tank eapasity does Ihe alarm
trigger? 90 %
10 Yes· Was any monitormg equipment replacoo . I Yes, iaelltily SpeCifiC sensors, pro~s. or Olher eqUipmentfiI No
replaced and list the manuracturer name and model for all replacement pans in Section E, below.
DYes·
Was liquid found inside any seeondalY containment systems des igned as dry systems?~No o Product; D Warer. tr yes. describe causes in Seclion E. be low. h-, I y" Was monitoring system set-up reviewed to ensure roper senmgs? Anach sel-up repons, ifap licable.No'
Is all monitoring equipment operational per manufacCUrer's specifications? No', y",
* In Section E below, discribe how and when these deficiencies wt're 0 1' will be co rreeled.
E. Comments:
F. fn-Tank Guaging / SJR Equipment: [x] Check this box if tank guaging is used only for inventory control. o Check this box if tank guaging or StR equipment is installed.
This section must be completed ifill-tank guaging equipment is used to perfonn leak detection monitoring.
Compie-te the following checklist·
No' Has all input wiring been inspected for proper enter and tennination,inciuding testing for ground faults?GJ y" , Yes No' Were all tank guaging probes visually inspected for damage ,md residue buildup? , y" No' Was accuracy of system product level readings tested? , y" No' Was accuracy of system water level readings tested? , No' Were all probes reinstalled properly? y"
0 No' Werc all items all the equ ipment manufacturer's maintenance checklist completed?GJ y"
* In the Section H, below, describe how and when these deficiencies were or will be corrected.
C. Line Leak Detectors (LLD): o Check this box ifLLD's are I)ot installed.
c0111 J e e Ie 0 ISI I II f; IIOWIllO C leckl" I :
GJ Yes o No" For equip. stal1-up or annual equipment certification, was a leak simulated to varify LLD perfonnancc?
(Check all/hat apply) Simulated leak rate: [:]3 g.p.h.: 00.1 g.p.h.; 00.2 g.p.h.;
No' I1:.J Yes Were all LLD's can finned operational and accurate within regulatory requinnents?rT, y" Was the testing apparatus properly cahbrdted'.
[:] Yes
No'
for machanical LLD's. does the LLD restnct product flow iJ it detects a leaK-' No'
NiA
For electronic LLD's, does the turbine automatically shut off if the LLD detects a leak? o Yes No '
GJ N/A
No' For electronic LLO's, does the turbine automatically shut ofT ifany portion of the monitoring system iso Yes , NiA disabled or disconnected?
For electronic LLO's, does the turbine automatically shut off if any portion of the monitoring system No"o Yes
malfunction or fails <I test?
For electronic LLD's, have all accessible wiring connections been visually inspected?
~N/A
10 Yes I R No' ~NiA
No Were :Ill items on the equipment manufacturer's maintellance checklist completed?hx Yes
*' In the section H, below, describe how and when these deficiencies were or will be corrected.
H. Comments:
l rErRO HOB! L
8('Ju 3 4TH
~"ERSFIELu 1.,'/1 93301
6bl-Sb9-1'3701
09-01-1 I '3 :32 hH
SI{S"TEM STATLS kEF-ORr
I NVENTORV kl:PORT
T I ::':;UPEk utlL.Ef.lDED 91
ViJlLt1E 1502 GkLS
UU.#-IO.;I;: 8239 GI-IIS
90". ULl.A(,:l:oo 7264 GMl..S Tr' l/()lll1E • lol99 GALS
ilL: I.,;HT 19. 38 I r«:tlES
~TER VOL 12 GALS w;.;TER 0.80 I rl:'HES
TEN' 86 .3 [IE(; F
r ) : REGULHR Utllf).l[lEfI 87
Vl>l.lI1E S8S5 (.:MIS
ulLi-ICE 3856 ~LS
':10-. ullAGE" 2881 I~LS
TI' VOLlI1E • '5871 GALS
HEI GHT 52 .5':1 1,.-.'ItE!.i
~TEk V(.. L 2'3 C+-\LS WATER I . 2u I t..:HES
TEMP 9Z. :1 VE,; F
SOF1\Jo..RE 1<£\11::)101'1 l.EVEl.
