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HomeMy WebLinkAboutFMC 20182/21/07 1 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. $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: ___________________ %Inventory of Equipment Tested/CertifiedCheck the appropriate boxes to indicate specific equipment inspected/serviced: Tank ID: ____________________________________________ 2/21/072 D. Results of Testing/Servicing Software Version Installed: _____________________________________ Complete the following checklist: 2/21/073 F. In-Tank Gauging / SIR Equipment: Leak Detector Test Results Sheet &ĂĐŝůŝƚLJEĂŵĞ͗Site Address: Test Date: TechnicianŽŶĚƵĐƚŝŶŐdĞƐƚ: 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 TechnicianSignature: Date: 87 Mech FX1V 10 psi 85 ml Pass 91 Mech FX1V 10 psi 95 ml Pass DSL Mech FX1DV 9 psi 55 ml Pass 07/09/2018 Jaco #7721 Fastrip #22 (North)07/09/2018 4013 S H Street Aaron Perrigo 8485827-UT Jaco 7721 setup Responses Received: 200 FASTRIP 721 4013 SO. H ST. BAKERSFIELD,CA 93304 661-832-6124 JUL 9, 2018 11:07 AM TANK PRODUCT GALLONS INCHES WATER DEG F ULLAGE 1 UNL 4258 36.96 0.0 85.7 7742 2 PNL 4507 38.56 0.0 85.5 7493 3 DSL 5653 45.82 0.0 91.0 6347 I90500 JUL 9, 2018 11:07 AM SOFTWARE REVISION LEVEL VERSION 329.01 SOFTWARE# 346329-100-B CREATED - 09.01.29.15.44 S-MODULE# 330160-004-a SYSTEM FEATURES: PERIODIC IN-TANK TESTS ANNUAL IN-TANK TESTS ISD I50500 JUL 9, 2018 11:07 AM SYSTEM TYPE AND LANGUAGE FLAG SYSTEM UNITS U.S. SYSTEM LANGUAGE ENGLISH SYSTEM DATE/TIME FORMAT MON DD YYYY HH:MM:SS xM I50201 JUL 9, 2018 11:07 AM SHIFT TIME 1 : 6:00 AM I50202 JUL 9, 2018 11:07 AM SHIFT TIME 2 : DISABLED I50203 JUL 9, 2018 11:07 AM SHIFT TIME 3 : DISABLED I50204 JUL 9, 2018 11:07 AM SHIFT TIME 4 : DISABLED I54600 JUL 9, 2018 11:07 AM TANK PER TST NEEDED WRN: DISABLED I54900 JUL 9, 2018 11:07 AM TANK ANN TST NEEDED WRN: DISABLED I55300 JUL 9, 2018 11:07 AM LINE RE-ENABLE METHOD PASS LINE TEST I55600 JUL 9, 2018 11:07 AM LINE PER TST NEEDED WRN: DISABLED I55900 JUL 9, 2018 11:07 AM LINE ANN TST NEEDED WRN: DISABLED I50D00 JUL 9, 2018 11:08 AM PRINT TC VOLUMES ENABLED I50E00 JUL 9, 2018 11:08 AM TEMP COMPENSATION VALUE (DEG F ): 60.0 I60B00 JUL 9, 2018 11:08 AM STICK HEIGHT OFFSET ENABLE STATUS DISABLED I51400 JUL 9, 2018 11:08 AM H-PROTOCOL DATA FORMAT HEIGHT I51A01 JUL 9, 2018 11:08 AM DAYLIGHT SAVING TIME DISABLED I51B00 JUL 9, 2018 11:08 AM I51600 JUL 9, 2018 11:08 AM RE-DIRECT LOCAL PRINTOUT DISABLED I50400 JUL 9, 2018 11:08 AM 232 SECURITY CODE PORT SECURITY CODE STATUS 1 000000 DISABLED 2 000000 DISABLED 3 000000 DISABLED 4 000000 DISABLED 5 000000 DISABLED 6 000000 DISABLED I21900 JUL 9, 2018 11:08 AM TANK CHART SECURITY DISABLED I5BD00 JUL 9, 2018 11:08 AM CUSTOM ALARM LABELS DISABLED I56000 JUL 9, 2018 11:08 AM MASS/DENSITY DISABLED I88101 JUL 9, 2018 11:08 AM PORT SETTINGS: COMM BOARD : 1 (EDIM ) RS-232 SECURITY CODE : DISABLED I88102 JUL 9, 2018 11:08 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 JUL 9, 2018 11:08 AM PORT SETTINGS: COMM BOARD : 3 (RS-232) BAUD RATE : 9600 PARITY : NONE STOP BIT : 1 STOP DATA LENGTH: 8 DATA RS-232 SECURITY CODE : DISABLED I88104 JUL 9, 2018 11:08 AM I88105 JUL 9, 2018 11:08 AM I88106 JUL 9, 2018 11:08 AM I52000 JUL 9, 2018 11:08 AM RECEIVER AUTO DIAL TYPE & START TIME RCVR LOCATION LABEL DIAL TYPE START TIME 1 ON DATE MAR 14, 2011 DISABLED 2 ON DATE MAR 14, 2011 DISABLED 3 ON DATE MAR 14, 2011 DISABLED 4 ON DATE MAR 14, 2011 DISABLED 5 ON DATE MAR 14, 2011 DISABLED 6 ON DATE MAR 14, 2011 DISABLED 7 ON DATE MAR 14, 2011 DISABLED 8 ON DATE MAR 14, 2011 DISABLED I60100 JUL 9, 2018 11:08 AM TANK CONFIGURATION DEVICE LABEL CONFIGURED 1 UNL ON 2 PNL ON 3 DSL ON 4 OFF I60200 JUL 9, 2018 11:08 AM TANK PRODUCT LABEL TANK PRODUCT LABEL 1 UNL 2 PNL 3 DSL 4 I60300 JUL 9, 2018 11:08 AM TANK PRODUCT CODE TANK PRODUCT LABEL 1 UNL 1 2 PNL 2 3 DSL 3 4 4 I60900 JUL 9, 2018 11:08 AM TANK THERMAL COEFFICIENT TANK PRODUCT LABEL 1 UNL 0.000700 2 PNL 0.000700 3 DSL 0.000450 4 0.000000 I60700 JUL 9, 2018 11:08 AM TANK DIAMETER TANK PRODUCT LABEL INCHES 1 UNL 96.00 2 PNL 96.00 3 DSL 96.00 4 0.00 I60A00 JUL 9, 2018 11:08 AM TANK FULL VOLUME TANK PRODUCT LABEL TANK PROFILE GALLONS 1 UNL 1 PT 12000 2 PNL 1 PT 12000 3 DSL 1 PT 12000 4 1 PT 0 I60400 JUL 9, 2018 11:08 AM TANK FULL VOLUME TANK PRODUCT LABEL GALLONS 1 UNL 12000 2 PNL 12000 3 DSL 12000 4 0 I60500 JUL 9, 2018 11:08 AM TANK 4 POINT VOLUMES TANK PRODUCT LABEL GALLONS 1 UNL 12000 0 0 0 2 PNL 12000 0 0 0 3 DSL 12000 0 0 0 4 0 0 0 0 I60600 JUL 9, 2018 11:08 AM TANK 20 POINT VOLUMES TANK PRODUCT LABEL GALLONS 1 UNL 12000 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2 PNL 12000 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 3 DSL 12000 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 4 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 I61500 JUL 9, 2018 11:08 AM TANK PRODUCT LABEL METER DATA 1 UNL NO 2 PNL NO 3 DSL NO 4 NO I62F00 JUL 9, 2018 11:08 AM MAG PROBE FLOAT SIZE TANK PRODUCT LABEL FLOAT SIZE: 1 UNL 4.0 INCHES 2 PNL 4.0 INCHES 3 DSL 4.0 INCHES I62700 JUL 9, 2018 11:08 AM TANK HIGH WATER WARNING LIMIT TANK PRODUCT LABEL INCHES 1 UNL 2.0 2 PNL 2.0 3 DSL 2.0 9999FF1B I62400 JUL 9, 2018 11:08 AM TANK HIGH WATER LEVEL LIMIT TANK PRODUCT LABEL INCHES 1 UNL 3.0 2 PNL 3.0 3 DSL 3.0 I62800 JUL 9, 2018 11:08 AM TANK MAXIMUM