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HomeMy WebLinkAbout2301 F STREET FMC 2013HOODS ALARMS SPRINKLER SYSTEMS 8FRAY BOOTH AST UST Permit No. Permit No. Permit No. Permit No. Permit No. Permit No. 3- X600011 File Number: Z5 71 `7 Date Received: 3--5–/73 minor modification Underground Storage Tank removal Underground Storage Tank 4/ Other. -lx-w C- Address: a3C l " 5 -- Bakersfield, CA 933 //__ Business Name: ' -5Aw bt . BUILDING SQUARE FEET: INSPECTION LOG Building Sq. Feet: 01'_ Calculation Bldg. Sq. Ft: Cam' Signature SYSTEM: New Mod. Commercial Hood System Fire Aiarm System Fire Sprinkler System Spvay Fir sh System Aboveground Storage Tank Underground Storage Tank minor modification Underground Storage Tank removal Underground Storage Tank 4/ Other. -lx-w C- Address: a3C l " 5 -- Bakersfield, CA 933 //__ Business Name: ' -5Aw bt . BUILDING SQUARE FEET: INSPECTION LOG Building Sq. Feet: 01'_ Calculation Bldg. Sq. Ft: Cam' Signature s7,p s vsolis (3) Appendix VI Copies of Monitoring System Certification form and UST Monitoring Plot Plan available at htto: //www.waterboards.ca.gov.) MONITORING SYSTEM CERTIFICATION For Use By All Jurisdictions Within the State of California Authority Cited: Chapter 6.7, Health and Safety Code; Chapter 16, Division 3, Title 23, California Code of Regulations This form must be used to document testing and servicing of monitoring equipment. A separate certification or report must be prepared for each monitoring system control panel by the technician who performs the work. A copy of this form must be provided to the tank system owner /operator. The owner /operator must submit a copy of this form to the local agency regulating UST systems within 30 days of test date. A. General Information Facility Name: ARCO Bldg. Site Address: 2301 F Street City: Bakersfield Zip: Facility Contact Person: Contact Phone No.: (— Make/Model of Monitoring System: Veeder -Root TLS -350 Date of Testing/Servicing: 3 / 25 / 2013 Inventory of Equipment Tested /Certified Check the appropriate boxes to Indicate specific equipment Inspected/serviced: Tank ID: 87 UL Tank ID: 91 UL X In -Tank Gauging Probe. Model: Mag. X In -Tank Gauging Probe. Model: Mag. X Annular Space or Vault Sensor. Model: 794390 -409 X Annular Space or Vault Sensor. Model: 794390 -409 X Piping Sump / Trench Sensor(s). Model: 794380 -208 X Piping Sump/ Trench Sensor(s). Model: 794380 -208 Fill Sump Sensor(s). Model: Fill Sump Sensor(s). Model: X Mechanical Line Leak Detector. Model: FX -1V X Mechanical Line Leak Detector. Model: FX -1V Electronic Line Leak Detector. Model: Electronic Line Leak Detector. Model: X Tank Overfill / High -Level Sensor. Model: Mao, X Tank Overfill / High -Level Sensor. Model: Mag. Other(specify equipment a and model in Section E on Page 2). Other(specify equipment type and model in Section E on Page 2). Tank 10: 87 UL TanklD: X In -Tank Gauging Probe. Model: Mao. U In -Tank Gauging Probe. Model: X Annular Space or Vault Sensor. Model: 794390 -409 Annular Space or Vault Sensor. Model: X Piping Sump / Trench Sensor(s). Model: 794380 -208 Piping Sump / Trench Sensor(s). Model: Fill Sump Sensor(s). Model: Fill Sump Sensor(s). Model: X Mechanical Line Leak Detector. Model: FX -1V Mechanical Line Leak Detector. Model: Electronic Line Leak Detector. Model: Electronic Line Leak Detector. Model: X Tank Overfill / High -Level Sensor. Model: Mag. Tank Overfill / High -Level Sensor. Model: Other (specify equipment type and model in Section E on Page 2). Others eci ient-type and model in Section E on Page 2). Dispenser ID: 1 -2 Dispenser ID: 7 -8 X Dispenser Containment Sensor(s). Model: 794380 -208 X Dispenser Containment Sensor(s). Model: 794380 -208 X Shear Valve(s). X ShearValve(s). Dispenser Containment Floats and Chain(s). Dispenser Containment Floats and Chain(s). Dispenser ID: 3 -4 Dispenser ID: 9-1011/12 X Dispenser Containment Sensor(s). Model: 794380 -208 X Dispenser Containment Sensor(s). Model: 794380 -208 X Shear Valve(s). X ShearValve(s). n Dis nser Containment Floats and Chain(s). n Dispenser Containment Floats and Chain(s). Dispenser ID: 5 6 Dispenser ID: 