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HomeMy WebLinkAbout2016 FMC RESULTSMONITORING 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 FlowerStreetMiniMart 928FlowerStreetBakersfield93305 SamMansour (661)322-1521 Veeder-RootTLS-350 11/08/2016 10,000gal.Regular 847390-107 794390-420 794390-420 794380-208 794380-208 794380-208 794380-208 FX1V 847390-107 8,000gal.Super 847390-107 FX1V 847390-107 794380-208 1-2 794380-208 794380-208 794380-208 794380-208 3-4 5-6 7-8 9-10 794380-208 11-12 AaronPerrigo B47853 928FlowerStreet Bakersfield,CA93305 11/08/2016 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 3 323.03 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: FlowerStreetMiniMart 928FlowerStreet Bakersfield,CA93305 37722 11/08/2016 (exp.09/18/2018) Regular Mechanical FX1V AaronPerrigo (661)322-1521SamMansour Bakersfield,CA93305 928FlowerStreet FlowerStreetMiniMart 30 psi150 ml Pass FX1VMechanicalPremium 28 psi135 ml Pass AaronPerrigo (exp.09/18/2018) 11/08/2016 Flower Street Setup 11-8-16 Responses Received: 200 FLOWER ST MINI MART 928 FLOWER ST BAKERSFIELD CA 93305 661-328-0673 NOV 8, 2016 10:20 AM TANK PRODUCT GALLONS INCHES WATER DEG F ULLAGE 1 REGULAR UNL 4190 40.19 0.0 76.0 7837 2 SUPER UNL 1330 22.73 0.0 79.3 6859 I90500 NOV 8, 2016 10:20 AM SOFTWARE REVISION LEVEL VERSION 333.06 SOFTWARE# 346333-100-G CREATED - 14.10.01.16.35 S-MODULE# 330160-004-a SYSTEM FEATURES: PERIODIC IN-TANK TESTS ANNUAL IN-TANK TESTS ISD/APM I50500 NOV 8, 2016 10:20 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 NOV 8, 2016 10:20 AM SHIFT TIME 1 : 2:00 AM I50202 NOV 8, 2016 10:20 AM SHIFT TIME 2 : DISABLED I50203 NOV 8, 2016 10:20 AM SHIFT TIME 3 : DISABLED I50204 NOV 8, 2016 10:20 AM SHIFT TIME 4 : DISABLED I54600 NOV 8, 2016 10:20 AM TANK PER TST NEEDED WRN: DISABLED I54900 NOV 8, 2016 10:20 AM TANK ANN TST NEEDED WRN: DISABLED I55300 NOV 8, 2016 10:20 AM LINE RE-ENABLE METHOD PASS LINE TEST I55600 NOV 8, 2016 10:20 AM LINE PER TST NEEDED WRN: DISABLED I55900 NOV 8, 2016 10:20 AM LINE ANN TST NEEDED WRN: DISABLED I50D00 NOV 8, 2016 10:20 AM PRINT TC VOLUMES ENABLED I50E00 NOV 8, 2016 10:20 AM TEMP COMPENSATION VALUE (DEG F ): 60.0 I60B00 NOV 8, 2016 10:20 AM STICK HEIGHT OFFSET ENABLE STATUS DISABLED I51400 NOV 8, 2016 10:20 AM H-PROTOCOL DATA FORMAT HEIGHT I51A01 NOV 8, 2016 10:20 AM DAYLIGHT SAVING TIME DISABLED I51B00 NOV 8, 2016 10:20 AM I51600 NOV 8, 2016 10:21 AM RE-DIRECT LOCAL PRINTOUT DISABLED I50400 NOV 8, 2016 10:21 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 NOV 8, 2016 10:21 AM TANK CHART SECURITY DISABLED I5BD00 NOV 8, 2016 10:21 AM CUSTOM ALARM LABELS DISABLED I56000 NOV 8, 2016 10:21 AM MASS/DENSITY DISABLED I88101 NOV 8, 2016 10:21 AM PORT SETTINGS: COMM BOARD : 1 (EDIM ) RS-232 SECURITY CODE : DISABLED I88102 NOV 8, 2016 10:21 AM PORT SETTINGS: COMM BOARD : 2 (RS-232) BAUD RATE : 9600 PARITY : NONE STOP BIT : 1 STOP DATA LENGTH: 8 DATA RS-232 SECURITY CODE : DISABLED I88103 NOV 8, 2016 10:21 AM PORT SETTINGS: COMM BOARD : 3 (S-SAT ) BAUD RATE : 9600 PARITY : NONE STOP BIT : 1 STOP DATA LENGTH: 8 DATA RS-232 SECURITY CODE : DISABLED DTR NORMAL STATE: HIGH I88104 NOV 8, 2016 10:21 AM I88105 NOV 8, 2016 10:21 AM I88106 NOV 8, 2016 10:21 AM I52000 NOV 8, 2016 10:21 AM RECEIVER AUTO DIAL TYPE & START TIME RCVR LOCATION LABEL DIAL TYPE START TIME 1 ON DATE JUN 26, 2015 DISABLED 2 ON DATE JUN 26, 2015 DISABLED 3 ON DATE JUN 26, 2015 DISABLED 4 ON DATE JUN 26, 2015 DISABLED 5 ON DATE JUN 26, 2015 DISABLED 6 ON DATE JUN 26, 2015 DISABLED 7 ON DATE JUN 26, 2015 DISABLED 8 ON DATE JUN 26, 2015 DISABLED I60100 NOV 8, 2016 10:21 AM TANK CONFIGURATION DEVICE LABEL CONFIGURED 1 REGULAR UNL ON 2 SUPER UNL ON 3 OFF 4 OFF I60200 NOV 8, 2016 10:21 AM TANK PRODUCT LABEL TANK PRODUCT LABEL 1 REGULAR UNL 2 SUPER UNL 3 4 I60300 NOV 8, 2016 10:21 AM TANK PRODUCT CODE TANK PRODUCT LABEL 1 REGULAR UNL 1 2 SUPER UNL 2 3 3 4 4 I60900 NOV 8, 2016 10:21 AM TANK THERMAL COEFFICIENT TANK PRODUCT LABEL 1 REGULAR UNL 0.000700 2 SUPER UNL 0.000700 3 0.000000 4 0.000000 I60700 NOV 8, 2016 10:21 AM TANK DIAMETER TANK PRODUCT LABEL INCHES 1 REGULAR UNL 109.00 2 SUPER UNL 109.00 3 0.00 4 0.00 I60A00 NOV 8, 2016 10:21 AM TANK FULL VOLUME TANK PRODUCT LABEL TANK PROFILE GALLONS 1 REGULAR UNL 20 PTS 12027 2 SUPER UNL 20 PTS 8189 3 1 PT 0 4 1 PT 0 I60400 NOV 8, 2016 10:21 AM TANK FULL VOLUME TANK PRODUCT LABEL GALLONS 1 REGULAR UNL 12027 2 SUPER UNL 8189 3 0 4 0 I60500 NOV 8, 2016 10:21 AM TANK 4 POINT VOLUMES TANK PRODUCT LABEL GALLONS 1 REGULAR UNL 12027 9879 6220 2503 2 SUPER UNL 8189 6711 4229 1698 3 0 0 0 0 4 0 0 0 0 I60600 NOV 8, 2016 10:21 AM TANK 20 POINT VOLUMES TANK PRODUCT LABEL GALLONS 1 REGULAR UNL 12027 11916 11547 11066 10511 9879 9196 8493 7745 6979 6220 5441 4648 3920 3204 2503 1850 1245 722 290 2 SUPER UNL 8189 8089 7850 7520 7141 6711 6259 5770 5269 4751 4229 3699 3180 2667 2175 1698 1258 847 490 198 3 0 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 NOV 8, 2016 10:21 AM TANK PRODUCT LABEL METER DATA 1 REGULAR UNL NO 2 SUPER