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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 45 ml Pass 91 Mech FX1V 8 psi 80 ml Pass DSL Mech FX1DV 8 psi 70 ml Pass 07/09/2018 Jaco #7781 Fastrip #22 (South)07/09/2018 4013 S H Street Aaron Perrigo 8475728-UT Jaco 7781 Setup Responses Received: 200 FASTRIP 781 4013 S.H ST BAKERSFIELD CA,93304 JUL 9, 2018 9:26 AM TANK PRODUCT GALLONS INCHES WATER DEG F ULLAGE 1 UNL 1 6602 59.90 0.0 85.1 5460 2 UNL 2 7865 69.19 0.0 83.6 4197 3 PNL 9802 84.45 0.8 82.9 2260 4 DIESEL 2916 32.43 0.0 80.8 9146 I90500 JUL 9, 2018 9:26 AM SOFTWARE REVISION LEVEL VERSION 333.02 SOFTWARE# 346333-100-C CREATED - 12.08.10.11.22 S-MODULE# 330160-004-a SYSTEM FEATURES: PERIODIC IN-TANK TESTS ANNUAL IN-TANK TESTS ISD/APM I50500 JUL 9, 2018 9:26 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 9:26 AM SHIFT TIME 1 : DISABLED I50202 JUL 9, 2018 9:26 AM SHIFT TIME 2 : DISABLED I50203 JUL 9, 2018 9:26 AM SHIFT TIME 3 : DISABLED I50204 JUL 9, 2018 9:26 AM SHIFT TIME 4 : DISABLED I54600 JUL 9, 2018 9:26 AM TANK PER TST NEEDED WRN: DISABLED I54900 JUL 9, 2018 9:26 AM TANK ANN TST NEEDED WRN: DISABLED I55300 JUL 9, 2018 9:26 AM LINE RE-ENABLE METHOD PASS LINE TEST I55600 JUL 9, 2018 9:26 AM LINE PER TST NEEDED WRN: DISABLED I55900 JUL 9, 2018 9:26 AM LINE ANN TST NEEDED WRN: DISABLED I50D00 JUL 9, 2018 9:26 AM PRINT TC VOLUMES ENABLED I50E00 JUL 9, 2018 9:26 AM TEMP COMPENSATION VALUE (DEG F ): 60.0 I60B00 JUL 9, 2018 9:26 AM STICK HEIGHT OFFSET ENABLE STATUS DISABLED I51400 JUL 9, 2018 9:26 AM H-PROTOCOL DATA FORMAT HEIGHT I51A01 JUL 9, 2018 9:26 AM DAYLIGHT SAVING TIME ENABLED ON I51B00 JUL 9, 2018 9:26 AM DAYLIGHT SAVING TIME START DATE MAR WEEK 2 SUN 2:00 AM END DATE NOV WEEK 1 SUN 2:00 AM I51600 JUL 9, 2018 9:26 AM RE-DIRECT LOCAL PRINTOUT DISABLED I50400 JUL 9, 2018 9:26 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 9:26 AM TANK CHART SECURITY DISABLED I5BD00 JUL 9, 2018 9:26 AM CUSTOM ALARM LABELS DISABLED I56000 JUL 9, 2018 9:26 AM MASS/DENSITY DISABLED I88101 JUL 9, 2018 9:26 AM PORT SETTINGS: COMM BOARD : 1 (RS-232) BAUD RATE : 9600 PARITY : NONE STOP BIT : 1 STOP DATA LENGTH: 8 DATA RS-232 SECURITY CODE : DISABLED I88102 JUL 9, 2018 9:26 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 9:26 AM PORT SETTINGS: COMM BOARD : 3 (EDIM ) RS-232 SECURITY CODE : DISABLED I88104 JUL 9, 2018 9:26 AM I88105 JUL 9, 2018 9:26 AM I88106 JUL 9, 2018 9:26 AM I52000 JUL 9, 2018 9:26 AM RECEIVER AUTO DIAL TYPE & START TIME RCVR LOCATION LABEL DIAL TYPE START TIME 1 ON DATE JUL 11, 2017 DISABLED 2 ON DATE JUL 11, 2017 DISABLED 3 ON DATE JUL 11, 2017 DISABLED 4 ON DATE JUL 11, 2017 DISABLED 5 ON DATE JUL 11, 2017 DISABLED 6 ON DATE JUL 11, 2017 DISABLED 7 ON DATE JUL 11, 2017 DISABLED 8 ON DATE JUL 11, 2017 DISABLED I60100 JUL 9, 2018 9:26 AM TANK CONFIGURATION DEVICE LABEL CONFIGURED 1 UNL 1 ON 2 UNL 2 ON 3 PNL ON 4 DIESEL ON I60200 JUL 9, 2018 9:26 AM TANK PRODUCT LABEL TANK PRODUCT LABEL 1 UNL 1 2 UNL 2 3 PNL 4 DIESEL I60300 JUL 9, 2018 9:26 AM TANK PRODUCT CODE TANK PRODUCT LABEL 1 UNL 1 1 2 UNL 2 2 3 PNL 3 4 DIESEL 4 I60900 JUL 9, 2018 9:26 AM TANK THERMAL COEFFICIENT TANK PRODUCT LABEL 1 UNL 1 0.000700 2 UNL 2 0.000700 3 PNL 0.000700 4 DIESEL 0.000450 I60700 JUL 9, 2018 9:26 AM TANK DIAMETER TANK PRODUCT LABEL INCHES 1 UNL 1 111.50 2 UNL 2 111.50 3 PNL 111.50 4 DIESEL 111.50 I60A00 JUL 9, 2018 9:26 AM TANK FULL VOLUME TANK PRODUCT LABEL TANK PROFILE GALLONS 1 UNL 1 1 PT 12062 2 UNL 2 1 PT 12062 3 PNL 1 PT 12062 4 DIESEL 1 PT 12062 I60400 JUL 9, 2018 9:26 AM TANK FULL VOLUME TANK PRODUCT LABEL GALLONS 1 UNL 1 12062 2 UNL 2 12062 3 PNL 12062 4 DIESEL 12062 I60500 JUL 9, 2018 9:26 AM TANK 4 POINT VOLUMES TANK PRODUCT LABEL GALLONS 1 UNL 1 12062 0 0 0 2 UNL 2 12062 0 0 0 3 PNL 12062 0 0 0 4 DIESEL 12062 0 0 0 I60600 JUL 9, 2018 9:26 AM TANK 20 POINT VOLUMES TANK PRODUCT LABEL GALLONS 1 UNL 1 12062 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2 UNL 2 12062 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 3 PNL 12062 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 4 DIESEL 12062 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 I61500 JUL 9, 2018 9:26 AM TANK PRODUCT LABEL METER DATA 1 UNL 1 NO 2 UNL 2 NO 3 PNL NO 4 DIESEL NO I62F00 JUL 9, 2018 9:26 AM MAG PROBE FLOAT SIZE TANK PRODUCT LABEL FLOAT SIZE: 1 UNL 1 4.0 IN. 2 UNL 2 4.0 IN. 3 PNL 4.0 IN. 4 DIESEL 4.0 IN. I62700 JUL 9, 2018 9:26 AM TANK HIGH WATER WARNING LIMIT TANK PRODUCT LABEL INCHES 1 UNL 1 2.0 2 UNL 2 2.0 3 PNL 2.0 4 DIESEL 2.0 I64200 JUL 9, 2018 9:26 AM WATER ALARM FILTER TANK PRODUCT LABEL 1 UNL 1 LOW 2 UNL 2 LOW 3 PNL LOW 4 DIESEL LOW I62400 JUL 9, 2018 9:26 AM TANK HIGH WATER LEVEL LIMIT TANK PRODUCT LABEL INCHES 1 UNL 1 3.0 2 UNL 2 3.0 3 PNL 3.0 4 DIESEL 3.0 I62800 JUL 9, 2018 9:26 AM TANK MAXIMUM VOLUME LIMIT TANK PRODUCT LABEL GALLONS 1 UNL 1 12062 2 