VERSION 15.01
SOFTWf-l.RE = 3.j(,01'5-100 B
cR£i.lTEIJ -9'1 . 1u. :?3. 08 . 51>
NO SOfTWARE MODULE
SVSTD1 F&.TuRES :
PERI ODI~ IN-T~Nh TES~
AtINlJo.\L IN-Tt'lNI: TESTS
S\'STEM SETUP
OQ-07-) I 9:32 AM
SYSTEM UN ITSU.s.
S,'STEH lANCUfI(;E ENGLISH
SVSTS1 [.ATE,..T I HI:::: FORt'AT
M'1-DD-Y',' IIH :MM :Sl:) .1'\
L ~ETRO MOB IL
800 :)olTH
BHKERSFIELu CA 9330 1
bt) l -8€.~-1 97'1
S~\IFT Tl r1E I 10:00 PH
SHIFT TI ME 2 6:00 i'l1
~HIFT TI ME 3 [!Is..\Bl.ED
!'11FT TIME .:I DI SABLED
TI-INK PER I 00I (: l..JRRN 1NI:>S
DIs..\SLED
TANK kNHUAL WARNI NGS
DISABLED
L INE PERIODIC WA~N I NGS
DI SABLED
LINE ArmlRl. WARN INGS
DI SABLED
foR I NT Te VOll,·n:.s
ENABl.ED
TEMP C~ENSHT I OH
VALUE IDEG F ); 60.0
f:;T I C): HEIGHT OFFSET
DISABLED
PAVL I CHT SAV I No::; T I f"lE
ENABLED
START DATE
i4>R WEEK SUN
STAflT TIME
2: 00 PI"\
END DATE
OCT WEEK 6 SUN
END T I ME
2: 00 PI1
fiYbiD1 SECUR JTY
CODE : 000000
PORT SEn I riGS:
NONE FOUND
RS -232 SECURITY CODE : 000000
I t/-T",rtY. SETUi'
T I:SUPER UNLEAl!ED 9 1
PRODUCT CODE : 1 THERI"AL COEFF : .000070
TI1NK OIPt1ETER 90.BS
TANt~ PROFILE -I PTS
FULL VOL 9741
69.1 I NCli VOL 7917
45 ,.:1 I NCH VOL 4880l
22 .? INCH VOL 1885
fLOkT S IZE: 4 .0 IN. 84S6
Wf\TER WI-ORNI NG 2. 0
HI GH WATER LIMIT: 3.0
f'V« OR LABEL vOL : 97.. 1
OVEflFllL L IMIT 9~.
8766
HI CH PROOo..,'"T 95'. 925..
DELIVERY LIMIT ]~
974
LOW PRODOCT 500
LEAr. ALARM LI MI T : 99
SUDDEN LOSS LIMIT: 50
TANK TILT 1.50
MAN] FOl.DED THNKS
111 : NONE
LEAl<: MIN f'ER10DIC : o '"
Ll:AK MIN ANNUAl. a '"
vER10D IC rEST TYPE STANDARD
~NHUML TEST F~IL ~J.iISHBLED
PERI O~I C T~I FAl l
ALARM v l St18LED
,;RQ$ TEST FA It
I~(I I SkBLE[J
f.\Wi "EST AVERACIrt.:;: OFF
PER TEST MVER~INC : OFF
TAN~ TEST NOT I FV: OFF
TN\{ TSi S I PHON I:lREflK;OFf
DEL Iv ERY OEI.J.I.Y : 15 r11 H
RS-23~ END OF ~~E
[II SHal.Er,
T 2:SPECIAl UNLEHvED 89
PRODUCT CODE 2
THERMP.L COEFF ; . 000070
TAM< D I PHETER 90.85
TAtiK PROF ILE <I PTS
FULL VOL 9741
68 .1 I NCH VOL 7917
45 .41 I NCH VOL 4884
22 .7 INCH VOL 1885
MAX OR LABEL VOL ; 974 1
OVERFILL LIMIT 90'
8766
HIGH PRODIXT 95%
9254
r'ELl VE RY LIMIT .""'"