VOLUME LIMIT TANK PRODUCT LABEL GALLONS 1 UNL 12000 2 PNL 12000 3 DSL 12000 4 0 I62300 JUL 9, 2018 11:08 AM TANK OVERFILL LEVEL LIMIT TANK PRODUCT LABEL GALLONS 1 UNL 10800 2 PNL 10800 3 DSL 10800 4 0 I62200 JUL 9, 2018 11:08 AM TANK HIGH PRODUCT LIMIT TANK PRODUCT LABEL GALLONS 1 UNL 11400 2 PNL 11400 3 DSL 11400 4 0 I62900 JUL 9, 2018 11:08 AM TANK DELIVERY REQUIRED LIMIT TANK PRODUCT LABEL GALLONS 1 UNL 1800 2 PNL 1800 3 DSL 1800 4 0 I62100 JUL 9, 2018 11:08 AM TANK LOW PRODUCT LIMIT TANK PRODUCT LABEL GALLONS 1 UNL 1200 2 PNL 1200 3 DSL 1200 4 0 I62600 JUL 9, 2018 11:08 AM TANK LEAK ALARM LIMIT TANK PRODUCT LABEL GALLONS 1 UNL 99 2 PNL 99 3 DSL 99 4 99 I62500 JUL 9, 2018 11:08 AM TANK SUDDEN LOSS LIMIT TANK PRODUCT LABEL GALLONS 1 UNL 99 2 PNL 99 3 DSL 99 4 99 I60800 JUL 9, 2018 11:08 AM TANK TILT TANK PRODUCT LABEL INCHES 1 UNL 0.00 2 PNL 0.00 3 DSL 0.00 4 0.00 I60B00 JUL 9, 2018 11:08 AM STICK HEIGHT OFFSET ENABLE STATUS DISABLED I60C00 JUL 9, 2018 11:08 AM TANK STICK HEIGHT OFFSET TANK PRODUCT LABEL INCHES 1 UNL 0.00 2 PNL 0.00 3 DSL 0.00 4 0.00 I61200 JUL 9, 2018 11:08 AM TANK MANIFOLDED PARTNERS TANK PRODUCT LABEL SIPHON MANIFOLDED TANKS LINE MANIFOLDED TANKS 1 UNL NONE NONE 2 PNL NONE NONE 3 DSL NONE NONE 4 NONE NONE I63600 JUL 9, 2018 11:08 AM PERIODIC LEAK TEST MIN VOLUME TANK PRODUCT LABEL GALLONS 1 UNL 120 2 PNL 120 3 DSL 120 4 0 I62A00 JUL 9, 2018 11:08 AM ANNUAL LEAK TEST MIN VOLUME TANK PRODUCT LABEL GALLONS 1 UNL 120 2 PNL 120 3 DSL 120 4 0 I62C00 JUL 9, 2018 11:08 AM TANK PERIODIC TEST TYPE TANK PRODUCT LABEL PERIODIC TEST TYPE 1 UNL STANDARD 2 PNL STANDARD 3 DSL STANDARD 4 STANDARD I62D00 JUL 9, 2018 11:08 AM TANK LEAK TEST FAIL ALARMS TANK PRODUCT LABEL 1 UNL GROSS TEST FAIL ALARM DISABLED PERIODIC TEST FAIL ALARM DISABLED ANNUAL TEST FAIL ALARM DISABLED 2 PNL GROSS TEST FAIL ALARM DISABLED PERIODIC TEST FAIL ALARM DISABLED ANNUAL TEST FAIL ALARM DISABLED 3 DSL GROSS TEST FAIL ALARM DISABLED PERIODIC TEST FAIL ALARM DISABLED ANNUAL TEST FAIL ALARM DISABLED 4 GROSS TEST FAIL ALARM DISABLED PERIODIC TEST FAIL ALARM DISABLED ANNUAL TEST FAIL ALARM DISABLED I63100 JUL 9, 2018 11:08 AM TANK LEAK TEST AVERAGING TANK PRODUCT LABEL ANNUAL PERIODIC 1 UNL OFF OFF 2 PNL OFF OFF 3 DSL OFF OFF 4 OFF OFF I63000 JUL 9, 2018 11:08 AM IN-TANK LEAK TEST NOTIFY TANK PRODUCT LABEL TANK TEST NOTIFY: 1 UNL OFF 2 PNL OFF 3 DSL OFF 4 OFF I63200 JUL 9, 2018 11:08 AM TANK TEST SIPHON BREAK TANK PRODUCT LABEL SIPHON BREAK 1 UNL OFF 2 PNL OFF 3 DSL OFF 4 OFF I61000 JUL 9, 2018 11:08 AM TANK DELIVERY DELAY TANK PRODUCT LABEL 1 UNL 1 2 PNL 1 3 DSL 1 4 1 I63A00 JUL 9, 2018 11:08 AM LOW LEVEL PUMP THRESHOLD FOR SEQUENTIAL LINE MANIFOLD TANK PRODUCT LABEL PUMP THRESHOLD 1 UNL 10.00% 2 PNL 10.00% 3 DSL 10.00% 4 10.00% I61100 JUL 9, 2018 11:08 AM LEAK TEST METHOD - - - - - - - - - - - - TEST ON DATE : ALL TANK JAN 29, 2009 START TIME : DISABLED TEST RATE :0.20 GAL/HR DURATION : 2 HOURS TST EARLY STOP:DISABLED I61300 JUL 9, 2018 11:08 AM CSLD PROBABLITY OF DETECTION I61400 JUL 9, 2018 11:08 AM CSLD CLIMATE FACTOR I61600 JUL 9, 2018 11:08 AM TANK PRODUCT LABEL CAL UPDATE 1 UNL IMMEDIATE 2 PNL IMMEDIATE 3 DSL IMMEDIATE 4 IMMEDIATE I61A00 JUL 9, 2018 11:08 AM IN-TANK LEAK TEST EARLY STOP TANK PRODUCT LABEL TST EARLY STOP: 1 UNL DISABLED 2 PNL DISABLED 3 DSL DISABLED 4 DISABLED I61B00 JUL 9, 2018 11:08 AM IN-TANK LEAK GROSS TEST AUTO-CONFIRM I61C00 JUL 9, 2018 11:08 AM CSLD REPORT ONLY I62B00 JUL 9, 2018 11:08 AM TANK LAST ANNUAL TEST TANK PRODUCT LABEL DATE 1 UNL ??? 0, 0 2 PNL ??? 0, 0 3 DSL ??? 0, 0 4 ??? 0, 0 I63300 JUL 9, 2018 11:08 AM LEAK TEST REPORT FORMAT: NORMAL I63400 JUL 9, 2018 11:08 AM RECONCILIATION WARNING LIMIT TANK PRODUCT LABEL GALLONS 1 UNL 0 2 PNL 0 3 DSL 0 4 0 I63500 JUL 9, 2018 11:08 AM RECONCILIATION ALARM LIMIT TANK PRODUCT LABEL GALLONS 1 UNL 1 2 PNL 1 3 DSL 1 4 1 I63900 JUL 9, 2018 11:08 AM ACCU CHART END SHAPE FACTOR TANK PRODUCT LABEL 1 UNL END FACTOR: NONE 2 PNL END FACTOR: NONE 3 DSL END FACTOR: NONE 4 END FACTOR: NONE I78000 JUL 9, 2018 11:08 AM I77700 JUL 9, 2018 11:08 AM I77800 JUL 9, 2018 11:08 AM I78C00 JUL 9, 2018 11:08 AM I78300 JUL 9, 2018 11:08 AM I78F00 JUL 9, 2018 11:08 AM I78700 JUL 9, 2018 11:08 AM I70200 JUL 9, 2018 11:08 AM LIQUID LABEL DEVICE LABEL 1 UNL STP 2 UNL ANN 3 PNL STP 4 PNL ANN 5 DSL STP 6 DSL ANN 7 8 9 DISP 9-10 10 DISP 11-12 11 DISP 13-14 12 DISP 15-16 13 DISP 17-18 14 DISP 19-20 15 16 I70300 JUL 9, 2018 11:08 AM LIQUID TYPE SENSOR LOCATION TYPE 1 UNL STP TRI-STATE (SINGLE FLOAT) 2 UNL ANN TRI-STATE (SINGLE FLOAT) 3 PNL STP TRI-STATE (SINGLE FLOAT) 4 PNL ANN TRI-STATE (SINGLE FLOAT) 5 DSL STP TRI-STATE (SINGLE FLOAT) 6 DSL ANN TRI-STATE (SINGLE FLOAT) 7 TRI-STATE (SINGLE FLOAT) 8 TRI-STATE (SINGLE FLOAT) 9 DISP 9-10 TRI-STATE (SINGLE FLOAT) 10 DISP 11-12 TRI-STATE (SINGLE FLOAT) 11 DISP 13-14 TRI-STATE (SINGLE FLOAT) 12 DISP 15-16 TRI-STATE (SINGLE FLOAT) 13 DISP 17-18 TRI-STATE (SINGLE FLOAT) 14 DISP 19-20 TRI-STATE (SINGLE FLOAT) 15 TRI-STATE (SINGLE FLOAT) 16 TRI-STATE (SINGLE FLOAT) I70400 JUL 9, 2018 11:08 AM LIQUID CATEGORY SENSOR LOCATION CATEGORY 1 UNL STP STP SUMP 2 UNL ANN ANNULAR SPACE 3 PNL STP STP SUMP 4 PNL ANN ANNULAR SPACE 5 DSL STP STP SUMP 6 DSL ANN ANNULAR SPACE 7 OTHER SENSORS 8 OTHER SENSORS 9 DISP 9-10 DISPENSER PAN 10 DISP 11-12 DISPENSER PAN 11 DISP 13-14 DISPENSER PAN 12 DISP 15-16 