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Home My WebLink About2700 OSWELL STREET FMC 2013HOODS ALARMS SPRINKLER SYSTEMS SPRAY BOOTH Permit No. Permit No. File Number: 30('3 Date Received: :5-- as =-I AST UST Permit No. Permit No. Permit No. Permit No. Address: Bakersfield, CA 933 Business Name: C v-d SYSTEM: BUILDING SQUARE FEET: New Mod. ST Commercial Hood System Building Sq. Feet: Fire Alarm System Calculation Bldg. Sq. Ft: 1. Fire Sprinkler System 2. Spray FWsh System 3. Aboveground Storage Tank 4. Underground Storage Tank minor modification Underground Storage Tank removal Underground Storage Tank 011 Other. INSPECTION LOG Date Time 1 6,113 %3 & 0-/- Signature Signature Comments: i « Yt Sry z 2 N-D 4/ EXP '725-113 VP--0 93,)5-61 GXA '711S/ 3 VM 3 0,11LUNG &,PERMrT STATEMENT olii[ilh;pA LREIA- T r PERMIT # Flee FIRE DEPARTMENT Pr v. e ention'Serv'ices. 210I H Street Bakersfield, CA 93301 Dhn net Adt_ 'I.)r__ln7n. -, C-.,. re. A— 1- WF sjuff!M _ - _0111 1111,1111101L66fiONPR6iF'- C SWW O USUA0 S&UIA-77— 77 0 N Y. toTA1' TREASURY DU STARTING DATE e0MfKq;6A, r,=- qlvkc NAM k6 ;i I V,5 — of a_4 Sat uwa-riPROTECTNAME b5_Wkk\ 0NU.V0,o ADDRESS iiQUID AvaVIA PHONE A I Sprinkler - New & Modification (minimum charge) 7-yu)ckAAn 1 32'1-50 aPROJECTADDRESS - I 2:1 os. , ; CITY STATEaA 11P CODE Uli Iq P111iII in IRNLq 16 ucb se TYPE OF [.!CdNSi _6V1_RAT10NrtT1A_TG Tlyw PHONE EO- a I C,L,32 70eta CONTRA OR COMPANY NAME FAX 6&riou a 1ADDRESS 4a8 crry ZIP CODE 470 58 o0 3 I checks pky.,41le to CM OF BAKERSFIELD. Thank you. PERMIT TYPE nAlarm 'New &iw]Gd (minimum charge) OEE'&LCULAiION 77 0 N Y. toTA1' TREASURY DU Over 10,000 sq ft 0 .028 x sq ft Sprinkler - New & Modification (minimum charge) 280 Over 10,000 sq ft 0 .028 x sq ft Sprinkler — Minor Modification (< 10 heads). 96 (Inspection only) 84 Commercial Hood (New & UL 300 Upgrade Modification) Additional Hood 470 58 o0 Commercial Hood - Minor Modlflcation (add/move nozzle) 96 (inspection only) 84 Spray Booth (New & Modification) 470 98 Aboveground Storage Tank (I inspection per Installation) AST 180/tank 82 Additlo4'Tank ATZ 96/tank 82 Aboveground Storage Tank (Removal, Mod,or Inspect'n) ATR 109/tank 82 Underground Storage Tank (Installation/Inspection) N1_ 878/tank 82 Underground Storage Tank (Modlflcation) MOD 878/site 82 Underground Storage Tank (Minor Modification) MTM 167 /site 82 Underground Storage Tank (Removal) TR 573/tank 84 V( Mandated UST Testing: Fuel Mont Cert/SB989/Cath.: Prot. NOTE: $96/hr for each type of test/per site/per UST system even if scheduled•at the same time 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 (I 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 standby fee /Insp) $605 84 Re-inspection/Follow-up Inspection 96/hr 84 Portable LPG (Propane): #. of Cages? 96/hr 84 Expliosive Storage 266 84 Copying & File Research (File Research fee $50/hr). 0.25/page 84 Miscellaneous 84 FD2021.( Rev_ 0S1111_ UNDERGROUND STORAGE TANKS APPLICATION ID PEP\1:C)1NUM ELDAINE: -1-i.-s1',1NG/ sB989 Si.-CONDAIZY M, 'I'ING /I'ANK AND FUH. MON11-010W.; BAKERSFIELD FIRE DEPARTNENTPUC .ration services Ave., J-600 Bakersfic!)(1, r*A 9330 1. Phone: 661-32-6-3979 q7j, D CNIIANI.TP ITAI, D11 C -1.100 0 TNIN SIT11 INI011MAIJON rACIt- 11 7 S,U)'o-o C)hLvnn.. vr,94\k 500'8 Z-WOP-u rvi IS PIPING TA N K V v 0 1. 1.1 m I" C0 N T1: PITS 2 (.)1. 1.() Ifl- TANIC TI STING COMPANY I 1,110111' 11 01'C0PJTAC*YP1:l(!;0N ag- - X3750. Ick .