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HomeMy WebLinkAboutFMC 2015 2/21/07 1 Appendix VI (Copies of Monitoring System Certification form and UST Monitoring Plot Plan available at http://www.waterboards.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: ________________________________________________________________________ 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: ____________________________________________ In-Tank Gauging Probe. Model: ____________________ Annular Space or Vault Sensor. Model: ____________________ Piping Sump / Trench Sensor(s). Model: ____________________ Fill Sump Sensor(s). Model: ____________________ Mechanical Line Leak Detector. Model: ____________________ Electronic Line Leak Detector. Model: ____________________ Tank Overfill / High-Level Sensor. Model: ____________________ Other (specify equipment type and model in Section E on Page 2). Tank ID: ____________________________________________ In-Tank Gauging Probe. Model: ____________________ Annular Space or Vault Sensor. Model: ____________________ Piping Sump / Trench Sensor(s). Model: ____________________ Fill Sump Sensor(s). Model: ____________________ Mechanical Line Leak Detector. Model: ____________________ Electronic Line Leak Detector. Model: ____________________ Tank Overfill / High-Level Sensor. Model: ____________________ Other (specify equipment type and model in Section E on Page 2). Tank ID: ____________________________________________ In-Tank Gauging Probe. Model: ____________________ Annular Space or Vault Sensor. Model: ____________________ Piping Sump / Trench Sensor(s). Model: ____________________ Fill Sump Sensor(s). Model: ____________________ Mechanical Line Leak Detector. Model: ____________________ Electronic Line Leak Detector. Model: ____________________ Tank Overfill / High-Level Sensor. Model: ____________________ Other (specify equipment type and model in Section E on Page 2). Tank ID: ____________________________________________ In-Tank Gauging Probe. Model: ____________________ Annular Space or Vault Sensor. Model: ____________________ Piping Sump / Trench Sensor(s). Model: ____________________ Fill Sump Sensor(s). Model: ____________________ Mechanical Line Leak Detector. Model: ____________________ Electronic Line Leak Detector. Model: ____________________ Tank Overfill / High-Level Sensor. Model: ____________________ Other (specify equipment type and model in Section E on Page 2). Dispenser ID: ________________________________________ Dispenser Containment Sensor(s). Model: ____________________ Shear Valve(s). Dispenser Containment Float(s) and Chain(s). Dispenser ID: ________________________________________ Dispenser Containment Sensor(s). Model: ____________________ Shear Valve(s). Dispenser Containment Float(s) and Chain(s). Dispenser ID: ________________________________________ Dispenser Containment Sensor(s). Model: ____________________ Shear Valve(s). Dispenser Containment Float(s) and Chain(s). Dispenser ID: ________________________________________ Dispenser Containment Sensor(s). Model: ____________________ Shear Valve(s). Dispenser Containment Float(s) and Chain(s). Dispenser ID: ________________________________________ Dispenser Containment Sensor(s). Model: ____________________ Shear Valve(s). Dispenser Containment Float(s) and