LOW PROOUCT SOD
LEAl: ALARM LIMIT : S9
SUDDEN LOSS LIMIT ; 50
TANK T ILT 1 .70
HAN I FOLDED TANKS
TIl: NONE
LDiI: ~II II PERIOD IC: , "" a
lE..l: MIN ANNUAL 0:.
0
ANNlJI.tl TEST FA I L
Al.flRM Lo ISHBlED
PERI ODI C TEST FAil
ALARM D I SABlEIJ
(;ROS.-S TEST FA I l
ALAR~I D I So4BL£D
ANN TEST ,..VERAG I NG : OFF
PER TEST HVERAG I til} : OFF
THNI: TEST NOTIFY: OFF
TN!.: 1ST S [PHON BP.EA~: : OFF
DEL IvERY DELAY : 15 MIN
T 3 : REGUIAR UNLEHDED 87
PRODUCT CODE 3 THE~L COEFF ; .000070
TANK D I t1METER 90 . 85
TAN),: PROF I LE " PTS
FULL VOL 9741
68 .1 INCH VOL 79 17
<1 5.4 I NCH VOL 4884
22 .7 I NCH VOL 1885
FLOAT S IZE: <1.0 IN. 8<196
WATER l.JARtl I NO 2.0
HIGH WATER LI MIT : 3.0
HP..I( OR LABEL VOL: 97<1 ]
OVERF I LL L IM IT 90).
8756
HIGH ~'RODlJ:;T 95Y,
9254
DELIVERY LIMIT ] OJ. . 74
LOW PRODLL"I . 500 LEAl: ALARM LIMIT : 99
SUDDEN LOSS L IMIT : 50
THNt: TILT 1. 30
~NIFOLDED TANI:S
TIt: NONE
LEAr. MIN PERI ODI C : 0" o
LEA~: MI N ANNlJi.;L : o ""
PErd OD I C TEET T'if'E
STIoIN[)AIW
ANN~L TEST FAIL
ALARM DI SABLED
PERI Oul(' TE.'~T FAI L
ALARM DISABLED
GROSS TEST FAIL
ALARM uI SflBLED
ANN TEST ..v ERI-1G I NG : OFF
PER TEST AVERAG I NG : OFF
THNK TEST NOT I FY : OFF
TN~ TST SI PHON BREAK :OFF
[.EL I VERY DEL..Y : 15 I-II N
LEAf: TEST METHOD
TEST ON DATE : ALL T,..NK
t1AR 26. I 999
START T I ME : :? : 00 Al"l
TEST RATE :0 .20 GAL HR
DURATI ON ; 2 HOuRS
LEAK TEST REPOf(T fO~T
IlO""L
LI0UID SENSOR sETuP
L I: 9 1 AI~ULLAR
TRI-STATE (SINGLE FLOAT)
CATE(;ORY : ANNULAR SPACE
L 2 : 89 AtiULLAR
TRI-STATE <SI I\CLE FLOATi
CATEGORY : AtmuU\R SPACE
L 3: 87 ANULLAR
TRJ -STATE <SI NGLE FLOAT) C~TEGORY : ANNULAR SPACE
L 5 :'9 1 STP SL.t1P
TRI -STATE (SI NGLE FLOAT )
CATECORY STP SUMP
L 6 : 89 STP SLt1P
TRI-STATE <S INGLE FLOAT )
CATEGORY : STP SlX'1P
L 7 : 87 STP Sl.I1P
TRI-STATE (SI NGLE FLOAT)
CATEGORY : STP Sll'1P
OUTl'UT RElAy SETUl'
P. I! UNLEr'EC
TYPE :
STHNDI-IRD NORr'll-lLLY (;L08ED
LIQU! D SEIt30R J.\LMS
L 3:fUEL ~
L ..: : FUEL HI..A"d1
L 7 :fUEL ALARH
1. 3 :SEI'SOR OUT AUI"t1 L 7 :SEI'GOR OlfT j.\LAJ<11
R 2:PUJS TYPE :
STAHI)AJ(O
NO~Y C1.OSELr
LIQUID 5E -R MLHG
1. :l : FUEL ALARM
1. 4:FUEL ALARM
L 6:FUEL ALJ.IRM
L 7 : FUEL ~
L 2:SENSOR OUT I-\l...MRH
L 6 :SENSOR OUT ~l.r\RM
R 3:PREMIU1
riPE:
STI-INDHRD