-WO r I -1loo 0 Jr.c 1, ll,)It J...j Iml 11) 111' CONMIC It'll La / 1 -, -,k q.60ornoL ...... . APPIM:X"11 51-2 hEI THIS APPLICATION BECOMES A PERMUT 1111MEN APPROVED 1:1,12095 tlt.!v k,6111t) 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 i AUTHORIZATION FOR FUEL ELECTRICAL SEAK -OFF TANK TESTING UST REMOVAL DESCRIPTION DATE SIGNATURE AST NEW INSTALL DESCRIPTION DATE SIGNATURE MODIFICATIONS MINOR / MAJOR AST REMOVAL DESCRIPTION DATE SIGNATURE EVR UPGRADE PRIOR TO OPERATION OF ANY SYSTEM, ALL UST AND /OR AST SYSTEMS SHALL BE INSTALL, COMPLETE AND ACCEPTED BY MISC. ACTIVITY THE- BAKERSFIELD CITY FIRE DF.PARTMCNT. FIRE DEPARTMENT (FINAL) REMARKS: BUILDING ADDRESS: 760 c,t> 5i JOB DESCRIPTION; C__ OCCUPANCY TYPE: -IF OWNER: rd PERMIT NO. 3 -/ ZQ CONTRACTOR: PHONE # FD 1743 iL NG PERMIT STATEMENT f'I' Ai iliiiii7lii!; " °. BAKERSFIELD FIRE DEPARTMENT 1 I L D Prevention. Services PERMIT # 'fR6 I l p 2101 H StreetHAPYMr Bakersfield, CA 93301 Phonp -. 661 -1263979 e Fax: 661 -RI;7-7171 LOCATION OF PROJECT PROPERTY OWNER STARTING DATE O /1 \/ — NAME — PR IECT NAME ADDRESS I..i._.__ -21 - - --- __..__ _..__ ---_. .0_.__. .x `2Jj.5___•_ —____. PHONE < l Ia1 3 13 p_l)_._.._ PR:O]ECTADDRESS A S r 1'J3 (5 cnv 11GF,1Z5 16LT STATE aA. IP CODE 933$0 ffli lffl-1:11 RIM. 14 CONTRACTOR NAME CA LICE Sr• # TYPE OF LICE CXPIRAT(ON DATE c kw ('j`/ —(' 7 016L le 1.1L__ 1 PHONE rR CONTRACTOR CO P171ANYNAMEFAX # Al 51- 1 -CO58 ADDRESS \' 1L m NJ C\ IS Y_S+s: CrfY , ZIP CODE ` X31 Please make checks PavaWe to CITY OF BAKERSFIELD. Thank yoga. Alarm - New & Modification (minimum charge) $280 xti,:Y S'?f3. ta, k},.j,$fi y.? i r" cJy ai F .:4 -.-1,i „", ' iu 'S':'rc.`C'sr 3..c, r!tYr ,i ^ 'ta ';f. ` s rl S. u , - f .- '.+a tl ., F £ - L r .t - -•'ii t. z i . ,- ry`i „_. .v + ."i4 't .f, -"` ti F z "`h +': s - , r r , f t 9 - t , . r'<•- t "': -,i:" c ,; SS1YiLWimay. *A ORDER OF; ltal of Bakersfield °r 'r 3 ' *384.00 rThree Hundred EI h Four and Owl 00:**:,, * * «. * "* ".*`"""'•.* r""`."' "`:.. ".t.` " " " "` "•. *"""" * "`. " * "' DOLLARS. B a Clty of:Bakersfield n MEMO Permits 11.01095111• 1:32227L7241: 00953414898711' i i Mandated UST Testing: Fuel Mont Cert/SB989 /Cath. Prot. NOTE: $96 /hr for each type of test/per site /per UST system seven if scheduled at the same time 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 Y 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 standby fee /insp) = $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 FD2021 (Rev 05111) p # F1"4 V N . ESi COMPLIANCE WITH CONFIDENCE" May 20, 2013 CITY OF BAKERSFIELD Attn: David Weirather Office of Environmental Services Fire Department /UST Program 2101 H Street Bakersfield, CA 93301 To Whom It May Concern: Enclosed for your approval, please find Applications to Perform Fuel Monitoring Certification and Billing and Permit Statement, along with our check in the amount of $384.00. Please fax the approved Applications and permit fee receipts to our office at 661- 587 -9758. Should you have any questions, please feel free to contact me at 631 -3870. Thank you for your attention herein. Enclosures Yours truly, CONFIDENCE UST SERVICES, INC. r\- - Karli Karns, Dispatch Coordinator 16250 Meacham Road • Bakersfield, CA 93314 661) 631 -3870 or (800) 339 -9930 FAX (661) 587 -9758 MONITORING SYSTEM CERTIFICATION For Use By All Jurisdictions Within the State ofCalifornia Authority' Cited: Chapter 6 7, Health and Safety Code; Chapter 16, Division 3, Title 23, California Code ofRegulations 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 vanel 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 this date. A. General Information Facility Name: Oswell Chervon Site Address: 2700 Oswell Street Facility Contact Person: Frank Sullivan Make/Model of Monitoring System: Veeder -Root TLS -350 B. Inventory of Equipment Tested /Certified Check we appmpH.0boxes to indicate specific equipmentinspected/serviced: City: Bakersfield Bldg. No.: Zip: 93306 Contact Phone No.: 661 - 327 -5008 Date of Testing/Servicing: 6/13/2013 Tank ID: 10000 gal. Regular Tank ID: 10000 gal. Super x] In -Tank Gauging Probe. Model: 847390-107 x] In -Tank Gauging Probe. Model: 847390 -107 Annular Space or Vault Probe. Model: Annular Space or Vault Sensor. Model: x] Piping Sump / Trench Sensor(s). Model: 794380-208 Lx] Piping Sump / Trench Sensor(s). Model: 784380 -208 N Fill Sump Sensor(s) Model: 