UNL NO 3 NO 4 NO I62F00 NOV 8, 2016 10:21 AM MAG PROBE FLOAT SIZE TANK PRODUCT LABEL FLOAT SIZE: 1 REGULAR UNL 4.0 IN. 2 SUPER UNL 4.0 IN. I62700 NOV 8, 2016 10:21 AM TANK HIGH WATER WARNING LIMIT TANK PRODUCT LABEL INCHES 1 REGULAR UNL 3.0 2 SUPER UNL 3.0 I64200 NOV 8, 2016 10:21 AM WATER ALARM FILTER TANK PRODUCT LABEL 1 REGULAR UNL LOW 2 SUPER UNL LOW I62400 NOV 8, 2016 10:21 AM TANK HIGH WATER LEVEL LIMIT TANK PRODUCT LABEL INCHES 1 REGULAR UNL 2.0 2 SUPER UNL 2.0 I62800 NOV 8, 2016 10:21 AM TANK MAXIMUM VOLUME LIMIT TANK PRODUCT LABEL GALLONS 1 REGULAR UNL 12027 2 SUPER UNL 8189 3 0 4 0 I62300 NOV 8, 2016 10:21 AM TANK OVERFILL LEVEL LIMIT TANK PRODUCT LABEL GALLONS 1 REGULAR UNL 10824 2 SUPER UNL 7370 3 0 4 0 I62200 NOV 8, 2016 10:21 AM TANK HIGH PRODUCT LIMIT TANK PRODUCT LABEL GALLONS 1 REGULAR UNL 11426 2 SUPER UNL 7780 3 0 4 0 I62900 NOV 8, 2016 10:21 AM TANK DELIVERY REQUIRED LIMIT TANK PRODUCT LABEL GALLONS 1 REGULAR UNL 1203 2 SUPER UNL 819 3 0 4 0 I62100 NOV 8, 2016 10:21 AM TANK LOW PRODUCT LIMIT TANK PRODUCT LABEL GALLONS 1 REGULAR UNL 350 2 SUPER UNL 400 3 0 4 0 I62600 NOV 8, 2016 10:21 AM TANK LEAK ALARM LIMIT TANK PRODUCT LABEL GALLONS 1 REGULAR UNL 99 2 SUPER UNL 99 3 99 4 99 I62500 NOV 8, 2016 10:21 AM TANK SUDDEN LOSS LIMIT TANK PRODUCT LABEL GALLONS 1 REGULAR UNL 99 2 SUPER UNL 99 3 99 4 99 I60800 NOV 8, 2016 10:21 AM TANK TILT TANK PRODUCT LABEL INCHES 1 REGULAR UNL 0.00 2 SUPER UNL 0.00 3 0.00 4 0.00 I60B00 NOV 8, 2016 10:21 AM STICK HEIGHT OFFSET ENABLE STATUS DISABLED I60C00 NOV 8, 2016 10:21 AM TANK STICK HEIGHT OFFSET TANK PRODUCT LABEL INCHES 1 REGULAR UNL 0.00 2 SUPER UNL 0.00 3 0.00 4 0.00 I61200 NOV 8, 2016 10:21 AM TANK MANIFOLDED PARTNERS TANK PRODUCT LABEL SIPHON MANIFOLDED TANKS LINE MANIFOLDED TANKS 1 REGULAR UNL NONE NONE 2 SUPER UNL NONE NONE 3 NONE NONE 4 NONE NONE I63600 NOV 8, 2016 10:21 AM PERIODIC LEAK TEST MIN VOLUME TANK PRODUCT LABEL GALLONS 1 REGULAR UNL 1202 2 SUPER UNL 818 3 0 4 0 I62A00 NOV 8, 2016 10:21 AM ANNUAL LEAK TEST MIN VOLUME TANK PRODUCT LABEL GALLONS 1 REGULAR UNL 1202 2 SUPER UNL 818 3 0 4 0 I62C00 NOV 8, 2016 10:21 AM TANK PERIODIC TEST TYPE TANK PRODUCT LABEL PERIODIC TEST TYPE 1 REGULAR UNL STANDARD 2 SUPER UNL STANDARD 3 STANDARD 4 STANDARD I62D00 NOV 8, 2016 10:21 AM TANK LEAK TEST FAIL ALARMS TANK PRODUCT LABEL 1 REGULAR UNL GROSS TEST FAIL ALARM DISABLED PERIODIC TEST FAIL ALARM DISABLED ANNUAL TEST FAIL ALARM DISABLED 2 SUPER UNL GROSS TEST FAIL ALARM DISABLED PERIODIC TEST FAIL ALARM DISABLED ANNUAL TEST FAIL ALARM DISABLED 3 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 NOV 8, 2016 10:21 AM TANK LEAK TEST AVERAGING TANK PRODUCT LABEL ANNUAL PERIODIC 1 REGULAR UNL OFF OFF 2 SUPER UNL OFF OFF 3 OFF OFF 4 OFF OFF I63000 NOV 8, 2016 10:21 AM IN-TANK LEAK TEST NOTIFY TANK PRODUCT LABEL TANK TEST NOTIFY: 1 REGULAR UNL OFF 2 SUPER UNL OFF 3 OFF 4 OFF I63200 NOV 8, 2016 10:21 AM TANK TEST SIPHON BREAK TANK PRODUCT LABEL SIPHON BREAK 1 REGULAR UNL OFF 2 SUPER UNL OFF 3 OFF 4 OFF I61000 NOV 8, 2016 10:21 AM TANK DELIVERY DELAY TANK PRODUCT LABEL 1 REGULAR UNL 1 2 SUPER UNL 1 3 1 4 1 I63A00 NOV 8, 2016 10:21 AM LOW LEVEL PUMP THRESHOLD FOR SEQUENTIAL LINE MANIFOLD TANK PRODUCT LABEL PUMP THRESHOLD 1 REGULAR UNL 10.00% 2 SUPER UNL 10.00% 3 10.00% 4 10.00% I61100 NOV 8, 2016 10:21 AM LEAK TEST METHOD - - - - - - - - - - - - TEST ON DATE : ALL TANK OCT 1, 2014 START TIME : DISABLED TEST RATE :0.20 GAL/HR DURATION : 2 HOURS TST EARLY STOP:DISABLED I61300 NOV 8, 2016 10:21 AM CSLD PROBABLITY OF DETECTION I61400 NOV 8, 2016 10:21 AM CSLD CLIMATE FACTOR I61600 NOV 8, 2016 10:21 AM TANK PRODUCT LABEL CAL UPDATE 1 REGULAR UNL IMMEDIATE 2 SUPER UNL IMMEDIATE 3 IMMEDIATE 4 IMMEDIATE I61A00 NOV 8, 2016 10:21 AM IN-TANK LEAK TEST EARLY STOP TANK PRODUCT LABEL TST EARLY STOP: 1 REGULAR UNL DISABLED 2 SUPER UNL DISABLED 3 DISABLED 4 DISABLED I61B00 NOV 8, 2016 10:21 AM IN-TANK LEAK GROSS TEST AUTO-CONFIRM I61C00 NOV 8, 2016 10:21 AM CSLD REPORT ONLY I62B00 NOV 8, 2016 10:21 AM TANK LAST ANNUAL TEST TANK PRODUCT LABEL DATE 1 REGULAR UNL ??? 0, 0 2 SUPER UNL ??? 0, 0 3 ??? 0, 0 4 ??? 0, 0 I63300 NOV 8, 2016 10:21 AM LEAK TEST REPORT FORMAT: NORMAL I63400 NOV 8, 2016 10:21 AM RECONCILIATION WARNING LIMIT TANK PRODUCT LABEL GALLONS 1 REGULAR UNL 0 2 SUPER UNL 0 3 0 4 0 I63500 NOV 8, 2016 10:21 AM RECONCILIATION ALARM LIMIT TANK PRODUCT LABEL GALLONS 1 REGULAR UNL 1 2 SUPER UNL 1 3 1 4 1 I63900 NOV 8, 2016 10:21 AM ACCU CHART END SHAPE FACTOR TANK PRODUCT LABEL 1 REGULAR UNL END FACTOR: NONE 2 SUPER UNL END FACTOR: NONE 3 END FACTOR: NONE 4 END FACTOR: NONE I78000 NOV 8, 2016 10:21 AM I77700 NOV 8, 2016 10:21 AM I77800 NOV 8, 2016 10:21 AM I78C00 NOV 8, 2016 10:21 AM I78300 NOV 8, 2016 10:21 AM I78F00 NOV 8, 2016 10:21 AM I78700 NOV 8, 2016 10:21 AM I70200 NOV 8, 2016 10:21 AM LIQUID LABEL DEVICE LABEL 1 87-91 ANNULAR 2 87 STP 3 87 FILL 4 91 STP 5 91 FILL 6 DISP 1-2 7 DISP 3-4 8 DISP 5-6 9 DISP 7-8 10 DISP 9-10 11 DISP 11-12 12 DISP 7-8 13 14 15 16 I70300 NOV 8, 2016 10:21 AM LIQUID TYPE SENSOR LOCATION