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HomeMy WebLinkAboutFMC 2016IMPACT VALVE LEAK DETECTOR LINE TEST MONITOR CERTIFICATION SPILL BUCKET TEST 11000 N. MoPac Expressway, Suite 500 Austin, Texas 78759 Phone: (512) 451-6334 Fax: (512) 459-1459 Date Printed and Mailed: 10/5/2016 BAKERSFIELD FIRE DEPARTMENT OFFICE OF ENVIRONMENTAL SERVICES INSPECTOR ERNIE MEDINA 1501 TRUXTUN AVE. BAKERSFIELD, CA 93301 Test Date: 9/28/2016 Order Number: 3431657 Dear Regulator, Enclosed are the results of recent testing performed at the following facility: SAM'S CLUB # 4819 (SC4819) 5625 GOSFORD ROAD BAKERSFIELD, CA 93313 In an effort to keep all our record keeping and reporting requirements as current as possible, Tanknology kindly requests you notify Dawn Kohlmeyer in writing at dkohlmeyer@tanknology.com when your CUPA requires all records to be submitted electronically via the CERS database. Your assistance in this endeavor is greatly appreciated. Testing performed: Sincerely, Dawn Kohlmeyer Manager, Field Reporting Product Line Tightness Test Page 1 of 1 Work Order: 3431657 Date: 9/28/2016 Site Name/ID: SAM'S CLUB # 4819 / SC4819 Address: 5625 GOSFORD ROAD City: BAKERSFIELD State: CA Zip: 93313 Tank Information Test Method Customer Tank ID Product Name Delivery Type Test Pressure Test Start Time Test End Time Final Leak Rate Test Result(P/F/I) Test was performed per 3rd party certifications as specified in 40 CFR parts 280 and 281 Tank # 1 Line # 1 TLD-1 87 NORTH REG UNLEAD Pressure 50 13:39 14:09 0.00 Pass Yes Tank # 2 Line # 1 TLD-1 87 SOUTH REG UNLEAD Pressure 50 13:39 14:09 0.00 Pass Yes Tank # 3 Line # 1 TLD-1 T3: 91 PREMIUM Pressure 50 13:39 14:09 0.00 Pass Yes Tank # 4 Line # 1 TLD-1 DIESEL DIESEL2 Pressure 50 14:15 14:45 0.00 Pass Yes Tank # Line # Tank # Line # Technician Comments: All lines pass. Technician Name:Patrick Pfrang Certification #:44642 exp: 4/9/2019 Technician Signature: Environmental Compliance for Petroleum Systems ©2016 Tanknology Inc., Austin, TX.    All rights reserved.    tanknology.com LDT 5000 Field Test Apparatus Line Leak Detector Test Page 1 of 1 Work Order:3431657 Date:9/28/2016 Site Name / ID:SAM'S CLUB # 4819 / SC4819 Address:5625 GOSFORD ROAD City:BAKERSFIELD State:CA Zip:93313 Tank ID Product Product Line Tested From Existing/New Mechanical/Electronic Manufacturer/Model Serial No. Pump Operating Pressure (psi) Calibrated Leak (ml/min) Calibrated Leak (gph) Holding PSI *N/A for Electronic LD's Resiliency (ml) *N/A for Electronic LD's Metering PSI *N/A for Electronic LD's Opening Time (sec) *N/A for Electronic LD's Test Results 87 NORTH REG UNLEAD 1 5 Existing Mechanical Red Jacket FX1V 307098751 39.00 189.0 3.00 18.00 125.00 13 3 Pass 87 SOUTH REG UNLEAD 1 11 Existing Mechanical Red Jacket FX1V 307098752 37.00 189.0 3.00 12.00 120.00 12 4 Pass T3: 91 PREMIUM 1 5 Existing Mechanical Red Jacket FX1V 307098753 38.00 189.0 3.00 17.00 165.00 13 2 Pass DIESEL DIESEL2 1 2 Existing Mechanical Red Jacket FX1DV 111136174 30.00 189.0 3.00 21.00 110.00 11 4 Pass Technician Comments: Leak detectors pass. Technician Name:Patrick Pfrang Certification #:44637 Technician Signature:Expire Date:4/10/2019 Environmental Compliance for Petroleum Systems © 2016 Tanknology Inc., Austin, TX.    All rights reserved.    tanknology.com Impact Valve Inspection Impact Valve Operational Inspection Work Order:3431657 Date:9/28/2016 Site Name/ID:SAM'S CLUB # 4819 Address:5625 GOSFORD ROAD City:BAKERSFIELD State:CA Zip:93313 Dispenser Number Grade Secure Mount? Valve Lock?Pass/ Fail Comments 1/2 87 Pass Fail Not Tested 1/2 91 Pass Fail Not Tested 3/4 87 Pass Fail Not Tested 3/4 91 Pass Fail Not Tested 5/6 40 Pass Fail Not Tested 5/6 87 Pass Fail Not Tested 5/6 91 Pass Fail Not Tested 7/8 87 Pass Fail Not Tested 7/8 91 Pass Fail Not Tested 9/10 87 Pass Fail Not Tested 9/10 91 Pass Fail Not Tested 11/12 40 Pass Fail Not Tested 11/12 87 Pass Fail Not Tested 11/12 91 Pass Fail Not Tested Technician Comments: Technician