tiOfd1ALLY CLOSElJ
LI~UID SENSOR ALMS
L I :FUEL ALARM
L <I : FUEL ALARM
L 5 :FUEL ALARt1
I. 1:SEttSOR OUT I-II.I-IRM
L 5 :SENSOR OUT i4LAP.t1
R 4:SON ITROL I-IL'oRM
n"F'E:
:3TI-I.NDflRD
WO~LLY OPEN
Ll wU ID SErSOR I-\U"S
ALL: FUEL I-Il.J.\RH
ALhRM H I ~TOR ,' REpORT
S','STEl'l A~Rl1 ----
PHYEP. OUT 07 -18 -11 \ 0:00 £11
PH I tITER ERROR 07-19 I I 1O:UO k1
a;.nERY 19 OFF
0 1 -01-~6 ~:oo AM
CLOCr. IS J tK'ORRECT 10-2'3-00 I :01 AM
ALARM HI STOR\' P.E.. ORT
~~-~ I N-TANI: ",LART·r
T 1: SUPER UtiLEAtJEIJ 9 1
SETUP DATA WARN I NG
0<1 -19-03 9:09 ~
03-:!6-98 a: 49 At-l
OVERF I LL ALARM
02-12-03 ,:24 HM
06-25-02 10 :17 AM 0 1-06-02 12: 44 PM
LOW PRODL£T I-\l.ARM
10-1 1-06 ]0: 15;.t'1
]0-11-05 1I : 53 If1
HICH PROou:T ~P.I1
06-LJ5-02 ]0: 18 AM
01-06-02 12:46 PM
12-25-01 7:01 PH
I MlAt.1 0 f UEL LEVEL
09-01 -11 9:]8 AM
07-19-11 2:06 PM
0 1 -1 2~07 ~:25 PM
f' ROBF. our 02-23-11 I :07 PM
02-2:)-1 1 12 :55 Ft1
10-11 -06 10 : 16 AM
DELIVERY NEEDED
oe-26-1 I 5 :57 yM
08-04-11 3:53 PM
07-12-11 6:27 PM
1'11-\1.; I-ROOL(;T MU 1RM
12-25-01 7:03 PM 08-05-01 3 :22 AM
06-1 6-0 1 7 :47 PM
LOW TEMP WARNJ NO 10-\] -05 11:55 PI1
t
AtrlRH HI STOR".' RU'ORT
----IN-TANI: A~RM ----
T 3 :REGULAR UNLEADED 97
SETUP DATA WI-IRN I No:;
03-26-98 8: " 8 A.'I
OVERF I LL ALARN 07-10-10 &:49 AM 07-05-1 0 1: II PM
06-23-10 10 :35 AM
LOW PRODUCT I-ILHRM 0,,-03-06 10 : 38 AM
10-1 1-05 \2:14 PM
HI CH PRCiDlX:T ALARM 07-10-10 6:51 HM
04-25-10 12:30 ~
03-23-10 3 :26 PH
INVALID FUEL LEVEL
06-28-11 4: 12 AM
10-04-10 I :25 PM
03-01-09 4 :1 3AM
f'ROBE OUT 05-17-07 12:03 PH
10-1 1-06 10:"6 AM 10-1) 05 12: 14 PM
DEL i v ERY NEEDED
08-31 -11 9: 19 PI1
08 -09 -11 1:20 Pt-I
07-1"'-11 5 :5" PM
LOW TEMP WAIW I NO 05-17-07 12:12 PM
•
. " .... ~ I:M.l ,. :. ..... ;.;
AlARM HI STORY RE~RT
---SEtEOR l-lLAIi'M
L 1:9] ANUlLAR
ANNUI...AR SPACE
SEreoR oUT ~1i11
]1 -19 -] 0 3 : 10 PM
FUEL I1l..J-\RM
11-]9-]0 2:52 PM
!:iETUP ~TI1 1o.Io-IRNINC
12-02-08 2 :51 PM
~Rr1 H I STORY REPORT
-----SENSoR AUiRH L 5 : 91 STP SUMP
STP 9l>1J>
SENSOR alIT AlARM
11-191 3:10 PH
FUEL ALARM
11 -19 -10 2:47 PM
FUEL Al..ARM 10-14 -09 1 :19 PM
.. " 0( II II (NIl" ... III
Al.J.IRH H I STORY REPoRT
SENSOR I1U\RM
L 2: 99 ANULlAR
ANflUl..MR SPI4;E
SEI. R OUT HLI1R1'1 08-30-] 1 9:5\J PI!
