HomeMy WebLinkAboutFMC 2015MONITORING SYSTEM CERTIFICATION For Use By All Jurisdictions Within the State of California Authority Cited: Chapter 6.7, Health and Safety Code; Chapter 16, Division 3, Title 23, California Code of Regulations
This form must be used to document testing and servicing of monitoring equipment. A separate certification or report must be prepared for each
monitoring system control panel by the technician who performs the work. A copy of this form must be provided to the tank system owner/operator. The owner/operator must submit a copy of this form to the local agency regulating UST systems within 30 days of test date.
A. General Information
Facility Name: Bldg. No.:
Site Address: City: Zip:
Facility Contact Person: Contact Phone No.:
Make/Model of Monitoring System: Date of Testing/Servicing:
B. Inventory of Equipment Tested/Certified
Check the appropriate boxes to indicate specific equipment inspected/serviced:
Tank ID: 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 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).
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 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
Monitoring System Certification
D. Results of Testing/Servicing
Software Version Installed:
Complete the following checklist:
Yes No* Is the audible alarm operational?
Yes No* Is the visual alarm operational?
Yes No* Were all sensors visually inspected, functionally tested, and confirmed operational?
Yes No* Were all sensors installed at lowest point of secondary containment and positioned so that other equipment will
not interfere with their proper operation?
Yes No*
N/A
If alarms are relayed to a remote monitoring station, is all communications equipment (e.g., modem) operational?
Yes No*
N/A
For pressurized piping systems, does the turbine automatically shut down if the piping secondary containment
monitoring system detects a leak, fails to operate, or is electrically disconnected? If yes: which sensors initiate positive shut-down? (Check all that apply) Sump/Trench Sensors; Dispenser Containment Sensors.
Did you confirm positive shut-down due to leaks and sensor failure/disconnection? Yes; No.
Yes No*
N/A
For tank systems that utilize the monitoring system as the primary tank overfill warning device (i.e., no mechanical overfill prevention valve is installed), is the overfill warning alarm visible and audible at the tank
fill point(s) and operating properly? If so, at what percent of tank capacity does the alarm trigger? %
Yes* No Was any monitoring equipment replaced? If yes, identify specific sensors, probes, or other equipment replaced
and list the manufacturer name and model for all replacement parts in Section E, below.
Yes* No Was liquid found inside any secondary containment systems designed as dry systems? (Check all that apply)
Product; Water. If yes, describe causes in Section E, below.
Yes No* Was monitoring system set-up reviewed to ensure proper settings? Attach set up reports, if applicable
Yes No* Is all monitoring equipment operational per manufacturer’s specifications?
* In Section E below, describe how and when these deficiencies were or will be corrected.
E. Comments:
Page 2 of 3
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:
