HomeMy WebLinkAboutFMC 2016MONITORING 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
#7705/Fastrip#641
1200CoffeeRoadBakersfield93308
OmeroGarcia (661)393-7000
Veeder-RootTLS-350 07/07/2016
12000gal.Regular
847390-107
794390-420
794380-208
794380-208
FX1V
847390-107
12000galSuper
847390-107
794390-420
794380-208
794380-208
FX1V
847390-107
12000gal.Diesel
847390-107
794390-420
794380-208
794380-208
FX1DV
847390-107
1-2
794380-208
3-4
794380-208
5-6
794380-208 794380-208
7-8
BrandonMason
B34335
1200CoffeeRoad Bakersfield,CA93308 07/07/2016
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
327.04
90
Monitoring System Certification
F.In-Tank Gauging / SIR Equipment: Check this box if tank gauging is used only for inventory control.
Check this box if no tank gauging or SIR equipment is installed.
This section must be completed if in-tank gauging equipment is used to perform leak detection monitoring.
Complete the following checklist:
Yes No*Has all input wiring been inspected for proper entry and termination, including testing for ground faults?
Yes No*Were all tank gauging probes visually inspected for damage and residue buildup?
Yes No*Was accuracy of system product level readings tested?
Yes No*Was accuracy of system water level readings tested?
Yes No*Were all probes reinstalled properly?
Yes No*Were all items on the equipment manufacturer’s maintenance checklist completed?
* In the Section H, below, describe how and when these deficiencies were or will be corrected.
G.Line Leak Detectors (LLD):Check this box if LLDs are not installed.
Complete the following checklist:
Yes No*
N/A
For equipment start-up or annual equipment certification, was a leak simulated to verify LLD performance?
(Check all that apply)Simulated leak rate: 3 g.p.h.; 0.1 g.p.h ; 0.2 g.p.h.
Yes No*Were all LLDs confirmed operational and accurate within regulatory requirements?
Yes No*Was the testing apparatus properly calibrated?
Yes No*
N/A
For mechanical LLDs, does the LLD restrict product flow if it detects a leak?
Yes No*
N/A
For electronic LLDs, does the turbine automatically shut off if the LLD detects a leak?
Yes No*
N/A
For electronic LLDs, does the turbine automatically shut off if any portion of the monitoring system is disabled
or disconnected?
Yes No*
N/A
For electronic LLDs, does the turbine automatically shut off if any portion of the monitoring system malfunctions
or fails a test?
Yes No*
N/A
For electronic LLDs, have all accessible wiring connections been visually inspected?
Yes No*Were all items on the equipment manufacturer’s maintenance checklist completed?
* In the Section H, below, describe how and when these deficiencies were or will be corrected.
H.Comments:
Page 3 of 3
Leak Detector Test Results Sheet
Customer Address: Work Order: Site Address:
Test Date:
Site Contact: Phone:
Technician: Phone: 800-339-9930 ICC No.:
Product Type LLD Type Model Serial No. Check
Valve
Holding
Pressure
Bleed
Off ML.
Leak
Rate
Tested:
Pass/Fail
3 gph @
10 psi
3 gph @
10 psi
3 gph @
10 psi
3 gph @
10 psi
3 gph @
10 psi
3 gph @
10 psi
3 gph @
10 psi
3 gph @
10 psi
Technician Name: Technician No.:
Signature: Date:
JamiesonHill
P.O.Box82515
Bakersfield,CA93380-2515
36813
07/07/2016
5284980-UT
Regular Mechanical FX1V
BrandonMason
(661)393-7000OmeroGarcia
Bakersfield,CA93308
1200CoffeeRoad
#7705/Fastrip#641
12psi40ml Pass
FX1VMechanicalPremium 14psi60ml Pass
FX1DVMechanicalDiesel 10psi40ml Pass
BrandonMason 5284980-UT
07/07/2016
Responses Received: 200 FASTRIP 705 1200 COFFEE RD. BAKERSFIELD CB 93308 661-589-6305 JUL 7, 2016 11:42 AM TANK PRODUCT GALLONS INCHES WATER DEG F ULLAGE 1 UNLEADED 8388 72.98 0.0 79.9 3644 2 PREMIUM 8882 76.80 0.8 84.6 3150 3 DIESEL 7866 69.04 0.0 86.0 4166 I90500 JUL 7, 2016 11:42 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 I50500 JUL 7, 2016 11:42 AM SYSTEM TYPE AND LANGUAGE FLAG SYSTEM UNITS U.S. SYSTEM LANGUAGE ENGLISH SYSTEM DATE/TIME FORMAT MON DD YYYY HH:MM:SS xM