TYPE 1 87-91 ANNULAR TRI-STATE (SINGLE FLOAT) 2 87 STP TRI-STATE (SINGLE FLOAT) 3 87 FILL TRI-STATE (SINGLE FLOAT) 4 91 STP TRI-STATE (SINGLE FLOAT) 5 91 FILL TRI-STATE (SINGLE FLOAT) 6 DISP 1-2 TRI-STATE (SINGLE FLOAT) 7 DISP 3-4 TRI-STATE (SINGLE FLOAT) 8 DISP 5-6 TRI-STATE (SINGLE FLOAT) 9 DISP 7-8 TRI-STATE (SINGLE FLOAT) 10 DISP 9-10 TRI-STATE (SINGLE FLOAT) 11 DISP 11-12 TRI-STATE (SINGLE FLOAT) 12 DISP 7-8 TRI-STATE (SINGLE FLOAT) 13 TRI-STATE (SINGLE FLOAT) 14 TRI-STATE (SINGLE FLOAT) 15 TRI-STATE (SINGLE FLOAT) 16 TRI-STATE (SINGLE FLOAT) I70400 NOV 8, 2016 10:21 AM LIQUID CATEGORY SENSOR LOCATION CATEGORY 1 87-91 ANNULAR ANNULAR SPACE 2 87 STP STP SUMP 3 87 FILL PIPING SUMP 4 91 STP STP SUMP 5 91 FILL PIPING SUMP 6 DISP 1-2 DISPENSER PAN 7 DISP 3-4 DISPENSER PAN 8 DISP 5-6 DISPENSER PAN 9 DISP 7-8 DISPENSER PAN 10 DISP 9-10 DISPENSER PAN 11 DISP 11-12 DISPENSER PAN 12 DISP 7-8 DISPENSER PAN 13 OTHER SENSORS 14 OTHER SENSORS 15 OTHER SENSORS 16 OTHER SENSORS I74200 NOV 8, 2016 10:21 AM I74300 NOV 8, 2016 10:21 AM I74400 NOV 8, 2016 10:21 AM I74700 NOV 8, 2016 10:21 AM I74800 NOV 8, 2016 10:21 AM I74900 NOV 8, 2016 10:21 AM I7BC00 NOV 8, 2016 10:21 AM I80200 NOV 8, 2016 10:21 AM I80300 NOV 8, 2016 10:21 AM I80400 NOV 8, 2016 10:21 AM I80700 NOV 8, 2016 10:21 AM RELAY LABEL DEVICE LABEL 1 REGULAR UNL 2 SUPER UNL 3 OVERFILL 4 I80900 NOV 8, 2016 10:21 AM RELAY ORIENTATION RELAY DESIGNATION ORIENTATION 1 REGULAR UNL NORMALLY CLOSED 2 SUPER UNL NORMALLY CLOSED 3 OVERFILL NORMALLY OPEN 4 NORMALLY OPEN I80B00 NOV 8, 2016 10:21 AM RELAY TANK ASSIGNMENT RELAY DESIGNATION TANK 1 REGULAR UNL 1 2 SUPER UNL 2 3 OVERFILL NONE 4 NONE I80A00 NOV 8, 2016 10:21 AM RELAY TYPE RELAY DESIGNATION TYPE 1 REGULAR UNL STANDARD 2 SUPER UNL STANDARD 3 OVERFILL STANDARD 4 STANDARD I80C00 NOV 8, 2016 10:21 AM I80800 NOV 8, 2016 10:21 AM RELAY SETUP REPORT R 1:REGULAR UNL TYPE: STANDARD NORMALLY CLOSED TANK #: 1 IN-TANK ALARMS T 1:LOW PRODUCT ALARM LIQUID SENSOR ALMS L 2:FUEL ALARM L 6:FUEL ALARM L 7:FUEL ALARM L 8:FUEL ALARM L 9:FUEL ALARM L10:FUEL ALARM L11:FUEL ALARM L12:FUEL ALARM L 2:SENSOR OUT ALARM L 6:SENSOR OUT ALARM L 7:SENSOR OUT ALARM L 8:SENSOR OUT ALARM L 9:SENSOR OUT ALARM L10:SENSOR OUT ALARM L11:SENSOR OUT ALARM L12:SENSOR OUT ALARM L 2:SHORT ALARM L 6:SHORT ALARM L 7:SHORT ALARM L 8:SHORT ALARM L 9:SHORT ALARM L10:SHORT ALARM L11:SHORT ALARM L12:SHORT ALARM ISD SITE ALARMS ISD GROSS PRES FAIL ISD DEGRD PRES FAIL ISD VAPOR LEAK FAIL ISD VP PRES FAIL ISD HOSE ALARMS ALL:GROSS COLLECT FAIL ALL:DEGRD COLLECT FAIL ALL:FLOW COLLECT FAIL PMC ALARMS VP EMISSIONS FAIL VP PRESSURE FAIL VP DUTY CYCLE FAIL PMC SETUP FAIL R 2:SUPER UNL TYPE: STANDARD NORMALLY CLOSED TANK #: 2 IN-TANK ALARMS T 2:LOW PRODUCT ALARM LIQUID SENSOR ALMS L 4:FUEL ALARM L 6:FUEL ALARM L 7:FUEL ALARM L 8:FUEL ALARM L 9:FUEL ALARM L10:FUEL ALARM L11:FUEL ALARM L12:FUEL ALARM L 4:SENSOR OUT ALARM L 6:SENSOR OUT ALARM L 7:SENSOR OUT ALARM L 8:SENSOR OUT ALARM L 9:SENSOR OUT ALARM L10:SENSOR OUT ALARM L11:SENSOR OUT ALARM L 4:SHORT ALARM L 5:SHORT ALARM L 6:SHORT ALARM L 7:SHORT ALARM L 8:SHORT ALARM L 9:SHORT ALARM L10:SHORT ALARM L11:SHORT ALARM ISD SITE ALARMS ISD GROSS PRES FAIL ISD DEGRD PRES FAIL ISD VAPOR LEAK FAIL ISD VP PRES FAIL ISD VP STATUS FAIL ISD HOSE ALARMS ALL:GROSS COLLECT FAIL ALL:DEGRD COLLECT FAIL ALL:FLOW COLLECT FAIL PMC ALARMS VP EMISSIONS FAIL VP PRESSURE FAIL VP DUTY CYCLE FAIL R 3:OVERFILL TYPE: STANDARD NORMALLY OPEN TANK #: NONE IN-TANK ALARMS ALL:OVERFILL ALARM ALL:HIGH PRODUCT ALARM R 4: TYPE: STANDARD NORMALLY OPEN TANK #: NONE - NO ALARM ASSIGNMENTS - I79000 NOV 8, 2016 10:22 AM EDIM:1 VR:349643-001-B TD:97.10.27.11.25 I79100 NOV 8, 2016 10:22 AM I72300 NOV 8, 2016 10:22 AM FLOWER ST MINI MART 928 FLOWER ST BAKERSFIELD CA 93305 661-328-0673 SMARTSENSOR ASSIGNMENT DEVICE LABEL CATEGORY 01 VAPOR PRESSUR VAPOR PRESSURE 02 FM 1-2 AIR FLOW METER 03 FM 3-4 AIR FLOW METER 04 FM 5-6 AIR FLOW METER 05 FM 7-8 AIR FLOW METER 06 FM 9-10 AIR FLOW METER 07 FM 11-12 AIR FLOW METER 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 NOV 8, 2016 10:22 AM FLOWER ST MINI MART 928 FLOWER ST BAKERSFIELD CA 93305 661-328-0673 EVR/ISD SETUP TYPE: VACUUM ASSIST VACUUM ASSIST TYPE: HEALY VAC IV4F00 NOV 8, 2016 10:22 AM FLOWER ST MINI MART 928 FLOWER ST BAKERSFIELD CA 93305 661-328-0673 NOZZLE A/L RANGE A/L RATIO: 0.95 - 1.15 IV4000 NOV 8, 2016 10:22 AM FLOWER ST MINI MART 928 FLOWER ST BAKERSFIELD CA 93305 661-328-0673 VAPOR PROCESSOR TYPE NONE IV4700 NOV 8, 2016 10:22 AM FLOWER ST MINI MART 928 FLOWER ST BAKERSFIELD CA 93305 661-328-0673 ASSESSMENT TIME START TIME: 10:00 AM TIME DELAY MINUTES: 1 IV5200 NOV 8, 2016 10:22 AM FLOWER ST MINI MART 928 FLOWER ST BAKERSFIELD CA 93305 661-328-0673 ACCEPT HIGH ORVR: NO IV4A00 NOV 8, 2016 10:22 AM FLOWER ST MINI MART 928 FLOWER ST BAKERSFIELD CA 93305 661-328-0673 ISD HOSE TABLE HOSE FP FP AFM REL HOSE ID ID LABEL ID ID LABEL 01 01 01 01 02 BLEND3 02 02 02 01 02 BLEND3 03 03 03 02 02 BLEND3 04 04 04 02 02 BLEND3 05 05 05 03 02 BLEND3 06 06 06 