Responses Received: I10200 AUG 3, 2015 11:14 AM FASTRIP 3362 6401 S H ST BAKERSFIELD,CA93304 661-831-4709 SYSTEM CONFIGURATION SLOT BOARD TYPE POWER ON RESET CURRENT 1 8SMARTSENSOR BD 39555 39534 2 4 PROBE / G.T. 164633 164582 3 INTERSTITIAL BD 202423 202555 4 INTERSTITIAL BD 202561 202785 5 UNUSED 9906997 9921822 6 UNUSED 9897468 9910359 7 UNUSED 9890938 9908194 8 UNUSED 9896475 9909851 9 UNUSED 9892269 9905660 10 RELAY BOARD 14977 14992 11 UNUSED 9897276 9913700 12 UNUSED 9891872 9906787 13 UNUSED 9892489 9915113 14 UNUSED 9889997 9900889 15 UNUSED 9889004 9914230 16 UNUSED 9892887 9903385 COMM 1 RS232 SERIAL BD 14999 15014 COMM 2 RS232 SERIAL BD 15110 15125 COMM 3 ELEC DISP INT. 101667 101766 COMM 4 UNUSED 9900938 9919597 COMM 5 UNUSED 9895026 9905771 COMM 6 UNUSED 9888364 9904269 I90200 AUG 3, 2015 11:14 AM SOFTWARE REVISION LEVEL VERSION 327.04 SOFTWARE# 346327-100-E CREATED - 07.02.06.10.28
S-MODULE# 330160-004-a SYSTEM FEATURES: PERIODIC IN-TANK TESTS ANNUAL IN-TANK TESTS ISD PMC I11100 AUG 3, 2015 11:14 AM FASTRIP 3362 6401 S H ST BAKERSFIELD,CA93304 661-831-4709 PRIORITY ALARM HISTORY
ID CATEGORY DESCRIPTION ALARM TYPE STATE DATE TIME OTHER MISSING TANK SETUP CLEAR 8-03-15 10:53AM OTHER MISSING TANK SETUP ALARM 8-03-15 10:52AM L12 DISP PAN DISP 5-6 SENSOR OUT ALARM CLEAR 8-03-15 9:48AM L11 DISP PAN DISP 3-4 SENSOR OUT ALARM CLEAR 8-03-15 9:48AM L 6 ANNULAR PNL ANN SENSOR OUT ALARM CLEAR 8-03-15 9:48AM L10 DISP PAN DISP 1-2 SENSOR OUT ALARM CLEAR 8-03-15 9:48AM L 9 ANNULAR DSL ANN SENSOR OUT ALARM CLEAR 8-03-15 9:48AM L 4 STP SUMP PNL STP SENSOR OUT ALARM CLEAR 8-03-15 9:48AM L 8 PIPE DSL FILL SENSOR OUT ALARM CLEAR 8-03-15 9:48AM L 3 ANNULAR UNL ANN SENSOR OUT ALARM CLEAR 8-03-15 9:48AM L13 DISP PAN DISP 7-8 SENSOR OUT ALARM CLEAR 8-03-15 9:48AM L 5 PIPE PNL FILL SENSOR OUT ALARM CLEAR 8-03-15 9:48AM L 2 PIPE UNL FILL SENSOR OUT ALARM CLEAR 8-03-15 9:48AM L 7 STP SUMP DSL STP SENSOR OUT ALARM CLEAR 8-03-15 9:48AM L 1 STP SUMP UNL STP SENSOR OUT ALARM CLEAR 8-03-15 9:48AM L 6 ANNULAR PNL ANN SENSOR OUT ALARM ALARM 8-03-15 9:48AM L 4 STP SUMP PNL STP SENSOR OUT ALARM ALARM 8-03-15 9:48AM L 3 ANNULAR UNL ANN SENSOR OUT ALARM ALARM 8-03-15 9:48AM L 5 PIPE PNL FILL SENSOR OUT ALARM ALARM 8-03-15 9:48AM L 2 PIPE UNL FILL SENSOR OUT ALARM ALARM 8-03-15 9:48AM L 8 PIPE DSL FILL SENSOR OUT ALARM ALARM 8-03-15 9:48AM L 1 STP SUMP UNL STP SENSOR OUT ALARM ALARM 8-03-15 9:48AM L12 DISP PAN DISP 5-6 SENSOR OUT ALARM ALARM 8-03-15 9:48AM L 7 STP SUMP DSL STP SENSOR OUT ALARM ALARM 8-03-15 9:48AM L11 DISP PAN DISP 3-4 SENSOR OUT ALARM ALARM 8-03-15 9:48AM L13 DISP PAN DISP 7-8 SENSOR OUT ALARM ALARM 8-03-15 9:48AM L10 DISP PAN DISP 1-2 SENSOR OUT ALARM ALARM 8-03-15 9:48AM L 9 ANNULAR DSL ANN SENSOR OUT ALARM ALARM 8-03-15 9:48AM T 2 TANK PREMIUM PROBE OUT CLEAR 8-03-15 9:45AM T 2 TANK PREMIUM OVERFILL ALARM CLEAR 8-03-15 9:44AM T 2 TANK PREMIUM PROBE OUT ALARM 8-03-15 9:44AM T 2 TANK PREMIUM OVERFILL ALARM ALARM 8-03-15 9:44AM T 2 TANK PREMIUM PROBE OUT CLEAR 8-03-15 9:42AM T 2 TANK PREMIUM PROBE OUT ALARM 8-03-15 9:41AM T 1 TANK UNLEADED PROBE OUT CLEAR 8-03-15 9:40AM T 1 TANK UNLEADED OVERFILL ALARM CLEAR 8-03-15 9:40AM T 1 TANK UNLEADED PROBE OUT ALARM 8-03-15 9:40AM T 1 TANK UNLEADED OVERFILL ALARM ALARM 8-03-15 9:40AM T 1 TANK UNLEADED PROBE OUT CLEAR 8-03-15 9:38AM T 1 TANK UNLEADED PROBE OUT ALARM 8-03-15 9:37AM T 3 TANK DIESEL LOW PRODUCT ALARM CLEAR 8-03-15 9:37AM T 3 TANK DIESEL PROBE OUT CLEAR 8-03-15 9:36AM T 3 TANK DIESEL OVERFILL ALARM CLEAR 8-03-15 9:36AM T 3 TANK DIESEL PROBE OUT ALARM 8-03-15 9:36AM
T 3 TANK DIESEL LOW PRODUCT ALARM ALARM 8-03-15 9:36AM T 3 TANK DIESEL OVERFILL ALARM ALARM 8-03-15 9:35AM T 3 TANK DIESEL LOW PRODUCT ALARM CLEAR 8-03-15 9:35AM T 3 TANK DIESEL LOW PRODUCT ALARM ALARM 8-03-15 9:32AM T 3 TANK DIESEL PROBE OUT CLEAR 8-03-15 9:31AM T 3 TANK DIESEL PROBE OUT ALARM 8-03-15 9:31AM I11200 AUG 3, 2015 11:14 AM FASTRIP 3362 6401 S H ST BAKERSFIELD,CA93304 661-831-4709 NON-PRIORITY ALARM HISTORY
