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HomeMy WebLinkAboutFMC 2013MONITORING 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 #3367/Fastrip#640(East) 8001WhiteLaneBakersfield93309 OmeroGarcia (661)393-7000 Veeder-RootTLS-350 07/14/2013 12,000gal.Regular1 847390-107 794390-420 794380-208/301 794380-208/301 FX1V 847390-107 12,000gal.Regular2 847390-107 794390-420 794380-208 794380-208 847390-107 12,000gal.Super 847390-107 794390-420 794380-208 794380-208 FX1V 847390-107 12,000gal.Diesek 847390-107 794390-420 794380-208 794380-208 FX1DV 847390-107 13-14 794380-208 15-16 794380-208 17-18 794380-208 794380-208 19-20 21-22 794380-208 23-24 794380-208 CameronMason B42599 8001WhiteLane Bakersfield,CA93309 07/14/2013 794380-208 794380-208 794380-208 794380-208 Monitoring System Certification D.Results of Testing/Servicing Software Version Installed: Complete the following checklist: Yes No*Isthe audible alarm operational? Yes No*Is the visual alarm operational? Yes No*Were all sensors visually inspected, functionally tested, and confirmed operational? Yes No*Were all sensors installed at lowest point of secondary containment and positioned so that other equipment will not interfere with their proper operation? Yes No* N/A If alarms are relayed to a remote monitoring station, is all communications equipment (e.g., modem) operational? Yes No* N/A For pressurized piping systems, does the turbine automatically shut down if the piping secondary containment monitoring system detects a leak, fails to operate, or is electrically disconnected? If yes: which sensors initiate positive shut-down? (Check all that apply) Sump/Trench Sensors; Dispenser Containment Sensors. Did you confirm positive shut-down due to leaks and sensor failure/disconnection? Yes; No. Yes No* N/A For tank systems that utilize the monitoring system as the primary tank overfill warning device (i.e., no mechanical overfill prevention valve is installed), is the overfill warning alarm visible and audible at the tank fill point(s) and operating properly? If so, at what percent oftank capacity does the alarm trigger? % Yes*NoWas any monitoring equipment replaced? If yes, identify specific sensors, probes, or other equipment replaced and list the manufacturer name and model for all replacement parts in Section E, below. Yes*NoWas liquid found inside any secondary containment systems designed as dry systems? (Check all that apply) Product; Water. If yes, describe causes in Section E, below. Yes No*Was monitoring system set-up reviewed to ensure proper settings? Attach set up reports, if applicable Yes No*Is all monitoring equipment operational per manufacturer’s specifications? * In Section E below, describe how and when these deficiencies were or will be corrected. E.Comments: Page 2 of 3 329.00 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 Monitoring System Certification Form: Addendum for Vacuum/Pressure Interstitial Sensors 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: TLS-350 System Type: Pressure; Vacuum Sensor ID Component(s) Monitored by this Sensor: Sensor Functionality Test Result: Pass; FailInterstitial Communication Test Result: Pass; Fail Component(s) Monitored by this Sensor: Sensor Functionality Test Result: Pass; FailInterstitial Communication Test Result: Pass; Fail Component(s) Monitored by this Sensor: Sensor Functionality Test Result: Pass; FailInterstitial Communication Test Result: Pass; Fail Component(s) Monitored by this Sensor: Sensor Functionality Test Result: Pass; FailInterstitial Communication Test Result: Pass; Fail Component(s) Monitored by this Sensor: Sensor Functionality Test Result: Pass; FailInterstitial Communication Test Result: Pass; Fail Component(s) Monitored by this Sensor: Sensor Functionality Test Result: Pass; FailInterstitial Communication Test Result: Pass; Fail Component(s) Monitored by this Sensor: Sensor Functionality Test Result: Pass; FailInterstitial Communication Test Result: Pass; Fail Component(s) Monitored by this Sensor: Sensor Functionality Test Result: Pass; FailInterstitial Communication Test Result: Pass; Fail Component(s) Monitored by this Sensor: Sensor Functionality Test Result: Pass; FailInterstitial Communication Test Result: Pass; Fail Component(s) Monitored by this Sensor: Sensor Functionality Test Result: Pass; FailInterstitial Communication Test Result: Pass; Fail How was interstitial communication verified? Leak Introduced at Far End of Interstitial Space;1 Gauge; Visual Inspection; Other (Describe in Sec. J, below) Was vacuum/pressurerestored to operating levels in all interstitial spaces?Yes No (If no, describe in Sec. J, below) J.Comments: The leak was introduced at the three way ball valve. 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. UN-036A-1/1www.unidocs.orgRev. 