I50201 JUL 7, 2016 11:42 AM SHIFT TIME 1 : 11:00 PM I50202 JUL 7, 2016 11:42 AM SHIFT TIME 2 : DISABLED I50203
JUL 7, 2016 11:42 AM SHIFT TIME 3 : DISABLED I50204 JUL 7, 2016 11:42 AM SHIFT TIME 4 : DISABLED I54600 JUL 7, 2016 11:42 AM TANK PER TST NEEDED WRN: DISABLED I54900 JUL 7, 2016 11:42 AM TANK ANN TST NEEDED WRN: DISABLED I55300 JUL 7, 2016 11:42 AM LINE RE-ENABLE METHOD PASS LINE TEST I55600 JUL 7, 2016 11:42 AM LINE PER TST NEEDED WRN: DISABLED I55900 JUL 7, 2016 11:42 AM
LINE ANN TST NEEDED WRN: DISABLED I50D00 JUL 7, 2016 11:42 AM PRINT TC VOLUMES ENABLED I50E00 JUL 7, 2016 11:42 AM TEMP COMPENSATION VALUE (DEG F ): 60.0
I60B00 JUL 7, 2016 11:42 AM STICK HEIGHT OFFSET ENABLE STATUS DISABLED I51400 JUL 7, 2016 11:42 AM H-PROTOCOL DATA FORMAT HEIGHT I51A01 JUL 7, 2016 11:42 AM DAYLIGHT SAVING TIME ENABLED ON I51B00 JUL 7, 2016 11:42 AM DAYLIGHT SAVING TIME START DATE MAR WEEK 2 SUN 2:00 AM END DATE OCT WEEK 6 SUN 2:00 AM I51600 JUL 7, 2016 11:42 AM RE-DIRECT LOCAL PRINTOUT DISABLED
I50400 JUL 7, 2016 11:42 AM 232 SECURITY CODE PORT SECURITY CODE STATUS 1 000000 DISABLED 2 000000 DISABLED 3 000000 DISABLED 4 000000 DISABLED 5 000000 DISABLED 6 000000 DISABLED
I21900 JUL 7, 2016 11:42 AM TANK CHART SECURITY DISABLED I5BD00 JUL 7, 2016 11:42 AM CUSTOM ALARM LABELS DISABLED I56000 JUL 7, 2016 11:42 AM MASS/DENSITY DISABLED I88101 JUL 7, 2016 11:42 AM PORT SETTINGS: COMM BOARD : 1 (RS-232) BAUD RATE : 9600 PARITY : NONE STOP BIT : 1 STOP DATA LENGTH: 8 DATA RS-232 SECURITY CODE : DISABLED I88102 JUL 7, 2016 11:42 AM PORT SETTINGS: COMM BOARD : 2 (EDIM )
RS-232 SECURITY CODE : DISABLED I88103 JUL 7, 2016 11:42 AM PORT SETTINGS: COMM BOARD : 3 (RS-232) BAUD RATE : 9600 PARITY : NONE STOP BIT : 1 STOP DATA LENGTH: 8 DATA RS-232 SECURITY CODE : DISABLED
I88104 JUL 7, 2016 11:42 AM I88105 JUL 7, 2016 11:42 AM I88106 JUL 7, 2016 11:42 AM I52000 JUL 7, 2016 11:42 AM RECEIVER AUTO DIAL TYPE & START TIME RCVR LOCATION LABEL DIAL TYPE START TIME 1 ON DATE DEC 7, 2010 DISABLED 2 ON DATE DEC 7, 2010 DISABLED 3 ON DATE DEC 7, 2010 DISABLED 4 ON DATE DEC 7, 2010 DISABLED 5 ON DATE DEC 7, 2010 DISABLED 6 ON DATE DEC 7, 2010 DISABLED 7 ON DATE DEC 7, 2010 DISABLED 8 ON DATE DEC 7, 2010 DISABLED I60100 JUL 7, 2016 11:42 AM TANK CONFIGURATION DEVICE LABEL CONFIGURED 1 UNLEADED ON 2 PREMIUM ON 3 DIESEL ON 4 OFF
I60200 JUL 7, 2016 11:42 AM TANK PRODUCT LABEL TANK PRODUCT LABEL 1 UNLEADED 2 PREMIUM 3 DIESEL 4 I60300 JUL 7, 2016 11:42 AM TANK PRODUCT CODE TANK PRODUCT LABEL
1 UNLEADED 1 2 PREMIUM 2 3 DIESEL 3 4 4 I60900 JUL 7, 2016 11:42 AM TANK THERMAL COEFFICIENT TANK PRODUCT LABEL 1 UNLEADED 0.000700 2 PREMIUM 0.000700 3 DIESEL 0.000450 4 0.000000 I60700 JUL 7, 2016 11:42 AM TANK DIAMETER TANK PRODUCT LABEL INCHES 1 UNLEADED 111.00 2 PREMIUM 111.00 3 DIESEL 111.00 4 0.00 I60A00 JUL 7, 2016 11:42 AM TANK FULL VOLUME TANK PRODUCT LABEL TANK PROFILE GALLONS 1 UNLEADED 1 PT 12032 2 PREMIUM 1 PT 12032 3 DIESEL 1 PT 12032 4 1 PT 0 I60400 JUL 7, 2016 11:42 AM TANK FULL VOLUME TANK PRODUCT LABEL GALLONS 1 UNLEADED 12032 2 PREMIUM 12032 3 DIESEL 12032 4 0 I60500 JUL 7, 2016 11:42 AM TANK 4 POINT VOLUMES TANK PRODUCT LABEL GALLONS 1 UNLEADED 12032 0 0 0 2 PREMIUM 12032 0 0 0 3 DIESEL 12032 0 0 0 4 0 0 0 0
I60600 JUL 7, 2016 11:42 AM TANK 20 POINT VOLUMES TANK PRODUCT LABEL GALLONS 1 UNLEADED 12032 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2 PREMIUM 12032 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 3 DIESEL 12032 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 4 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 I61500 JUL 7, 2016 11:42 AM TANK PRODUCT LABEL METER DATA 1 UNLEADED NO 2 PREMIUM NO 3 DIESEL NO 4 NO I62F00 JUL 7, 2016 11:42 AM
