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HomeMy WebLinkAboutFMC 2015IMPACT VALVE LEAK DETECTOR LINE TEST MONITOR CERTIFICATION SPILL BUCKET TEST TANK TEST 11000 N. MoPac Expressway, Suite 500 Austin, Texas 78759 Phone: (512) 451-6334 Fax: (512) 459-1459 Date Printed and Mailed: 10/27/2015 BAKERSFIELD FIRE DEPARTMENT OFFICE OF ENVIRONMENTAL SERVICES INSPECTOR ERNIE MEDINA 1501 TRUXTUN AVE. BAKERSFIELD, CA 93301 Test Date: 10/8/2015 Order Number: 3427213 Dear Regulator, Enclosed are the results of recent testing performed at the following facility: SAM'S CLUB # 4819 (SC4819) 5625 GOSFORD ROAD BAKERSFIELD, CA 93313 Testing performed: Sincerely, Dawn Kohlmeyer Manager, Field Reporting VacuTect Tank Tightness Test page 1 of 1 Work Order:3427213 Date:10/8/2015 Site Name/ID:SAM'S CLUB # 4819 SC4819 Address:5625 GOSFORD ROAD City:BAKERSFIELD State:CA Zip:93313 Tank Information Customer Tank ID Regulatory Tank ID Product Category Product Name Gallons Capacity Tank Type Tank Walls Compartmentalized Siphon Tank Vents included with test Test Start Time Test End Time Water ingress (Y/N) Bubble ingress (Y/N) Ullage ingress (Y/N) Test Result (P/F/I) 1 REG UNLEAD 87 NORTH Gasoline - Regular REG UNLEAD 20000 Fiberglass Doublewall (factory) No No not tested 17:54:00 19:06:00 No No No Pass 2 REG UNLEAD 87 SOUTH Gasoline - Regular REG UNLEAD 20000 Fiberglass Doublewall (factory) No No not tested 17:54:00 19:06:00 No No No Pass 3 PREMIUM T3: 91 Gasoline - Premium PREMIUM 12000 Fiberglass Doublewall (factory) No No not tested 16:15:00 17:38:00 No No No Pass 4 DIESEL2 DIESEL Diesel DIESEL2 8000 Fiberglass Doublewall (factory) No No with this tank 16:15:00 17:38:00 No No No Pass Yes No diagnostic only - Test was performed per 3rd party certifications as specified in 40 CFR parts 280 and 281. Technician Comments : Tanks pass. Technician Name Patrick Pfrang Certification #05611 Technician Signature Environmental Compliance for Petroleum Systems ©2015 Tanknology Inc., Austin,TX. All rights reserved. tanknology.com Product Line Tightness Test Page 1 of 1 Work Order: 3427213 Date: 10/8/2015 Site Name/ID: SAM'S CLUB # 4819 / SC4819 Address: 5625 GOSFORD ROAD City: BAKERSFIELD State: CA Zip: 93313 Tank Information Test Method Customer Tank ID Product Name Delivery Type Test Pressure Test Start Time Test End Time Final Leak Rate Test Result(P/F/I) Test was performed per 3rd party certifications as specified in 40 CFR parts 280 and 281 Tank # 1 Line # 1 TLD-1 87 NORTH REG UNLEAD Pressure 50 18:09 18:39 0.00 Pass Yes Tank # 2 Line # 1 TLD-1 87 SOUTH REG UNLEAD Pressure 50 16:47 17:17 0.00 Pass Yes Tank # 3 Line # 1 TLD-1 T3: 91 PREMIUM Pressure 50 16:47 17:17 0.00 Pass Yes Tank # 4 Line # 1 TLD-1 DIESEL DIESEL2 Pressure 50 18:06 18:36 0.00 Pass Yes Tank # Line # Tank # Line # Technician Comments: Lines pass. Technician Name:Patrick Pfrang Certification #:44642 exp: 4/4/2016 Technician Signature: Environmental Compliance for Petroleum Systems ©2015 Tanknology Inc., Austin, TX.    All rights reserved.    tanknology.com LDT 5000 Field Test Apparatus Line Leak Detector Test Page 1 of 1 Work Order:3427213 Date:10/8/2015 Site Name / ID:SAM'S CLUB # 4819 / SC4819 Address:5625 GOSFORD ROAD City:BAKERSFIELD State:CA Zip:93313 Tank ID Product Product Line Tested From Existing/New Mechanical/Electronic Manufacturer/Model Serial No. Pump Operating Pressure (psi) Calibrated Leak (ml/min) Calibrated Leak (gph) Holding PSI *N/A for Electronic LD's Resiliency (ml) *N/A for Electronic LD's Metering PSI *N/A for Electronic LD's Opening Time (sec) *N/A for Electronic LD's Test Results 87 NORTH REG UNLEAD 1 4 Existing Mechanical Red Jacket FX1V 307098751 48.00 189.0 3.00 22.00 105.00 15 3 Pass 87 SOUTH REG UNLEAD 1 12 Existing Mechanical Red Jacket FX1V 307098752 45.00 189.0 3.00 22.00 110.00 15 2 Pass T3: 91 PREMIUM 1 12 Existing Mechanical Red Jacket FX1V 307098753 53.00 189.0 3.00 20.00 160.00 15 3 Pass DIESEL DIESEL2 1 1 Existing Mechanical Red Jacket FX1DV 307099837 33.00 189.0 3.00 22.00 125.00 12 3 Pass Technician Comments: Leak detectors pass. Technician Name:Patrick Pfrang Certification #:44637 Technician Signature:Expire Date:5/1/2016 Environmental Compliance for Petroleum Systems © 2015 Tanknology Inc., Austin, TX.    