01/26/06 S-1 RegularProductLine RegularVentLineS-2 RegularVaporS-3 ■ ■ Leak Detector Test Results Sheet Customer Address: Work Order: Site Address: Test Date: Site Contact: Phone: Technician: Phone: 800-339-9930 ICC No.: Product Type LLD Type Model Serial No. Check Valve Holding Pressure Bleed Off ML. Leak Rate Tested: Pass/Fail 3 gph @ 10 psi 3 gph @ 10 psi 3 gph @ 10 psi 3 gph @ 10 psi 3 gph @ 10 psi 3 gph @ 10 psi 3 gph @ 10 psi 3 gph @ 10 psi Technician Name: Technician No.: Signature: Date: JacoHill P.O.Box82515 Bakersfield,CA93380-2515 36815 07/14/2013 8174721-UT Regular1 Mechanical FX1V CameronMason (661)393-7000OmeroGarcia Bakersfield,CA93309 8001WhiteLane #3367/Fastrip#640(East) 21 PSI250 ml Pass FX1VMechanicalPremium 20 PSI 250 ml Pass FX1DVMechanicalDiesel 18 PSI200 ml Pass CameronMason 8174721-UT 07/14/2013 Responses Received: 200 FASTRIP 367 8001 WHITE LANE BAKERSFIELD CA,93309 JUL 14, 2016 2:31 PM TANK PRODUCT GALLONS INCHES WATER DEG F ULLAGE 1 UNLEADED 9150 85.53 0.0 84.2 2850 2 UNLEADED 2 9368 69.95 0.8 83.8 2632 3 PREMIUM 7652 58.46 0.0 87.7 4348 4 DIESEL 5181 53.55 0.0 86.4 6819 I90500 JUL 14, 2016 2:31 PM SOFTWARE REVISION LEVEL VERSION 329.00 SOFTWARE# 346329-100-A CREATED - 08.10.09.17.08 S-MODULE# 330160-004-a SYSTEM FEATURES: PERIODIC IN-TANK TESTS ANNUAL IN-TANK TESTS ISD I50500 JUL 14, 2016 2:31 PM SYSTEM TYPE AND LANGUAGE FLAG SYSTEM UNITS U.S. SYSTEM LANGUAGE ENGLISH SYSTEM DATE/TIME FORMAT MON DD YYYY HH:MM:SS xM I50201 JUL 14, 2016 2:31 PM SHIFT TIME 1 : 6:00 AM I50202 JUL 14, 2016 2:31 PM SHIFT TIME 2 : DISABLED I50203 JUL 14, 2016 2:31 PM SHIFT TIME 3 : DISABLED I50204 JUL 14, 2016 2:31 PM SHIFT TIME 4 : DISABLED I54600 JUL 14, 2016 2:31 PM TANK PER TST NEEDED WRN: DISABLED I54900 JUL 14, 2016 2:31 PM TANK ANN TST NEEDED WRN: DISABLED I55300 JUL 14, 2016 2:31 PM LINE RE-ENABLE METHOD PASS LINE TEST I55600 JUL 14, 2016 2:31 PM LINE PER TST NEEDED WRN: DISABLED I55900 JUL 14, 2016 2:31 PM LINE ANN TST NEEDED WRN: DISABLED I50D00 JUL 14, 2016 2:31 PM PRINT TC VOLUMES ENABLED I50E00 JUL 14, 2016 2:31 PM TEMP COMPENSATION VALUE (DEG F ): 60.0 I60B00 JUL 14, 2016 2:31 PM STICK HEIGHT OFFSET ENABLE STATUS DISABLED I51400 JUL 14, 2016 2:31 PM H-PROTOCOL DATA FORMAT HEIGHT I51A01 JUL 14, 2016 2:31 PM DAYLIGHT SAVING TIME ENABLED ON I51B00 JUL 14, 2016 2:31 PM DAYLIGHT SAVING TIME START DATE MAR WEEK 2 SUN 2:00 AM END DATE NOV WEEK 1 SUN 2:00 AM I51600 JUL 14, 2016 2:31 PM RE-DIRECT LOCAL PRINTOUT DISABLED I50400 JUL 14, 2016 2:31 PM 232 SECURITY CODE PORT SECURITY CODE STATUS 1 000000 DISABLED 2 000000 DISABLED 3 000000 DISABLED 4 000000 DISABLED 5 000000 DISABLED 6 000000 DISABLED I21900 JUL 14, 2016 2:31 PM TANK CHART SECURITY DISABLED I5BD00 JUL 14, 2016 2:31 PM CUSTOM ALARM LABELS DISABLED I56000 JUL 14, 2016 2:31 PM MASS/DENSITY DISABLED I88101 JUL 14, 2016 2:31 PM PORT SETTINGS: COMM BOARD : 1 (EDIM ) RS-232 SECURITY CODE : DISABLED I88102 JUL 14, 2016 2:31 PM PORT SETTINGS: COMM BOARD : 2 (RS-232) BAUD RATE : 9600 PARITY : NONE STOP BIT : 1 STOP DATA LENGTH: 8 DATA RS-232 SECURITY CODE : DISABLED I88103 JUL 14, 2016 2:32 PM PORT SETTINGS: COMM BOARD : 3 (RS-232) BAUD RATE : 9600 PARITY : NONE STOP BIT : 1 STOP DATA LENGTH: 8 DATA RS-232 SECURITY CODE : DISABLED I88104 JUL 14, 2016 2:32 PM I88105 JUL 14, 2016 2:32 PM I88106 JUL 14, 2016 2:32 PM I52000 JUL 14, 2016 2:32 PM RECEIVER AUTO DIAL TYPE & START TIME RCVR LOCATION LABEL DIAL TYPE START TIME 1 ON DATE SEP 8, 2011 DISABLED 2 ON DATE SEP 8, 2011 DISABLED 3 ON DATE SEP 8, 2011 DISABLED 4 ON DATE SEP 8, 2011 DISABLED 5 ON DATE SEP 8, 2011 DISABLED 6 ON DATE SEP 8, 2011 DISABLED 7 ON DATE SEP 8, 2011 DISABLED 8 ON DATE SEP 8, 2011 DISABLED I60100 JUL 14, 2016 2:32 PM TANK CONFIGURATION DEVICE LABEL CONFIGURED 1 UNLEADED ON 2 UNLEADED 2 ON 3 PREMIUM ON 4 DIESEL ON I60200 JUL 14, 2016 2:32 PM TANK PRODUCT LABEL TANK PRODUCT LABEL 1 UNLEADED 2 UNLEADED 2 3 PREMIUM 4 DIESEL I60300 JUL 14, 2016 2:32 PM TANK PRODUCT CODE TANK PRODUCT LABEL 1 UNLEADED 1 2 UNLEADED 2 2 3 PREMIUM 3 4 DIESEL 4 I60900 JUL 14, 2016 2:32 PM TANK THERMAL COEFFICIENT TANK PRODUCT LABEL 1 UNLEADED 0.000700 2 UNLEADED 2 0.000700 3 PREMIUM 0.000700 4 DIESEL 0.000450 I60700 JUL 14, 2016 2:32 PM TANK DIAMETER TANK PRODUCT LABEL INCHES 1 UNLEADED 120.00 2 UNLEADED 2 96.00 3 PREMIUM 96.00 4 DIESEL 120.00 I60A00 JUL 14, 2016 2:32 PM TANK FULL VOLUME TANK PRODUCT LABEL TANK PROFILE GALLONS 1 UNLEADED 1 PT 12000 2 UNLEADED 2 1 PT 12000 3 PREMIUM 1 PT 12000 4 DIESEL 1 PT 12000 I60400 JUL 14, 2016 2:32 PM TANK FULL VOLUME TANK PRODUCT LABEL GALLONS 1 UNLEADED 12000 2 UNLEADED 2 12000 3 PREMIUM 12000 4 DIESEL 12000 I60500 JUL 14, 2016 2:32 PM TANK 4 POINT VOLUMES TANK PRODUCT LABEL GALLONS 1 UNLEADED 12000 0 0 0 2 UNLEADED 2 12000 0 0 0 3 PREMIUM 12000 0 0 0 4 DIESEL 12000 0 0 0 I60600 JUL 14, 2016 2:32 PM TANK 20 POINT VOLUMES TANK PRODUCT LABEL GALLONS 1 UNLEADED 12000 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2 UNLEADED 2 12000 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 