DISPENSER PAN 13 DISP 17-18 DISPENSER PAN 14 DISP 19-20 DISPENSER PAN 15 OTHER SENSORS 16 OTHER SENSORS I74200 JUL 9, 2018 11:08 AM I74300 JUL 9, 2018 11:08 AM I74400 JUL 9, 2018 11:08 AM I74700 JUL 9, 2018 11:08 AM I74800 JUL 9, 2018 11:08 AM I74900 JUL 9, 2018 11:08 AM I7BC00 JUL 9, 2018 11:08 AM I80200 JUL 9, 2018 11:08 AM I80300 JUL 9, 2018 11:08 AM I80400 JUL 9, 2018 11:08 AM I80700 JUL 9, 2018 11:08 AM RELAY LABEL DEVICE LABEL 1 UNL 2 PNL 3 DSL 4 OVERFLL I80900 JUL 9, 2018 11:08 AM RELAY ORIENTATION RELAY DESIGNATION ORIENTATION 1 UNL NORMALLY OPEN 2 PNL NORMALLY OPEN 3 DSL NORMALLY CLOSED 4 OVERFLL NORMALLY OPEN I80B00 JUL 9, 2018 11:08 AM RELAY TANK ASSIGNMENT RELAY DESIGNATION TANK 1 UNL 1 2 PNL 2 3 DSL NONE 4 OVERFLL 4 I80A00 JUL 9, 2018 11:08 AM RELAY TYPE RELAY DESIGNATION TYPE 1 UNL PUMP CONTROL OUTPUT 2 PNL PUMP CONTROL OUTPUT 3 DSL STANDARD 4 OVERFLL STANDARD I80C00 JUL 9, 2018 11:08 AM I80800 JUL 9, 2018 11:08 AM RELAY SETUP REPORT R 1:UNL TYPE: PUMP CONTROL OUTPUT TANK #: 1 LIQUID SENSOR ALMS L 1:FUEL ALARM L 9:FUEL ALARM L10:FUEL ALARM L11:FUEL ALARM L12:FUEL ALARM L13:FUEL ALARM L14:FUEL ALARM L 1:SENSOR OUT ALARM L 9:SENSOR OUT ALARM L10:SENSOR OUT ALARM L11:SENSOR OUT ALARM L12:SENSOR OUT ALARM L13:SENSOR OUT ALARM L14:SENSOR OUT ALARM L 1:SHORT ALARM L 9:SHORT ALARM L10:SHORT ALARM L11:SHORT ALARM L12:SHORT ALARM L13:SHORT ALARM L14:SHORT ALARM ISD SITE ALARMS ISD GROSS PRES FAIL ISD DEGRD PRES FAIL ISD VAPOR LEAK FAIL ISD VP PRES FAIL ISD VP STATUS FAIL ISD HOSE ALARMS ALL:GROSS COLLECT FAIL ALL:DEGRD COLLECT FAIL ALL:FLOW COLLECT FAIL R 2:PNL TYPE: PUMP CONTROL OUTPUT TANK #: 2 LIQUID SENSOR ALMS L 1:FUEL ALARM L 3:FUEL ALARM L 9:FUEL ALARM L10:FUEL ALARM L11:FUEL ALARM L12:FUEL ALARM L13:FUEL ALARM L14:FUEL ALARM L 1:SENSOR OUT ALARM L 3:SENSOR OUT ALARM L 9:SENSOR OUT ALARM L10:SENSOR OUT ALARM L11:SENSOR OUT ALARM L12:SENSOR OUT ALARM L13:SENSOR OUT ALARM L14:SENSOR OUT ALARM L 1:SHORT ALARM L 3:SHORT ALARM L 9:SHORT ALARM L10:SHORT ALARM L11:SHORT ALARM L12:SHORT ALARM L13:SHORT ALARM L14:SHORT ALARM ISD SITE ALARMS ISD GROSS PRES FAIL ISD DEGRD PRES FAIL ISD VAPOR LEAK FAIL ISD VP PRES FAIL ISD VP STATUS FAIL ISD HOSE ALARMS ALL:GROSS COLLECT FAIL ALL:DEGRD COLLECT FAIL ALL:FLOW COLLECT FAIL R 3:DSL TYPE: STANDARD NORMALLY CLOSED TANK #: NONE LIQUID SENSOR ALMS L 1:FUEL ALARM L 5:FUEL ALARM L 9:FUEL ALARM L10:FUEL ALARM L11:FUEL ALARM L12:FUEL ALARM L13:FUEL ALARM L14:FUEL ALARM L 5:SENSOR OUT ALARM L 9:SENSOR OUT ALARM L10:SENSOR OUT ALARM L11:SENSOR OUT ALARM L12:SENSOR OUT ALARM L13:SENSOR OUT ALARM L14:SENSOR OUT ALARM L 5:SHORT ALARM L 9:SHORT ALARM L10:SHORT ALARM L11:SHORT ALARM L12:SHORT ALARM L13:SHORT ALARM L14:SHORT ALARM R 4:OVERFLL TYPE: STANDARD NORMALLY OPEN TANK #: 4 IN-TANK ALARMS ALL:LEAK ALARM ALL:OVERFILL ALARM ALL:HIGH PRODUCT ALARM I79000 JUL 9, 2018 11:09 AM EDIM:1 VR:349634-003-C TD:06.05.11.11.15 I79100 JUL 9, 2018 11:09 AM I72300 JUL 9, 2018 11:09 AM FASTRIP 721 4013 SO. H ST. BAKERSFIELD,CA 93304 661-832-6124 SMARTSENSOR ASSIGNMENT DEVICE LABEL CATEGORY 01 PS-2 VAPOR PRESSURE 02 FM-1 AIR FLOW METER 03 FM-2 AIR FLOW METER 04 FM-3 AIR FLOW METER 05 FM-4 AIR FLOW METER 06 FM-5 AIR FLOW METER 07 FM-6 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 JUL 9, 2018 11:09 AM FASTRIP 721 4013 SO. H ST. BAKERSFIELD,CA 93304 661-832-6124 EVR/ISD SETUP TYPE: VACUUM ASSIST VACUUM ASSIST TYPE: HEALY VAC IV4F00 JUL 9, 2018 11:09 AM FASTRIP 721 4013 SO. H ST. BAKERSFIELD,CA 93304 661-832-6124 NOZZLE A/L RANGE A/L RATIO: 0.95 - 1.15 IV4000 JUL 9, 2018 11:09 AM FASTRIP 721 4013 SO. H ST. BAKERSFIELD,CA 93304 661-832-6124 VAPOR PROCESSOR TYPE NONE IV4700 JUL 9, 2018 11:09 AM FASTRIP 721 4013 SO. H ST. BAKERSFIELD,CA 93304 661-832-6124 ASSESSMENT TIME START TIME: 10:00 AM TIME DELAY MINUTES: 1 IV5200 JUL 9, 2018 11:09 AM FASTRIP 721 4013 SO. H ST. BAKERSFIELD,CA 93304 661-832-6124 ACCEPT HIGH ORVR: NO IV4A00 JUL 9, 2018 11:09 AM FASTRIP 721 4013 SO. H ST. BAKERSFIELD,CA 93304 661-832-6124 ISD HOSE TABLE HOSE FP FP AFM HOSE ID ID LABEL ID LABEL 01 25 09 01 BLEND3 02 26 10 01 BLEND3 03 27 11 02 BLEND3 04 28 12 02 BLEND3 05 01 13 03 BLEND3 06 02 14 03 BLEND3 07 03 15 04 BLEND3 08 04 16 04 BLEND3 09 05 17 05 BLEND3 10 06 18 05 BLEND3 11 07 19 06 BLEND3 12 08 20 06 BLEND3 IV4B00 JUL 9, 2018 11:09 AM FASTRIP 721 4013 SO. H ST. BAKERSFIELD,CA 93304 661-832-6124 PRODUCT/HOSE MAP TABLE FP AFID M1/H1 M2/H2 M3/H3 M4/H4 01 03 02/05 03/05 09/05 xx/xx 02 03 02/06 03/06 09/06 xx/xx 03 04 02/07 03/07 09/07 xx/xx 04 04 02/08 03/08 09/08 xx/xx 05 05 02/09 03/09 09/09 xx/xx 06 05 02/10 03/10 09/10 xx/xx 07 06 03/11 09/11 02/11 xx/xx 08 06 02/12 03/12 09/12 xx/xx 25 01 02/01 03/01 09/01 xx/xx 26 01 02/02 03/02 09/02 xx/xx 27 02 02/03 03/03 09/03 xx/xx 28 02 02/04 03/04 09/04 xx/xx IV4900 JUL 9, 2018 11:09 AM FASTRIP 721 4013 SO. H ST. BAKERSFIELD,CA 93304 661-832-6124 LABEL TABLE ID LABEL 01 UNASSIGNED 02 BLEND3 03 REGULAR 04 MID GRADE 05 PREMIUM 06 GOLD 07 BRONZE 08 SILVER 09 BLEND2 10 BLEND4 IV1000 JUL 9, 2018 11:09 AM ISD VERSION: 01.02 Jaco 7721 Alarm History Responses Received: I10200 JUL 9, 2018 11:10 AM FASTRIP 721 4013 SO. H ST. BAKERSFIELD,CA 93304 661-832-6124 SYSTEM CONFIGURATION SLOT BOARD TYPE POWER ON RESET CURRENT 1 7SMARTSENSOR BD 509627 504858 2 INTERSTITIAL BD 202670 201861 3 4 PROBE / G.T. 163131 162639 4 