All rights reserved.    tanknology.com Impact Valve Inspection Impact Valve Operational Inspection Work Order:3427213 Date:10/8/2015 Site Name/ID:SAM'S CLUB # 4819 Address:5625 GOSFORD ROAD City:BAKERSFIELD State:CA Zip:93313 Dispenser Number Grade Secure Mount? Valve Lock?Pass/ Fail Comments 1/2 87 Pass Fail Not Tested 1/2 91 Pass Fail Not Tested 3/4 87 Pass Fail Not Tested 3/4 91 Pass Fail Not Tested 5/6 40 Pass Fail Not Tested 5/6 87 Pass Fail Not Tested 5/6 91 Pass Fail Not Tested 7/8 87 Pass Fail Not Tested 7/8 91 Pass Fail Not Tested 9/10 87 Pass Fail Not Tested 9/10 91 Pass Fail Not Tested 11/12 40 Pass Fail Not Tested 11/12 87 Pass Fail Not Tested 11/12 91 Pass Fail Not Tested Technician Comments: Technician Name:Patrick Pfrang Signature: Environmental Compliance for Petroleum Systems ©2015 Tanknology Inc., Austin, TX. All rights reserved. tanknology.com Appendix VI (Copies of Monitoring System Certification form and UST Monitoring Plot Plan available at http://www.swrcb.ca.gov.) MONITORING SYSTEM CERTIFICATION For Use By All Jurisdictions Within the State of California Authority Cited: Chapter 6.7, Health and Safety Code; Chapter 16, Division 3, Title 23, California Code of Regulations This form must be used to document testing and servicing of monitoring equipment. A separate certification or report must be prepared for each monitoring system control panel by the technician who performs the work. A copy of this form must be provided to the tank system owner/operator. The owner/operator must submit a copy of this form to the local agency regulating UST systems within 30 days of test date. A. General Information Facility Name:SAM'S CLUB # 4819 Bldg. No.: Site Address:5625 GOSFORD ROAD City:BAKERSFIELD Zip:93313 Facility Contact Person:Asset Protection Manager Contact Phone No.:661-654-8565 Make/Model of Monitoring System:Veeder Root TLS350 Date of Testing/Servicing:10/8/2015 B. Inventory of Equipment Tested/Certified Check the appropriate boxes to indicate specific equipment inspected/serviced: Tank ID:87 NORTH - REG UNLEAD In-Tank Gauging Probe.Model:VR MAG PLUS Annular Space or Vault Sensor.Model:VR 303 Piping Sump / Trench Sensor(s).Model:VR 208/304 Fill Sump Sensor(s).Model:VR 208/304 Mechanical Line Leak Detector.Model:Red Jacket FX1V Electronic Line Leak Detector.Model: Tank Overfill / High-Level Sensor.Model:EXTERNAL Other (specify equipment type and model in Section E on Page 2). Tank ID:87 SOUTH - REG UNLEAD In-Tank Gauging Probe.Model:VR MAG PLUS Annular Space or Vault Sensor.Model:VR 303 Piping Sump / Trench Sensor(s).Model:VR 208/304 Fill Sump Sensor(s).Model:VR 208/304 Mechanical Line Leak Detector.Model:Red Jacket FX1V Electronic Line Leak Detector.Model: Tank Overfill / High-Level Sensor.Model:EXTERNAL Other (specify equipment type and model in Section E on Page 2). Tank ID:T3: 91 - PREMIUM In-Tank Gauging Probe.Model:VR MAG PLUS Annular Space or Vault Sensor.Model:VR 303 Piping Sump / Trench Sensor(s).Model:VR 208/304 Fill Sump Sensor(s).Model:VR 208/304 Mechanical Line Leak Detector.Model:Red Jacket FX1V Electronic Line Leak Detector.Model: Tank Overfill / High-Level Sensor.Model:EXTERNAL Other (specify equipment type and model in Section E on Page 2). Tank ID:DIESEL - DIESEL2 In-Tank Gauging Probe.Model:VR MAG PLUS Annular Space or Vault Sensor.Model:VR 303 Piping Sump / Trench Sensor(s).Model:VR 208/304 Fill Sump Sensor(s).Model:VR 208/304 Mechanical Line Leak Detector.Model:Red Jacket FX1DV