03 02 BLEND3 07 07 07 04 02 BLEND3 08 08 08 04 02 BLEND3 09 09 09 05 02 BLEND3 10 16 10 05 02 BLEND3 11 17 11 06 02 BLEND3 12 18 12 06 02 BLEND3 IV4B00 NOV 8, 2016 10:22 AM FLOWER ST MINI MART 928 FLOWER ST BAKERSFIELD CA 93305 661-328-0673 PRODUCT/HOSE MAP TABLE FP AFID M1/H1 M2/H2 M3/H3 M4/H4 01 01 02/01 09/01 01/01 xx/xx 02 01 02/02 09/02 01/02 xx/xx 03 02 02/03 09/03 01/03 xx/xx 04 02 02/04 09/04 01/04 xx/xx 05 03 02/05 09/05 01/05 xx/xx 06 03 02/06 09/06 01/06 xx/xx 07 04 02/07 09/07 01/07 xx/xx 08 04 09/08 02/08 01/08 xx/xx 09 05 02/09 09/09 01/09 xx/xx 16 05 02/10 09/10 01/10 xx/xx 17 06 02/11 09/11 01/11 xx/xx 18 06 02/12 09/12 01/12 xx/xx IV4900 NOV 8, 2016 10:22 AM FLOWER ST MINI MART 928 FLOWER ST BAKERSFIELD CA 93305 661-328-0673 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 NOV 8, 2016 10:22 AM ISD VERSION: 01.05 Flower Street Alarm History Before 11-8-16 Responses Received: I10200 NOV 8, 2016 10:24 AM FLOWER ST MINI MART 928 FLOWER ST BAKERSFIELD CA 93305 661-328-0673 SYSTEM CONFIGURATION SLOT BOARD TYPE POWER ON RESET CURRENT 1 UNUSED 10457924 10316271 2 UNUSED 10331431 10284845 3 UNUSED 10312623 10280551 4 8SMARTSENSOR BD 39519 39578 5 4 PROBE / G.T. 163572 163598 6 INTERSTITIAL BD 201659 201710 7 INTERSTITIAL BD 201747 201733 8 UNUSED 10331048 10299730 9 UNUSED 10314410 10281247 10 RELAY BOARD 14965 15007 11 UNUSED 10317088 10293081 12 UNUSED 10306036 10286433 13 UNUSED 10308587 10287654 14 UNUSED 10311371 10284341 15 UNUSED 10310818 10289223 16 UNUSED 10307503 10291577 COMM 1 ELEC DISP INT. 100670 100762 COMM 2 RS232 SERIAL BD 14901 14920 COMM 3 SERIAL SAT BD 484996 485195 COMM 4 UNUSED 10316238 10293691 COMM 5 UNUSED 10299002 10283666 COMM 6 UNUSED 10303019 10289223 I90200 NOV 8, 2016 10:25 AM SOFTWARE REVISION LEVEL VERSION 333.06 SOFTWARE# 346333-100-G CREATED - 14.10.01.16.35 S-MODULE# 330160-004-a SYSTEM FEATURES: PERIODIC IN-TANK TESTS ANNUAL IN-TANK TESTS ISD/APM I11100 NOV 8, 2016 10:25 AM FLOWER ST MINI MART 928 FLOWER ST BAKERSFIELD CA 93305 661-328-0673 PRIORITY ALARM HISTORY ID CATEGORY DESCRIPTION ALARM TYPE STATE DATE TIME T 1 TANK REGULAR UNL OVERFILL ALARM CLEAR 9-29-16 4:31PM T 1 TANK REGULAR UNL OVERFILL ALARM ALARM 9-29-16 4:28PM T 1 TANK REGULAR UNL OVERFILL ALARM CLEAR 9-11-16 12:41PM T 1 TANK REGULAR UNL OVERFILL ALARM ALARM 9-11-16 12:37PM h10 OTHER FP10: BLEND3 DEGRD COLLECT FAIL CLEAR 9-10-16 10:09AM h10 OTHER FP10: BLEND3 DEGRD COLLECT FAIL ALARM 9-10-16 10:03AM T 1 TANK REGULAR UNL OVERFILL ALARM CLEAR 9-05-16 3:18AM T 1 TANK REGULAR UNL OVERFILL ALARM ALARM 9-05-16 3:15AM h10 OTHER FP10: BLEND3 DEGRD COLLECT FAIL CLEAR 8-30-16 10:45AM h10 OTHER FP10: BLEND3 DEGRD COLLECT FAIL ALARM 8-30-16 10:03AM T 1 TANK REGULAR UNL OVERFILL ALARM CLEAR 8-22-16 2:19PM T 1 TANK REGULAR UNL OVERFILL ALARM ALARM 8-22-16 2:11PM T 1 TANK REGULAR UNL OVERFILL ALARM CLEAR 8-19-16 12:01PM T 1 TANK REGULAR UNL OVERFILL ALARM ALARM 8-19-16 11:58AM T 1 TANK REGULAR UNL OVERFILL ALARM CLEAR 8-12-16 12:12PM T 1 TANK REGULAR UNL OVERFILL ALARM ALARM 8-12-16 12:07PM T 1 TANK REGULAR UNL OVERFILL ALARM CLEAR 6-24-16 12:17AM T 1 TANK REGULAR UNL OVERFILL ALARM ALARM 6-24-16 12:14AM h11 OTHER FP11: BLEND3 GROSS COLLECT FAIL CLEAR 3-13-16 10:26AM h11 OTHER FP11: BLEND3 GROSS COLLECT FAIL ALARM 3-13-16 10:02AM T 1 TANK REGULAR UNL OVERFILL ALARM CLEAR 3-02-16 2:57PM T 1 TANK REGULAR UNL OVERFILL ALARM ALARM 3-02-16 2:53PM T 1 TANK REGULAR UNL OVERFILL ALARM CLEAR 2-18-16 2:00PM T 1 TANK REGULAR UNL OVERFILL ALARM ALARM 2-18-16 1:56PM T 1 TANK REGULAR UNL OVERFILL ALARM CLEAR 2-09-16 7:31AM T 1 TANK REGULAR UNL OVERFILL ALARM ALARM 2-09-16 7:29AM L 4 STP SUMP 91 STP FUEL ALARM CLEAR 2-07-16 7:13PM L 4 STP SUMP 91 STP FUEL ALARM ALARM 2-07-16 5:35PM T 1 TANK REGULAR UNL OVERFILL ALARM CLEAR 2-04-16 3:24PM T 1 TANK REGULAR UNL OVERFILL ALARM ALARM 2-04-16 3:22PM OTHER ISD GROSS PRES FAIL CLEAR 1-08-16 10:09AM OTHER ISD GROSS PRES FAIL ALARM 1-08-16 10:03AM T 1 TANK REGULAR UNL OVERFILL ALARM CLEAR 12-30-15 10:55PM T 1 TANK REGULAR UNL OVERFILL ALARM ALARM 12-30-15 10:52PM OTHER ISD GROSS PRES FAIL CLEAR 12-26-15 5:41AM OTHER ISD GROSS PRES FAIL ALARM 12-25-15 10:01AM T 1 TANK REGULAR UNL OVERFILL ALARM CLEAR 12-05-15 12:30PM T 1 TANK REGULAR UNL OVERFILL ALARM ALARM 12-05-15 12:22PM E 1 OTHER G COMMUNICATION ALARM CLEAR 12-03-15 4:40PM L11 DISP PAN DISP 11-12 FUEL ALARM CLEAR 12-03-15 1:07PM L11 DISP PAN DISP 11-12 FUEL ALARM ALARM 12-03-15 1:06PM L10 DISP PAN DISP 9-10 FUEL ALARM CLEAR 12-03-15 1:06PM L10 DISP PAN DISP 9-10 FUEL ALARM ALARM 12-03-15 1:05PM L12 DISP PAN DISP 7-8 FUEL ALARM CLEAR 12-03-15 1:05PM L12 DISP PAN DISP 7-8 FUEL ALARM ALARM 12-03-15 1:05PM L 8 DISP PAN DISP 5-6 FUEL ALARM CLEAR 12-03-15 1:05PM L 8 DISP PAN DISP 5-6 FUEL ALARM ALARM 12-03-15 1:04PM L 7 DISP PAN DISP 3-4 FUEL ALARM CLEAR 12-03-15 1:04PM L 7 DISP PAN DISP 3-4 FUEL ALARM ALARM 12-03-15 1:04PM L 6 DISP PAN DISP 1-2 FUEL ALARM CLEAR 12-03-15 1:04PM I11200 NOV 8, 2016 10:25 AM FLOWER ST MINI MART 928 FLOWER ST BAKERSFIELD CA 93305 661-328-0673 NON-PRIORITY