3 PREMIUM 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 JUL 14, 2016 2:32 PM TANK PRODUCT LABEL METER DATA 1 UNLEADED NO 2 UNLEADED 2 NO 3 PREMIUM NO 4 DIESEL NO I62F00 JUL 14, 2016 2:32 PM MAG PROBE FLOAT SIZE TANK PRODUCT LABEL FLOAT SIZE: 1 UNLEADED 4.0 INCHES 2 UNLEADED 2 4.0 INCHES 3 PREMIUM 4.0 INCHES 4 DIESEL 4.0 INCHES I62700 JUL 14, 2016 2:32 PM TANK HIGH WATER WARNING LIMIT TANK PRODUCT LABEL INCHES 1 UNLEADED 2.0 2 UNLEADED 2 2.0 3 PREMIUM 2.0 4 DIESEL 2.0 9999FF1B I62400 JUL 14, 2016 2:32 PM TANK HIGH WATER LEVEL LIMIT TANK PRODUCT LABEL INCHES 1 UNLEADED 3.0 2 UNLEADED 2 3.0 3 PREMIUM 3.0 4 DIESEL 3.0 I62800 JUL 14, 2016 2:32 PM TANK MAXIMUM VOLUME LIMIT TANK PRODUCT LABEL GALLONS 1 UNLEADED 12000 2 UNLEADED 2 12000 3 PREMIUM 12000 4 DIESEL 12000 I62300 JUL 14, 2016 2:32 PM TANK OVERFILL LEVEL LIMIT TANK PRODUCT LABEL GALLONS 1 UNLEADED 10800 2 UNLEADED 2 10800 3 PREMIUM 10800 4 DIESEL 10800 I62200 JUL 14, 2016 2:32 PM TANK HIGH PRODUCT LIMIT TANK PRODUCT LABEL GALLONS 1 UNLEADED 11400 2 UNLEADED 2 11400 3 PREMIUM 11400 4 DIESEL 11400 I62900 JUL 14, 2016 2:32 PM TANK DELIVERY REQUIRED LIMIT TANK PRODUCT LABEL GALLONS 1 UNLEADED 1200 2 UNLEADED 2 1200 3 PREMIUM 1200 4 DIESEL 1200 I62100 JUL 14, 2016 2:32 PM TANK LOW PRODUCT LIMIT TANK PRODUCT LABEL GALLONS 1 UNLEADED 1200 2 UNLEADED 2 1200 3 PREMIUM 1200 4 DIESEL 1200 I62600 JUL 14, 2016 2:32 PM TANK LEAK ALARM LIMIT TANK PRODUCT LABEL GALLONS 1 UNLEADED 99 2 UNLEADED 2 99 3 PREMIUM 99 4 DIESEL 99 I62500 JUL 14, 2016 2:32 PM TANK SUDDEN LOSS LIMIT TANK PRODUCT LABEL GALLONS 1 UNLEADED 99 2 UNLEADED 2 99 3 PREMIUM 99 4 DIESEL 99 I60800 JUL 14, 2016 2:32 PM TANK TILT TANK PRODUCT LABEL INCHES 1 UNLEADED -3.25 2 UNLEADED 2 -4.50 3 PREMIUM -11.50 4 DIESEL 0.00 I60B00 JUL 14, 2016 2:32 PM STICK HEIGHT OFFSET ENABLE STATUS DISABLED I60C00 JUL 14, 2016 2:32 PM TANK STICK HEIGHT OFFSET TANK PRODUCT LABEL INCHES 1 UNLEADED 0.00 2 UNLEADED 2 0.00 3 PREMIUM 0.00 4 DIESEL 0.00 I61200 JUL 14, 2016 2:32 PM TANK MANIFOLDED PARTNERS TANK PRODUCT LABEL SIPHON MANIFOLDED TANKS LINE MANIFOLDED TANKS 1 UNLEADED NONE NONE 2 UNLEADED 2 NONE NONE 3 PREMIUM NONE NONE 4 DIESEL NONE NONE I63600 JUL 14, 2016 2:32 PM PERIODIC LEAK TEST MIN VOLUME TANK PRODUCT LABEL GALLONS 1 UNLEADED 120 2 UNLEADED 2 120 3 PREMIUM 120 4 DIESEL 120 I62A00 JUL 14, 2016 2:32 PM ANNUAL LEAK TEST MIN VOLUME TANK PRODUCT LABEL GALLONS 1 UNLEADED 120 2 UNLEADED 2 120 3 PREMIUM 120 4 DIESEL 120 I62C00 JUL 14, 2016 2:32 PM TANK PERIODIC TEST TYPE TANK PRODUCT LABEL PERIODIC TEST TYPE 1 UNLEADED STANDARD 2 UNLEADED 2 STANDARD 3 PREMIUM STANDARD 4 DIESEL STANDARD I62D00 JUL 14, 2016 2:32 PM TANK LEAK TEST FAIL ALARMS TANK PRODUCT LABEL 1 UNLEADED GROSS TEST FAIL ALARM DISABLED PERIODIC TEST FAIL ALARM DISABLED ANNUAL TEST FAIL ALARM DISABLED 2 UNLEADED 2 GROSS TEST FAIL ALARM DISABLED PERIODIC TEST FAIL ALARM DISABLED ANNUAL TEST FAIL ALARM DISABLED 3 PREMIUM 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 JUL 14, 2016 2:32 PM TANK LEAK TEST AVERAGING TANK PRODUCT LABEL ANNUAL PERIODIC 1 UNLEADED OFF OFF 2 UNLEADED 2 OFF OFF 3 PREMIUM OFF OFF 4 DIESEL OFF OFF I63000 JUL 14, 2016 2:32 PM IN-TANK LEAK TEST NOTIFY TANK PRODUCT LABEL TANK TEST NOTIFY: 1 UNLEADED OFF 2 UNLEADED 2 OFF 3 PREMIUM OFF 4 DIESEL OFF I63200 JUL 14, 2016 2:32 PM TANK TEST SIPHON BREAK TANK PRODUCT LABEL SIPHON BREAK 1 UNLEADED OFF 2 UNLEADED 2 OFF 3 PREMIUM OFF 4 DIESEL OFF I61000 JUL 14, 2016 2:32 PM TANK DELIVERY DELAY TANK PRODUCT LABEL 1 UNLEADED 1 2 UNLEADED 2 1 3 PREMIUM 1 4 DIESEL 1 I63A00 JUL 14, 2016 2:32 PM LOW LEVEL PUMP THRESHOLD FOR SEQUENTIAL LINE MANIFOLD TANK PRODUCT LABEL PUMP THRESHOLD 1 UNLEADED 10.00% 2 UNLEADED 2 10.00% 3 PREMIUM 10.00% 4 DIESEL 10.00% I61100 JUL 14, 2016 2:32 PM LEAK TEST METHOD - - - - - - - - - - - - TEST ON DATE : ALL TANK OCT 9, 2008 START TIME : DISABLED TEST RATE :0.20 GAL/HR DURATION : 2 HOURS TST EARLY STOP:DISABLED I61300 JUL 14, 2016 2:32 PM CSLD PROBABLITY OF DETECTION I61400 JUL 14, 2016 2:32 PM CSLD CLIMATE FACTOR I61600 JUL 14, 2016 2:32 PM TANK PRODUCT LABEL CAL UPDATE 1 UNLEADED IMMEDIATE 2 UNLEADED 2 IMMEDIATE 3 PREMIUM IMMEDIATE 4 DIESEL IMMEDIATE I61A00 JUL 14, 2016 2:32 PM IN-TANK LEAK TEST EARLY STOP TANK PRODUCT LABEL TST EARLY STOP: 1 UNLEADED DISABLED 2 UNLEADED 2 DISABLED 3 PREMIUM DISABLED 4 DIESEL DISABLED I61B00 JUL 14, 2016 2:32 PM IN-TANK LEAK GROSS TEST AUTO-CONFIRM I61C00 JUL 14, 2016 2:32 PM CSLD REPORT ONLY I62B00 JUL 14, 2016 2:32 PM TANK LAST ANNUAL TEST TANK PRODUCT LABEL DATE 1 UNLEADED ??? 0, 0 2 UNLEADED 2 ??? 0, 0 3 PREMIUM ??? 0, 0 4 DIESEL ??? 