Electronic Line Leak Detector.Model: Tank Overfill / High-Level Sensor.Model:EXTERNAL Other (specify equipment type and model in Section E on Page 2). Dispenser ID:1/2 Dispenser Containment Sensor(s).Model:VR 208/304 Shear Valve(s). Dispenser Containment Float(s) and Chain(s). Dispenser ID:3/4 Dispenser Containment Sensor(s).Model:VR 208/304 Shear Valve(s). Dispenser Containment Float(s) and Chain(s). Dispenser ID:5/6 Dispenser Containment Sensor(s).Model:VR 208/304 Shear Valve(s). Dispenser Containment Float(s) and Chain(s). Dispenser ID:7/8 Dispenser Containment Sensor(s).Model:VR 208/304 Shear Valve(s). Dispenser Containment Float(s) and Chain(s). Dispenser ID: Dispenser Containment Sensor(s).Model: Shear Valve(s). Dispenser Containment Float(s) and Chain(s). Dispenser ID: Dispenser Containment Sensor(s).Model: Shear Valve(s). Dispenser Containment Float(s) and Chain(s). *If the facility contains more tanks or dispensers, copy this form. Include information for every tank and dispenser at the facility. C. Certification- I certify that the equipment identified in this document was inspected/serviced in accordance with the manufacturers’ guidelines. Attached to this Certification is information (e.g. manufacturers' checklists) necessary to verify that this information is correct and a Plot Plan showing the layout of monitoring equipment. For any equipment capable of generating such reports, I have also attached a copy of the report; (check all that apply): System set- up Alarm history report Technician Name (print):Patrick Pfrang Signature: Certification No.: A29052 License. No.:743160 Class 'A' Testing Company Name:Tanknology Phone No.:(800) 800-4633 Testing Company Address:11000 N. MoPac Expressway Suite 500 Date of Testing/Servicing:10/8/2015 Monitoring System Certification Page 1 of 4 12/07 D. Results of Testing/Servicing Software Version Installed:333.05 Complete the following checklist: Yes No*Is the audible alarm operational? Yes No*Is the visual alarm operational? Yes No*Were all sensors visually inspected, functionally tested, and confirmed operational? Yes No*Were all sensors installed at lowest point of secondary containment and positioned so that other equipment will not interfere with their proper operation? Yes No* N/A If alarms are relayed to a remote monitoring station, is all communications equipment (e.g. modem) operational? Yes No* N/A For pressurized piping systems, does the turbine automatically shut down if the piping secondary containment monitoring system detects a leak, fails to operate, or is electrically disconnected? If yes: which sensors initiate positive shut-down? (Check all that apply) Sump/Trench Sensors; Dispenser Containment Sensors. Did you confirm positive shut-down due to leaks and sensor failure/disconnection? Yes; No Yes No* N/A For tank systems that utilize the monitoring system as the primary tank overfill warning device (i.e. no mechanical overfill prevention valve is installed), is the overfill warning alarm visible and audible at the tank fill point(s) and operating properly? If so, at what percent of tank capacity does the alarm trigger? 90% Yes* No Was any monitoring equipment replaced? If yes, identify specific sensors, probes, or other equipment replaced and list the manufacturer name and model for all replacement parts in Section E, below. Yes* No Was liquid found inside any secondary containment systems designed as dry systems? (Check all that apply) Product; Water. If yes, describe causes in Section E, below. Yes No*Was monitoring system set-up reviewed to ensure proper settings? Attach set up reports, if applicable Yes No*Is all monitoring equipment operational per manufacturer's specifications? * In Section E below, describe how and when these deficiencies were or will be corrected. E. Comments: Vent box sump has a VR 208 and VR 304 sensor. Monitoring System