13-1415/16 X Dispenser Containment Sensor(s). Model: 794380 -208 X Dispenser Containment Sensor(s). Model: 794380 -208 X Shear Valve(s). X ShearValve(s). Dispenser Containment Floats and Chains Dispenser Containment Floats 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 - 1 certify that the equipment identified In this document was Inspected /seryiced in accordance with the manufacturers' guidelines. Attached to this Certification is Information (e.g. manufacturers' checklists) necessary to verity 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): X System set -up X Alarm history report Technician Name (print): Bruce W. Hinslev Signature: mac. iv a;ds:.a4,- Certification No.: 223613761 License. No.: 971259 C61/D40 Testing Company Name: Advanced Compliance Phone No.:(661) 706 -4321 Testing Company Address: 3704 Littlefalls Ct, Bakersfield, Ca. 93312 Date of Testing /Servicing: 3 / 25 / 2012 Monitoring System Certification Page 1 of 4 12/07 2/21/07 D. Results of Testing/Servicing Software Version Installed: 331.01 Comolets the following checklist X Yes No' Is the audible alarm operational? X Yes No' Is the visual alarm operational? X Yes u No' Were all sensors visually inspected, functionally tested, and confirmed operational? T 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 If alarms are relayed to a remote monitoring station, is all communications equipment (e.g. modem) operational? X Yes No For pressurized piping systems, does the turbine automatically shut down if the piping secondary containment monitoring systemtDNdetectsaleak, fails to operate, or is electrically disconnected? If yes: which sensors initiate positive shut -down? (Check all that apply) X Sumprrrench Sensors; X Dispenser Containment Sensors. Did you confine positive shut -down due to leaks and sensor failure/disconnection? X Yes; No. n Yes n No' For tank systems that utilize the monitoring system as the primary tank overfill warning device (i.e. no mechanical overfill prevention X N/A valve is installed), is the overfill warning alarm visible and audible at the tank fill point(s) and operating property? If so, at what percent of tank capacity does the alarm trigger? % Yes' X No Was any monitoring equipment replaced? If yes, identify specific sensors, probes, or other equipment replaced and list the manufacturer name and model for all replacement parts in Section E, below. Yes' X No Was liquid found inside any secondary containment systems designed as dry systems? (Check all that apply) 0 Product; Water. If es describe causes in Section E below. X Yes No' Was monitoring system set -up reviewed to ensure proper settings? Attach set up reports, if applicable X 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. Comments: Monitoring System Certification Page 2 of4 12/07 2/21/07 F. In -Tank Gauging /SIR Equipment: X 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 n 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 X Yes No' For equipment start-up or annual equipment certification, was a leak simulated to verify LLD performance? (Check all N/A that apply) Simulated leak rate: X 3 g.p.h.; 0.1 g.p.h ; 0.2 g.p.h. X Yes No' Were all LLDs confirmed operational and accurate within regulatory requirements? X Yes No` Was the testing apparatus properly calibrated? X Yes No' For mechanical LLDs, does the LLD restrict product flow if it detects a leak? N/A Yes No' For electronic LLDs, does the turbine automatically shut off if the LLD detects a leak? X N/A Yes No` For electronic LLDs, does the turbine automatically shut off if any portion of the monitoring system is disabled or X N/A disconnected? F1 Yes n No' For electronic LLDs, does the turbine automatically shut off if any portion of the monitoring system malfunctions or X N/A fails a test? Yes No' For electronic LLDs, have all accessible wiring connections been visually Inspected? X WA X Yes No' Were all items on the equipment manufacturer's maintenance checklist completed? In the Section H, below, describe how and when these deficiencies were or will be corrected. H. Comments: Monitoring System Certification Page 3 of4 12/07 2/21/07 Monitoring System Certification UST Monitoring Site Plan Site Address: 2301 F St. Bakersfield. Ca 93301 87. UL _y .87. UL N . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .Annular' 16 5. . . . . . . .8 7 . . . . . . . . . . . . . . . . . . . STP . Fill . . . . . 14 13. . . . . . . .6 5 . . . . . . . . . . . . . . . . . . . . . . . . . . . . 12 1. . . . . . . .4 3 . . . . . . . . . . . . . . . . . . . . . . . . . . . . 10 9. .2 1 . . . . . . . . . . . . . . . . . . . . . . . . . . . . UDC. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ESO . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Date map was drawn: Instructions T If you already have a diagram that shows all required information, you may include it, rather than this page, with your Monitoring System Certification. On your site plan, show the general layout of tanks and piping. Clearly identify locations of the following equipment, if installed: monitoring system control panels; sensors monitoring tank annular spaces, sumps, dispenser pans, spill containers, or other secondary containment areas; mechanical or electronic line leak detectors; and in -tank liquid level probes (if used for leak detection). In the space provided, note the date this Site Plan was prepared. Page of 05100 SWRCB, January 2006 Spill Bucket Testing Report Form Thisform is intendedfor use by contractors performing annual testing ofUST spill containment structures. The completedform and printoutsfrom tests (ifapplicable), should be provided to thefacility owner /operatorfor submittal to the local regulatory agency. 1. FACILITY INFORMATION Facility Name: ARCO Date of Testing: 3/25/2013 Facility Address: 2301 F St. Bakersfield, Ca. Facility Contact: Phone: Date Local Agency Was Notified ofTesting : Name ofLocal Agency Inspector (fpresent during testing): 2. TESTING CONTRACTOR INFORMATION Company Name: Advanced Compliance Technician Conducting Test: Bruce W. Hinsley Credentials': X CSLB Contractor ICC Service Tech. SWRCB Tank Tester Other (Specify) License Number(s): 971259 3. SPILL BUCKET TESTING INFORMATION Test Method Used: X Hydrostatic Vacuum Other Test Equipment Used: Visual Equipment Resolution: Identify Spill Bucket (By Tank Number, Stored Product, etc. 1 87 UL Fill 2 87 UL Fill 3 91 UL Fill 4 Bucket Installation Type: 0 Direct Bury X Contained in Sump 0 Direct Bury X Contained in Sump Direct Bury X Contained in Sump Direct Bury Contained in Sum Bucket Diameter: 11" 111, 1119 Bucket Depth: 11" 11" 1119 Wait time between applying vacuum /water and start of test: 10 min. 10 Min. 10 Min. Test Start Time (Tj): 09:30 09:30 09:30 Initial Reading (Ri): 9.75" 9.50" 9.75" Test End Time (TF): 10:30 10:30 10:30 Final Reading (RF): 9.75" 9.50" 9.75" Test Duration (TF — Tj): 1 Hr. 1 Hr. 1 Hr. Change in Reading (RF - Rj): 0.0" 0.0" 0.0" Pass/Fail Threshold or Criteria: 0.25" 0.25" 0.25" Test Result: X Pass Fall X Pass Fail X Pass Fail 0 Pass Fail Comments — (include information on repairs made prior to testing, and recommendedfollow -upforfailed tests) CERTIFICATION OF TECHNICIAN RESPONSIBLE FOR CONDUCTING THIS TESTING I hereby certify that all the information contained in this report is true, accurate, and infull compliance with legal requirements. Technician's Signature: %5?- i G-, Lfn a- Date: 3/25/2013 State laws and regulations do not currently require testing to be performed by a qualified contractor. However, local requirements may be more stringent. Advanced Compliance 3704 Littlefalls Ct. Bakersfield, Ca. 93308 661 - 706 -4321 Fax# 661 -589 -9329 VAPORLESS MANUFACTURING, INC. LDT -890 Leak Detector Test Record Contractor: Advanced Compliance Customer: ARCO Date: 3/25/2013 Location: 2301 F St. Bakersfield, Ca. Product: 87 UL 1 Technician: Bruce W. Hinsle Submersible Pump Identification Manufacturer: Red'acket Model No.: Serial No.: Notes: Leak Detector Identification Manufacturer: Red'acket Description: PLD Diaphragm-type: Piston-type: Tamper -proof seal installed: Other Style Leak Detector: Notes: Leak Detector in Submersible Pump Test at Dispenser Operating Pump Pressure (psi): 27 para. 15 Gallons per hour rate: 3.0 para. 22 Line