SEhSOJ< OUT ALAJ<M
11-19-1 3: 10 F-M
FUEL "LARN
11-1 9 10 :::50 PM
... . .;w ENtJ III ... "
ALARM HISTORY REF-ORT
-----6EreoR ALARM
L 3 : 87 ANUL!J.tR
ANNULAR SPACE
SEIiSOR OUT ALAIiH
II-IS-I O 3 :10 PM
FUEL AlARM
11 -19-10 2:59 PM
FuEL I-\LAiif'1
11-19-10 2:55 PM
"
l-UARH HI STOR'I REPORT
-----SENSOR I1LHP.M
L <.\:TREHCH LINER
OTHER SEIiSORS
SENSOR OUT AlARM
03 -1 8-04 ~:29 AM
FUEL fH,.ARM
03-1 8-04 9 :29 AM
SENSOR OUT AlJ.IRH
03-1 9-04 9:27 AH
• . ... ~ ,.)t END)o .. I' .. ..
... ".Jo()IIEND·· '",,·
H~RM HI STOR'I REPORT
-----SENSOR ALkRM L b:S9 STP SUMP
:3TP SlJ'1P
SENSOR OlIT ALARM 11 -19-10 3 :1 0 ft1
fUEL ALARM 1\-19-\0 2 : 43 PM
FUEL AliIRM
10 -14 -09 1 :2:1 PH
•• W ,o( .. END"IO ~ "'·
_ ---SEUSOR ALARtl
~1 H I STORY RE~RT
----SENSOR HI..J.\RN
L 7 : 97 STP SUMP
STP SLt1P
SENSOR OUT rlLrlRH
11-19-10 3 : 10 PM
FUEL ALnRJ1
11-19-IU 2 : 4'3 F1'1
FUEL 4l.J..\R1'1
10-14 -09 1 :22 Pl'1
.... I1 ... " END · .. · ~·
L 6 : 99 STP SLNP
STP SlJ1P
FUI:L Hl.ARM 09-07-11 10:2214'1
-----SENSOR ~~RM
L 7: 97 S1'T' SlJ'IP
STP SLt\P
FUEL. .uJ.lRM
09-07 -1 I 10: 23 AM
SEN5<OR AlARM
L '5: 91 STP SlI1P
STP SLMP
f UEL ALARM
09-07-1 1 10 :2'3 MM
-----SEtlSOR Al.J.\kM
L 7 : 97 $IP SlJ1P
STP Sl.I1F'
SENSOR our ~Rt1 09 -07-11 10::29 H/1
SENSOR Mo1.Al(N
L 1:91 AN~R
ANNUlAR SPAI..."E
SEt$OR OUT AUtF.r1
09-07 -1 1 10 : :28 1-111
-----SEuSOR I'ILARM
L '2: tl9 flI1ULlkR
ANtlULAR S):>~E
SENSOR OUT Al..AAt1
09 07· ' I 10:28 AM
-----SENSOR ~RH -SENSOR f.\LkRM L 3:97 ANUUAA L 3: 97 ANULLAR AtmUlAR SP~EANNUlAR SPACE FUEL AlARMSEf>SOR Our AlARN 09-07-11 10:48 AM 09-07-1 1 IO:2~ HM
-SEtSOk f.\LARH SENSOR ~RM L 3:97 ANUllARL 5:~1 STr SUMP "'NNUlAR SPACE STP SLt1P FUEL ALARM SE~R 0 1-Il.ARt1 09-07-11 10:51 PI1 09-07-11 10 : 28 ~
L PETRO MOB I L ---SEtSOR I-lUiRH 800 34TH L I) : 8'3 ST~ SUiP BA~ERSF1ELD CA 93301 STP SU1P bb l -86'3 19·'4 SENSOR OUT i'L~\Rt-1 09-07-1 1 10:29 AN 09-07 -11 II :42 I'IM