MAG PROBE FLOAT SIZE TANK PRODUCT LABEL FLOAT SIZE: 1 UNLEADED 4.0 INCHES 2 PREMIUM 4.0 INCHES 3 DIESEL 4.0 INCHES I62700 JUL 7, 2016 11:42 AM TANK HIGH WATER WARNING LIMIT TANK PRODUCT LABEL INCHES 1 UNLEADED 2.0 2 PREMIUM 2.0 3 DIESEL 2.0
9999FF1B I62400 JUL 7, 2016 11:42 AM TANK HIGH WATER LEVEL LIMIT TANK PRODUCT LABEL INCHES 1 UNLEADED 3.0 2 PREMIUM 3.0 3 DIESEL 3.0 I62800 JUL 7, 2016 11:42 AM TANK MAXIMUM VOLUME LIMIT TANK PRODUCT LABEL GALLONS 1 UNLEADED 12032 2 PREMIUM 12032 3 DIESEL 12032 4 0 I62300 JUL 7, 2016 11:42 AM TANK OVERFILL LEVEL LIMIT TANK PRODUCT LABEL GALLONS 1 UNLEADED 11430 2 PREMIUM 11430 3 DIESEL 10828 4 0 I62200 JUL 7, 2016 11:42 AM TANK HIGH PRODUCT LIMIT TANK PRODUCT LABEL GALLONS 1 UNLEADED 11430
2 PREMIUM 11430 3 DIESEL 11430 4 0 I62900 JUL 7, 2016 11:42 AM TANK DELIVERY REQUIRED LIMIT TANK PRODUCT LABEL GALLONS 1 UNLEADED 1804 2 PREMIUM 1804 3 DIESEL 1804 4 0 I62100
JUL 7, 2016 11:42 AM TANK LOW PRODUCT LIMIT TANK PRODUCT LABEL GALLONS 1 UNLEADED 500 2 PREMIUM 500 3 DIESEL 500 4 0 I62600 JUL 7, 2016 11:42 AM TANK LEAK ALARM LIMIT TANK PRODUCT LABEL GALLONS 1 UNLEADED 99 2 PREMIUM 99 3 DIESEL 99 4 99 I62500 JUL 7, 2016 11:42 AM TANK SUDDEN LOSS LIMIT TANK PRODUCT LABEL GALLONS 1 UNLEADED 99 2 PREMIUM 99 3 DIESEL 99 4 99 I60800 JUL 7, 2016 11:43 AM TANK TILT TANK PRODUCT LABEL INCHES 1 UNLEADED 5.40 2 PREMIUM 5.00 3 DIESEL 1.00 4 0.00
I60B00 JUL 7, 2016 11:43 AM STICK HEIGHT OFFSET ENABLE STATUS DISABLED I60C00 JUL 7, 2016 11:43 AM TANK STICK HEIGHT OFFSET TANK PRODUCT LABEL INCHES 1 UNLEADED 0.00 2 PREMIUM 0.00 3 DIESEL 0.00
4 0.00 I61200 JUL 7, 2016 11:43 AM TANK MANIFOLDED PARTNERS TANK PRODUCT LABEL SIPHON MANIFOLDED TANKS LINE MANIFOLDED TANKS 1 UNLEADED NONE NONE 2 PREMIUM NONE NONE 3 DIESEL NONE NONE 4 NONE NONE I63600 JUL 7, 2016 11:43 AM PERIODIC LEAK TEST MIN VOLUME TANK PRODUCT LABEL GALLONS 1 UNLEADED 120 2 PREMIUM 120 3 DIESEL 120 4 0 I62A00 JUL 7, 2016 11:43 AM ANNUAL LEAK TEST MIN VOLUME TANK PRODUCT LABEL GALLONS 1 UNLEADED 120 2 PREMIUM 120 3 DIESEL 120 4 0 I62C00 JUL 7, 2016 11:43 AM TANK PERIODIC TEST TYPE TANK PRODUCT LABEL PERIODIC TEST TYPE
1 UNLEADED STANDARD 2 PREMIUM STANDARD 3 DIESEL STANDARD 4 STANDARD I62D00 JUL 7, 2016 11:43 AM 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 PREMIUM GROSS TEST FAIL ALARM DISABLED
PERIODIC TEST FAIL ALARM DISABLED ANNUAL TEST FAIL ALARM DISABLED 3 DIESEL GROSS TEST FAIL ALARM DISABLED PERIODIC TEST FAIL ALARM DISABLED ANNUAL TEST FAIL ALARM DISABLED 4 GROSS TEST FAIL ALARM DISABLED PERIODIC TEST FAIL ALARM DISABLED ANNUAL TEST FAIL ALARM DISABLED I63100 JUL 7, 2016 11:43 AM TANK LEAK TEST AVERAGING TANK PRODUCT LABEL ANNUAL PERIODIC 1 UNLEADED OFF OFF 2 PREMIUM OFF OFF 3 DIESEL OFF OFF 4 OFF OFF I63000 JUL 7, 2016 11:43 AM IN-TANK LEAK TEST NOTIFY TANK PRODUCT LABEL TANK TEST NOTIFY: 1 UNLEADED OFF 2 PREMIUM OFF 3 DIESEL OFF 4 OFF I63200 JUL 7, 2016 11:43 AM TANK TEST SIPHON BREAK
TANK PRODUCT LABEL SIPHON BREAK 1 UNLEADED OFF 2 PREMIUM OFF 3 DIESEL OFF 4 OFF I61000 JUL 7, 2016 11:43 AM TANK DELIVERY DELAY TANK PRODUCT LABEL 1 UNLEADED 1 2 PREMIUM 1 3 DIESEL 1 4 1
I63A00 JUL 7, 2016 11:43 AM LOW LEVEL PUMP THRESHOLD FOR SEQUENTIAL LINE MANIFOLD TANK PRODUCT LABEL PUMP THRESHOLD 1 UNLEADED 10.00% 2 PREMIUM 10.00% 3 DIESEL 10.00% 4 10.00% I61100 JUL 7, 2016 11:43 AM LEAK TEST METHOD - - - - - - - - - - - - TEST ON DATE : ALL TANK JAN 15, 2008 START TIME : 2:00 AM TEST RATE :0.20 GAL/HR DURATION : 2 HOURS TST EARLY STOP:DISABLED I61300 JUL 7, 2016 11:43 AM CSLD PROBABLITY OF DETECTION I61400 JUL 7, 2016 11:43 AM CSLD CLIMATE FACTOR I61600
JUL 7, 2016 11:43 AM TANK PRODUCT LABEL CAL UPDATE 1 UNLEADED IMMEDIATE 2 PREMIUM IMMEDIATE 3 DIESEL IMMEDIATE 4 IMMEDIATE I61A00 JUL 7, 2016 11:43 AM IN-TANK LEAK TEST EARLY STOP TANK PRODUCT LABEL TST EARLY STOP: 1 UNLEADED DISABLED 2 PREMIUM DISABLED