INTERSTITIAL BD 201359 200523 5 UNUSED 4974571 4864540 6 UNUSED 4968482 4865232 7 UNUSED 4965437 4864821 8 UNUSED 4966522 4865513 9 STP SENSE BOARD 33165 33139 10 RELAY BOARD 14993 15007 11 UNUSED 4965479 4867963 12 UNUSED 4963623 4866146 13 UNUSED 4961976 4866233 14 UNUSED 4964249 4865346 15 UNUSED 4961601 4866276 16 UNUSED 4963331 4865259 COMM 1 ELEC DISP INT. 101153 100966 COMM 2 RS232 SERIAL BD 15014 15050 COMM 3 RS232 SERIAL BD 14972 14963 COMM 4 UNUSED 4965917 4868569 COMM 5 UNUSED 4964458 4869174 COMM 6 UNUSED 4964791 4866687 I90200 JUL 9, 2018 11:10 AM SOFTWARE REVISION LEVEL VERSION 329.01 SOFTWARE# 346329-100-B CREATED - 09.01.29.15.44 S-MODULE# 330160-004-a SYSTEM FEATURES: PERIODIC IN-TANK TESTS ANNUAL IN-TANK TESTS ISD I11100 JUL 9, 2018 11:10 AM FASTRIP 721 4013 SO. H ST. BAKERSFIELD,CA 93304 661-832-6124 PRIORITY ALARM HISTORY ID CATEGORY DESCRIPTION ALARM TYPE STATE DATE TIME L14 DISP PAN DISP 19-20 SENSOR OUT ALARM CLEAR 7-02-18 2:43PM L12 DISP PAN DISP 15-16 SENSOR OUT ALARM CLEAR 7-02-18 2:43PM L11 DISP PAN DISP 13-14 SENSOR OUT ALARM CLEAR 7-02-18 2:43PM L10 DISP PAN DISP 11-12 SENSOR OUT ALARM CLEAR 7-02-18 2:43PM L 9 DISP PAN DISP 9-10 SENSOR OUT ALARM CLEAR 7-02-18 2:43PM L13 DISP PAN DISP 17-18 SENSOR OUT ALARM CLEAR 7-02-18 2:43PM L 6 ANNULAR DSL ANN SENSOR OUT ALARM CLEAR 7-02-18 2:43PM L 4 ANNULAR PNL ANN SENSOR OUT ALARM CLEAR 7-02-18 2:43PM L 3 STP SUMP PNL STP SENSOR OUT ALARM CLEAR 7-02-18 2:43PM L 2 ANNULAR UNL ANN SENSOR OUT ALARM CLEAR 7-02-18 2:43PM L 5 STP SUMP DSL STP SENSOR OUT ALARM CLEAR 7-02-18 2:43PM L 1 STP SUMP UNL STP SENSOR OUT ALARM CLEAR 7-02-18 2:43PM L 6 ANNULAR DSL ANN SENSOR OUT ALARM ALARM 7-02-18 2:43PM L 4 ANNULAR PNL ANN SENSOR OUT ALARM ALARM 7-02-18 2:43PM L 3 STP SUMP PNL STP SENSOR OUT ALARM ALARM 7-02-18 2:43PM L 2 ANNULAR UNL ANN SENSOR OUT ALARM ALARM 7-02-18 2:43PM L 5 STP SUMP DSL STP SENSOR OUT ALARM ALARM 7-02-18 2:43PM L14 DISP PAN DISP 19-20 SENSOR OUT ALARM ALARM 7-02-18 2:43PM L 1 STP SUMP UNL STP SENSOR OUT ALARM ALARM 7-02-18 2:43PM L12 DISP PAN DISP 15-16 SENSOR OUT ALARM ALARM 7-02-18 2:43PM L11 DISP PAN DISP 13-14 SENSOR OUT ALARM ALARM 7-02-18 2:43PM L10 DISP PAN DISP 11-12 SENSOR OUT ALARM ALARM 7-02-18 2:43PM L13 DISP PAN DISP 17-18 SENSOR OUT ALARM ALARM 7-02-18 2:43PM L 9 DISP PAN DISP 9-10 SENSOR OUT ALARM ALARM 7-02-18 2:43PM T 3 TANK DSL PROBE OUT CLEAR 7-02-18 2:04PM T 3 TANK DSL OVERFILL ALARM CLEAR 7-02-18 2:04PM T 3 TANK DSL PROBE OUT ALARM 7-02-18 2:04PM T 3 TANK DSL OVERFILL ALARM ALARM 7-02-18 2:04PM T 2 TANK PNL PROBE OUT CLEAR 7-02-18 2:04PM T 2 TANK PNL OVERFILL ALARM CLEAR 7-02-18 2:03PM T 2 TANK PNL PROBE OUT ALARM 7-02-18 2:03PM T 2 TANK PNL OVERFILL ALARM ALARM 7-02-18 2:03PM T 1 TANK UNL PROBE OUT CLEAR 7-02-18 2:02PM T 1 TANK UNL OVERFILL ALARM CLEAR 7-02-18 2:02PM T 1 TANK UNL PROBE OUT ALARM 7-02-18 2:02PM T 1 TANK UNL OVERFILL ALARM ALARM 7-02-18 2:02PM L 6 ANNULAR DSL ANN FUEL ALARM CLEAR 7-02-18 1:54PM L 6 ANNULAR DSL ANN FUEL ALARM ALARM 7-02-18 1:54PM L 2 ANNULAR UNL ANN FUEL ALARM CLEAR 7-02-18 1:53PM L 4 ANNULAR PNL ANN FUEL ALARM CLEAR 7-02-18 1:53PM L 4 ANNULAR PNL ANN FUEL ALARM ALARM 7-02-18 1:53PM L 2 ANNULAR UNL ANN FUEL ALARM ALARM 7-02-18 1:53PM L10 DISP PAN DISP 11-12 FUEL ALARM CLEAR 7-02-18 1:52PM L10 DISP PAN DISP 11-12 FUEL ALARM ALARM 7-02-18 1:51PM L13 DISP PAN DISP 17-18 FUEL ALARM CLEAR 7-02-18 1:51PM L13 DISP PAN DISP 17-18 FUEL ALARM ALARM 7-02-18 1:51PM L 9 DISP PAN DISP 9-10 FUEL ALARM CLEAR 7-02-18 1:50PM L 9 DISP PAN DISP 9-10 FUEL ALARM ALARM 7-02-18 1:50PM L12 DISP PAN DISP 15-16 FUEL ALARM CLEAR 7-02-18 1:49PM L12 DISP PAN DISP 15-16 FUEL ALARM ALARM 7-02-18 1:49PM I11200 JUL 9, 2018 11:10 AM FASTRIP 721 4013 SO. H ST. BAKERSFIELD,CA 93304 661-832-6124 NON-PRIORITY ALARM HISTORY ID CATEGORY DESCRIPTION ALARM TYPE STATE DATE TIME T 2 TANK PNL HIGH PRODUCT ALARM CLEAR 7-02-18 2:03PM T 2 TANK PNL HIGH PRODUCT ALARM ALARM 7-02-18 2:03PM T 2 TANK PNL DELIVERY NEEDED CLEAR 7-02-18 1:32PM T 2 TANK PNL DELIVERY NEEDED ALARM 7-02-18 1:31PM OTHER ISD GROSS PRES WARN CLEAR 7-02-18 8:35AM OTHER ISD GROSS PRES WARN ALARM 7-01-18 10:02AM h 4 OTHER FP12: BLEND3 DEGRD COLLECT WARN CLEAR 6-28-18 8:22AM T 1 TANK UNL DELIVERY NEEDED CLEAR 6-28-18 7:40AM T 1 TANK UNL DELIVERY NEEDED ALARM 6-28-18 12:36AM h 4 OTHER FP12: BLEND3 DEGRD COLLECT WARN ALARM 6-27-18 10:02AM h 8 OTHER FP16: BLEND3 DEGRD COLLECT WARN CLEAR 6-25-18 10:00AM T 1 TANK UNL DELIVERY NEEDED CLEAR 6-20-18 7:39PM T 1 TANK UNL DELIVERY NEEDED ALARM 6-20-18 4:19PM T 1 TANK UNL DELIVERY NEEDED CLEAR 6-18-18 6:22PM T 1 TANK UNL DELIVERY NEEDED ALARM 6-18-18 5:07PM h 8 OTHER FP16: BLEND3 DEGRD COLLECT WARN ALARM 6-18-18 10:02AM T 1 TANK UNL DELIVERY NEEDED CLEAR 6-13-18 5:36PM T 1 TANK UNL DELIVERY NEEDED ALARM 6-13-18 4:12PM T 1 TANK UNL DELIVERY NEEDED CLEAR 6-12-18 4:06AM T 1 TANK UNL DELIVERY NEEDED ALARM 6-11-18 5:13PM T 1 TANK UNL DELIVERY NEEDED CLEAR 6-03-18 12:32AM T 1 TANK UNL DELIVERY NEEDED ALARM 6-02-18 7:05PM T 1 TANK UNL DELIVERY NEEDED CLEAR 6-01-18 3:38PM T 1 TANK UNL INVALID FUEL LEVEL CLEAR 6-01-18 3:34PM T 1 TANK UNL INVALID FUEL LEVEL ALARM 6-01-18 3:23PM T 1 TANK UNL DELIVERY NEEDED ALARM 6-01-18 12:30PM T 1 TANK UNL DELIVERY NEEDED CLEAR 5-26-18 3:37PM T 1 TANK UNL DELIVERY NEEDED ALARM 5-26-18 3:32PM h 8 OTHER FP16: BLEND3 DEGRD COLLECT WARN CLEAR 