S'lSTEJ-l STATUS REPORT
T :2 : F-ROBE OlfT
J rNElo(fO~ REPO~T ----SENSOR HV\RtI
L 3 : 97 ...NuLI..J-IR
ANNUlJ.\R SP;.,cE T J: SUPER UNLEADED 9 1 FUEL ",u..RM VOLl,1E .. 150 I GALS
O~-07-1 1 10:3S AN Ul..IJ.\CE 8240 GALS
9~ UUACE-7265 (;AI..S
TC VOLlJ1E " 14'38 GALS
HEI GHT 1'3 . 37 IOCHES
IJI.\TER VOL 12 .:.ALS
WATER 0.80 I~HES
TEMP 86.5 DEG F
T 3 : REGULHR UNLEADED 87
----SENSOR t-tLARl1 VOLLNE .. 58B~ CALS
L I : 91 ANULl.HR ULLACE •., 3857 GALS
tltmUl.nR SPMCE 90% ULLI-lCE" 2882 GALS
FUEL AlkRfoI TC VOLLt1E 5870 GALS
09-07-11 10:J7 HM HEI~HT .. 52.S5 INCHES
Wf\TER VOL :23 Gf,LS WATER 1 .20 I NCHES
TEMP .. 92.3 DEC F
"I(",.)([N[I." I> " "
----tiEt-C:)OR H~Rt1
L t: 99 ANULLAR
HtiNUl.J..IR SPACE
F UEL ~ILARM
O~-07-1 1 I O :3~ AN
SWRCB. lanuary 2006
Spill Bucket Testing Report Form
nll".t/aml is inl~nded/al" use bycoml"OCfOrS pe'fonning anll/lal felling oj UST .\j);1I cOn/ainmenl SlmClures. Thv compleledjOf711 and
primollls from leSIS (ifapplicable). shollld be provided 10 fhe Jocility owner/opera/or/or .mbmillal 10 Ihe local regulatory agency.
. FACILITY INFORMATION
Faciljty Name: L Petro Mobil I Date orTesting; 09/0712011
Facility Address: 800 341~ St Bakersfield CA 9330 1
Facility Contact: Peter Cloven I Phone: 925-673-5500
Date Local Ageocy Was Noti fi ed orTesting; 8124120 11
Name ofLocal Agency Inspector (ifpre.'iellt ullring testing): Em ic Madina
2. TESTING CONTRAC rORINFORMATION
Company Name: Con fidence UST Services. inc.
Technician Conducting Test: Bryan A Selr
Credentialsl ; (g) CSLB Contractor X ICC Service Tech. X SWRCB Tank Tester oOther (Specify)
License Numbcr(s): eSLBIi 804904 1CCII 8022804·UT Tank Tester II-J756
3. .SPILL BUCKET TESTING IN.'ORMATION
Test Method Used: IEl l-Iydrostatic o Vacuum oOther
Test Equipment Used: I...lke Test Equipl1lCTlt Resolution: 0.0625"
Identify Spilll3ucket (By Tank I Regular FjU 2 Plus Fill 3 Super Fill 4
Number. Slored ProdrfCI. etc.)