Name:Patrick Pfrang Signature: Environmental Compliance for Petroleum Systems ©2016 Tanknology Inc., Austin, TX. All rights reserved. tanknology.com Appendix VI (Copies of Monitoring System Certification form and UST Monitoring Plot Plan available at http://www.swrcb.ca.gov.) MONITORING SYSTEM CERTIFICATION For Use By All Jurisdictions Within the State of California Authority Cited: Chapter 6.7, Health and Safety Code; Chapter 16, Division 3, Title 23, California Code of Regulations This form must be used to document testing and servicing of monitoring equipment. A separate certification or report must be prepared for each monitoring system control panel by the technician who performs the work. A copy of this form must be provided to the tank system owner/operator. The owner/operator must submit a copy of this form to the local agency regulating UST systems within 30 days of test date. A. General Information Facility Name:SAM'S CLUB # 4819 Bldg. No.: Site Address:5625 GOSFORD ROAD City:BAKERSFIELD Zip:93313 Facility Contact Person:Asset Protection Manager Contact Phone No.:661-654-8565 Make/Model of Monitoring System:Veeder Root TLS-350 Date of Testing/Servicing:9/28/2016 B. Inventory of Equipment Tested/Certified Check the appropriate boxes to indicate specific equipment inspected/serviced: Tank ID:87 NORTH - REG UNLEAD In-Tank Gauging Probe.Model:846390-111 Annular Space or Vault Sensor.Model:794380-303 Piping Sump / Trench Sensor(s).Model:794380-208 Fill Sump Sensor(s).Model:794380-208 Mechanical Line Leak Detector.Model:Red Jacket FX1V Electronic Line Leak Detector.Model: Tank Overfill / High-Level Sensor.Model:EXTERNAL Other (specify equipment type and model in Section E on Page 2). Tank ID:87 SOUTH - REG UNLEAD In-Tank Gauging Probe.Model:846390-111 Annular Space or Vault Sensor.Model:794380-303 Piping Sump / Trench Sensor(s).Model:794380-208 Fill Sump Sensor(s).Model:794380-208 Mechanical Line Leak Detector.Model:Red Jacket FX1V Electronic Line Leak Detector.Model: Tank Overfill / High-Level Sensor.Model:EXTERNAL Other (specify equipment type and model in Section E on Page 2). Tank ID:T3: 91 - PREMIUM In-Tank Gauging Probe.Model:846390-111 Annular Space or Vault Sensor.Model:794380-303 Piping Sump / Trench Sensor(s).Model:794380-208 Fill Sump Sensor(s).Model:794380-208 Mechanical Line Leak Detector.Model:Red Jacket FX1V Electronic Line Leak Detector.Model: Tank Overfill / High-Level Sensor.Model:EXTERNAL Other (specify equipment type and model in Section E on Page 2). Tank ID:DIESEL - DIESEL2 In-Tank Gauging Probe.Model:846390-111 Annular Space or Vault Sensor.Model:794380-303 Piping Sump / Trench Sensor(s).Model:794380-208 Fill Sump Sensor(s).Model:794380-208 Mechanical Line Leak Detector.Model:Red Jacket FX1DV Electronic Line Leak Detector.Model: Tank Overfill / High-Level Sensor.Model:EXTERNAL Other (specify equipment type and model in Section E on Page 2). Dispenser ID:1/2 Dispenser Containment Sensor(s).Model:794380-208 Shear Valve(s). Dispenser Containment Float(s) and Chain(s). Dispenser ID:3/4 Dispenser Containment Sensor(s).Model:794380-208 Shear Valve(s). Dispenser Containment Float(s) and Chain(s). Dispenser ID:5/6 Dispenser Containment Sensor(s).Model:794380-208 Shear Valve(s). Dispenser Containment Float(s) and Chain(s). Dispenser ID:7/8 Dispenser Containment Sensor(s).Model:794380-208 Shear Valve(s). Dispenser Containment Float(s) and Chain(s). Dispenser ID:9/10 Dispenser Containment Sensor(s).Model:794380-208 Shear Valve(s). Dispenser Containment Float(s) and Chain(s). Dispenser ID:11/12 Dispenser Containment Sensor(s).Model:794380-208 Shear Valve(s). Dispenser Containment Float(s) and Chain(s). *If the facility contains more tanks or dispensers, copy this form. Include information for every tank and dispenser at the facility. C. Certification - I certify that the equipment identified in this document was inspected/serviced in accordance with the manufacturers’ guidelines. Attached to this