HomeMy WebLinkAbout2015 FMC 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
#3347Fastrip#26
2698 Oswell Street Bakersfield93306
OmeroGarcia (661)393-7000
GilbarcoEMC 08/10/2015
12,000gal.Regular#1
847390-107
794380-208
794390-208
FX1V
847390-107
12,000gal.Regular#2
847390-107
794390-420
794380-208
NA
847390-107
12,000gal.Super
847390-107
794390-420
794380-208
FX1V
847390-107
12,000gal.Diesel
847390-107
794390-420
794380-208
FX1DV
847390-107
1-2
794380-208
3-4
794380-208
5-6
794380-208 794380-208
7-8
TransitionSump(North)
794380-208
TransitionSump(South)
794380-208
Cameron Mason
B42599
2698 Oswell Street Bakersfield,CA93306 08/10/2015
794380-208
794380-208
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
35034A
08/10/2015
8174721-UT
Regular#1 Mechanical FX1V
Cameron Mason
(661)393-7000OmeroGarcia
Bakersfield,CA93306
2698 Oswell Street
#3347Fastrip#26
13 PSI50 ml Pass
NANARegular#2
FX1VMechanicalPremium 11 PSI50 ml Pass
FX1DVMechanicalDiesel 14 PSI75 ml Pass
Cameron Mason 8174721-UT
08/10/2015
pg. 1
Responses Received:
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SYSTEM CONFIGURATION
SLOT BOARD TYPE POWER ON RESET CURRENT
1 8SMARTSENSOR BD 39999 39564
2 4 PROBE / G.T. 164016 163289
3 INTERSTITIAL BD 202660 201785
4 INTERSTITIAL BD 201742 201238
5UNUSED 4995371 4930788
6 UNUSED 4979090 4928073
7 UNUSED 4978325 4925063
8 UNUSED 4971404 4926389
9 STP SENSE BOARD 33199 33216
10 RELAY BOARD 14965 14958
11 RELAY BOARD 14945 14936
12 UNUSED 4975339 4927179
13 UNUSED4970546 4926379
14 UNUSED 4971331 4924843
15 UNUSED 4970153 4925243
16 UNUSED 4969843 4926106
COMM 1 ELEC DISP INT. 100658 100593
COMM 2 RS232 SERIAL BD 14945 14936
COMM 3 RS232 SERIAL BD 15007 15021
COMM 4 UNUSED 4972447 4925453
COMM 5 UNUSED 4969347 4927642
COMM 6 UNUSED 4967653 4927684
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SOFTWARE REVISION LEVEL
VERSION 330.01
SOFTWARE# 346330-100-B
CREATED-10.07.23.17.25
S-MODULE# 330160-004-a
SYSTEM FEATURES:
PERIODIC IN-TANK TESTS
ANNUAL IN-TANK TESTS
ISD
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PRIORITY ALARM HISTORY
ID CATEGORY DESCRIPTION ALARM TYPESTATE DATE TIME
pg. 2
L 3 STP SUMP DSL STP FUEL ALARM CLEAR 8-10-15 11:32AM
L 3 STP SUMP DSL STP FUEL ALARM ALARM 8-10-15 11:32AM
T 2 TANK DIESEL PROBE OUT CLEAR 8-10-15 10:32AM
T 2 TANK DIESEL OVERFILL ALARM CLEAR 8-10-15 10:32AM
T 2 TANK DIESEL PROBE OUT ALARM 8-10-15 10:32AM
T 2 TANK DIESEL OVERFILL ALARM ALARM 8-10-15 10:31AM
T 2 TANKDIESEL PROBE OUT CLEAR 8-10-15 10:30AM
T 2 TANK DIESEL PROBE OUT ALARM 8-10-15 10:25AM
T 3 TANK PNL PROBE OUT CLEAR 8-10-15 10:24AM
T 3 TANK PNLOVERFILL ALARM CLEAR 8-10-15 10:23AM
T 3 TANK PNL PROBE OUT ALARM 8-10-15 10:23AM
T 3 TANK PNL OVERFILL ALARM ALARM 8-10-15 10:23AM
T 3 TANK PNL SUDDEN LOSS ALARM CLEAR 8-10-15 10:21AM
T 3 TANK PNL PROBE OUT CLEAR 8-10-15 10:20AM
T 3 TANK PNL PROBE OUT ALARM 8-10-15 10:14AM
T 3 TANK PNL PROBE OUT CLEAR 8-10-15 10:14AM
T 3 TANK PNL PROBE OUT ALARM 8-10-15 10:13AM
T 3 TANK PNL SUDDEN LOSS ALARM ALARM 8-10-15 10:13AM
T 4 TANK UNL 2 PROBE OUT CLEAR 8-10-15 10:10AM
T 4 TANK UNL 2 OVERFILL ALARM CLEAR 8-10-15 10:10AM
T 4 TANK UNL 2 PROBE OUT ALARM 8-10-15 10:10AM
T 4 TANK UNL 2 OVERFILL ALARM ALARM 8-10-15 10:10AM
T 4 TANKUNL 2 LOW PRODUCT ALARM CLEAR 8-10-15 10:09AM
T 4 TANK UNL 2 PROBE OUT CLEAR 8-10-15 10:08AM
T 4 TANK UNL 2 PROBE OUT ALARM 8-10-15 10:08AM
T 4 TANK UNL 2LOW PRODUCT ALARM ALARM 8-10-15 10:08AM
T 1 TANK UNL 1 PROBE OUT CLEAR 8-10-15 10:07AM
T 1 TANK UNL 1 OVERFILL ALARM CLEAR 8-10-15 10:06AM
T 1 TANK UNL 1 PROBE OUT ALARM 8-10-15 10:06AM
T 1 TANK UNL 1 OVERFILL ALARM ALARM 8-10-15 10:06AM