3 DIESEL DISABLED 4 DISABLED I61B00 JUL 7, 2016 11:43 AM IN-TANK LEAK GROSS TEST AUTO-CONFIRM I61C00 JUL 7, 2016 11:43 AM CSLD REPORT ONLY I62B00 JUL 7, 2016 11:43 AM TANK LAST ANNUAL TEST TANK PRODUCT LABEL DATE 1 UNLEADED ??? 0, 0 2 PREMIUM ??? 0, 0 3 DIESEL ??? 0, 0 4 ??? 0, 0 I63300 JUL 7, 2016 11:43 AM LEAK TEST REPORT FORMAT: NORMAL I63400 JUL 7, 2016 11:43 AM RECONCILIATION WARNING LIMIT
TANK PRODUCT LABEL GALLONS 1 UNLEADED 0 2 PREMIUM 0 3 DIESEL 0 4 0 I63500 JUL 7, 2016 11:43 AM RECONCILIATION ALARM LIMIT TANK PRODUCT LABEL GALLONS 1 UNLEADED 1 2 PREMIUM 1 3 DIESEL 1 4 1
I63900 JUL 7, 2016 11:43 AM ACCU CHART END SHAPE FACTOR TANK PRODUCT LABEL 1 UNLEADED END FACTOR: NONE 2 PREMIUM END FACTOR: NONE 3 DIESEL END FACTOR: NONE 4 END FACTOR: NONE I78000 JUL 7, 2016 11:43 AM I77700 JUL 7, 2016 11:43 AM I77800 JUL 7, 2016 11:43 AM I78C00 JUL 7, 2016 11:43 AM
I78300 JUL 7, 2016 11:43 AM I78F00 JUL 7, 2016 11:43 AM I78700 JUL 7, 2016 11:43 AM I70200 JUL 7, 2016 11:43 AM
LIQUID LABEL DEVICE LABEL 1 UNL STP 2 UNL ANN 3 UNL FILL 4 PREM STP 5 PREM ANN 6 PREM FILL 7 DIESEL STP 8 DIESEL ANN 9 DIESEL FILL 10 DISP 1-2 11 DISP 3-4 12 DISP 5-6 13 DISP 7-8 14 15 16 I70300 JUL 7, 2016 11:43 AM LIQUID TYPE SENSOR LOCATION TYPE 1 UNL STP TRI-STATE (SINGLE FLOAT) 2 UNL ANN TRI-STATE (SINGLE FLOAT) 3 UNL FILL TRI-STATE (SINGLE FLOAT) 4 PREM STP TRI-STATE (SINGLE FLOAT) 5 PREM ANN TRI-STATE (SINGLE FLOAT) 6 PREM FILL TRI-STATE (SINGLE FLOAT) 7 DIESEL STP TRI-STATE (SINGLE FLOAT) 8 DIESEL ANN TRI-STATE (SINGLE FLOAT) 9 DIESEL FILL TRI-STATE (SINGLE FLOAT) 10 DISP 1-2 TRI-STATE (SINGLE FLOAT) 11 DISP 3-4 TRI-STATE (SINGLE FLOAT) 12 DISP 5-6 TRI-STATE (SINGLE FLOAT) 13 DISP 7-8 TRI-STATE (SINGLE FLOAT) 14 TRI-STATE (SINGLE FLOAT) 15 TRI-STATE (SINGLE FLOAT) 16 TRI-STATE (SINGLE FLOAT)
I70400 JUL 7, 2016 11:43 AM LIQUID CATEGORY SENSOR LOCATION CATEGORY 1 UNL STP STP SUMP 2 UNL ANN ANNULAR SPACE 3 UNL FILL OTHER SENSORS 4 PREM STP STP SUMP 5 PREM ANN ANNULAR SPACE 6 PREM FILL OTHER SENSORS 7 DIESEL STP STP SUMP 8 DIESEL ANN ANNULAR SPACE 9 DIESEL FILL OTHER SENSORS
10 DISP 1-2 DISPENSER PAN 11 DISP 3-4 DISPENSER PAN 12 DISP 5-6 DISPENSER PAN 13 DISP 7-8 DISPENSER PAN 14 OTHER SENSORS 15 OTHER SENSORS 16 OTHER SENSORS I74200 JUL 7, 2016 11:43 AM 2 WIRE CL LABEL DEVICE LABEL 1 PREM ANN 2 3 4 5 6 7 8 I74300 JUL 7, 2016 11:43 AM 2 WIRE CL TYPE SENSOR LOCATION TYPE 1 PREM ANN DISCRIM. INTERSTITIAL 2 ULTRA 2 3 ULTRA 2 4 ULTRA 2 5 ULTRA 2 6 ULTRA 2 7 ULTRA 2 8 ULTRA 2 I74400
JUL 7, 2016 11:43 AM 2 WIRE CL CATEGORY SENSOR LOCATION CATEGORY 1 PREM ANN ANNULAR SPACE 2 OTHER SENSORS 3 OTHER SENSORS 4 OTHER SENSORS 5 OTHER SENSORS 6 OTHER SENSORS 7 OTHER SENSORS 8 OTHER SENSORS I74700 JUL 7, 2016 11:43 AM
I74800 JUL 7, 2016 11:43 AM I74900 JUL 7, 2016 11:43 AM I7BC00 JUL 7, 2016 11:43 AM I80200 JUL 7, 2016 11:43 AM I80300 JUL 7, 2016 11:43 AM I80400 JUL 7, 2016 11:43 AM I80700 JUL 7, 2016 11:43 AM RELAY LABEL DEVICE LABEL 1 UNLEADED 2 PREMIUM 3 DIESEL 4 OVERFILL ALARM
I80900 JUL 7, 2016 11:43 AM RELAY ORIENTATION RELAY DESIGNATION ORIENTATION 1 UNLEADED NORMALLY OPEN 2 PREMIUM NORMALLY OPEN 3 DIESEL NORMALLY CLOSED 4 OVERFILL ALARM NORMALLY OPEN I80B00 JUL 7, 2016 11:43 AM RELAY TANK ASSIGNMENT
RELAY DESIGNATION TANK 1 UNLEADED 1 2 PREMIUM 2 3 DIESEL 3 4 OVERFILL ALARM NONE I80A00 JUL 7, 2016 11:43 AM RELAY TYPE RELAY DESIGNATION TYPE 1 UNLEADED PUMP CONTROL OUTPUT 2 PREMIUM PUMP CONTROL OUTPUT 3 DIESEL STANDARD 4 OVERFILL ALARM STANDARD I80C00 JUL 7, 2016 11:43 AM I80800 JUL 7, 2016 11:43 AM RELAY SETUP REPORT R 1:UNLEADED TYPE: PUMP CONTROL OUTPUT TANK #: 1 LIQUID SENSOR ALMS L 1:FUEL ALARM L10:FUEL ALARM L11:FUEL ALARM L12:FUEL ALARM L13:FUEL ALARM L 1:SENSOR OUT ALARM
L10:SENSOR OUT ALARM L11:SENSOR OUT ALARM L12:SENSOR OUT ALARM L13:SENSOR OUT ALARM L 1:SHORT ALARM L10:SHORT ALARM L11:SHORT ALARM L12:SHORT ALARM L13: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 SETUP FAIL ISD SENSOR OUT FAIL