5-26-18 10:00AM h 8 OTHER FP16: BLEND3 DEGRD COLLECT WARN ALARM 5-24-18 10:03AM SYSTEM PRINTER ERROR CLEAR 5-24-18 6:05AM SYSTEM PRINTER ERROR ALARM 5-24-18 6:05AM SYSTEM PAPER OUT CLEAR 5-24-18 6:05AM SYSTEM PRINTER ERROR CLEAR 5-24-18 6:05AM SYSTEM PRINTER ERROR ALARM 5-24-18 6:05AM SYSTEM PAPER OUT ALARM 5-24-18 6:05AM SYSTEM PRINTER ERROR CLEAR 5-24-18 6:04AM SYSTEM PAPER OUT CLEAR 5-24-18 6:04AM SYSTEM PRINTER ERROR ALARM 5-24-18 6:04AM SYSTEM PRINTER ERROR CLEAR 5-24-18 6:04AM SYSTEM PAPER OUT ALARM 5-24-18 6:04AM SYSTEM PRINTER ERROR ALARM 5-24-18 6:04AM SYSTEM PRINTER ERROR CLEAR 5-24-18 6:03AM SYSTEM PRINTER ERROR ALARM 5-24-18 6:03AM SYSTEM PRINTER ERROR CLEAR 5-24-18 6:03AM SYSTEM PAPER OUT CLEAR 5-24-18 6:02AM SYSTEM PRINTER ERROR ALARM 5-24-18 6:02AM SYSTEM PAPER OUT ALARM 5-24-18 6:00AM T 1 TANK UNL DELIVERY NEEDED CLEAR 5-02-18 12:54AM T 1 TANK UNL DELIVERY NEEDED ALARM 5-01-18 10:34PM I20600 JUL 9, 2018 11:10 AM FASTRIP 721 4013 SO. H ST. BAKERSFIELD,CA 93304 661-832-6124 TANK ALARM HISTORY TANK 1 UNL HIGH WATER ALARM JUL 16, 2015 11:24 AM OCT 19, 2010 9:59 AM OVERFILL ALARM JUL 2, 2018 2:02 PM MAY 20, 2018 3:28 AM MAY 12, 2018 10:49 PM LOW PRODUCT ALARM JUN 20, 2018 6:32 PM JUN 11, 2018 6:55 PM JUN 2, 2018 9:23 PM SUDDEN LOSS ALARM JUL 2, 2018 1:31 PM JUN 28, 2017 3:03 PM JUN 28, 2017 2:22 PM HIGH PRODUCT ALARM JUL 11, 2017 12:36 PM JUN 28, 2017 2:54 PM NOV 6, 2016 4:44 PM INVALID FUEL LEVEL JUN 1, 2018 3:23 PM MAR 30, 2018 5:15 PM JAN 19, 2018 6:35 PM PROBE OUT JUL 2, 2018 2:02 PM JUL 2, 2018 1:31 PM JUL 11, 2017 12:37 PM HIGH WATER WARNING JUL 16, 2015 11:24 AM OCT 19, 2010 9:59 AM DELIVERY NEEDED JUN 28, 2018 12:36 AM JUN 20, 2018 4:19 PM JUN 18, 2018 5:07 PM MAX PRODUCT ALARM OCT 19, 2010 9:50 AM LOW TEMP WARNING JUN 28, 2017 3:00 PM JUL 13, 2016 10:27 AM JUL 13, 2016 10:25 AM TANK 2 PNL OVERFILL ALARM JUL 2, 2018 2:03 PM JUL 11, 2017 12:37 PM JUN 28, 2017 2:55 PM LOW PRODUCT ALARM JUL 2, 2018 1:31 PM JUL 8, 2016 10:01 AM JUN 12, 2016 6:04 PM SUDDEN LOSS ALARM JUL 2, 2018 1:31 PM JUL 8, 2016 10:01 AM JUL 16, 2014 9:25 AM HIGH PRODUCT ALARM JUL 2, 2018 2:03 PM JUL 11, 2017 12:37 PM JUL 13, 2016 10:38 AM INVALID FUEL LEVEL FEB 19, 2016 9:46 PM JUL 16, 2015 11:41 AM JUL 17, 2013 9:15 AM PROBE OUT JUL 2, 2018 2:03 PM JUL 2, 2018 1:32 PM JUL 11, 2017 12:38 PM DELIVERY NEEDED JUL 2, 2018 1:31 PM JUL 11, 2017 12:36 PM DEC 19, 2016 2:22 PM LOW TEMP WARNING JUL 11, 2017 12:38 PM JUN 28, 2017 2:59 PM JUL 8, 2016 10:03 AM TANK 3 DSL OVERFILL ALARM JUL 2, 2018 2:04 PM JUL 11, 2017 12:40 PM DEC 16, 2016 11:04 AM LOW PRODUCT ALARM JUL 29, 2016 4:36 PM MAY 8, 2016 8:08 PM MAY 7, 2016 1:31 PM HIGH PRODUCT ALARM JUL 11, 2017 12:40 PM JUN 28, 2017 2:57 PM JUL 8, 2016 10:05 AM INVALID FUEL LEVEL MAY 9, 2016 12:56 PM FEB 26, 2016 9:22 PM FEB 24, 2016 3:11 PM PROBE OUT JUL 2, 2018 2:04 PM JUL 2, 2018 1:32 PM JUL 11, 2017 12:40 PM DELIVERY NEEDED APR 24, 2018 3:21 AM APR 18, 2018 3:08 PM APR 1, 2018 10:23 AM MAX PRODUCT ALARM JUL 8, 2014 9:49 AM LOW TEMP WARNING JUL 13, 2016 11:01 AM JUL 16, 2014 9:57 AM JUL 17, 2013 9:18 AM I38200 JUL 9, 2018 11:10 AM I30200 JUL 9, 2018 11:10 AM FASTRIP 721 4013 SO. H ST. BAKERSFIELD,CA 93304 661-832-6124 LIQUID ALARM HISTORY REPORT SENSOR LOCATION 1 UNL STP JUL 2, 2018 2:43 PM SENSOR OUT ALARM JUL 2, 2018 1:45 PM FUEL ALARM JUL 11, 2017 1:08 PM SENSOR OUT ALARM 2 UNL ANN JUL 2, 2018 2:43 PM SENSOR OUT ALARM JUL 2, 2018 1:53 PM FUEL ALARM JUL 11, 2017 1:08 PM SENSOR OUT ALARM 3 PNL STP JUL 2, 2018 2:43 PM SENSOR OUT ALARM JUL 2, 2018 1:45 PM FUEL ALARM JUL 11, 2017 1:08 PM SENSOR OUT ALARM 4 PNL ANN JUL 2, 2018 2:43 PM SENSOR OUT ALARM JUL 2, 2018 1:53 PM FUEL ALARM JUL 11, 2017 1:08 PM SENSOR OUT ALARM 5 DSL STP JUL 2, 2018 2:43 PM SENSOR OUT ALARM JUL 2, 2018 1:46 PM FUEL ALARM JUL 11, 2017 1:08 PM SENSOR OUT ALARM 6 DSL ANN JUL 2, 2018 2:43 PM SENSOR OUT ALARM JUL 2, 2018 1:54 PM FUEL ALARM JUL 11, 2017 1:08 PM SENSOR OUT ALARM 9 DISP 9-10 JUL 2, 2018 2:43 PM SENSOR OUT ALARM JUL 2, 2018 1:50 PM FUEL ALARM JUL 11, 2017 1:08 PM SENSOR OUT ALARM 10 DISP 11-12 JUL 2, 2018 2:43 PM SENSOR OUT ALARM JUL 2, 2018 1:51 PM FUEL ALARM JUL 11, 2017 1:08 PM SENSOR OUT ALARM 11 DISP 13-14 JUL 2, 2018 2:43 PM SENSOR OUT ALARM JUL 2, 2018 1:47 PM FUEL ALARM JUL 11, 2017 1:08 PM SENSOR OUT ALARM 12 DISP 15-16 JUL 2, 2018 2:43 PM SENSOR OUT ALARM JUL 2, 2018 1:49 PM FUEL ALARM JUL 11, 2017 1:08 PM SENSOR OUT ALARM 13 DISP 17-18 JUL 2, 2018 2:43 PM SENSOR OUT ALARM JUL 2, 2018 1:51 PM FUEL ALARM JUL 11, 2017 1:08 PM SENSOR OUT ALARM 14 DISP 19-20 JUL 2, 2018 2:43 PM SENSOR OUT ALARM JUL 2, 2018 1:48 PM FUEL ALARM JUL 11, 2017 1:08 PM SENSOR OUT ALARM I31600 JUL 9, 2018 11:10 AM FASTRIP 721 4013 SO. H ST. BAKERSFIELD,CA 93304 661-832-6124 SMART SENSOR ALARM HISTORY REPORT SENSOR LOCATION 1 PS-2 JUL 9, 2013 11:39 AM COMMUNICATION ALARM JUL 9, 2013 11:28 AM COMMUNICATION ALARM 2 FM-1 3 FM-2 4 FM-3 5 FM-4 6 FM-5 JUL 8, 2016 10:49 AM COMMUNICATION ALARM JUL 9, 2015 1:27 PM COMMUNICATION ALARM JUL 16, 2014 9:33 AM COMMUNICATION ALARM 7 FM-6 JUL 8, 2016 10:50 AM COMMUNICATION ALARM JUN 17, 2010 9:25 AM COMMUNICATION ALARM I40200 JUL 9, 2018 11:10 AM I40300 JUL 9, 2018 11:10 AM I34200 JUL 9, 2018 11:10 AM I34700 JUL 9, 2018 11:10 AM IV0100 JUL 9, 2018 11:10 AM FASTRIP 721 4013 SO. H ST. BAKERSFIELD,CA 93304 661-832-6124 ISD ALARM STATUS