0, 0 I63300 JUL 14, 2016 2:32 PM LEAK TEST REPORT FORMAT: NORMAL I63400 JUL 14, 2016 2:32 PM RECONCILIATION WARNING LIMIT TANK PRODUCT LABEL GALLONS 1 UNLEADED 0 2 UNLEADED 2 0 3 PREMIUM 0 4 DIESEL 0 I63500 JUL 14, 2016 2:32 PM RECONCILIATION ALARM LIMIT TANK PRODUCT LABEL GALLONS 1 UNLEADED 1 2 UNLEADED 2 1 3 PREMIUM 1 4 DIESEL 1 I63900 JUL 14, 2016 2:32 PM ACCU CHART END SHAPE FACTOR TANK PRODUCT LABEL 1 UNLEADED END FACTOR: NONE 2 UNLEADED 2 END FACTOR: NONE 3 PREMIUM END FACTOR: NONE 4 DIESEL END FACTOR: NONE I78000 JUL 14, 2016 2:32 PM I77700 JUL 14, 2016 2:32 PM I77800 JUL 14, 2016 2:32 PM I78C00 JUL 14, 2016 2:32 PM I78300 JUL 14, 2016 2:32 PM I78F00 JUL 14, 2016 2:32 PM I78700 JUL 14, 2016 2:32 PM I70200 JUL 14, 2016 2:32 PM LIQUID LABEL DEVICE LABEL 1 UNL ANN 2 UNL STP 3 UNL FILL 4 UNL 2 STP 5 UNL 2 STP 6 UNL 2 STP ANN 7 UNL 2 FILL 8 UNL 2 ANN FILL 9 UNL 2 ANN 10 PREM ANN 11 PREM STP 12 PREM FILL 13 DSL ANN 14 DSL STP 15 DSL FILL 16 DISP 13-14 17 DISP 15-16 18 DISP 17-18 19 DISP 19-20 20 DISP 21-22 21 DISP 23-24 22 VENTBOX 23 24 I70300 JUL 14, 2016 2:32 PM LIQUID TYPE SENSOR LOCATION TYPE 1 UNL ANN TRI-STATE (SINGLE FLOAT) 2 UNL STP TRI-STATE (SINGLE FLOAT) 3 UNL FILL TRI-STATE (SINGLE FLOAT) 4 UNL 2 STP TRI-STATE (SINGLE FLOAT) 5 UNL 2 STP TRI-STATE (SINGLE FLOAT) 6 UNL 2 STP ANN NORMALLY CLOSED 7 UNL 2 FILL NORMALLY CLOSED 8 UNL 2 ANN FILL NORMALLY CLOSED 9 UNL 2 ANN DUAL POINT HYDROSTATIC 10 PREM ANN TRI-STATE (SINGLE FLOAT) 11 PREM STP TRI-STATE (SINGLE FLOAT) 12 PREM FILL TRI-STATE (SINGLE FLOAT) 13 DSL ANN TRI-STATE (SINGLE FLOAT) 14 DSL STP TRI-STATE (SINGLE FLOAT) 15 DSL FILL TRI-STATE (SINGLE FLOAT) 16 DISP 13-14 TRI-STATE (SINGLE FLOAT) 17 DISP 15-16 TRI-STATE (SINGLE FLOAT) 18 DISP 17-18 TRI-STATE (SINGLE FLOAT) 19 DISP 19-20 TRI-STATE (SINGLE FLOAT) 20 DISP 21-22 TRI-STATE (SINGLE FLOAT) 21 DISP 23-24 TRI-STATE (SINGLE FLOAT) 22 VENTBOX TRI-STATE (SINGLE FLOAT) 23 TRI-STATE (SINGLE FLOAT) 24 TRI-STATE (SINGLE FLOAT) I70400 JUL 14, 2016 2:32 PM LIQUID CATEGORY SENSOR LOCATION CATEGORY 1 UNL ANN ANNULAR SPACE 2 UNL STP STP SUMP 3 UNL FILL PIPING SUMP 4 UNL 2 STP STP SUMP 5 UNL 2 STP STP SUMP 6 UNL 2 STP ANN ANNULAR SPACE 7 UNL 2 FILL PIPING SUMP 8 UNL 2 ANN FILL ANNULAR SPACE 9 UNL 2 ANN ANNULAR SPACE 10 PREM ANN ANNULAR SPACE 11 PREM STP STP SUMP 12 PREM FILL PIPING SUMP 13 DSL ANN ANNULAR SPACE 14 DSL STP STP SUMP 15 DSL FILL OTHER SENSORS 16 DISP 13-14 DISPENSER PAN 17 DISP 15-16 DISPENSER PAN 18 DISP 17-18 DISPENSER PAN 19 DISP 19-20 DISPENSER PAN 20 DISP 21-22 DISPENSER PAN 21 DISP 23-24 DISPENSER PAN 22 VENTBOX PIPING SUMP 23 OTHER SENSORS 24 OTHER SENSORS I74200 JUL 14, 2016 2:32 PM I74300 JUL 14, 2016 2:32 PM I74400 JUL 14, 2016 2:32 PM I74700 JUL 14, 2016 2:32 PM I74800 JUL 14, 2016 2:32 PM I74900 JUL 14, 2016 2:32 PM I7BC00 JUL 14, 2016 2:32 PM I80200 JUL 14, 2016 2:32 PM I80300 JUL 14, 2016 2:32 PM I80400 JUL 14, 2016 2:32 PM I80700 JUL 14, 2016 2:32 PM RELAY LABEL DEVICE LABEL 1 POS SHUT OFF 2 3 UNLD 1 4 OVERFILL ALARM 5 INTERNAL ALARM 6 7 8 ANNUNCIATOR I80900 JUL 14, 2016 2:32 PM RELAY ORIENTATION RELAY DESIGNATION ORIENTATION 1 POS SHUT OFF NORMALLY CLOSED 2 NORMALLY OPEN 3 UNLD 1 NORMALLY OPEN 4 OVERFILL ALARM NORMALLY OPEN 5 INTERNAL ALARM NORMALLY OPEN 6 NORMALLY OPEN 7 NORMALLY OPEN 8 ANNUNCIATOR NORMALLY CLOSED I80B00 JUL 14, 2016 2:32 PM RELAY TANK ASSIGNMENT RELAY DESIGNATION TANK 1 POS SHUT OFF 1 2 NONE 3 UNLD 1 1 4 OVERFILL ALARM NONE 5 INTERNAL ALARM NONE 6 NONE 7 NONE 8 ANNUNCIATOR NONE I80A00 JUL 14, 2016 2:32 PM RELAY TYPE RELAY DESIGNATION TYPE 1 POS SHUT OFF STANDARD 2 STANDARD 3 UNLD 1 PUMP CONTROL OUTPUT 4 OVERFILL ALARM STANDARD 5 INTERNAL ALARM MOMENTARY 6 STANDARD 7 STANDARD 8 ANNUNCIATOR STANDARD I80C00 JUL 14, 2016 2:32 PM I80800 JUL 14, 2016 2:32 PM RELAY SETUP REPORT R 1:POS SHUT OFF TYPE: STANDARD NORMALLY CLOSED TANK #: 1 LIQUID SENSOR ALMS L 2:FUEL ALARM L 5:FUEL ALARM L10:FUEL ALARM L11:FUEL ALARM L14:FUEL ALARM L16:FUEL ALARM L17:FUEL ALARM L18:FUEL ALARM L19:FUEL ALARM L20:FUEL ALARM L21:FUEL ALARM L 2:SENSOR OUT ALARM L 5:SENSOR OUT ALARM L11:SENSOR OUT ALARM L14:SENSOR OUT ALARM L16:SENSOR OUT ALARM L17:SENSOR OUT ALARM L18:SENSOR OUT ALARM L19:SENSOR OUT ALARM L20:SENSOR OUT ALARM L21:SENSOR OUT ALARM L 2:SHORT ALARM L 3:SHORT ALARM L 5:SHORT ALARM L 9:SHORT ALARM L10:SHORT ALARM L11:SHORT ALARM L13:SHORT ALARM L14:SHORT ALARM L16:SHORT ALARM L17:SHORT ALARM L18:SHORT ALARM L19:SHORT ALARM L20:SHORT ALARM L21:SHORT ALARM ISD SITE ALARMS ISD GROSS PRES FAIL ISD DEGRD PRES FAIL ISD VAPOR LEAK FAIL ISD VP PRES FAIL ISD VP STATUS FAIL ISD HOSE ALARMS ALL:GROSS COLLECT FAIL ALL:DEGRD COLLECT FAIL ALL:FLOW COLLECT FAIL R 2: TYPE: STANDARD NORMALLY OPEN TANK #: NONE - NO ALARM ASSIGNMENTS - R 3:UNLD 1 TYPE: PUMP CONTROL OUTPUT TANK #: 1 LIQUID SENSOR ALMS L 2:FUEL ALARM L 5:FUEL ALARM L11:FUEL ALARM L14:FUEL ALARM L16:FUEL ALARM L17:FUEL ALARM L18:FUEL ALARM L19:FUEL ALARM L20:FUEL ALARM L21:FUEL ALARM L 2:SENSOR OUT ALARM L 5:SENSOR OUT ALARM L11:SENSOR OUT ALARM L16:SENSOR OUT ALARM L17:SENSOR OUT ALARM L18:SENSOR OUT ALARM L19:SENSOR OUT ALARM L20:SENSOR OUT ALARM L21:SENSOR OUT ALARM L 2:SHORT ALARM L 5:SHORT ALARM L11:SHORT ALARM L16:SHORT