T 4 TANK UNL 2 SUDDEN LOSS ALARM CLEAR 8-10-15 10:06AM
T 1 TANK UNL 1 SUDDEN LOSS ALARM CLEAR 8-10-15 10:06AM
T 1 TANK UNL 1 LOW PRODUCT ALARM CLEAR 8-10-15 10:05AM
T 1 TANK UNL 1 LOW PRODUCT ALARM ALARM 8-10-15 10:04AM
T 1 TANK UNL 1 PROBE OUT CLEAR 8-10-15 10:04AM
T 1 TANK UNL 1 PROBE OUT ALARM 8-10-15 10:03AM
T 4 TANK UNL 2 SUDDEN LOSS ALARM ALARM 8-10-15 10:03AM
T 1 TANK UNL 1 SUDDEN LOSS ALARM ALARM 8-10-15 10:03AM
L10 DISP PAN DISP 3-4 SENSOR OUT ALARM CLEAR 8-10-15 10:01AM
L 9 DISP PAN DISP 1-2 SENSOR OUT ALARM CLEAR 8-10-15 10:01AM
L15 STP SUMP PNL STP SENSOR OUT ALARM CLEAR 8-10-15 10:01AM
L14 PIPE TRANS SUMP SO SENSOR OUT ALARM CLEAR 8-10-15 10:01AM
L13 PIPE TRANS SUMP NO SENSOR OUT ALARM CLEAR 8-10-15 10:01AM
L12 DISP PAN DISP 7-8 SENSOR OUT ALARM CLEAR 8-10-15 10:01AM
L11 DISP PAN DISP 5-6 SENSOR OUT ALARM CLEAR 8-10-15 10:01AM
L 2 ANNULAR UNL 1 ANN SENSOR OUT ALARM CLEAR 8-10-15 10:01AM
L 8 ANNULAR UNL 2 ANN SENSOR OUT ALARM CLEAR 8-10-15 10:01AM
L 1 STP SUMP UNL 1 STP SENSOR OUT ALARM CLEAR 8-10-15 10:01AM
L 4 ANNULAR DSL ANN SENSOR OUT ALARM CLEAR 8-10-15 10:01AM
L 7 STP SUMP UNL 2 STP SENSOR OUT ALARM CLEAR 8-10-15 10:01AM
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NON-PRIORITY ALARM HISTORY
ID CATEGORY DESCRIPTION ALARM TYPE STATE DATE TIME
pg. 3
T 2 TANK DIESEL HIGH PRODUCT ALARM CLEAR 8-10-15 10:32AM
T 2 TANK DIESEL HIGH PRODUCT ALARM ALARM 8-10-15 10:31AM
T 3 TANK PNL HIGH PRODUCT ALARM CLEAR 8-10-15 10:23AM
T 3 TANK PNL HIGH PRODUCT ALARM ALARM 8-10-15 10:23AM
T 3 TANK PNL LOW TEMP WARNING CLEAR 8-10-15 10:14AM
T 3 TANK PNL LOW TEMP WARNING ALARM 8-10-15 10:14AM
T 4 TANK UNL 2 LOW TEMP WARNING CLEAR 8-10-15 10:11AM
T 4 TANK UNL 2 LOW TEMP WARNING ALARM 8-10-15 10:11AM
T 4TANK UNL 2 HIGH PRODUCT ALARM CLEAR 8-10-15 10:10AM
T 4 TANK UNL 2 HIGH PRODUCT ALARM ALARM 8-10-15 10:10AM
T 4 TANK UNL 2 DELIVERY NEEDED CLEAR 8-10-15 10:09AM
T 4 TANK UNL 2DELIVERY NEEDED ALARM 8-10-15 10:08AM
T 1 TANK UNL 1 LOW TEMP WARNING CLEAR 8-10-15 10:07AM
T 1 TANK UNL 1 LOW TEMP WARNING ALARM 8-10-15 10:07AM
T 1 TANK UNL 1HIGH PRODUCT ALARM CLEAR 8-10-15 10:06AM
T 1 TANK UNL 1 HIGH PRODUCT ALARM ALARM 8-10-15 10:06AM
T 1 TANK UNL 1 INVALID FUEL LEVEL CLEAR 8-10-15 10:06AM
T 1 TANK UNL 1 DELIVERY NEEDED CLEAR 8-10-15 10:05AM
T 1 TANK UNL 1 DELIVERY NEEDED ALARM 8-10-15 10:04AM
T 1 TANK UNL 1 INVALID FUEL LEVEL ALARM 8-10-15 10:04AM
T 3 TANK PNL INVALID FUEL LEVEL CLEAR 8-05-15 10:14AM
T 3 TANK PNL INVALID FUEL LEVEL ALARM 8-05-15 10:13AM
T 3 TANK PNL HIGH PRODUCT ALARM CLEAR 8-05-15 10:12AM
T 3 TANK PNL HIGH PRODUCT ALARM ALARM 8-05-15 10:12AM
T 2TANK DIESEL LOW TEMP WARNING CLEAR 8-05-15 10:11AM
T 2 TANK DIESEL LOW TEMP WARNING ALARM 8-05-15 10:10AM
T 2 TANK DIESEL HIGH PRODUCT ALARM CLEAR 8-05-15 10:09AM
T 2 TANK DIESEL HIGH PRODUCT ALARM ALARM 8-05-15 10:09AM
T 1 TANK UNL 1 LOW TEMP WARNING CLEAR 8-05-15 10:07AM
T 1 TANK UNL 1 LOW TEMP WARNING ALARM 8-05-15 10:07AM
T 4 TANK UNL 2DELIVERY NEEDED CLEAR 8-05-15 10:03AM
T 4 TANK UNL 2 DELIVERY NEEDED ALARM 8-05-15 10:03AM
T 4 TANK UNL 2 DELIVERY NEEDED CLEAR 8-05-15 9:18AM
T 4 TANK UNL 2 DELIVERY NEEDED ALARM 8-05-15 9:17AM
SYSTEM PRINTER ERROR CLEAR 7-27-15 11:08AM
SYSTEM PAPER OUT CLEAR 7-27-15 11:08AM
SYSTEM PRINTER ERROR ALARM 7-27-15 11:08AM
SYSTEM PAPER OUT ALARM 7-27-15 11:07AM
T 1 TANK UNL 1 DELIVERY NEEDED CLEAR 7-25-15 11:18PM
T 1 TANK UNL 1 INVALID FUEL LEVEL CLEAR 7-25-15 10:57PM
T 1TANK UNL 1 INVALID FUEL LEVEL ALARM 7-25-15 4:19PM
T 1 TANK UNL 1 DELIVERY NEEDED ALARM 7-25-15 12:44PM
T 2 TANK DIESEL DELIVERY NEEDED CLEAR 7-23-15 1:40AM
T 2 TANKDIESEL DELIVERY NEEDED ALARM 7-22-15 3:44PM