Certification Page 2 of 4 12/07 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 that are programmed for positive shut down, does the turbine automatically shut off if any portion of the monitoring system is disabled or disconnected? Yes No* N/A For electronic LLDs that are programmed for positive shut down, 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 4 12/07 Monitoring System Certification Form: Addendum for Vacuum/Pressure Interstitial Sensors LG 163-1, Enc. II I.Results of Vacuum/Pressure Monitoring Equipment Testing This page should be used to document testing and servicing of vacuum and pressure interstitial sensors. A copy of this form must be included with the Monitoring System Certification Form, which must be provided to the tank system owner/operator. The owner/operator must submit a copy of the Monitoring System Certification Form to the local agency regulating UST systems within 30 days of test date. Manufacturer:VEEDER ROOT Model:001 System Type: Pressure Vacuum Sensor ID s1 Component(s) Monitored by this Sensor:87 N PRODUCT Sensor Functionality Test Result: Pass Fail Interstitial Communication Test Result: Pass Fail s2 Component(s) Monitored by this Sensor:87 N VENT Sensor Functionality Test Result: Pass Fail Interstitial Communication Test Result: Pass Fail s3 Component(s) Monitored by this Sensor:87 S PRODUCT Sensor Functionality Test Result: Pass Fail Interstitial Communication Test Result: Pass Fail s4 Component(s) Monitored by this Sensor:S VENT Sensor Functionality Test Result: Pass Fail Interstitial Communication Test Result: Pass Fail s5 Component(s) Monitored by this Sensor:VAPOR RETURN Sensor Functionality Test Result: Pass Fail Interstitial Communication Test Result: Pass Fail s6 Component(s) Monitored by this Sensor:91 PRODUCT SOUTH Sensor Functionality Test Result: Pass Fail Interstitial Communication Test Result: Pass Fail s7 Component(s) Monitored by this Sensor:91 PRODUCT NORTH Sensor Functionality Test Result: Pass Fail Interstitial Communication Test Result: Pass Fail s8 Component(s) Monitored by this Sensor:91 VENT Sensor Functionality Test Result: Pass Fail Interstitial Communication Test Result: Pass Fail s9 Component(s) Monitored by this Sensor:LINE TO VENT Sensor Functionality Test Result: Pass Fail Interstitial Communication Test Result: Pass Fail s10, s11 Component(s) Monitored by this Sensor:LINE TO VENT/ DIESEL Sensor Functionality Test Result: Pass Fail Interstitial Communication Test Result: Pass Fail How was interstitial communication verified? Leak Introduced at Far End of Interstitial Space1 Gauge Visual Inspection Other (Describe in Sec. J, below) Vacuum was restored to operating levels in all interstitial spaces: Yes No (If no, describe in Sec. J, below) J. Comments (500 characters max. use additional sheets if needed): Page 4 of 4 1 If the sensor successfully detects a simulated vacuum/pressure leak introduced in the interstitial space at the furthest point from the sensor, vacuum/pressure has been demonstrated to be communicating throughout the interstice. WO: 3427213 SWRCB, January 2006 Spill Bucket Testing Report Form This form is intended for use by contractors performing annual testing of UST spill containment structures. The completed form and printouts from tests (if applicable), should be provided to the facility owner/operator for submittal to the local regulatory agency. 