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HomeMy WebLinkAboutFMC 2015MONITORING 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 #7776Howard'sMarket 3300PlanzRoad Bakersfield 93309 OmeroGarcia (661)393-7000 Veeder-RootTLS350 08/17/2015 12,000gal.Regular 847390-107 WPLLD 847390-107 12,000gal.Super 847390-107 WPLLD 847390-107 12,000gal.Diesel 847390-107 WPLLD 847390-107 1&2 794380-208 3&4 330212-001 AustinSterling B45438 3300PlanzRoad Bakersfield,CA93309 08/17/2015 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 3 333.05 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: JamiesonHill P.O.Box82515 Bakersfield,CA93380-2515 35021A 08/17/2015 8339953-UT Regular Electronic WPLLD AustinSterling (661)393-7000OmeroGarcia Bakersfield,CA93309 3300PlanzRoad #7776Howard'sMarket 13 PSI90 ml Pass WPLLDElectronicPremium 11 PSI 125 ml Pass WPLLDElectronicDiesel 15 PSI 110 ml Pass AustinSterling 8339953-UT 08/17/2015 Jaco 7776 system setup Responses Received: 200 HOWARDS 7776 3300 PLANS RD BAKERSFIELD 93309 AUG 17, 2015 8:58 AM TANK PRODUCT GALLONS INCHES WATER DEG F ULLAGE 2 UNLEADED 3165 29.74 0.0 90.5 8835 3 SUPER 1120 14.32 0.0 92.6 10880 4 DIESEL 2186 22.83 0.0 93.7 9814 I90500 AUG 17, 2015 8:58 AM SOFTWARE REVISION LEVEL VERSION 333.05 SOFTWARE# 346333-100-F CREATED - 13.12.11.14.16 S-MODULE# 330160-016-a SYSTEM FEATURES: PERIODIC IN-TANK TESTS ANNUAL IN-TANK TESTS CSLD ISD/APM PLLD 0.10 REPETITIV 0.20 REPETITIV WPLLD 0.10 AUTO 0.20 REPETITIV I50500 AUG 17, 2015 8:58 AM SYSTEM TYPE AND LANGUAGE FLAG SYSTEM UNITS U.S. SYSTEM LANGUAGE ENGLISH SYSTEM DATE/TIME FORMAT MON DD YYYY HH:MM:SS xM I50201 AUG 17, 2015 8:58 AM SHIFT TIME 1 : 6:00 AM I50202 AUG 17, 2015 8:58 AM SHIFT TIME 2 : DISABLED I50203 AUG 17, 2015 8:58 AM SHIFT TIME 3 : DISABLED I50204 AUG 17, 2015 8:58 AM SHIFT TIME 4 : DISABLED I54600 AUG 17, 2015 8:58 AM TANK PER TST NEEDED WRN: DISABLED I54900 AUG 17, 2015 8:58 AM TANK ANN TST NEEDED WRN: DISABLED I55300 AUG 17, 2015 8:58 AM LINE RE-ENABLE METHOD PASS LINE TEST I55600 AUG 17, 2015 8:58 AM LINE PER TST NEEDED WRN: DISABLED I55900 AUG 17, 2015 8:58 AM LINE ANN TST NEEDED WRN: DISABLED I50D00 AUG 17, 2015 8:58 AM PRINT TC VOLUMES ENABLED I50E00 AUG 17, 2015 8:58 AM TEMP COMPENSATION VALUE (DEG F ): 60.0 I60B00 AUG 17, 2015 8:58 AM STICK HEIGHT OFFSET ENABLE STATUS DISABLED I51400 AUG 17, 2015 8:58 AM H-PROTOCOL DATA FORMAT HEIGHT I51A01 AUG 17, 2015 8:58 AM DAYLIGHT SAVING TIME ENABLED ON I51B00 AUG 17, 2015 8:58 AM DAYLIGHT SAVING TIME START DATE MAR WEEK 1 SUN 2:00 AM END DATE NOV WEEK 1 SUN 2:00 AM I51600 AUG 17, 2015 8:58 AM RE-DIRECT LOCAL PRINTOUT DISABLED I50400 AUG 17, 2015 8:58 AM 232 SECURITY CODE PORT SECURITY CODE STATUS 1 000000 DISABLED 2 000000 DISABLED 3 000000 DISABLED 4 000000 DISABLED 5 000000 DISABLED 6 000000 DISABLED I21900 AUG 17, 2015 8:58 AM TANK CHART SECURITY DISABLED I5BD00 AUG 17, 2015 8:58 AM CUSTOM ALARM LABELS DISABLED I56000 AUG 17, 2015 8:58 AM MASS/DENSITY DISABLED I88101 AUG 17, 2015 8:58 AM PORT SETTINGS: COMM BOARD : 1 (EDIM ) RS-232 SECURITY CODE : DISABLED I88102 AUG 17, 2015 8:58 AM I88103 AUG 17, 2015 8:59 AM 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 I88104 AUG 17, 2015 8:59 AM I88105 AUG 17, 2015 8:59 AM PORT SETTINGS: COMM BOARD : 5 (RS-485) BAUD RATE : 1200 PARITY : ODD STOP BIT : 2 STOP DATA LENGTH: 7 DATA RS-232 SECURITY CODE : DISABLED I88106 AUG 17, 2015 8:59 AM PORT SETTINGS: COMM BOARD : 6 (RS-232) BAUD RATE : 9600 PARITY : NONE STOP BIT : 1 STOP DATA LENGTH: 8 DATA RS-232 SECURITY CODE : DISABLED I52000 AUG 17, 2015 8:59 AM RECEIVER AUTO DIAL TYPE & START TIME RCVR LOCATION LABEL DIAL TYPE START TIME 1 ON DATE ??? 17, 2015 DISABLED 2 ON DATE ??? 17, 2015 DISABLED 3 ON DATE ??? 17, 2015 DISABLED 4 ON DATE ??? 17, 2015 DISABLED 5 ON DATE ??? 17, 2015 DISABLED 6 ON DATE ??? 17, 2015 DISABLED 7 ON DATE ??? 17, 2015 DISABLED 8 ON DATE ??? 