UNL 2 12062 3 PNL 12062 4 DIESEL 12062 I62300 JUL 9, 2018 9:26 AM TANK OVERFILL LEVEL LIMIT TANK PRODUCT LABEL GALLONS 1 UNL 1 10856 2 UNL 2 10856 3 PNL 10856 4 DIESEL 10856 I62200 JUL 9, 2018 9:26 AM TANK HIGH PRODUCT LIMIT TANK PRODUCT LABEL GALLONS 1 UNL 1 11459 2 UNL 2 11459 3 PNL 11459 4 DIESEL 11459 I62900 JUL 9, 2018 9:26 AM TANK DELIVERY REQUIRED LIMIT TANK PRODUCT LABEL GALLONS 1 UNL 1 1809 2 UNL 2 1809 3 PNL 1809 4 DIESEL 1809 I62100 JUL 9, 2018 9:26 AM TANK LOW PRODUCT LIMIT TANK PRODUCT LABEL GALLONS 1 UNL 1 500 2 UNL 2 500 3 PNL 500 4 DIESEL 500 I62600 JUL 9, 2018 9:27 AM TANK LEAK ALARM LIMIT TANK PRODUCT LABEL GALLONS 1 UNL 1 99 2 UNL 2 99 3 PNL 99 4 DIESEL 99 I62500 JUL 9, 2018 9:27 AM TANK SUDDEN LOSS LIMIT TANK PRODUCT LABEL GALLONS 1 UNL 1 99 2 UNL 2 99 3 PNL 99 4 DIESEL 99 I60800 JUL 9, 2018 9:27 AM TANK TILT TANK PRODUCT LABEL INCHES 1 UNL 1 2.00 2 UNL 2 2.00 3 PNL 0.00 4 DIESEL 0.00 I60B00 JUL 9, 2018 9:27 AM STICK HEIGHT OFFSET ENABLE STATUS DISABLED I60C00 JUL 9, 2018 9:27 AM TANK STICK HEIGHT OFFSET TANK PRODUCT LABEL INCHES 1 UNL 1 0.00 2 UNL 2 0.00 3 PNL 0.00 4 DIESEL 0.00 I61200 JUL 9, 2018 9:27 AM TANK MANIFOLDED PARTNERS TANK PRODUCT LABEL SIPHON MANIFOLDED TANKS LINE MANIFOLDED TANKS 1 UNL 1 2 NONE 2 UNL 2 1 NONE 3 PNL NONE NONE 4 DIESEL NONE NONE I63600 JUL 9, 2018 9:27 AM PERIODIC LEAK TEST MIN VOLUME TANK PRODUCT LABEL GALLONS 1 UNL 1 120 2 UNL 2 120 3 PNL 120 4 DIESEL 120 I62A00 JUL 9, 2018 9:27 AM ANNUAL LEAK TEST MIN VOLUME TANK PRODUCT LABEL GALLONS 1 UNL 1 120 2 UNL 2 120 3 PNL 120 4 DIESEL 120 I62C00 JUL 9, 2018 9:27 AM TANK PERIODIC TEST TYPE TANK PRODUCT LABEL PERIODIC TEST TYPE 1 UNL 1 STANDARD 2 UNL 2 STANDARD 3 PNL STANDARD 4 DIESEL STANDARD I62D00 JUL 9, 2018 9:27 AM TANK LEAK TEST FAIL ALARMS TANK PRODUCT LABEL 1 UNL 1 GROSS TEST FAIL ALARM DISABLED PERIODIC TEST FAIL ALARM DISABLED ANNUAL TEST FAIL ALARM DISABLED 2 UNL 2 GROSS TEST FAIL ALARM DISABLED PERIODIC TEST FAIL ALARM DISABLED ANNUAL TEST FAIL ALARM DISABLED 3 PNL GROSS TEST FAIL ALARM DISABLED PERIODIC TEST FAIL ALARM DISABLED ANNUAL TEST FAIL ALARM DISABLED 4 DIESEL GROSS TEST FAIL ALARM DISABLED PERIODIC TEST FAIL ALARM DISABLED ANNUAL TEST FAIL ALARM DISABLED I63100 JUL 9, 2018 9:27 AM TANK LEAK TEST AVERAGING TANK PRODUCT LABEL ANNUAL PERIODIC 1 UNL 1 OFF OFF 2 UNL 2 OFF OFF 3 PNL OFF OFF 4 DIESEL OFF OFF I63000 JUL 9, 2018 9:27 AM IN-TANK LEAK TEST NOTIFY TANK PRODUCT LABEL TANK TEST NOTIFY: 1 UNL 1 OFF 2 UNL 2 OFF 3 PNL OFF 4 DIESEL OFF I63200 JUL 9, 2018 9:27 AM TANK TEST SIPHON BREAK TANK PRODUCT LABEL SIPHON BREAK 1 UNL 1 OFF 2 UNL 2 OFF 3 PNL OFF 4 DIESEL OFF I61000 JUL 9, 2018 9:27 AM TANK DELIVERY DELAY TANK PRODUCT LABEL 1 UNL 1 1 2 UNL 2 1 3 PNL 1 4 DIESEL 1 I63A00 JUL 9, 2018 9:27 AM LOW LEVEL PUMP THRESHOLD FOR SEQUENTIAL LINE MANIFOLD TANK PRODUCT LABEL PUMP THRESHOLD 1 UNL 1 10.00% 2 UNL 2 10.00% 3 PNL 10.00% 4 DIESEL 10.00% I61100 JUL 9, 2018 9:27 AM LEAK TEST METHOD - - - - - - - - - - - - TEST ON DATE : ALL TANK JAN 16, 2006 START TIME : DISABLED TEST RATE :0.20 GAL/HR DURATION : 2 HOURS TST EARLY STOP:DISABLED I61300 JUL 9, 2018 9:27 AM CSLD PROBABLITY OF DETECTION I61400 JUL 9, 2018 9:27 AM CSLD CLIMATE FACTOR I61600 JUL 9, 2018 9:27 AM TANK PRODUCT LABEL CAL UPDATE 1 UNL 1 IMMEDIATE 2 UNL 2 IMMEDIATE 3 PNL IMMEDIATE 4 DIESEL IMMEDIATE I61A00 JUL 9, 2018 9:27 AM IN-TANK LEAK TEST EARLY STOP TANK PRODUCT LABEL TST EARLY STOP: 1 UNL 1 DISABLED 2 UNL 2 DISABLED 3 PNL DISABLED 4 DIESEL DISABLED I61B00 JUL 9, 2018 9:27 AM IN-TANK LEAK GROSS TEST AUTO-CONFIRM I61C00 JUL 9, 2018 9:27 AM CSLD REPORT ONLY I62B00 JUL 9, 2018 9:27 AM TANK LAST ANNUAL TEST TANK PRODUCT LABEL DATE 1 UNL 1 ??? 0, 0 2 UNL 2 ??? 0, 0 3 PNL ??? 0, 0 4 DIESEL ??? 0, 0 I63300 JUL 9, 2018 9:27 AM LEAK TEST REPORT FORMAT: NORMAL I63400 JUL 9, 2018 9:27 AM RECONCILIATION WARNING LIMIT TANK PRODUCT LABEL GALLONS 1 UNL 1 0 2 UNL 2 0 3 PNL 0 4 DIESEL 0 I63500 JUL 9, 2018 9:27 AM RECONCILIATION ALARM LIMIT TANK PRODUCT LABEL GALLONS 1 UNL 1 1 2 UNL 2 1 3 PNL 1 4 DIESEL 1 I63900 JUL 9, 2018 9:27 AM ACCU CHART END SHAPE FACTOR TANK PRODUCT LABEL 1 UNL 1 END FACTOR: NONE 2 UNL 2 END FACTOR: NONE 3 PNL END FACTOR: NONE 4 DIESEL END FACTOR: NONE I78000 JUL 9, 2018 9:27 AM I77700 JUL 9, 2018 9:27 AM I77800 JUL 9, 2018 9:27 AM I78C00 JUL 9, 2018 9:27 AM I78300 JUL 9, 2018 9:27 AM I78F00 JUL 9, 2018 9:27 AM I78700 JUL 9, 2018 9:27 AM I70200 JUL 9, 2018 9:27 AM LIQUID LABEL DEVICE LABEL 1 UNL 1 STP 2 UNL 1 ANN 3 DIESEL STP 4 DIESEL ANN 5 REG2 STP 6 REG 2 ANN 7 SUPER STP 8 SUPER ANN 9 DISP 1-2 10 DISP 7-8 11 DISP 5-6 12 DISP 3-4 13 NO.TRANS 14 SO.TRANS 15 16 I70300 JUL 9, 2018 9:27 AM LIQUID TYPE SENSOR LOCATION TYPE 1 UNL 1 STP TRI-STATE (SINGLE FLOAT) 2 UNL 1 ANN NORMALLY CLOSED 3 DIESEL STP TRI-STATE (SINGLE FLOAT) 4 DIESEL ANN TRI-STATE (SINGLE FLOAT) 5 REG2 STP TRI-STATE (SINGLE FLOAT) 6 REG 2 ANN