OTHER ISD SENSOR OUT WARN CLEAR 7-09-15 2:53PM
OTHER ISD SENSOR OUT WARN ALARM 7-09-15 10:01AM
SYSTEMPAPER OUT CLEAR 7-03-15 4:50AM
SYSTEM PAPER OUT ALARM 7-03-15 4:50AM
SYSTEM PAPER OUT CLEAR 7-03-15 4:50AM
SYSTEM PAPER OUTALARM 7-03-15 4:50AM
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TANK ALARM HISTORY
pg. 4
TANK 1 UNL 1
SETUP DATA WARNING JUL 30, 2014 9:29 AM
OVERFILL ALARMAUG 10, 2015 10:06 AM
AUG 5, 2015 10:05 AM
APR 3, 2015 7:39 PM
LOW PRODUCT ALARM AUG 10, 2015 10:04 AM
JUL 25, 2015 12:44 PM
MAY 12, 2015 1:48 PM
SUDDEN LOSS ALARM AUG 10, 2015 10:03 AM
JUL 23, 2015 2:23 AM
JUL 23, 2015 1:47 AM
HIGH PRODUCT ALARM AUG 10, 2015 10:06 AM
AUG 5, 2014 10:12 AM
JUL 30, 2014 9:29 AM
INVALID FUEL LEVEL AUG 10, 2015 10:04 AM
JUL 25, 2015 4:19 PM
PROBE OUT AUG 10, 2015 10:06 AM
AUG 10, 2015 10:03 AM
AUG 5, 2015 10:05 AM
DELIVERY NEEDED AUG 10, 2015 10:04 AM
JUL 25, 2015 12:44 PM
MAY 12, 2015 1:48 PM
LOW TEMP WARNING AUG 10, 2015 10:07 AM
AUG 5, 2015 10:07 AM
AUG 7, 2013 9:13 AM
TANK 2 DIESEL
SETUP DATA WARNING JUL 30, 2014 9:30 AM
OVERFILL ALARM AUG 10, 2015 10:31 AM
AUG 5, 2014 10:17 AM
AUG 5, 2014 10:13 AM
LOW PRODUCT ALARM JUL 22, 2015 3:44 PM
JUL 1, 2015 4:32 PM
JUN 20, 2015 10:47 AM
HIGH PRODUCT ALARM AUG 10, 2015 10:31 AM
AUG 5, 2015 10:09 AM
AUG 5, 2014 10:17 AM
INVALID FUEL LEVEL AUG 7, 2013 9:48 AM
AUG 11, 2011 8:48 AM
AUG 11, 2011 8:46 AM
PROBE OUT AUG 10, 2015 10:32 AM
AUG 10, 2015 10:25 AM
AUG5, 2015 10:10 AM
DELIVERY NEEDED JUL 22, 2015 3:44 PM
JUL 1, 2015 4:32 PM
JUN 20, 2015 10:47 AM
pg. 5
LOW TEMP WARNING AUG 5, 2015 10:10 AM
AUG 5, 2014 10:18 AM
JUL 31, 2013 11:19 AM
TANK 3 PNL
SETUP DATA WARNING JUL 30, 2014 9:31 AM
OVERFILL ALARM AUG 10, 2015 10:23 AM
AUG 5, 2015 10:12 AM
AUG 5, 2014 10:19 AM
LOW PRODUCT ALARM AUG 30, 2013 4:50 AM
OCT 17, 2012 3:45 PM
FEB 13, 2012 3:39 PM
SUDDEN LOSS ALARM AUG 10, 2015 10:13 AM
AUG 5, 2014 9:19 AM
AUG 7, 2012 9:00 AM
HIGH PRODUCT ALARM AUG 10, 2015 10:23 AM
AUG 5, 2015 10:12 AM
JUL 30, 2014 9:31 AM
INVALID FUEL LEVEL AUG 5, 2015 10:13 AM
AUG 11, 2011 9:26 AM
AUG 11, 2011 8:44 AM
PROBE OUT AUG 10, 2015 10:23 AM
AUG 10, 2015 10:14 AM
AUG 10, 2015 10:13 AM
DELIVERY NEEDED AUG 30, 2013 4:49 AM
OCT 17, 2012 3:45 PM
FEB 13, 2012 3:39 PM
LOW TEMP WARNING AUG 10, 2015 10:14 AM
AUG 5, 2014 10:20 AM
AUG 7, 2013 9:50 AM
TANK 4 UNL 2
SETUP DATA WARNING JUL 30, 2014 9:32 AM
OVERFILL ALARM AUG 10, 2015 10:10 AM
AUG 5, 2015 10:00 AM
APR 3, 2015 7:38 PM
LOW PRODUCT ALARM AUG 10, 2015 10:08 AM
AUG 5, 2015 10:03 AM
AUG 5, 2015 9:17 AM
SUDDEN LOSS ALARM AUG 10, 2015 10:03 AM
AUG 7, 2012 8:54 AM
HIGH PRODUCT ALARM AUG 10, 2015 10:10 AM
JUL 30, 2014 9:32 AM
AUG 7, 2013 9:43 AM
INVALID FUEL LEVEL JUL 31, 2013 10:09 AM
JUL 31, 2013 9:18 AM
pg. 6
PROBE OUT AUG 10, 2015 10:10 AM
AUG 10, 2015 10:08 AM
AUG 5, 2015 10:01 AM
DELIVERY NEEDED AUG 10, 2015 10:08 AM
AUG 5, 2015 10:03 AM
AUG 5, 2015 9:17 AM
LOW TEMP WARNING AUG 10, 2015 10:11 AM
SEP 19, 2013 4:21 PM
AUG 7, 2013 9:44 AM
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LIQUID ALARM HISTORY REPORT
SENSOR LOCATION
1 UNL 1 STP
AUG 10, 2015 10:00 AM SENSOR OUT ALARM
AUG 10, 2015 9:38 AM FUEL ALARM
AUG 5, 2015 9:45 AMFUEL ALARM
2 UNL 1 ANN
AUG 10, 2015 10:00 AM SENSOR OUT ALARM
AUG 10, 2015 9:39 AM FUEL ALARM
AUG 5, 2015 9:49 AM FUEL ALARM
3 DSL STP
AUG 10, 2015 11:32 AM FUEL ALARM
AUG 10, 2015 10:00 AM SENSOR OUT ALARM
AUG 10, 2015 9:39 AM FUEL ALARM
4 DSL ANN
AUG 10, 2015 10:00 AM SENSOR OUT ALARM
AUG 10, 2015 9:40 AM FUEL ALARM
AUG 5, 2015 9:50 AM FUEL ALARM
6 PNL ANN
AUG 10, 2015 10:00 AM SENSOR OUT ALARM
AUG 10, 2015 9:41 AM FUEL ALARM
AUG 5, 2015 10:22 AM SENSOR OUT ALARM