Certification is information (e.g. manufacturers' checklists) necessary to verify that this information is correct and a Plot Plan showing the layout of monitoring equipment. For any equipment capable of generating such reports, I have also attached a copy of the report; (check all that apply): System set- up Alarm history report Technician Name (print):Patrick Pfrang Signature: Certification No.: A29052 License. No.:743160 Class 'A' Testing Company Name:Tanknology Phone No.:(800) 800-4633 Testing Company Address:11000 N. MoPac Expressway Suite 500 Date of Testing/Servicing:9/28/2016 Monitoring System Certification Page 1 of 4 12/07 D. Results of Testing/Servicing Software Version Installed:333.05 Complete the following checklist: Yes No*Is the audible alarm operational? Yes No*Is the visual alarm operational? Yes No*Were all sensors visually inspected, functionally tested, and confirmed operational? Yes No*Were all sensors installed at lowest point of secondary containment and positioned so that other equipment will not interfere with their proper operation? Yes No* N/A If alarms are relayed to a remote monitoring station, is all communications equipment (e.g. modem) operational? Yes No* N/A For pressurized piping systems, does the turbine automatically shut down if the piping secondary containment monitoring system detects a leak, fails to operate, or is electrically disconnected? If yes: which sensors initiate positive shut-down? (Check all that apply) Sump/Trench Sensors; Dispenser Containment Sensors. Did you confirm positive shut-down due to leaks and sensor failure/disconnection? Yes; No Yes No* N/A For tank systems that utilize the monitoring system as the primary tank overfill warning device (i.e. no mechanical overfill prevention valve is installed), is the overfill warning alarm visible and audible at the tank fill point(s) and operating properly? If so, at what percent of tank capacity does the alarm trigger? 90% Yes* No Was any monitoring equipment replaced? If yes, identify specific sensors, probes, or other equipment replaced and list the manufacturer name and model for all replacement parts in Section E, below. Yes* No Was liquid found inside any secondary containment systems designed as dry systems? (Check all that apply) Product; Water. If yes, describe causes in Section E, below. Yes No*Was monitoring system set-up reviewed to ensure proper settings? Attach set up reports, if applicable Yes No*Is all monitoring equipment operational per manufacturer's specifications? * In Section E below, describe how and when these deficiencies were or will be corrected. E. Comments: Vent box has a 208/304 sensor. All other sumps have 304 brain sensors. Replaced float kit for ATG on T2 tank. Monitoring System Certification Page 2 of 4 12/07 F. In-Tank Gauging / SIR Equipment: Check this box if tank gauging is used only for inventory control. Check this box if no tank gauging or SIR equipment is installed. This section must be completed if in-tank gauging equipment is used to perform leak detection monitoring. Complete the following checklist: Yes No*Has all input wiring been inspected for proper entry and termination, including testing for ground faults? Yes No*Were all tank gauging probes visually inspected for damage and residue buildup? Yes No*Was accuracy of system product level readings tested? Yes No*Was accuracy of system water level readings tested? Yes No*Were all probes reinstalled properly? Yes No*Were all items on the equipment manufacturer's maintenance checklist completed? * In the Section H, below, describe how and when these deficiencies were or will be corrected. G. Line Leak Detectors (LLD): Check this box if LLDs are not installed. Complete the following checklist: Yes No* N/A For equipment start-up or annual equipment certification, was a leak simulated to verify LLD performance? (Check all that apply) Simulated leak rate: 3 g.p.h.; 0.1 g.p.h; 0.2 g.p.h. Yes No*Were all LLDs confirmed operational