TRI-STATE (SINGLE FLOAT) 7 SUPER STP TRI-STATE (SINGLE FLOAT) 8 SUPER ANN TRI-STATE (SINGLE FLOAT) 9 DISP 1-2 TRI-STATE (SINGLE FLOAT) 10 DISP 7-8 TRI-STATE (SINGLE FLOAT) 11 DISP 5-6 TRI-STATE (SINGLE FLOAT) 12 DISP 3-4 TRI-STATE (SINGLE FLOAT) 13 NO.TRANS TRI-STATE (SINGLE FLOAT) 14 SO.TRANS TRI-STATE (SINGLE FLOAT) 15 TRI-STATE (SINGLE FLOAT) 16 TRI-STATE (SINGLE FLOAT) I70400 JUL 9, 2018 9:27 AM LIQUID CATEGORY SENSOR LOCATION CATEGORY 1 UNL 1 STP STP SUMP 2 UNL 1 ANN OTHER SENSORS 3 DIESEL STP STP SUMP 4 DIESEL ANN ANNULAR SPACE 5 REG2 STP STP SUMP 6 REG 2 ANN ANNULAR SPACE 7 SUPER STP STP SUMP 8 SUPER ANN ANNULAR SPACE 9 DISP 1-2 DISPENSER PAN 10 DISP 7-8 DISPENSER PAN 11 DISP 5-6 DISPENSER PAN 12 DISP 3-4 DISPENSER PAN 13 NO.TRANS OTHER SENSORS 14 SO.TRANS OTHER SENSORS 15 OTHER SENSORS 16 OTHER SENSORS I74200 JUL 9, 2018 9:27 AM I74300 JUL 9, 2018 9:27 AM I74400 JUL 9, 2018 9:27 AM I74700 JUL 9, 2018 9:27 AM I74800 JUL 9, 2018 9:27 AM I74900 JUL 9, 2018 9:27 AM I7BC00 JUL 9, 2018 9:27 AM I80200 JUL 9, 2018 9:27 AM I80300 JUL 9, 2018 9:27 AM I80400 JUL 9, 2018 9:27 AM I80700 JUL 9, 2018 9:27 AM RELAY LABEL DEVICE LABEL 1 UNL 1 2 PNL 3 DIESEL 4 OVERFILL ALARM I80900 JUL 9, 2018 9:27 AM RELAY ORIENTATION RELAY DESIGNATION ORIENTATION 1 UNL 1 NORMALLY OPEN 2 PNL NORMALLY OPEN 3 DIESEL NORMALLY CLOSED 4 OVERFILL ALARM NORMALLY OPEN I80B00 JUL 9, 2018 9:27 AM RELAY TANK ASSIGNMENT RELAY DESIGNATION TANK 1 UNL 1 1 2 PNL 3 3 DIESEL 4 4 OVERFILL ALARM NONE I80A00 JUL 9, 2018 9:27 AM RELAY TYPE RELAY DESIGNATION TYPE 1 UNL 1 PUMP CONTROL OUTPUT 2 PNL PUMP CONTROL OUTPUT 3 DIESEL STANDARD 4 OVERFILL ALARM STANDARD I80C00 JUL 9, 2018 9:27 AM I80800 JUL 9, 2018 9:27 AM RELAY SETUP REPORT R 1:UNL 1 TYPE: PUMP CONTROL OUTPUT TANK #: 1 LIQUID SENSOR ALMS L 1:FUEL ALARM L 2:FUEL ALARM L 4:FUEL ALARM L 5:FUEL ALARM L 9:FUEL ALARM L10:FUEL ALARM L11:FUEL ALARM L12:FUEL ALARM L 1:SENSOR OUT ALARM L 2: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 L 1:SHORT ALARM L 2:SHORT ALARM L 3: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 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 #: 3 LIQUID SENSOR ALMS L 5:FUEL ALARM L 7:FUEL ALARM L 9:FUEL ALARM L10:FUEL ALARM L11:FUEL ALARM L12:FUEL ALARM L 5:SENSOR OUT ALARM L 9:SENSOR OUT ALARM L10:SENSOR OUT ALARM L11:SENSOR OUT ALARM L12:SENSOR OUT ALARM L 5: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 VP STATUS FAIL ISD HOSE ALARMS ALL:GROSS COLLECT FAIL ALL:DEGRD COLLECT FAIL ALL:FLOW COLLECT FAIL R 3:DIESEL TYPE: STANDARD NORMALLY CLOSED TANK #: 4 LIQUID SENSOR ALMS L 3:FUEL ALARM L 7:FUEL ALARM L10:FUEL ALARM L12:FUEL ALARM L13:FUEL ALARM L14:FUEL ALARM L 3:SENSOR OUT ALARM L 7:SENSOR OUT ALARM L10:SENSOR OUT ALARM L11:SENSOR OUT ALARM L12:SENSOR OUT ALARM L13:SENSOR OUT ALARM L14:SENSOR OUT ALARM L 3:SHORT ALARM L 7:SHORT ALARM L10:SHORT ALARM L11:SHORT ALARM L12:SHORT ALARM L13:SHORT ALARM L14:SHORT ALARM R 4:OVERFILL ALARM TYPE: STANDARD NORMALLY OPEN TANK #: NONE IN-TANK ALARMS ALL:OVERFILL ALARM ALL:HIGH PRODUCT ALARM ALL:MAX PRODUCT ALARM I79000 JUL 9, 2018 9:27 AM EDIM:1 VR:349634-003-C TD:06.05.11.11.15 I79100 JUL 9, 2018 9:27 AM I72300 JUL 9, 2018 9:27 AM FASTRIP 781 4013 S.H ST BAKERSFIELD CA,93304 SMARTSENSOR ASSIGNMENT DEVICE LABEL CATEGORY 01 UNKNOWN 02 F.M DISP 1-2 AIR FLOW METER 03 F.M DISP 3-4 AIR FLOW METER 04 F.M DISP 5-6 AIR FLOW METER 05 F.M DISP 7-8 AIR FLOW METER 06 V.P. 1-2 VAPOR PRESSURE 07 UNKNOWN 08 VP 1-2 VAPOR PRESSURE 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 9:28 AM FASTRIP 781 4013 S.H ST BAKERSFIELD CA,93304 EVR/ISD SETUP TYPE: VACUUM ASSIST VACUUM ASSIST TYPE: HEALY VAC IV4F00 JUL 9, 2018 9:28 AM FASTRIP 781 4013 S.H ST BAKERSFIELD CA,93304 NOZZLE A/L RANGE A/L RATIO: 0.95 - 1.15 IV4000 JUL 9, 2018 9:28 AM FASTRIP 781 4013 S.H ST BAKERSFIELD CA,93304 VAPOR PROCESSOR TYPE NONE IV4700 JUL 9, 2018 9:28 AM FASTRIP 781 4013 S.H ST BAKERSFIELD CA,93304 ASSESSMENT TIME START TIME: 10:00 AM TIME DELAY MINUTES: 1 IV5200 JUL 9, 2018 9:28 AM FASTRIP 781 4013 S.H ST BAKERSFIELD CA,93304 ACCEPT HIGH ORVR: NO IV4A00 JUL 9, 2018 9:28 AM FASTRIP 781 4013 S.H ST BAKERSFIELD CA,93304 ISD HOSE TABLE HOSE FP FP AFM REL HOSE ID ID LABEL ID ID LABEL 01 01 01 01 UU BLEND3 02 02 02 01 UU BLEND3 03 03 03 02 UU BLEND3 04 04 04 02 UU BLEND3 05 05 05 03 UU BLEND3 06 06 06 03 UU BLEND3 07 07 07 04 UU BLEND3 08 08 08 04 UU BLEND3 IV4B00 JUL 9, 2018 9:28 AM FASTRIP 781 4013 S.H ST BAKERSFIELD CA,93304 PRODUCT/HOSE MAP TABLE FP AFID M1/H1 M2/H2 M3/H3 M4/H4 01 01 02/01 03/01 09/01 xx/xx 02 01 02/02 03/02 09/02 xx/xx 03 02 02/03 03/03 09/03 xx/xx 04 02 02/04 03/04 09/04 xx/xx 05 03 02/05 03/05 09/05 xx/xx 06 03 02/06 03/06 09/06 xx/xx 07 04 02/07 03/07 09/07 xx/xx 08 04 02/08 03/08 09/08 xx/xx IV4900 JUL 9, 2018 9:28 AM FASTRIP 781 4013 S.H ST BAKERSFIELD CA,93304 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 