ISD HOSE ALARMS ALL:GROSS COLLECT FAIL ALL:DEGRD COLLECT FAIL ALL:FLOW COLLECT FAIL R 2:PREMIUM TYPE: PUMP CONTROL OUTPUT TANK #: 2 LIQUID SENSOR ALMS L 4:FUEL ALARM L10:FUEL ALARM L11:FUEL ALARM L12:FUEL ALARM L13:FUEL ALARM L 4:SENSOR OUT ALARM L10:SENSOR OUT ALARM L11:SENSOR OUT ALARM L12:SENSOR OUT ALARM L13:SENSOR OUT ALARM L 4:SHORT ALARM L10:SHORT ALARM L11:SHORT ALARM L12:SHORT ALARM L13: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 SETUP FAIL ISD SENSOR OUT FAIL ISD HOSE ALARMS ALL:GROSS COLLECT FAIL ALL:DEGRD COLLECT FAIL ALL:FLOW COLLECT FAIL
R 3:DIESEL TYPE: STANDARD NORMALLY CLOSED TANK #: 3 LIQUID SENSOR ALMS L 7:FUEL ALARM L10:FUEL ALARM L11:FUEL ALARM L12:FUEL ALARM L13:FUEL ALARM L 7:SENSOR OUT ALARM L10:SENSOR OUT ALARM L11:SENSOR OUT ALARM L12:SENSOR OUT ALARM
L13:SENSOR OUT ALARM L 7:SHORT ALARM L10:SHORT ALARM L11:SHORT ALARM L12:SHORT ALARM L13:SHORT ALARM R 4:OVERFILL ALARM TYPE: STANDARD NORMALLY OPEN TANK #: NONE IN-TANK ALARMS ALL:OVERFILL ALARM ALL:HIGH PRODUCT ALARM ALL:MAX PRODUCT ALARM I79000 JUL 7, 2016 11:44 AM EDIM:1 VR:349634-003-C TD:06.05.11.11.15 I79100 JUL 7, 2016 11:44 AM I72300 JUL 7, 2016 11:44 AM FASTRIP 705 1200 COFFEE RD. BAKERSFIELD CB 93308 661-589-6305
SMARTSENSOR ASSIGNMENT DEVICE LABEL CATEGORY 01 P.S.DISP 3-4 VAPOR PRESSURE 02 F.M. DISP 1-2 AIR FLOW METER 03 F.M. DISP 3-4 AIR FLOW METER 04 F.M. DISP 5-6 AIR FLOW METER 05 F.M. DISP 7-8 AIR FLOW METER 06 UNKNOWN 07 UNKNOWN 08 UNKNOWN 09 UNKNOWN 10 UNKNOWN 11 UNKNOWN 12 UNKNOWN 13 UNKNOWN 14 UNKNOWN
15 UNKNOWN 16 UNKNOWN 17 UNKNOWN 18 UNKNOWN 19 UNKNOWN 20 UNKNOWN 21 UNKNOWN 22 UNKNOWN 23 UNKNOWN 24 UNKNOWN 25 UNKNOWN 26 UNKNOWN 27 UNKNOWN 28 UNKNOWN 29 UNKNOWN 30 UNKNOWN 31 UNKNOWN 32 UNKNOWN 33 UNKNOWN 34 UNKNOWN 35 UNKNOWN 36 UNKNOWN 37 UNKNOWN 38 UNKNOWN 39 UNKNOWN 40 UNKNOWN IV4E00 JUL 7, 2016 11:44 AM FASTRIP 705 1200 COFFEE RD. BAKERSFIELD CB 93308 661-589-6305 EVR/ISD SETUP TYPE: VACUUM ASSIST VACUUM ASSIST TYPE: HEALY VAC IV4F00 JUL 7, 2016 11:44 AM
FASTRIP 705 1200 COFFEE RD. BAKERSFIELD CB 93308 661-589-6305 NOZZLE A/L RANGE A/L RATIO: 0.95 - 1.15 IV4000 JUL 7, 2016 11:44 AM FASTRIP 705 1200 COFFEE RD. BAKERSFIELD CB 93308 661-589-6305
VAPOR PROCESSOR TYPE NO VAPOR PROCESSOR IV4700 JUL 7, 2016 11:44 AM FASTRIP 705 1200 COFFEE RD. BAKERSFIELD CB 93308 661-589-6305 ASSESSMENT TIME START TIME: 10:07 AM TIME DELAY MINUTES: 1 IV5200 JUL 7, 2016 11:44 AM FASTRIP 705 1200 COFFEE RD. BAKERSFIELD CB 93308 661-589-6305 ACCEPT HIGH ORVR: NO IV4A00 JUL 7, 2016 11:44 AM FASTRIP 705 1200 COFFEE RD. BAKERSFIELD CB 93308 661-589-6305 ISD HOSE TABLE HOSE FP FP AFM HOSE ID ID LABEL ID LABEL 01 01 01 01 BLEND3 02 02 02 01 BLEND3
03 03 03 02 BLEND3 04 04 04 02 BLEND3 05 05 05 03 BLEND3 06 06 06 03 BLEND3 07 07 07 04 BLEND3 08 08 08 04 BLEND3 IV4B00 JUL 7, 2016 11:44 AM FASTRIP 705 1200 COFFEE RD. BAKERSFIELD CB 93308 661-589-6305 PRODUCT/HOSE MAP TABLE
FP AFID M1/H1 M2/H2 M3/H3 M4/H4 01 01 02/01 03/01 09/01 xx/xx 02 01 02/02 03/02 09/02 xx/xx 03 02 02/03 03/03 09/03 xx/xx 04 02 02/04 03/04 09/04 xx/xx 05 03 02/05 03/05 09/05 xx/xx 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 IV4900 JUL 7, 2016 11:44 AM FASTRIP 705 1200 COFFEE RD. BAKERSFIELD CB 93308 661-589-6305 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 7, 2016 11:44 AM ISD VERSION: 01.01
Responses Received: I10200 JUL 7, 2016 11:44 AM FASTRIP 705 1200 COFFEE RD. BAKERSFIELD CB 93308 661-589-6305 SYSTEM CONFIGURATION SLOT BOARD TYPE POWER ON RESET CURRENT 1 7SMARTSENSOR BD 505470 504133 2 4 PROBE / G.T. 163207 162667 3 INTERSTITIAL BD 201409 200891 4 INTERSTITIAL BD 200744 200331 5 2 WIRE CL 10033004 68190 6 UNUSED 10019108 9834646 7 UNUSED 10018634 9829418 8 UNUSED 10017315 9833551