17, 2015 DISABLED I60100 AUG 17, 2015 8:59 AM TANK CONFIGURATION DEVICE LABEL CONFIGURED 1 OFF 2 UNLEADED ON 3 SUPER ON 4 DIESEL ON I60200 AUG 17, 2015 8:59 AM TANK PRODUCT LABEL TANK PRODUCT LABEL 1 2 UNLEADED 3 SUPER 4 DIESEL I60300 AUG 17, 2015 8:59 AM TANK PRODUCT CODE TANK PRODUCT LABEL 1 1 2 UNLEADED 2 3 SUPER 3 4 DIESEL 4 I60900 AUG 17, 2015 8:59 AM TANK THERMAL COEFFICIENT TANK PRODUCT LABEL 1 0.000000 2 UNLEADED 0.000700 3 SUPER 0.000700 4 DIESEL 0.000450 I60700 AUG 17, 2015 8:59 AM TANK DIAMETER TANK PRODUCT LABEL INCHES 1 0.00 2 UNLEADED 96.00 3 SUPER 96.00 4 DIESEL 96.00 I60A00 AUG 17, 2015 8:59 AM TANK FULL VOLUME TANK PRODUCT LABEL TANK PROFILE GALLONS 1 1 PT 0 2 UNLEADED 1 PT 12000 3 SUPER 1 PT 12000 4 DIESEL 1 PT 12000 I60400 AUG 17, 2015 8:59 AM TANK FULL VOLUME TANK PRODUCT LABEL GALLONS 1 0 2 UNLEADED 12000 3 SUPER 12000 4 DIESEL 12000 I60500 AUG 17, 2015 8:59 AM TANK 4 POINT VOLUMES TANK PRODUCT LABEL GALLONS 1 0 0 0 0 2 UNLEADED 12000 0 0 0 3 SUPER 12000 0 0 0 4 DIESEL 12000 0 0 0 I60600 AUG 17, 2015 8:59 AM TANK 20 POINT VOLUMES TANK PRODUCT LABEL GALLONS 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2 UNLEADED 12000 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 3 SUPER 12000 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 4 DIESEL 12000 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 I61500 AUG 17, 2015 8:59 AM TANK PRODUCT LABEL METER DATA 1 NO 2 UNLEADED NO 3 SUPER NO 4 DIESEL NO I62F00 AUG 17, 2015 8:59 AM MAG PROBE FLOAT SIZE TANK PRODUCT LABEL FLOAT SIZE: 2 UNLEADED 4.0 IN. 3 SUPER 4.0 IN. 4 DIESEL 4.0 IN. I62700 AUG 17, 2015 8:59 AM 2 UNLEADED 2.0 3 SUPER 2.0 4 DIESEL 2.0 I64200 AUG 17, 2015 8:59 AM 2 UNLEADED LOW 3 SUPER LOW 4 DIESEL LOW I62400 AUG 17, 2015 8:59 AM 2 UNLEADED 3.0 3 SUPER 3.0 4 DIESEL 3.0 I62800 AUG 17, 2015 8:59 AM TANK MAXIMUM VOLUME LIMIT TANK PRODUCT LABEL GALLONS 1 0 2 UNLEADED 12000 3 SUPER 12000 4 DIESEL 12000 I62300 AUG 17, 2015 8:59 AM TANK OVERFILL LEVEL LIMIT TANK PRODUCT LABEL GALLONS 1 0 2 UNLEADED 10800 3 SUPER 10800 4 DIESEL 10800 I62200 AUG 17, 2015 8:59 AM TANK HIGH PRODUCT LIMIT TANK PRODUCT LABEL GALLONS 1 0 2 UNLEADED 11400 3 SUPER 11400 4 DIESEL 11400 I62900 AUG 17, 2015 8:59 AM TANK DELIVERY REQUIRED LIMIT TANK PRODUCT LABEL GALLONS 1 0 2 UNLEADED 1200 3 SUPER 1200 4 DIESEL 1200 I62100 AUG 17, 2015 8:59 AM TANK LOW PRODUCT LIMIT TANK PRODUCT LABEL GALLONS 1 0 2 UNLEADED 1200 3 SUPER 1200 4 DIESEL 1200 I62600 AUG 17, 2015 8:59 AM TANK LEAK ALARM LIMIT TANK PRODUCT LABEL GALLONS 1 99 2 UNLEADED 99 3 SUPER 99 4 DIESEL 99 I62500 AUG 17, 2015 8:59 AM TANK SUDDEN LOSS LIMIT TANK PRODUCT LABEL GALLONS 1 99 2 UNLEADED 99 3 SUPER 99 4 DIESEL 99 I60800 AUG 17, 2015 8:59 AM TANK TILT TANK PRODUCT LABEL INCHES 1 0.00 2 UNLEADED 1.00 3 SUPER 4.00 4 DIESEL 0.00 I60B00 AUG 17, 2015 8:59 AM STICK HEIGHT OFFSET ENABLE STATUS DISABLED I60C00 AUG 17, 2015 8:59 AM TANK STICK HEIGHT OFFSET TANK PRODUCT LABEL INCHES 1 0.00 2 UNLEADED 0.00 3 SUPER 0.00 4 DIESEL 0.00 I61200 AUG 17, 2015 8:59 AM TANK MANIFOLDED PARTNERS TANK PRODUCT LABEL SIPHON MANIFOLDED TANKS LINE MANIFOLDED TANKS 1 NONE NONE 2 UNLEADED NONE NONE 3 SUPER NONE NONE 4 DIESEL NONE NONE I63600 AUG 17, 2015 8:59 AM PERIODIC LEAK TEST MIN VOLUME TANK PRODUCT LABEL GALLONS 1 0 2 UNLEADED 120 3 SUPER 120 4 DIESEL 120 I62A00 AUG 17, 2015 8:59 AM ANNUAL LEAK TEST MIN VOLUME TANK PRODUCT LABEL GALLONS 1 0 2 UNLEADED 120 3 SUPER 120 4 DIESEL 120 I62C00 AUG 17, 2015 8:59 AM TANK PERIODIC TEST TYPE TANK PRODUCT LABEL PERIODIC TEST TYPE 1 STANDARD 2 UNLEADED STANDARD 3 SUPER STANDARD 4 DIESEL STANDARD I62D00 AUG 17, 2015 8:59 AM TANK LEAK TEST FAIL ALARMS TANK PRODUCT LABEL 1 GROSS TEST FAIL ALARM DISABLED PERIODIC TEST FAIL ALARM DISABLED ANNUAL TEST FAIL ALARM DISABLED 2 UNLEADED GROSS TEST FAIL ALARM DISABLED PERIODIC TEST FAIL ALARM DISABLED ANNUAL TEST FAIL ALARM DISABLED 3 SUPER GROSS TEST FAIL ALARM DISABLED PERIODIC TEST FAIL ALARM DISABLED ANNUAL TEST FAIL ALARM DISABLED 4 DIESEL GROSS TEST FAIL ALARM DISABLED PERIODIC TEST FAIL ALARM DISABLED ANNUAL TEST FAIL ALARM DISABLED I63100 AUG 17, 2015 8:59 AM TANK LEAK TEST AVERAGING TANK PRODUCT LABEL ANNUAL PERIODIC 1 OFF OFF 2 UNLEADED OFF OFF 3 SUPER OFF OFF 4 DIESEL OFF OFF I63000 AUG 17, 2015 8:59 AM IN-TANK LEAK TEST NOTIFY TANK PRODUCT LABEL TANK TEST NOTIFY: 1 OFF 2 UNLEADED OFF 3 SUPER OFF 4 DIESEL OFF I63200 AUG 17, 2015 8:59 AM TANK TEST SIPHON BREAK TANK PRODUCT LABEL SIPHON BREAK 1 OFF 2 UNLEADED OFF 3 SUPER OFF 4 DIESEL OFF I61000 AUG 17, 2015 8:59 AM TANK DELIVERY DELAY TANK PRODUCT LABEL 1 1 2 UNLEADED 1 3 SUPER 1 4 DIESEL 1 I63A00 AUG 17, 2015 8:59 AM LOW LEVEL PUMP THRESHOLD FOR SEQUENTIAL LINE MANIFOLD TANK PRODUCT LABEL PUMP THRESHOLD 1 10.00% 2 UNLEADED 10.00% 3 SUPER 10.00% 4 DIESEL 10.00% I61100 AUG 17, 2015 8:59 AM LEAK TEST METHOD - - - - - - - - - - - - TEST CSLD : ALL TANK Pd = 95% CLIMATE FACTOR:MODERATE GROSS TEST AUTO-CONFIRM: DISABLED REPORT ONLY: DISABLED TST EARLY STOP:DISABLED I61300 AUG 17, 2015 8:59 AM CSLD PROBABLITY