ID CATEGORY DESCRIPTION ALARM TYPE STATE DATE TIME T 1 TANK UNLEADED HIGH WATER WARNING CLEAR 8-03-15 11:10AM T 1 TANK UNLEADED HIGH WATER WARNING ALARM 8-03-15 10:56AM T 1 TANK UNLEADED HIGH WATER WARNING CLEAR 8-03-15 10:52AM T 1 TANK UNLEADED HIGH WATER WARNING ALARM 8-03-15 9:51AM T 2 TANK PREMIUM HIGH PRODUCT ALARM CLEAR 8-03-15 9:45AM T 2 TANK PREMIUM HIGH PRODUCT ALARM ALARM 8-03-15 9:44AM T 2 TANK PREMIUM INVALID FUEL LEVEL CLEAR 8-03-15 9:44AM T 2 TANK PREMIUM INVALID FUEL LEVEL ALARM 8-03-15 9:42AM T 1 TANK UNLEADED HIGH PRODUCT ALARM CLEAR 8-03-15 9:40AM T 1 TANK UNLEADED HIGH PRODUCT ALARM ALARM 8-03-15 9:39AM T 1 TANK UNLEADED INVALID FUEL LEVEL CLEAR 8-03-15 9:39AM T 1 TANK UNLEADED INVALID FUEL LEVEL ALARM 8-03-15 9:38AM T 3 TANK DIESEL DELIVERY NEEDED CLEAR 8-03-15 9:37AM T 3 TANK DIESEL DELIVERY NEEDED ALARM 8-03-15 9:36AM T 3 TANK DIESEL INVALID FUEL LEVEL CLEAR 8-03-15 9:35AM T 3 TANK DIESEL DELIVERY NEEDED CLEAR 8-03-15 9:35AM T 3 TANK DIESEL DELIVERY NEEDED ALARM 8-03-15 9:32AM T 3 TANK DIESEL INVALID FUEL LEVEL ALARM 8-03-15 9:31AM T 1 TANK UNLEADED INVALID FUEL LEVEL CLEAR 8-01-15 2:22PM T 1 TANK UNLEADED INVALID FUEL LEVEL ALARM 8-01-15 2:03PM T 3 TANK DIESEL DELIVERY NEEDED CLEAR 7-30-15 10:44AM T 3 TANK DIESEL DELIVERY NEEDED ALARM 7-30-15 10:43AM T 2 TANK PREMIUM HIGH PRODUCT ALARM CLEAR 7-30-15 10:42AM T 2 TANK PREMIUM HIGH PRODUCT ALARM ALARM 7-30-15 10:40AM T 2 TANK PREMIUM INVALID FUEL LEVEL CLEAR 7-30-15 10:40AM T 2 TANK PREMIUM INVALID FUEL LEVEL ALARM 7-30-15 10:38AM T 1 TANK UNLEADED HIGH PRODUCT ALARM CLEAR 7-30-15 10:37AM T 1 TANK UNLEADED HIGH PRODUCT ALARM ALARM 7-30-15 10:35AM T 1 TANK UNLEADED INVALID FUEL LEVEL CLEAR 7-30-15 10:35AM T 1 TANK UNLEADED INVALID FUEL LEVEL ALARM 7-30-15 10:33AM h 6 OTHER FP6: BLEND3 GROSS COLLECT WARN CLEAR 7-27-15 9:53AM SYSTEM PRINTER ERROR CLEAR 7-27-15 6:25AM SYSTEM PAPER OUT CLEAR 7-27-15 6:25AM SYSTEM PRINTER ERROR ALARM 7-27-15 6:25AM SYSTEM PAPER OUT ALARM 7-27-15 6:25AM SYSTEM PRINTER ERROR CLEAR 7-27-15 6:24AM SYSTEM PAPER OUT CLEAR 7-27-15 6:24AM SYSTEM PRINTER ERROR ALARM 7-27-15 6:00AM SYSTEM PAPER OUT ALARM 7-27-15 6:00AM h 6 OTHER FP6: BLEND3 GROSS COLLECT WARN ALARM 7-26-15 10:02AM h 1 OTHER FP1: BLEND3 GROSS COLLECT WARN CLEAR 7-22-15 1:12PM h 1 OTHER FP1: BLEND3 GROSS COLLECT WARN ALARM 7-22-15 10:01AM OTHER ISD VAPOR LEAK WARN CLEAR 7-21-15 10:01AM OTHER ISD VAPOR LEAK WARN ALARM 7-19-15 10:01AM
OTHER ISD VAPOR LEAK WARN CLEAR 7-15-15 10:01AM OTHER ISD VAPOR LEAK WARN ALARM 7-14-15 10:02AM T 1 TANK UNLEADED INVALID FUEL LEVEL CLEAR 7-05-15 3:22PM T 1 TANK UNLEADED INVALID FUEL LEVEL ALARM 7-05-15 3:08PM T 1 TANK UNLEADED INVALID FUEL LEVEL CLEAR 6-22-15 8:33PM T 1 TANK UNLEADED INVALID FUEL LEVEL ALARM 6-22-15 4:24PM I20600 AUG 3, 2015 11:14 AM FASTRIP 3362 6401 S H ST BAKERSFIELD,CA93304 661-831-4709
TANK ALARM HISTORY TANK 1 UNLEADED OVERFILL ALARM AUG 3, 2015 9:40 AM JUL 30, 2015 10:36 AM JUL 28, 2015 4:02 AM LOW PRODUCT ALARM FEB 13, 2015 4:15 PM FEB 2, 2015 5:21 PM JAN 26, 2015 12:59 PM HIGH PRODUCT ALARM AUG 3, 2015 9:39 AM JUL 30, 2015 10:35 AM MAR 20, 2015 12:53 AM INVALID FUEL LEVEL AUG 3, 2015 9:38 AM AUG 1, 2015 2:03 PM JUL 30, 2015 10:33 AM PROBE OUT AUG 3, 2015 9:40 AM AUG 3, 2015 9:37 AM JUL 30, 2015 10:36 AM HIGH WATER WARNING AUG 3, 2015 10:56 AM AUG 3, 2015 9:51 AM DELIVERY NEEDED FEB 13, 2015 4:15 PM FEB 2, 2015 5:21 PM JAN 26, 2015 12:58 PM MAX PRODUCT ALARM JUL 30, 2015 10:35 AM FEB 27, 2015 9:42 PM JAN 28, 2015 7:43 PM TANK 2 PREMIUM OVERFILL ALARM AUG 3, 2015 9:44 AM JUL 30, 2015 10:41 AM JAN 4, 2015 12:49 PM HIGH PRODUCT ALARM AUG 3, 2015 9:44 AM JUL 30, 2015 10:40 AM INVALID FUEL LEVEL AUG 3, 2015 9:42 AM