REPORT EVR TYPE: VACUUM ASSIST ISD TYPE: 01.02 VAPOR PROCESSOR TYPE: NONE OVERALL STATUS :PASS EVR VAPOR COLLECTION :PASS EVR VAPOR CONTAINMENT :PASS ISD MONITOR UP-TIME :100% STAGE I TRANSFERS: 0 of 0 NOTEST EVR/ISD PASS TIME :100% WARNING ALARMS DATE TIME DESCRIPTION READING VALUE 18-07-01 10:02:20 CONTAINMENT GROSS OVER PRESSURE WEEKLY 95% 2.40 18-06-27 10:02:41 A/L RATIO DEGRADATION FP12 BLEND3 0.80 18-06-24 10:02:24 A/L RATIO DEGRADATION FP16 BLEND3 0.80 18-06-23 10:02:13 A/L RATIO DEGRADATION FP16 BLEND3 0.79 18-06-22 10:02:41 A/L RATIO DEGRADATION FP16 BLEND3 0.78 18-06-21 10:02:44 A/L RATIO DEGRADATION FP16 BLEND3 0.78 18-06-20 10:02:36 A/L RATIO DEGRADATION FP16 BLEND3 0.79 18-06-19 10:02:53 A/L RATIO DEGRADATION FP16 BLEND3 0.80 18-06-18 10:02:48 A/L RATIO DEGRADATION FP16 BLEND3 0.80 18-05-25 10:02:35 A/L RATIO DEGRADATION FP16 BLEND3 0.80 FAILURE ALARMS DATE TIME DESCRIPTION READING VALUE 12-03-02 10:49:51 A/L RATIO GROSS BLOCKAGE FP14 BLEND3 BLKD 12-03-02 10:49:51 A/L RATIO GROSS BLOCKAGE FP13 BLEND3 BLKD 11-09-26 10:51:13 A/L RATIO GROSS BLOCKAGE FP12 BLEND3 BLKD 11-09-25 10:51:30 A/L RATIO GROSS BLOCKAGE FP12 BLEND3 BLKD 11-01-03 10:50:46 A/L RATIO GROSS BLOCKAGE FP10 BLEND3 BLKD 11-01-03 10:50:46 A/L RATIO GROSS BLOCKAGE FP 9 BLEND3 BLKD 11-01-02 10:50:37 A/L RATIO GROSS BLOCKAGE FP10 BLEND3 BLKD 11-01-02 10:50:37 A/L RATIO GROSS BLOCKAGE FP 9 BLEND3 BLKD 10-12-27 10:50:26 A/L RATIO GROSS BLOCKAGE FP 9 BLEND3 BLKD 10-12-26 10:50:26 A/L RATIO GROSS BLOCKAGE FP10 BLEND3 BLKD SHUTDOWN & MISCELLANEOUS EVENTS DATE TIME DESCRIPTION ACTION/NAME 18-07-03 10:02:31 READINESS ISD:PP EVR:PP ISD & EVR READY 18-07-02 14:42:49 READINESS ISD:PP EVR:NN EVR READINESS PENDING 18-07-02 14:42:49 ISD STARTUP 18-07-02 14:42:42 ISD SHUTDOWN 18-07-02 10:02:18 READINESS ISD:PP EVR:PP ISD & EVR READY 18-07-02 08:35:07 CONTAINMENT GROSS & DEGRD TEST MANUALLY CLEARED 18-07-01 18:30:22 READINESS ISD:PP EVR:NN EVR READINESS PENDING 18-07-01 18:30:22 ISD STARTUP 18-07-01 18:00:34 ISD SHUTDOWN 18-06-30 10:02:26 READINESS ISD:PP EVR:PP ISD & EVR READY Jaco 7721 Alarm History After Responses Received: I10200 JUL 9, 2018 3:03 PM FASTRIP 721 4013 SO. H ST. BAKERSFIELD,CA 93304 661-832-6124 SYSTEM CONFIGURATION SLOT BOARD TYPE POWER ON RESET CURRENT 1 7SMARTSENSOR BD 509627 504858 2 INTERSTITIAL BD 202670 201861 3 4 PROBE / G.T. 163131 162639 4 INTERSTITIAL BD 201359 200523 5 UNUSED 4974571 4864540 6 UNUSED 4968482 4865232 7 UNUSED 4965437 4864821 8 UNUSED 4966522 4865513 9 STP SENSE BOARD 33165 33139 10 RELAY BOARD 14993 15007 11 UNUSED 4965479 4867963 12 UNUSED 4963623 4866146 13 UNUSED 4961976 4866233 14 UNUSED 4964249 4865346 15 UNUSED 4961601 4866276 16 UNUSED 4963331 4865259 COMM 1 ELEC DISP INT. 101153 100966 COMM 2 RS232 SERIAL BD 15014 15050 COMM 3 RS232 SERIAL BD 14972 14963 COMM 4 UNUSED 4965917 4868569 COMM 5 UNUSED 4964458 4869174 COMM 6 UNUSED 4964791 4866687 I90200 JUL 9, 2018 3:03 PM SOFTWARE REVISION LEVEL VERSION 329.01 SOFTWARE# 346329-100-B CREATED - 09.01.29.15.44 S-MODULE# 330160-004-a SYSTEM FEATURES: PERIODIC IN-TANK TESTS ANNUAL IN-TANK TESTS ISD I11100 JUL 9, 2018 3:03 PM FASTRIP 721 4013 SO. H ST. BAKERSFIELD,CA 93304 661-832-6124 PRIORITY ALARM HISTORY ID CATEGORY DESCRIPTION ALARM TYPE STATE DATE TIME L 6 ANNULAR DSL ANN SENSOR OUT ALARM CLEAR 7-09-18 3:02PM L 4 ANNULAR PNL ANN SENSOR OUT ALARM CLEAR 7-09-18 3:02PM L 5 STP SUMP DSL STP SENSOR OUT ALARM CLEAR 7-09-18 3:02PM L 3 STP SUMP PNL STP SENSOR OUT ALARM CLEAR 7-09-18 3:02PM L 2 ANNULAR UNL ANN SENSOR OUT ALARM CLEAR 7-09-18 3:02PM L12 DISP PAN DISP 15-16 SENSOR OUT ALARM CLEAR 7-09-18 3:02PM L11 DISP PAN DISP 13-14 SENSOR OUT ALARM CLEAR 7-09-18 3:02PM L 1 STP SUMP UNL STP SENSOR OUT ALARM CLEAR 7-09-18 3:02PM L10 DISP PAN DISP 11-12 SENSOR OUT ALARM CLEAR 7-09-18 3:02PM L14 DISP PAN DISP 19-20 SENSOR OUT ALARM CLEAR 7-09-18 3:02PM L 9 DISP PAN DISP 9-10 SENSOR OUT ALARM CLEAR 7-09-18 3:02PM L13 DISP PAN DISP 17-18 SENSOR OUT ALARM CLEAR 7-09-18 3:02PM L 4 ANNULAR PNL ANN SENSOR OUT ALARM ALARM 7-09-18 3:02PM L 3 STP SUMP PNL STP SENSOR OUT ALARM ALARM 7-09-18 3:02PM L 2 ANNULAR UNL ANN SENSOR OUT ALARM ALARM 7-09-18 3:02PM L 1 STP SUMP UNL STP SENSOR OUT ALARM ALARM 7-09-18 3:02PM L12 DISP PAN DISP 15-16 SENSOR OUT ALARM ALARM 7-09-18 3:02PM L 6 ANNULAR DSL ANN SENSOR OUT ALARM ALARM 7-09-18 3:02PM L11 DISP PAN DISP 13-14 SENSOR OUT ALARM ALARM 7-09-18 3:02PM L 5 STP SUMP DSL STP SENSOR OUT ALARM ALARM 7-09-18 3:02PM L10 DISP PAN DISP 11-12 SENSOR OUT ALARM ALARM 7-09-18 3:02PM L14 DISP PAN DISP 19-20 SENSOR OUT ALARM ALARM 7-09-18 3:02PM L 9 DISP PAN DISP 9-10 SENSOR OUT ALARM ALARM 7-09-18 3:02PM L13 DISP PAN DISP 17-18 SENSOR OUT ALARM ALARM 7-09-18 3:02PM T 1 TANK UNL OVERFILL ALARM CLEAR 7-09-18 1:46PM T 1 TANK UNL OVERFILL ALARM ALARM 7-09-18 1:45PM T 3 TANK DSL PROBE OUT CLEAR 7-09-18 1:44PM T 3 TANK DSL PROBE OUT ALARM 7-09-18 1:43PM T 2 TANK PNL PROBE OUT CLEAR 7-09-18 1:42PM T 2 TANK PNL OVERFILL ALARM CLEAR 7-09-18 1:41PM T 2 TANK PNL PROBE OUT ALARM 7-09-18 1:41PM T 2 TANK PNL OVERFILL ALARM ALARM 7-09-18 1:41PM T 1 TANK UNL PROBE OUT CLEAR 7-09-18 1:40PM T 1 TANK UNL OVERFILL ALARM CLEAR 7-09-18 1:39PM T 1 TANK UNL PROBE OUT ALARM 7-09-18 1:39PM T 1 TANK UNL OVERFILL ALARM ALARM 7-09-18 1:39PM L 2 ANNULAR UNL ANN FUEL ALARM CLEAR 7-09-18 1:37PM L 2 ANNULAR UNL ANN FUEL