7 UNL 2 STP
AUG 10, 2015 10:00 AM SENSOR OUT ALARM
AUG 10, 2015 9:42 AM FUEL ALARM
AUG 5, 2015 10:22 AM SENSOR OUT ALARM
8 UNL 2 ANN
AUG 10, 2015 10:00 AMSENSOR OUT ALARM
AUG 10, 2015 9:53 AM FUEL ALARM
AUG 5, 2015 9:48 AM FUEL ALARM
9 DISP 1-2
AUG 10, 2015 10:00 AM SENSOR OUT ALARM
AUG 10, 2015 9:44 AM FUEL ALARM
AUG 5, 2015 10:22 AM SENSOR OUT ALARM
pg. 7
10 DISP 3-4
AUG 10, 2015 10:00 AM SENSOR OUT ALARM
AUG 10, 2015 9:46 AM FUEL ALARM
AUG 5, 2015 10:22 AM SENSOR OUT ALARM
11 DISP 5-6
AUG 10, 2015 10:00 AM SENSOR OUT ALARM
AUG 10, 2015 9:47 AM FUEL ALARM
AUG 5, 2015 10:22 AM SENSOR OUT ALARM
12 DISP 7-8
AUG 10, 2015 10:00 AM SENSOR OUT ALARM
AUG 10, 2015 9:48 AM FUEL ALARM
AUG 5, 2015 10:22 AM SENSOR OUT ALARM
13 TRANS SUMP NO
AUG 10, 2015 10:00 AM SENSOR OUT ALARM
AUG 10, 2015 9:56 AM FUEL ALARM
AUG 5, 2015 10:22 AM SENSOR OUT ALARM
14 TRANS SUMP SO
AUG 10, 2015 10:00 AM SENSOR OUT ALARM
AUG 10, 2015 9:55 AM FUEL ALARM
AUG 5, 2015 10:22 AM SENSOR OUT ALARM
15 PNL STP
AUG 10, 2015 10:00 AM SENSOR OUT ALARM
AUG 10, 2015 9:40 AM FUEL ALARM
AUG 5, 2015 10:22 AM SENSOR OUT ALARM
I31600
AUG 10, 2015 12:20 PM
FASTRIP 347
2698 OSWELL ST
BAKERSFIELD 93306
661-872-8721
SMART SENSOR ALARM HISTORY REPORT
SENSOR LOCATION
1 PS 3-4
2 FM 1-2
3 FM 3-4
4 FM 5-6
5 FM 7-8
I40200
AUG 10, 2015 12:20 PM
I40300
AUG 10, 2015 12:20 PM
I34200
AUG 10, 2015 12:20 PM
I34700
AUG 10, 2015 12:20 PM
pg. 8
IV0100
AUG 10, 2015 12:20 PM
FASTRIP 347
2698 OSWELL ST
BAKERSFIELD 93306
661-872-8721
ISD ALARM STATUS REPORT
EVR TYPE: VACUUM ASSIST
ISD TYPE: 01.03
VAPORPROCESSOR 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
DATETIME DESCRIPTION READING VALUE
15-07-09 10:01:40 SENSOR OUT SELFTEST
CHECK VAPOR FLOW METER f 1:FM 1-2
15-01-27 10:01:52 CONTAINMENT GROSS OVER PRESSURE WEEKLY 95%3.54
15-01-20 10:01:52 CONTAINMENT GROSS OVER PRESSURE WEEKLY 95% 2.45
15-01-06 10:02:48 CONTAINMENT GROSS OVER PRESSURE WEEKLY 95% 2.45
14-12-30 10:02:34 CONTAINMENT GROSS OVER PRESSURE WEEKLY 95% 2.89
14-12-23 10:02:27 CONTAINMENT GROSS OVER PRESSURE WEEKLY 95% 2.19
14-12-16 10:01:46 CONTAINMENT GROSS OVER PRESSURE WEEKLY 95% 3.70
14-12-09 10:01:09 CONTAINMENT GROSS OVER PRESSURE WEEKLY 95% 3.67
14-12-02 10:01:09 CONTAINMENT GROSS OVER PRESSURE WEEKLY 95%3.67
14-11-28 10:01:17 A/L RATIO GROSS BLOCKAGE FP 8 BLEND3 BLKD
FAILURE ALARMS
DATE TIME DESCRIPTION READING VALUE
12-08-18 10:02:49 CONTAINMENT GROSS OVER PRESSURE WEEKLY 95% 2.70
11-08-25 10:02:34 CONTAINMENT GROSS OVER PRESSURE WEEKLY 95% 2.05
SHUTDOWN & MISCELLANEOUS EVENTS
DATE TIME DESCRIPTION ACTION/NAME
15-08-10 10:05:04 READINESS ISD:PP EVR:PP ISD & EVR READY
15-08-10 10:01:41 READINESS ISD:PP EVR:NNEVR READINESS PENDING
15-08-10 10:01:41 ISD STARTUP
15-08-10 10:01:28 ISD SHUTDOWN
15-08-06 10:01:48 READINESS ISD:PP EVR:PP ISD & EVR READY
15-08-05 10:24:57 READINESS ISD:PP EVR:NN EVR READINESS PENDING
15-08-05 10:24:57 ISD STARTUP
15-08-05 10:24:11 ISD SHUTDOWN
15-07-09 14:53:50 SENSOR OUT TEST MANUALLY CLEARED
15-03-25 10:01:26 READINESS ISD:PP EVR:PP ISD & EVR READY
pg. 9
Responses Received:
200
FASTRIP 347
2698 OSWELL ST
BAKERSFIELD 93306
661-872-8721
AUG 10, 2015 12:24 PM
TANK PRODUCT GALLONS INCHES WATER DEG F ULLAGE
1 UNL 1 3869 34.43 1.0 87.0 8131
2 DIESEL 3214 30.07 0.9 87.8 8786
3 PNL 5115 42.43 0.0 86.5 6885
4 UNL 2 4220 36.71 0.7 85.9 7780
I90500
AUG 10, 2015 12:24 PM
SOFTWARE REVISION LEVEL
VERSION 330.01
SOFTWARE# 346330-100-B
CREATED-10.07.23.17.25
S-MODULE# 330160-004-a
SYSTEM FEATURES:
PERIODIC IN-TANK TESTS
ANNUAL IN-TANK TESTS
ISD
I50500
AUG 10, 2015 12:24 PM
SYSTEM TYPE AND LANGUAGE FLAG
SYSTEM UNITS
U.S.