1. FACILITY INFORMATION Facility Name: SAM'S CLUB # 4819 Date of Testing: 10/8/2015 Facility Address: 5625 GOSFORD ROAD , BAKERSFIELD, CA 93313 Facility Contact: Asset Protection Manager Phone: 661-654-8565 Date Local Agency Was Notified of Testing: Name of Local Agency Inspector (if present during testing): Kris Karns 2. TESTING CONTRACTOR INFORMATION Company Name: TANKNOLOGY INC. Technician Conducting Test: Patrick Pfrang Credentials1: CSLB Contractor ICC Service Tech. SWRCB Tank Tester Other (Specify) License Number(s): 051590/743160 3. SPILL BUCKET TESTING INFORMATION Test Method Used By: Hydrostatic Vacuum Other Test Equipment Used: LAKE TEST Equipment Resolution: 0.0625 in. Identify Spill Bucket (By Tank Number, Stored Product, etc.) Bucket Installation Type: 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: Spill Box # Tank 87 NORTH REG UNLEAD - Fill 1 - Direct - Grade level in containment sump Direct Bury Contained in Sump 12.00 16.00 15 min 09:15:00 15.00 in. 10:15:00 15.00 in. 1 hr 0.00 in. +/- 0.00 Pass Spill Box # Tank 87 SOUTH REG UNLEAD - Fill 1 - Direct - Grade level in containment sump Direct Bury Contained in Sump 12.00 16.00 15 min 09:15:00 15.00 in. 10:15:00 15.00 in. 1 hr 0.00 in. +/- 0.00 Pass Spill Box # Tank T3: 91 PREMIUM - Fill 1 - Direct - Grade level in containment sump Direct Bury Contained in Sump 12.00 16.00 15 min 09:15:00 15.00 in. 10:15:00 15.00 in. 1 hr 0.00 in. +/- 0.00 Pass Spill Box # Tank DIESEL DIESEL2 - Fill 1 - Direct - Grade level in containment sump Direct Bury Contained in Sump 12.00 16.00 15 min 09:15:00 15.00 in. 10:15:00 15.00 in. 1 hr 0.00 in. +/- 0.00 Pass 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:10/8/2015 1State laws and regulations do not currently require testing to be performed by a qualified contractor. However, local requirements may be more stringent. WO: 3427213 Buckets pass. Site Diagram (This site diagram is for reference only and is not drawn to scale) Work Order:3427213 Site ID / Name:SC4819 / SAM'S CLUB # 4819 Address:5625 GOSFORD ROAD City:BAKERSFIELD State:CA Zip:93313 W.O.# SC1-3427213 I50301 OCT 8, 2015 3:40 PM # 1:281428 SAMS CLUB 481 I50302 OCT 8, 2015 3:40 PM # 2:5625 GOSFORD RD. I50303 OCT 8, 2015 3:40 PM # 3:BAKERSFIELD CA.93313 I50304 OCT 8, 2015 3:40 PM # 4:J09202125405001 I51700 OCT 8, 2015 3:40 PM SYSTEM TYPE AND LANGUAGE FLAG SYSTEM UNITS U.S. SYSTEM LANGUAGE ENGLISH SYSTEM DATE/TIME FORMAT MON DD YYYY HH:MM:SS xM I50F00 OCT 8, 2015 3:40 PM MON DD YYYY HH:MM:SS xM I10200 OCT 8, 2015 3:40 PM 281428 SAMS CLUB 481 5625 GOSFORD RD. BAKERSFIELD CA.93313 J09202125405001 SYSTEM CONFIGURATION SLOT BOARD TYPE POWER ON RESET CURRENT 1 4 PROBE / G.T. 162609 162357 2 INTERSTITIAL BD 201465 201535 3 INTERSTITIAL BD 201782 201581 4 INTERSTITIAL BD 201329 201193 5 8SMARTSENSOR BD 39321 39332 6 8SMARTSENSOR BD 39342 39375 7 7SMARTSENSOR BD 507543 507665 8 UNUSED 4877335 4826985 9 RELAY BOARD 14986 15000 10 RELAY BOARD 14923 14936 11 STP SENSE BOARD 32884 32897 12 UNUSED 4879923 4822977 13 UNUSED 4878753 4823419 14 UNUSED 4875539 4820199 15 UNUSED 4874474 4819925 16 UNUSED 4875747 4815758 COMM 1 RS232 SERIAL BD 14923 14936 COMM 2 ELEC DISP INT. 101060 100956 COMM 3 SERIAL SAT BD 482267 482914 COMM 4 UNUSED 4873681 4825755 COMM 5 UNUSED 4871322 4824556 COMM 6 UNUSED 4873054 4826113 I60100 OCT 8, 2015 3:40 PM TANK CONFIGURATION DEVICE LABEL CONFIGURED 1 87 NORTH ON 2 87 SOUTH ON 3 91 ON 4 DIESEL ON I60200 OCT 8, 2015 3:40 PM TANK PRODUCT LABEL TANK PRODUCT LABEL 1 87 NORTH 2 87 SOUTH 3 91 4 DIESEL I60300 OCT 8, 2015 3:40 PM TANK PRODUCT CODE TANK PRODUCT LABEL 1 87 NORTH 1 2 87 SOUTH 1 3 91 3 4 DIESEL 4 I60400 OCT 8, 2015 3:40 PM TANK FULL VOLUME TANK PRODUCT LABEL GALLONS 1 87 NORTH 19744 2 87 SOUTH 19744 3 91 11140 4 DIESEL 7944 I60700 OCT 8, 2015 3:40 PM TANK DIAMETER TANK PRODUCT LABEL INCHES 1 87 NORTH 118.38 2 87 SOUTH 118.38 3 91 118.00 4 DIESEL 118.50 I60900 OCT 8, 2015 3:40 PM TANK THERMAL COEFFICIENT TANK PRODUCT LABEL 1 87 NORTH 0.000700 2 87 SOUTH 0.000700 3 91 0.000700 4 DIESEL 0.000450 I61200 OCT 8, 2015 3:40 PM TANK MANIFOLDED PARTNERS TANK PRODUCT LABEL SIPHON MANIFOLDED TANKS LINE MANIFOLDED TANKS 1 87 NORTH 2 NONE 2 87 SOUTH 1 NONE 3 91 NONE NONE 4 DIESEL NONE NONE I62100 OCT 8, 2015 3:40 PM TANK LOW PRODUCT LIMIT TANK PRODUCT LABEL GALLONS 1 87 NORTH 950 2 87 SOUTH 950 3 91 