9:28 AM ISD VERSION: 01.04 Jaco 7781 Alarm History Responses Received: I10200 JUL 9, 2018 9:29 AM FASTRIP 781 4013 S.H ST BAKERSFIELD CA,93304 SYSTEM CONFIGURATION SLOT BOARD TYPE POWER ON RESET CURRENT 1 8SMARTSENSOR BD 39583 39502 2 4 PROBE / G.T. 163771 163457 3 INTERSTITIAL BD 202399 201827 4 INTERSTITIAL BD 201784 201187 5 UNUSED 4909535 4869718 6 UNUSED 4906302 4870960 7 UNUSED 4908674 4871571 8 UNUSED 4908401 4869908 9 STP SENSE BOARD 33208 33216 10 UNUSED 4913854 4879580 11 RELAY BOARD 15014 15000 12 UNUSED 4910389 4871582 13 UNUSED 4908709 4871666 14 UNUSED 4908164 4872550 15 UNUSED 4906946 4874361 16 UNUSED 4908185 4874192 COMM 1 RS232 SERIAL BD 15035 15021 COMM 2 RS232 SERIAL BD 15056 15021 COMM 3 ELEC DISP INT. 101700 101488 COMM 4 UNUSED 4908919 4880086 COMM 5 UNUSED 4907597 4874066 COMM 6 UNUSED 4908185 4875413 I90200 JUL 9, 2018 9:29 AM SOFTWARE REVISION LEVEL VERSION 333.02 SOFTWARE# 346333-100-C CREATED - 12.08.10.11.22 S-MODULE# 330160-004-a SYSTEM FEATURES: PERIODIC IN-TANK TESTS ANNUAL IN-TANK TESTS ISD/APM I11100 JUL 9, 2018 9:29 AM FASTRIP 781 4013 S.H ST BAKERSFIELD CA,93304 PRIORITY ALARM HISTORY ID CATEGORY DESCRIPTION ALARM TYPE STATE DATE TIME L 8 ANNULAR SUPER ANN SENSOR OUT ALARM CLEAR 7-02-18 12:09PM L 7 STP SUMP SUPER STP SENSOR OUT ALARM CLEAR 7-02-18 12:09PM L 6 ANNULAR REG 2 ANN SENSOR OUT ALARM CLEAR 7-02-18 12:09PM L 5 STP SUMP REG2 STP SENSOR OUT ALARM CLEAR 7-02-18 12:09PM L 4 ANNULAR DIESEL ANN SENSOR OUT ALARM CLEAR 7-02-18 12:09PM L 3 STP SUMP DIESEL STP SENSOR OUT ALARM CLEAR 7-02-18 12:09PM L12 DISP PAN DISP 3-4 SENSOR OUT ALARM CLEAR 7-02-18 12:09PM L11 DISP PAN DISP 5-6 SENSOR OUT ALARM CLEAR 7-02-18 12:09PM L10 DISP PAN DISP 7-8 SENSOR OUT ALARM CLEAR 7-02-18 12:09PM L 9 DISP PAN DISP 1-2 SENSOR OUT ALARM CLEAR 7-02-18 12:09PM L 2 OTHER UNL 1 ANN FUEL ALARM CLEAR 7-02-18 12:09PM L 1 STP SUMP UNL 1 STP SENSOR OUT ALARM CLEAR 7-02-18 12:09PM L10 DISP PAN DISP 7-8 SENSOR OUT ALARM ALARM 7-02-18 12:05PM L 8 ANNULAR SUPER ANN SENSOR OUT ALARM ALARM 7-02-18 12:05PM L 7 STP SUMP SUPER STP SENSOR OUT ALARM ALARM 7-02-18 12:05PM L 6 ANNULAR REG 2 ANN SENSOR OUT ALARM ALARM 7-02-18 12:05PM L12 DISP PAN DISP 3-4 SENSOR OUT ALARM ALARM 7-02-18 12:05PM L11 DISP PAN DISP 5-6 SENSOR OUT ALARM ALARM 7-02-18 12:05PM L 9 DISP PAN DISP 1-2 SENSOR OUT ALARM ALARM 7-02-18 12:05PM L 4 ANNULAR DIESEL ANN SENSOR OUT ALARM ALARM 7-02-18 12:05PM L 3 STP SUMP DIESEL STP SENSOR OUT ALARM ALARM 7-02-18 12:05PM L 2 OTHER UNL 1 ANN FUEL ALARM ALARM 7-02-18 12:05PM L 1 STP SUMP UNL 1 STP SENSOR OUT ALARM ALARM 7-02-18 12:05PM L 5 STP SUMP REG2 STP SENSOR OUT ALARM ALARM 7-02-18 12:05PM T 2 TANK UNL 2 PROBE OUT CLEAR 7-02-18 11:09AM T 2 TANK UNL 2 PROBE OUT ALARM 7-02-18 10:46AM T 4 TANK DIESEL OVERFILL ALARM CLEAR 7-02-18 10:36AM T 4 TANK DIESEL OVERFILL ALARM ALARM 7-02-18 10:35AM T 3 TANK PNL OVERFILL ALARM CLEAR 7-02-18 10:34AM T 3 TANK PNL OVERFILL ALARM ALARM 7-02-18 10:34AM T 1 TANK UNL 1 OVERFILL ALARM CLEAR 7-02-18 10:31AM T 1 TANK UNL 1 OVERFILL ALARM ALARM 7-02-18 10:31AM L12 DISP PAN DISP 3-4 FUEL ALARM CLEAR 7-02-18 10:31AM L12 DISP PAN DISP 3-4 FUEL ALARM ALARM 7-02-18 10:28AM L10 DISP PAN DISP 7-8 FUEL ALARM CLEAR 7-02-18 10:26AM L10 DISP PAN DISP 7-8 FUEL ALARM ALARM 7-02-18 10:23AM L11 DISP PAN DISP 5-6 FUEL ALARM CLEAR 7-02-18 10:21AM L11 DISP PAN DISP 5-6 FUEL ALARM ALARM 7-02-18 10:18AM L 9 DISP PAN DISP 1-2 FUEL ALARM CLEAR 7-02-18 10:16AM L 9 DISP PAN DISP 1-2 FUEL ALARM ALARM 7-02-18 10:13AM T 2 TANK UNL 2 PROBE OUT CLEAR 7-02-18 10:13AM T 2 TANK UNL 2 PROBE OUT ALARM 7-02-18 9:54AM T 2 TANK UNL 2 PROBE OUT CLEAR 7-02-18 9:52AM L 2 OTHER UNL 1 ANN FUEL ALARM CLEAR 7-02-18 9:46AM L 8 ANNULAR SUPER ANN FUEL ALARM CLEAR 7-02-18 9:45AM L 4 ANNULAR DIESEL ANN FUEL ALARM CLEAR 7-02-18 9:45AM L 7 STP SUMP SUPER STP FUEL ALARM CLEAR 7-02-18 9:44AM L 6 ANNULAR REG 2 ANN FUEL ALARM CLEAR 7-02-18 9:44AM L 2 OTHER UNL 1 ANN FUEL ALARM ALARM 7-02-18 9:42AM L 8 ANNULAR SUPER ANN FUEL ALARM ALARM 7-02-18 9:41AM I11200 JUL 9, 2018 9:29 AM FASTRIP 781 4013 S.H ST BAKERSFIELD CA,93304 NON-PRIORITY ALARM HISTORY ID CATEGORY DESCRIPTION ALARM TYPE STATE DATE TIME T 3 TANK PNL DELIVERY NEEDED CLEAR 7-09-18 8:25AM T 3 TANK PNL DELIVERY NEEDED ALARM 7-09-18 7:23AM T 2 TANK UNL 2 LOW TEMP WARNING CLEAR 7-02-18 11:06AM T 2 TANK UNL 2 LOW TEMP WARNING ALARM 7-02-18 11:06AM T 2 TANK UNL 2 LOW TEMP WARNING CLEAR 7-02-18 10:36AM T 2 TANK UNL 2 LOW TEMP WARNING ALARM 7-02-18 10:34AM T 2 TANK UNL 2 HIGH PRODUCT ALARM CLEAR 7-02-18 10:33AM T 2 TANK UNL 2 HIGH PRODUCT ALARM ALARM 7-02-18 10:33AM T 1 TANK UNL 1 LOW TEMP WARNING CLEAR 7-02-18 10:32AM T 1 TANK UNL 1 LOW TEMP WARNING ALARM 7-02-18 10:32AM T 1 TANK UNL 1 HIGH PRODUCT ALARM CLEAR 7-02-18 10:31AM T 1 TANK UNL 1 HIGH PRODUCT ALARM ALARM 7-02-18 10:31AM OTHER ISD SENSOR OUT WARN CLEAR 7-02-18 10:15AM OTHER