pressure with pump shut off (psi): 18 ara. 23 Bleed -back Test with pump off (ml): 170 para. 26 Step-through time to full flow (secs): 3 para. 30 Leak detector stays in leak search position (Yes/No): Yes para. 42 Leak Detector Test Pass / Fail Notes: Pass Complete thermal expansion test beforefailing leak detector Advanced Compliance 3704 Littlefalls Ct. Bakersfield, Ca. 93308 661- 706 -4321 Fax# 661 -589 -9329 VAPORLESS MANUFACTURING, INC. LDT -890 Leak Detector Test Record Contractor: Advanced Compliance Customer: ARCO Date: 3/25/2013 Location: 2301 F St. Bakersfield, Ca. Product: 87 UL 2 Technician: Bruce W. Hinsle Submersible Pump Identification Manufacturer: Red'acket Model No.: Serial No.: Notes: Leak Detector Identification Manufacturer: Red'acket Description: PLD Diaphragm-type: Piston-type: Tamper -proof seal installed: Other Style Leak Detector: Notes: Leak Detector in Submersible Pump Test at Dis enser Operating Pump Pressure (psi): 28 para. 15 Gallons per hour rate: 3.0 para. 22 Line pressure with pump shut off (psi): 18 para. 23 Bleed -back Test with pump off (ml ): 170 para. 26 Step-through time to full flow (secs): 3 ara. 30 Leak detector stays in leak search position (Yes/No): Yes para. 42 Leak Detector Test Pass / Fail Notes: Pass Complete thermal expansion test before failing leak detector Advanced Compliance 3704 Littlefalls Ct. Bakersfield, Ca. 93308 661- 706 -4321 Fax# 661 -589 -9329 VAPORLESS MANUFACTURING, INC. LDT -890 Leak Detector Test Record Contractor: Advanced Compliance Customer: ARCO Date: 3/25/2013 Location: 2301 F St. Bakersfield, Ca. Product: 91 UL Technician: Bruce W. Hinsle nuDmersiuie rump ioenuncanon Manufacturer: Red'acket Model No.: Serial No.: I Notes: Leak Detector Identification Manufacturer: Red'acket Description: PLD Diaphragm-type: Piston-type: Tamper -proof seal installed: Other Style Leak Detector: Notes: Leak Detector in Submersible Pump Test at Dispenser Operating Pump Pressure (psi): 27 para. 15 Gallons per hour rate: 3.0 para. 22 Line pressure with pump shut off (psi): 27 para. 23 Bleed -back Test with pump off (ml): 170 para. 26 Step-through time to full flow (secs): 3 para. 30 Leak detector stays in leak search position Yes/No): Yes ara. 42 Leak Detector Test Pass / Fail Notes: Pass Complete thermal expansion test beforefailing leak detector r. SYSTEM SETUP MAR 25, 2013 2:14 PM SYSTEM UNITS U.S. SYSTEM LANGUAGE ENGLISH SYSTEM.DATE /TIME FORMAT MON DD YYYY HH:MM:SS xM ARCO am /ptn 82517 2301 F Street Bakersfield CA 93301 SHIFT TIME 1 DISABLED SHIFT TIME 2 DISABLED SHIFT TIME 3 DISABLED SHIFT TIME 4 DISABLED TANK PER TST NEEDED WRN DISABLED TANK ANN TST NEEDED WRN DISABLED LINE RE- ENABLE METHOD PASS LINE TEST LINE PER TST NEEDED WRN DISABLED LINE ANN TST NEEDED WRN DISABLED PRINT TC VOLUMES ENABLED TEMP COMPENSATION VALUE (DEG F ): 60.0 STICK HEIGHT OFFSET DISABLED ULLAGE: 90 H- PROTOCOL DATA FORMAT HEIGHT DAYLIGHT SAVING TIME ENABLED START DATE MAR WEEK 3 SUN START TIME 2:05 AM END DATE NOV WEEK 1 SUN END TIME 2:00 AM RE- DIRECT LOCAL PRINTOUT DISABLED EURO PROTOCOL PREFIX S SYSTEM SECURITY CODE : 000000 MAINTENANCE HISTORY DISABLED TANK CHART SECURITY DISABLED CUSTOM ALARMS DISABLED SERVICE NOTICE DISABLED I ISO 3166 COUNTRY 1 CODE: I VAPOR MONITORING TYPE CARB ISD j MASS /DENSITY DISABLED 1 COMMUNICATIONS SETUP PORT SETTINGS COMM BOARD : 1 (EDIM ) RS -232 SECURITY CODE : DISABLED COMM BOARD 2 (S -SAT ) BAUD RATE 9600 PARITY NONE STOP BIT 1 STOP DATA LENGTH: 8 DATA RS -232 SECURITY CODE : DISABLED DTR NORMAL STATE: HIGH COMM BOARD 5 (RS -485) BAUD RATE 9600 PARITY EVEN STOP BIT 1 STOP DATA LENGTH: 7 DATA RS -232 SECURITY CODE : DISABLED COMM BOARD 6 (RS -232) BAUD RATE 9600 PARITY NONE STOP BIT I STOP DATA LENGTH: 8 DATA RS -232 SECURITY i CODE : DISABLED i AUTO TRANSMIT SETTINGS: AUTO LEAK ALARM LIMIT DISABLED AUTO HIGH WATER LIMIT DISABLED AUTO OVERFILL LIMIT DISABLED AUTO LOW PRODUCT DISABLED AUTO THEFT LIMIT DISABLED AUTO DELIVERY START DISABLED AUTO DELIVERY END DISABLED AUTO EXTERNAL INPUT ON DISABLED AUTO EXTERNAL INPUT OFF DISABLED AUTO SENSOR FUEL ALARM DISABLED AUTO SENSOR WATER ALARM DISABLED AUTO SENSOR OUT ALARM