JUL 30, 2015 10:38 AM PROBE OUT AUG 3, 2015 9:44 AM AUG 3, 2015 9:41 AM JUL 30, 2015 10:41 AM MAX PRODUCT ALARM JUL 30, 2015 10:40 AM TANK 3 DIESEL OVERFILL ALARM AUG 3, 2015 9:35 AM JUL 30, 2015 10:44 AM LOW PRODUCT ALARM AUG 3, 2015 9:36 AM AUG 3, 2015 9:32 AM JUL 30, 2015 10:43 AM INVALID FUEL LEVEL AUG 3, 2015 9:31 AM
PROBE OUT AUG 3, 2015 9:36 AM AUG 3, 2015 9:31 AM JUL 30, 2015 10:45 AM DELIVERY NEEDED AUG 3, 2015 9:36 AM AUG 3, 2015 9:32 AM JUL 30, 2015 10:43 AM I38200 AUG 3, 2015 11:14 AM I30200 AUG 3, 2015 11:15 AM FASTRIP 3362 6401 S H ST BAKERSFIELD,CA93304 661-831-4709 LIQUID ALARM HISTORY REPORT SENSOR LOCATION 1 UNL STP AUG 3, 2015 9:48 AM SENSOR OUT ALARM AUG 3, 2015 9:17 AM FUEL ALARM JUL 30, 2015 11:57 AM SENSOR OUT ALARM 2 UNL FILL AUG 3, 2015 9:48 AM SENSOR OUT ALARM AUG 3, 2015 9:18 AM FUEL ALARM JUL 30, 2015 11:57 AM SENSOR OUT ALARM 3 UNL ANN AUG 3, 2015 9:48 AM SENSOR OUT ALARM AUG 3, 2015 9:24 AM LOW LIQUID ALARM AUG 3, 2015 9:24 AM HIGH LIQUID ALARM 4 PNL STP AUG 3, 2015 9:48 AM SENSOR OUT ALARM AUG 3, 2015 9:17 AM FUEL ALARM JUL 30, 2015 11:57 AM SENSOR OUT ALARM 5 PNL FILL
AUG 3, 2015 9:48 AM SENSOR OUT ALARM AUG 3, 2015 9:19 AM FUEL ALARM JUL 30, 2015 11:57 AM SENSOR OUT ALARM 6 PNL ANN AUG 3, 2015 9:48 AM SENSOR OUT ALARM AUG 3, 2015 9:28 AM LOW LIQUID ALARM AUG 3, 2015 9:26 AM HIGH LIQUID ALARM 7 DSL STP AUG 3, 2015 9:48 AM SENSOR OUT ALARM AUG 3, 2015 9:18 AM FUEL ALARM JUL 30, 2015 11:57 AM SENSOR OUT ALARM 8 DSL FILL AUG 3, 2015 9:48 AM SENSOR OUT ALARM AUG 3, 2015 9:19 AM FUEL ALARM JUL 30, 2015 11:57 AM SENSOR OUT ALARM 9 DSL ANN AUG 3, 2015 9:48 AM SENSOR OUT ALARM AUG 3, 2015 9:29 AM LOW LIQUID ALARM
AUG 3, 2015 9:29 AM HIGH LIQUID ALARM 10 DISP 1-2 AUG 3, 2015 9:48 AM SENSOR OUT ALARM AUG 3, 2015 9:20 AM FUEL ALARM JUL 30, 2015 11:58 AM SENSOR OUT ALARM 11 DISP 3-4 AUG 3, 2015 9:48 AM SENSOR OUT ALARM AUG 3, 2015 9:20 AM FUEL ALARM JUL 30, 2015 11:58 AM SENSOR OUT ALARM 12 DISP 5-6 AUG 3, 2015 9:48 AM SENSOR OUT ALARM AUG 3, 2015 9:21 AM FUEL ALARM JUL 30, 2015 11:58 AM SENSOR OUT ALARM 13 DISP 7-8 AUG 3, 2015 9:48 AM SENSOR OUT ALARM AUG 3, 2015 9:22 AM FUEL ALARM JUL 30, 2015 11:58 AM SENSOR OUT ALARM I31600 AUG 3, 2015 11:15 AM FASTRIP 3362 6401 S H ST BAKERSFIELD,CA93304 661-831-4709 SMART SENSOR ALARM HISTORY REPORT SENSOR LOCATION 1 PS 1-2 2 FM 1-2 3 FM 3-4 4 F-M 5-6 5 FM 7-8 I40200 AUG 3, 2015 11:15 AM I40300
AUG 3, 2015 11:15 AM I34200 AUG 3, 2015 11:15 AM I34700 AUG 3, 2015 11:15 AM IV0100 AUG 3, 2015 11:15 AM FASTRIP 3362
6401 S H ST BAKERSFIELD,CA93304 661-831-4709 ISD ALARM STATUS REPORT EVR TYPE: VACUUM ASSIST ISD TYPE: 01.01 VAPOR PROCESSOR TYPE: NO VAPOR PROCESSOR OVERALL STATUS :PASS EVR VAPOR COLLECTION :PASS EVR VAPOR CONTAINMENT :PASS ISD MONITOR UP-TIME : 99% STAGE I TRANSFERS: 5 of 5 PASS EVR/ISD PASS TIME :100% WARNING ALARMS DATE TIME DESCRIPTION READING VALUE 15-07-26 10:02:17 A/L RATIO GROSS BLOCKAGE FP 6 BLEND3 BLKD 15-07-22 10:01:59 A/L RATIO GROSS BLOCKAGE FP 1 BLEND3 BLKD 15-07-20 10:01:55 VAPOR CONTAINMENT LEAKAGE CFH@2 INCHES WC 8.52 15-07-19 10:01:53 VAPOR CONTAINMENT LEAKAGE CFH@2 INCHES WC 8.51 15-07-14 10:02:00 VAPOR CONTAINMENT LEAKAGE CFH@2 INCHES WC 8.65 15-03-24 10:01:09 A/L RATIO GROSS BLOCKAGE FP 6 BLEND3 BLKD 15-03-24 10:01:09 A/L RATIO GROSS BLOCKAGE FP 5 BLEND3 BLKD 15-03-23 10:01:10 SENSOR OUT SELFTEST CHECK VAPOR FLOW METER f 3:F-M 5-6 15-03-23 10:01:10 CONTAINMENT GROSS OVER PRESSURE WEEKLY 95% 1.48 