ALARM L17:SHORT ALARM L18:SHORT ALARM L19:SHORT ALARM L20:SHORT ALARM L21:SHORT ALARM ISD SITE ALARMS ISD GROSS PRES FAIL ISD DEGRD PRES FAIL ISD VAPOR LEAK FAIL ISD VP PRES FAIL ISD VP STATUS FAIL ISD HOSE ALARMS ALL:GROSS COLLECT FAIL ALL:DEGRD COLLECT FAIL ALL:FLOW COLLECT FAIL R 4:OVERFILL ALARM TYPE: STANDARD NORMALLY OPEN TANK #: NONE IN-TANK ALARMS ALL:OVERFILL ALARM ALL:HIGH PRODUCT ALARM ALL:MAX PRODUCT ALARM R 5:INTERNAL ALARM TYPE: MOMENTARY NORMALLY OPEN LIQUID SENSOR ALMS ALL:FUEL ALARM ALL:SENSOR OUT ALARM ALL:SHORT ALARM SMARTSENSOR ALARMS ALL:NO VACUUM ALARM R 6: TYPE: STANDARD NORMALLY OPEN TANK #: NONE - NO ALARM ASSIGNMENTS - R 7: TYPE: STANDARD NORMALLY OPEN TANK #: NONE - NO ALARM ASSIGNMENTS - R 8:ANNUNCIATOR TYPE: STANDARD NORMALLY CLOSED TANK #: NONE IN-TANK ALARMS ALL:LEAK ALARM ALL:HIGH WATER ALARM ALL:OVERFILL ALARM ALL:LOW PRODUCT ALARM ALL:SUDDEN LOSS ALARM ALL:HIGH PRODUCT ALARM ALL:INVALID FUEL LEVEL ALL:PROBE OUT ALL:HIGH WATER WARNING ALL:DELIVERY NEEDED ALL:MAX PRODUCT ALARM ALL:GROSS TEST FAIL ALL:PERIODIC TEST FAIL ALL:ANNUAL TEST FAIL ALL:PER TST NEEDED WRN ALL:ANN TST NEEDED WRN ALL:PER TST NEEDED ALM ALL:ANN TST NEEDED ALM ALL:TANK TEST ACTIVE ALL:NO CSLD IDLE TIME ALL:TANK SIPHON BREAK ALL:CSLD INCR RATE WARN ALL:ACCU_CHART CAL WARN ALL:RECON WARNING ALL:RECON ALARM ALL:LOW TEMP WARNING ALL:MISSING TICKET WARN ALL:GROSS FAIL LINE TNK ALL:DELIVY DENSITY WARN LIQUID SENSOR ALMS ALL:FUEL ALARM ALL:SENSOR OUT ALARM ALL:SHORT ALARM ISD SITE ALARMS ISD STAGE I WARN ISD GROSS PRES WARN ISD GROSS PRES FAIL ISD DEGRD PRES WARN ISD DEGRD PRES FAIL ISD VAPOR LEAK WARN ISD VAPOR LEAK FAIL ISD VP PRES WARN ISD VP PRES FAIL ISD VP STATUS WARN ISD VP STATUS FAIL MISSING RELAY SETUP MISSING HOSE SETUP MISSING TANK SETUP MISS VAPOR FLOW MTR MISS VAPOR PRES SEN MISSING VP INPUT ISD SETUP WARN ISD SETUP FAIL ISD SENSOR OUT WARN ISD SENSOR OUT FAIL ISD HOSE ALARMS ALL:GROSS COLLECT WARN ALL:DEGRD COLLECT WARN ALL:DEGRD COLLECT FAIL ALL:FLOW COLLECT WARN ALL:FLOW COLLECT FAIL ALL:AIRFLOW MTR SETUP I79000 JUL 14, 2016 2:33 PM EDIM:1 VR:349634-003-C TD:06.05.11.11.15 I79100 JUL 14, 2016 2:33 PM I72300 JUL 14, 2016 2:33 PM FASTRIP 367 8001 WHITE LANE BAKERSFIELD CA,93309 SMARTSENSOR ASSIGNMENT DEVICE LABEL CATEGORY 01 UNL 2 LINE VAC SENSOR 02 UNL 2 VENT VAC SENSOR 03 VAPOR VAC SENSOR 04 UNKNOWN 05 UNKNOWN 06 UNKNOWN 07 UNKNOWN 08 ATM ATM P SENSOR 09 PS 17-18 VAPOR PRESSURE 10 FM 13-14 AIR FLOW METER 11 FM 15-16 AIR FLOW METER 12 FM 17-18 AIR FLOW METER 13 FM 19-20 AIR FLOW METER 14 FM 21-22 AIR FLOW METER 15 FM 23-24 AIR FLOW METER 16 PS 17-18 VAPOR PRESSURE 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 IV4E00 JUL 14, 2016 2:33 PM FASTRIP 367 8001 WHITE LANE BAKERSFIELD CA,93309 EVR/ISD SETUP TYPE: VACUUM ASSIST VACUUM ASSIST TYPE: HEALY VAC IV4F00 JUL 14, 2016 2:33 PM FASTRIP 367 8001 WHITE LANE BAKERSFIELD CA,93309 NOZZLE A/L RANGE A/L RATIO: 0.95 - 1.15 IV4000 JUL 14, 2016 2:33 PM FASTRIP 367 8001 WHITE LANE BAKERSFIELD CA,93309 VAPOR PROCESSOR TYPE NONE IV4700 JUL 14, 2016 2:33 PM FASTRIP 367 8001 WHITE LANE BAKERSFIELD CA,93309 ASSESSMENT TIME START TIME: 10:00 AM TIME DELAY MINUTES: 1 IV5200 JUL 14, 2016 2:33 PM FASTRIP 367 8001 WHITE LANE BAKERSFIELD CA,93309 ACCEPT HIGH ORVR: NO IV4A00 JUL 14, 2016 2:33 PM FASTRIP 367 8001 WHITE LANE BAKERSFIELD CA,93309 ISD HOSE TABLE HOSE FP FP AFM HOSE ID ID LABEL ID LABEL 01 01 13 01 BLEND3 02 02 14 01 BLEND3 03 03 15 02 BLEND3 04 04 16 02 BLEND3 05 05 17 03 BLEND3 06 06 18 03 BLEND3 07 07 19 04 BLEND3 08 08 20 04 BLEND3 09 09 21 05 BLEND3 10 10 22 05 BLEND3 11 11 23 06 BLEND3 12 12 24 06 BLEND3 IV4B00 JUL 14, 2016 2:33 PM FASTRIP 367 8001 WHITE LANE BAKERSFIELD CA,93309 PRODUCT/HOSE MAP TABLE FP AFID M1/H1 M2/H2 M3/H3 M4/H4 01 01 03/01 09/01 02/01 xx/xx 02 01 02/02 03/02 09/02 xx/xx 03 02 02/03 03/03 09/03 xx/xx 04 02 02/04 03/04 09/04 xx/xx 05 03 02/05 03/05 09/05 xx/xx 06 03 02/06 03/06 09/06 xx/xx 07 04 02/07 03/07 09/07 xx/xx 08 04 02/08 03/08 09/08 xx/xx 09 05 02/09 03/09 09/09 xx/xx 10 05 02/10 03/10 09/10 xx/xx 11 06 02/11 03/11 09/11 xx/xx 12 06 02/12 03/12 09/12 xx/xx IV4900 JUL 14, 2016 2:33 PM FASTRIP 367 8001 WHITE LANE BAKERSFIELD CA,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 JUL 14, 2016 2:33 PM ISD VERSION: 01.02 Responses Received: I10200 JUL 14, 2016 2:45 PM FASTRIP 367 8001 WHITE LANE BAKERSFIELD CA,93309 SYSTEM CONFIGURATION SLOT BOARD TYPE POWER ON RESET CURRENT 1 7SMARTSENSOR BD 508508 509104 2 8SMARTSENSOR BD 39557 39624 3 4 PROBE / G.T. 164218 164504 4 INTERSTITIAL BD 201866 202158 5 INTERSTITIAL BD 202194 202610 6 INTERSTITIAL BD 202779 203181 7 UNUSED 4921727 4934745 8 UNUSED 4919569 4931040 9 RELAY BOARD 14935 14970 10 STP SENSE BOARD 33394 33391 11 RELAY BOARD 15130 15147 12 UNUSED 4923785 4939100 13 UNUSED 4922252 4939210 14 UNUSED 4921281 4937762 15 UNUSED 4921238 4937719 16 UNUSED 4920245 4938113 COMM 1 ELEC