DISABLED RECEIVER SETUP: NONE AUTO DIAL TIME SETUP: NONE RS -232 END OF MESSAGE DISABLED AUTO DIAL ALARM SETUP IN -TANK SETUP T 1:UNLEADED R PRODUCT CODE 1 THERMAL COEFF 000700 TANK DIAMETER 117.00 TANK PROFILE 4 PTS FULL VOL 10369 87.8 INCH VOL 8472 58.5 INCH VOL 5199 29.3 INCH VOL 1933 FLOAT SIZE: 4.0 IN. WATER WARNING 2.0 HIGH WATER LIMIT: 3.0 WATER ALARM FILTER: LOW MAX OR LABEL VOL: 10369 OVERFILL LIMIT 90% 9332 HIGH PRODUCT 95% 9850 DELIVERY LIMIT 10% 1036 LOW PRODUCT 800 LEAK ALARM LIMIT: 99 SUDDEN LOSS LIMIT: 99 TANK TILT 0.00 PROBE OFFSET 0.00 SIPHON MANIF'OLDED TANKS TO: NONE LINE MANIFOLDED TANKS TO: NONE LEAK MIN PERIODIC: 25% 2592 LEAK MIN ANNUAL 25% 2592 PERIODIC TEST TYPE STANDARD ANNUAL TEST FAIL ALARM DISABLED PERIODIC TEST FAIL ALARM DISABLED GROSS TEST FAIL ALARM DISABLED ANN TEST AVERAGING: OFF PER TEST AVERAGING: OFF TANK TEST NOTIFY: OFF TNK TST SIPHON BREAK:OFF DELIVERY DELAY 5 MIN PUMP THRESHOLD 10.00% I T 2:UIVLEADED R l T 3:UL PREMIUM PRODUCT CODE 1 PRODUCT CODE 3 THERMAL COEFF :.000700 THERMAL COEFF :.000700TANKDIAMETER117.00 TANK DIAMETER 117.00TANKPROFILE4PTSTANKPROFILE4PTS FULL VOL 19703 FULL VOL 1036987.8 INCH VOL 15948 87.8 INCH VOL 846058.5 INCH VOL 9879 58.5 INCH VOL 5199 29.3 INCH VOL 3801 29.3 INCH VOL 1933 FLOAT SIZE: 4.0 IN. FLOAT SIZE: 4.0 IN. WATER WARNING 2.0 WATER WARNING 2.0HIGHWATERLIMIT: 3.0 HIGH WATER LIMIT: 3.0 WATER ALARM FILTER: LOW WATER ALARM FILTER: LOW MAX OR LABEL VOL: 19703 MAX OR LABEL VOL: 10369OVERFILLLIMIT90% OVERFILL LIMIT 90% 17732 9332HIGHPRODUCT95% HIGH PRODUCTi 95% 18718 9850 DELIVERY LIMIT 10% I DELIVERY LIMIT 10% I 1970 1036 1 LOW PRODUCT 800 LOW PRODUCT 800LEAKALARMLIMIT: 99 LEAK ALARM LIMIT: 99 SUDDEN LOSS LIMIT: 99 SUDDEN LOSS LIMIT: 99TANKTILT0.00 TANK TILT 2.35 PROBE OFFSET 0.00 PROBE OFFSET 0.00 i SIPHON MANIFOLDED TANKS TO: NONE LINE MANIFOLDED TANKS Tit: 03 LEAK MIN PERIODIC: 25% 4925 LEAK MIN ANNUAL 25% 4925 - j PERIODIC TEST TYPE STANDARD ANNUAL TEST FAIL ALARM DISABLED PERIODIC TEST FAIL ALARM DISABLED i GROSS TEST FAIL ALARM DISABLED ANN TEST AVERAGING: OFF PER TEST AVERAGING: OFF TANK TEST NOTIFY: OFF TNK TST SIPHON BREAK:OFF DELIVERY DELAY 5 MIN PUMP THRESHOLD 10.00% I SIPHON MANIFOLDED TANKS TO: NONE LINE MANIFOLDED TANKS TO: 02 LEAK MIN PERIODIC: 25% 2592 LEAK MIN ANNUAL 25% 2592 PERIODIC TEST TYPE STANDARD ANNUAL TEST FAIL ALARM DISABLED PERIODIC TEST FAIL ALARM DISABLED GROSS TEST FAIL ALARM DISABLED ANN TEST AVERAGING: OFF PER TEST AVERAGING: OFF . TANK TEST NOTIFY: OFF TNK TST SIPHON BREAK:OFF DELIVERY DELAY 5 MIN PUMP THRESHOLD 10.00% LEAK TEST METHOD TEST ON DATE : ALL TANK MAR 22. 2011 START TIME : DISABLED TEST RATE :0.20 GAL /HR DURATION : 2 HOURS TST EARLY STOP :DISABLED LEAK TEST REPORT FORMAT NORMAL LIQUID SENSOR SETUP L 1:91 -67 ANNULAR TRI -STATE (SINGLE FLOAT) CATEGORY : ANNULAR SPACE L 2:91 TURBINE TRI -STATE (SINGLE FLOAT) CATEGORY : STP SUMP L 3:87 TURBINE TRI -STATE (SINGLE FLOAT) CATEGORY : STP SUMP L 4:87 MAIN ANNULAR TRI -STATE (SINGLE FLOAT) CATEGORY : ANNULAR SPACE L 5:87 TURBINE TRI -STATE (SINGLE FLOAT) CATEGORY : STP SUMP L 9:1 -2 UDC TRI -STATE (SINGLE FLOAT) CATEGORY : DISPENSER PAN L10:3 -4 UDC TRI -STATE (SINGLE FLOAT) CATEGORY : DISPENSER PAN L11:5-6 UDC TRI -STATE (SINGLE FLOAT) CATEGORY : DISPENSER PAN L12:7 -8 UDC TRI -STATE (SINGLE FLOAT) I CATEGORY : DISPENSER PAN 11 L13:9 -10 UDC TRI -STATE (SINGLE FLOAT) CATEGORY : DISPENSER PAN t L14:11 -12 UDC TRI -STATE (SINGLE FLOAT) CATEGORY : DISPENSER PAN i L15:13 -14 UDC TRI-STATE (SINGLE FLOAT) CATEGORY : DISPENSER PAN L16:15 -16 UDC TRI -STATE (SINGLE FLOAT) CATEGORY : DISPENSER PAN PUMP SENSOR SETUP S 1:UNLEADED R TANK #: 2 DISPENSE MODE: MANIFOLDED: ALTERNATE OUTPUT RELAY SETUP R 1:91 SHUTDOWN TYPE: STANDARD NORMALLY CLOSED TANK 0: IN -TANK ALARMS T 1:H1GH WATER ALARM T I:LOW PRODUCT ALARM LIQUID SENSOR ALMS ALL:FUEL ALARM ALL:SENSOR OUT ALARM ALL:SHORT ALARM ISO SITE ALARMS ISO GROSS PRES FAIL ISO DEGRD PRES FAIL ISO VAPOR LEAK FAIL ISO VP PRES FAIL 1 ISD VP STATUS FAIL ISD SETUP FAIL ISD SENSOR OUT FAIL ISD HOSE ALARMS ALL:FLOW COLLECT FAIL R 2:87 MAIN SHUTDOWN TYPE: PUMP CONTROL OUTPUT TANK 0: 2 IN -TANK