500 4 DIESEL 400 I62200 OCT 8, 2015 3:40 PM TANK HIGH PRODUCT LIMIT TANK PRODUCT LABEL GALLONS 1 87 NORTH 18757 2 87 SOUTH 18757 3 91 10452 4 DIESEL 7506 I62300 OCT 8, 2015 3:40 PM TANK OVERFILL LEVEL LIMIT TANK PRODUCT LABEL GALLONS 1 87 NORTH 17770 2 87 SOUTH 17770 3 91 9902 4 DIESEL 7111 I62400 OCT 8, 2015 3:40 PM TANK HIGH WATER LEVEL LIMIT TANK PRODUCT LABEL INCHES 1 87 NORTH 3.0 2 87 SOUTH 3.0 3 91 3.0 4 DIESEL 3.0 I62800 OCT 8, 2015 3:40 PM TANK MAXIMUM VOLUME LIMIT TANK PRODUCT LABEL GALLONS 1 87 NORTH 19744 2 87 SOUTH 19744 3 91 11002 4 DIESEL 7901 I62900 OCT 8, 2015 3:40 PM TANK DELIVERY REQUIRED LIMIT TANK PRODUCT LABEL GALLONS 1 87 NORTH 1974 2 87 SOUTH 1974 3 91 1100 4 DIESEL 790 I70300 OCT 8, 2015 3:40 PM LIQUID TYPE SENSOR LOCATION TYPE 1 87 N ANNULAR DUAL POINT HYDROSTATIC 2 87 87 N FILL DW SUMP 2-1 3 87 N STP DW SUMP 2-1 4 87 S ANNULAR DUAL POINT HYDROSTATIC 5 87 S FILL DW SUMP 2-1 6 87 S STP DW SUMP 2-1 7 91-DIESEL ANNULAR DUAL POINT HYDROSTATIC 8 91 FILL DW SUMP 2-1 9 91 STP DW SUMP 2-1 10 DIESEL FILL DW SUMP 2-1 11 DIESEL STP DW SUMP 2-1 12 DISP. 5-6 DW SUMP 2-1 13 DISP. 3-4 DW SUMP 2-1 14 DISP. 1-2 DW SUMP 2-1 15 DISP.11-12 DW SUMP 2-1 16 DISP. 9-10 DW SUMP 2-1 17 DISP. 7-8 DW SUMP 2-1 18 VENT BOX DW SUMP 2-1 19 TRI-STATE (SINGLE FLOAT) 20 TRI-STATE (SINGLE FLOAT) 21 TRI-STATE (SINGLE FLOAT) 22 TRI-STATE (SINGLE FLOAT) 23 TRI-STATE (SINGLE FLOAT) 24 TRI-STATE (SINGLE FLOAT) I72100 OCT 8, 2015 3:40 PM SMART SENSOR CONFIGURATION DEVICE LABEL CONFIGURED 1 87 N PRODUCT ON 2 87 N VENT ON 3 87 S PRODUCT ON 4 87 S VENT ON 5 VAPOR RETURN ON 6 91 PRODUCT SOUTH ON 7 91 PRODUCT NORTH ON 8 91 VENT ON 9 APT LINE TO VENT BOX OFF 10 DIESEL PRODUCT ON 11 DIESEL VENT ON 12 AFM DISP 1-2 ON 13 AFM DISP 3-4 ON 14 AFM DISP 5-6 ON 15 AFM DISP 7-8 ON 16 AFM DISP 9-10 ON 17 AFM DISP 11-12 ON 18 DISP 1-2 VP-SENSOR ON 19 OFF 20 OFF 21 OFF 22 OFF 23 OFF 24 ATM PRESSURE SENSOR ON I72200 OCT 8, 2015 3:40 PM SMART SENSOR LABEL DEVICE LABEL 1 87 N PRODUCT 2 87 N VENT 3 87 S PRODUCT 4 87 S VENT 5 VAPOR RETURN 6 91 PRODUCT SOUTH 7 91 PRODUCT NORTH 8 91 VENT 9 APT LINE TO VENT BOX 10 DIESEL PRODUCT 11 DIESEL VENT 12 AFM DISP 1-2 13 AFM DISP 3-4 14 AFM DISP 5-6 15 AFM DISP 7-8 16 AFM DISP 9-10 17 AFM DISP 11-12 18 DISP 1-2 VP-SENSOR 19 20 21 22 23 24 ATM PRESSURE SENSOR I72900 OCT 8, 2015 3:40 PM VACUUM SENSOR PUMP NUMBER DEVICE LABEL PUMP NUMBER 1 87 N PRODUCT R 5:87 NORTH 2 87 N VENT R 5:87 NORTH 3 87 S PRODUCT R 6:87 SOUTH 4 87 S VENT R 6:87 SOUTH 5 VAPOR RETURN R 6:87 SOUTH 6 91 PRODUCT SOUTH R 7:91 7 91 PRODUCT NORTH R 7:91 8 91 VENT R 7:91 9 APT LINE TO VENT BOX R 7:91 10 DIESEL PRODUCT R 8:DIESEL 11 DIESEL VENT R 8:DIESEL I72A00 OCT 8, 2015 3:40 PM VACUUM SENSOR VOLUME DEVICE LABEL VOLUME 1 87 N PRODUCT 29.9 GALLONS 2 87 N VENT 16.4 GALLONS 3 87 S PRODUCT 30.3 GALLONS 4 87 S VENT 20.8 GALLONS 5 VAPOR RETURN 61.3 GALLONS 6 91 PRODUCT SOUTH 35.2 GALLONS 7 91 PRODUCT NORTH 35.2 GALLONS 8 91 VENT 25.5 GALLONS 9 APT LINE TO VENT BOX 0.6 GALLONS 10 DIESEL PRODUCT 17.3 GALLONS 11 DIESEL VENT 29.9 GALLONS I72B00 OCT 8, 2015 3:40 PM VACUUM SENSOR RELIEF VALVE PRESENT DEVICE LABEL RELIEF VALVE 1 87 N PRODUCT NO 2 87 N VENT NO 3 87 S PRODUCT NO 4 87 S VENT NO 5 VAPOR RETURN NO 6 91 PRODUCT SOUTH NO 7 91 PRODUCT NORTH NO 8 91 VENT NO 9 APT LINE TO VENT BOX NO 10 DIESEL PRODUCT NO 11 DIESEL VENT NO I72C00 OCT 8, 2015 3:40 PM VACUUM SENSOR RELIEF VALVE PRESSURE DEVICE LABEL RELIEF VALVE PRESSURE 1 87 N PRODUCT -9.0 PSI 2 87 N VENT -9.0 PSI 3 87 S PRODUCT -9.0 PSI 4 87 S VENT -9.0 PSI 5 VAPOR RETURN -9.0 PSI 6 91 PRODUCT SOUTH -9.0 PSI 7 91 PRODUCT NORTH -9.0 PSI 8 91 VENT -9.0 PSI 9 APT LINE TO VENT BOX -9.0 PSI 10 DIESEL PRODUCT -9.0 PSI 11 DIESEL VENT -9.0 PSI I61500 OCT 8, 2015 3:40 PM TANK PRODUCT LABEL METER DATA 1 87 NORTH YES 2 87 SOUTH YES 3 91 YES 4 DIESEL YES I90200 OCT 8, 2015 3:40 PM SOFTWARE REVISION LEVEL VERSION 