Bucket Installation Type: X Direct Bury X DiJect Bury X Direct Bury Direct Bury
Cootained in Sump Contained in Sump [] Contained in Sump o Contai ned in Sump
Bucket Diameter; 12.00" 12.00" 12 .00"
Bucket Depth: 13 .00" 13.00" 13.00"
Wait time between applying 5 Minuets 5 Minuets 5 Minuets vacuum/water and stan ortest:
Test Start Time (Tr): 9;00 3m 9:00 alll 9:00 am
Initial Reading (R,): 9.75" 9.50" 9.50"
Test End Time (1'.,): 9:05 3m 9:05 am 9.05 am
Final Read ing (~): R.OO" 7.00" 8.25"
Test Duration (II' T,): 5 Minuets 5 Minuets 5 Minuets
Change in Reading (R.. -R,): 1.75" 2.50" 1.25"
Pa sslFa il Threshold or 0.0625" 0.0625" 0.0625" Criteria:
Test Resutt: o Pas! X Fail Pass X Fail Pass X Fail o Pass o Fail
Comments -(inc/rflle i'~{onnation on Iypairs made pnnr IQ lestmg. and recommended jollow..up!or[mJe(/ lesLS)
I
CERTlF1CATION OFTECl'INIClAN RESPON smLE FOR CONDUCTING THIS TESTING
J hereby certify tha' 011 lite illformatilltl cOl/toilled in 'hi... report is true, accurate, and ill full comp/iance IVilh legal requiremcfIIs.
T",",;c;"" , S;gnature: ::aJi.A,;t/l.. rl e:.s-4-09/071201 1J)at.
I State laws and rcguhltions do not currently rcqui.re testing to be perrormed by a qualified contractor. However, local requirements
may be more stringent.
SWRCB. January 2006
Spill Bucket Testing Report Form
ThiS fonn is imendedfor lise by contractors perjol7nillg mlllllal testing ofUST !>piIJ containment struCfllres. The completed 101'711 and
printolll.~Jrom tests (if (lpplicoble), shollid be prodded fO fhel acility ownerlopermorjol" slIbmilfallO the local regulOiOly agel/Cy.
I FACILITY INFORMATION
Facility Name: L P~lro Mobil ! Dale ofTesting: 09/07/20 ! !
Facility Address: 800 34th 5t Bakersfield CA 9330 I
Facility Contac!: Peter Cloven I Pho:ne: 925-673-5500
Date Local Agency Was Notified ofTesting : 8/24/2011
Name of Local Agency Inspector afpresel1l during le~·tiflg): Ernie Madina
,2 TESTING CONTRACTOR INfORMATION
Company Name: Confidence UST Services. Tnc.
Teclm ician Conducting Test: Bryan A Setf
Credential:;': @ CSlBContractor X ICC Service Teeh. X SW RCB Tank Tester L Other (Specify)
License Number(s): CSlB# 804904 ICCff 8022804-lff Tank Tester 11-1 756
3 SPILL BUCKET TESTING INFORMATION -
Test Method Used: lEI Hydrostatic o Vacuum oOther
Test Equipmcnt Used: Lake Test Equipmcnl Resolution: 0.0625"
Identify Spill Bucket (By Tank
Number, Stored Produef. etc.)
l Regular Vapor 2 Plus Vapor 3 Super Vapor 4
Rucket In stallation Typc: X Direct Bury
o Contained in Sump
X Direct Bury
oContained in Sump
X Direct Bury
o Contained in 5ulllp
o Direct Dury
oContained in Sump
Bucket Diameter: 12.00" 12.00" 12 .00"
Bucket Depth: 13.00" 13.00" 13.00"
Wait lime between <lpplying
vacuum/water and ~tart of lest:
Test Start Time (T,):
[nirial Reading (R1) :
5 Minuets 5 Minuets 5 Minuets
9:00 am 9:00 am 9:00 am
9.50" 10.00" 9.50"
Test End Time (TI.:): 10:00 am 9:10 am 10.00 am
Final Reading (R,): 9.50" 7.00" 9.50"
Test Duration (T~ -T[): I Hour 10 Minuets I Hour
Chan ge io Reading (R.--R[): 0.00" 3.00" 0.00"
PasslFail Threshold or
Criteria: 0.0625" 0.0625" 0.0625"
Test Result: X Pass o Fail o Pass X Fail X Pass o Fail o Pass oFail
Comments (include in(ormalion on rem/irs made prior 10 fesling. and recommendedfo!lolV-lIo jar (aill!d Il!st~)
CERTIFICATIO N OF TEClli'HC(AN RESPONS[BL£ FOR CONDUCTING THiS TESTING
/ hereby certify (l'fI( fill "'e i,,[o,.matioll cOif/wiled ill this report is fl'flf!, (Ie urate, alld ill filII compliance IVlill legal reqlliremellls.