Chain(s Dispenser ID: ________________________________________ Dispenser Containment Sensor(s). Model: ____________________ Shear Valve(s). Dispenser Containment Float(s) and Chain(s). *If the facility contains more tanks or dispensers, copy this form. Include information for every tank and dispenser at the facility. C. Certification - I certify that the equipment identified in this document was inspected/serviced in accordance with the manufacturers’ guidelines. Attached to this Certification is information (e.g. manufacturers' checklists) necessary to verify that this information is correct and a Plot Plan showing the layout of monitoring equipment. For any equipment capable of generating such reports, I have also attached a copy of the report; (check all that apply): System set-up Alarm history report Technician Name (print): _________________________________ Signature: __________________________________________________ Certification No.: _______________________________________ License. No.: ________________________________________ Testing Company Name: _______________________________________________ Phone No.:(_______)_____________________________ Testing Company Address: ___________________________________________________________ Date of Testing/Servicing: ____/____/_____________ Monitoring System Certification Page 1 of 4 12/07 CIRCLEK#2708605 5600AUBURNST BAKERSFIELD 93306 TONYAPICENO (661)871-6273 TLS-350 11/11/15 UNLPREM UNL-MID ✔ ✔ MAG-1 ✔MAG-1 ✔ 409 ✔409 208 ✔208 ✔VL-LD2000 ✔VL-LD2000 ✔DROPTUBEW/FLAPPER ✔DROPTUBEW/FLAPPER UNLREG ✔MAG-1 ✔ ✔ 409 208 ✔VL-LD2000 ✔DROPTUBEW/FLAPPER 1/2 3/4 ✔ ✔ BEAUDROW406 ✔ ✔ BEAUDROW406 ✔✔ JRODRIGUEZ JRODRIGUEZ Digitally signed by JRODRIGUEZ Date: 2015.11.11 11:14:53 -08'00' B37617/8004270 744619 IDECOInc.818 452-9931 7306ColdwaterCyn.STE7,NorthHollywood,CA91605 11/11/15 2/21/07 2 D. Results of Testing/Servicing Software Version Installed: _____________________________________ Complete the following checklist: Yes No* Is the audible alarm operational? Yes No* Is the visual alarm operational? Yes No* Were all sensors visually inspected, functionally tested, and confirmed operational? Yes No* Were all sensors installed at lowest point of secondary containment and positioned so that other equipment will not interfere with their proper operation? Yes No* N/A If alarms are relayed to a remote monitoring station, is all communications equipment (e.g. modem) operational? Yes No* N/A For pressurized piping systems, does the turbine automatically shut down if the piping secondary containment monitoring system detects a leak, fails to operate, or is electrically disconnected? If yes: which sensors initiate positive shut-down? (Check all that apply) Sump/Trench Sensors; Dispenser Containment Sensors. Did you confirm positive shut-down due to leaks and sensor failure/disconnection? Yes; No. Yes No* N/A For tank systems that utilize the monitoring system as the primary tank overfill warning device (i.e. no mechanical overfill prevention valve is installed), is the overfill warning alarm visible and audible at the tank fill point(s) and operating properly? If so, at what percent of tank capacity does the alarm trigger? ________% Yes* No Was any monitoring equipment replaced? If yes, identify specific sensors, probes, or other equipment replaced and list