and accurate within regulatory requirements? Yes No*Was the testing apparatus properly calibrated? Yes No* N/A For mechanical LLDs, does the LLD restrict product flow if it detects a leak? Yes No* N/A For electronic LLDs, does the turbine automatically shut off if the LLD detects a leak? Yes No* N/A For electronic LLDs that are programmed for positive shut down, does the turbine automatically shut off if any portion of the monitoring system is disabled or disconnected? Yes No* N/A For electronic LLDs that are programmed for positive shut down, does the turbine automatically shut off if any portion of the monitoring system malfunctions or fails a test? Yes No* N/A For electronic LLDs, have all accessible wiring connections been visually inspected? Yes No*Were all items on the equipment manufacturer's maintenance checklist completed? * In the Section H, below, describe how and when these deficiencies were or will be corrected. H.Comments: Page 3 of 4 12/07 Monitoring System Certification Form: Addendum for Vacuum/Pressure Interstitial Sensors LG 163-1, Enc. II I.Results of Vacuum/Pressure Monitoring Equipment Testing This page should be used to document testing and servicing of vacuum and pressure interstitial sensors. A copy of this form must be included with the Monitoring System Certification Form, which must be provided to the tank system owner/operator. The owner/operator must submit a copy of the Monitoring System Certification Form to the local agency regulating UST systems within 30 days of test date. Manufacturer: Veeder Root Model: 001 System Type: Pressure Vacuum Sensor ID s1 Component(s) Monitored by this Sensor:87 N PRODUCT Sensor Functionality Test Result: Pass Fail Interstitial Communication Test Result: Pass Fail s2 Component(s) Monitored by this Sensor:87 N VENT Sensor Functionality Test Result: Pass Fail Interstitial Communication Test Result: Pass Fail s3 Component(s) Monitored by this Sensor:87 S PRODUCT Sensor Functionality Test Result: Pass Fail Interstitial Communication Test Result: Pass Fail s4 Component(s) Monitored by this Sensor:S VENT Sensor Functionality Test Result: Pass Fail Interstitial Communication Test Result: Pass Fail s5 Component(s) Monitored by this Sensor:VAPOR RETURN Sensor Functionality Test Result: Pass Fail Interstitial Communication Test Result: Pass Fail s6 Component(s) Monitored by this Sensor:91 PRODUCT SOUTH Sensor Functionality Test Result: Pass Fail Interstitial Communication Test Result: Pass Fail s7 Component(s) Monitored by this Sensor:91 PRODUCT NORTH Sensor Functionality Test Result: Pass Fail Interstitial Communication Test Result: Pass Fail s8 Component(s) Monitored by this Sensor:91 VENT Sensor Functionality Test Result: Pass Fail Interstitial Communication Test Result: Pass Fail s9 Component(s) Monitored by this Sensor:LINE TO VENT Sensor Functionality Test Result: Pass Fail Interstitial Communication Test Result: Pass Fail s10, s11 Component(s) Monitored by this Sensor:LINE TO VENT/ DIESEL Sensor Functionality Test Result: Pass Fail Interstitial Communication Test Result: Pass Fail How was interstitial communication verified? Leak Introduced at Far End of Interstitial Space1 Gauge Visual Inspection Other (Describe in Sec. J, below) Vacuum was restored to operating levels in all interstitial spaces: Yes No (If no, describe in Sec. J, below) J. Comments (500 characters max. use additional sheets if needed): Page 4 of 4 1 If the sensor successfully detects a simulated vacuum/pressure leak introduced in the interstitial space at the furthest point from the sensor, vacuum/pressure has been demonstrated to be communicating throughout the interstice. WO: 3431657 SWRCB, January 2006 Spill Bucket Testing Report Form This form is intended for use by contractors performing annual testing of UST spill containment structures. The completed form and printouts from tests (if applicable), should be provided to the facility owner/operator for submittal to the local regulatory agency. 