DISP INT. 101406 101696 COMM 2 RS232 SERIAL BD 15021 15058 COMM 3 RS232 SERIAL BD 14978 14992 COMM 4 UNUSED 4924799 4936140 COMM 5 UNUSED 4922382 4933926 COMM 6 UNUSED 4921756 4935329 I90200 JUL 14, 2016 2:45 PM SOFTWARE REVISION LEVEL VERSION 329.00 SOFTWARE# 346329-100-A CREATED - 08.10.09.17.08 S-MODULE# 330160-004-a SYSTEM FEATURES: PERIODIC IN-TANK TESTS ANNUAL IN-TANK TESTS ISD I11100 JUL 14, 2016 2:45 PM FASTRIP 367 8001 WHITE LANE BAKERSFIELD CA,93309 PRIORITY ALARM HISTORY ID CATEGORY DESCRIPTION ALARM TYPE STATE DATE TIME L20 DISP PAN DISP 21-22 SENSOR OUT ALARM CLEAR 7-14-16 2:14PM L 3 PIPE UNL FILL SENSOR OUT ALARM CLEAR 7-14-16 2:14PM L19 DISP PAN DISP 19-20 SENSOR OUT ALARM CLEAR 7-14-16 2:14PM L 2 STP SUMP UNL STP SENSOR OUT ALARM CLEAR 7-14-16 2:14PM L 8 ANNULAR UNL 2 ANN FILL FUEL ALARM CLEAR 7-14-16 2:14PM L 5 STP SUMP UNL 2 STP SENSOR OUT ALARM CLEAR 7-14-16 2:14PM L18 DISP PAN DISP 17-18 SENSOR OUT ALARM CLEAR 7-14-16 2:14PM L 7 PIPE UNL 2 FILL FUEL ALARM CLEAR 7-14-16 2:14PM L 9 ANNULAR UNL 2 ANN SENSOR OUT ALARM CLEAR 7-14-16 2:14PM L 1 ANNULAR UNL ANN SENSOR OUT ALARM CLEAR 7-14-16 2:14PM L14 STP SUMP DSL STP SENSOR OUT ALARM CLEAR 7-14-16 2:14PM L12 PIPE PREM FILL SENSOR OUT ALARM CLEAR 7-14-16 2:14PM L17 DISP PAN DISP 15-16 SENSOR OUT ALARM CLEAR 7-14-16 2:14PM L 6 ANNULAR UNL 2 STP ANN FUEL ALARM CLEAR 7-14-16 2:14PM L11 STP SUMP PREM STP SENSOR OUT ALARM CLEAR 7-14-16 2:14PM L16 DISP PAN DISP 13-14 SENSOR OUT ALARM CLEAR 7-14-16 2:14PM L13 ANNULAR DSL ANN SENSOR OUT ALARM CLEAR 7-14-16 2:14PM L10 ANNULAR PREM ANN SENSOR OUT ALARM CLEAR 7-14-16 2:14PM L15 OTHER DSL FILL SENSOR OUT ALARM CLEAR 7-14-16 2:14PM L22 PIPE VENTBOX SENSOR OUT ALARM CLEAR 7-14-16 2:14PM L21 DISP PAN DISP 23-24 SENSOR OUT ALARM CLEAR 7-14-16 2:14PM L 3 PIPE UNL FILL SENSOR OUT ALARM ALARM 7-14-16 2:13PM L 8 ANNULAR UNL 2 ANN FILL FUEL ALARM ALARM 7-14-16 2:13PM L 7 PIPE UNL 2 FILL FUEL ALARM ALARM 7-14-16 2:13PM L14 STP SUMP DSL STP SENSOR OUT ALARM ALARM 7-14-16 2:13PM L13 ANNULAR DSL ANN SENSOR OUT ALARM ALARM 7-14-16 2:13PM L 6 ANNULAR UNL 2 STP ANN FUEL ALARM ALARM 7-14-16 2:13PM L 2 STP SUMP UNL STP SENSOR OUT ALARM ALARM 7-14-16 2:13PM L12 PIPE PREM FILL SENSOR OUT ALARM ALARM 7-14-16 2:13PM L 5 STP SUMP UNL 2 STP SENSOR OUT ALARM ALARM 7-14-16 2:13PM L16 DISP PAN DISP 13-14 SENSOR OUT ALARM ALARM 7-14-16 2:13PM L11 STP SUMP PREM STP SENSOR OUT ALARM ALARM 7-14-16 2:13PM L 1 ANNULAR UNL ANN SENSOR OUT ALARM ALARM 7-14-16 2:13PM L10 ANNULAR PREM ANN SENSOR OUT ALARM ALARM 7-14-16 2:13PM L15 OTHER DSL FILL SENSOR OUT ALARM ALARM 7-14-16 2:13PM L20 DISP PAN DISP 21-22 SENSOR OUT ALARM ALARM 7-14-16 2:13PM L 9 ANNULAR UNL 2 ANN SENSOR OUT ALARM ALARM 7-14-16 2:13PM L19 DISP PAN DISP 19-20 SENSOR OUT ALARM ALARM 7-14-16 2:13PM L22 PIPE VENTBOX SENSOR OUT ALARM ALARM 7-14-16 2:13PM L18 DISP PAN DISP 17-18 SENSOR OUT ALARM ALARM 7-14-16 2:13PM L21 DISP PAN DISP 23-24 SENSOR OUT ALARM ALARM 7-14-16 2:13PM L17 DISP PAN DISP 15-16 SENSOR OUT ALARM ALARM 7-14-16 2:13PM T 4 TANK DIESEL MAX PRODUCT ALARM CLEAR 7-14-16 12:22PM T 4 TANK DIESEL MAX PRODUCT ALARM ALARM 7-14-16 12:22PM T 3 TANK PREMIUM MAX PRODUCT ALARM CLEAR 7-14-16 12:21PM T 3 TANK PREMIUM MAX PRODUCT ALARM ALARM 7-14-16 12:21PM T 2 TANK UNLEADED 2 MAX PRODUCT ALARM CLEAR 7-14-16 12:21PM T 2 TANK UNLEADED 2 MAX PRODUCT ALARM ALARM 7-14-16 12:20PM T 2 TANK UNLEADED 2 LOW PRODUCT ALARM CLEAR 7-14-16 12:20PM T 2 TANK UNLEADED 2 LOW PRODUCT ALARM ALARM 7-14-16 12:19PM I11200 JUL 14, 2016 2:45 PM FASTRIP 367 8001 WHITE LANE BAKERSFIELD CA,93309 NON-PRIORITY ALARM HISTORY ID CATEGORY DESCRIPTION ALARM TYPE STATE DATE TIME T 4 TANK DIESEL HIGH PRODUCT ALARM CLEAR 7-14-16 12:22PM T 4 TANK DIESEL HIGH PRODUCT ALARM ALARM 7-14-16 12:22PM T 3 TANK PREMIUM HIGH PRODUCT ALARM CLEAR 7-14-16 12:21PM T 3 TANK PREMIUM HIGH PRODUCT ALARM ALARM 7-14-16 12:21PM T 2 TANK UNLEADED 2 HIGH PRODUCT ALARM CLEAR 7-14-16 12:21PM T 2 TANK UNLEADED 2 HIGH PRODUCT ALARM ALARM 7-14-16 12:20PM T 2 TANK UNLEADED 2 DELIVERY NEEDED CLEAR 7-14-16 12:20PM T 2 TANK UNLEADED 2 DELIVERY NEEDED ALARM 7-14-16 12:19PM T 1 TANK UNLEADED HIGH PRODUCT ALARM CLEAR 7-14-16 12:19PM T 1 TANK UNLEADED HIGH PRODUCT ALARM ALARM 7-14-16 12:17PM T 1 TANK UNLEADED LOW TEMP WARNING CLEAR 7-08-16 3:19PM T 1 TANK UNLEADED LOW TEMP WARNING ALARM 7-08-16 3:16PM T 1 TANK UNLEADED HIGH WATER WARNING CLEAR 7-08-16 3:16PM T 1 TANK UNLEADED HIGH WATER WARNING ALARM 7-08-16 1:11PM T 1 TANK UNLEADED HIGH PRODUCT ALARM CLEAR 7-08-16 1:06PM T 1 TANK UNLEADED HIGH PRODUCT ALARM ALARM 7-08-16 1:06PM T 2 TANK UNLEADED 2 LOW TEMP WARNING CLEAR 7-08-16 12:33PM T 2 TANK UNLEADED 2 LOW TEMP WARNING ALARM 7-08-16 12:30PM T 3 TANK PREMIUM HIGH PRODUCT ALARM CLEAR 7-08-16 11:33AM T 3 TANK PREMIUM HIGH PRODUCT ALARM ALARM 7-08-16 11:32AM T 3 TANK PREMIUM HIGH PRODUCT ALARM CLEAR 7-08-16 11:26AM T 3 TANK PREMIUM HIGH PRODUCT ALARM ALARM 7-08-16 