ISD SENSOR OUT WARN ALARM 7-02-18 10:02AM T 4 TANK DIESEL DELIVERY NEEDED CLEAR 7-02-18 9:20AM T 4 TANK DIESEL DELIVERY NEEDED ALARM 7-02-18 9:19AM OTHER ISD VAPOR LEAK WARN CLEAR 6-28-18 8:17AM T 3 TANK PNL DELIVERY NEEDED CLEAR 6-27-18 12:42PM T 3 TANK PNL DELIVERY NEEDED ALARM 6-26-18 9:31PM OTHER ISD VAPOR LEAK WARN ALARM 6-26-18 10:02AM T 4 TANK DIESEL DELIVERY NEEDED CLEAR 6-12-18 5:51PM T 4 TANK DIESEL DELIVERY NEEDED ALARM 6-11-18 7:02PM T 3 TANK PNL DELIVERY NEEDED CLEAR 6-08-18 2:34PM T 3 TANK PNL DELIVERY NEEDED ALARM 6-07-18 10:39PM T 1 TANK UNL 1 DELIVERY NEEDED CLEAR 6-05-18 4:17AM T 1 TANK UNL 1 DELIVERY NEEDED ALARM 6-04-18 9:18PM h 1 OTHER FP1: BLEND3 DEGRD COLLECT WARN CLEAR 6-01-18 7:53AM h 8 OTHER FP8: BLEND3 DEGRD COLLECT WARN CLEAR 5-30-18 10:00AM SYSTEM PRINTER ERROR CLEAR 5-30-18 9:49AM SYSTEM PAPER OUT CLEAR 5-30-18 9:49AM SYSTEM PRINTER ERROR ALARM 5-30-18 3:11AM SYSTEM PAPER OUT ALARM 5-30-18 3:11AM h 1 OTHER FP1: BLEND3 DEGRD COLLECT WARN ALARM 5-29-18 10:02AM h 8 OTHER FP8: BLEND3 DEGRD COLLECT WARN ALARM 5-26-18 10:02AM h 8 OTHER FP8: BLEND3 DEGRD COLLECT WARN CLEAR 5-22-18 8:40AM h 8 OTHER FP8: BLEND3 DEGRD COLLECT WARN ALARM 5-20-18 10:01AM h 8 OTHER FP8: BLEND3 DEGRD COLLECT WARN CLEAR 5-17-18 10:00AM T 4 TANK DIESEL DELIVERY NEEDED CLEAR 5-16-18 6:32PM h 8 OTHER FP8: BLEND3 DEGRD COLLECT WARN ALARM 5-16-18 10:01AM T 4 TANK DIESEL DELIVERY NEEDED ALARM 5-16-18 6:56AM SYSTEM PRINTER ERROR CLEAR 4-17-18 1:38PM SYSTEM PAPER OUT CLEAR 4-17-18 1:38PM SYSTEM PRINTER ERROR ALARM 4-17-18 1:38PM SYSTEM PAPER OUT ALARM 4-17-18 1:38PM SYSTEM PRINTER ERROR CLEAR 4-17-18 1:38PM SYSTEM PAPER OUT CLEAR 4-17-18 1:38PM SYSTEM PRINTER ERROR ALARM 4-17-18 1:37PM SYSTEM PAPER OUT ALARM 4-17-18 1:37PM T 4 TANK DIESEL DELIVERY NEEDED CLEAR 4-17-18 1:11PM T 4 TANK DIESEL DELIVERY NEEDED ALARM 4-16-18 9:13PM I20600 JUL 9, 2018 9:29 AM FASTRIP 781 4013 S.H ST BAKERSFIELD CA,93304 TANK ALARM HISTORY TANK 1 UNL 1 OVERFILL ALARM JUL 2, 2018 10:31 AM MAR 27, 2018 4:34 AM FEB 26, 2018 1:19 AM HIGH PRODUCT ALARM JUL 2, 2018 10:31 AM FEB 26, 2018 1:33 AM JUL 11, 2017 10:18 AM DELIVERY NEEDED JUN 4, 2018 9:18 PM DEC 2, 2017 10:40 AM DEC 1, 2017 3:10 PM LOW TEMP WARNING JUL 2, 2018 10:32 AM JUL 11, 2017 10:27 AM TANK 2 UNL 2 OVERFILL ALARM JUN 26, 2018 3:50 AM MAY 26, 2018 3:09 PM MAR 31, 2018 3:36 PM HIGH PRODUCT ALARM JUL 2, 2018 10:33 AM JUL 11, 2017 10:19 AM PROBE OUT JUL 2, 2018 10:46 AM JUL 2, 2018 9:54 AM JUL 2, 2018 9:30 AM LOW TEMP WARNING JUL 2, 2018 11:06 AM JUL 2, 2018 10:34 AM TANK 3 PNL OVERFILL ALARM JUL 2, 2018 10:34 AM HIGH PRODUCT ALARM JUL 11, 2017 10:20 AM DELIVERY NEEDED JUL 9, 2018 7:23 AM JUN 26, 2018 9:31 PM JUN 7, 2018 10:39 PM TANK 4 DIESEL OVERFILL ALARM JUL 2, 2018 10:35 AM LOW PRODUCT ALARM JUL 2, 2018 9:19 AM HIGH PRODUCT ALARM JUL 11, 2017 10:21 AM DELIVERY NEEDED JUL 2, 2018 9:19 AM JUN 11, 2018 7:02 PM MAY 16, 2018 6:56 AM MAX PRODUCT ALARM JUL 11, 2017 10:21 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 JUL 9, 2018 9:30 AM I30200 JUL 9, 2018 9:30 AM FASTRIP 781 4013 S.H ST BAKERSFIELD CA,93304 LIQUID ALARM HISTORY REPORT SENSOR LOCATION 1 UNL 1 STP JUL 2, 2018 12:05 PM SENSOR OUT ALARM JUL 2, 2018 9:34 AM FUEL ALARM JUN 11, 2018 12:28 PM FUEL ALARM 2 UNL 1 ANN JUL 2, 2018 12:05 PM FUEL ALARM JUL 2, 2018 9:42 AM FUEL ALARM JUL 11, 2017 10:35 AM FUEL ALARM 3 DIESEL STP JUL 2, 2018 12:05 PM SENSOR OUT ALARM JUL 2, 2018 9:35 AM FUEL ALARM JUL 11, 2017 10:35 AM SENSOR OUT ALARM 4 DIESEL ANN JUL 2, 2018 12:05 PM SENSOR OUT ALARM JUL 2, 2018 9:41 AM FUEL ALARM JUL 11, 2017 10:35 AM SENSOR OUT ALARM 5 REG2 STP JUL 2, 2018 12:05 PM SENSOR OUT ALARM JUL 2, 2018 9:37 AM FUEL ALARM MAY 31, 2018 11:30 PM FUEL ALARM 6 REG 2 ANN JUL 2, 2018 12:05 PM SENSOR OUT ALARM JUL 2, 2018 9:40 AM FUEL ALARM JUL 11, 2017 10:35 AM SENSOR OUT ALARM 7 SUPER STP JUL 2, 2018 12:05 PM SENSOR OUT ALARM JUL 2, 2018 9:41 AM FUEL ALARM JUL 11, 2017 10:35 AM SENSOR OUT ALARM 8 SUPER ANN JUL 2, 2018 12:05 PM SENSOR OUT ALARM JUL 2, 2018 9:41 AM FUEL ALARM JUL 11, 2017 10:35 AM SENSOR OUT ALARM 9 DISP 1-2 JUL 2, 2018 12:05 PM SENSOR OUT ALARM JUL 2, 2018 10:13 AM FUEL ALARM JUL 11, 2017 10:35 AM SENSOR OUT ALARM 10 DISP 7-8 JUL 2, 2018 12:05 PM SENSOR OUT ALARM JUL 2, 2018 10:23 AM FUEL ALARM JUL 11, 2017 10:35 AM SENSOR OUT ALARM 11 DISP 5-6 JUL 2, 2018 12:05 PM SENSOR OUT ALARM JUL 2, 2018 10:18 AM FUEL ALARM MAR 22, 2018 7:10 PM FUEL ALARM 12 DISP 3-4 JUL 2, 2018 12:05 PM SENSOR OUT ALARM JUL 2, 2018 10:28 AM FUEL ALARM JUL 11, 2017 10:35 AM SENSOR OUT ALARM I31600 JUL 9, 2018 9:30 AM FASTRIP 781 4013 S.H ST BAKERSFIELD CA,93304 SMART SENSOR ALARM HISTORY REPORT SENSOR LOCATION 2 F.M DISP 1-2 3 F.M DISP 3-4 4 F.M DISP 5-6 5 F.M DISP 7-8 8 VP 1-2 I40200 JUL 9, 2018 9:30 AM I40300 JUL 9, 2018 9:30 AM I34200 JUL 9, 2018 9:30 AM I34700 JUL 9, 2018 9:30 AM IV0100 JUL 9, 2018 9:30 