the manufacturer name and model for all replacement parts in Section E, below. Yes* No Was liquid found inside any secondary containment systems designed as dry systems? (Check all that apply) Product; Water. If yes, describe causes in Section E, below. Yes No* Was monitoring system set-up reviewed to ensure proper settings? Attach set up reports, if applicable Yes No* Is all monitoring equipment operational per manufacturer’s specifications? * In Section E below, describe how and when these deficiencies were or will be corrected. E. Comments: ___________________________________________________________________________________________ __________________________________________________________________________________________________________ __________________________________________________________________________________________________________ __________________________________________________________________________________________________________ __________________________________________________________________________________________________________ _________________________________________________________________________________________________________ __________________________________________________________________________________________________________ __________________________________________________________________________________________________________ __________________________________________________________________________________________________________ __________________________________________________________________________________________________________ __________________________________________________________________________________________________________ _________________________________________________________________________________________________________ __________________________________________________________________________________________________________ __________________________________________________________________________________________________________ __________________________________________________________________________________________________________ __________________________________________________________________________________________________________ __________________________________________________________________________________________________________ __________________________________________________________________________________________________________ Monitoring System Certification Page 2 of 4 12/07 ✔ ✔ ✔ ✔ ✔ MECHANICALOVERFILLISVALVEDROPTUBEWITHFLAPPPER.(SITEHASNO EXTERIORATG,OVERFILL,AUDIBLE.FLAPPERSSERVEASOVERFILL) ✔ ✔ ✔ ✔ 328.03 ✔ ✔ 2/21/07 3 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: ___________________________________________________________________________________________ __________________________________________________________________________________________________________ __________________________________________________________________________________________________________ __________________________________________________________________________________________________________ __________________________________________________________________________________________________________ __________________________________________________________________________________________________________ __________________________________________________________________________________________________________ __________________________________________________________________________________________________________ __________________________________________________________________________________________________________ __________________________________________________________________________________________________________ __________________________________________________________________________________________________________ Monitoring System Certification Page 3 of 4 12/07 ✔ ✔ ✔ ✔ ✔ ✔ ✔ ✔ ✔ ✔ ✔ ✔ ✔ ✔ ✔ ✔ !" !" !" ! ## $%& ! ’ %( )&*(## +&#,-.)/# 0&%#1#*2 3&$451#*2 6&7(8 9&%55 #80#,5 :&;5< ’ %( )&*(## +&#,-.)/# 0&%#1#*2 3&$451#*2 6&7(8 9&%55 #80#,5 :&;5< ’ %( )&*(## +&#,-.)/# 0&%#1#*2 3&$451#*2 6&7(8 9&%55 #80#,5 :&;5< ’ %( )&*(## +&#,-.)/# 0&%#1#*2 3&$451#*2 6&7(8 9&%55 #80#,5 :&;5< (818)452-9931 IDECOInc. TONYAPICENO 5600AUBURNST CA 93306 11/11/15 CIRCLEK#2708605 BAKERSFIELD vmiildt REDJACKET FIBERGLASS 2" N/A 11/11/15 REG MID N/A N/A 27PSI 27PSI 3 3 N/A N/A N/A N/A N/A N/A N/A N/A N/A N/A PREM N/A 30PSI 3 N/A N/A N/A N/A N/A Page ____ of ____ SWRCB, January 2006 Spill Bucket Testing Report Form This form is intended for use by contractors performing annual testing of UST spill containment structures. The completed form and printouts from tests (if applicable), should be provided to the facility owner/operator for submittal to the local regulatory agency. 1.FACILITY INFORMATION Facility Name: Date of Testing: Facility Address: Facility Contact: Phone: Date Local Agency Was Notified of Testing: Name of Local Agency Inspector (if present during testing): 2.TESTING CONTRACTOR INFORMATION Company Name: IDECO INC. Technician Conducting Test: Credentials1: CSLB Contractor ICC Service Tech. SWRCB Tank Tester Other (Specify) __________________License Number(s): 744619 License Type: C10 / A / HAZ 3.SPILL BUCKET TESTING INFORMATION Test Method Used: Hydrostatic Vacuum Other: Visual Lake Test (Specify)_____________________Test Equipment Used: Measuring Device Equipment Resolution: N/A Identify Spill Bucket (By Tank Number, Stored Product, etc.) 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: N/A N/A N/A N/A Test Start Time (TI): Initial Reading (RI): Test End Time (TF): Final Reading (RF): Test Duration (TF – TI): 1 hr. 1 hr. 1 hr. 1 hr. Change in Reading (RF -RI): Pass/Fail Threshold or Criteria: 0.002 in. 0.002 in. 0.002 in. 0.002 in. 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) Spill Box manufacture: 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. OPW CIRCLEK#2708605 5600AUBURNST TONYAPICENO JRODRIGUEZ JRODRIGUEZ Digitally signed by JRODRIGUEZ Date: 2015.11.11 11:16:37 -08'00' ✔ UNLPREMFILL ✔ 11.5" 12" 9:00AM 11.5" 10:00AM 11.5" 60MIN. 0 ✔ N/A UNLMIDFILL ✔ 11.5" 12" 9:00AM 11.5" 10:00AM 11.5" 60MIN. 0 ✔ BAKERSFIELD (661)871-6273 UNLREGFILL ✔ 11.5" 12" 9:00AM 11.5" 10:00AM 11.5" 60MIN. 0 ✔ ✔ 11/11/15 11/11/15 93306 ALARM HIST. CK# 2708605 < I10100 NOV 11, 2015 11:06 AM CIRCLE K 2708605 5600 AUBURN ST BAKERSFIELD CA,93306 661-871-7979 SYSTEM STATUS REPORT ALL FUNCTIONS NORMAL > < I20100 NOV 11, 2015 11:06 AM CIRCLE K 2708605 5600 AUBURN ST BAKERSFIELD CA,93306 661-871-7979 IN-TANK INVENTORY TANK PRODUCT VOLUME TC VOLUME ULLAGE HEIGHT WATER TEMP 1 UNL-PREM 3087 