15-02-27 10:02:20 SENSOR OUT SELFTEST CHECK VAPOR FLOW METER f 3:F-M 5-6 FAILURE ALARMS DATE TIME DESCRIPTION READING VALUE 14-09-14 17:30:16 A/L RATIO GROSS BLOCKAGE FP 6 BLEND3 BLKD 14-09-01 10:02:03 A/L RATIO GROSS BLOCKAGE FP 5 BLEND3 BLKD 12-06-25 10:02:07 A/L RATIO GROSS BLOCKAGE FP 8 BLEND3 BLKD 12-01-12 10:02:22 A/L RATIO GROSS BLOCKAGE FP 2 BLEND3 BLKD 12-01-12 10:02:22 A/L RATIO GROSS BLOCKAGE FP 1 BLEND3 BLKD 11-09-12 10:01:31 CONTAINMENT GROSS OVER PRESSURE WEEKLY 95% 3.42 11-03-21 10:02:14 VAPOR CONTAINMENT LEAKAGE CFH@2 INCHES WC 9.98 11-03-20 10:01:41 VAPOR CONTAINMENT LEAKAGE CFH@2 INCHES WC 10.16 11-03-09 10:02:12 A/L RATIO GROSS BLOCKAGE FP 8 BLEND3 BLKD 11-03-09 10:02:12 A/L RATIO GROSS BLOCKAGE FP 7 BLEND3 BLKD SHUTDOWN & MISCELLANEOUS EVENTS DATE TIME DESCRIPTION ACTION/NAME
15-08-03 10:02:27 READINESS ISD:PP EVR:PP ISD & EVR READY 15-08-03 09:49:42 READINESS ISD:PP EVR:NN EVR READINESS PENDING 15-08-03 09:49:42 ISD STARTUP 15-08-03 09:49:28 ISD SHUTDOWN 15-07-31 10:02:19 READINESS ISD:PP EVR:PP ISD & EVR READY 15-07-30 11:49:48 READINESS ISD:PP EVR:NN EVR READINESS PENDING 15-07-30 11:49:48 ISD STARTUP 15-07-30 11:49:25 ISD SHUTDOWN 15-07-27 09:53:13 COLLECTION TEST HH06 GRADE TEST MANUALLY CLEARED 15-07-22 13:12:37 COLLECTION TEST HH01 GRADE TEST MANUALLY CLEARED
Responses Received: I10200 AUG 3, 2015 11:14 AM FASTRIP 3362 6401 S H ST BAKERSFIELD,CA93304 661-831-4709 SYSTEM CONFIGURATION SLOT BOARD TYPE POWER ON RESET CURRENT 1 8SMARTSENSOR BD 39555 39534 2 4 PROBE / G.T. 164633 164582 3 INTERSTITIAL BD 202423 202555 4 INTERSTITIAL BD 202561 202785 5 UNUSED 9906997 9921822 6 UNUSED 9897468 9910359 7 UNUSED 9890938 9908194 8 UNUSED 9896475 9909851 9 UNUSED 9892269 9905660 10 RELAY BOARD 14977 14992 11 UNUSED 9897276 9913700 12 UNUSED 9891872 9906787 13 UNUSED 9892489 9915113 14 UNUSED 9889997 9900889 15 UNUSED 9889004 9914230 16 UNUSED 9892887 9903385 COMM 1 RS232 SERIAL BD 14999 15014 COMM 2 RS232 SERIAL BD 15110 15125 COMM 3 ELEC DISP INT. 101667 101766 COMM 4 UNUSED 9900938 9919597 COMM 5 UNUSED 9895026 9905771 COMM 6 UNUSED 9888364 9904269 I90200 AUG 3, 2015 11:14 AM SOFTWARE REVISION LEVEL VERSION 327.04 SOFTWARE# 346327-100-E CREATED - 07.02.06.10.28
S-MODULE# 330160-004-a SYSTEM FEATURES: PERIODIC IN-TANK TESTS ANNUAL IN-TANK TESTS ISD PMC I11100 AUG 3, 2015 11:14 AM FASTRIP 3362 6401 S H ST BAKERSFIELD,CA93304 661-831-4709 PRIORITY ALARM HISTORY
ID CATEGORY DESCRIPTION ALARM TYPE STATE DATE TIME OTHER MISSING TANK SETUP CLEAR 8-03-15 10:53AM OTHER MISSING TANK SETUP ALARM 8-03-15 10:52AM L12 DISP PAN DISP 5-6 SENSOR OUT ALARM CLEAR 8-03-15 9:48AM L11 DISP PAN DISP 3-4 SENSOR OUT ALARM CLEAR 8-03-15 9:48AM L 6 ANNULAR PNL ANN SENSOR OUT ALARM CLEAR 8-03-15 9:48AM L10 DISP PAN DISP 1-2 SENSOR OUT ALARM CLEAR 8-03-15 9:48AM L 9 ANNULAR DSL ANN SENSOR OUT ALARM CLEAR 8-03-15 9:48AM L 4 STP SUMP PNL STP SENSOR OUT ALARM CLEAR 8-03-15 9:48AM L 8 PIPE DSL FILL SENSOR OUT ALARM CLEAR 8-03-15 9:48AM L 3 ANNULAR UNL ANN SENSOR OUT ALARM CLEAR 8-03-15 9:48AM L13 DISP PAN DISP 7-8 SENSOR OUT ALARM CLEAR 8-03-15 9:48AM L 5 PIPE PNL FILL SENSOR OUT ALARM CLEAR 8-03-15 9:48AM L 2 PIPE UNL FILL SENSOR OUT ALARM CLEAR 8-03-15 9:48AM L 7 STP SUMP DSL STP SENSOR OUT ALARM CLEAR 8-03-15 9:48AM L 1 STP SUMP UNL STP SENSOR OUT ALARM CLEAR 8-03-15 9:48AM L 6 ANNULAR PNL ANN SENSOR OUT ALARM ALARM 8-03-15 9:48AM L 4 STP SUMP PNL STP SENSOR OUT ALARM ALARM 8-03-15 9:48AM L 3 ANNULAR UNL ANN SENSOR OUT ALARM ALARM 8-03-15 9:48AM L 5 PIPE PNL FILL SENSOR OUT ALARM ALARM 8-03-15 9:48AM L 2 PIPE UNL FILL SENSOR OUT ALARM ALARM 8-03-15 