AM FASTRIP 781 4013 S.H ST BAKERSFIELD CA,93304 ISD ALARM STATUS REPORT EVR TYPE: VACUUM ASSIST ISD TYPE: 01.04 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 18-07-02 10:02:48 SENSOR OUT SELFTEST T 2 18-06-27 10:02:13 VAPOR CONTAINMENT LEAKAGE CFH@2 INCHES WC 9.69 18-06-26 10:02:37 VAPOR CONTAINMENT LEAKAGE CFH@2 INCHES WC 8.66 18-05-31 10:01:15 A/L RATIO DEGRADATION FP 1 BLEND3 0.80 18-05-30 10:02:55 A/L RATIO DEGRADATION FP 1 BLEND3 0.79 18-05-29 10:02:06 A/L RATIO DEGRADATION FP 8 BLEND3 0.78 18-05-29 10:02:06 A/L RATIO DEGRADATION FP 1 BLEND3 0.79 18-05-28 10:02:17 A/L RATIO DEGRADATION FP 8 BLEND3 0.79 18-05-27 10:02:07 A/L RATIO DEGRADATION FP 8 BLEND3 0.78 18-05-26 10:02:05 A/L RATIO DEGRADATION FP 8 BLEND3 0.78 FAILURE ALARMS DATE TIME DESCRIPTION READING VALUE 17-09-24 10:01:36 CONTAINMENT GROSS OVER PRESSURE WEEKLY 95% 1.83 17-09-04 10:02:42 CONTAINMENT GROSS OVER PRESSURE WEEKLY 95% 2.23 16-01-06 10:01:09 CONTAINMENT GROSS OVER PRESSURE WEEKLY 95% 3.95 12-10-02 10:01:09 A/L RATIO GROSS BLOCKAGE FP 8 BLEND3 BLKD 12-10-01 10:01:10 A/L RATIO GROSS BLOCKAGE FP 8 BLEND3 BLKD 11-08-14 10:02:46 CONTAINMENT GROSS OVER PRESSURE WEEKLY 95% 2.68 11-08-13 10:02:53 CONTAINMENT GROSS OVER PRESSURE WEEKLY 95% 2.68 11-03-21 10:01:52 A/L RATIO GROSS BLOCKAGE FP 6 BLEND3 BLKD 11-03-21 10:01:52 A/L RATIO GROSS BLOCKAGE FP 5 BLEND3 BLKD 11-03-14 10:02:02 VAPOR CONTAINMENT LEAKAGE CFH@2 INCHES WC 9.55 SHUTDOWN & MISCELLANEOUS EVENTS DATE TIME DESCRIPTION ACTION/NAME 18-07-03 10:03:38 READINESS ISD:PP EVR:PP ISD & EVR READY 18-07-02 12:05:04 READINESS ISD:PF EVR:NNN CHECK ISD SENSORS 18-07-02 12:05:04 ISD STARTUP 18-07-02 12:04:55 ISD SHUTDOWN 18-07-02 10:15:52 SENSOR OUT TEST MANUALLY CLEARED 18-07-02 10:02:48 READINESS ISD:PF EVR:NNN CHECK ISD SENSORS 18-07-01 18:24:38 READINESS ISD:PP EVR:NN EVR READINESS PENDING 18-07-01 18:24:38 ISD STARTUP 18-07-01 17:54:50 ISD SHUTDOWN 18-07-01 10:02:16 READINESS ISD:PP EVR:PP ISD & EVR READY Jaco 7781 Alarm History After Responses Received: I10200 JUL 9, 2018 10:55 AM FASTRIP 781 4013 S.H ST BAKERSFIELD CA,93304 SYSTEM CONFIGURATION SLOT BOARD TYPE POWER ON RESET CURRENT 1 8SMARTSENSOR BD 39583 39498 2 4 PROBE / G.T. 163771 163581 3 INTERSTITIAL BD 202399 201963 4 INTERSTITIAL BD 201784 201508 5 UNUSED 4909535 4896032 6 UNUSED 4906302 4896242 7 UNUSED 4908674 4896032 8 UNUSED 4908401 4892399 9 STP SENSE BOARD 33208 33209 10 UNUSED 4913854 4897789 11 RELAY BOARD 15014 14972 12 UNUSED 4910389 4901275 13 UNUSED 4908709 4900351 14 UNUSED 4908164 4897243 15 UNUSED 4906946 4898545 16 UNUSED 4908185 4897159 COMM 1 RS232 SERIAL BD 15035 15014 COMM 2 RS232 SERIAL BD 15056 15014 COMM 3 ELEC DISP INT. 101700 101639 COMM 4 UNUSED 4908919 4897621 COMM 5 UNUSED 4907597 4894954 COMM 6 UNUSED 4908185 4896487 I90200 JUL 9, 2018 10:55 AM SOFTWARE REVISION LEVEL VERSION 333.02 SOFTWARE# 346333-100-C CREATED - 12.08.10.11.22 S-MODULE# 330160-004-a SYSTEM FEATURES: PERIODIC IN-TANK TESTS ANNUAL IN-TANK TESTS ISD/APM I11100 JUL 9, 2018 10:55 AM FASTRIP 781 4013 S.H ST BAKERSFIELD CA,93304 PRIORITY ALARM HISTORY ID CATEGORY DESCRIPTION ALARM TYPE STATE DATE TIME L 4 ANNULAR DIESEL ANN SENSOR OUT ALARM CLEAR 7-09-18 10:54AM L 8 ANNULAR SUPER ANN SENSOR OUT ALARM CLEAR 7-09-18 10:54AM L 7 STP SUMP SUPER STP SENSOR OUT ALARM CLEAR 7-09-18 10:54AM L 3 STP SUMP DIESEL STP SENSOR OUT ALARM CLEAR 7-09-18 10:54AM L 1 STP SUMP UNL 1 STP SENSOR OUT ALARM CLEAR 7-09-18 10:54AM L 6 ANNULAR REG 2 ANN SENSOR OUT ALARM CLEAR 7-09-18 10:54AM L 5 STP SUMP REG2 STP SENSOR OUT ALARM CLEAR 7-09-18 10:54AM L12 DISP PAN DISP 3-4 SENSOR OUT ALARM CLEAR 7-09-18 10:54AM L11 DISP PAN DISP 5-6 SENSOR OUT ALARM CLEAR 7-09-18 10:54AM L10 DISP PAN DISP 7-8 SENSOR OUT ALARM CLEAR 7-09-18 10:54AM L 9 DISP PAN DISP 1-2 SENSOR OUT ALARM CLEAR 7-09-18 10:54AM L 8 ANNULAR SUPER ANN SENSOR OUT ALARM ALARM 7-09-18 10:51AM L 7 STP SUMP SUPER STP SENSOR OUT ALARM ALARM 7-09-18 10:51AM L 6 ANNULAR REG 2 ANN SENSOR OUT ALARM ALARM 7-09-18 10:51AM L 4 ANNULAR DIESEL ANN SENSOR OUT ALARM ALARM 7-09-18 10:51AM L 3 STP SUMP DIESEL STP SENSOR OUT ALARM ALARM 7-09-18 10:51AM L 1 STP SUMP UNL 1 STP SENSOR OUT ALARM ALARM 7-09-18 10:51AM L 5 STP SUMP REG2 STP SENSOR OUT ALARM ALARM 7-09-18 10:51AM L12 DISP PAN DISP 3-4 SENSOR OUT ALARM ALARM 7-09-18 10:51AM L11 DISP PAN DISP 5-6 SENSOR OUT ALARM ALARM 7-09-18 10:51AM L10 DISP PAN DISP 7-8 SENSOR OUT ALARM ALARM 7-09-18 10:51AM L 9 DISP PAN DISP 1-2 SENSOR OUT ALARM ALARM 7-09-18 10:50AM T 4 TANK DIESEL OVERFILL ALARM CLEAR 7-09-18 10:43AM T 4 TANK DIESEL OVERFILL ALARM ALARM 7-09-18 10:43AM T 3 TANK PNL OVERFILL ALARM CLEAR 7-09-18 10:41AM T 3 TANK PNL OVERFILL ALARM ALARM 7-09-18 10:41AM E 1 OTHER COMMUNICATION ALARM CLEAR 7-09-18 10:35AM L 6 ANNULAR REG 2 ANN FUEL ALARM CLEAR 7-09-18 10:23AM L 6 ANNULAR REG 2 ANN SENSOR OUT ALARM CLEAR 7-09-18 10:21AM L 6 