ALARM HISTORY ID CATEGORY DESCRIPTION ALARM TYPE STATE DATE TIME h 5 OTHER FP5: BLEND3 DEGRD COLLECT WARN CLEAR 10-19-16 10:00AM h 5 OTHER FP5: BLEND3 DEGRD COLLECT WARN ALARM 10-17-16 10:02AM T 1 TANK REGULAR UNL DELIVERY NEEDED CLEAR 10-03-16 7:19PM T 1 TANK REGULAR UNL DELIVERY NEEDED ALARM 10-03-16 4:05PM SYSTEM PRINTER ERROR CLEAR 9-28-16 3:32AM SYSTEM PAPER OUT CLEAR 9-28-16 3:32AM SYSTEM PRINTER ERROR ALARM 9-28-16 3:32AM SYSTEM PAPER OUT ALARM 9-28-16 3:32AM SYSTEM PRINTER ERROR CLEAR 9-28-16 3:32AM SYSTEM PAPER OUT CLEAR 9-28-16 3:32AM SYSTEM PRINTER ERROR ALARM 9-28-16 3:32AM SYSTEM PAPER OUT ALARM 9-28-16 3:32AM SYSTEM PRINTER ERROR CLEAR 9-28-16 3:32AM SYSTEM PAPER OUT CLEAR 9-28-16 3:32AM SYSTEM PAPER OUT ALARM 9-28-16 3:31AM SYSTEM PRINTER ERROR ALARM 9-28-16 3:31AM SYSTEM PRINTER ERROR CLEAR 9-28-16 3:31AM SYSTEM PAPER OUT CLEAR 9-28-16 3:31AM SYSTEM PRINTER ERROR ALARM 9-28-16 3:31AM SYSTEM PAPER OUT ALARM 9-28-16 3:31AM SYSTEM PRINTER ERROR CLEAR 9-28-16 3:31AM SYSTEM PAPER OUT CLEAR 9-28-16 3:31AM SYSTEM PRINTER ERROR ALARM 9-28-16 3:30AM SYSTEM PAPER OUT ALARM 9-28-16 3:30AM SYSTEM PRINTER ERROR CLEAR 9-28-16 3:30AM SYSTEM PAPER OUT CLEAR 9-28-16 3:30AM SYSTEM PRINTER ERROR ALARM 9-28-16 2:00AM SYSTEM PAPER OUT ALARM 9-28-16 2:00AM h 5 OTHER FP5: BLEND3 DEGRD COLLECT WARN CLEAR 9-27-16 10:00AM h 5 OTHER FP5: BLEND3 DEGRD COLLECT WARN ALARM 9-26-16 10:03AM h12 OTHER FP12: BLEND3 DEGRD COLLECT WARN CLEAR 9-21-16 10:00AM h12 OTHER FP12: BLEND3 DEGRD COLLECT WARN ALARM 9-19-16 10:03AM h12 OTHER FP12: BLEND3 DEGRD COLLECT WARN CLEAR 9-18-16 10:00AM h12 OTHER FP12: BLEND3 DEGRD COLLECT WARN ALARM 9-17-16 10:04AM h12 OTHER FP12: BLEND3 DEGRD COLLECT WARN CLEAR 9-16-16 10:00AM h12 OTHER FP12: BLEND3 DEGRD COLLECT WARN ALARM 9-15-16 10:04AM h12 OTHER FP12: BLEND3 DEGRD COLLECT WARN CLEAR 9-13-16 10:00AM h12 OTHER FP12: BLEND3 DEGRD COLLECT WARN ALARM 9-11-16 10:04AM h12 OTHER FP12: BLEND3 DEGRD COLLECT WARN CLEAR 9-10-16 10:00AM h10 OTHER FP10: BLEND3 DEGRD COLLECT WARN CLEAR 9-10-16 10:00AM h12 OTHER FP12: BLEND3 DEGRD COLLECT WARN ALARM 9-09-16 10:03AM h10 OTHER FP10: BLEND3 DEGRD COLLECT WARN ALARM 9-03-16 10:03AM h10 OTHER FP10: BLEND3 DEGRD COLLECT WARN CLEAR 8-30-16 10:00AM h10 OTHER FP10: BLEND3 DEGRD COLLECT WARN ALARM 8-23-16 10:03AM T 1 TANK REGULAR UNL HIGH PRODUCT ALARM CLEAR 8-22-16 3:21PM T 1 TANK REGULAR UNL HIGH PRODUCT ALARM ALARM 8-22-16 2:16PM h 9 OTHER FP9: BLEND3 DEGRD COLLECT WARN CLEAR 8-17-16 10:00AM h 9 OTHER FP9: BLEND3 DEGRD COLLECT WARN ALARM 8-15-16 10:03AM h12 OTHER FP12: BLEND3 DEGRD COLLECT WARN CLEAR 8-04-16 10:00AM T 1 TANK REGULAR UNL DELIVERY NEEDED CLEAR 8-04-16 4:23AM I20600 NOV 8, 2016 10:25 AM FLOWER ST MINI MART 928 FLOWER ST BAKERSFIELD CA 93305 661-328-0673 TANK ALARM HISTORY TANK 1 REGULAR UNL HIGH WATER ALARM DEC 3, 2015 9:46 AM OVERFILL ALARM SEP 29, 2016 4:28 PM SEP 11, 2016 12:37 PM SEP 5, 2016 3:15 AM HIGH PRODUCT ALARM AUG 22, 2016 2:16 PM DEC 3, 2015 10:02 AM INVALID FUEL LEVEL JUL 10, 2016 8:59 PM DEC 16, 2015 3:00 PM DEC 8, 2015 8:03 PM PROBE OUT DEC 3, 2015 10:16 AM DEC 3, 2015 10:12 AM DEC 3, 2015 10:03 AM HIGH WATER WARNING DEC 3, 2015 9:46 AM DELIVERY NEEDED OCT 3, 2016 4:05 PM AUG 3, 2016 7:44 PM AUG 1, 2016 7:46 PM LOW TEMP WARNING DEC 3, 2015 10:17 AM DEC 3, 2015 10:13 AM TANK 2 SUPER UNL OVERFILL ALARM DEC 3, 2015 10:08 AM HIGH PRODUCT ALARM DEC 3, 2015 10:08 AM INVALID FUEL LEVEL DEC 3, 2015 9:41 AM PROBE OUT DEC 3, 2015 10:10 AM DEC 3, 2015 9:39 AM DELIVERY NEEDED JAN 18, 2016 6:29 AM DEC 30, 2015 2:09 PM DEC 3, 2015 9:39 AM LOW TEMP WARNING DEC 3, 2015 10:11 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 I38200 NOV 8, 2016 10:25 AM I30200 NOV 8, 2016 10:25 AM FLOWER ST MINI MART 928 FLOWER ST BAKERSFIELD CA 93305 661-328-0673 LIQUID ALARM HISTORY REPORT SENSOR LOCATION 1 87-91 ANNULAR DEC 3, 2015 9:35 AM SENSOR OUT ALARM 2 87 STP DEC 3, 2015 10:21 AM FUEL ALARM DEC 3, 2015 10:21 AM FUEL ALARM DEC 3, 2015 9:35 AM SENSOR OUT ALARM 3 87 FILL DEC 3, 2015 10:23 AM FUEL ALARM DEC 3, 2015 9:35 AM SENSOR OUT ALARM 4 91 STP FEB 7, 2016 5:35 PM FUEL ALARM DEC 3, 2015 10:18 AM FUEL ALARM DEC 3, 2015 9:35 AM SENSOR OUT ALARM 5 91 FILL DEC 3, 2015 10:19 AM FUEL ALARM DEC 3, 2015 9:35 AM SENSOR OUT ALARM 6 DISP 1-2 DEC 3, 2015 1:04 PM FUEL ALARM DEC 3, 2015 10:36 AM FUEL ALARM DEC 3, 2015 9:35 AM SENSOR OUT ALARM 7 DISP 3-4 DEC 3, 2015 1:04 PM FUEL ALARM DEC 3, 2015 10:35 AM FUEL ALARM DEC 3, 2015 9:35 AM SENSOR OUT ALARM 8 DISP 5-6 DEC 3, 2015 1:04 PM FUEL ALARM DEC 3, 2015 10:25 AM FUEL ALARM DEC 3, 2015 9:35 AM SENSOR OUT ALARM 10 DISP 9-10 DEC 3, 2015 1:05 PM FUEL ALARM DEC 3, 2015 10:49 AM FUEL ALARM DEC 3, 2015 10:38 AM FUEL ALARM 11 DISP 11-12 DEC 3, 2015 1:06 PM FUEL ALARM DEC 3, 2015 10:50 AM FUEL ALARM DEC 3, 2015 10:40 AM FUEL ALARM 12 DISP 7-8 DEC 3, 2015 1:05 PM FUEL ALARM DEC 3, 2015 10:47 AM FUEL ALARM DEC 3, 2015 10:34 AM FUEL ALARM I31600 NOV 8, 2016 10:25 AM FLOWER ST MINI MART 928 FLOWER ST BAKERSFIELD CA 93305 661-328-0673 SMART SENSOR ALARM HISTORY REPORT SENSOR