9:48AM L 8 PIPE DSL FILL SENSOR OUT ALARM ALARM 8-03-15 9:48AM L 1 STP SUMP UNL STP SENSOR OUT ALARM ALARM 8-03-15 9:48AM L12 DISP PAN DISP 5-6 SENSOR OUT ALARM ALARM 8-03-15 9:48AM L 7 STP SUMP DSL STP SENSOR OUT ALARM ALARM 8-03-15 9:48AM L11 DISP PAN DISP 3-4 SENSOR OUT ALARM ALARM 8-03-15 9:48AM L13 DISP PAN DISP 7-8 SENSOR OUT ALARM ALARM 8-03-15 9:48AM L10 DISP PAN DISP 1-2 SENSOR OUT ALARM ALARM 8-03-15 9:48AM L 9 ANNULAR DSL ANN SENSOR OUT ALARM ALARM 8-03-15 9:48AM T 2 TANK PREMIUM PROBE OUT CLEAR 8-03-15 9:45AM T 2 TANK PREMIUM OVERFILL ALARM CLEAR 8-03-15 9:44AM T 2 TANK PREMIUM PROBE OUT ALARM 8-03-15 9:44AM T 2 TANK PREMIUM OVERFILL ALARM ALARM 8-03-15 9:44AM T 2 TANK PREMIUM PROBE OUT CLEAR 8-03-15 9:42AM T 2 TANK PREMIUM PROBE OUT ALARM 8-03-15 9:41AM T 1 TANK UNLEADED PROBE OUT CLEAR 8-03-15 9:40AM T 1 TANK UNLEADED OVERFILL ALARM CLEAR 8-03-15 9:40AM T 1 TANK UNLEADED PROBE OUT ALARM 8-03-15 9:40AM T 1 TANK UNLEADED OVERFILL ALARM ALARM 8-03-15 9:40AM T 1 TANK UNLEADED PROBE OUT CLEAR 8-03-15 9:38AM T 1 TANK UNLEADED PROBE OUT ALARM 8-03-15 9:37AM T 3 TANK DIESEL LOW PRODUCT ALARM CLEAR 8-03-15 9:37AM T 3 TANK DIESEL PROBE OUT CLEAR 8-03-15 9:36AM T 3 TANK DIESEL OVERFILL ALARM CLEAR 8-03-15 9:36AM T 3 TANK DIESEL PROBE OUT ALARM 8-03-15 9:36AM
T 3 TANK DIESEL LOW PRODUCT ALARM ALARM 8-03-15 9:36AM T 3 TANK DIESEL OVERFILL ALARM ALARM 8-03-15 9:35AM T 3 TANK DIESEL LOW PRODUCT ALARM CLEAR 8-03-15 9:35AM T 3 TANK DIESEL LOW PRODUCT ALARM ALARM 8-03-15 9:32AM T 3 TANK DIESEL PROBE OUT CLEAR 8-03-15 9:31AM T 3 TANK DIESEL PROBE OUT ALARM 8-03-15 9:31AM I11200 AUG 3, 2015 11:14 AM FASTRIP 3362 6401 S H ST BAKERSFIELD,CA93304 661-831-4709 NON-PRIORITY ALARM HISTORY
ID CATEGORY DESCRIPTION ALARM TYPE STATE DATE TIME T 1 TANK UNLEADED HIGH WATER WARNING CLEAR 8-03-15 11:10AM T 1 TANK UNLEADED HIGH WATER WARNING ALARM 8-03-15 10:56AM T 1 TANK UNLEADED HIGH WATER WARNING CLEAR 8-03-15 10:52AM T 1 TANK UNLEADED HIGH WATER WARNING ALARM 8-03-15 9:51AM T 2 TANK PREMIUM HIGH PRODUCT ALARM CLEAR 8-03-15 9:45AM T 2 TANK PREMIUM HIGH PRODUCT ALARM ALARM 8-03-15 9:44AM T 2 TANK PREMIUM INVALID FUEL LEVEL CLEAR 8-03-15 9:44AM T 2 TANK PREMIUM INVALID FUEL LEVEL ALARM 8-03-15 9:42AM T 1 TANK UNLEADED HIGH PRODUCT ALARM CLEAR 8-03-15 9:40AM T 1 TANK UNLEADED HIGH PRODUCT ALARM ALARM 8-03-15 9:39AM T 1 TANK UNLEADED INVALID FUEL LEVEL CLEAR 8-03-15 9:39AM T 1 TANK UNLEADED INVALID FUEL LEVEL ALARM 8-03-15 9:38AM T 3 TANK DIESEL DELIVERY NEEDED CLEAR 8-03-15 9:37AM T 3 TANK DIESEL DELIVERY NEEDED ALARM 8-03-15 9:36AM T 3 TANK DIESEL INVALID FUEL LEVEL CLEAR 8-03-15 9:35AM T 3 TANK DIESEL DELIVERY NEEDED CLEAR 8-03-15 9:35AM T 3 TANK DIESEL DELIVERY NEEDED ALARM 8-03-15 9:32AM T 3 TANK DIESEL INVALID FUEL LEVEL ALARM 8-03-15 9:31AM T 1 TANK UNLEADED INVALID FUEL LEVEL CLEAR 8-01-15 2:22PM T 1 TANK UNLEADED INVALID FUEL LEVEL ALARM 8-01-15 2:03PM T 3 TANK DIESEL DELIVERY NEEDED CLEAR 7-30-15 10:44AM T 3 TANK DIESEL DELIVERY NEEDED ALARM 7-30-15 10:43AM T 2 TANK PREMIUM HIGH PRODUCT ALARM CLEAR 7-30-15 10:42AM T 2 TANK PREMIUM HIGH PRODUCT ALARM ALARM 7-30-15 10:40AM T 2 TANK PREMIUM INVALID FUEL LEVEL CLEAR 7-30-15 10:40AM T 2 TANK PREMIUM INVALID FUEL LEVEL ALARM 7-30-15 10:38AM T 1 TANK UNLEADED HIGH PRODUCT ALARM CLEAR 7-30-15 10:37AM T 1 TANK UNLEADED HIGH PRODUCT ALARM ALARM 7-30-15 10:35AM T 1 TANK UNLEADED INVALID FUEL LEVEL CLEAR 7-30-15 10:35AM T 1 TANK UNLEADED INVALID FUEL LEVEL ALARM 7-30-15 10:33AM h 6 OTHER FP6: BLEND3 GROSS COLLECT WARN CLEAR 7-27-15 9:53AM SYSTEM PRINTER ERROR CLEAR 7-27-15 6:25AM SYSTEM PAPER OUT CLEAR 7-27-15 6:25AM SYSTEM PRINTER ERROR ALARM 7-27-15 6:25AM SYSTEM PAPER OUT ALARM 7-27-15 6:25AM SYSTEM PRINTER ERROR CLEAR 7-27-15 6:24AM SYSTEM PAPER OUT CLEAR 7-27-15 6:24AM SYSTEM PRINTER ERROR ALARM 7-27-15 6:00AM SYSTEM PAPER OUT ALARM 7-27-15 6:00AM h 6 OTHER FP6: BLEND3 GROSS COLLECT WARN ALARM 7-26-15 10:02AM h 1 OTHER FP1: BLEND3 GROSS COLLECT WARN CLEAR 7-22-15 1:12PM h 1 OTHER FP1: BLEND3 GROSS COLLECT WARN ALARM 7-22-15 10:01AM OTHER ISD VAPOR LEAK WARN CLEAR 7-21-15 10:01AM OTHER ISD VAPOR LEAK WARN ALARM 7-19-15 10:01AM