SYSTEMLANGUAGE
ENGLISH
SYSTEM DATE/TIME FORMAT
MON DD YYYY HH:MM:SS xM
I50201
AUG 10, 2015 12:24 PM
SHIFT TIME 1 : 6:00 AM
I50202
AUG 10, 2015 12:24 PM
SHIFT TIME 2 : DISABLED
I50203
pg. 10
AUG 10, 2015 12:24 PM
SHIFT TIME 3 : DISABLED
I50204
AUG 10, 2015 12:24 PM
SHIFT TIME 4 : DISABLED
I54600
AUG 10, 2015 12:24 PM
TANK PER TST NEEDED WRN: DISABLED
I54900
AUG 10, 2015 12:24 PM
TANK ANN TST NEEDED WRN: DISABLED
I55300
AUG 10, 2015 12:24 PM
LINE RE-ENABLE METHOD
PASS LINE TEST
I55600
AUG10, 2015 12:24 PM
LINE PER TST NEEDED WRN: DISABLED
I55900
AUG 10, 2015 12:24 PM
LINE ANN TST NEEDED WRN: DISABLED
I50D00
AUG 10, 2015 12:24 PM
PRINT TC VOLUMES
ENABLED
I50E00
AUG 10, 2015 12:24 PM
TEMP COMPENSATION
VALUE (DEG F ): 60.0
pg. 11
I60B00
AUG 10, 2015 12:24 PM
STICK HEIGHT OFFSET ENABLE STATUS
DISABLED
I51400
AUG 10, 2015 12:24 PM
H-PROTOCOL DATA FORMAT
HEIGHT
I51A01
AUG 10, 2015 12:24 PM
DAYLIGHT SAVING TIME
ENABLED ON
I51B00
AUG 10, 2015 12:24 PM
DAYLIGHT SAVING TIME
START DATE MAR WEEK 2 SUN 2:00 AM
END DATE NOV WEEK 1 SUN 2:00 AM
I51600
AUG 10, 2015 12:24 PM
RE-DIRECT LOCAL PRINTOUT
DISABLED
I50400
AUG 10, 2015 12:24 PM
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
pg. 12
I21900
AUG 10, 2015 12:24 PM
TANK CHART SECURITY
DISABLED
I5BD00
AUG 10, 2015 12:24 PM
CUSTOM ALARM LABELS
DISABLED
I56000
AUG 10, 2015 12:24 PM
MASS/DENSITY
DISABLED
I88101
AUG 10, 2015 12:24 PM
PORT SETTINGS:
COMM BOARD : 1 (EDIM )
RS-232 SECURITY
CODE : DISABLED
I88102
AUG 10, 2015 12:24 PM
PORTSETTINGS:
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 10, 2015 12:24 PM
PORT SETTINGS:
COMM BOARD : 3 (RS-232)
BAUD RATE : 9600
PARITY : NONE
STOP BIT : 1 STOP
DATA LENGTH: 8 DATA
RS-232 SECURITY
CODE : DISABLED
pg. 13
I88104
AUG 10, 2015 12:24 PM
I88105
AUG 10, 2015 12:24 PM
I88106
AUG 10, 2015 12:24 PM
I52000
AUG 10, 2015 12:24 PM
RECEIVER AUTO DIAL TYPE & START TIME
RCVR LOCATION LABEL DIAL TYPE START TIME
1 ON DATE ??? 10, 2015 DISABLED
2 ON DATE ??? 10, 2015 DISABLED
3 ON DATE ??? 10, 2015 DISABLED
4ON DATE ??? 10, 2015 DISABLED
5 ON DATE ??? 10, 2015 DISABLED
6 ON DATE ??? 10, 2015 DISABLED
7 ON DATE ??? 10, 2015 DISABLED
8 ON DATE ??? 10, 2015 DISABLED
I60100
AUG 10, 2015 12:24 PM
TANK CONFIGURATION
DEVICE LABEL CONFIGURED
1 UNL 1 ON
2 DIESEL ON
3 PNL ON
4 UNL 2 ON
I60200
AUG 10, 2015 12:24 PM
TANK PRODUCT LABEL
TANK PRODUCT LABEL
1 UNL 1
2 DIESEL
3 PNL
4UNL 2
I60300
AUG 10, 2015 12:24 PM
TANK PRODUCT CODE
TANK PRODUCT LABEL
pg. 14
1 UNL 1 1
2 DIESEL 2
3 PNL 3
4 UNL 2 4
I60900
AUG 10, 2015 12:24 PM
TANK THERMAL COEFFICIENT
TANK PRODUCT LABEL
1 UNL 1 0.000700
2 DIESEL 0.000450
3 PNL 0.000700
4 UNL 2 0.000700
I60700
AUG 10, 2015 12:24 PM
TANK DIAMETER
TANK PRODUCT LABEL INCHES
1 UNL 1 96.00
2 DIESEL 96.00
3 PNL 96.00
4 UNL 2 96.00
I60A00
AUG 10, 2015 12:24 PM
TANK FULL VOLUME
TANK PRODUCT LABEL TANK PROFILE GALLONS 1 UNL 1
1 PT 12000 2 DIESEL 1 PT 12000 3 PNL
1 PT 12000 4UNL 2 1 PT 12000
I60400
AUG 10, 2015 12:24 PM
TANK FULL VOLUME
TANK PRODUCT LABEL GALLONS
1 UNL 1 12000
2 DIESEL 12000
3 PNL 12000
4 UNL 2 12000
I60500
AUG 10, 2015 12:24 PM
TANK 4 POINT VOLUMES
TANK PRODUCT LABEL GALLONS
1 UNL 1 12000 0 0 0
2 DIESEL 12000 0 0 0
3 PNL 12000 0 0 0
4 UNL 2 12000 0 0 0
pg. 15
I60600
AUG 10, 2015 12:24 PM
TANK 20 POINT VOLUMES
TANK PRODUCT LABEL GALLONS
1 UNL 1 12000 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
2 DIESEL 12000 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
3 PNL 12000 0 00
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
4 UNL 2 12000 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
I61500
AUG 10, 2015 12:24 PM
TANK PRODUCT LABEL METER DATA
1 UNL 1 NO
2 DIESEL NO
3 PNL NO
4 UNL 2 NO
I62F00
AUG 10, 2015 12:24 PM
MAG PROBE FLOAT SIZE
TANK PRODUCT LABEL FLOAT SIZE:
1 UNL 1 4.0 IN.
2 DIESEL 4.0 IN.
3 PNL 4.0 IN.
4 UNL 2 3.0 IN.
I62700
AUG 10, 2015 12:24 PM
TANK HIGH WATER WARNING LIMIT
TANK PRODUCT LABEL INCHES
1 UNL 1 2.0
2 DIESEL 2.0
pg. 16
3 PNL 2.0
4 UNL 2 2.0
9999FF1B
I62400
AUG 10, 2015 12:24 PM
TANK HIGH WATER LEVEL LIMIT
TANK PRODUCT LABEL INCHES
1 UNL 1 3.0
2 DIESEL 3.0
3 PNL 3.0
4 UNL 2 3.0
I62800
AUG 10, 2015 12:24 PM
TANK MAXIMUM VOLUME LIMIT
TANK PRODUCT LABEL GALLONS
1 UNL 1 12000
2 DIESEL 12000
3 PNL 12000
4 UNL 2 12000
I62300
AUG 10, 2015 12:24 PM
TANK OVERFILL LEVEL LIMIT
TANK PRODUCT LABEL GALLONS
1 UNL 1 10800
2 DIESEL 10800
3 PNL 10800
4 UNL 2 10800
I62200
AUG 10, 2015 12:24 PM
TANK HIGH PRODUCT LIMIT
TANKPRODUCT LABEL GALLONS
1 UNL 1 11400
2 DIESEL 11400
3 PNL 11400
4 UNL 2 11400
I62900
AUG 10, 2015 12:24 PM
TANK DELIVERY REQUIRED LIMIT
TANK PRODUCT LABEL GALLONS
1 UNL 1 1200
2 DIESEL 1200
3 PNL 1200
4 UNL 2 1200
pg. 17
I62100
AUG 10, 2015 12:24 PM
TANK LOW PRODUCT LIMIT
TANK PRODUCT LABEL GALLONS
1 UNL 1 1200
2 DIESEL 1200
3 PNL 1200
4 UNL 2 1200
I62600
AUG 10, 2015 12:24 PM
TANK LEAK ALARM LIMIT
TANK PRODUCT LABEL GALLONS
1 UNL 1 99
2 DIESEL 99
3 PNL 99
4 UNL 2 99
I62500
AUG 10, 2015 12:24 PM
TANK SUDDEN LOSS LIMIT
TANK PRODUCT LABEL GALLONS
1 UNL 1 99
2 DIESEL 99
3 PNL 99
4 UNL 2 99
I60800
AUG 10, 2015 12:24 PM
TANK TILT
TANKPRODUCT LABEL INCHES
1 UNL 1 0.00
2 DIESEL 0.00
3 PNL 0.00
4 UNL 2 0.00
I60B00
AUG 10, 2015 12:24 PM
STICK HEIGHT OFFSET ENABLE STATUS
DISABLED
I60C00
AUG 10, 2015 12:24 PM
TANK STICK HEIGHT OFFSET
TANK PRODUCT LABEL INCHES
pg. 18
1 UNL 1 0.00
2 DIESEL 0.00
3 PNL 0.00
4 UNL 2 0.00
I61200
AUG 10, 2015 12:24 PM
TANK MANIFOLDED PARTNERS
TANK PRODUCT LABEL SIPHON MANIFOLDED TANKS LINE MANIFOLDED TANKS
1 UNL 1 4 NONE
2 DIESEL NONE NONE
3 PNL NONE NONE
4 UNL 2 1 NONE
I63600
AUG10, 2015 12:24 PM
PERIODIC LEAK TEST MIN VOLUME
TANK PRODUCT LABEL GALLONS
1 UNL 1 120
2 DIESEL 120
3 PNL 120
4 UNL 2 120
I62A00
AUG 10, 2015 12:24 PM
ANNUAL LEAK TEST MIN VOLUME
TANK PRODUCT LABEL GALLONS
1 UNL 1 0
2 DIESEL 0
3 PNL 0
4 UNL 20
I62C00
AUG 10, 2015 12:24 PM
TANK PERIODIC TEST TYPE
TANK PRODUCT LABEL PERIODIC TEST TYPE
1 UNL 1 STANDARD
2 DIESEL STANDARD
3 PNL STANDARD
4 UNL 2STANDARD
I62D00
AUG 10, 2015 12:24 PM
TANK LEAK TEST FAIL ALARMS
TANK PRODUCT LABEL
1 UNL 1 GROSS TEST FAIL ALARM DISABLED
PERIODIC TEST FAIL ALARM DISABLED
pg. 19
2 DIESEL GROSS TEST FAIL ALARM DISABLED
PERIODIC TEST FAIL ALARM DISABLED
3 PNL GROSS TEST FAIL ALARM DISABLED
PERIODICTEST FAIL ALARM DISABLED
4 UNL 2 GROSS TEST FAIL ALARM DISABLED
PERIODIC TEST FAIL ALARM DISABLED
ANNUAL TEST FAIL ALARM DISABLED
I63100
AUG 10, 2015 12:24 PM
TANK LEAK TEST AVERAGING
TANK PRODUCT LABEL ANNUAL PERIODIC
1 UNL 1 OFF OFF
2 DIESEL OFF OFF
3 PNL OFF OFF
4 UNL 2 OFF OFF
I63000
AUG 10, 2015 12:24 PM
IN-TANK LEAK TEST NOTIFY
TANK PRODUCT LABEL TANK TEST NOTIFY:
1 UNL 1 OFF
2 DIESEL OFF
3 PNLOFF
4 UNL 2 OFF
I63200
AUG 10, 2015 12:24 PM
TANK TEST SIPHON BREAK
TANK PRODUCT LABEL SIPHON BREAK
1 UNL 1 OFF
2 DIESEL OFF
3 PNL OFF
4 UNL 2 OFF
I61000
AUG 10, 2015 12:25 PM
TANK DELIVERY DELAY
TANK PRODUCT LABEL
1 UNL 1 1
2 DIESEL 1
3 PNL1
4 UNL 2 1
pg. 20
I63A00
AUG 10, 2015 12:25 PM
LOW LEVEL PUMP THRESHOLD FOR SEQUENTIAL LINE MANIFOLD
TANK PRODUCT LABEL PUMP THRESHOLD
1 UNL 1 10.00%
2 DIESEL 10.00%
3 PNL 10.00%
4 UNL 2 10.00%
I61100
AUG 10, 2015 12:25 PM
LEAK TEST METHOD
------------
TEST ON DATE : ALL TANK
JUL 23, 2010
START TIME : DISABLED
TEST RATE :0.20 GAL/HR
DURATION : 2 HOURS
TST EARLY STOP:DISABLED
I61300
AUG 10, 2015 12:25 PM
CSLD PROBABLITY OF DETECTION
I61400
AUG 10, 2015 12:25 PM
CSLD CLIMATE FACTOR
I61600
AUG 10, 2015 12:25 PM
TANK PRODUCT LABEL CAL UPDATE
1 UNL 1 IMMEDIATE
2 DIESEL IMMEDIATE
3 PNL IMMEDIATE
4 UNL 2 IMMEDIATE
I61A00
AUG 10, 2015 12:25 PM
IN-TANK LEAK TEST EARLY STOP