LOCATION 1 VAPOR PRESSUR 2 FM 1-2 3 FM 3-4 4 FM 5-6 5 FM 7-8 6 FM 9-10 7 FM 11-12 I40200 NOV 8, 2016 10:25 AM I40300 NOV 8, 2016 10:25 AM I34200 NOV 8, 2016 10:25 AM I34700 NOV 8, 2016 10:25 AM IV0100 NOV 8, 2016 10:25 AM FLOWER ST MINI MART 928 FLOWER ST BAKERSFIELD CA 93305 661-328-0673 ISD ALARM STATUS REPORT EVR TYPE: VACUUM ASSIST ISD TYPE: 01.05 VAPOR PROCESSOR TYPE: NONE OVERALL STATUS :PASS EVR VAPOR COLLECTION :PASS EVR VAPOR CONTAINMENT :PASS ISD MONITOR UP-TIME :100% EVR/ISD PASS TIME :100% WARNING ALARMS DATE TIME DESCRIPTION READING VALUE 16-10-18 10:02:50 A/L RATIO DEGRADATION FP 5 BLEND3 0.73 16-10-17 10:02:51 A/L RATIO DEGRADATION FP 5 BLEND3 0.79 16-09-26 10:03:26 A/L RATIO DEGRADATION FP 5 BLEND3 0.78 16-09-20 10:04:00 A/L RATIO DEGRADATION FP12 BLEND3 0.79 16-09-19 10:03:42 A/L RATIO DEGRADATION FP12 BLEND3 0.78 16-09-17 10:04:37 A/L RATIO DEGRADATION FP12 BLEND3 0.79 16-09-15 10:04:06 A/L RATIO DEGRADATION FP12 BLEND3 0.80 16-09-12 10:03:45 A/L RATIO DEGRADATION FP12 BLEND3 0.81 16-09-11 10:04:01 A/L RATIO DEGRADATION FP12 BLEND3 0.79 16-09-09 10:03:49 A/L RATIO DEGRADATION FP12 BLEND3 0.80 FAILURE ALARMS DATE TIME DESCRIPTION READING VALUE 16-09-10 10:03:55 A/L RATIO DEGRADATION FP10 BLEND3 0.64 16-08-30 10:03:32 A/L RATIO DEGRADATION FP10 BLEND3 0.67 16-03-13 10:02:01 A/L RATIO GROSS BLOCKAGE FP11 BLEND3 BLKD 16-01-08 10:03:49 CONTAINMENT GROSS OVER PRESSURE WEEKLY 95% 1.98 15-12-25 10:01:10 CONTAINMENT GROSS OVER PRESSURE WEEKLY 95% 3.63 15-12-01 10:01:48 CONTAINMENT GROSS OVER PRESSURE WEEKLY 95% 3.62 15-10-07 10:03:08 CONTAINMENT GROSS OVER PRESSURE WEEKLY 95% 2.40 15-09-03 10:01:50 A/L RATIO DEGRADATION FP 9 BLEND3 0.80 15-08-21 10:03:01 A/L RATIO DEGRADATION FP10 BLEND3 0.78 15-08-20 10:03:05 A/L RATIO DEGRADATION FP10 BLEND3 0.78 SHUTDOWN & MISCELLANEOUS EVENTS DATE TIME DESCRIPTION ACTION/NAME 16-09-10 10:09:00 COLLECTION TEST HH10 GRADE TEST MANUALLY CLEARED 16-09-10 10:05:13 PUMPS MANUALLY RE-ENABLED 16-09-10 10:03:55 A/L RATIO GROSS DEGRADATION DISABLED FP 10 BLEND3 16-08-30 10:45:26 COLLECTION TEST HH10 GRADE TEST MANUALLY CLEARED 16-08-30 10:42:15 PUMPS MANUALLY RE-ENABLED 16-08-30 10:03:32 A/L RATIO GROSS DEGRADATION DISABLED FP 10 BLEND3 16-04-07 06:03:43 CONTAINMENT GROSS & DEGRD TEST MANUALLY CLEARED 16-03-30 06:03:54 CONTAINMENT GROSS & DEGRD TEST MANUALLY CLEARED 16-03-24 10:01:41 COLLECTION TEST HH08 GRADE TEST MANUALLY CLEARED 16-03-24 08:59:36 COLLECTION TEST HH11 GRADE TEST MANUALLY CLEARED Flower Street Alarm History After 11-8-16 Responses Received: I10200 NOV 8, 2016 1:21 PM FLOWER ST MINI MART 928 FLOWER ST BAKERSFIELD CA 93305 661-328-0673 SYSTEM CONFIGURATION SLOT BOARD TYPE POWER ON RESET CURRENT 1 UNUSED 10457924 10174300 2 UNUSED 10331431 10162490 3 UNUSED 10312623 10160749 4 8SMARTSENSOR BD 39519 39596 5 4 PROBE / G.T. 163572 163641 6 INTERSTITIAL BD 201659 201711 7 INTERSTITIAL BD 201747 201963 8 UNUSED 10331048 10170929 9 UNUSED 10314410 10150468 10 RELAY BOARD 14965 15007 11 UNUSED 10317088 10161397 12 UNUSED 10306036 10159039 13 UNUSED 10308587 10163247 14 UNUSED 10311371 10154875 15 UNUSED 10310818 10163225 16 UNUSED 10307503 10159039 COMM 1 ELEC DISP INT. 100670 100737 COMM 2 RS232 SERIAL BD 14901 14941 COMM 3 SERIAL SAT BD 484996 485385 COMM 4 UNUSED 10316238 10168359 COMM 5 UNUSED 10299002 10155337 COMM 6 UNUSED 10303019 10159678 I90200 NOV 8, 2016 1:21 PM SOFTWARE REVISION LEVEL VERSION 333.06 SOFTWARE# 346333-100-G CREATED - 14.10.01.16.35 S-MODULE# 330160-004-a SYSTEM FEATURES: PERIODIC IN-TANK TESTS ANNUAL IN-TANK TESTS ISD/APM I11100 NOV 8, 2016 1:21 PM FLOWER ST MINI MART 928 FLOWER ST BAKERSFIELD CA 93305 661-328-0673 PRIORITY ALARM HISTORY ID CATEGORY DESCRIPTION ALARM TYPE STATE DATE TIME L12 DISP PAN DISP 7-8 SENSOR OUT ALARM CLEAR 11-08-16 1:20PM L11 DISP PAN DISP 11-12 SENSOR OUT ALARM CLEAR 11-08-16 1:20PM L10 DISP PAN DISP 9-10 SENSOR OUT ALARM CLEAR 11-08-16 1:20PM L 8 DISP PAN DISP 5-6 SENSOR OUT ALARM CLEAR 11-08-16 1:20PM L 7 DISP PAN DISP 3-4 SENSOR OUT ALARM CLEAR 11-08-16 1:20PM L 6 DISP PAN DISP 1-2 SENSOR OUT ALARM CLEAR 11-08-16 1:20PM L 4 STP SUMP 91 STP SENSOR OUT ALARM CLEAR 11-08-16 1:20PM L 3 PIPE 87 FILL SENSOR OUT ALARM CLEAR 11-08-16 1:20PM L 2 STP SUMP 87 STP SENSOR OUT ALARM CLEAR 11-08-16 1:20PM L 5 PIPE 91 FILL SENSOR OUT ALARM CLEAR 11-08-16 1:20PM L 1 ANNULAR 87-91 ANNULAR SENSOR OUT ALARM CLEAR 11-08-16 1:20PM L 8 DISP PAN DISP 5-6 SENSOR OUT ALARM ALARM 11-08-16 1:20PM L 7 DISP PAN DISP 3-4 SENSOR OUT ALARM ALARM 11-08-16 1:20PM L 6 DISP PAN DISP 1-2 SENSOR OUT ALARM ALARM 11-08-16 1:20PM L 4 STP SUMP 91 STP SENSOR OUT ALARM ALARM 11-08-16 1:20PM L 3 PIPE 87 FILL SENSOR OUT ALARM ALARM 11-08-16 1:20PM L12 DISP PAN DISP 7-8 SENSOR OUT ALARM ALARM 11-08-16 1:20PM L10 DISP PAN DISP 9-10 SENSOR OUT ALARM ALARM 11-08-16 1:20PM L 2 STP SUMP 87 STP SENSOR OUT ALARM ALARM 11-08-16 1:20PM L 1 ANNULAR 87-91 ANNULAR SENSOR OUT ALARM ALARM 11-08-16 1:20PM L 5 PIPE 91 FILL SENSOR OUT ALARM ALARM 11-08-16 1:19PM L11 DISP PAN DISP 11-12 SENSOR OUT ALARM ALARM 