1. FACILITY INFORMATION Facility Name: SAM'S CLUB # 4819 Date of Testing: 9/28/2016 Facility Address: 5625 GOSFORD ROAD , BAKERSFIELD, CA 93313 Facility Contact: Asset Protection Manager Phone: 661-654-8565 Date Local Agency Was Notified of Testing: Name of Local Agency Inspector (if present during testing): Kris Karns 2. TESTING CONTRACTOR INFORMATION Company Name: TANKNOLOGY INC. Technician Conducting Test: Patrick Pfrang Credentials1: CSLB Contractor ICC Service Tech. SWRCB Tank Tester Other (Specify) License Number(s): 051590/743160 3. SPILL BUCKET TESTING INFORMATION Test Method Used By: Hydrostatic Vacuum Other Test Equipment Used: VACUUM TEST Equipment Resolution: 0.1 gph Identify Spill Bucket (By Tank Number, Stored Product, etc.) Bucket Installation Type: Bucket Diameter: Bucket Depth: Wait time between applying vacuum/water and start of test Test Start Time (TI): Initial Reading (RI): Test End Time(TF): Final Reading (RF): Test Duration(TF–TI): Change in Reading (RF–RI) : Pass/Fail Threshold or Criteria: Test Result: Spill Box # Tank 87 NORTH REG UNLEAD - Fill 1 - Direct - Grade level in containment sump Direct Bury Contained in Sump 12.00 16.00 15 min 07:55:00 15.00 in. 08:55:00 15.00 in. 1 hr 0.00 in. +/- 0.00 Pass Spill Box # Tank 87 SOUTH REG UNLEAD - Fill 1 - Direct - Grade level in containment sump Direct Bury Contained in Sump 12.00 16.00 15 min 07:55:00 15.00 in. 08:55:00 15.00 in. 1 hr 0.00 in. +/- 0.00 Pass Spill Box # Tank T3: 91 PREMIUM - Fill 1 - Direct - Grade level in containment sump Direct Bury Contained in Sump 12.00 16.00 15 min 07:55:00 15.00 in. 08:55:00 15.00 in. 1 hr 0.00 in. +/- 0.00 Pass Spill Box # Tank DIESEL DIESEL2 - Fill 1 - Direct - Grade level in containment sump Direct Bury Contained in Sump 12.00 16.00 15 min 07:55:00 15.00 in. 08:55:00 15.00 in. 1 hr 0.00 in. +/- 0.00 Pass Comments - (include information on repairs made prior to testing, and recommended follow-up for failed tests) CERTIFICATION OF TECHNICIAN RESPONSIBLE FOR CONDUCTING THIS TESTING I hereby certify that all the information contained in this report is true, accurate, and in full compliance with legal requirements. Technician's Signature:Date:9/28/2016 1State laws and regulations do not currently require testing to be performed by a qualified contractor. However, local requirements may be more stringent. WO: 3431657 Buckets pass. Site Diagram (This site diagram is for reference only and is not drawn to scale) Work Order:3431657 Site ID / Name:SC4819 / SAM'S CLUB # 4819 Address:5625 GOSFORD ROAD City:BAKERSFIELD State:CA Zip:93313 W.O.# SC1-3431657 I50301 SEP 28, 2016 4:14 PM # 1:281428 SAMS CLUB 481 I50302 SEP 28, 2016 4:14 PM # 2:5625 GOSFORD RD. I50303 SEP 28, 2016 4:14 PM # 3:BAKERSFIELD CA.93313 I50304 SEP 28, 2016 4:14 PM # 4:J09202125405001 I51700 SEP 28, 2016 4:14 PM SYSTEM TYPE AND LANGUAGE FLAG SYSTEM UNITS U.S. SYSTEM LANGUAGE ENGLISH SYSTEM DATE/TIME FORMAT MON DD YYYY HH:MM:SS xM I50F00 SEP 28, 2016 4:14 PM MON DD YYYY HH:MM:SS xM I10200 SEP 28, 2016 4:14 PM 281428 SAMS CLUB 481 5625 GOSFORD RD. BAKERSFIELD CA.93313 J09202125405001 SYSTEM CONFIGURATION SLOT BOARD TYPE POWER ON RESET CURRENT 1 4 PROBE / G.T. 162262 162483 2 INTERSTITIAL BD 201122 201492 3 INTERSTITIAL BD 201606 202090 4 INTERSTITIAL BD 201030 201354 5 8SMARTSENSOR BD 39299 39363 6 8SMARTSENSOR BD 39342 39406 7 7SMARTSENSOR BD 506653 507486 8 UNUSED 4777708 4809900 9 RELAY BOARD 14957 14978 10 RELAY BOARD 14914 14935 11 STP SENSE BOARD 32896 32917 12 UNUSED 4777458 4811112 13 UNUSED 4775254 4811748 14 UNUSED 4776589 4809947 15 UNUSED 4772710 4809162 16 UNUSED 4777161 4809056 COMM 1 RS232 SERIAL BD 14935 14957 COMM 2 ELEC DISP INT. 100951 101096 COMM 3 SERIAL SAT BD 481585 482592 COMM 4 UNUSED 4780234 4807806 COMM 5 UNUSED 4778920 4806004 COMM 6 UNUSED 4780934 4804075 I60100 SEP 28, 2016 4:15 PM TANK CONFIGURATION DEVICE LABEL CONFIGURED 1 87 NORTH ON 2 87 SOUTH ON 3 91 ON 4 DIESEL ON I60200 SEP 28, 2016 4:15 PM TANK