TANK PRODUCT LABEL TST EARLY STOP:
1 UNL 1 DISABLED
2 DIESEL DISABLED
pg. 21
3 PNL DISABLED
4 UNL 2 DISABLED
I61B00
AUG 10, 2015 12:25 PM
IN-TANK LEAK GROSS TEST AUTO-CONFIRM
I61C00
AUG 10, 2015 12:25 PM
CSLD REPORT ONLY
I62B00
AUG 10, 2015 12:25 PM
TANK LAST ANNUAL TEST
TANK PRODUCT LABEL DATE
1 UNL 1 ??? 0, 0
2 DIESEL ??? 0, 0
3PNL ??? 0, 0
4 UNL 2 ??? 0, 0
I63300
AUG 10, 2015 12:25 PM
LEAK TEST REPORT FORMAT: NORMAL
I63400
AUG 10, 2015 12:25 PM
RECONCILIATION WARNING LIMIT
TANK PRODUCT LABEL GALLONS
1 UNL 1 0
2 DIESEL 0
3 PNL 0
4 UNL 2 0
I63500
AUG 10, 2015 12:25 PM
RECONCILIATION ALARM LIMIT
TANK PRODUCT LABEL GALLONS
1 UNL 1 1
2 DIESEL 1
3 PNL 1
4 UNL 2 1
pg. 22
I63900
AUG 10, 2015 12:25 PM
ACCU CHART END SHAPE FACTOR
TANK PRODUCT LABEL
1 UNL 1
END FACTOR: NONE
2 DIESEL
END FACTOR: NONE
3 PNL
END FACTOR: NONE
4 UNL 2
END FACTOR: NONE
I78000
AUG10, 2015 12:25 PM
I77700
AUG 10, 2015 12:25 PM
I77800
AUG 10, 2015 12:25 PM
I78C00
AUG 10, 2015 12:25 PM
I78300
AUG 10, 2015 12:25 PM
I78F00
AUG 10, 2015 12:25 PM
I78700
AUG 10, 2015 12:25 PM
I70200
AUG 10, 2015 12:25 PM
pg. 23
LIQUID LABEL
DEVICE LABEL
1 UNL 1 STP
2 UNL 1 ANN
3 DSL STP
4 DSL ANN
5
6 PNL ANN
7 UNL 2 STP
8 UNL 2 ANN
9 DISP 1-2
10 DISP 3-4
11 DISP 5-6
12 DISP 7-8
13 TRANS SUMP NO
14 TRANS SUMP SO
15 PNL STP
16
I70300
AUG 10, 2015 12:25 PM
LIQUID TYPE
SENSOR LOCATION TYPE
1 UNL 1 STP TRI-STATE (SINGLE FLOAT)
2 UNL 1 ANN TRI-STATE (SINGLE FLOAT)
3 DSL STP TRI-STATE (SINGLE FLOAT)
4 DSL ANN TRI-STATE (SINGLE FLOAT)
5 TRI-STATE (SINGLE FLOAT)
6 PNL ANN TRI-STATE (SINGLE FLOAT)
7 UNL 2 STP TRI-STATE (SINGLE FLOAT)
8 UNL 2 ANN TRI-STATE (SINGLE FLOAT)
9 DISP 1-2 TRI-STATE (SINGLE FLOAT)
10 DISP 3-4 TRI-STATE (SINGLE FLOAT)
11 DISP 5-6 TRI-STATE (SINGLE FLOAT)
12DISP 7-8 TRI-STATE (SINGLE FLOAT)
13 TRANS SUMP NO TRI-STATE (SINGLE FLOAT)
14 TRANS SUMP SO TRI-STATE (SINGLE FLOAT)
15 PNL STP TRI-STATE (SINGLE FLOAT)
16 TRI-STATE(SINGLE FLOAT)
I70400
AUG 10, 2015 12:25 PM
LIQUID CATEGORY
SENSOR LOCATION CATEGORY
1 UNL 1 STP STP SUMP
2 UNL 1 ANN ANNULAR SPACE
3 DSL STP STP SUMP
4 DSL ANN ANNULAR SPACE
5 OTHER SENSORS
6 PNL ANN ANNULAR SPACE
7 UNL 2 STP STP SUMP
8 UNL 2 ANN ANNULAR SPACE
9 DISP 1-2 DISPENSER PAN
pg. 24
10 DISP 3-4 DISPENSER PAN
11 DISP 5-6 DISPENSER PAN
12 DISP 7-8 DISPENSER PAN
13 TRANS SUMP NO PIPING SUMP
14 TRANS SUMP SO PIPING SUMP
15 PNL STPSTP SUMP
16 OTHER SENSORS
I74200
AUG 10, 2015 12:25 PM
I74300
AUG 10, 2015 12:25 PM
I74400
AUG 10, 2015 12:25 PM
I74700
AUG 10, 2015 12:25 PM
I74800
AUG 10, 2015 12:25 PM
I74900
AUG 10, 2015 12:25 PM
I7BC00
AUG 10, 2015 12:25 PM
I80200
AUG 10, 2015 12:25 PM
I80300
AUG 10, 2015 12:25 PM
I80400
AUG 10, 2015 12:25 PM
I80700
AUG 10, 2015 12:25 PM
pg. 25
RELAY LABEL
DEVICE LABEL
1 UNL 1
2 PNL
3 DSL
4
5 OVERFILL ALARM
6
7
8
I80900
AUG 10, 2015 12:25 PM
RELAY ORIENTATION
RELAYDESIGNATION ORIENTATION
1 UNL 1 NORMALLY OPEN
2 PNL NORMALLY OPEN
3 DSL NORMALLY CLOSED
4 NORMALLY OPEN
5 OVERFILL ALARM NORMALLY OPEN
6 NORMALLY OPEN
7 NORMALLY OPEN
8 NORMALLY OPEN
I80B00
AUG 10, 2015 12:25 PM
RELAY TANK ASSIGNMENT
RELAY DESIGNATION TANK
1 UNL 1 1
2 PNL 3
3 DSL NONE
4 NONE
5 OVERFILL ALARM NONE
6 NONE
7 NONE
8NONE
I80A00
AUG 10, 2015 12:25 PM
RELAY TYPE
RELAY DESIGNATION TYPE
1 UNL 1 PUMP CONTROL OUTPUT
2 PNL PUMP CONTROL OUTPUT
3 DSL STANDARD
4STANDARD
5 OVERFILL ALARM STANDARD
6 STANDARD
7 STANDARD
8 STANDARD
pg. 26
I80C00
AUG 10, 2015 12:25 PM
I80800
AUG 10, 2015 12:25 PM
RELAYSETUP REPORT
R 1:UNL 1
TYPE:
PUMP CONTROL OUTPUT
TANK #: 1
LIQUID SENSOR ALMS
L 1:FUEL ALARM
L 7:FUEL ALARM
L 9:FUEL ALARM
L10:FUEL ALARM
L11:FUEL ALARM
L12:FUEL ALARM
L 1:SENSOR OUT ALARM
L 7:SENSOR OUT ALARM
L 9:SENSOR OUT ALARM
L10:SENSOR OUT ALARM
L11:SENSOR OUT ALARM
L12:SENSOR OUT ALARM
L 1:SHORT ALARM
L 7:SHORT ALARM
L 9:SHORT ALARM
L10:SHORT ALARM
L11:SHORT ALARM