OF DETECTION T 2:UNLEADED : Pd = 95% T 3:SUPER : Pd = 95% T 4:DIESEL : Pd = 95% I61400 AUG 17, 2015 8:59 AM CSLD CLIMATE FACTOR T 2:UNLEADED : MODERATE T 3:SUPER : MODERATE T 4:DIESEL : MODERATE I61600 AUG 17, 2015 8:59 AM TANK PRODUCT LABEL CAL UPDATE 1 IMMEDIATE 2 UNLEADED IMMEDIATE 3 SUPER IMMEDIATE 4 DIESEL IMMEDIATE I61A00 AUG 17, 2015 8:59 AM IN-TANK LEAK TEST EARLY STOP TANK PRODUCT LABEL TST EARLY STOP: 1 DISABLED 2 UNLEADED DISABLED 3 SUPER DISABLED 4 DIESEL DISABLED I61B00 AUG 17, 2015 8:59 AM IN-TANK LEAK GROSS TEST AUTO-CONFIRM 2 UNLEADED DISABLED 3 SUPER DISABLED 4 DIESEL DISABLED I61C00 AUG 17, 2015 8:59 AM CSLD REPORT ONLY 2 UNLEADED DISABLED 3 SUPER DISABLED 4 DIESEL DISABLED I62B00 AUG 17, 2015 8:59 AM TANK LAST ANNUAL TEST TANK PRODUCT LABEL DATE 1 ??? 0, 0 2 UNLEADED ??? 0, 0 3 SUPER ??? 0, 0 4 DIESEL ??? 0, 0 I63300 AUG 17, 2015 8:59 AM LEAK TEST REPORT FORMAT: NORMAL I63400 AUG 17, 2015 8:59 AM RECONCILIATION WARNING LIMIT TANK PRODUCT LABEL GALLONS 1 0 2 UNLEADED 0 3 SUPER 0 4 DIESEL 0 I63500 AUG 17, 2015 8:59 AM RECONCILIATION ALARM LIMIT TANK PRODUCT LABEL GALLONS 1 1 2 UNLEADED 1 3 SUPER 1 4 DIESEL 1 I63900 AUG 17, 2015 8:59 AM ACCU CHART END SHAPE FACTOR TANK PRODUCT LABEL 1 END FACTOR: NONE 2 UNLEADED END FACTOR: NONE 3 SUPER END FACTOR: NONE 4 DIESEL END FACTOR: NONE I78000 AUG 17, 2015 8:59 AM I77700 AUG 17, 2015 8:59 AM I77800 AUG 17, 2015 8:59 AM I78C00 AUG 17, 2015 8:59 AM I78300 AUG 17, 2015 8:59 AM I78F00 AUG 17, 2015 8:59 AM I78700 AUG 17, 2015 8:59 AM I70200 AUG 17, 2015 8:59 AM LIQUID LABEL DEVICE LABEL 1 UDC 1-2 2 3 4 5 6 7 8 I70300 AUG 17, 2015 8:59 AM LIQUID TYPE SENSOR LOCATION TYPE 1 UDC 1-2 TRI-STATE (SINGLE FLOAT) 2 TRI-STATE (SINGLE FLOAT) 3 TRI-STATE (SINGLE FLOAT) 4 TRI-STATE (SINGLE FLOAT) 5 TRI-STATE (SINGLE FLOAT) 6 TRI-STATE (SINGLE FLOAT) 7 TRI-STATE (SINGLE FLOAT) 8 TRI-STATE (SINGLE FLOAT) I70400 AUG 17, 2015 8:59 AM LIQUID CATEGORY SENSOR LOCATION CATEGORY 1 UDC 1-2 DISPENSER PAN 2 OTHER SENSORS 3 OTHER SENSORS 4 OTHER SENSORS 5 OTHER SENSORS 6 OTHER SENSORS 7 OTHER SENSORS 8 OTHER SENSORS I74200 AUG 17, 2015 8:59 AM I74300 AUG 17, 2015 8:59 AM I74400 AUG 17, 2015 8:59 AM I74700 AUG 17, 2015 8:59 AM I74800 AUG 17, 2015 8:59 AM I74900 AUG 17, 2015 8:59 AM I7BC00 AUG 17, 2015 8:59 AM I80200 AUG 17, 2015 8:59 AM I80300 AUG 17, 2015 8:59 AM I80400 AUG 17, 2015 8:59 AM I80700 AUG 17, 2015 8:59 AM RELAY LABEL DEVICE LABEL 1 OVERFILL ALARM 2 3 4 I80900 AUG 17, 2015 8:59 AM RELAY ORIENTATION RELAY DESIGNATION ORIENTATION 1 OVERFILL ALARM NORMALLY OPEN 2 NORMALLY OPEN 3 NORMALLY OPEN 4 NORMALLY OPEN I80B00 AUG 17, 2015 8:59 AM RELAY TANK ASSIGNMENT RELAY DESIGNATION TANK 1 OVERFILL ALARM NONE 2 NONE 3 NONE 4 NONE I80A00 AUG 17, 2015 8:59 AM RELAY TYPE RELAY DESIGNATION TYPE 1 OVERFILL ALARM STANDARD 2 STANDARD 3 STANDARD 4 STANDARD I80C00 AUG 17, 2015 8:59 AM I80800 AUG 17, 2015 8:59 AM RELAY SETUP REPORT R 1:OVERFILL ALARM TYPE: STANDARD NORMALLY OPEN TANK #: NONE IN-TANK ALARMS ALL:OVERFILL ALARM ALL:HIGH PRODUCT ALARM ALL:MAX PRODUCT ALARM R 2: TYPE: STANDARD NORMALLY OPEN TANK #: NONE - NO ALARM ASSIGNMENTS - R 3: TYPE: STANDARD NORMALLY OPEN TANK #: NONE - NO ALARM ASSIGNMENTS - R 4: TYPE: STANDARD NORMALLY OPEN TANK #: NONE - NO ALARM ASSIGNMENTS - I79000 AUG 17, 2015 8:59 AM EDIM:1 VR:349634-003-E TD:09.05.18.15.18 I79100 AUG 17, 2015 8:59 AM I72300 AUG 17, 2015 8:59 AM HOWARDS 7776 3300 PLANS RD BAKERSFIELD 93309 SMARTSENSOR ASSIGNMENT DEVICE LABEL CATEGORY 01 VP SENSOR 3-4 VAPOR PRESSURE 02 VFM 1-2 AIR FLOW METER 03 VFM 3-4 AIR FLOW METER 04 UNKNOWN 05 UNKNOWN 06 UNKNOWN 07 UNKNOWN 08 UNKNOWN 09 UNKNOWN 10 UNKNOWN 11 UNKNOWN 12 UNKNOWN 13 UNKNOWN 14 UNKNOWN 15 UNKNOWN 16 UNKNOWN 17 UNKNOWN 18 UNKNOWN 19 UNKNOWN 20 UNKNOWN 21 UNKNOWN 22 UNKNOWN 23 UNKNOWN 24 UNKNOWN 25 UNKNOWN 26 UNKNOWN 27 UNKNOWN 28 UNKNOWN 29 UNKNOWN 30 UNKNOWN 31 UNKNOWN 32 UNKNOWN 33 UNKNOWN 34 UNKNOWN 35 UNKNOWN 36 UNKNOWN 37 UNKNOWN 38 UNKNOWN 39 UNKNOWN 40 UNKNOWN I72A00 AUG 17, 2015 8:59 AM VACUUM SENSOR VOLUME DEVICE LABEL VOLUME IV4E00 AUG 17, 2015 8:59 AM HOWARDS 7776 3300 PLANS RD BAKERSFIELD 93309 EVR/ISD SETUP TYPE: VACUUM ASSIST VACUUM ASSIST TYPE: HEALY VAC IV4F00 AUG 17, 2015 8:59 AM HOWARDS 7776 3300 PLANS RD BAKERSFIELD 93309 NOZZLE A/L RANGE A/L RATIO: 0.95 - 1.15 IV4000 AUG 17, 2015 8:59 AM HOWARDS 7776 3300 PLANS RD BAKERSFIELD 93309 VAPOR PROCESSOR TYPE NONE IV4700 AUG 17, 2015 8:59 AM HOWARDS 7776 3300 PLANS RD BAKERSFIELD 93309 