T<chn;o;"" ',S;gn",,,.' ~ V A--/ D,,,, 09/07/2011
[ Slate laws an.d regulations do not cllrrcn y require testing to re performed by a qualified contractor. However, local requirements
may be mote stringent.
CONFIDENCE UST SERVICES, INC.
411 Montclair Street. Bakom;fleld. CA 93309 800-139-9930 or 661 .oJl-3870
:FINAL TEST RESULTS:
ALERT 1000 / ALERT 1050 / TEl LT-3
CUSTOMER ADDRESS : WORK ORDER:27866 SITE ADDRESS: Pinna cle En vi ronmental Mob il
P. O. Box 904 TEST DATE : 9/7/2011 800 34th Stre et
Clayt on, CA 904
Ba kersfield , CA 93301
SITE CONTACT :Peter Clove n PHONE NUMBER :92 5-67 3-550 0
TECHNICIAN: Kristopher Ka rns PHONE NUMBER :661-3 40-8602 LICENSE :09-17 43
WATER IN BACKFILL ; 0 . 00 " DATE & TIME OF LAST FUEL DELIVERY :+ 24 Hou rs
TANK INFORMATION : TANK 1 TANK 2 TANK 3 TANK 4(WETTED)
PRODUCT TYPE ;
TOTAL GALLONS:
PRODUCT LEVEL :
PERCENT E1JLL:
TEST METHOD :
WATER IN TANK:
TANK MATERIAL:
P. S . I. @ BOTTOM:
TEST DURAT ION:
FINAL LEAK RATE :
TEST RESULT :
TANK INFORMATION
(ULLAGE)U / F ONLY
ULLAGE GALLONS:
START PRESSURE :
END PRESSURE :
TEST RESULT :
PRODUCT LINES,
LINE TYPE :
START Tn1E: :
END Tn1E: :
TEST PRESSURE:
FINAL LEAK RATE:
TEST RESULT:
Regular
10000
ALERT lOSOX
TEl LT-J
Press ure
~0:30 A.M .
10: 45 A.M .
55 PSI
-0.004
Pass
Plus Super
10000 10000
ALERT lO50X ALERT lO50X ALERT lO50x
TEl L T-3 TEl L T -3 TE l LT-3
P~essur. Pr e ssure
~O :30 A.M. 10:45 A.M.
~O:45 A.M. 11 :00 A.M.
55 PSI 55 PSI
-0 .002 -0.002
Pass Pass
MECHANICAL Red Jacket E'XT Red Jacket E'XT Red Jacket E'XT Red Jac ket FX'lLEAK DETECTORS:
HODEL: ","v FXlV FX>V
SERI AL NUMBER:
CHECK VALVE PSI: ~s PSI 16 PSI 15 PSI
BLEED OFF ml: 33 ML 25 ML 22 "'
LEAK RATE TESTED: 3 CPR I! 10 '" 3 CPH I! 10 PSI 3 CPH @ 10 PSI
TEST RESULT : Pass Pass Pass
crite~ia ~n USEPA 40CFR parts 260 , NT?l'. 329-81 and a ll1'.) These systems and lIlethods lIleet or exceed the applicable state codes .
B) Any f ailul:e listed above may r equire furt her act~on, c.h.k00 th •ll requIta ory agl)TlCl.es . "' Date: Manu:tacturer S.,rtilication NO: Technicians siqnatu:ce: = 0< Alert : 2008011 TEl : LT-098~~Kri.StOPhor Kar ns '1N-lli
~
•
°
Plus
6
7
2
~
0(3
0
Regular
I~
00
°
Super
6
7
2
Sensor Key
1) VeederRoot ~LS 350
2) Floats & Chains
3) Veeder Root 409 Senser
4) Emergency Shut Off
5) ATG Probe
6) FX1V LLD
7) VeederRoot 208 Senser
Q::::J
TLS
350