9 STP SENSE BOARD 33147 33093 10 RELAY BOARD 14876 14862 11 UNUSED 10024851 9833353 12 UNUSED 10022274 9821576 13 UNUSED 10021079 9832403 14 UNUSED 10020048 9831576 15 UNUSED 10018976 9832899 16 UNUSED 10017017 9829097 COMM 1 RS232 SERIAL BD 14939 14924 COMM 2 ELEC DISP INT. 101050 100934 COMM 3 RS232 SERIAL BD 14980 14966 COMM 4 UNUSED 10023697 9839738 COMM 5 UNUSED 10015224 9830605 COMM 6 UNUSED 10021017 9829799 I90200 JUL 7, 2016 11:44 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 JUL 7, 2016 11:44 AM FASTRIP 705 1200 COFFEE RD. BAKERSFIELD CB 93308 661-589-6305 PRIORITY ALARM HISTORY ID CATEGORY DESCRIPTION ALARM TYPE STATE DATE TIME T 3 TANK DIESEL PROBE OUT CLEAR 7-07-16 10:33AM T 3 TANK DIESEL PROBE OUT ALARM 7-07-16 10:33AM
T 2 TANK PREMIUM PROBE OUT CLEAR 7-07-16 10:31AM T 2 TANK PREMIUM PROBE OUT ALARM 7-07-16 10:31AM T 1 TANK UNLEADED PROBE OUT CLEAR 7-07-16 10:23AM T 1 TANK UNLEADED PROBE OUT ALARM 7-07-16 10:23AM T 3 TANK DIESEL MAX PRODUCT ALARM CLEAR 7-07-16 9:37AM T 3 TANK DIESEL MAX PRODUCT ALARM ALARM 7-07-16 9:37AM T 2 TANK PREMIUM MAX PRODUCT ALARM CLEAR 7-07-16 9:37AM T 2 TANK PREMIUM MAX PRODUCT ALARM ALARM 7-07-16 9:37AM T 1 TANK UNLEADED MAX PRODUCT ALARM CLEAR 7-07-16 9:36AM T 1 TANK UNLEADED MAX PRODUCT ALARM ALARM 7-07-16 9:36AM T 3 TANK DIESEL PROBE OUT CLEAR 7-07-16 9:35AM T 3 TANK DIESEL PROBE OUT ALARM 7-07-16 9:34AM T 2 TANK PREMIUM PROBE OUT CLEAR 7-07-16 9:33AM T 2 TANK PREMIUM PROBE OUT ALARM 7-07-16 9:32AM T 1 TANK UNLEADED PROBE OUT CLEAR 7-07-16 9:32AM T 1 TANK UNLEADED PROBE OUT ALARM 7-07-16 9:31AM C 1 ANNULAR PREM ANN SENSOR OUT ALARM CLEAR 7-07-16 9:29AM L 2 ANNULAR UNL ANN SENSOR OUT ALARM CLEAR 7-07-16 9:29AM
L 8 ANNULAR DIESEL ANN SENSOR OUT ALARM CLEAR 7-07-16 9:29AM L 7 STP SUMP DIESEL STP SENSOR OUT ALARM CLEAR 7-07-16 9:29AM L12 DISP PAN DISP 5-6 SENSOR OUT ALARM CLEAR 7-07-16 9:29AM L11 DISP PAN DISP 3-4 SENSOR OUT ALARM CLEAR 7-07-16 9:29AM L 6 OTHER PREM FILL SENSOR OUT ALARM CLEAR 7-07-16 9:29AM L 4 STP SUMP PREM STP SENSOR OUT ALARM CLEAR 7-07-16 9:29AM L 3 OTHER UNL FILL SENSOR OUT ALARM CLEAR 7-07-16 9:29AM L10 DISP PAN DISP 1-2 SENSOR OUT ALARM CLEAR 7-07-16 9:29AM L 1 STP SUMP UNL STP SENSOR OUT ALARM CLEAR 7-07-16 9:29AM L 9 OTHER DIESEL FILL SENSOR OUT ALARM CLEAR 7-07-16 9:29AM L13 DISP PAN DISP 7-8 SENSOR OUT ALARM CLEAR 7-07-16 9:29AM L12 DISP PAN DISP 5-6 SENSOR OUT ALARM ALARM 7-07-16 9:29AM L11 DISP PAN DISP 3-4 SENSOR OUT ALARM ALARM 7-07-16 9:29AM L 4 STP SUMP PREM STP SENSOR OUT ALARM ALARM 7-07-16 9:29AM L 3 OTHER UNL FILL SENSOR OUT ALARM ALARM 7-07-16 9:29AM L10 DISP PAN DISP 1-2 SENSOR OUT ALARM ALARM 7-07-16 9:29AM L 2 ANNULAR UNL ANN SENSOR OUT ALARM ALARM 7-07-16 9:29AM C 1 ANNULAR PREM ANN SENSOR OUT ALARM ALARM 7-07-16 9:29AM L13 DISP PAN DISP 7-8 SENSOR OUT ALARM ALARM 7-07-16 9:29AM L 8 ANNULAR DIESEL ANN SENSOR OUT ALARM ALARM 7-07-16 9:29AM L 7 STP SUMP DIESEL STP SENSOR OUT ALARM ALARM 7-07-16 9:29AM L 6 OTHER PREM FILL SENSOR OUT ALARM ALARM 7-07-16 9:29AM L 9 OTHER DIESEL FILL SENSOR OUT ALARM ALARM 7-07-16 9:29AM L 1 STP SUMP UNL STP SENSOR OUT ALARM ALARM 7-07-16 9:29AM L12 DISP PAN DISP 5-6 FUEL ALARM CLEAR 7-07-16 9:27AM L12 DISP PAN DISP 5-6 FUEL ALARM ALARM 7-07-16 9:27AM L10 DISP PAN DISP 1-2 FUEL ALARM CLEAR 7-07-16 9:26AM L10 DISP PAN DISP 1-2 FUEL ALARM ALARM 7-07-16 9:26AM L13 DISP PAN DISP 7-8 FUEL ALARM CLEAR 7-07-16 9:25AM L13 DISP PAN DISP 7-8 FUEL ALARM ALARM 7-07-16 9:25AM I11200 JUL 7, 2016 11:44 AM FASTRIP 705 1200 COFFEE RD. BAKERSFIELD CB 93308 661-589-6305 NON-PRIORITY ALARM HISTORY ID CATEGORY DESCRIPTION ALARM TYPE STATE DATE TIME T 3 TANK DIESEL HIGH PRODUCT ALARM CLEAR 7-07-16 9:38AM T 3 TANK DIESEL HIGH PRODUCT ALARM ALARM 7-07-16 9:37AM