ASSESSMENT TIME START TIME: 10:00 AM TIME DELAY MINUTES: 1 IV5200 AUG 17, 2015 8:59 AM HOWARDS 7776 3300 PLANS RD BAKERSFIELD 93309 ACCEPT HIGH ORVR: NO IV4A00 AUG 17, 2015 8:59 AM HOWARDS 7776 3300 PLANS RD BAKERSFIELD 93309 ISD HOSE TABLE HOSE FP FP AFM REL HOSE ID ID LABEL ID ID LABEL 01 01 01 01 UU BLEND3 02 02 02 01 UU BLEND3 03 03 03 02 UU BLEND3 04 04 04 02 UU BLEND3 IV4B00 AUG 17, 2015 8:59 AM HOWARDS 7776 3300 PLANS RD BAKERSFIELD 93309 PRODUCT/HOSE MAP TABLE FP AFID M1/H1 M2/H2 M3/H3 M4/H4 01 01 02/01 03/01 09/01 xx/xx 02 01 02/02 03/02 09/02 xx/xx 03 02 02/03 03/03 09/03 xx/xx 04 02 02/04 03/04 09/04 xx/xx IV4900 AUG 17, 2015 8:59 AM HOWARDS 7776 3300 PLANS RD BAKERSFIELD 93309 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 17, 2015 9:00 AM ISD VERSION: 01.05 Jaco 7776 alarm history before Responses Received: I10200 AUG 17, 2015 8:53 AM HOWARDS 7776 3300 PLANS RD BAKERSFIELD 93309 SYSTEM CONFIGURATION SLOT BOARD TYPE POWER ON RESET CURRENT 1 4 PROBE / G.T. 163895 163279 2 INTERSTITIAL BD 201249 200774 3 7SMARTSENSOR BD 9865629 503528 4 UNUSED 9830660 4908262 5 UNUSED 9822698 4903965 6 UNUSED 9822698 4903540 7 UNUSED 9822174 4903327 8 UNUSED 9816831 4901519 9 WPLLD POWER BD 201158 200850 10 AC INTERFACE BD 163488 163119 11 RELAY BOARD 15049 15021 12 UNUSED 9832520 4905944 13 UNUSED 9813998 4903051 14 UNUSED 9818146 4904030 15 UNUSED 9810562 4902221 16 UNUSED 9815423 4902115 COMM 1 ELEC DISP INT. 100267 100070 COMM 2 WPLLD COMM BD 201900 201496 COMM 3 RS232 SERIAL BD 14902 14871 COMM 4 UNUSED 9825501 4904200 COMM 5 RS485 SERIAL BD 9815800 68179 COMM 6 RS232 SERIAL BD 9814270 14893 I90200 AUG 17, 2015 8:53 AM SOFTWARE REVISION LEVEL VERSION 333.05 SOFTWARE# 346333-100-F CREATED - 13.12.11.14.16 S-MODULE# 330160-016-a SYSTEM FEATURES: PERIODIC IN-TANK TESTS ANNUAL IN-TANK TESTS CSLD ISD/APM PLLD 0.10 REPETITIV 0.20 REPETITIV WPLLD 0.10 AUTO 0.20 REPETITIV I11100 AUG 17, 2015 8:53 AM HOWARDS 7776 3300 PLANS RD BAKERSFIELD 93309 PRIORITY ALARM HISTORY ID CATEGORY DESCRIPTION ALARM TYPE STATE DATE TIME T 3 TANK SUPER LOW PRODUCT ALARM ALARM 8-16-15 6:52PM W 3 OTHER DIESEL WPLLD SHUTDOWN ALM CLEAR 8-10-15 12:57PM W 3 OTHER DIESEL GROSS LINE FAIL CLEAR 8-10-15 12:57PM W 2 OTHER UNLEADED WPLLD SHUTDOWN ALM CLEAR 8-10-15 12:57PM W 2 OTHER UNLEADED GROSS LINE FAIL CLEAR 8-10-15 12:57PM W 1 OTHER SUPER WPLLD SHUTDOWN ALM CLEAR 8-10-15 12:57PM W 1 OTHER SUPER GROSS LINE FAIL CLEAR 8-10-15 12:57PM W 3 OTHER DIESEL WPLLD SHUTDOWN ALM ALARM 8-10-15 12:41PM W 3 OTHER DIESEL GROSS LINE FAIL ALARM 8-10-15 12:41PM W 1 OTHER SUPER WPLLD SHUTDOWN ALM ALARM 8-10-15 12:23PM W 1 OTHER SUPER GROSS LINE FAIL ALARM 8-10-15 12:23PM W 2 OTHER UNLEADED WPLLD SHUTDOWN ALM ALARM 8-10-15 12:12PM W 2 OTHER UNLEADED GROSS LINE FAIL ALARM 8-10-15 12:12PM W 3 OTHER DIESEL WPLLD SHUTDOWN ALM CLEAR 8-10-15 11:30AM W 2 OTHER UNLEADED WPLLD SHUTDOWN ALM CLEAR 8-10-15 11:30AM W 1 OTHER SUPER WPLLD SHUTDOWN ALM CLEAR 8-10-15 11:30AM L 1 DISP PAN UDC 1-2 SENSOR OUT ALARM CLEAR 8-10-15 11:30AM L 1 DISP PAN UDC 1-2 SENSOR OUT ALARM ALARM 8-10-15 11:27AM W 3 OTHER DIESEL WPLLD SHUTDOWN ALM ALARM 8-10-15 11:27AM W 2 OTHER UNLEADED WPLLD SHUTDOWN ALM ALARM 8-10-15 11:27AM W 1 OTHER SUPER WPLLD SHUTDOWN ALM ALARM 8-10-15 11:27AM T 3 TANK SUPER OVERFILL ALARM CLEAR 8-10-15 11:09AM T 3 TANK SUPER OVERFILL ALARM ALARM 8-10-15 11:07AM T 3 TANK SUPER OVERFILL ALARM CLEAR 8-10-15 11:07AM T 3 TANK SUPER OVERFILL ALARM ALARM 8-10-15 11:06AM T 2 TANK UNLEADED OVERFILL ALARM CLEAR 8-10-15 11:04AM T 2 TANK UNLEADED OVERFILL ALARM ALARM 8-10-15 11:03AM T 4 TANK DIESEL OVERFILL ALARM CLEAR 8-10-15 11:03AM T 4 TANK DIESEL OVERFILL ALARM ALARM 8-10-15 11:01AM T 4 TANK DIESEL OVERFILL ALARM CLEAR 8-10-15 11:01AM T 4 TANK DIESEL OVERFILL ALARM ALARM 8-10-15 11:00AM W 3 OTHER DIESEL WPLLD SHUTDOWN ALM CLEAR 8-10-15 10:53AM W 2 OTHER UNLEADED WPLLD SHUTDOWN ALM CLEAR 8-10-15 10:53AM W 1 OTHER SUPER WPLLD SHUTDOWN ALM CLEAR 8-10-15 10:53AM L 1 DISP PAN UDC 1-2 FUEL ALARM CLEAR 8-10-15 10:53AM L 1 DISP PAN UDC 1-2 FUEL ALARM ALARM 8-10-15 10:50AM W 3 OTHER DIESEL WPLLD SHUTDOWN ALM ALARM 8-10-15 10:50AM W 2 OTHER UNLEADED WPLLD SHUTDOWN ALM ALARM 8-10-15 10:50AM W 1 OTHER SUPER WPLLD SHUTDOWN ALM ALARM 8-10-15 10:50AM E 1 OTHER COMMUNICATION ALARM CLEAR 8-10-15 10:38AM E 1 OTHER COMMUNICATION ALARM ALARM 8-10-15 10:15AM T 2 TANK UNLEADED LOW PRODUCT ALARM CLEAR 8-10-15 12:07AM T 2 TANK UNLEADED LOW PRODUCT ALARM ALARM 8-09-15 6:57PM