ANNULAR REG 2 ANN FUEL ALARM ALARM 7-09-18 10:21AM L 6 ANNULAR REG 2 ANN SENSOR OUT ALARM ALARM 7-09-18 10:21AM L 2 OTHER UNL 1 ANN FUEL ALARM CLEAR 7-09-18 10:14AM L 2 OTHER UNL 1 ANN FUEL ALARM ALARM 7-09-18 10:14AM L 2 OTHER UNL 1 ANN SENSOR OUT ALARM CLEAR 7-09-18 10:12AM L 2 OTHER UNL 1 ANN SENSOR OUT ALARM ALARM 7-09-18 10:10AM L 2 OTHER UNL 1 ANN SENSOR OUT ALARM CLEAR 7-09-18 10:04AM L 2 OTHER UNL 1 ANN SENSOR OUT ALARM ALARM 7-09-18 10:02AM L 2 OTHER UNL 1 ANN FUEL ALARM CLEAR 7-09-18 10:02AM L 2 OTHER UNL 1 ANN FUEL ALARM ALARM 7-09-18 10:01AM L 2 OTHER UNL 1 ANN FUEL ALARM CLEAR 7-09-18 10:01AM L 2 OTHER UNL 1 ANN FUEL ALARM ALARM 7-09-18 9:53AM L 2 OTHER UNL 1 ANN FUEL ALARM CLEAR 7-09-18 9:52AM L 2 OTHER UNL 1 ANN FUEL ALARM ALARM 7-09-18 9:51AM L 6 ANNULAR REG 2 ANN FUEL ALARM CLEAR 7-09-18 9:50AM L 6 ANNULAR REG 2 ANN FUEL ALARM ALARM 7-09-18 9:50AM L 8 ANNULAR SUPER ANN FUEL ALARM CLEAR 7-09-18 9:49AM L 8 ANNULAR SUPER ANN FUEL ALARM ALARM 7-09-18 9:49AM L 4 ANNULAR DIESEL ANN FUEL ALARM CLEAR 7-09-18 9:48AM L 4 ANNULAR DIESEL ANN FUEL ALARM ALARM 7-09-18 9:48AM L 9 DISP PAN DISP 1-2 FUEL ALARM CLEAR 7-09-18 9:48AM I11200 JUL 9, 2018 10:55 AM FASTRIP 781 4013 S.H ST BAKERSFIELD CA,93304 NON-PRIORITY ALARM HISTORY ID CATEGORY DESCRIPTION ALARM TYPE STATE DATE TIME T 3 TANK PNL LOW TEMP WARNING CLEAR 7-09-18 10:44AM T 3 TANK PNL LOW TEMP WARNING ALARM 7-09-18 10:42AM T 1 TANK UNL 1 LOW TEMP WARNING CLEAR 7-09-18 10:40AM T 2 TANK UNL 2 HIGH PRODUCT ALARM CLEAR 7-09-18 10:39AM T 2 TANK UNL 2 HIGH PRODUCT ALARM ALARM 7-09-18 10:39AM T 1 TANK UNL 1 LOW TEMP WARNING ALARM 7-09-18 10:38AM T 1 TANK UNL 1 HIGH PRODUCT ALARM CLEAR 7-09-18 10:38AM T 1 TANK UNL 1 HIGH PRODUCT ALARM ALARM 7-09-18 10:37AM OTHER ISD SENSOR OUT WARN CLEAR 7-09-18 10:21AM OTHER ISD SENSOR OUT WARN ALARM 7-09-18 10:02AM T 3 TANK PNL DELIVERY NEEDED CLEAR 7-09-18 8:25AM T 3 TANK PNL DELIVERY NEEDED ALARM 7-09-18 7:23AM T 2 TANK UNL 2 LOW TEMP WARNING CLEAR 7-02-18 11:06AM T 2 TANK UNL 2 LOW TEMP WARNING ALARM 7-02-18 11:06AM T 2 TANK UNL 2 LOW TEMP WARNING CLEAR 7-02-18 10:36AM T 2 TANK UNL 2 LOW TEMP WARNING ALARM 7-02-18 10:34AM T 2 TANK UNL 2 HIGH PRODUCT ALARM CLEAR 7-02-18 10:33AM T 2 TANK UNL 2 HIGH PRODUCT ALARM ALARM 7-02-18 10:33AM T 1 TANK UNL 1 LOW TEMP WARNING CLEAR 7-02-18 10:32AM T 1 TANK UNL 1 LOW TEMP WARNING ALARM 7-02-18 10:32AM T 1 TANK UNL 1 HIGH PRODUCT ALARM CLEAR 7-02-18 10:31AM T 1 TANK UNL 1 HIGH PRODUCT ALARM ALARM 7-02-18 10:31AM OTHER ISD SENSOR OUT WARN CLEAR 7-02-18 10:15AM OTHER ISD SENSOR OUT WARN ALARM 7-02-18 10:02AM T 4 TANK DIESEL DELIVERY NEEDED CLEAR 7-02-18 9:20AM T 4 TANK DIESEL DELIVERY NEEDED ALARM 7-02-18 9:19AM OTHER ISD VAPOR LEAK WARN CLEAR 6-28-18 8:17AM T 3 TANK PNL DELIVERY NEEDED CLEAR 6-27-18 12:42PM T 3 TANK PNL DELIVERY NEEDED ALARM 6-26-18 9:31PM OTHER ISD VAPOR LEAK WARN ALARM 6-26-18 10:02AM T 4 TANK DIESEL DELIVERY NEEDED CLEAR 6-12-18 5:51PM T 4 TANK DIESEL DELIVERY NEEDED ALARM 6-11-18 7:02PM T 3 TANK PNL DELIVERY NEEDED CLEAR 6-08-18 2:34PM T 3 TANK PNL DELIVERY NEEDED ALARM 6-07-18 10:39PM T 1 TANK UNL 1 DELIVERY NEEDED CLEAR 6-05-18 4:17AM T 1 TANK UNL 1 DELIVERY NEEDED ALARM 6-04-18 9:18PM h 1 OTHER FP1: BLEND3 DEGRD COLLECT WARN CLEAR 6-01-18 7:53AM h 8 OTHER FP8: BLEND3 DEGRD COLLECT WARN CLEAR 5-30-18 10:00AM SYSTEM PRINTER ERROR CLEAR 5-30-18 9:49AM SYSTEM PAPER OUT CLEAR 5-30-18 9:49AM SYSTEM PRINTER ERROR ALARM 5-30-18 3:11AM SYSTEM PAPER OUT ALARM 5-30-18 3:11AM h 1 OTHER FP1: BLEND3 DEGRD COLLECT WARN ALARM 5-29-18 10:02AM h 8 OTHER FP8: BLEND3 DEGRD COLLECT WARN ALARM 5-26-18 10:02AM h 8 OTHER FP8: BLEND3 DEGRD COLLECT WARN CLEAR 5-22-18 8:40AM h 8 OTHER FP8: BLEND3 DEGRD COLLECT WARN ALARM 5-20-18 10:01AM h 8 OTHER FP8: BLEND3 DEGRD COLLECT WARN CLEAR 5-17-18 10:00AM T 4 TANK DIESEL DELIVERY NEEDED CLEAR 5-16-18 6:32PM h 8 OTHER FP8: BLEND3 DEGRD COLLECT WARN ALARM 5-16-18 10:01AM T 4 TANK DIESEL DELIVERY NEEDED ALARM 5-16-18 6:56AM I20600 JUL 9, 2018 10:55 AM FASTRIP 781 4013 S.H ST BAKERSFIELD CA,93304 TANK ALARM HISTORY TANK 1 UNL 1 OVERFILL ALARM JUL 2, 2018 10:31 AM MAR 27, 2018 4:34 AM FEB 26, 2018 1:19 AM HIGH PRODUCT ALARM JUL 9, 2018 10:37 AM JUL 2, 2018 10:31 AM FEB 26, 2018 1:33 AM PROBE OUT JUL 9, 2018 9:35 AM DELIVERY NEEDED JUN 4, 2018 9:18 PM DEC 2, 2017 10:40 AM DEC 1, 2017 3:10 PM LOW TEMP WARNING JUL 9, 2018 10:38 AM JUL 2, 2018 10:32 AM JUL 11, 2017 10:27 AM TANK 2 UNL 2 OVERFILL ALARM JUN 26, 2018 3:50 AM MAY 26, 2018 3:09 PM MAR 31, 2018 3:36 PM HIGH PRODUCT ALARM JUL 9, 2018 10:39 AM JUL 2, 2018 10:33 AM JUL 11, 2017 10:19 AM PROBE OUT JUL 9, 2018 9:36 AM JUL 2, 2018 10:46 AM JUL 2, 2018 9:54 AM LOW TEMP WARNING JUL 2, 2018 11:06 AM JUL 2, 2018 10:34 AM TANK 3 PNL OVERFILL ALARM JUL 9, 2018 10:41 AM JUL 2, 2018 10:34 AM HIGH PRODUCT ALARM JUL 11, 2017 10:20 AM PROBE OUT JUL 9, 2018 9:37 AM DELIVERY NEEDED