OTHER ISD VAPOR LEAK WARN CLEAR 7-15-15 10:01AM OTHER ISD VAPOR LEAK WARN ALARM 7-14-15 10:02AM T 1 TANK UNLEADED INVALID FUEL LEVEL CLEAR 7-05-15 3:22PM T 1 TANK UNLEADED INVALID FUEL LEVEL ALARM 7-05-15 3:08PM T 1 TANK UNLEADED INVALID FUEL LEVEL CLEAR 6-22-15 8:33PM T 1 TANK UNLEADED INVALID FUEL LEVEL ALARM 6-22-15 4:24PM I20600 AUG 3, 2015 11:14 AM FASTRIP 3362 6401 S H ST BAKERSFIELD,CA93304 661-831-4709
TANK ALARM HISTORY TANK 1 UNLEADED OVERFILL ALARM AUG 3, 2015 9:40 AM JUL 30, 2015 10:36 AM JUL 28, 2015 4:02 AM LOW PRODUCT ALARM FEB 13, 2015 4:15 PM FEB 2, 2015 5:21 PM JAN 26, 2015 12:59 PM HIGH PRODUCT ALARM AUG 3, 2015 9:39 AM JUL 30, 2015 10:35 AM MAR 20, 2015 12:53 AM INVALID FUEL LEVEL AUG 3, 2015 9:38 AM AUG 1, 2015 2:03 PM JUL 30, 2015 10:33 AM PROBE OUT AUG 3, 2015 9:40 AM AUG 3, 2015 9:37 AM JUL 30, 2015 10:36 AM HIGH WATER WARNING AUG 3, 2015 10:56 AM AUG 3, 2015 9:51 AM DELIVERY NEEDED FEB 13, 2015 4:15 PM FEB 2, 2015 5:21 PM JAN 26, 2015 12:58 PM MAX PRODUCT ALARM JUL 30, 2015 10:35 AM FEB 27, 2015 9:42 PM JAN 28, 2015 7:43 PM TANK 2 PREMIUM OVERFILL ALARM AUG 3, 2015 9:44 AM JUL 30, 2015 10:41 AM JAN 4, 2015 12:49 PM HIGH PRODUCT ALARM AUG 3, 2015 9:44 AM JUL 30, 2015 10:40 AM INVALID FUEL LEVEL AUG 3, 2015 9:42 AM
JUL 30, 2015 10:38 AM PROBE OUT AUG 3, 2015 9:44 AM AUG 3, 2015 9:41 AM JUL 30, 2015 10:41 AM MAX PRODUCT ALARM JUL 30, 2015 10:40 AM TANK 3 DIESEL OVERFILL ALARM AUG 3, 2015 9:35 AM JUL 30, 2015 10:44 AM LOW PRODUCT ALARM AUG 3, 2015 9:36 AM AUG 3, 2015 9:32 AM JUL 30, 2015 10:43 AM INVALID FUEL LEVEL AUG 3, 2015 9:31 AM
PROBE OUT AUG 3, 2015 9:36 AM AUG 3, 2015 9:31 AM JUL 30, 2015 10:45 AM DELIVERY NEEDED AUG 3, 2015 9:36 AM AUG 3, 2015 9:32 AM JUL 30, 2015 10:43 AM I38200 AUG 3, 2015 11:14 AM I30200 AUG 3, 2015 11:15 AM FASTRIP 3362 6401 S H ST BAKERSFIELD,CA93304 661-831-4709 LIQUID ALARM HISTORY REPORT SENSOR LOCATION 1 UNL STP AUG 3, 2015 9:48 AM SENSOR OUT ALARM AUG 3, 2015 9:17 AM FUEL ALARM JUL 30, 2015 11:57 AM SENSOR OUT ALARM 2 UNL FILL AUG 3, 2015 9:48 AM SENSOR OUT ALARM AUG 3, 2015 9:18 AM FUEL ALARM JUL 30, 2015 11:57 AM SENSOR OUT ALARM 3 UNL ANN AUG 3, 2015 9:48 AM SENSOR OUT ALARM AUG 3, 2015 9:24 AM LOW LIQUID ALARM AUG 3, 2015 9:24 AM HIGH LIQUID ALARM 4 PNL STP AUG 3, 2015 9:48 AM SENSOR OUT ALARM AUG 3, 2015 9:17 AM FUEL ALARM JUL 30, 2015 11:57 AM SENSOR OUT ALARM 5 PNL FILL
AUG 3, 2015 9:48 AM SENSOR OUT ALARM AUG 3, 2015 9:19 AM FUEL ALARM JUL 30, 2015 11:57 AM SENSOR OUT ALARM 6 PNL ANN AUG 3, 2015 9:48 AM SENSOR OUT ALARM AUG 3, 2015 9:28 AM LOW LIQUID ALARM AUG 3, 2015 9:26 AM HIGH LIQUID ALARM 7 DSL STP AUG 3, 2015 9:48 AM SENSOR OUT ALARM AUG 3, 2015 9:18 AM FUEL ALARM JUL 30, 2015 11:57 AM SENSOR OUT ALARM 8 DSL FILL AUG 3, 2015 9:48 AM SENSOR OUT ALARM AUG 3, 2015 9:19 AM FUEL ALARM JUL 30, 2015 11:57 AM SENSOR OUT ALARM 9 DSL ANN AUG 3, 2015 9:48 AM SENSOR OUT ALARM AUG 3, 2015 9:29 AM LOW LIQUID ALARM