T 2 TANK UNLEADED LOW PRODUCT ALARM CLEAR 7-12-15 3:40AM W 2 OTHER UNLEADED FUEL OUT CLEAR 7-12-15 3:39AM T 3 TANK SUPER LOW PRODUCT ALARM CLEAR 7-12-15 3:32AM T 3 TANK SUPER LOW PRODUCT ALARM ALARM 7-11-15 11:25PM W 2 OTHER UNLEADED FUEL OUT ALARM 7-11-15 10:42PM T 2 TANK UNLEADED LOW PRODUCT ALARM ALARM 7-11-15 2:35PM T 3 TANK SUPER LOW PRODUCT ALARM CLEAR 7-07-15 2:30AM I11200 AUG 17, 2015 8:53 AM HOWARDS 7776 3300 PLANS RD BAKERSFIELD 93309 NON-PRIORITY ALARM HISTORY ID CATEGORY DESCRIPTION ALARM TYPE STATE DATE TIME T 3 TANK SUPER DELIVERY NEEDED ALARM 8-16-15 6:52PM h 3 OTHER FP3: BLEND3 DEGRD COLLECT WARN ALARM 8-15-15 10:03AM OTHER ISD GROSS PRES WARN CLEAR 8-14-15 10:00AM T 3 TANK SUPER INVALID FUEL LEVEL CLEAR 8-10-15 11:08AM T 3 TANK SUPER INVALID FUEL LEVEL ALARM 8-10-15 11:07AM T 3 TANK SUPER HIGH PRODUCT ALARM CLEAR 8-10-15 11:06AM T 3 TANK SUPER HIGH PRODUCT ALARM ALARM 8-10-15 11:06AM T 2 TANK UNLEADED LOW TEMP WARNING CLEAR 8-10-15 11:06AM T 2 TANK UNLEADED LOW TEMP WARNING ALARM 8-10-15 11:04AM T 4 TANK DIESEL LOW TEMP WARNING CLEAR 8-10-15 11:02AM T 4 TANK DIESEL INVALID FUEL LEVEL CLEAR 8-10-15 11:01AM T 4 TANK DIESEL LOW TEMP WARNING ALARM 8-10-15 11:01AM T 4 TANK DIESEL INVALID FUEL LEVEL ALARM 8-10-15 11:01AM T 2 TANK UNLEADED DELIVERY NEEDED CLEAR 8-10-15 12:07AM SYSTEM PRINTER ERROR CLEAR 8-09-15 8:33PM SYSTEM PAPER OUT CLEAR 8-09-15 8:33PM SYSTEM PRINTER ERROR ALARM 8-09-15 8:33PM SYSTEM PAPER OUT ALARM 8-09-15 8:33PM SYSTEM PRINTER ERROR CLEAR 8-09-15 7:14PM SYSTEM PAPER OUT CLEAR 8-09-15 7:14PM SYSTEM PRINTER ERROR ALARM 8-09-15 7:14PM SYSTEM PAPER OUT ALARM 8-09-15 7:14PM SYSTEM PRINTER ERROR CLEAR 8-09-15 7:14PM SYSTEM PAPER OUT CLEAR 8-09-15 7:14PM SYSTEM PRINTER ERROR ALARM 8-09-15 7:05PM SYSTEM PAPER OUT ALARM 8-09-15 7:05PM SYSTEM PRINTER ERROR CLEAR 8-09-15 7:05PM SYSTEM PAPER OUT CLEAR 8-09-15 7:05PM SYSTEM PRINTER ERROR ALARM 8-09-15 7:04PM SYSTEM PAPER OUT ALARM 8-09-15 7:04PM SYSTEM PRINTER ERROR CLEAR 8-09-15 7:04PM SYSTEM PAPER OUT CLEAR 8-09-15 7:04PM SYSTEM PAPER OUT ALARM 8-09-15 7:04PM SYSTEM PRINTER ERROR ALARM 8-09-15 7:04PM SYSTEM PRINTER ERROR CLEAR 8-09-15 7:04PM SYSTEM PAPER OUT CLEAR 8-09-15 7:04PM SYSTEM PRINTER ERROR ALARM 8-09-15 7:04PM SYSTEM PAPER OUT ALARM 8-09-15 7:04PM SYSTEM PRINTER ERROR CLEAR 8-09-15 7:04PM SYSTEM PAPER OUT CLEAR 8-09-15 7:04PM SYSTEM PRINTER ERROR ALARM 8-09-15 7:01PM SYSTEM PAPER OUT ALARM 8-09-15 7:01PM SYSTEM PRINTER ERROR CLEAR 8-09-15 7:01PM SYSTEM PAPER OUT CLEAR 8-09-15 7:01PM SYSTEM PRINTER ERROR ALARM 8-09-15 7:01PM SYSTEM PAPER OUT ALARM 8-09-15 7:01PM SYSTEM PRINTER ERROR CLEAR 8-09-15 7:01PM SYSTEM PAPER OUT CLEAR 8-09-15 7:01PM T 2 TANK UNLEADED DELIVERY NEEDED ALARM 8-09-15 6:57PM OTHER ISD GROSS PRES WARN ALARM 8-07-15 10:03AM I20600 AUG 17, 2015 8:53 AM HOWARDS 7776 3300 PLANS RD BAKERSFIELD 93309 TANK ALARM HISTORY TANK 2 UNLEADED HIGH WATER ALARM AUG 13, 2014 10:07 AM OVERFILL ALARM AUG 10, 2015 11:03 AM JUN 14, 2015 10:25 AM MAY 26, 2015 1:36 AM LOW PRODUCT ALARM AUG 9, 2015 6:57 PM JUL 11, 2015 2:35 PM JUN 27, 2015 5:44 PM HIGH PRODUCT ALARM APR 4, 2015 11:34 PM AUG 13, 2014 11:15 AM INVALID FUEL LEVEL JUL 11, 2015 9:31 PM APR 4, 2015 6:39 PM FEB 9, 2015 9:50 PM HIGH WATER WARNING AUG 13, 2014 10:07 AM DELIVERY NEEDED AUG 9, 2015 6:57 PM JUL 11, 2015 2:35 PM JUN 27, 2015 5:44 PM LOW TEMP WARNING AUG 10, 2015 11:04 AM AUG 13, 2014 10:12 AM AUG 5, 2014 12:43 PM TANK 3 SUPER OVERFILL ALARM AUG 10, 2015 11:07 AM AUG 10, 2015 11:06 AM LOW PRODUCT ALARM AUG 16, 2015 6:52 PM JUL 11, 2015 11:25 PM JUL 5, 2015 2:33 PM HIGH PRODUCT ALARM AUG 10, 2015 11:06 AM AUG 13, 2014 10:07 AM AUG 5, 2014 12:54 PM INVALID FUEL LEVEL AUG 10, 2015 11:07 AM JUL 7, 2015 2:29 AM JUN 14, 2015 10:27 AM PROBE OUT AUG 5, 2014 12:56 PM AUG 5, 2014 11:31 AM DELIVERY NEEDED AUG 16, 2015 6:52 PM JUL 11, 2015 11:25 PM JUL 5, 2015 2:33 PM TANK 4 DIESEL OVERFILL ALARM AUG 10, 2015 11:01 AM AUG 10, 2015 11:00 AM AUG 13, 2014 10:13 AM LOW PRODUCT ALARM AUG 27, 2014 3:15 PM AUG 13, 2014 10:01 AM HIGH PRODUCT ALARM AUG 13, 2014 11:21 AM INVALID FUEL LEVEL AUG 10, 2015 11:01 AM DELIVERY NEEDED AUG 27, 2014 3:15 PM AUG 13, 2014 10:01 AM LOW TEMP WARNING AUG 10, 2015 11:01 AM AUG 13, 2014 10:14 AM AUG 5, 2014 12:35 PM TANK 5 TANK 6 TANK 7 TANK 8 TANK 9 TANK 10 TANK 11 TANK 12 TANK 13 TANK 14 TANK 15 TANK 16 I38200 AUG 17, 2015 8:53 AM I30200 AUG 17, 2015 8:53 AM HOWARDS 7776 3300 PLANS RD BAKERSFIELD 93309 LIQUID ALARM