794380-208 U Fill Sump Sensor(s). Model: 784380 -208 Mechanical Line Leak Detector. Model: Mechanical Line Leak Detector. Model: LU Electronic Line Leak Detector. Model: PLLD Ll Electronic Line Leak Detector. Model: PLLD E Tank Overfill / High Level Sensor. Model: 847390- 107 x] Tank Overfill / High Leval Sensor, Model: 847380 -107 Other (specify equip. type and model in Sec. E on Pg. 2) Other (specify equip. type and model in Sec. E on Pg. 2) Tank ID: 10000 gal. Diesel Tank ID: x] In -Tank Gauging Probe. Model :847380 -107 In -Tank Gauging Probe. Model: Annular Space or Vault Sensor. Model: Annular Space or Vault Sensor. Model: Lx] Piping Sump / Trench Sensor(s). Model794380 -208 Piping Sump / Trench Sensor(s). Model: x] Fill Sump Sensors(s). Model:794380 -208 Fill Sump Sensor(s).` Model: Mechanical Line Leak Decector. Model: Mechanical Line Leak Detector. Model: L] Electronic Line Leak Detector. Model: PLLD Electronic Line Leak Detector. Model: x1 Tank Overfill / High Level Sensor. Model: 847390-107 Tank Overfill / High Level Sensor. Model: Other (specify equip. type and model in Sec. E on Pg. 2) Other (specify equip. typs and model in Sec. E on Pg. 2) Dispenser ID: 1 & 2 Dispenser ID: 3 & 4 x-] Dispenser Containment Sensor(s). Model: 784380 - 208 x] Dispenser Containment Sensor(s). Model: 794380 -208 Ex Shear Valve(s). U Shear Valve(s). Dispenser Containment Float(s) and Chain(s). Dispenser Containment Float(s) and Chain(s) Dispenser ID: 5 & 8 Dispenser ID: 7 & 8 x] Dispenser Containment Sensor(s). Model: 794380 -208 U Dispenser Containment Sensor(s). Model: 794380 -208 x] Shear Valve(s). E Shear Valve(s). Dispenser Containment Float(s) and Chains(s). Dispenser Containment Float(s) and Chain(s). Dispenser ID: Dispenser ID: Dispenser Containment Sensor(s). Model: Dispenser Containment Sensor(s). Model: Shear Valve(s). Shear Valve(s). Dispenser Containment Float(s) and Chain(s) Dispenser Containment Float(s) and Chain(s). If the facility contains more tanks or dispensers, copy this form. Include information for every tank and dispenser at the facility. C. Certification - I certify that the equipment identified in this document was inspected /services in accordance with the manufacturers' guidlines. Attached to this Certification is information (e.g. manufacturers' checklist) necessary to varify that this information is correct and a plot plan showing the layout of monitoring equipment. For equipment capable of generating such reports, I have attached a copy of the report; (check all that apply) Syste t -up EAlarm hi o re rt Technician Name (print): Bryan A SeH Signature: Certification No: 837601 License No: 804804 Testing Company Name: Confidence UST Services, Inc.. Phone No: 800- 339 -8930 Site Address: 2700 Oswell Street, Bakerafleld, CA 93306 Date ofTesting/Servicing: 6/13/2013 D. Results of Testing/Servicing Software Version Installed: 329.01 Complete the following checklist: xx1 Yes No* Is the audible alarm operational? 7—yes No* Is the Visual alarm operational? x Yes No* Were all sensors visually inspected, functionally tested, and confirmed operational? x Yes No* Were all sensors installed at the lowest point of secondary containment and positioned so that other equipment will not interfere with their proper operation? Yes No* If alarms are relayed to a remote monitoring station, is all communications equipment (e.g. modem) Hx N/A operational? x Yes No* For pressurized piping systems, does the turbine automatically shut down if the piping secondary N/A containment monitoring system detects a leak, fails to operate, or is electrically disconnected? Ifyes: which sensors initate positive shut - down? E Sump/Trench Sensors[x]Dispenser Containment Sensors Did you confirm positive shut -down due to leaks and sensor failure /disconnected? Ox] Yes; No; X] Yes n No* For tank systems that utilize the monitoring system as the primary tank overfill warning device (i.e. no N/A mechanical overfill prevention valve is installed), is the overfill warning alarm visual and audible at the tank fill point(s) and operating properly? If so, at what percent of tank capasity does the alarm trigger? 