JUL 9, 2018 7:23 AM JUN 26, 2018 9:31 PM JUN 7, 2018 10:39 PM LOW TEMP WARNING JUL 9, 2018 10:42 AM TANK 4 DIESEL OVERFILL ALARM JUL 9, 2018 10:43 AM JUL 2, 2018 10:35 AM LOW PRODUCT ALARM JUL 2, 2018 9:19 AM HIGH PRODUCT ALARM JUL 11, 2017 10:21 AM PROBE OUT JUL 9, 2018 9:38 AM DELIVERY NEEDED JUL 2, 2018 9:19 AM JUN 11, 2018 7:02 PM MAY 16, 2018 6:56 AM MAX PRODUCT ALARM JUL 11, 2017 10:21 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 JUL 9, 2018 10:55 AM I30200 JUL 9, 2018 10:55 AM FASTRIP 781 4013 S.H ST BAKERSFIELD CA,93304 LIQUID ALARM HISTORY REPORT SENSOR LOCATION 1 UNL 1 STP JUL 9, 2018 10:51 AM SENSOR OUT ALARM JUL 9, 2018 9:41 AM FUEL ALARM JUL 2, 2018 12:05 PM SENSOR OUT ALARM 2 UNL 1 ANN JUL 9, 2018 10:14 AM FUEL ALARM JUL 9, 2018 10:10 AM SENSOR OUT ALARM JUL 9, 2018 10:02 AM SENSOR OUT ALARM 3 DIESEL STP JUL 9, 2018 10:51 AM SENSOR OUT ALARM JUL 9, 2018 9:41 AM FUEL ALARM JUL 2, 2018 12:05 PM SENSOR OUT ALARM 4 DIESEL ANN JUL 9, 2018 10:51 AM SENSOR OUT ALARM JUL 9, 2018 9:48 AM FUEL ALARM JUL 2, 2018 12:05 PM SENSOR OUT ALARM 5 REG2 STP JUL 9, 2018 10:51 AM SENSOR OUT ALARM JUL 9, 2018 9:43 AM FUEL ALARM JUL 2, 2018 12:05 PM SENSOR OUT ALARM 6 REG 2 ANN JUL 9, 2018 10:51 AM SENSOR OUT ALARM JUL 9, 2018 10:21 AM FUEL ALARM JUL 9, 2018 10:21 AM SENSOR OUT ALARM 7 SUPER STP JUL 9, 2018 10:51 AM SENSOR OUT ALARM JUL 9, 2018 9:42 AM FUEL ALARM JUL 2, 2018 12:05 PM SENSOR OUT ALARM 8 SUPER ANN JUL 9, 2018 10:51 AM SENSOR OUT ALARM JUL 9, 2018 9:49 AM FUEL ALARM JUL 2, 2018 12:05 PM SENSOR OUT ALARM 9 DISP 1-2 JUL 9, 2018 10:50 AM SENSOR OUT ALARM JUL 9, 2018 9:47 AM FUEL ALARM JUL 2, 2018 12:05 PM SENSOR OUT ALARM 10 DISP 7-8 JUL 9, 2018 10:51 AM SENSOR OUT ALARM JUL 9, 2018 9:44 AM FUEL ALARM JUL 2, 2018 12:05 PM SENSOR OUT ALARM 11 DISP 5-6 JUL 9, 2018 10:51 AM SENSOR OUT ALARM JUL 9, 2018 9:46 AM FUEL ALARM JUL 2, 2018 12:05 PM SENSOR OUT ALARM 12 DISP 3-4 JUL 9, 2018 10:51 AM SENSOR OUT ALARM JUL 9, 2018 9:45 AM FUEL ALARM JUL 2, 2018 12:05 PM SENSOR OUT ALARM I31600 JUL 9, 2018 10:55 AM FASTRIP 781 4013 S.H ST BAKERSFIELD CA,93304 SMART SENSOR ALARM HISTORY REPORT SENSOR LOCATION 2 F.M DISP 1-2 3 F.M DISP 3-4 4 F.M DISP 5-6 5 F.M DISP 7-8 8 VP 1-2 I40200 JUL 9, 2018 10:55 AM I40300 JUL 9, 2018 10:55 AM I34200 JUL 9, 2018 10:55 AM I34700 JUL 9, 2018 10:55 AM IV0100 JUL 9, 2018 10:55 AM FASTRIP 781 4013 S.H ST BAKERSFIELD CA,93304 ISD ALARM STATUS REPORT EVR TYPE: VACUUM ASSIST ISD TYPE: 01.04 VAPOR PROCESSOR TYPE: NONE OVERALL STATUS :WARN EVR VAPOR COLLECTION :PASS EVR VAPOR CONTAINMENT :PASS ISD MONITOR UP-TIME :100% EVR/ISD PASS TIME : 0% WARNING ALARMS DATE TIME DESCRIPTION READING VALUE 18-07-09 10:02:05 SENSOR OUT SELFTEST E 1 18-07-02 10:02:48 SENSOR OUT SELFTEST T 2 18-06-27 10:02:13 VAPOR CONTAINMENT LEAKAGE CFH@2 INCHES WC 9.69 18-06-26 10:02:37 VAPOR CONTAINMENT LEAKAGE CFH@2 INCHES WC 8.66 18-05-31 10:01:15 A/L RATIO DEGRADATION FP 1 BLEND3 0.80 18-05-30 10:02:55 A/L RATIO DEGRADATION FP 1 BLEND3 0.79 18-05-29 10:02:06 A/L RATIO DEGRADATION FP 8 BLEND3 0.78 18-05-29 10:02:06 A/L RATIO DEGRADATION FP 1 BLEND3 0.79 18-05-28 10:02:17 A/L RATIO DEGRADATION FP 8 BLEND3 0.79 18-05-27 10:02:07 A/L RATIO DEGRADATION FP 8 BLEND3 0.78 FAILURE ALARMS DATE TIME DESCRIPTION READING VALUE 17-09-24 10:01:36 CONTAINMENT GROSS OVER PRESSURE WEEKLY 95% 1.83 17-09-04 10:02:42 CONTAINMENT GROSS OVER PRESSURE WEEKLY 95% 2.23 16-01-06 10:01:09 CONTAINMENT GROSS OVER PRESSURE WEEKLY 95% 3.95 12-10-02 10:01:09 A/L RATIO GROSS BLOCKAGE FP 8 BLEND3 BLKD 12-10-01 10:01:10 A/L RATIO GROSS BLOCKAGE FP 8 BLEND3 BLKD 11-08-14 10:02:46 CONTAINMENT GROSS OVER PRESSURE WEEKLY 95% 2.68 11-08-13 10:02:53 CONTAINMENT GROSS OVER PRESSURE WEEKLY 95% 2.68 11-03-21 10:01:52 A/L RATIO GROSS BLOCKAGE FP 6 BLEND3 BLKD 11-03-21 10:01:52 A/L RATIO GROSS BLOCKAGE FP 5 BLEND3 BLKD 11-03-14 10:02:02 VAPOR CONTAINMENT LEAKAGE CFH@2 INCHES WC 9.55 SHUTDOWN & MISCELLANEOUS EVENTS DATE TIME DESCRIPTION ACTION/NAME 18-07-09 10:50:29 READINESS ISD:PF EVR:NNN CHECK ISD SENSORS 18-07-09 10:50:29 ISD STARTUP 18-07-09 10:49:53 ISD SHUTDOWN 18-07-09 10:21:24 SENSOR OUT TEST MANUALLY CLEARED 18-07-03 10:03:38 READINESS ISD:PP EVR:PP ISD & EVR READY 18-07-02 12:05:04 READINESS ISD:PF EVR:NNN CHECK ISD SENSORS 18-07-02 12:05:04 ISD STARTUP 18-07-02 12:04:55 ISD SHUTDOWN 18-07-02 10:15:52 SENSOR OUT TEST MANUALLY CLEARED 18-07-02 10:02:48 READINESS ISD:PF EVR:NNN CHECK ISD SENSORS 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 #7781 Fastrip #22 (South)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”11.00” 14.00” 14.00” 14.00” 14.00” 5 min 5 min 5 min 5 min 9:00am 9:00am 9:00am 3:45pm 10.25” 10.75” 10.50”10.50” 10:00am 10:00am 10:00am 4:45pm 10.25”10.75” 10.50”10.50” 1 hr 1 hr 1 hr 1 hr 0.00” 0.00” 0.00” 0.00” 0.0625” 0.0625” 0.0625” 0.0625” 07/09/2018 ✔✔ ✔ ✔✔✔✔ ✔✔✔✔ 87-1 87-2 91 DSL 8475728-UT