ALARMS T 2 :HIGH WATER ALARM T 2:LOW PRODUCT ALARM LIQUID SENSOR ALMS ALL:FUEL ALARM ALL:SENSOR OUT ALARM ALL:SHORT ALARM ISO SITE ALARMS ISD GROSS PRES FAIL ISO DEGRD PRES FAIL ISO VAPOR LEAK FAIL i ISO VP PRES FAIL ISD VP STATUS FAIL ISO SETUP FAIL ISD SENSOR OUT FAIL ISD HOSE ALARMS ALL :FLOW COLLECT FAIL R 3 :87 TANK 2 SHUTDOWN 4 TYPE: PUMP CONTROL OUTPUT TANK #: 3 IN -TANK ALARMS T 3:HIGH WATER ALARM T 3:LOW PRODUCT ALARM LIQUID SENSOR ALMS ALL :FUEL ALARM ALL:SENSOR OUT ALARM ALL:SHORT ALARM ISD SITE ALARMS ISO GROSS PRES FAIL ISO DEGRD PRES FAIL ISO VAPOR LEAK FAIL ISO VP PRES FAIL ISD VP STATUS FAIL ISO SETUP FAIL ISO SENSOR OUT FAIL ISO HOSE ALARMS ALL:FLOW COLLECT FAIL SMARTSENSOR SETUP- - - - ACCEPT HIGH ORVR: DISABLED s 1:1 -2 AFM CATEGORY AIR FLOW METER s 2:3 -4 AFM CATEGORY AIRFLOW METER s 3:5 -6 AFM CATEGORY AIR FLOW METER s 4:7 -8 AFM CATEGORY AIR FLOW METER s 5:9 -10 AFM CATEGORY AIR FLOW METER s 6:11 -12 AFM CATEGORY AIR FLOW METER s 7:13 -14 AFM CATEGORY AIR FLOW METER s 8:15 -16 AFM CATEGORY AIR FLOW METER s 9:PRESSURE CATEGORY VAPOR PRESSURE s15:CCVP CATEGORY VAPOR VALVE 516:ATMP CATEGORY ATM P SENSOR EVR /ISD SETUP EVR TYPE: BALANCE BALANCE NOZZLE TYPE VST VAPOR PROCESSOR TYPE VEEDER -ROOT POLISHER ANALYSIS TIMES TIME: 9:59 AM DELAY MINUTES: 1 ISD HOSE TABLE ID FP FL HL AA RR 01 01 01 02 01 03 02 02 02 02 01 03 03 03 03 02 02 03 04 04 04 02 02 03 05 05 05 02 03 03 06 06 06 02 03 03 07 07 07 02 04 03 08 08 08 02 04 03 09 09 09 02 05 03 10 10 10 02 05 03 11 11 11 02 06 03 12 12 12 02 06 03 13 13 13 02 07 03 14 14 14 02 07 03 15 15 15 02 08 03 16 16 16 02 08 03 ISD AIRFLOW METER MAP ID SERIAL NUM LABEL 1 54037 1 -2 AFM 2 53479 3 -4 AFM 3 54113 5 -6 AFM 4 53477 77,8 AFM ` 5 54114 9- 1O,AFM 6 53475 11 -12 AFM 7 8 53941 53482 13 -14 AFM 15 -16 AF I ISD FUEL GRADE HOSE MAP 1 2 3 4 FP MHH MHH MHH MHH AA 01 901 101 501 U U 1 02 102 902 502 U U 1 03 903 103 503 3 U 2 04 904 104 504 3 U 2 05 905 505 105 U U 3 06 906 106 506 3 U 3 07 907 107 507 3 U 4 08 908 108 508 U U 4 09 909 509 109 U U 5 1 10 510 110 910 U U 5 11 911 111 511 U U 6 12 112 912 512 U U 6 13 913 113 513 U U 7 14 114 914 514 U U 7 15 115 915 515 U U 8 16 116 916 516 U U 8 LABEL TABLE 1: UNASSIGNED 2: BLEND3 3: REGULAR 4: MID GRADE 5: PREMIUM 6: GOLD 7: BRONZE 8: SILVER 9: BLEND2 10: BLEND4 PMC SETUP PMC VERSION: 01.04 VAPOR PROCESSOR TYPE VEEDER -ROOT POLISHER SOFTWARE REVISION CEV.EL VERSION 331.01 ` SOFTWARE# 346331 -100 -B CREATED - 11.03.22.16.28 S- MODULE# 330160 -004 -a I SYSTEM FEATURES: PERIODIC IN -TANK. TESTS ANNUAL IN -TANK TESTS ISD /APM ALARM HISTORY REPORT SENSOR ALARM - - - -- L 1:91 -87 ANNULAR ANNULAR SPACE SENSOR OUT ALARM MAR 25, 2013 11:42 AM FUEL ALARM MAR 25, 2013 10:58 AM FUEL ALARM MAR 25, 2013 10:52 AM J END H1rHKM M1'S'1'UkY "klrYUk'1' ALARM HISTORY REPORTSENSORALARM ----- ALARM HISTORY REPORT L 2:91 TURBINE STP SUMP SENSOR ALARM - - - -- SENSOR ALARM --- - SENSORL4:87 MAIN ANNULAR 6: SENSOR OUT ALARM MAR 25, 2013 11:42 AM ANNULAR SPACE SENSOR OUT ALARM OTHER SENSORS MAR 25, 2013 11:42 AM I L 7: FUEL ALARM i MAR 25. 2013 11:05 AM FUEL ALARM ! ALARM HISTORY REPORT 1 MAR 25. 2013 10:53 AM FUEL ALARM SENSOR ALARM DEC 22. 2012 8:19 AM FUEL ALARM jL3:87 TURBINE i AUG 30, 2012 12:27 PM j - - - -- SENSOR ALARM - - - -- I 1 I END x * * * END EIVD * * x x I ALARM HISTORY REPORT j - - - -- SENSOR ALARM - - - -- I L 7: i OTHER SENSORS ALARM HISTORY REPORT ALARM HISTORY REPORTSENSORALARMI jL3:87 TURBINE j - - - -- SENSOR ALARM - - - -- STP SUP L 5:87 TURBINE ISENSORMOUTALARMSTPSUMPMAR25, 2013 11:42 AM I SENSOR OUT ALARM MAR 25, 2013 11:42 AM END FUEL ALARM CMAR25, 2013 11:09 AM FUEL ALARM MAR 25. 2013 11:12 AMFUELALARM DEC 22, 2012 8:13 AM FUEL ALARM JAN 31. 2012 10:06 AM I ALARM HISTORY REPORT SENSOR ALARM - - - -- L 8: END * * OTHER SENSORS x x x x x END x x x x x x x x x x END x x x x x ALARM HISTORY REPORT SENSOR ALARM - - - -- L 9:1 -2 UDC DISPENSER PAN SENSOR OUT ALARMMAR25. 2013 11:42 AM FUEL ALARM MAR 25. 2013 11:21 AM FUEL ALARM DEC 22. 2012 8:00 AM x x x x* END x* x x x ALARM HISTORY REPORT SENSOR ALARM - - - -- 10:3-4 UDC DISPENSER PAN SENSOR OUT ALARM MAR 25. 