3047 6597 31.77 0.00 78.17 2 UNL-MID 2671 2630 7013 28.62 0.00 81.65 3 UNL-REG(005) 5781 5743 3903 51.18 0.00 69.03 > < I51700 NOV 11, 2015 11:06 AM SYSTEM TYPE AND LANGUAGE FLAG SYSTEM UNITS U.S. SYSTEM LANGUAGE ENGLISH SYSTEM DATE/TIME FORMAT MON DD YYYY HH:MM:SS xM > < I50F00 NOV 11, 2015 11:06 AM MON DD YYYY HH:MM:SS xM > <9999FF1B> < I60200 NOV 11, 2015 11:07 AM Page 1 ALARM HIST. CK# 2708605 TANK PRODUCT LABEL TANK PRODUCT LABEL 1 UNL-PREM 2 UNL-MID 3 UNL-REG(005) 4 87 UNLEADED > < I60300 NOV 11, 2015 11:07 AM TANK PRODUCT CODE TANK PRODUCT LABEL 1 UNL-PREM C 2 UNL-MID B 3 UNL-REG(005) A 4 87 UNLEADED 4 > < I60400 NOV 11, 2015 11:07 AM TANK FULL VOLUME TANK PRODUCT LABEL GALLONS 1 UNL-PREM 9684 2 UNL-MID 9684 3 UNL-REG(005) 9684 4 87 UNLEADED 9816 > < I60700 NOV 11, 2015 11:07 AM TANK DIAMETER TANK PRODUCT LABEL INCHES 1 UNL-PREM 89.75 2 UNL-MID 89.75 3 UNL-REG(005) 89.75 4 87 UNLEADED 92.00 > < I60900 NOV 11, 2015 11:07 AM TANK THERMAL COEFFICIENT TANK PRODUCT LABEL 1 UNL-PREM 0.000700 2 UNL-MID 0.000700 3 UNL-REG(005) 0.000700 Page 2 ALARM HIST. CK# 2708605 4 87 UNLEADED 0.000070 > < I61200 NOV 11, 2015 11:07 AM TANK MANIFOLDED PARTNERS TANK PRODUCT LABEL SIPHON MANIFOLDED TANKS LINE MANIFOLDED TANKS 1 UNL-PREM NONE NONE 2 UNL-MID NONE NONE 3 UNL-REG(005) NONE NONE 4 87 UNLEADED NONE NONE > < I62100 NOV 11, 2015 11:07 AM TANK LOW PRODUCT LIMIT TANK PRODUCT LABEL GALLONS 1 UNL-PREM 500 2 UNL-MID 500 3 UNL-REG(005) 500 4 87 UNLEADED 500 > < I62200 NOV 11, 2015 11:07 AM TANK HIGH PRODUCT LIMIT TANK PRODUCT LABEL GALLONS 1 UNL-PREM 9325 2 UNL-MID 9325 3 UNL-REG(005) 9325 4 87 UNLEADED 9325 > < I62300 NOV 11, 2015 11:07 AM TANK OVERFILL LEVEL LIMIT TANK PRODUCT LABEL GALLONS 1 UNL-PREM 8834 2 UNL-MID 8834 3 UNL-REG(005) 8834 4 87 UNLEADED 8834 > < I62400 NOV 11, 2015 11:07 AM TANK HIGH WATER LEVEL LIMIT Page 3 ALARM HIST. CK# 2708605 TANK PRODUCT LABEL INCHES 1 UNL-PREM 3.0 2 UNL-MID 3.0 3 UNL-REG(005) 3.0 > < I62800 NOV 11, 2015 11:07 AM TANK MAXIMUM VOLUME LIMIT TANK PRODUCT LABEL GALLONS 1 UNL-PREM 9684 2 UNL-MID 9684 3 UNL-REG(005) 9684 4 87 UNLEADED 9816 > < I62900 NOV 11, 2015 11:07 AM TANK DELIVERY REQUIRED LIMIT TANK PRODUCT LABEL GALLONS 1 UNL-PREM 981 2 UNL-MID 981 3 UNL-REG(005) 981 4 87 UNLEADED 981 > < I70300 NOV 11, 2015 11:08 AM LIQUID TYPE SENSOR LOCATION TYPE 1 87 ANNULAR TRI-STATE (SINGLE FLOAT) 2 87 TURBINE TRI-STATE (SINGLE FLOAT) 3 89 ANNULAR TRI-STATE (SINGLE FLOAT) 4 89 TURBINE TRI-STATE (SINGLE FLOAT) 5 91 ANNULAR TRI-STATE (SINGLE FLOAT) 6 91 TURBINE TRI-STATE (SINGLE FLOAT) 7 TRI-STATE (SINGLE FLOAT) 8 TRI-STATE (SINGLE FLOAT) > < I20600 NOV 11, 2015 11:08 AM CIRCLE K 2708605 5600 AUBURN ST BAKERSFIELD CA,93306 661-871-7979 Page 4 ALARM HIST. CK# 2708605 TANK ALARM HISTORY TANK 1 UNL-PREM HIGH WATER ALARM JAN 5, 2012 10:30 AM JAN 19, 2011 8:50 AM OVERFILL ALARM JAN 5, 2012 10:34 AM JAN 19, 2011 9:39 AM LOW PRODUCT ALARM JAN 5, 2012 10:50 AM HIGH PRODUCT ALARM JAN 5, 2012 10:34 AM JAN 19, 2011 9:38 AM INVALID FUEL LEVEL JAN 5, 2012 10:50 AM JAN 5, 2012 10:27 AM JAN 19, 2011 8:47 AM PROBE OUT NOV 11, 2015 9:24 AM MAY 12, 2014 1:26 PM MAY 12, 2014 1:24 PM HIGH WATER WARNING JAN 5, 2012 10:30 AM JAN 19, 2011 8:50 AM DELIVERY NEEDED MAY 31, 2012 9:44 AM MAY 14, 2012 4:40 PM APR 26, 2012 3:10 PM MAX PRODUCT ALARM JAN 5, 2012 10:34 AM JAN 19, 2011 9:41 AM LOW