11-08-16 1:19PM T 2 TANK SUPER UNL LOW PRODUCT ALARM CLEAR 11-08-16 12:03PM T 2 TANK SUPER UNL LOW PRODUCT ALARM ALARM 11-08-16 12:03PM T 2 TANK SUPER UNL PROBE OUT CLEAR 11-08-16 12:03PM T 2 TANK SUPER UNL PROBE OUT ALARM 11-08-16 12:02PM T 1 TANK REGULAR UNL PROBE OUT CLEAR 11-08-16 11:57AM T 1 TANK REGULAR UNL PROBE OUT ALARM 11-08-16 11:57AM L 1 ANNULAR 87-91 ANNULAR FUEL ALARM CLEAR 11-08-16 11:53AM L 1 ANNULAR 87-91 ANNULAR FUEL ALARM ALARM 11-08-16 11:46AM L 3 PIPE 87 FILL FUEL ALARM CLEAR 11-08-16 11:37AM L 3 PIPE 87 FILL FUEL ALARM ALARM 11-08-16 11:37AM L 5 PIPE 91 FILL FUEL ALARM CLEAR 11-08-16 11:36AM L 5 PIPE 91 FILL FUEL ALARM ALARM 11-08-16 11:36AM L 2 STP SUMP 87 STP FUEL ALARM CLEAR 11-08-16 11:36AM L 2 STP SUMP 87 STP FUEL ALARM ALARM 11-08-16 11:36AM L 4 STP SUMP 91 STP FUEL ALARM CLEAR 11-08-16 11:35AM L 4 STP SUMP 91 STP FUEL ALARM ALARM 11-08-16 11:35AM L11 DISP PAN DISP 11-12 FUEL ALARM CLEAR 11-08-16 11:34AM L11 DISP PAN DISP 11-12 FUEL ALARM ALARM 11-08-16 11:34AM L10 DISP PAN DISP 9-10 FUEL ALARM CLEAR 11-08-16 11:33AM L10 DISP PAN DISP 9-10 FUEL ALARM ALARM 11-08-16 11:29AM L 7 DISP PAN DISP 3-4 FUEL ALARM CLEAR 11-08-16 11:29AM L 7 DISP PAN DISP 3-4 FUEL ALARM ALARM 11-08-16 11:23AM L 6 DISP PAN DISP 1-2 FUEL ALARM CLEAR 11-08-16 11:23AM L 6 DISP PAN DISP 1-2 FUEL ALARM ALARM 11-08-16 11:20AM L12 DISP PAN DISP 7-8 FUEL ALARM CLEAR 11-08-16 11:19AM L12 DISP PAN DISP 7-8 FUEL ALARM ALARM 11-08-16 11:16AM L12 DISP PAN DISP 7-8 FUEL ALARM CLEAR 11-08-16 11:15AM L 8 DISP PAN DISP 5-6 FUEL ALARM CLEAR 11-08-16 11:13AM I11200 NOV 8, 2016 1:21 PM FLOWER ST MINI MART 928 FLOWER ST BAKERSFIELD CA 93305 661-328-0673 NON-PRIORITY ALARM HISTORY ID CATEGORY DESCRIPTION ALARM TYPE STATE DATE TIME T 2 TANK SUPER UNL DELIVERY NEEDED CLEAR 11-08-16 12:03PM T 2 TANK SUPER UNL INVALID FUEL LEVEL CLEAR 11-08-16 12:03PM T 2 TANK SUPER UNL DELIVERY NEEDED ALARM 11-08-16 12:03PM T 2 TANK SUPER UNL INVALID FUEL LEVEL ALARM 11-08-16 12:03PM T 2 TANK SUPER UNL HIGH PRODUCT ALARM CLEAR 11-08-16 12:02PM T 2 TANK SUPER UNL HIGH PRODUCT ALARM ALARM 11-08-16 12:01PM T 1 TANK REGULAR UNL LOW TEMP WARNING CLEAR 11-08-16 11:58AM T 1 TANK REGULAR UNL LOW TEMP WARNING ALARM 11-08-16 11:58AM T 1 TANK REGULAR UNL HIGH PRODUCT ALARM CLEAR 11-08-16 11:56AM T 1 TANK REGULAR UNL HIGH PRODUCT ALARM ALARM 11-08-16 11:56AM T 2 TANK SUPER UNL DELIVERY NEEDED CLEAR 11-08-16 11:03AM T 2 TANK SUPER UNL INVALID FUEL LEVEL CLEAR 11-08-16 11:03AM T 1 TANK REGULAR UNL DELIVERY NEEDED CLEAR 11-08-16 11:02AM T 2 TANK SUPER UNL INVALID FUEL LEVEL ALARM 11-08-16 11:01AM T 2 TANK SUPER UNL DELIVERY NEEDED ALARM 11-08-16 11:01AM T 1 TANK REGULAR UNL DELIVERY NEEDED ALARM 11-08-16 11:01AM h 5 OTHER FP5: BLEND3 DEGRD COLLECT WARN CLEAR 10-19-16 10:00AM h 5 OTHER FP5: BLEND3 DEGRD COLLECT WARN ALARM 10-17-16 10:02AM T 1 TANK REGULAR UNL DELIVERY NEEDED CLEAR 10-03-16 7:19PM T 1 TANK REGULAR UNL DELIVERY NEEDED ALARM 10-03-16 4:05PM SYSTEM PRINTER ERROR CLEAR 9-28-16 3:32AM SYSTEM PAPER OUT CLEAR 9-28-16 3:32AM SYSTEM PRINTER ERROR ALARM 9-28-16 3:32AM SYSTEM PAPER OUT ALARM 9-28-16 3:32AM SYSTEM PRINTER ERROR CLEAR 9-28-16 3:32AM SYSTEM PAPER OUT CLEAR 9-28-16 3:32AM SYSTEM PRINTER ERROR ALARM 9-28-16 3:32AM SYSTEM PAPER OUT ALARM 9-28-16 3:32AM SYSTEM PRINTER ERROR CLEAR 9-28-16 3:32AM SYSTEM PAPER OUT CLEAR 9-28-16 3:32AM SYSTEM PAPER OUT ALARM 9-28-16 3:31AM SYSTEM PRINTER ERROR ALARM 9-28-16 3:31AM SYSTEM PRINTER ERROR CLEAR 9-28-16 3:31AM SYSTEM PAPER OUT CLEAR 9-28-16 3:31AM SYSTEM PRINTER ERROR ALARM 9-28-16 3:31AM SYSTEM PAPER OUT ALARM 9-28-16 3:31AM SYSTEM PRINTER ERROR CLEAR 9-28-16 3:31AM SYSTEM PAPER OUT CLEAR 9-28-16 3:31AM SYSTEM PRINTER ERROR ALARM 9-28-16 3:30AM SYSTEM PAPER OUT ALARM 9-28-16 3:30AM SYSTEM PRINTER ERROR CLEAR 9-28-16 3:30AM SYSTEM PAPER OUT CLEAR 9-28-16 3:30AM SYSTEM PRINTER ERROR ALARM 9-28-16 2:00AM SYSTEM PAPER OUT ALARM 9-28-16 2:00AM h 5 OTHER FP5: BLEND3 DEGRD COLLECT WARN CLEAR 9-27-16 10:00AM h 5 OTHER FP5: BLEND3 DEGRD COLLECT WARN ALARM 9-26-16 10:03AM h12 OTHER FP12: BLEND3 DEGRD COLLECT WARN CLEAR 9-21-16 10:00AM h12 OTHER FP12: BLEND3 DEGRD COLLECT WARN ALARM 9-19-16 10:03AM h12 OTHER FP12: BLEND3 DEGRD COLLECT WARN CLEAR 9-18-16 10:00AM h12 OTHER FP12: BLEND3 DEGRD COLLECT WARN ALARM 9-17-16 10:04AM I20600 NOV 8, 2016 1:21 PM FLOWER ST MINI MART 928 FLOWER ST BAKERSFIELD CA 93305 661-328-0673 TANK ALARM HISTORY TANK 1 REGULAR UNL HIGH WATER ALARM DEC 3, 2015 9:46 AM OVERFILL ALARM SEP 29, 2016 4:28 PM SEP 11, 2016 12:37 PM SEP 5, 2016 3:15 AM HIGH PRODUCT ALARM NOV 8, 2016 11:56 AM AUG 22, 2016 2:16 PM DEC 3, 2015 10:02 AM INVALID FUEL LEVEL JUL 10, 2016 8:59 PM DEC 16, 2015 3:00 PM DEC 8, 2015 8:03 PM PROBE OUT NOV 8, 2016 11:57 AM DEC 3, 2015 10:16 AM DEC 3, 2015 10:12 AM HIGH WATER WARNING DEC 3, 2015 9:46 AM DELIVERY NEEDED NOV 8, 2016 11:01 AM OCT 3, 2016 4:05 PM AUG 3, 2016 7:44 PM LOW TEMP WARNING NOV 8, 2016 11:58 AM DEC 3, 2015 10:17 AM DEC 3, 2015 10:13 AM TANK 2 SUPER UNL OVERFILL ALARM DEC 3, 2015 10:08 AM LOW PRODUCT ALARM NOV 