333.05 SOFTWARE# 346333-100-F CREATED - 13.12.11.14.16 S-MODULE# 330160-106-a SYSTEM FEATURES: PERIODIC IN-TANK TESTS ANNUAL IN-TANK TESTS CSLD BIR ISD/APM I20600 OCT 8, 2015 3:40 PM 281428 SAMS CLUB 481 5625 GOSFORD RD. BAKERSFIELD CA.93313 J09202125405001 TANK ALARM HISTORY TANK 1 87 NORTH SETUP DATA WARNING DEC 11, 2013 8:19 AM HIGH WATER ALARM APR 22, 2015 12:41 PM MAR 27, 2014 1:06 PM OVERFILL ALARM OCT 8, 2015 11:21 AM SEP 3, 2015 5:21 AM APR 22, 2015 12:38 PM LOW PRODUCT ALARM OCT 8, 2015 11:11 AM OCT 29, 2014 11:07 AM MAR 27, 2014 1:02 PM SUDDEN LOSS ALARM NOV 12, 2014 12:38 AM NOV 7, 2014 6:20 AM NOV 6, 2014 1:23 AM HIGH PRODUCT ALARM OCT 8, 2015 11:22 AM SEP 3, 2015 8:22 AM APR 22, 2015 12:38 PM INVALID FUEL LEVEL OCT 8, 2015 11:11 AM OCT 29, 2014 11:07 AM MAR 27, 2014 1:02 PM PROBE OUT OCT 8, 2015 11:32 AM OCT 8, 2015 11:10 AM OCT 29, 2014 1:03 PM HIGH WATER WARNING APR 22, 2015 12:41 PM OCT 29, 2014 11:15 AM MAR 27, 2014 1:06 PM DELIVERY NEEDED OCT 8, 2015 11:10 AM MAY 23, 2015 4:53 PM OCT 29, 2014 11:07 AM MAX PRODUCT ALARM OCT 8, 2015 11:23 AM SEP 3, 2015 8:22 AM APR 22, 2015 12:38 PM LOW TEMP WARNING OCT 8, 2015 11:33 AM OCT 8, 2015 11:11 AM APR 22, 2015 12:48 PM TANK 2 87 SOUTH SETUP DATA WARNING SEP 3, 2015 8:31 AM SEP 3, 2015 8:29 AM DEC 11, 2013 8:19 AM HIGH WATER ALARM OCT 8, 2015 11:09 AM APR 22, 2015 12:40 PM OCT 29, 2014 1:02 PM OVERFILL ALARM OCT 8, 2015 11:35 AM SEP 3, 2015 5:12 AM APR 22, 2015 12:37 PM LOW PRODUCT ALARM OCT 8, 2015 11:06 AM SEP 3, 2015 8:31 AM SEP 3, 2015 8:29 AM HIGH PRODUCT ALARM OCT 8, 2015 11:37 AM APR 22, 2015 12:37 PM OCT 29, 2014 11:25 AM INVALID FUEL LEVEL OCT 8, 2015 11:06 AM MAR 27, 2014 1:19 PM MAR 27, 2014 1:05 PM PROBE OUT OCT 8, 2015 11:38 AM OCT 8, 2015 11:05 AM APR 22, 2015 12:33 PM HIGH WATER WARNING OCT 8, 2015 11:09 AM APR 22, 2015 12:40 PM OCT 29, 2014 12:59 PM DELIVERY NEEDED OCT 8, 2015 11:06 AM SEP 3, 2015 8:31 AM SEP 3, 2015 8:29 AM MAX PRODUCT ALARM OCT 8, 2015 11:38 AM APR 22, 2015 12:41 PM OCT 29, 2014 11:25 AM LOW TEMP WARNING OCT 29, 2014 1:07 PM TANK 3 91 SETUP DATA WARNING SEP 3, 2015 8:36 AM HIGH WATER ALARM OCT 8, 2015 11:16 AM OCT 8, 2015 11:13 AM APR 22, 2015 12:41 PM OVERFILL ALARM OCT 8, 2015 11:51 AM APR 22, 2015 12:43 PM OCT 29, 2014 11:30 AM LOW PRODUCT ALARM OCT 8, 2015 11:09 AM SEP 3, 2015 8:38 AM SEP 3, 2015 8:36 AM SUDDEN LOSS ALARM SEP 21, 2015 1:18 AM AUG 28, 2015 1:35 AM AUG 10, 2015 4:47 AM HIGH PRODUCT ALARM OCT 8, 2015 11:51 AM APR 22, 2015 12:42 PM APR 22, 2015 12:30 PM INVALID FUEL LEVEL OCT 8, 2015 11:09 AM OCT 29, 2014 11:04 AM PROBE OUT OCT 8, 2015 3:15 PM OCT 8, 2015 11:54 AM OCT 8, 2015 11:08 AM HIGH WATER WARNING OCT 8, 2015 11:16 AM OCT 8, 2015 11:13 AM SEP 22, 2015 1:22 PM DELIVERY NEEDED OCT 8, 2015 11:09 AM SEP 3, 2015 8:38 AM SEP 3, 2015 8:36 AM MAX PRODUCT ALARM OCT 8, 2015 11:51 AM APR 22, 2015 12:42 PM APR 22, 2015 12:30 PM LOW TEMP WARNING APR 22, 2015 12:51 PM JUL 1, 2014 3:38 PM TANK 4 DIESEL HIGH WATER ALARM OCT 8, 2015 11:11 AM APR 22, 2015 12:40 PM OCT 29, 2014 1:02 PM OVERFILL ALARM OCT 8, 2015 11:41 AM APR 22, 2015 12:42 PM APR 22, 2015 12:25 PM LOW PRODUCT ALARM OCT 8, 2015 11:07 AM MAR 27, 2014 1:08 PM SUDDEN LOSS ALARM APR 22, 2015 12:39 PM HIGH PRODUCT ALARM OCT 8, 2015 11:45 AM APR 22, 2015 12:41 PM APR 22, 2015 12:25 PM INVALID FUEL LEVEL OCT 8, 2015 11:07 AM OCT 29, 2014 11:09 AM MAR 27, 2014 1:08 PM PROBE OUT OCT 8, 2015 3:13 PM OCT 8, 2015 11:47 AM OCT 8, 2015 11:07 AM HIGH WATER WARNING OCT 8, 2015 11:11 AM APR 22, 2015 12:28 PM OCT 29, 2014 12:59 PM DELIVERY NEEDED OCT 8, 2015 11:07 AM OCT 29, 2014 11:09 AM MAR 27, 2014 1:26 PM MAX PRODUCT ALARM OCT 8, 2015 11:45 AM APR 22, 2015 12:41 PM APR 22, 2015 12:25 PM LOW TEMP WARNING OCT 8, 2015 11:48 AM APR 22, 2015 12:50 PM MAR 27, 2014 1:08 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 I30200 OCT 8, 2015 3:41 PM 281428 SAMS