L12: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:
PUMP CONTROL OUTPUT
TANK #: 3
LIQUID SENSOR ALMS
L 9:FUEL ALARM
L10:FUEL ALARM
L11:FUEL ALARM
L12:FUEL ALARM
L15:FUEL ALARM
pg. 27
L 9:SENSOR OUT ALARM
L10:SENSOR OUT ALARM
L11:SENSOR OUT ALARM
L12:SENSOR OUT ALARM
L15:SENSOR OUT ALARM
L 9:SHORT ALARM
L10:SHORT ALARM
L11:SHORT ALARM
L12:SHORT ALARM
L13:SHORT ALARM
L15: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 #: NONE
LIQUID SENSOR ALMS
L 3:FUEL ALARM
L 9:FUEL ALARM
L11:FUEL ALARM
L12:FUEL ALARM
L13:FUEL ALARM
L14:FUEL ALARM
L 3:SENSOR OUT ALARM
L 9:SENSOR OUT ALARM
L10:SENSOR OUT ALARM
L11:SENSOR OUT ALARM
L12:SENSOR OUT ALARM
L13:SENSOR OUT ALARM
L14:SENSOR OUT ALARM
L 3:SHORT ALARM
L 9:SHORT ALARM
L10:SHORT ALARM
L11:SHORT ALARM
L12:SHORT ALARM
L13:SHORT ALARM
L14:SHORT ALARM
R 4:
TYPE:
STANDARD
NORMALLY OPEN
TANK #: NONE
pg. 28
-NO ALARM ASSIGNMENTS -
R 5:OVERFILL ALARM
TYPE:
STANDARD
NORMALLY OPEN
TANK #: NONE
IN-TANK ALARMS
ALL:OVERFILL ALARM
ALL:HIGH PRODUCT ALARM
ALL:MAX PRODUCT ALARM
R 6:
TYPE:
STANDARD
NORMALLY OPEN
TANK #: NONE
-NO ALARM ASSIGNMENTS -
R 7:
TYPE:
STANDARD
NORMALLY OPEN
TANK #: NONE
-NO ALARM ASSIGNMENTS -
R 8:
TYPE:
STANDARD
NORMALLY OPEN
TANK #: NONE
-NO ALARMASSIGNMENTS-
I79000
AUG 10, 2015 12:25 PM
EDIM:1 VR:349634-003-C TD:06.05.11.11.15
I79100
AUG 10, 2015 12:26 PM
I72300
AUG 10, 2015 12:26 PM
FASTRIP 347
2698 OSWELL ST
pg. 29
BAKERSFIELD 93306
661-872-8721
SMARTSENSOR ASSIGNMENT
DEVICELABEL CATEGORY
01 PS 3-4 VAPOR PRESSURE
02 FM 1-2 AIR FLOW METER
03 FM 3-4 AIR FLOW METER
04 FM 5-6 AIR FLOW METER
05 FM 7-8 AIR FLOW METER
06 UNKNOWN
07 UNKNOWN
08 UNKNOWN
09 UNKNOWN
10 UNKNOWN
11 UNKNOWN
12UNKNOWN
13 UNKNOWN
14 UNKNOWN
15 UNKNOWN
16 UNKNOWN
17 UNKNOWN
18UNKNOWN
19 UNKNOWN
20 UNKNOWN
21 UNKNOWN
22 UNKNOWN
23 UNKNOWN
24 UNKNOWN
25 UNKNOWN
26 UNKNOWN
27 UNKNOWN
28 UNKNOWN
29 UNKNOWN
30 UNKNOWN
31UNKNOWN
32 UNKNOWN
33 UNKNOWN
34 UNKNOWN
35 UNKNOWN
36 UNKNOWN
37UNKNOWN
38 UNKNOWN
39 UNKNOWN
40 UNKNOWN
IV4E00
AUG 10, 2015 12:26 PM
FASTRIP 347
2698 OSWELL ST
BAKERSFIELD 93306
661-872-8721
EVR/ISD SETUP
TYPE: VACUUM ASSIST
VACUUM ASSIST TYPE: HEALY VAC
pg. 30
IV4F00
AUG 10, 2015 12:26 PM
FASTRIP 347
2698 OSWELL ST
BAKERSFIELD 93306
661-872-8721
NOZZLE A/L RANGE
A/L RATIO: 0.95 -1.15
IV4000
AUG 10, 2015 12:26 PM
FASTRIP 347
2698 OSWELL ST
BAKERSFIELD 93306
661-872-8721
VAPOR PROCESSOR TYPE
NONE
IV4700
AUG 10, 2015 12:26 PM
FASTRIP 347
2698 OSWELL ST
BAKERSFIELD 93306
661-872-8721
ASSESSMENT TIME
START TIME: 10:00 AM
TIME DELAY MINUTES: 1
IV5200
AUG 10, 2015 12:26 PM
FASTRIP 347
2698 OSWELL ST
BAKERSFIELD 93306
661-872-8721
ACCEPT HIGH ORVR: NO
IV4A00
AUG 10, 2015 12:26 PM
FASTRIP 347
2698 OSWELL ST
BAKERSFIELD 93306
661-872-8721
ISD HOSE TABLE
HOSE FP FP AFM HOSE
pg. 31
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 10, 2015 12:26 PM
FASTRIP 347
2698 OSWELL ST
BAKERSFIELD 93306
661-872-8721
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
0603 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 10, 2015 12:26 PM
FASTRIP 347
2698 OSWELL ST
BAKERSFIELD 93306
661-872-8721
LABEL TABLE
ID LABEL
01 UNASSIGNED
02 BLEND3
03 REGULAR
04 MID GRADE
05 PREMIUM
06 GOLD
07 BRONZE
08 SILVER
09 BLEND2
10 BLEND4
IV1000
AUG 10, 2015 12:26 PM
ISD VERSION: 01.03
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.
#3347Fastrip#26 08/10/2015
2698 Oswell Street Bakersfield,CA93306
OmeroGarcia(661)393-7000
07/28/2015
Shane Gardener
Cameron Mason
8174721-UT
Regular#1
12.00"
12.00"
5min.
9:00 am
11.00"
10:00 am
11.00"
1hour
0.00"
0.0625"
Regular#2
12.00"
12.00"
5min.
9:00 am
11.00"
10:00 am
11.00"
1hour
0.00"
0.0625"0.0625"
Super
12.00"
12.00"
5min.
9:00 am
11.00"
10:00 am
11.00"
1hour
0.00"
Diesel
12.00"
12.00"
5min.
9:00 am
11.00"
10:00 am
11.00"
1hour
0.00"
0.0625"
08/10/2015