8, 2016 12:03 PM NOV 8, 2016 11:01 AM HIGH PRODUCT ALARM NOV 8, 2016 12:01 PM DEC 3, 2015 10:08 AM INVALID FUEL LEVEL NOV 8, 2016 12:03 PM NOV 8, 2016 11:01 AM DEC 3, 2015 9:41 AM PROBE OUT NOV 8, 2016 12:02 PM DEC 3, 2015 10:10 AM DEC 3, 2015 9:39 AM DELIVERY NEEDED NOV 8, 2016 12:03 PM NOV 8, 2016 11:01 AM JAN 18, 2016 6:29 AM LOW TEMP WARNING DEC 3, 2015 10:11 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 I38200 NOV 8, 2016 1:21 PM I30200 NOV 8, 2016 1:21 PM FLOWER ST MINI MART 928 FLOWER ST BAKERSFIELD CA 93305 661-328-0673 LIQUID ALARM HISTORY REPORT SENSOR LOCATION 1 87-91 ANNULAR NOV 8, 2016 1:20 PM SENSOR OUT ALARM NOV 8, 2016 11:46 AM FUEL ALARM DEC 3, 2015 9:35 AM SENSOR OUT ALARM 2 87 STP NOV 8, 2016 1:20 PM SENSOR OUT ALARM NOV 8, 2016 11:36 AM FUEL ALARM DEC 3, 2015 10:21 AM FUEL ALARM 3 87 FILL NOV 8, 2016 1:20 PM SENSOR OUT ALARM NOV 8, 2016 11:37 AM FUEL ALARM DEC 3, 2015 10:23 AM FUEL ALARM 4 91 STP NOV 8, 2016 1:20 PM SENSOR OUT ALARM NOV 8, 2016 11:35 AM FUEL ALARM FEB 7, 2016 5:35 PM FUEL ALARM 5 91 FILL NOV 8, 2016 1:19 PM SENSOR OUT ALARM NOV 8, 2016 11:36 AM FUEL ALARM DEC 3, 2015 10:19 AM FUEL ALARM 6 DISP 1-2 NOV 8, 2016 1:20 PM SENSOR OUT ALARM NOV 8, 2016 11:20 AM FUEL ALARM DEC 3, 2015 1:04 PM FUEL ALARM 7 DISP 3-4 NOV 8, 2016 1:20 PM SENSOR OUT ALARM NOV 8, 2016 11:23 AM FUEL ALARM DEC 3, 2015 1:04 PM FUEL ALARM 8 DISP 5-6 NOV 8, 2016 1:20 PM SENSOR OUT ALARM NOV 8, 2016 11:10 AM FUEL ALARM DEC 3, 2015 1:04 PM FUEL ALARM 10 DISP 9-10 NOV 8, 2016 1:20 PM SENSOR OUT ALARM NOV 8, 2016 11:29 AM FUEL ALARM DEC 3, 2015 1:05 PM FUEL ALARM 11 DISP 11-12 NOV 8, 2016 1:19 PM SENSOR OUT ALARM NOV 8, 2016 11:34 AM FUEL ALARM DEC 3, 2015 1:06 PM FUEL ALARM 12 DISP 7-8 NOV 8, 2016 1:20 PM SENSOR OUT ALARM NOV 8, 2016 11:16 AM FUEL ALARM NOV 8, 2016 11:12 AM FUEL ALARM I31600 NOV 8, 2016 1:21 PM FLOWER ST MINI MART 928 FLOWER ST BAKERSFIELD CA 93305 661-328-0673 SMART SENSOR ALARM HISTORY REPORT SENSOR LOCATION 1 VAPOR PRESSUR 2 FM 1-2 3 FM 3-4 4 FM 5-6 5 FM 7-8 6 FM 9-10 7 FM 11-12 I40200 NOV 8, 2016 1:21 PM I40300 NOV 8, 2016 1:21 PM I34200 NOV 8, 2016 1:21 PM I34700 NOV 8, 2016 1:21 PM IV0100 NOV 8, 2016 1:21 PM FLOWER ST MINI MART 928 FLOWER ST BAKERSFIELD CA 93305 661-328-0673 ISD ALARM STATUS REPORT EVR TYPE: VACUUM ASSIST ISD TYPE: 01.05 VAPOR PROCESSOR TYPE: NONE OVERALL STATUS :PASS EVR VAPOR COLLECTION :PASS EVR VAPOR CONTAINMENT :PASS ISD MONITOR UP-TIME :100% EVR/ISD PASS TIME :100% WARNING ALARMS DATE TIME DESCRIPTION READING VALUE 16-10-18 10:02:50 A/L RATIO DEGRADATION FP 5 BLEND3 0.73 16-10-17 10:02:51 A/L RATIO DEGRADATION FP 5 BLEND3 0.79 16-09-26 10:03:26 A/L RATIO DEGRADATION FP 5 BLEND3 0.78 16-09-20 10:04:00 A/L RATIO DEGRADATION FP12 BLEND3 0.79 16-09-19 10:03:42 A/L RATIO DEGRADATION FP12 BLEND3 0.78 16-09-17 10:04:37 A/L RATIO DEGRADATION FP12 BLEND3 0.79 16-09-15 10:04:06 A/L RATIO DEGRADATION FP12 BLEND3 0.80 16-09-12 10:03:45 A/L RATIO DEGRADATION FP12 BLEND3 0.81 16-09-11 10:04:01 A/L RATIO DEGRADATION FP12 BLEND3 0.79 16-09-09 10:03:49 A/L RATIO DEGRADATION FP12 BLEND3 0.80 FAILURE ALARMS DATE TIME DESCRIPTION READING VALUE 16-09-10 10:03:55 A/L RATIO DEGRADATION FP10 BLEND3 0.64 16-08-30 10:03:32 A/L RATIO DEGRADATION FP10 BLEND3 0.67 16-03-13 10:02:01 A/L RATIO GROSS BLOCKAGE FP11 BLEND3 BLKD 16-01-08 10:03:49 CONTAINMENT GROSS OVER PRESSURE WEEKLY 95% 1.98 15-12-25 10:01:10 CONTAINMENT GROSS OVER PRESSURE WEEKLY 95% 3.63 15-12-01 10:01:48 CONTAINMENT GROSS OVER PRESSURE WEEKLY 95% 3.62 15-10-07 10:03:08 CONTAINMENT GROSS OVER PRESSURE WEEKLY 95% 2.40 15-09-03 10:01:50 A/L RATIO DEGRADATION FP 9 BLEND3 0.80 15-08-21 10:03:01 A/L RATIO DEGRADATION FP10 BLEND3 0.78 15-08-20 10:03:05 A/L RATIO DEGRADATION FP10 BLEND3 0.78 SHUTDOWN & MISCELLANEOUS EVENTS DATE TIME DESCRIPTION ACTION/NAME 16-11-08 13:19:32 READINESS ISD:PP EVR:NN EVR READINESS PENDING 16-11-08 13:19:32 ISD STARTUP 16-11-08 13:19:25 ISD SHUTDOWN 16-09-10 10:09:00 COLLECTION TEST HH10 GRADE TEST MANUALLY CLEARED 16-09-10 10:05:13 PUMPS MANUALLY RE-ENABLED 16-09-10 10:03:55 A/L RATIO GROSS DEGRADATION DISABLED FP 10 BLEND3 16-08-30 10:45:26 COLLECTION TEST HH10 GRADE TEST MANUALLY CLEARED 16-08-30 10:42:15 PUMPS MANUALLY RE-ENABLED 16-08-30 10:03:32 A/L RATIO GROSS DEGRADATION DISABLED FP 10 BLEND3 16-04-07 06:03:43 CONTAINMENT GROSS & DEGRD TEST MANUALLY CLEARED SWRCB, January 2006 Spill Bucket Testing Report Form This form is intended for use by contractors performing annual testing of UST spill containment structures. The completed form and printouts from tests (if applicable), should be provided to the facility owner/operator 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. FlowerStreetMiniMart 11/08/2016 928FlowerStreet Bakersfield,CA93305 SamMansour(661)322-1521 10/17/2016 ShaneGardner AaronPerrigo (exp.09/18/2018) Regular 12.00" 12.00" 5min. 9:20 am 8.50" 10:20 am 8.50" 1 hour 0.00" 0.0625" Super 12.00" 12.00" 5min. 11:05 am 8.50" 12:05 pm 8.50" 1hour 0.00" 0.0625" Replaced 3.5 gal Phil-Tite spill bucket on premium. 11/08/2016