2013 11:42 AM FUEL ALARM MAR 25. 2013 11:21 AM FUEL ALARM JAN 31. 2012 9:30 All x x* x END x x x x x ALARM HISTORY REPORT SENSOR ALARM - - - -- 1.11:5 -6 UDC D I SPE14SER PAN SENSOR OUT ALARM MAR 25, 2013 11:42 AM FUEL ALARM MAR 25. 2013 11:20 AM FUEL ALARM JAN 31, 2012 9:31 AM I x x x x x END x x x x x ALARM HISTORY REPORT SENSOR ALARM - - - -- L12:7 -8 UDC DISPENSER PAN SENSOR OUT ALARM MAR 25. 2013 11:42 AM I FUEL ALARM MAR 25, 2013 11:19 AM FUEL ALARM JAN 31. 2012 9:31 AM x x x x* END x x x x x ALARM HISTORY REPORT SENSOR ALARM - - - -- L13:9 -l0 UDC DISPENSER PAN SENSOR OUT ALARM MAR 25, 2013 11:42 AM FUEL ALARM MAR 25, 2013 11:24 AM FUEL ALARM i JAN 31, 2012 9:58 AM x x x* END x x x x x ALARM HISTORY REPORT SENSOR ALARM - - - -- L14:11-12 UDC DISPENSER PAN SENSOR OUT ALARM MAR 25. 2013 11:42 AM FUEL ALARM MAR 25, 2013 11:23 AM FUEL ALARM AUG 30. 2012 4:02 PM END * * * ** i I ALARM HISTORY REPORT SENSOR ALARM - - - -- j L15:13 -14 UDC DISPENSER PAN SENSOR OUT ALARM MAR 25, 2013 11:42 AM FUEL ALARM MAR 25, 2013 11:23 AM FUEL ALARM AUG 30, 2012 2:25 PM xxxx *END * * ** ALARM HISTORY REPORT SENSOR ALARM - - - -- L16:15 -16 UDC DISPENSER PAN SENSOR OUT ALARM MAR 25, 2013 11:42 AM FUEL ALARM MAR 25. 2013 11:22 All FUEL ALARM JAN 31, 2012 9:33 AM x x x x x END x x x x x FILLING & PERMIT- STATEMENT PERMIT # r1fB wFIwsr BAKERSFIELD FIRE DEPARTMENT Prevention Services 2101 H Street Bakersfield, CA 93301 ghnno• 441 -179-1070 a Fwv- KK1 -RS7 -7171 SITE INFORMATION LOCATION OF PROJECT Sam Sambee Enterprises Inc. PROPERTY OWNER Same STARTING DATE COMPLETION DATE NAME PROJECT NAME ADDRESS PHONE d PROJECT ADDRESS 2301 F St. CITY S AK C-R SFI ELA STATE CA ZIP CODE CONTRACTOR INFORMATION CONTRACTOR NAME AdvancedCompliance CA LICENSE s 971259 TYPE OF LICENSE ExPIRATION DATE C61 D40 3/31/2014 PHONE 661- 706 -4321 CONTRACTOR COMPANY NAME - Advanced Compliance FAX # 661- 589 -9329 , ADDRESS . 3704 Littlefalls Ct. CITY Bakersfield ZIP CODE 93312 All permits must be reviewed, stamped, and approved PRIOR TO BEGINNING WORK. Alarm - New & Modification (minimum charge) $280 Over 10,000 sq ft 0.028 x sq ft Sprinkler - New & Modification (minimum charge) 280 Over 10,000 sq R 0.028 x sq ft Minor Sprinkler Modification ( <10 heads) 96 (Inspection only) 64 Commercial Hood (New & Modification) 470 Additional hood 58 Spray Booth (New & Modification) 470 98 Aboveground Storage Tank (1 Inspection per installation) AST 180 /tank 82 Additional Tank ATI 96 /tank 82 Aboveground Storage Tank (Removal, Mod,or Inspect'n) ATR 109 /tank 82 Underground Storage Tank (installation/Inspection) NI 878 /tank 82 Underground Storage Tank (Modification) MOD 878 /site 82 Underground Storage Tank (Minor Modification) MTM 167 /site 82 Underground Storage Tank (Removal) TR 573/tank 84 11 Mandated Leak Detection (test) /Fuel Mont Cert/SB989 NOTE: $96 /hr for each type of test/per site even if scheduled at the same time TT 96/hr (2 hrs minimum) =$192 82 Oil well (Installation, Inspection, or re- Inspection) X 96 /hr 82 Tent # 96 /bent 84 After -hours inspection fee 121/hr (2 hrs minlmum) =.$242 Pyrotechnic (1 permit per event, plus an Inspection fee of 961hr during business hours) FY NOTE: After hours Pyrotechnic event Inspection is CAA 121 /hr 96 /hr + (5 hrs min standby fee/insp) =$576 5 hrs min standb fee Ins = 605 84 O Re- Inspection /Follow -up Inspection 96 /hr 84 Portable LPG (Propane): # of Cages? 96/hr 84 Explosive Storage 266 84 Copying & File Research (File Research fee $50 /hr) 0.25 /page 84 O Miscellaneous 84 4 BILLING & PERMIT STATEMENT BAKERSFIELD FIRE DEPARTMENT Prevention Services PERMIT # FRe 2101 H StreetAlrAr, Bakersfield, CA 93301 i — ..- N Mandated Leak Detection (test) /Fuel Mont Cert/SB989 NOTE: $96 /hr for each type of test/per site even If scheduled at the same time TT 96/hr (2 hrs minimum) =$192 INFORMATIONSITE LOCATION OF PROJECT PROPERTY OWNER Sam Sambee Enterprises Inc. Same Tent # STARTING DATE COMRZTION DATE NAME 84 PROJECT NAME ADDRESS PHONElI PROJECT ADDRESS 2301 F St. Icrry SAW— I5iR+_SFI Fi L-D STATE CA ZIP CODE CONTRACTOR INFORMATION 96 /hr + (5 hrs min standby fee /insp) =$576 5 hrs min standb fee Ins = 605 84 CONTRACTOR NAME CA LICENSE ! Advanced Compliance 971259 TYPE OF LICENSE C61 D40 EXPIRATION DATE 3/31/2014 PHONE # 661- 706 -4321 CONTRACTOR COMPANY NAME FAX f Advanced Compliance 661- 589 -9329 ADDRESS CI1Y ZIP CODE 3704 Littlefalls Ct. Bakersfield 93312 All permits must be reviewed, stamped, and approved PRIOR TO BEGINNING WORK. 0.25 /page 84 Miscellaneous DUE ACCT NO Alarm - New & Modification (minimum charge) F2110 i — ..