HISTORY REPORT SENSOR LOCATION 1 UDC 1-2 AUG 10, 2015 11:27 AM SENSOR OUT ALARM AUG 10, 2015 10:50 AM FUEL ALARM AUG 13, 2014 11:00 AM FUEL ALARM I31600 AUG 17, 2015 8:53 AM HOWARDS 7776 3300 PLANS RD BAKERSFIELD 93309 SMART SENSOR ALARM HISTORY REPORT SENSOR LOCATION 1 VP SENSOR 3-4 MAY 1, 2014 5:23 PM COMMUNICATION ALARM 2 VFM 1-2 3 VFM 3-4 I40200 AUG 17, 2015 8:53 AM I40300 AUG 17, 2015 8:53 AM I34200 AUG 17, 2015 8:53 AM I34700 AUG 17, 2015 8:53 AM IV0100 AUG 17, 2015 8:53 AM HOWARDS 7776 3300 PLANS RD BAKERSFIELD 93309 ISD ALARM STATUS REPORT EVR TYPE: VACUUM ASSIST ISD TYPE: 01.05 VAPOR PROCESSOR TYPE: NONE OVERALL STATUS :WARN EVR VAPOR COLLECTION :WARN EVR VAPOR CONTAINMENT :PASS ISD MONITOR UP-TIME : 99% EVR/ISD PASS TIME : 0% WARNING ALARMS DATE TIME DESCRIPTION READING VALUE 15-08-16 10:04:57 A/L RATIO DEGRADATION FP 3 BLEND3 0.78 15-08-15 10:03:47 A/L RATIO DEGRADATION FP 3 BLEND3 0.80 15-08-13 10:03:25 CONTAINMENT GROSS OVER PRESSURE WEEKLY 95% 1.44 15-08-12 10:02:23 CONTAINMENT GROSS OVER PRESSURE WEEKLY 95% 1.45 15-08-11 10:02:45 CONTAINMENT GROSS OVER PRESSURE WEEKLY 95% 1.45 15-08-10 10:02:22 CONTAINMENT GROSS OVER PRESSURE WEEKLY 95% 1.45 15-08-09 10:02:27 CONTAINMENT GROSS OVER PRESSURE WEEKLY 95% 1.45 15-08-08 10:02:24 CONTAINMENT GROSS OVER PRESSURE WEEKLY 95% 1.46 15-08-07 10:03:12 CONTAINMENT GROSS OVER PRESSURE WEEKLY 95% 1.46 15-07-26 10:03:17 A/L RATIO DEGRADATION FP 3 BLEND3 0.79 FAILURE ALARMS DATE TIME DESCRIPTION READING VALUE 15-04-30 10:03:06 VAPOR CONTAINMENT LEAKAGE CFH@2 INCHES WC 8.72 14-07-22 10:04:24 CONTAINMENT GROSS OVER PRESSURE WEEKLY 95% 3.85 SHUTDOWN & MISCELLANEOUS EVENTS DATE TIME DESCRIPTION ACTION/NAME 15-08-16 10:04:57 READINESS ISD:PP EVR:PP ISD & EVR READY 15-08-15 13:18:16 READINESS ISD:PP EVR:NN EVR READINESS PENDING 15-08-15 13:18:16 ISD STARTUP 15-08-15 13:08:34 ISD SHUTDOWN 15-08-14 10:03:30 READINESS ISD:PP EVR:PP ISD & EVR READY 15-08-13 10:03:25 READINESS ISD:PP EVR:PF CHECK EVR SYSTEM 15-08-12 10:02:23 READINESS ISD:PP EVR:PF CHECK EVR SYSTEM 15-08-11 10:02:45 READINESS ISD:PP EVR:PF CHECK EVR SYSTEM 15-08-10 11:33:03 READINESS ISD:PP EVR:NN EVR READINESS PENDING 15-08-10 11:33:03 ISD STARTUP Jaco 7776 alarm history after Responses Received: I10200 AUG 17, 2015 11:00 AM HOWARDS 7776 3300 PLANS RD BAKERSFIELD 93309 SYSTEM CONFIGURATION SLOT BOARD TYPE POWER ON RESET CURRENT 1 4 PROBE / G.T. 163895 162672 2 INTERSTITIAL BD 201249 200646 3 7SMARTSENSOR BD 9865629 502516 4 UNUSED 9830660 4830056 5 UNUSED 9822698 4828990 6 UNUSED 9822698 4827795 7 UNUSED 9822174 4827382 8 UNUSED 9816831 4828121 9 WPLLD POWER BD 201158 200724 10 AC INTERFACE BD 163488 162904 11 RELAY BOARD 15049 15021 12 UNUSED 9832520 4830230 13 UNUSED 9813998 4827969 14 UNUSED 9818146 4827904 15 UNUSED 9810562 4827708 16 UNUSED 9815423 4827708 COMM 1 ELEC DISP INT. 100267 100038 COMM 2 WPLLD COMM BD 201900 201361 COMM 3 RS232 SERIAL BD 14902 14868 COMM 4 UNUSED 9825501 4829534 COMM 5 RS485 SERIAL BD 9815800 68223 COMM 6 RS232 SERIAL BD 9814270 14912 I90200 AUG 17, 2015 11:00 AM SOFTWARE REVISION LEVEL VERSION 333.05 SOFTWARE# 346333-100-F CREATED - 13.12.11.14.16 S-MODULE# 330160-016-a SYSTEM FEATURES: PERIODIC IN-TANK TESTS ANNUAL IN-TANK TESTS CSLD ISD/APM PLLD 0.10 REPETITIV 0.20 REPETITIV WPLLD 0.10 AUTO 0.20 REPETITIV I11100 AUG 17, 2015 11:00 AM HOWARDS 7776 3300 PLANS RD BAKERSFIELD 93309 PRIORITY ALARM HISTORY ID CATEGORY DESCRIPTION ALARM TYPE STATE DATE TIME W 3 OTHER DIESEL WPLLD SHUTDOWN ALM CLEAR 8-17-15 10:58AM W 3 OTHER DIESEL GROSS LINE FAIL CLEAR 8-17-15 10:58AM W 2 OTHER UNLEADED WPLLD SHUTDOWN ALM CLEAR 8-17-15 10:58AM W 2 OTHER UNLEADED GROSS LINE FAIL CLEAR 8-17-15 10:58AM W 1 OTHER SUPER WPLLD SHUTDOWN ALM CLEAR 8-17-15 10:58AM W 1 OTHER SUPER GROSS LINE FAIL CLEAR 8-17-15 10:58AM W 3 OTHER DIESEL WPLLD SHUTDOWN ALM ALARM 8-17-15 10:45AM W 3 OTHER DIESEL GROSS LINE FAIL ALARM 8-17-15 10:45AM W 1 OTHER SUPER WPLLD SHUTDOWN ALM ALARM 8-17-15 10:29AM W 1 OTHER SUPER GROSS LINE FAIL ALARM 8-17-15 10:29AM W 2 OTHER UNLEADED WPLLD SHUTDOWN ALM ALARM 8-17-15 10:21AM W 2 OTHER UNLEADED GROSS LINE FAIL ALARM 8-17-15 10:21AM T 4 TANK DIESEL LOW PRODUCT ALARM CLEAR 8-17-15 9:52AM T 4 TANK DIESEL LOW PRODUCT ALARM ALARM 8-17-15 9:51AM T 4 TANK DIESEL PROBE OUT CLEAR 8-17-15 9:49AM T 4 TANK DIESEL LOW PRODUCT ALARM CLEAR 8-17-15 9:46AM T 4 TANK DIESEL LOW PRODUCT ALARM ALARM 8-17-15 9:46AM W 3 OTHER DIESEL WPLLD SHUTDOWN ALM CLEAR 8-17-15 9:46AM W 