TEMP WARNING MAY 7, 2014 3:07 PM DEC 18, 2012 10:37 AM JAN 19, 2011 8:47 AM DELIVY DENSITY WARN APR 6, 2012 8:58 PM TANK 2 UNL-MID HIGH WATER ALARM JAN 5, 2012 10:38 AM JAN 19, 2011 8:48 AM OVERFILL ALARM JAN 19, 2011 9:26 AM LOW PRODUCT ALARM JAN 5, 2012 10:28 AM JAN 19, 2011 8:44 AM JUL 20, 2010 10:03 AM HIGH PRODUCT ALARM JAN 5, 2012 10:35 AM JAN 19, 2011 9:28 AM Page 5 ALARM HIST. CK# 2708605 INVALID FUEL LEVEL JAN 5, 2012 10:28 AM JAN 19, 2011 8:45 AM PROBE OUT NOV 11, 2015 9:24 AM MAY 8, 2014 6:00 PM DEC 18, 2012 10:35 AM HIGH WATER WARNING JAN 5, 2012 10:31 AM JAN 19, 2011 8:48 AM DELIVERY NEEDED JUN 14, 2012 9:10 PM MAY 8, 2012 10:22 AM MAR 30, 2012 3:15 PM MAX PRODUCT ALARM JAN 5, 2012 10:35 AM JAN 19, 2011 9:31 AM LOW TEMP WARNING DEC 18, 2012 10:36 AM DEC 18, 2012 10:31 AM JAN 19, 2011 9:40 AM TANK 3 UNL-REG(005) HIGH WATER ALARM JAN 5, 2012 10:41 AM JAN 19, 2011 8:47 AM OVERFILL ALARM MAR 31, 2014 11:20 AM DEC 10, 2013 5:45 AM JUL 21, 2013 5:48 AM LOW PRODUCT ALARM FEB 27, 2015 1:36 PM MAY 11, 2012 8:08 PM HIGH PRODUCT ALARM JAN 5, 2012 10:36 AM JAN 19, 2011 9:31 AM OCT 20, 2010 8:05 PM INVALID FUEL LEVEL JAN 5, 2012 10:29 AM JAN 19, 2011 8:44 AM APR 8, 2010 4:11 AM PROBE OUT NOV 11, 2015 9:24 AM DEC 18, 2012 10:34 AM DEC 18, 2012 10:29 AM HIGH WATER WARNING JAN 5, 2012 10:41 AM JAN 19, 2011 8:47 AM DELIVERY NEEDED MAR 8, 2015 9:15 PM MAR 4, 2015 5:20 PM FEB 27, 2015 10:58 AM MAX PRODUCT ALARM JAN 5, 2012 10:36 AM JAN 19, 2011 9:38 AM AUG 27, 2010 11:15 PM Page 6 ALARM HIST. CK# 2708605 LOW TEMP WARNING DEC 18, 2012 10:35 AM DEC 18, 2012 10:29 AM JAN 5, 2012 10:53 AM DELIVY DENSITY WARN APR 6, 2012 8:50 PM APR 5, 2012 9:13 AM > < I30200 NOV 11, 2015 11:08 AM CIRCLE K 2708605 5600 AUBURN ST BAKERSFIELD CA,93306 661-871-7979 LIQUID ALARM HISTORY REPORT SENSOR LOCATION 1 87 ANNULAR NOV 11, 2015 9:25 AM SENSOR OUT ALARM NOV 11, 2015 8:05 AM FUEL ALARM NOV 21, 2014 9:16 AM FUEL ALARM 2 87 TURBINE NOV 11, 2015 9:25 AM SENSOR OUT ALARM NOV 11, 2015 8:36 AM FUEL ALARM NOV 21, 2014 9:00 AM FUEL ALARM 3 89 ANNULAR NOV 11, 2015 8:09 AM FUEL ALARM NOV 21, 2014 9:17 AM FUEL ALARM NOV 21, 2014 9:10 AM FUEL ALARM 4 89 TURBINE NOV 11, 2015 8:37 AM FUEL ALARM NOV 21, 2014 9:04 AM FUEL ALARM NOV 21, 2014 9:02 AM FUEL ALARM 5 91 ANNULAR NOV 11, 2015 8:13 AM FUEL ALARM NOV 11, 2015 8:13 AM FUEL ALARM NOV 21, 2014 9:08 AM FUEL ALARM 6 91 TURBINE NOV 11, 2015 8:38 AM FUEL ALARM NOV 21, 2014 9:06 AM FUEL ALARM MAY 15, 2014 1:58 PM SENSOR OUT ALARM > < I31600 NOV 11, 2015 11:08 AM CIRCLE K 2708605 5600 AUBURN ST BAKERSFIELD CA,93306 Page 7 ALARM HIST. CK# 2708605 661-871-7979 SMART SENSOR ALARM HISTORY REPORT SENSOR LOCATION 1 DISP 1-2 AFM 2 DISP 3-4 AFM 3 DISP 1-2 VPS MAR 28, 2011 10:24 AM COMMUNICATION ALARM MAR 28, 2011 10:14 AM COMMUNICATION ALARM > < I34200 NOV 11, 2015 11:08 AM > < I34700 NOV 11, 2015 11:08 AM > < I38200 NOV 11, 2015 11:08 AM > < I38700 NOV 11, 2015 11:08 AM > < I38900 NOV 11, 2015 11:08 AM > < I10100 NOV 11, 2015 11:08 AM CIRCLE K 2708605 5600 AUBURN ST BAKERSFIELD CA,93306 661-871-7979 SYSTEM STATUS REPORT ALL FUNCTIONS NORMAL > < I90200 NOV 11, 2015 11:09 AM SOFTWARE REVISION LEVEL VERSION 328.03 Page 8 ALARM HIST. CK# 2708605 SOFTWARE# 346328-100-D CREATED - 08.06.06.17.21 S-MODULE# 330160-004-a SYSTEM FEATURES: PERIODIC IN-TANK TESTS ANNUAL IN-TANK TESTS ISD > Page 9