ALARM ALARM 7-09-18 1:36PM L 4 ANNULAR PNL ANN FUEL ALARM CLEAR 7-09-18 1:36PM L 4 ANNULAR PNL ANN FUEL ALARM ALARM 7-09-18 1:36PM L 6 ANNULAR DSL ANN FUEL ALARM CLEAR 7-09-18 1:35PM L 6 ANNULAR DSL ANN FUEL ALARM ALARM 7-09-18 1:35PM L11 DISP PAN DISP 13-14 FUEL ALARM CLEAR 7-09-18 1:34PM L11 DISP PAN DISP 13-14 FUEL ALARM ALARM 7-09-18 1:34PM L10 DISP PAN DISP 11-12 FUEL ALARM CLEAR 7-09-18 1:34PM L10 DISP PAN DISP 11-12 FUEL ALARM ALARM 7-09-18 1:33PM L 9 DISP PAN DISP 9-10 FUEL ALARM CLEAR 7-09-18 1:33PM L 9 DISP PAN DISP 9-10 FUEL ALARM ALARM 7-09-18 1:33PM L12 DISP PAN DISP 15-16 FUEL ALARM CLEAR 7-09-18 1:30PM L12 DISP PAN DISP 15-16 FUEL ALARM ALARM 7-09-18 1:30PM I11200 JUL 9, 2018 3:03 PM FASTRIP 721 4013 SO. H ST. BAKERSFIELD,CA 93304 661-832-6124 NON-PRIORITY ALARM HISTORY ID CATEGORY DESCRIPTION ALARM TYPE STATE DATE TIME T 2 TANK PNL LOW TEMP WARNING CLEAR 7-09-18 1:44PM T 3 TANK DSL HIGH PRODUCT ALARM CLEAR 7-09-18 1:43PM T 3 TANK DSL HIGH PRODUCT ALARM ALARM 7-09-18 1:43PM T 1 TANK UNL LOW TEMP WARNING CLEAR 7-09-18 1:42PM T 2 TANK PNL LOW TEMP WARNING ALARM 7-09-18 1:42PM T 1 TANK UNL LOW TEMP WARNING ALARM 7-09-18 1:40PM T 1 TANK UNL HIGH PRODUCT ALARM CLEAR 7-09-18 1:17PM T 1 TANK UNL HIGH PRODUCT ALARM ALARM 7-09-18 12:28PM T 2 TANK PNL HIGH PRODUCT ALARM CLEAR 7-02-18 2:03PM T 2 TANK PNL HIGH PRODUCT ALARM ALARM 7-02-18 2:03PM T 2 TANK PNL DELIVERY NEEDED CLEAR 7-02-18 1:32PM T 2 TANK PNL DELIVERY NEEDED ALARM 7-02-18 1:31PM OTHER ISD GROSS PRES WARN CLEAR 7-02-18 8:35AM OTHER ISD GROSS PRES WARN ALARM 7-01-18 10:02AM h 4 OTHER FP12: BLEND3 DEGRD COLLECT WARN CLEAR 6-28-18 8:22AM T 1 TANK UNL DELIVERY NEEDED CLEAR 6-28-18 7:40AM T 1 TANK UNL DELIVERY NEEDED ALARM 6-28-18 12:36AM h 4 OTHER FP12: BLEND3 DEGRD COLLECT WARN ALARM 6-27-18 10:02AM h 8 OTHER FP16: BLEND3 DEGRD COLLECT WARN CLEAR 6-25-18 10:00AM T 1 TANK UNL DELIVERY NEEDED CLEAR 6-20-18 7:39PM T 1 TANK UNL DELIVERY NEEDED ALARM 6-20-18 4:19PM T 1 TANK UNL DELIVERY NEEDED CLEAR 6-18-18 6:22PM T 1 TANK UNL DELIVERY NEEDED ALARM 6-18-18 5:07PM h 8 OTHER FP16: BLEND3 DEGRD COLLECT WARN ALARM 6-18-18 10:02AM T 1 TANK UNL DELIVERY NEEDED CLEAR 6-13-18 5:36PM T 1 TANK UNL DELIVERY NEEDED ALARM 6-13-18 4:12PM T 1 TANK UNL DELIVERY NEEDED CLEAR 6-12-18 4:06AM T 1 TANK UNL DELIVERY NEEDED ALARM 6-11-18 5:13PM T 1 TANK UNL DELIVERY NEEDED CLEAR 6-03-18 12:32AM T 1 TANK UNL DELIVERY NEEDED ALARM 6-02-18 7:05PM T 1 TANK UNL DELIVERY NEEDED CLEAR 6-01-18 3:38PM T 1 TANK UNL INVALID FUEL LEVEL CLEAR 6-01-18 3:34PM T 1 TANK UNL INVALID FUEL LEVEL ALARM 6-01-18 3:23PM T 1 TANK UNL DELIVERY NEEDED ALARM 6-01-18 12:30PM T 1 TANK UNL DELIVERY NEEDED CLEAR 5-26-18 3:37PM T 1 TANK UNL DELIVERY NEEDED ALARM 5-26-18 3:32PM h 8 OTHER FP16: BLEND3 DEGRD COLLECT WARN CLEAR 5-26-18 10:00AM h 8 OTHER FP16: BLEND3 DEGRD COLLECT WARN ALARM 5-24-18 10:03AM SYSTEM PRINTER ERROR CLEAR 5-24-18 6:05AM SYSTEM PRINTER ERROR ALARM 5-24-18 6:05AM SYSTEM PAPER OUT CLEAR 5-24-18 6:05AM SYSTEM PRINTER ERROR CLEAR 5-24-18 6:05AM SYSTEM PRINTER ERROR ALARM 5-24-18 6:05AM SYSTEM PAPER OUT ALARM 5-24-18 6:05AM SYSTEM PRINTER ERROR CLEAR 5-24-18 6:04AM SYSTEM PAPER OUT CLEAR 5-24-18 6:04AM SYSTEM PRINTER ERROR ALARM 5-24-18 6:04AM SYSTEM PRINTER ERROR CLEAR 5-24-18 6:04AM SYSTEM PAPER OUT ALARM 5-24-18 6:04AM SYSTEM PRINTER ERROR ALARM 5-24-18 6:04AM I20600 JUL 9, 2018 3:03 PM FASTRIP 721 4013 SO. 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BAKERSFIELD,CA 93304 661-832-6124 TANK ALARM HISTORY TANK 1 UNL HIGH WATER ALARM JUL 16, 2015 11:24 AM OCT 19, 2010 9:59 AM OVERFILL ALARM JUL 9, 2018 1:45 PM JUL 9, 2018 1:39 PM JUL 9, 2018 12:26 PM LOW PRODUCT ALARM JUN 20, 2018 6:32 PM JUN 11, 2018 6:55 PM JUN 2, 2018 9:23 PM SUDDEN LOSS ALARM JUL 9, 2018 1:17 PM JUL 2, 2018 1:31 PM JUN 28, 2017 3:03 PM HIGH PRODUCT ALARM JUL 9, 2018 12:28 PM JUL 11, 2017 12:36 PM JUN 28, 2017 2:54 PM INVALID FUEL LEVEL JUN 1, 2018 3:23 PM MAR 30, 2018 5:15 PM JAN 19, 2018 6:35 PM PROBE OUT JUL 9, 2018 1:39 PM JUL 9, 2018 1:17 PM JUL 2, 2018 2:02 PM HIGH WATER WARNING JUL 16, 2015 11:24 AM OCT 19, 2010 9:59 AM DELIVERY NEEDED JUN 28, 2018 12:36 AM JUN 20, 2018 4:19 PM JUN 18, 2018 5:07 PM MAX PRODUCT ALARM OCT 19, 2010 9:50 AM LOW TEMP WARNING JUL 9, 2018 1:40 PM JUN 28, 2017 3:00 PM JUL 13, 2016 10:27 AM TANK 2 PNL OVERFILL ALARM JUL 9, 2018 1:41 PM JUL 2, 2018 2:03 PM JUL 11, 2017 12:37 PM LOW PRODUCT ALARM JUL 2, 2018 1:31 PM JUL 8, 2016 10:01 AM JUN 12, 2016 6:04 PM SUDDEN LOSS ALARM JUL 9, 2018 1:16 PM JUL 2, 2018 1:31 PM JUL 8, 2016 10:01 AM HIGH PRODUCT ALARM JUL 2, 2018 2:03 PM JUL 11, 2017 12:37 PM JUL 13, 2016 10:38 AM INVALID FUEL LEVEL FEB 19, 2016 9:46 PM JUL 16, 2015 11:41 AM JUL 17, 2013 9:15 AM PROBE OUT JUL 9, 2018 1:41 PM JUL 9, 2018 1:16 PM JUL 2, 2018 2:03 PM DELIVERY NEEDED JUL 2, 2018 1:31 PM JUL 11, 2017 12:36 PM DEC 19, 2016 2:22 PM LOW TEMP WARNING JUL 9, 2018 1:42 PM JUL 11, 2017 12:38 PM JUN 28, 2017 2:59 PM TANK 3 DSL OVERFILL ALARM JUL 2, 2018 2:04 PM JUL 11, 2017 12:40 PM DEC 16, 2016 11:04 AM LOW PRODUCT ALARM JUL 29, 2016 4:36 PM MAY 8, 2016 8:08 PM MAY 7, 2016 1:31 PM HIGH PRODUCT ALARM JUL 9, 2018 1:43 PM JUL 11, 2017 12:40 PM JUN 28, 2017 2:57 PM INVALID FUEL LEVEL MAY 9, 2016 12:56 PM FEB 26, 2016 9:22 PM FEB 24, 2016 3:11 PM PROBE OUT JUL 9, 2018 1:43 PM JUL 9, 2018 1:12 PM JUL 2, 2018 2:04 PM DELIVERY NEEDED APR 24, 2018 3:21 AM APR 18, 2018 3:08 PM APR 1, 2018 10:23 AM MAX PRODUCT ALARM JUL 8, 2014 9:49 AM LOW TEMP WARNING JUL 13, 2016 11:01 AM JUL 16, 2014 9:57 AM JUL 17, 2013 9:18 AM I38200 JUL 9, 2018 3:03 PM I30200 JUL 9, 2018 3:03 PM FASTRIP 721 4013 SO. 