11:26AM T 4 TANK DIESEL HIGH PRODUCT ALARM CLEAR 7-08-16 11:23AM T 4 TANK DIESEL HIGH PRODUCT ALARM ALARM 7-08-16 11:23AM SYSTEM PRINTER ERROR CLEAR 7-08-16 8:38AM SYSTEM PRINTER ERROR ALARM 7-08-16 8:38AM SYSTEM PRINTER ERROR CLEAR 7-08-16 8:38AM SYSTEM PAPER OUT CLEAR 7-08-16 8:38AM SYSTEM PRINTER ERROR ALARM 7-08-16 8:38AM SYSTEM PAPER OUT ALARM 7-08-16 8:38AM SYSTEM PRINTER ERROR CLEAR 7-08-16 8:38AM SYSTEM PAPER OUT CLEAR 7-08-16 8:38AM SYSTEM PRINTER ERROR ALARM 7-08-16 8:38AM SYSTEM PAPER OUT ALARM 7-08-16 8:38AM SYSTEM PRINTER ERROR CLEAR 7-08-16 8:38AM SYSTEM PRINTER ERROR ALARM 7-08-16 8:38AM SYSTEM PRINTER ERROR CLEAR 7-08-16 8:38AM SYSTEM PAPER OUT CLEAR 7-08-16 8:38AM SYSTEM PRINTER ERROR ALARM 7-08-16 8:37AM SYSTEM PAPER OUT ALARM 7-08-16 8:37AM SYSTEM PRINTER ERROR CLEAR 7-08-16 8:37AM SYSTEM PAPER OUT CLEAR 7-08-16 8:37AM SYSTEM PRINTER ERROR ALARM 7-08-16 8:36AM SYSTEM PAPER OUT ALARM 7-08-16 8:36AM SYSTEM PRINTER ERROR CLEAR 7-08-16 8:36AM SYSTEM PAPER OUT CLEAR 7-08-16 8:36AM SYSTEM PRINTER ERROR ALARM 7-08-16 8:36AM SYSTEM PAPER OUT ALARM 7-08-16 8:36AM SYSTEM PRINTER ERROR CLEAR 7-08-16 8:36AM SYSTEM PAPER OUT CLEAR 7-08-16 8:36AM I20600 JUL 14, 2016 2:45 PM FASTRIP 367 8001 WHITE LANE BAKERSFIELD CA,93309 TANK ALARM HISTORY TANK 1 UNLEADED HIGH WATER ALARM JUL 8, 2016 1:11 PM OVERFILL ALARM JUL 8, 2016 1:07 PM JUL 8, 2016 12:59 PM JUL 8, 2016 11:47 AM LOW PRODUCT ALARM JUN 10, 2016 6:52 PM JUN 10, 2016 3:36 PM JUN 4, 2016 9:12 PM SUDDEN LOSS ALARM JUL 11, 2016 3:16 AM JUL 10, 2016 1:37 AM JUL 8, 2016 11:13 AM HIGH PRODUCT ALARM JUL 14, 2016 12:17 PM JUL 8, 2016 1:06 PM JUL 21, 2015 2:49 PM PROBE OUT JUL 8, 2016 3:15 PM JUL 8, 2016 11:13 AM JUL 7, 2015 3:59 PM HIGH WATER WARNING JUL 8, 2016 1:11 PM JUL 7, 2014 4:26 PM DELIVERY NEEDED JUN 10, 2016 6:52 PM JUN 10, 2016 3:36 PM JUN 4, 2016 9:12 PM LOW TEMP WARNING JUL 8, 2016 3:16 PM JUL 16, 2012 10:15 AM TANK 2 UNLEADED 2 SETUP DATA WARNING JUL 16, 2012 10:30 AM OVERFILL ALARM JUL 8, 2016 12:28 PM JUN 23, 2016 5:29 AM JAN 22, 2016 11:51 AM LOW PRODUCT ALARM JUL 14, 2016 12:19 PM JUN 13, 2016 9:08 PM JUN 10, 2016 12:31 PM SUDDEN LOSS ALARM JUL 8, 2016 11:13 AM JUL 7, 2015 4:23 PM JUL 7, 2015 3:54 PM HIGH PRODUCT ALARM JUL 14, 2016 12:20 PM AUG 23, 2015 8:07 AM AUG 8, 2015 10:45 PM INVALID FUEL LEVEL JUN 10, 2016 6:13 PM JUN 4, 2016 4:13 AM MAY 21, 2016 6:25 PM PROBE OUT JUL 8, 2016 12:29 PM JUL 8, 2016 11:14 AM JUL 7, 2015 4:10 PM DELIVERY NEEDED JUL 14, 2016 12:19 PM JUN 13, 2016 9:08 PM JUN 10, 2016 12:30 PM MAX PRODUCT ALARM JUL 14, 2016 12:20 PM JUL 16, 2012 10:30 AM LOW TEMP WARNING JUL 8, 2016 12:30 PM JUL 7, 2014 4:56 PM JUL 16, 2013 1:27 PM TANK 3 PREMIUM OVERFILL ALARM JUL 9, 2016 12:22 AM JUL 8, 2016 11:32 AM JUL 5, 2016 11:16 PM LOW PRODUCT ALARM FEB 21, 2016 7:25 PM JAN 10, 2016 3:45 PM DEC 9, 2015 1:11 PM HIGH PRODUCT ALARM JUL 14, 2016 12:21 PM JUL 8, 2016 11:32 AM JUL 8, 2016 11:26 AM INVALID FUEL LEVEL JUL 21, 2015 1:25 PM DEC 18, 2013 9:46 AM PROBE OUT JUL 8, 2016 11:32 AM JUL 8, 2016 11:12 AM JUL 21, 2015 1:26 PM DELIVERY NEEDED FEB 21, 2016 7:24 PM JAN 10, 2016 3:45 PM DEC 9, 2015 1:11 PM MAX PRODUCT ALARM JUL 14, 2016 12:21 PM JUL 21, 2015 1:26 PM JUL 16, 2013 1:19 PM LOW TEMP WARNING JUL 8, 2013 10:13 AM JUL 8, 2013 9:37 AM TANK 4 DIESEL OVERFILL ALARM JUL 8, 2016 11:22 AM JUL 7, 2015 3:38 PM JUL 7, 2014 4:36 PM LOW PRODUCT ALARM MAY 6, 2016 10:26 AM HIGH PRODUCT ALARM JUL 14, 2016 12:22 PM JUL 8, 2016 11:23 AM JUL 21, 2015 1:14 PM PROBE OUT JUL 8, 2016 11:26 AM JUL 8, 2016 11:10 AM JUL 21, 2015 1:15 PM DELIVERY NEEDED MAY 6, 2016 10:26 AM MAX PRODUCT ALARM JUL 14, 2016 12:22 PM LOW TEMP WARNING JUL 21, 2015 1:14 PM JUL 7, 2015 3:39 PM JUL 7, 2015 3:36 PM I38200 JUL 14, 2016 2:45 PM I30200 JUL 14, 2016 2:45 PM FASTRIP 367 8001 WHITE LANE BAKERSFIELD CA,93309 LIQUID ALARM HISTORY REPORT SENSOR LOCATION 1 UNL ANN JUL 14, 2016 2:13 PM SENSOR OUT ALARM JUL 14, 2016 11:44 AM FUEL ALARM JUL 8, 2016 10:22 AM FUEL ALARM 2 UNL STP JUL 14, 2016 2:13 PM SENSOR OUT ALARM JUL 14, 2016 11:47 AM FUEL ALARM JUL 8, 2016 10:23 AM FUEL ALARM 3 UNL FILL JUL 14, 2016 2:13 PM SENSOR OUT ALARM JUL 14, 2016 11:45 AM FUEL ALARM JUL 8, 2016 10:25 AM FUEL ALARM 5 UNL 2 STP JUL 14, 2016 2:13 PM SENSOR OUT ALARM JUL 14, 2016 11:58 AM FUEL ALARM JUL 8, 2016 10:27 AM FUEL ALARM 6 UNL 2 STP ANN JUL 14, 2016 2:13 PM FUEL ALARM JUL 14, 2016 11:59 AM FUEL ALARM JUL 8, 2016 10:28 AM FUEL ALARM 7 UNL 2 FILL JUL 14, 2016 2:13 PM FUEL ALARM JUL 14, 2016 11:58 AM FUEL ALARM JUL 8, 2016 10:32 AM FUEL ALARM 8 UNL 2 ANN FILL JUL 14, 2016 2:13 PM FUEL ALARM JUL 14, 2016 11:59 AM FUEL ALARM JUL 8, 2016 10:32 AM FUEL ALARM 9 UNL 2 ANN JUL 14, 2016 2:13 PM SENSOR OUT ALARM JUL 14, 2016 11:55 AM LOW LIQUID ALARM JUL 14, 2016 11:55 AM HIGH LIQUID ALARM 10 PREM ANN JUL 14, 2016 2:13 PM SENSOR OUT ALARM JUL 14, 2016 11:42 AM FUEL ALARM JUL 8, 2016 10:36 AM FUEL ALARM 11 PREM STP JUL 