PRODUCT LABEL TANK PRODUCT LABEL 1 87 NORTH 2 87 SOUTH 3 91 4 DIESEL I60300 SEP 28, 2016 4:15 PM TANK PRODUCT CODE TANK PRODUCT LABEL 1 87 NORTH 1 2 87 SOUTH 1 3 91 3 4 DIESEL 4 I60400 SEP 28, 2016 4:15 PM TANK FULL VOLUME TANK PRODUCT LABEL GALLONS 1 87 NORTH 19519 2 87 SOUTH 19518 3 91 11612 4 DIESEL 7846 I60700 SEP 28, 2016 4:15 PM TANK DIAMETER TANK PRODUCT LABEL INCHES 1 87 NORTH 118.38 2 87 SOUTH 116.00 3 91 116.00 4 DIESEL 119.01 I60900 SEP 28, 2016 4:15 PM TANK THERMAL COEFFICIENT TANK PRODUCT LABEL 1 87 NORTH 0.000700 2 87 SOUTH 0.000700 3 91 0.000700 4 DIESEL 0.000450 I61200 SEP 28, 2016 4:15 PM TANK MANIFOLDED PARTNERS TANK PRODUCT LABEL SIPHON MANIFOLDED TANKS LINE MANIFOLDED TANKS 1 87 NORTH NONE NONE 2 87 SOUTH NONE NONE 3 91 NONE NONE 4 DIESEL NONE NONE I62100 SEP 28, 2016 4:15 PM TANK LOW PRODUCT LIMIT TANK PRODUCT LABEL GALLONS 1 87 NORTH 950 2 87 SOUTH 950 3 91 500 4 DIESEL 400 I62200 SEP 28, 2016 4:15 PM TANK HIGH PRODUCT LIMIT TANK PRODUCT LABEL GALLONS 1 87 NORTH 18543 2 87 SOUTH 18542 3 91 11031 4 DIESEL 7454 I62300 SEP 28, 2016 4:15 PM TANK OVERFILL LEVEL LIMIT TANK PRODUCT LABEL GALLONS 1 87 NORTH 17567 2 87 SOUTH 17566 3 91 11427 4 DIESEL 7062 I62400 SEP 28, 2016 4:15 PM TANK HIGH WATER LEVEL LIMIT TANK PRODUCT LABEL INCHES 1 87 NORTH 3.0 2 87 SOUTH 3.0 3 91 3.0 4 DIESEL 3.0 I62800 SEP 28, 2016 4:15 PM TANK MAXIMUM VOLUME LIMIT TANK PRODUCT LABEL GALLONS 1 87 NORTH 19519 2 87 SOUTH 19518 3 91 11612 4 DIESEL 7847 I62900 SEP 28, 2016 4:15 PM TANK DELIVERY REQUIRED LIMIT TANK PRODUCT LABEL GALLONS 1 87 NORTH 15 2 87 SOUTH 15 3 91 15 4 DIESEL 15 I70300 SEP 28, 2016 4:15 PM LIQUID TYPE SENSOR LOCATION TYPE 1 87 N ANNULAR DUAL POINT HYDROSTATIC 2 87 87 N FILL DW SUMP 2-1 3 87 N STP DW SUMP 2-1 4 87 S ANNULAR DUAL POINT HYDROSTATIC 5 87 S FILL DW SUMP 2-1 6 87 S STP DW SUMP 2-1 7 91-DIESEL ANNULAR DUAL POINT HYDROSTATIC 8 91 FILL DW SUMP 2-1 9 91 STP DW SUMP 2-1 10 DIESEL FILL DW SUMP 2-1 11 DIESEL STP DW SUMP 2-1 12 DISP. 5-6 DW SUMP 2-1 13 DISP. 3-4 DW SUMP 2-1 14 DISP. 1-2 DW SUMP 2-1 15 DISP.11-12 DW SUMP 2-1 16 DISP. 9-10 DW SUMP 2-1 17 DISP. 7-8 DW SUMP 2-1 18 VENT BOX DW SUMP 2-1 19 TRI-STATE (SINGLE FLOAT) 20 TRI-STATE (SINGLE FLOAT) 21 TRI-STATE (SINGLE FLOAT) 22 TRI-STATE (SINGLE FLOAT) 23 TRI-STATE (SINGLE FLOAT) 24 TRI-STATE (SINGLE FLOAT) I72100 SEP 28, 2016 4:15 PM SMART SENSOR CONFIGURATION DEVICE LABEL CONFIGURED 1 87 N PRODUCT ON 2 87 N VENT ON 3 87 S PRODUCT ON 4 87 S VENT ON 5 VAPOR RETURN ON 6 91 PRODUCT SOUTH ON 7 91 PRODUCT NORTH ON 8 91 VENT ON 9 APT LINE TO VENT BOX OFF 10 DIESEL PRODUCT ON 11 DIESEL VENT ON 12 AFM DISP 1-2 ON 13 AFM DISP 3-4 ON 14 AFM DISP 5-6 ON 15 AFM DISP 7-8 ON 16 AFM DISP 9-10 ON 17 AFM DISP 11-12 ON 18 DISP 1-2 VP-SENSOR ON 19 OFF 20 OFF 21 OFF 22 OFF 23 OFF 24 ATM PRESSURE SENSOR ON I72200 SEP 28, 2016 4:15 PM SMART SENSOR LABEL DEVICE LABEL 1 87 N PRODUCT 2 87 N VENT 3 87 S PRODUCT 4 87 S VENT 5 VAPOR RETURN 6 91 PRODUCT SOUTH 7 91 PRODUCT NORTH 8 91 VENT 9 APT LINE TO VENT BOX 10 DIESEL PRODUCT 11 DIESEL VENT 12 AFM DISP 1-2 13 AFM DISP 3-4 14 AFM DISP 5-6 15 AFM DISP 7-8 16 AFM DISP 9-10 17 AFM DISP 11-12 18 DISP 1-2 VP-SENSOR 19 20 21 22 23 24 ATM PRESSURE SENSOR I72900 SEP 28, 2016 4:15 PM VACUUM SENSOR PUMP NUMBER DEVICE LABEL PUMP NUMBER 1 87 N PRODUCT R 5:87 NORTH 2 87 N VENT R 5:87 NORTH 3 87 S PRODUCT R 6:87 SOUTH 4 87 S VENT R 6:87 SOUTH 5 VAPOR RETURN R 6:87 SOUTH 6 91 PRODUCT SOUTH R 7:91 7 91 PRODUCT NORTH R 7:91 8 91 VENT R 7:91 10 DIESEL PRODUCT R 8:DIESEL 11 DIESEL VENT R 8:DIESEL I72A00 SEP 28, 2016 4:15 PM VACUUM SENSOR VOLUME DEVICE LABEL VOLUME 1 87 N PRODUCT 29.9 GALLONS 2 87 N VENT 16.4 GALLONS 3 87 S PRODUCT 30.3 GALLONS 4 87 S VENT 20.8 GALLONS 5 VAPOR RETURN 75.0 GALLONS 6 91 PRODUCT SOUTH 35.2 GALLONS 7 91 PRODUCT NORTH 35.2 GALLONS 8 91 VENT 25.5 GALLONS 10 DIESEL PRODUCT 17.3 GALLONS 11 DIESEL VENT 29.9 GALLONS I72B00 SEP 28, 2016 4:15 PM VACUUM SENSOR RELIEF VALVE PRESENT DEVICE LABEL RELIEF VALVE 1 87 N PRODUCT NO 2 