CLUB 481 5625 GOSFORD RD. BAKERSFIELD CA.93313 J09202125405001 LIQUID ALARM HISTORY REPORT SENSOR LOCATION 1 87 N ANNULAR OCT 8, 2015 10:29 AM SENSOR OUT ALARM OCT 8, 2015 9:37 AM HIGH LIQUID ALARM OCT 8, 2015 9:37 AM LOW LIQUID ALARM 2 87 87 N FILL OCT 8, 2015 10:29 AM SENSOR OUT ALARM OCT 8, 2015 9:40 AM LOW LIQUID ALARM OCT 8, 2015 9:39 AM FUEL ALARM 3 87 N STP OCT 8, 2015 10:29 AM SENSOR OUT ALARM OCT 8, 2015 9:41 AM LOW LIQUID ALARM OCT 8, 2015 9:41 AM FUEL ALARM 4 87 S ANNULAR OCT 8, 2015 10:29 AM SENSOR OUT ALARM OCT 8, 2015 9:36 AM LOW LIQUID ALARM OCT 8, 2015 9:36 AM HIGH LIQUID ALARM 5 87 S FILL OCT 8, 2015 10:29 AM SENSOR OUT ALARM OCT 8, 2015 9:34 AM LOW LIQUID ALARM OCT 8, 2015 9:34 AM FUEL ALARM 6 87 S STP OCT 8, 2015 10:29 AM SENSOR OUT ALARM OCT 8, 2015 9:33 AM LOW LIQUID ALARM OCT 8, 2015 9:31 AM FUEL ALARM 7 91-DIESEL ANNULAR OCT 8, 2015 10:29 AM SENSOR OUT ALARM OCT 8, 2015 9:28 AM HIGH LIQUID ALARM OCT 8, 2015 9:27 AM LOW LIQUID ALARM 8 91 FILL OCT 8, 2015 10:29 AM SENSOR OUT ALARM OCT 8, 2015 9:23 AM LOW LIQUID ALARM OCT 8, 2015 9:22 AM FUEL ALARM 9 91 STP OCT 8, 2015 10:29 AM SENSOR OUT ALARM OCT 8, 2015 9:21 AM LOW LIQUID ALARM OCT 8, 2015 9:20 AM FUEL ALARM 10 DIESEL FILL OCT 8, 2015 10:29 AM SENSOR OUT ALARM OCT 8, 2015 9:18 AM LOW LIQUID ALARM OCT 8, 2015 9:17 AM FUEL ALARM 11 DIESEL STP OCT 8, 2015 10:29 AM SENSOR OUT ALARM OCT 8, 2015 9:16 AM LOW LIQUID ALARM OCT 8, 2015 9:14 AM FUEL ALARM 12 DISP. 5-6 OCT 8, 2015 10:29 AM SENSOR OUT ALARM OCT 8, 2015 10:11 AM LOW LIQUID ALARM OCT 8, 2015 10:10 AM FUEL ALARM 13 DISP. 3-4 OCT 8, 2015 10:29 AM SENSOR OUT ALARM OCT 8, 2015 10:02 AM LOW LIQUID ALARM OCT 8, 2015 10:01 AM FUEL ALARM 14 DISP. 1-2 OCT 8, 2015 10:29 AM SENSOR OUT ALARM OCT 8, 2015 9:58 AM LOW LIQUID ALARM OCT 8, 2015 9:57 AM FUEL ALARM 15 DISP.11-12 OCT 8, 2015 10:29 AM SENSOR OUT ALARM OCT 8, 2015 10:15 AM LOW LIQUID ALARM OCT 8, 2015 10:13 AM FUEL ALARM 16 DISP. 9-10 OCT 8, 2015 10:29 AM SENSOR OUT ALARM OCT 8, 2015 10:18 AM LOW LIQUID ALARM OCT 8, 2015 10:16 AM FUEL ALARM 17 DISP. 7-8 OCT 8, 2015 10:29 AM SENSOR OUT ALARM OCT 8, 2015 10:23 AM LOW LIQUID ALARM OCT 8, 2015 10:21 AM FUEL ALARM 18 VENT BOX OCT 8, 2015 10:29 AM SENSOR OUT ALARM OCT 8, 2015 9:44 AM LOW LIQUID ALARM OCT 8, 2015 9:44 AM LOW LIQUID ALARM I31600 OCT 8, 2015 3:41 PM 281428 SAMS CLUB 481 5625 GOSFORD RD. BAKERSFIELD CA.93313 J09202125405001 SMART SENSOR ALARM HISTORY REPORT SENSOR LOCATION 1 87 N PRODUCT OCT 8, 2015 10:42 AM NO VACUUM ALARM OCT 8, 2015 10:40 AM HIGH LIQUID ALARM APR 22, 2015 12:07 PM NO VACUUM ALARM 2 87 N VENT OCT 8, 2015 10:41 AM NO VACUUM ALARM OCT 8, 2015 10:40 AM HIGH LIQUID ALARM APR 22, 2015 12:07 PM NO VACUUM ALARM 3 87 S PRODUCT OCT 8, 2015 10:38 AM NO VACUUM ALARM OCT 8, 2015 10:35 AM HIGH LIQUID ALARM APR 22, 2015 12:20 PM HIGH LIQUID ALARM 4 87 S VENT OCT 8, 2015 10:38 AM NO VACUUM ALARM OCT 8, 2015 10:35 AM HIGH LIQUID ALARM APR 22, 2015 12:15 PM HIGH LIQUID ALARM 5 VAPOR RETURN OCT 8, 2015 10:37 AM NO VACUUM ALARM OCT 8, 2015 10:35 AM HIGH LIQUID ALARM APR 22, 2015 12:20 PM HIGH LIQUID ALARM 6 91 PRODUCT SOUTH OCT 8, 2015 10:47 AM NO VACUUM ALARM OCT 8, 2015 10:44 AM HIGH LIQUID ALARM OCT 29, 2014 9:45 AM NO VACUUM ALARM 7 91 PRODUCT NORTH OCT 8, 2015 10:46 AM NO VACUUM ALARM OCT 8, 2015 10:44 AM HIGH LIQUID ALARM OCT 29, 2014 9:44 AM NO VACUUM ALARM 8 91 VENT OCT 8, 2015 10:45 AM NO VACUUM ALARM OCT 8, 2015 10:44 AM HIGH LIQUID ALARM AUG 17, 2015 9:06 AM VACUUM WARNING 10 DIESEL PRODUCT OCT 8, 2015 10:53 AM NO VACUUM ALARM OCT 8, 2015 10:51 AM HIGH LIQUID ALARM APR 22, 2015 12:22 PM HIGH LIQUID ALARM 11 DIESEL VENT OCT 8, 2015 10:52 AM NO VACUUM ALARM OCT 8, 2015 10:51 AM HIGH LIQUID ALARM AUG 18, 2015 1:03 PM VACUUM WARNING 12 AFM DISP 1-2 13 AFM DISP 3-4 14 AFM DISP 5-6 15 AFM DISP 7-8 16 AFM DISP 9-10 17 AFM DISP 11-12 18 DISP 1-2 VP-SENSOR 24 ATM PRESSURE SENSOR