- N Mandated Leak Detection (test) /Fuel Mont Cert/SB989 NOTE: $96 /hr for each type of test/per site even If scheduled at the same time TT 96/hr (2 hrs minimum) =$192 82 Oil well (Installation, Inspection, or re- Inspection) X 96 /hr 82 Tent # 96 /tent 84 After -hours Inspection fee 121 /hr (2 hrs minimum) =$242 Pyrotechnic (1 permit per event, plus an inspection fee of 96/hr during business hours) PY NOTE: After hours Pyrotechnic event Inspection Is @ 121 /hr 96 /hr + (5 hrs min standby fee /insp) =$576 5 hrs min standb fee Ins = 605 84 Re- Inspection /Follow -up Inspection 96 /hr 84 Portable LPG (Propane): # of Cages? + 96/hr 84 . Explosive Storage 266 84 Copying & File Research (File Research fee $50 /hr) 0.25 /page 84 Miscellaneous 84 it UNDERGROUND STORAGE TANKS APPLICATION TO PERFORM ELD / LINE TESTING SB989 SECONDARY CONTAINMENT TESTING TANK TIGHTNESS TEST AND TO PERFORM FUEL MONITORING CERTIFICATION PERMIT N0. ENHANCED LEAK DETECTION TANK TIGHTNESS TEST 11* - g 9 F w /RI AREA/ f BAKERSFIELD FIRE DEPT. Prevention Services 1501 Truxtun Ave., 1st Floor Bakersfield, CA 93301 Tel.: (661) 326 -3979 Fax: (661) 852 -2171 Page 1 of 1 LINE TESTING SB -989 SECONDARY CONTAINMENT TESTING X TO PERFORM FUEL MONITORING CERTIFICATION Cathodic Protection Testing SITE INFORMATION FACILITY Sam Sambee Enterprises Inc. NAME & PHONE NUMBER OF CONTACT PERSON ADDREss 2301 F. St. Bakersfield, Ca. OWNERS NAME. Same OPERATORS NAME Same PERMIT TO OPERATE NO. NUMBER OF TANKS TO BE TESTED IS PIPING GOING TO BE TESTED? YES NO TANK# VOLUME CONTENTS 1 87 UL 2 87 UL 3 91 UL TANK TESTING COMPANY NAME OF TESTING COMPANY Advanced Compliance Bruce W. Hinsley 661- 706 -4321 MAILING ADDRESS 3704 Littlefalls Ct. Bakersfield, Ca. 93312 Bruce W. Hinsley 661- 706 -4321 CERTIFICATION M A25212 DATE & TIME TEST TO BE CONDUCTED Icc #: 8032698 SIGNATURE OF APPLICANT, ` DATE 31512013 APPROVED BY DATE FD 2095 (Rev. 09/05) BAKERSFIELD CITY FIRE DEPARTMENT -- INSPECTION RECORD Post this.Card at the Job Site and DO NOT Remove for Duration of Work Inspection Request Phone No. (661) 326 -3979 UST NEW INSTALL DESCRIPTION DATE SIGNATURE BACKFILL PRIMARY PIPE SECONDARY PIPE SECONDARY CONTAINMENT SENSORS AUTHORIZATION FOR FUEL ELECTRICAL SEAK -OFF UST REMOVAL DESCRIPTION DATE SIGNATURE AST NEW INSTALL DESCRIPTION DATE SIGNATURE i MODIFICATIONS MINOR / MAJOR AST REMOVAL DESCRIPTION DATE SIGNATURE EVR UPGRADE PRIOR RTO- OPERATION -OF -ANYSYSTEM, ALL - UST - AND /OR -ASTSYSTEMS- SHAL-L-BE INSTALL,_COMP_LETEANDACCEPTED-BY --- MISC. ACTIVITY THE- BAKERSFIELD- CIT_Y_FIRE- DEPARTMENTe- 7-FIRE- DEPARTMENT(FINAL) - -- -- REMARKS: BUILDING ADDRESS: 0?,3 f oT. JOB DESCRIPTION: OCCUPANCY TYPE: OWNER: PERMIT NO. / 3 - / CEO ©0 CONTRACTOR: Ll v ,JL.e - PHONE # 706 -- 43z FD 1743 CORRECTION NOTICE BAKERSFIELD FIRE DEPARTMENT 27 00. PREVENTION SERVICES DIVISION 2101 H STREET 661) 326 -3979 Location:. cqaaI C 0 /Vfvl You are hereby required to take the following action at the above location: CORRECT &CALL FOR REINSPECTION CORRECT & PROCEED I - A I ___ a-d- e. A o be- 6cA'ea r1 1 o( b)C7SA - kC)O / I C)C cat t 0 ccPI- a t t (c_ J cPd. (CC P T' 19 S7S • 1 P Completion Date r or ctions: i- Received by: - ` 2ry..,,,.-- Inspector: 111Sp ctor -14tha _ Initial Date: t 326 -3682 Desk Phone: (from 8:00am to 8:30aM') KBF -9229 . CORRECTION NOTICE BAKERSFIELD FIRE DEPARTMENT 2700 PREVENTION SERVICES DIVISION 2101 H STREET 661) 326 -3979 Location: - You are hereby required to take the following action at the above location: CORRECT & CALL FOR REINSPECTION CORRECT & PROCEED t t S t.a a ylf -t Completion Date for , or ctions: Received by: A Z Inspector: IIAS JkM—Initial Date: Desk Phone: 32&3M ( from 8:00am to 8:30am) KBF -9229