2 OTHER UNLEADED WPLLD SHUTDOWN ALM CLEAR 8-17-15 9:46AM W 1 OTHER SUPER WPLLD SHUTDOWN ALM CLEAR 8-17-15 9:46AM L 1 DISP PAN UDC 1-2 SENSOR OUT ALARM CLEAR 8-17-15 9:46AM L 1 DISP PAN UDC 1-2 SENSOR OUT ALARM ALARM 8-17-15 9:43AM W 3 OTHER DIESEL WPLLD SHUTDOWN ALM ALARM 8-17-15 9:43AM W 2 OTHER UNLEADED WPLLD SHUTDOWN ALM ALARM 8-17-15 9:43AM W 1 OTHER SUPER WPLLD SHUTDOWN ALM ALARM 8-17-15 9:43AM T 3 TANK SUPER OVERFILL ALARM CLEAR 8-17-15 9:37AM T 3 TANK SUPER LOW PRODUCT ALARM ALARM 8-17-15 9:36AM T 3 TANK SUPER OVERFILL ALARM ALARM 8-17-15 9:35AM T 3 TANK SUPER OVERFILL ALARM CLEAR 8-17-15 9:35AM T 3 TANK SUPER OVERFILL ALARM ALARM 8-17-15 9:35AM T 4 TANK DIESEL PROBE OUT ALARM 8-17-15 9:33AM T 4 TANK DIESEL OVERFILL ALARM CLEAR 8-17-15 9:31AM T 4 TANK DIESEL OVERFILL ALARM ALARM 8-17-15 9:30AM W 3 OTHER DIESEL WPLLD SHUTDOWN ALM CLEAR 8-17-15 9:24AM W 2 OTHER UNLEADED WPLLD SHUTDOWN ALM CLEAR 8-17-15 9:24AM W 1 OTHER SUPER WPLLD SHUTDOWN ALM CLEAR 8-17-15 9:24AM L 1 DISP PAN UDC 1-2 FUEL ALARM CLEAR 8-17-15 9:24AM L 1 DISP PAN UDC 1-2 FUEL ALARM ALARM 8-17-15 9:21AM W 3 OTHER DIESEL WPLLD SHUTDOWN ALM ALARM 8-17-15 9:21AM W 2 OTHER UNLEADED WPLLD SHUTDOWN ALM ALARM 8-17-15 9:21AM W 1 OTHER SUPER WPLLD SHUTDOWN ALM ALARM 8-17-15 9:21AM T 3 TANK SUPER LOW PRODUCT ALARM CLEAR 8-17-15 9:16AM T 3 TANK SUPER LOW PRODUCT ALARM ALARM 8-16-15 6:52PM W 3 OTHER DIESEL WPLLD SHUTDOWN ALM CLEAR 8-10-15 12:57PM W 3 OTHER DIESEL GROSS LINE FAIL CLEAR 8-10-15 12:57PM W 2 OTHER UNLEADED WPLLD SHUTDOWN ALM CLEAR 8-10-15 12:57PM W 2 OTHER UNLEADED GROSS LINE FAIL CLEAR 8-10-15 12:57PM W 1 OTHER SUPER WPLLD SHUTDOWN ALM CLEAR 8-10-15 12:57PM W 1 OTHER SUPER GROSS LINE FAIL CLEAR 8-10-15 12:57PM W 3 OTHER DIESEL WPLLD SHUTDOWN ALM ALARM 8-10-15 12:41PM I11200 AUG 17, 2015 11:01 AM HOWARDS 7776 3300 PLANS RD BAKERSFIELD 93309 NON-PRIORITY ALARM HISTORY ID CATEGORY DESCRIPTION ALARM TYPE STATE DATE TIME T 4 TANK DIESEL INVALID FUEL LEVEL CLEAR 8-17-15 9:52AM T 4 TANK DIESEL DELIVERY NEEDED CLEAR 8-17-15 9:52AM T 4 TANK DIESEL INVALID FUEL LEVEL ALARM 8-17-15 9:52AM T 4 TANK DIESEL DELIVERY NEEDED ALARM 8-17-15 9:51AM T 4 TANK DIESEL DELIVERY NEEDED CLEAR 8-17-15 9:46AM T 4 TANK DIESEL DELIVERY NEEDED ALARM 8-17-15 9:46AM T 4 TANK DIESEL INVALID FUEL LEVEL CLEAR 8-17-15 9:46AM T 4 TANK DIESEL INVALID FUEL LEVEL ALARM 8-17-15 9:46AM T 3 TANK SUPER DELIVERY NEEDED ALARM 8-17-15 9:36AM T 3 TANK SUPER LOW TEMP WARNING CLEAR 8-17-15 9:36AM T 3 TANK SUPER LOW TEMP WARNING ALARM 8-17-15 9:36AM T 3 TANK SUPER HIGH PRODUCT ALARM CLEAR 8-17-15 9:35AM T 3 TANK SUPER HIGH PRODUCT ALARM ALARM 8-17-15 9:34AM T 2 TANK UNLEADED LOW TEMP WARNING CLEAR 8-17-15 9:34AM T 2 TANK UNLEADED LOW TEMP WARNING ALARM 8-17-15 9:34AM T 2 TANK UNLEADED HIGH PRODUCT ALARM CLEAR 8-17-15 9:32AM T 2 TANK UNLEADED HIGH PRODUCT ALARM ALARM 8-17-15 9:32AM T 3 TANK SUPER INVALID FUEL LEVEL CLEAR 8-17-15 9:16AM T 3 TANK SUPER DELIVERY NEEDED CLEAR 8-17-15 9:16AM T 3 TANK SUPER INVALID FUEL LEVEL ALARM 8-17-15 9:15AM T 3 TANK SUPER DELIVERY NEEDED ALARM 8-16-15 6:52PM h 3 OTHER FP3: BLEND3 DEGRD COLLECT WARN ALARM 8-15-15 10:03AM OTHER ISD GROSS PRES WARN CLEAR 8-14-15 10:00AM T 3 TANK SUPER INVALID FUEL LEVEL CLEAR 8-10-15 11:08AM T 3 TANK SUPER INVALID FUEL LEVEL ALARM 8-10-15 11:07AM T 3 TANK SUPER HIGH PRODUCT ALARM CLEAR 8-10-15 11:06AM T 3 TANK SUPER HIGH PRODUCT ALARM ALARM 8-10-15 11:06AM T 2 TANK UNLEADED LOW TEMP WARNING CLEAR 8-10-15 11:06AM T 2 TANK UNLEADED LOW TEMP WARNING ALARM 8-10-15 11:04AM T 4 TANK DIESEL LOW TEMP WARNING CLEAR 8-10-15 11:02AM T 4 TANK DIESEL INVALID FUEL LEVEL CLEAR 8-10-15 11:01AM T 4 TANK DIESEL LOW TEMP WARNING ALARM 8-10-15 11:01AM T 4 TANK DIESEL INVALID FUEL LEVEL ALARM 8-10-15 11:01AM T 2 TANK UNLEADED DELIVERY NEEDED CLEAR 8-10-15 12:07AM SYSTEM PRINTER ERROR CLEAR 8-09-15 8:33PM SYSTEM PAPER OUT CLEAR 8-09-15 8:33PM SYSTEM PRINTER ERROR ALARM 8-09-15 8:33PM SYSTEM PAPER OUT ALARM 8-09-15 8:33PM SYSTEM PRINTER ERROR CLEAR 8-09-15 7:14PM SYSTEM PAPER OUT CLEAR 8-09-15 7:14PM SYSTEM PRINTER ERROR ALARM 8-09-15 7:14PM SYSTEM PAPER OUT ALARM 8-09-15 7:14PM SYSTEM PRINTER ERROR CLEAR 8-09-15 7:14PM SYSTEM PAPER OUT CLEAR 8-09-15 7:14PM SYSTEM PRINTER ERROR ALARM 8-09-15 7:05PM SYSTEM PAPER OUT ALARM 8-09-15 7:05PM SYSTEM PRINTER ERROR CLEAR 8-09-15 7:05PM SYSTEM PAPER OUT CLEAR 8-09-15 7:05PM SYSTEM PRINTER ERROR ALARM 8-09-15 7:04PM SYSTEM PAPER OUT ALARM 8-09-15 7:04PM I20600 AUG 17, 2015 