14, 2016 2:13 PM SENSOR OUT ALARM JUL 14, 2016 11:44 AM FUEL ALARM JUL 8, 2016 10:35 AM FUEL ALARM 12 PREM FILL JUL 14, 2016 2:13 PM SENSOR OUT ALARM JUL 14, 2016 11:43 AM FUEL ALARM JUL 8, 2016 10:38 AM FUEL ALARM 13 DSL ANN JUL 14, 2016 2:13 PM SENSOR OUT ALARM JUL 14, 2016 11:40 AM FUEL ALARM JUL 8, 2016 10:40 AM FUEL ALARM 14 DSL STP JUL 14, 2016 2:13 PM SENSOR OUT ALARM JUL 14, 2016 11:42 AM FUEL ALARM JUL 8, 2016 10:24 AM FUEL ALARM 15 DSL FILL JUL 14, 2016 2:13 PM SENSOR OUT ALARM JUL 14, 2016 11:41 AM FUEL ALARM JUL 8, 2016 10:43 AM FUEL ALARM 16 DISP 13-14 JUL 14, 2016 2:13 PM SENSOR OUT ALARM JUL 14, 2016 12:05 PM FUEL ALARM JUL 8, 2016 12:02 PM FUEL ALARM 17 DISP 15-16 JUL 14, 2016 2:13 PM SENSOR OUT ALARM JUL 14, 2016 12:06 PM FUEL ALARM JUL 8, 2016 11:03 AM FUEL ALARM 18 DISP 17-18 JUL 14, 2016 2:13 PM SENSOR OUT ALARM JUL 14, 2016 12:07 PM FUEL ALARM JUL 8, 2016 11:05 AM FUEL ALARM 19 DISP 19-20 JUL 14, 2016 2:13 PM SENSOR OUT ALARM JUL 14, 2016 12:08 PM FUEL ALARM JUL 8, 2016 11:07 AM FUEL ALARM 20 DISP 21-22 JUL 14, 2016 2:13 PM SENSOR OUT ALARM JUL 14, 2016 12:08 PM FUEL ALARM JUL 8, 2016 11:06 AM FUEL ALARM 21 DISP 23-24 JUL 14, 2016 2:13 PM SENSOR OUT ALARM JUL 14, 2016 12:09 PM FUEL ALARM JUL 8, 2016 11:05 AM FUEL ALARM 22 VENTBOX JUL 14, 2016 2:13 PM SENSOR OUT ALARM JUL 14, 2016 12:04 PM FUEL ALARM JUL 8, 2016 11:08 AM FUEL ALARM I31600 JUL 14, 2016 2:45 PM FASTRIP 367 8001 WHITE LANE BAKERSFIELD CA,93309 SMART SENSOR ALARM HISTORY REPORT SENSOR LOCATION 1 UNL 2 LINE JUL 14, 2016 12:01 PM NO VACUUM ALARM JUL 14, 2016 12:00 PM HIGH LIQUID ALARM JUL 8, 2016 10:30 AM NO VACUUM ALARM 2 UNL 2 VENT JUL 14, 2016 12:01 PM NO VACUUM ALARM JUL 14, 2016 12:00 PM HIGH LIQUID ALARM JUL 8, 2016 10:30 AM NO VACUUM ALARM 3 VAPOR JUL 14, 2016 12:00 PM NO VACUUM ALARM JUL 14, 2016 12:00 PM HIGH LIQUID ALARM JUL 8, 2016 10:29 AM NO VACUUM ALARM 8 ATM 10 FM 13-14 11 FM 15-16 12 FM 17-18 13 FM 19-20 14 FM 21-22 15 FM 23-24 JUL 7, 2014 4:31 PM COMMUNICATION ALARM 16 PS 17-18 I40200 JUL 14, 2016 2:45 PM I40300 JUL 14, 2016 2:45 PM I34200 JUL 14, 2016 2:45 PM I34700 JUL 14, 2016 2:45 PM IV0100 JUL 14, 2016 2:45 PM FASTRIP 367 8001 WHITE LANE BAKERSFIELD CA,93309 ISD ALARM STATUS REPORT EVR TYPE: VACUUM ASSIST ISD TYPE: 01.02 VAPOR PROCESSOR TYPE: NONE OVERALL STATUS :PASS EVR VAPOR COLLECTION :PASS EVR VAPOR CONTAINMENT :PASS ISD MONITOR UP-TIME :100% STAGE I TRANSFERS: 4 of 4 PASS EVR/ISD PASS TIME :100% WARNING ALARMS DATE TIME DESCRIPTION READING VALUE 16-05-11 10:02:04 A/L RATIO GROSS BLOCKAGE FP13 BLEND3 BLKD 16-04-15 10:08:09 A/L RATIO GROSS BLOCKAGE FP18 BLEND3 BLKD 16-04-15 10:08:09 A/L RATIO GROSS BLOCKAGE FP17 BLEND3 BLKD 16-04-14 10:02:14 A/L RATIO GROSS BLOCKAGE FP17 BLEND3 BLKD 16-03-14 10:02:25 CONTAINMENT GROSS OVER PRESSURE WEEKLY 95% 2.12 16-03-07 10:01:38 CONTAINMENT GROSS OVER PRESSURE WEEKLY 95% 3.38 16-02-29 10:01:46 CONTAINMENT GROSS OVER PRESSURE WEEKLY 95% 2.13 16-02-22 10:01:55 CONTAINMENT GROSS OVER PRESSURE WEEKLY 95% 1.81 16-02-09 10:02:43 A/L RATIO DEGRADATION FP18 BLEND3 0.81 16-02-07 10:02:33 A/L RATIO DEGRADATION FP18 BLEND3 0.80 FAILURE ALARMS DATE TIME DESCRIPTION READING VALUE 15-07-26 10:02:20 A/L RATIO GROSS BLOCKAGE FP19 BLEND3 BLKD 14-06-23 10:01:34 VAPOR CONTAINMENT LEAKAGE CFH@2 INCHES WC 12.56 10-10-25 10:01:47 A/L RATIO GROSS BLOCKAGE FP22 BLEND3 BLKD 10-10-25 10:01:47 A/L RATIO GROSS BLOCKAGE FP21 BLEND3 BLKD 09-08-20 10:01:50 A/L RATIO GROSS BLOCKAGE FP20 BLEND3 BLKD 09-08-20 10:01:50 A/L RATIO GROSS BLOCKAGE FP19 BLEND3 BLKD 09-08-19 10:01:59 A/L RATIO GROSS BLOCKAGE FP20 BLEND3 BLKD 09-08-19 10:01:59 A/L RATIO GROSS BLOCKAGE FP19 BLEND3 BLKD 09-08-18 10:01:35 A/L RATIO GROSS BLOCKAGE FP20 BLEND3 BLKD 09-08-18 10:01:35 A/L RATIO GROSS BLOCKAGE FP19 BLEND3 BLKD SHUTDOWN & MISCELLANEOUS EVENTS DATE TIME DESCRIPTION ACTION/NAME 16-07-14 13:29:21 READINESS ISD:PP EVR:NN EVR READINESS PENDING 16-07-14 13:29:21 ISD STARTUP 16-07-14 13:29:13 ISD SHUTDOWN 16-05-12 08:35:57 COLLECTION TEST HH01 GRADE TEST MANUALLY CLEARED 16-04-15 12:56:52 COLLECTION TEST HH06 GRADE TEST MANUALLY CLEARED 16-04-15 12:56:39 COLLECTION TEST HH05 GRADE TEST MANUALLY CLEARED 16-04-14 10:03:31 COLLECTION TEST HH05 GRADE TEST MANUALLY CLEARED 16-03-25 10:02:18 READINESS ISD:PP EVR:PP ISD & EVR READY 16-03-24 15:18:34 READINESS ISD:PP EVR:NN EVR READINESS PENDING 16-03-24 15:18:34 ISD STARTUP 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. #3367/Fastrip#640(East)07/14/2013 8001WhiteLane Bakersfield,CA93309 OmeroGarcia(661)393-7000 06/14/2016 Shane Gardener CameronMason 8174721-UT Regular1 12.00" 13.25" 5min. 11:00 am 12.00" 12:00 pm 12.00" 1hour 0.00" 0.0625" Regular2 12.00" 15.00" 5min. 11:00 am 12.00" 12:00 pm 12.00" 1hour 0.00" 0.0625"0.0625" Super 12.00" 14.50" 5min. 11:00 am 12.00" 12:00 pm 12.00" 1hour 0.00" Diesel 12.00" 14.00" 5min. 11:00 am 12.00" 12:00 pm 12.00" 1hour 0.00" 0.0625" 07/14/2013