87 N VENT NO 3 87 S PRODUCT NO 4 87 S VENT NO 5 VAPOR RETURN NO 6 91 PRODUCT SOUTH NO 7 91 PRODUCT NORTH NO 8 91 VENT NO 10 DIESEL PRODUCT NO 11 DIESEL VENT NO I72C00 SEP 28, 2016 4:15 PM VACUUM SENSOR RELIEF VALVE PRESSURE DEVICE LABEL RELIEF VALVE PRESSURE 1 87 N PRODUCT -9.0 PSI 2 87 N VENT -9.0 PSI 3 87 S PRODUCT -9.0 PSI 4 87 S VENT -9.0 PSI 5 VAPOR RETURN -9.0 PSI 6 91 PRODUCT SOUTH -9.0 PSI 7 91 PRODUCT NORTH -9.0 PSI 8 91 VENT -9.0 PSI 10 DIESEL PRODUCT -9.0 PSI 11 DIESEL VENT -9.0 PSI I61500 SEP 28, 2016 4:15 PM TANK PRODUCT LABEL METER DATA 1 87 NORTH YES 2 87 SOUTH YES 3 91 YES 4 DIESEL YES I90200 SEP 28, 2016 4:15 PM SOFTWARE REVISION LEVEL VERSION 333.05 SOFTWARE# 346333-100-F CREATED - 13.12.11.14.16 S-MODULE# 330160-106-a SYSTEM FEATURES: PERIODIC IN-TANK TESTS ANNUAL IN-TANK TESTS CSLD BIR ISD/APM I20600 SEP 28, 2016 4:15 PM 281428 SAMS CLUB 481 5625 GOSFORD RD. BAKERSFIELD CA.93313 J09202125405001 TANK ALARM HISTORY TANK 1 87 NORTH SETUP DATA WARNING AUG 18, 2016 9:21 AM JAN 19, 2016 12:45 PM HIGH WATER ALARM APR 13, 2016 10:16 AM OVERFILL ALARM SEP 28, 2016 11:06 AM APR 13, 2016 11:00 AM LOW PRODUCT ALARM APR 13, 2016 10:13 AM APR 13, 2016 10:02 AM SUDDEN LOSS ALARM SEP 28, 2016 1:18 PM SEP 28, 2016 12:04 PM APR 30, 2016 11:39 PM HIGH PRODUCT ALARM SEP 28, 2016 11:07 AM APR 13, 2016 11:00 AM INVALID FUEL LEVEL APR 13, 2016 10:13 AM APR 13, 2016 10:02 AM PROBE OUT SEP 28, 2016 11:12 AM SEP 28, 2016 10:41 AM APR 13, 2016 11:01 AM HIGH WATER WARNING APR 13, 2016 10:16 AM APR 13, 2016 10:06 AM DELIVERY NEEDED JUN 9, 2016 7:20 PM APR 13, 2016 10:13 AM APR 13, 2016 10:02 AM MAX PRODUCT ALARM SEP 28, 2016 11:07 AM APR 13, 2016 11:00 AM TANK 2 87 SOUTH SETUP DATA WARNING AUG 18, 2016 9:21 AM JAN 19, 2016 12:45 PM HIGH WATER ALARM SEP 28, 2016 11:31 AM APR 13, 2016 10:54 AM OVERFILL ALARM SEP 28, 2016 11:24 AM AUG 22, 2016 2:05 AM APR 13, 2016 11:03 AM LOW PRODUCT ALARM SEP 28, 2016 11:15 AM APR 13, 2016 10:51 AM SUDDEN LOSS ALARM APR 14, 2016 4:21 AM HIGH PRODUCT ALARM SEP 28, 2016 11:25 AM AUG 22, 2016 2:07 AM APR 13, 2016 11:03 AM PROBE OUT SEP 28, 2016 12:06 PM SEP 28, 2016 11:25 AM SEP 28, 2016 11:08 AM HIGH WATER WARNING SEP 28, 2016 12:20 PM SEP 28, 2016 12:12 PM SEP 28, 2016 12:01 PM DELIVERY NEEDED JUN 9, 2016 7:31 PM APR 13, 2016 10:51 AM FEB 13, 2016 6:51 PM MAX PRODUCT ALARM SEP 28, 2016 11:25 AM APR 13, 2016 11:03 AM TANK 3 91 SETUP DATA WARNING AUG 18, 2016 9:21 AM JAN 19, 2016 12:45 PM HIGH WATER ALARM SEP 28, 2016 10:49 AM APR 13, 2016 10:17 AM OVERFILL ALARM SEP 28, 2016 11:02 AM APR 13, 2016 11:11 AM LOW PRODUCT ALARM SEP 28, 2016 11:04 AM SEP 28, 2016 10:45 AM APR 13, 2016 10:14 AM HIGH PRODUCT ALARM SEP 28, 2016 11:02 AM APR 13, 2016 11:10 AM PROBE OUT SEP 28, 2016 11:03 AM SEP 28, 2016 10:44 AM APR 13, 2016 11:11 AM HIGH WATER WARNING SEP 28, 2016 10:49 AM APR 13, 2016 10:17 AM DELIVERY NEEDED JUL 16, 2016 5:03 PM JUN 9, 2016 6:54 PM MAY 26, 2016 8:47 PM MAX PRODUCT ALARM SEP 28, 2016 11:02 AM APR 13, 2016 11:11 AM LOW TEMP WARNING SEP 28, 2016 11:04 AM SEP 28, 2016 10:45 AM APR 13, 2016 11:13 AM TANK 4 DIESEL SETUP DATA WARNING AUG 18, 2016 9:21 AM JAN 19, 2016 12:45 PM HIGH WATER ALARM SEP 28, 2016 10:46 AM APR 13, 2016 10:17 AM OVERFILL ALARM SEP 28, 2016 10:57 AM APR 13, 2016 11:06 AM LOW PRODUCT ALARM SEP 28, 2016 10:43 AM APR 13, 2016 10:45 AM APR 13, 2016 10:13 AM SUDDEN LOSS ALARM AUG 18, 2016 9:23 AM HIGH PRODUCT ALARM SEP 28, 2016 10:58 AM APR 13, 2016 11:07 AM INVALID FUEL LEVEL SEP 28, 2016 10:43 AM APR 13, 2016 10:14 AM PROBE OUT SEP 28, 2016 10:58 AM SEP 28, 2016 10:41 AM APR 13, 2016 11:07 AM HIGH WATER WARNING SEP 28, 2016 10:46 AM APR 13, 2016 10:17 AM DELIVERY NEEDED APR 13, 2016 10:45 AM APR 13, 2016 10:13 AM APR 13, 2016 10:05 AM MAX PRODUCT ALARM SEP 28, 2016 10:58 AM APR 13, 2016 11:07 AM LOW TEMP WARNING SEP 28, 2016 10:59 AM APR 13, 2016 11:08 AM TANK 5 TANK 6 TANK 7 TANK 8 TANK 9 TANK 10 TANK 11 TANK 12 TANK 13 TANK 14 TANK 15 TANK 16 I30200 SEP 28, 2016 4:16 PM 