11:01 AM HOWARDS 7776 3300 PLANS RD BAKERSFIELD 93309 TANK ALARM HISTORY TANK 2 UNLEADED HIGH WATER ALARM AUG 13, 2014 10:07 AM OVERFILL ALARM AUG 10, 2015 11:03 AM JUN 14, 2015 10:25 AM MAY 26, 2015 1:36 AM LOW PRODUCT ALARM AUG 9, 2015 6:57 PM JUL 11, 2015 2:35 PM JUN 27, 2015 5:44 PM HIGH PRODUCT ALARM AUG 17, 2015 9:32 AM APR 4, 2015 11:34 PM AUG 13, 2014 11:15 AM INVALID FUEL LEVEL JUL 11, 2015 9:31 PM APR 4, 2015 6:39 PM FEB 9, 2015 9:50 PM HIGH WATER WARNING AUG 13, 2014 10:07 AM DELIVERY NEEDED AUG 9, 2015 6:57 PM JUL 11, 2015 2:35 PM JUN 27, 2015 5:44 PM LOW TEMP WARNING AUG 17, 2015 9:34 AM AUG 10, 2015 11:04 AM AUG 13, 2014 10:12 AM TANK 3 SUPER OVERFILL ALARM AUG 17, 2015 9:35 AM AUG 17, 2015 9:35 AM AUG 10, 2015 11:07 AM LOW PRODUCT ALARM AUG 17, 2015 9:36 AM AUG 16, 2015 6:52 PM JUL 11, 2015 11:25 PM HIGH PRODUCT ALARM AUG 17, 2015 9:34 AM AUG 10, 2015 11:06 AM AUG 13, 2014 10:07 AM INVALID FUEL LEVEL AUG 17, 2015 9:15 AM AUG 10, 2015 11:07 AM JUL 7, 2015 2:29 AM PROBE OUT AUG 5, 2014 12:56 PM AUG 5, 2014 11:31 AM DELIVERY NEEDED AUG 17, 2015 9:36 AM AUG 16, 2015 6:52 PM JUL 11, 2015 11:25 PM LOW TEMP WARNING AUG 17, 2015 9:36 AM TANK 4 DIESEL OVERFILL ALARM AUG 17, 2015 9:30 AM AUG 10, 2015 11:01 AM AUG 10, 2015 11:00 AM LOW PRODUCT ALARM AUG 17, 2015 9:51 AM AUG 17, 2015 9:46 AM AUG 27, 2014 3:15 PM HIGH PRODUCT ALARM AUG 13, 2014 11:21 AM INVALID FUEL LEVEL AUG 17, 2015 9:52 AM AUG 17, 2015 9:46 AM AUG 10, 2015 11:01 AM PROBE OUT AUG 17, 2015 9:33 AM DELIVERY NEEDED AUG 17, 2015 9:51 AM AUG 17, 2015 9:46 AM AUG 27, 2014 3:15 PM LOW TEMP WARNING AUG 10, 2015 11:01 AM AUG 13, 2014 10:14 AM AUG 5, 2014 12:35 PM TANK 5 TANK 6 TANK 7 TANK 8 TANK 9 TANK 10 TANK 11 TANK 12 TANK 13 TANK 14 TANK 15 TANK 16 I38200 AUG 17, 2015 11:01 AM I30200 AUG 17, 2015 11:01 AM HOWARDS 7776 3300 PLANS RD BAKERSFIELD 93309 LIQUID ALARM HISTORY REPORT SENSOR LOCATION 1 UDC 1-2 AUG 17, 2015 9:43 AM SENSOR OUT ALARM AUG 17, 2015 9:21 AM FUEL ALARM AUG 10, 2015 11:27 AM SENSOR OUT ALARM I31600 AUG 17, 2015 11:01 AM HOWARDS 7776 3300 PLANS RD BAKERSFIELD 93309 SMART SENSOR ALARM HISTORY REPORT SENSOR LOCATION 1 VP SENSOR 3-4 MAY 1, 2014 5:23 PM COMMUNICATION ALARM 2 VFM 1-2 3 VFM 3-4 I40200 AUG 17, 2015 11:01 AM I40300 AUG 17, 2015 11:01 AM I34200 AUG 17, 2015 11:01 AM I34700 AUG 17, 2015 11:01 AM IV0100 AUG 17, 2015 11:01 AM HOWARDS 7776 3300 PLANS RD BAKERSFIELD 93309 ISD ALARM STATUS REPORT EVR TYPE: VACUUM ASSIST ISD TYPE: 01.05 VAPOR PROCESSOR TYPE: NONE OVERALL STATUS :WARN EVR VAPOR COLLECTION :WARN EVR VAPOR CONTAINMENT :PASS ISD MONITOR UP-TIME : 99% EVR/ISD PASS TIME : 0% WARNING ALARMS DATE TIME DESCRIPTION READING VALUE 15-08-17 10:04:08 A/L RATIO DEGRADATION FP 3 BLEND3 0.75 15-08-16 10:04:57 A/L RATIO DEGRADATION FP 3 BLEND3 0.78 15-08-15 10:03:47 A/L RATIO DEGRADATION FP 3 BLEND3 0.80 15-08-13 10:03:25 CONTAINMENT GROSS OVER PRESSURE WEEKLY 95% 1.44 15-08-12 10:02:23 CONTAINMENT GROSS OVER PRESSURE WEEKLY 95% 1.45 15-08-11 10:02:45 CONTAINMENT GROSS OVER PRESSURE WEEKLY 95% 1.45 15-08-10 10:02:22 CONTAINMENT GROSS OVER PRESSURE WEEKLY 95% 1.45 15-08-09 10:02:27 CONTAINMENT GROSS OVER PRESSURE WEEKLY 95% 1.45 15-08-08 10:02:24 CONTAINMENT GROSS OVER PRESSURE WEEKLY 95% 1.46 15-08-07 10:03:12 CONTAINMENT GROSS OVER PRESSURE WEEKLY 95% 1.46 FAILURE ALARMS DATE TIME DESCRIPTION READING VALUE 15-04-30 10:03:06 VAPOR CONTAINMENT LEAKAGE CFH@2 INCHES WC 8.72 14-07-22 10:04:24 CONTAINMENT GROSS OVER PRESSURE WEEKLY 95% 3.85 SHUTDOWN & MISCELLANEOUS EVENTS DATE TIME DESCRIPTION ACTION/NAME 15-08-17 10:04:08 READINESS ISD:PP EVR:PP ISD & EVR READY 15-08-17 09:55:32 READINESS ISD:PP EVR:NN EVR READINESS PENDING 15-08-17 09:55:32 ISD STARTUP 15-08-17 09:54:46 ISD SHUTDOWN 15-08-16 10:04:57 READINESS ISD:PP EVR:PP ISD & EVR READY 15-08-15 13:18:16 READINESS ISD:PP EVR:NN EVR READINESS PENDING 15-08-15 13:18:16 ISD STARTUP 15-08-15 13:08:34 ISD SHUTDOWN 15-08-14 10:03:30 READINESS ISD:PP EVR:PP ISD & EVR READY 15-08-13 10:03:25 READINESS ISD:PP EVR:PF CHECK EVR SYSTEM 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. #7776Howard'sMarket 08/17/2015 3300PlanzRoad Bakersfield,CA93309 OmeroGarcia(661)393-7000 07/14/2015 Kris Karns AustinSterling 8339953-UT Regular 12.00" 12.50" 5min. 9:20 am 9.00" 10:20 am 9.00" 1hour 0.00" 0.0625" Super 12.00" 12.50" 5min. 9:20 am 9.00" 10:20 am 9.00" 1hour 0.00" 0.0625"0.0625" Diesel 12.00" 13.00" 5min. 9:20 am 8.50" 10:20 am 8.50" 1hour 0.00" 08/17/2015