T 2 TANK PREMIUM HIGH PRODUCT ALARM CLEAR 7-07-16 9:37AM T 2 TANK PREMIUM HIGH PRODUCT ALARM ALARM 7-07-16 9:37AM T 1 TANK UNLEADED HIGH PRODUCT ALARM CLEAR 7-07-16 9:36AM T 1 TANK UNLEADED HIGH PRODUCT ALARM ALARM 7-07-16 9:36AM h 6 OTHER FP6: BLEND3 DEGRD COLLECT WARN CLEAR 7-05-16 10:07AM h 6 OTHER FP6: BLEND3 DEGRD COLLECT WARN ALARM 7-04-16 10:09AM T 1 TANK UNLEADED DELIVERY NEEDED CLEAR 7-02-16 12:42AM T 1 TANK UNLEADED DELIVERY NEEDED ALARM 7-01-16 8:27PM SYSTEM PRINTER ERROR CLEAR 6-30-16 8:22PM SYSTEM PAPER OUT CLEAR 6-30-16 8:22PM SYSTEM PRINTER ERROR ALARM 6-30-16 8:22PM SYSTEM PAPER OUT ALARM 6-30-16 8:22PM SYSTEM PRINTER ERROR CLEAR 6-30-16 8:22PM SYSTEM PAPER OUT CLEAR 6-30-16 8:22PM SYSTEM PRINTER ERROR ALARM 6-30-16 8:22PM SYSTEM PAPER OUT ALARM 6-30-16 8:22PM SYSTEM PRINTER ERROR CLEAR 6-30-16 8:21PM SYSTEM PAPER OUT CLEAR 6-30-16 8:21PM
SYSTEM PRINTER ERROR ALARM 6-30-16 8:21PM SYSTEM PAPER OUT ALARM 6-30-16 8:21PM SYSTEM PRINTER ERROR CLEAR 6-30-16 8:20PM SYSTEM PRINTER ERROR ALARM 6-30-16 8:20PM SYSTEM PRINTER ERROR CLEAR 6-30-16 12:43AM SYSTEM PAPER OUT CLEAR 6-30-16 12:43AM SYSTEM PRINTER ERROR ALARM 6-30-16 12:43AM SYSTEM PAPER OUT ALARM 6-30-16 12:43AM SYSTEM PRINTER ERROR CLEAR 6-30-16 12:43AM SYSTEM PAPER OUT CLEAR 6-30-16 12:43AM SYSTEM PRINTER ERROR ALARM 6-30-16 12:37AM SYSTEM PAPER OUT ALARM 6-30-16 12:37AM T 3 TANK DIESEL LOW TEMP WARNING CLEAR 6-29-16 11:43AM T 3 TANK DIESEL LOW TEMP WARNING ALARM 6-29-16 11:39AM T 2 TANK PREMIUM HIGH PRODUCT ALARM CLEAR 6-29-16 11:31AM T 2 TANK PREMIUM HIGH PRODUCT ALARM ALARM 6-29-16 11:31AM T 2 TANK PREMIUM HIGH PRODUCT ALARM CLEAR 6-29-16 11:29AM T 2 TANK PREMIUM HIGH PRODUCT ALARM ALARM 6-29-16 11:29AM T 1 TANK UNLEADED HIGH PRODUCT ALARM CLEAR 6-29-16 11:24AM T 1 TANK UNLEADED HIGH PRODUCT ALARM ALARM 6-29-16 11:24AM T 1 TANK UNLEADED HIGH PRODUCT ALARM CLEAR 6-29-16 11:22AM T 1 TANK UNLEADED HIGH PRODUCT ALARM ALARM 6-29-16 11:22AM T 1 TANK UNLEADED LOW TEMP WARNING CLEAR 6-29-16 11:02AM T 1 TANK UNLEADED LOW TEMP WARNING ALARM 6-29-16 11:02AM h 5 OTHER FP5: BLEND3 DEGRD COLLECT WARN CLEAR 6-29-16 8:21AM h 5 OTHER FP5: BLEND3 DEGRD COLLECT WARN ALARM 6-28-16 10:09AM h 5 OTHER FP5: BLEND3 DEGRD COLLECT WARN CLEAR 6-27-16 10:07AM h 5 OTHER FP5: BLEND3 DEGRD COLLECT WARN ALARM 6-26-16 10:09AM h 3 OTHER FP3: BLEND3 GROSS COLLECT WARN CLEAR 6-22-16 3:41PM h 3 OTHER FP3: BLEND3 GROSS COLLECT WARN ALARM 6-22-16 10:08AM I20600 JUL 7, 2016 11:44 AM FASTRIP 705 1200 COFFEE RD. BAKERSFIELD CB 93308 661-589-6305 TANK ALARM HISTORY TANK 1 UNLEADED
OVERFILL ALARM JUN 29, 2016 11:24 AM JUL 6, 2015 10:15 AM SUDDEN LOSS ALARM JUN 30, 2015 11:45 AM HIGH PRODUCT ALARM JUL 7, 2016 9:36 AM JUN 29, 2016 11:24 AM JUN 29, 2016 11:22 AM INVALID FUEL LEVEL JUN 20, 2016 7:06 PM JUN 10, 2016 11:07 AM JUN 4, 2016 12:42 PM PROBE OUT JUL 7, 2016 10:23 AM JUL 7, 2016 9:31 AM JUN 29, 2016 11:33 AM
DELIVERY NEEDED JUL 1, 2016 8:27 PM JUN 20, 2016 5:12 PM JUN 17, 2016 7:30 PM MAX PRODUCT ALARM JUL 7, 2016 9:36 AM LOW TEMP WARNING JUN 29, 2016 11:02 AM TANK 2 PREMIUM OVERFILL ALARM JUN 29, 2016 11:31 AM JUL 6, 2015 10:26 AM SUDDEN LOSS ALARM JUN 29, 2016 11:02 AM JUL 6, 2015 10:19 AM JUN 30, 2015 11:40 AM HIGH PRODUCT ALARM JUL 7, 2016 9:37 AM JUN 29, 2016 11:31 AM JUN 29, 2016 11:29 AM INVALID FUEL LEVEL JAN 4, 2016 6:47 PM JUN 30, 2015 11:43 AM PROBE OUT JUL 7, 2016 10:31 AM JUL 7, 2016 9:32 AM JUN 29, 2016 11:34 AM DELIVERY NEEDED FEB 28, 2016 11:50 AM JAN 3, 2016 8:03 PM JUL 21, 2015 10:18 AM MAX PRODUCT ALARM JUL 7, 2016 9:37 AM TANK 3 DIESEL OVERFILL ALARM JUN 29, 2016 11:37 AM NOV 27, 2015 7:47 AM JUL 6, 2015 10:31 AM HIGH PRODUCT ALARM JUL 7, 2016 9:37 AM JUL 6, 2015 10:31 AM JUN 30, 2015 11:37 AM PROBE OUT JUL 7, 2016 10:33 AM
JUL 7, 2016 9:34 AM JUN 29, 2016 11:39 AM DELIVERY NEEDED MAY 6, 2016 4:25 PM FEB 26, 2016 3:03 PM OCT 28, 2015 12:29 PM MAX PRODUCT ALARM JUL 7, 2016 9:37 AM LOW TEMP WARNING JUN 29, 2016 11:39 AM JUN 30, 2015 11:39 AM I38200 JUL 7, 2016 11:45 AM