AUG 3, 2015 9:29 AM HIGH LIQUID ALARM 10 DISP 1-2 AUG 3, 2015 9:48 AM SENSOR OUT ALARM AUG 3, 2015 9:20 AM FUEL ALARM JUL 30, 2015 11:58 AM SENSOR OUT ALARM 11 DISP 3-4 AUG 3, 2015 9:48 AM SENSOR OUT ALARM AUG 3, 2015 9:20 AM FUEL ALARM JUL 30, 2015 11:58 AM SENSOR OUT ALARM 12 DISP 5-6 AUG 3, 2015 9:48 AM SENSOR OUT ALARM AUG 3, 2015 9:21 AM FUEL ALARM JUL 30, 2015 11:58 AM SENSOR OUT ALARM 13 DISP 7-8 AUG 3, 2015 9:48 AM SENSOR OUT ALARM AUG 3, 2015 9:22 AM FUEL ALARM JUL 30, 2015 11:58 AM SENSOR OUT ALARM I31600 AUG 3, 2015 11:15 AM FASTRIP 3362 6401 S H ST BAKERSFIELD,CA93304 661-831-4709 SMART SENSOR ALARM HISTORY REPORT SENSOR LOCATION 1 PS 1-2 2 FM 1-2 3 FM 3-4 4 F-M 5-6 5 FM 7-8 I40200 AUG 3, 2015 11:15 AM I40300
AUG 3, 2015 11:15 AM I34200 AUG 3, 2015 11:15 AM I34700 AUG 3, 2015 11:15 AM IV0100 AUG 3, 2015 11:15 AM FASTRIP 3362
6401 S H ST BAKERSFIELD,CA93304 661-831-4709 ISD ALARM STATUS REPORT EVR TYPE: VACUUM ASSIST ISD TYPE: 01.01 VAPOR PROCESSOR TYPE: NO VAPOR PROCESSOR OVERALL STATUS :PASS EVR VAPOR COLLECTION :PASS EVR VAPOR CONTAINMENT :PASS ISD MONITOR UP-TIME : 99% STAGE I TRANSFERS: 5 of 5 PASS EVR/ISD PASS TIME :100% WARNING ALARMS DATE TIME DESCRIPTION READING VALUE 15-07-26 10:02:17 A/L RATIO GROSS BLOCKAGE FP 6 BLEND3 BLKD 15-07-22 10:01:59 A/L RATIO GROSS BLOCKAGE FP 1 BLEND3 BLKD 15-07-20 10:01:55 VAPOR CONTAINMENT LEAKAGE CFH@2 INCHES WC 8.52 15-07-19 10:01:53 VAPOR CONTAINMENT LEAKAGE CFH@2 INCHES WC 8.51 15-07-14 10:02:00 VAPOR CONTAINMENT LEAKAGE CFH@2 INCHES WC 8.65 15-03-24 10:01:09 A/L RATIO GROSS BLOCKAGE FP 6 BLEND3 BLKD 15-03-24 10:01:09 A/L RATIO GROSS BLOCKAGE FP 5 BLEND3 BLKD 15-03-23 10:01:10 SENSOR OUT SELFTEST CHECK VAPOR FLOW METER f 3:F-M 5-6 15-03-23 10:01:10 CONTAINMENT GROSS OVER PRESSURE WEEKLY 95% 1.48 15-02-27 10:02:20 SENSOR OUT SELFTEST CHECK VAPOR FLOW METER f 3:F-M 5-6 FAILURE ALARMS DATE TIME DESCRIPTION READING VALUE 14-09-14 17:30:16 A/L RATIO GROSS BLOCKAGE FP 6 BLEND3 BLKD 14-09-01 10:02:03 A/L RATIO GROSS BLOCKAGE FP 5 BLEND3 BLKD 12-06-25 10:02:07 A/L RATIO GROSS BLOCKAGE FP 8 BLEND3 BLKD 12-01-12 10:02:22 A/L RATIO GROSS BLOCKAGE FP 2 BLEND3 BLKD 12-01-12 10:02:22 A/L RATIO GROSS BLOCKAGE FP 1 BLEND3 BLKD 11-09-12 10:01:31 CONTAINMENT GROSS OVER PRESSURE WEEKLY 95% 3.42 11-03-21 10:02:14 VAPOR CONTAINMENT LEAKAGE CFH@2 INCHES WC 9.98 11-03-20 10:01:41 VAPOR CONTAINMENT LEAKAGE CFH@2 INCHES WC 10.16 11-03-09 10:02:12 A/L RATIO GROSS BLOCKAGE FP 8 BLEND3 BLKD 11-03-09 10:02:12 A/L RATIO GROSS BLOCKAGE FP 7 BLEND3 BLKD SHUTDOWN & MISCELLANEOUS EVENTS DATE TIME DESCRIPTION ACTION/NAME
15-08-03 10:02:27 READINESS ISD:PP EVR:PP ISD & EVR READY 15-08-03 09:49:42 READINESS ISD:PP EVR:NN EVR READINESS PENDING 15-08-03 09:49:42 ISD STARTUP 15-08-03 09:49:28 ISD SHUTDOWN 15-07-31 10:02:19 READINESS ISD:PP EVR:PP ISD & EVR READY 15-07-30 11:49:48 READINESS ISD:PP EVR:NN EVR READINESS PENDING 15-07-30 11:49:48 ISD STARTUP 15-07-30 11:49:25 ISD SHUTDOWN 15-07-27 09:53:13 COLLECTION TEST HH06 GRADE TEST MANUALLY CLEARED 15-07-22 13:12:37 COLLECTION TEST HH01 GRADE TEST MANUALLY CLEARED
SWRCB, January 2006
Spill Bucket Testing Report Form
This form is intended for use by contractors performing annual testing of UST spill containment structures. The completed form and printouts from tests (if applicable), should be provided to the facility owner/operator for submittal to the local regulatory agency.
1. FACILITY INFORMATION
Facility Name: Date of Testing:
Facility Address:
Facility Contact: Phone:
Date Local Agency Was Notified of Testing :
Name of Local Agency Inspector (if present during testing):
2. TESTING CONTRACTOR INFORMATION
Company Name: Confidence UST Services, Inc.
Technician Conducting Test:
Credentials1: CSLB Contractor