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BAKERSFIELD,CA 93304 661-832-6124 LIQUID ALARM HISTORY REPORT SENSOR LOCATION 1 UNL STP JUL 9, 2018 3:02 PM SENSOR OUT ALARM JUL 9, 2018 1:27 PM FUEL ALARM JUL 2, 2018 2:43 PM SENSOR OUT ALARM 2 UNL ANN JUL 9, 2018 3:02 PM SENSOR OUT ALARM JUL 9, 2018 1:36 PM FUEL ALARM JUL 2, 2018 2:43 PM SENSOR OUT ALARM 3 PNL STP JUL 9, 2018 3:02 PM SENSOR OUT ALARM JUL 9, 2018 1:27 PM FUEL ALARM JUL 2, 2018 2:43 PM SENSOR OUT ALARM 4 PNL ANN JUL 9, 2018 3:02 PM SENSOR OUT ALARM JUL 9, 2018 1:36 PM FUEL ALARM JUL 2, 2018 2:43 PM SENSOR OUT ALARM 5 DSL STP JUL 9, 2018 3:02 PM SENSOR OUT ALARM JUL 9, 2018 1:28 PM FUEL ALARM JUL 2, 2018 2:43 PM SENSOR OUT ALARM 6 DSL ANN JUL 9, 2018 3:02 PM SENSOR OUT ALARM JUL 9, 2018 1:35 PM FUEL ALARM JUL 2, 2018 2:43 PM SENSOR OUT ALARM 9 DISP 9-10 JUL 9, 2018 3:02 PM SENSOR OUT ALARM JUL 9, 2018 1:33 PM FUEL ALARM JUL 2, 2018 2:43 PM SENSOR OUT ALARM 10 DISP 11-12 JUL 9, 2018 3:02 PM SENSOR OUT ALARM JUL 9, 2018 1:33 PM FUEL ALARM JUL 2, 2018 2:43 PM SENSOR OUT ALARM 11 DISP 13-14 JUL 9, 2018 3:02 PM SENSOR OUT ALARM JUL 9, 2018 1:34 PM FUEL ALARM JUL 2, 2018 2:43 PM SENSOR OUT ALARM 12 DISP 15-16 JUL 9, 2018 3:02 PM SENSOR OUT ALARM JUL 9, 2018 1:30 PM FUEL ALARM JUL 2, 2018 2:43 PM SENSOR OUT ALARM 13 DISP 17-18 JUL 9, 2018 3:02 PM SENSOR OUT ALARM JUL 9, 2018 1:29 PM FUEL ALARM JUL 2, 2018 2:43 PM SENSOR OUT ALARM 14 DISP 19-20 JUL 9, 2018 3:02 PM SENSOR OUT ALARM JUL 9, 2018 1:28 PM FUEL ALARM JUL 2, 2018 2:43 PM SENSOR OUT ALARM I31600 JUL 9, 2018 3:03 PM FASTRIP 721 4013 SO. H ST. BAKERSFIELD,CA 93304 661-832-6124 SMART SENSOR ALARM HISTORY REPORT SENSOR LOCATION 1 PS-2 JUL 9, 2013 11:39 AM COMMUNICATION ALARM JUL 9, 2013 11:28 AM COMMUNICATION ALARM 2 FM-1 3 FM-2 4 FM-3 5 FM-4 6 FM-5 JUL 8, 2016 10:49 AM COMMUNICATION ALARM JUL 9, 2015 1:27 PM COMMUNICATION ALARM JUL 16, 2014 9:33 AM COMMUNICATION ALARM 7 FM-6 JUL 8, 2016 10:50 AM COMMUNICATION ALARM JUN 17, 2010 9:25 AM COMMUNICATION ALARM I40200 JUL 9, 2018 3:03 PM I40300 JUL 9, 2018 3:03 PM I34200 JUL 9, 2018 3:03 PM I34700 JUL 9, 2018 3:03 PM IV0100 JUL 9, 2018 3:03 PM FASTRIP 721 4013 SO. H ST. BAKERSFIELD,CA 93304 661-832-6124 ISD ALARM STATUS REPORT EVR TYPE: VACUUM ASSIST ISD TYPE: 01.02 VAPOR PROCESSOR TYPE: NONE OVERALL STATUS :PASS EVR VAPOR COLLECTION :PASS EVR VAPOR CONTAINMENT :PASS ISD MONITOR UP-TIME :100% STAGE I TRANSFERS: 0 of 0 NOTEST EVR/ISD PASS TIME :100% WARNING ALARMS DATE TIME DESCRIPTION READING VALUE 18-07-01 10:02:20 CONTAINMENT GROSS OVER PRESSURE WEEKLY 95% 2.40 18-06-27 10:02:41 A/L RATIO DEGRADATION FP12 BLEND3 0.80 18-06-24 10:02:24 A/L RATIO DEGRADATION FP16 BLEND3 0.80 18-06-23 10:02:13 A/L RATIO DEGRADATION FP16 BLEND3 0.79 18-06-22 10:02:41 A/L RATIO DEGRADATION FP16 BLEND3 0.78 18-06-21 10:02:44 A/L RATIO DEGRADATION FP16 BLEND3 0.78 18-06-20 10:02:36 A/L RATIO DEGRADATION FP16 BLEND3 0.79 18-06-19 10:02:53 A/L RATIO DEGRADATION FP16 BLEND3 0.80 18-06-18 10:02:48 A/L RATIO DEGRADATION FP16 BLEND3 0.80 18-05-25 10:02:35 A/L RATIO DEGRADATION FP16 BLEND3 0.80 FAILURE ALARMS DATE TIME DESCRIPTION READING VALUE 12-03-02 10:49:51 A/L RATIO GROSS BLOCKAGE FP14 BLEND3 BLKD 12-03-02 10:49:51 A/L RATIO GROSS BLOCKAGE FP13 BLEND3 BLKD 11-09-26 10:51:13 A/L RATIO GROSS BLOCKAGE FP12 BLEND3 BLKD 11-09-25 10:51:30 A/L RATIO GROSS BLOCKAGE FP12 BLEND3 BLKD 11-01-03 10:50:46 A/L RATIO GROSS BLOCKAGE FP10 BLEND3 BLKD 11-01-03 10:50:46 A/L RATIO GROSS BLOCKAGE FP 9 BLEND3 BLKD 11-01-02 10:50:37 A/L RATIO GROSS BLOCKAGE FP10 BLEND3 BLKD 11-01-02 10:50:37 A/L RATIO GROSS BLOCKAGE FP 9 BLEND3 BLKD 10-12-27 10:50:26 A/L RATIO GROSS BLOCKAGE FP 9 BLEND3 BLKD 10-12-26 10:50:26 A/L RATIO GROSS BLOCKAGE FP10 BLEND3 BLKD SHUTDOWN & MISCELLANEOUS EVENTS DATE TIME DESCRIPTION ACTION/NAME 18-07-03 10:02:31 READINESS ISD:PP EVR:PP ISD & EVR READY 18-07-02 14:42:49 READINESS ISD:PP EVR:NN EVR READINESS PENDING 18-07-02 14:42:49 ISD STARTUP 18-07-02 14:42:42 ISD SHUTDOWN 18-07-02 10:02:18 READINESS ISD:PP EVR:PP ISD & EVR READY 18-07-02 08:35:07 CONTAINMENT GROSS & DEGRD TEST MANUALLY CLEARED 18-07-01 18:30:22 READINESS ISD:PP EVR:NN EVR READINESS PENDING 18-07-01 18:30:22 ISD STARTUP 18-07-01 18:00:34 ISD SHUTDOWN 18-06-30 10:02:26 READINESS ISD:PP EVR:PP ISD & EVR READY 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: Technician Conducting Test: Credentials1: CSLB Contractor ICC Service Tech. SWRCB Tank Tester Other (Specify) __________________ License Number(s): 3. SPILL BUCKET TESTING INFORMATION Test Method Used: Hydrostatic Vacuum Other Test Equipment Used: Equipment Resolution: 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. Jaco #7721 Fastrip #22 (North)07/09/2018 4013 S H Street Omero Garcia 661-393-7000 Kris Karns Confidence UST Services, Inc. Aaron Perrigo 804904 Lake test 0.0625” 11.00” 11.00” 11.00” 14.00” 14.00” 14.00” 5 min 5 min 5 min 2:00pm 2:00pm 2:00pm 10.75”10.75” 10.50” 3:00pm 3:00pm 3:00pm 10.75”10.75” 10.50” 1 hr 1 hr 1 hr 0.00” 0.00” 0.00” 0.0625” 0.0625” 0.0625” 07/09/2018 ✔✔ ✔ ✔✔✔ ✔✔✔ 87 91 DSL 8485827-UT