I30200 JUL 7, 2016 11:45 AM FASTRIP 705 1200 COFFEE RD. BAKERSFIELD CB 93308 661-589-6305 LIQUID ALARM HISTORY REPORT SENSOR LOCATION 1 UNL STP JUL 7, 2016 9:29 AM SENSOR OUT ALARM JUL 7, 2016 9:09 AM FUEL ALARM JUN 29, 2016 11:16 AM SENSOR OUT ALARM 2 UNL ANN JUL 7, 2016 9:29 AM SENSOR OUT ALARM JUL 7, 2016 9:20 AM FUEL ALARM JUN 29, 2016 11:16 AM SENSOR OUT ALARM 3 UNL FILL JUL 7, 2016 9:29 AM SENSOR OUT ALARM JUL 7, 2016 9:20 AM FUEL ALARM JUN 29, 2016 11:16 AM SENSOR OUT ALARM 4 PREM STP JUL 7, 2016 9:29 AM SENSOR OUT ALARM JUL 7, 2016 9:11 AM FUEL ALARM JUN 29, 2016 11:16 AM SENSOR OUT ALARM 6 PREM FILL JUL 7, 2016 9:29 AM SENSOR OUT ALARM JUL 7, 2016 9:21 AM FUEL ALARM JUN 29, 2016 11:16 AM SENSOR OUT ALARM 7 DIESEL STP JUL 7, 2016 9:29 AM SENSOR OUT ALARM JUL 7, 2016 9:12 AM FUEL ALARM JUN 29, 2016 11:16 AM SENSOR OUT ALARM 8 DIESEL ANN JUL 7, 2016 9:29 AM SENSOR OUT ALARM JUL 7, 2016 9:18 AM FUEL ALARM JUN 29, 2016 11:16 AM SENSOR OUT ALARM 9 DIESEL FILL JUL 7, 2016 9:29 AM SENSOR OUT ALARM JUL 7, 2016 9:22 AM FUEL ALARM JUN 29, 2016 11:16 AM SENSOR OUT ALARM
10 DISP 1-2 JUL 7, 2016 9:29 AM SENSOR OUT ALARM JUL 7, 2016 9:26 AM FUEL ALARM JUN 29, 2016 11:16 AM SENSOR OUT ALARM 11 DISP 3-4 JUL 7, 2016 9:29 AM SENSOR OUT ALARM JUL 7, 2016 9:24 AM FUEL ALARM JUN 29, 2016 11:16 AM SENSOR OUT ALARM 12 DISP 5-6 JUL 7, 2016 9:29 AM SENSOR OUT ALARM JUL 7, 2016 9:27 AM FUEL ALARM JUN 29, 2016 11:16 AM SENSOR OUT ALARM 13 DISP 7-8 JUL 7, 2016 9:29 AM SENSOR OUT ALARM JUL 7, 2016 9:25 AM FUEL ALARM JUN 29, 2016 11:16 AM SENSOR OUT ALARM
I31600 JUL 7, 2016 11:45 AM FASTRIP 705 1200 COFFEE RD. BAKERSFIELD CB 93308 661-589-6305 SMART SENSOR ALARM HISTORY REPORT SENSOR LOCATION 1 P.S.DISP 3-4 2 F.M. DISP 1-2 3 F.M. DISP 3-4 4 F.M. DISP 5-6 5 F.M. DISP 7-8 I40200 JUL 7, 2016 11:45 AM I40300 JUL 7, 2016 11:45 AM I34200 JUL 7, 2016 11:45 AM FASTRIP 705 1200 COFFEE RD. BAKERSFIELD CB 93308 661-589-6305 2 WIRE CL ALARM HISTORY REPORT SENSOR LOCATION 1 PREM ANN JUL 7, 2016 9:29 AM SENSOR OUT ALARM JUL 7, 2016 9:19 AM FUEL ALARM JUL 5, 2016 12:26 PM FUEL ALARM
I34700 JUL 7, 2016 11:45 AM IV0100 JUL 7, 2016 11:45 AM FASTRIP 705 1200 COFFEE RD. BAKERSFIELD CB 93308 661-589-6305 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: 2 of 2 PASS EVR/ISD PASS TIME :100% WARNING ALARMS DATE TIME DESCRIPTION READING VALUE 16-07-04 10:09:32 A/L RATIO DEGRADATION FP 6 BLEND3 0.00 16-06-28 10:09:03 A/L RATIO DEGRADATION FP 5 BLEND3 0.78 16-06-26 10:09:10 A/L RATIO DEGRADATION FP 5 BLEND3 0.00 16-06-22 10:08:58 A/L RATIO GROSS BLOCKAGE FP 3 BLEND3 BLKD 16-06-21 10:08:50 CONTAINMENT GROSS OVER PRESSURE WEEKLY 95% 1.55 16-06-10 10:01:57 A/L RATIO GROSS BLOCKAGE FP 3 BLEND3 BLKD 16-06-01 10:02:06 A/L RATIO GROSS BLOCKAGE FP 3 BLEND3 BLKD 16-05-22 10:01:45 A/L RATIO GROSS BLOCKAGE FP 3 BLEND3 BLKD 16-05-12 10:01:45 A/L RATIO GROSS BLOCKAGE FP 1 BLEND3 BLKD 16-05-10 10:02:06 A/L RATIO GROSS BLOCKAGE FP 3 BLEND3 BLKD FAILURE ALARMS DATE TIME DESCRIPTION READING VALUE SHUTDOWN & MISCELLANEOUS EVENTS DATE TIME DESCRIPTION ACTION/NAME 16-07-07 10:09:45 READINESS ISD:PP EVR:PP ISD & EVR READY 16-07-07 09:28:51 READINESS ISD:PP EVR:NN EVR READINESS PENDING 16-07-07 09:28:51 ISD STARTUP 16-07-07 09:28:40 ISD SHUTDOWN 16-07-05 10:09:55 READINESS ISD:PP EVR:PP ISD & EVR READY 16-07-05 09:32:46 READINESS ISD:PP EVR:NN EVR READINESS PENDING 16-07-05 09:32:46 ISD STARTUP 16-07-05 09:31:53 ISD SHUTDOWN 16-06-30 10:09:36 READINESS ISD:PP EVR:PP ISD & EVR READY 16-06-29 11:16:00 READINESS ISD:PP EVR:NN EVR READINESS PENDING
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.
#7705/Fastrip#641 07/07/2016
1200CoffeeRoad Bakersfield,CA93308
OmeroGarcia(661)393-7000
06/14/2016
Kris Karns
BrandonMason
5284980-UT
Regular
12.00"
11.00"
5min.
9:00 am
7.50"
10:00 am
7.50"
1hour
0.00"
0.0625"
Super
12.00"
13.00"
5min.
9:00 am
7.50"
10:00 am
7.50"
1hour
0.00"
0.0625"0.0625"
Diesel
12.00"
13.00"
5min.
9:00 am
7.75"
10:00 am
7.75"
1hour
0.00"
07/07/2016