281428 SAMS CLUB 481 5625 GOSFORD RD. BAKERSFIELD CA.93313 J09202125405001 LIQUID ALARM HISTORY REPORT SENSOR LOCATION 1 87 N ANNULAR SEP 28, 2016 10:38 AM SENSOR OUT ALARM SEP 28, 2016 9:22 AM LOW LIQUID ALARM SEP 28, 2016 9:22 AM HIGH LIQUID ALARM 2 87 87 N FILL SEP 28, 2016 10:38 AM SENSOR OUT ALARM SEP 28, 2016 9:21 AM LOW LIQUID ALARM SEP 28, 2016 9:20 AM FUEL ALARM 3 87 N STP SEP 28, 2016 10:38 AM SENSOR OUT ALARM SEP 28, 2016 9:19 AM LOW LIQUID ALARM SEP 28, 2016 9:19 AM FUEL ALARM 4 87 S ANNULAR SEP 28, 2016 10:38 AM SENSOR OUT ALARM SEP 28, 2016 9:18 AM LOW LIQUID ALARM SEP 28, 2016 9:18 AM HIGH LIQUID ALARM 5 87 S FILL SEP 28, 2016 10:38 AM SENSOR OUT ALARM SEP 28, 2016 9:16 AM LOW LIQUID ALARM SEP 28, 2016 9:15 AM FUEL ALARM 6 87 S STP SEP 28, 2016 10:38 AM SENSOR OUT ALARM SEP 28, 2016 9:14 AM LOW LIQUID ALARM SEP 28, 2016 9:12 AM FUEL ALARM 7 91-DIESEL ANNULAR SEP 28, 2016 10:38 AM SENSOR OUT ALARM SEP 28, 2016 9:29 AM HIGH LIQUID ALARM SEP 28, 2016 9:29 AM LOW LIQUID ALARM 8 91 FILL SEP 28, 2016 10:38 AM SENSOR OUT ALARM SEP 28, 2016 9:25 AM LOW LIQUID ALARM SEP 28, 2016 9:25 AM FUEL ALARM 9 91 STP SEP 28, 2016 10:38 AM SENSOR OUT ALARM SEP 28, 2016 9:24 AM LOW LIQUID ALARM SEP 28, 2016 9:23 AM FUEL ALARM 10 DIESEL FILL SEP 28, 2016 10:38 AM SENSOR OUT ALARM APR 13, 2016 12:36 PM FUEL ALARM APR 13, 2016 12:25 PM SENSOR OUT ALARM 11 DIESEL STP SEP 28, 2016 10:38 AM SENSOR OUT ALARM SEP 28, 2016 9:28 AM LOW LIQUID ALARM SEP 28, 2016 9:27 AM FUEL ALARM 12 DISP. 5-6 SEP 28, 2016 10:38 AM SENSOR OUT ALARM SEP 28, 2016 9:56 AM LOW LIQUID ALARM SEP 28, 2016 9:55 AM FUEL ALARM 13 DISP. 3-4 SEP 28, 2016 10:38 AM SENSOR OUT ALARM SEP 28, 2016 9:58 AM LOW LIQUID ALARM SEP 28, 2016 9:57 AM FUEL ALARM 14 DISP. 1-2 SEP 28, 2016 10:38 AM SENSOR OUT ALARM SEP 28, 2016 10:01 AM LOW LIQUID ALARM SEP 28, 2016 10:00 AM FUEL ALARM 15 DISP.11-12 SEP 28, 2016 10:38 AM SENSOR OUT ALARM SEP 28, 2016 9:53 AM LOW LIQUID ALARM SEP 28, 2016 9:52 AM FUEL ALARM 16 DISP. 9-10 SEP 28, 2016 10:38 AM SENSOR OUT ALARM SEP 28, 2016 9:46 AM LOW LIQUID ALARM SEP 28, 2016 9:44 AM FUEL ALARM 17 DISP. 7-8 SEP 28, 2016 10:38 AM SENSOR OUT ALARM SEP 28, 2016 9:41 AM LOW LIQUID ALARM SEP 28, 2016 9:38 AM FUEL ALARM 18 VENT BOX SEP 28, 2016 10:38 AM SENSOR OUT ALARM SEP 28, 2016 9:33 AM LOW LIQUID ALARM SEP 28, 2016 9:31 AM FUEL ALARM I31600 SEP 28, 2016 4:16 PM 281428 SAMS CLUB 481 5625 GOSFORD RD. BAKERSFIELD CA.93313 J09202125405001 SMART SENSOR ALARM HISTORY REPORT SENSOR LOCATION 1 87 N PRODUCT SEP 28, 2016 10:05 AM NO VACUUM ALARM SEP 28, 2016 10:04 AM HIGH LIQUID ALARM APR 13, 2016 12:10 PM HIGH LIQUID ALARM 2 87 N VENT SEP 28, 2016 10:05 AM NO VACUUM ALARM SEP 28, 2016 10:04 AM HIGH LIQUID ALARM MAY 5, 2016 1:16 PM VACUUM WARNING 3 87 S PRODUCT SEP 28, 2016 10:10 AM NO VACUUM ALARM SEP 28, 2016 10:08 AM HIGH LIQUID ALARM AUG 25, 2016 9:38 AM NO VACUUM ALARM 4 87 S VENT SEP 28, 2016 10:09 AM NO VACUUM ALARM SEP 28, 2016 10:08 AM HIGH LIQUID ALARM AUG 17, 2016 11:09 AM NO VACUUM ALARM 5 VAPOR RETURN SEP 28, 2016 10:09 AM NO VACUUM ALARM SEP 28, 2016 10:08 AM HIGH LIQUID ALARM AUG 26, 2016 3:21 AM NO VACUUM ALARM 6 91 PRODUCT SOUTH SEP 28, 2016 10:22 AM NO VACUUM ALARM SEP 28, 2016 10:16 AM HIGH LIQUID ALARM APR 13, 2016 12:02 PM NO VACUUM ALARM 7 91 PRODUCT NORTH SEP 28, 2016 10:21 AM NO VACUUM ALARM SEP 28, 2016 10:15 AM HIGH LIQUID ALARM APR 13, 2016 12:00 PM NO VACUUM ALARM 8 91 VENT SEP 28, 2016 10:21 AM NO VACUUM ALARM SEP 28, 2016 10:15 AM HIGH LIQUID ALARM SEP 4, 2016 6:37 PM VACUUM WARNING 10 DIESEL PRODUCT SEP 28, 2016 10:13 AM NO VACUUM ALARM SEP 28, 2016 10:11 AM HIGH LIQUID ALARM APR 13, 2016 12:04 PM NO VACUUM ALARM 11 DIESEL VENT SEP 28, 2016 10:13 AM NO VACUUM ALARM SEP 28, 2016 10:11 AM HIGH LIQUID ALARM APR 13, 2016 12:04 PM NO VACUUM ALARM 12 AFM DISP 1-2 13 AFM DISP 3-4 14 AFM DISP 5-6 15 AFM DISP 7-8 16 AFM DISP 9-10 AUG 19, 2016 11:23 AM COMMUNICATION ALARM 17 AFM DISP 11-12 18 DISP 1-2 VP-SENSOR 24 ATM PRESSURE SENSOR