9p % x Yes* No Was any monitoring equipment replaced? IfYes, identify specific sensors, probes, or other equipment replaced and list the manufacturer name and model for all replacement parts in Section E, below. L] Yes* No Was liquid found inside any secondary containment systems designed as dry systems? rxj Product; x Water. If yes, describe causes in Section E, below. x I Was monitoring system set-up reviewed to ensure proper settings? Attach set-up reports, ifapplicable. 2-jj Yes No* I Is all monitoring equipment operational per manufacturer's specifications? In Section E below, discribe how and when these deficiencies were or will be corrected. E. Comments: Removed a mixture ofwater and diesel fuel from the Diesel Fill, Diesel STP and Dispenser #7/8. Replaced the VR Battery in the TLS, the old battery was dead. r 1' i. 3 1 i i 1. F. In -Tank Guaging / SIR Equipment: U Check this box iftank guaging is used only for inventory control. Check this box iftank guaging or SIR equipment is installed. This section must be completed if in -tank guaging equipment is used to perform leak detection monitoring. Complete the following checklist: In the Section H, below, describe how and when these deficiencies were or will be corrected. G. Line Leak Detectors (LLD): Complete the following checklist: Check this box if LLD's are not installed. x] Yes Yes For equip. start-up or annual equipment certification, was a leak simulated to varify LLD performance? No* Has all input wiring been inspected for proper enter and termination,including testing for ground faults? r1xj x Yes No* No* Were all tank guaging probes visually inspected for damage and residue buildup? x Yes Was a testing apparatus proper y ca i rate . No* Was accuracy of system product level readings tested? x Yes No* Was accuracy of system water level readings tested? x Yes F No* Were all probes reinstalled properly? Yes No* IWere 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): Complete the following checklist: Check this box if LLD's are not installed. x] Yes No* For equip. start-up or annual equipment certification, was a leak simulated to varify LLD performance? Check all that apply) Simulated leak rate: L]3 g.p.h.: 0.I g.p.h.; 0.2 g.p.h.; x Yes No* Were all LLD's confirmed operational and accurate within regulatory requirments? No Was a testing apparatus proper y ca i rate . fxYes es No For mac amca LLD's, does the LLD restrict product flow -if rt elects a leak? x N/A L] Yes No* For electronic LLD's, does the turbine automatically shut off if the LLD detects a leak? N/A xj Yes No* For electronic LLD's, does the turbine automatically shut off if any portion of the monitoring system is N/A disabled or disconnected? LXJ Yes No* For electronic LLD's, does the turbine automatically shut off if any portion of the monitoring system N/A malfunction or fails a test? x Yes No* For electronic LLD's, have all accessible wiring connections been visually inspected? N/A Lxj 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: CHEVRON 2700 OSWELL ST BAKERSFIELD CA 53306 661 -871 -1200 JUN 13, 2013 8:35 AM SYSTEM STATUS REPORT ALL FUNCTIONS NORMAL INVENTORY REPORT T 1:SUPREME VOLUME - 3219 GALS ULLAGE = 6509 GALS 90% ULLAGE= 5536 GALS TC VOLUME - 3159 GALS HEIGHT - 34.10 INCHES WATER VOL = 9 GALS WATER = 0.82 INCHES TEMP = 86.2 DEG F T 2:DIESEL VOLUME = 2027 GALS ULLAGE = 7701 GALS 90% ULLAGE= 6728 GALS TC VOLUME = 2004 GALS HEIGHT = 24.76 INCHES WATER VOL = 0 GALS WATER = 0.00 INCHES TEMP = 84.4 DEG F T 3:UNLEADED VOLUME = 5696 GALS ULLAGE = 4032 GALS 90% ULLAGE= 3059 GALS TC VOLUME = 5590 GALS HEIGHT = 51.95 INCHES WATER VOL = 8 GALS WATER = 0.79 INCHES TEMP = 86.6 DEG F x ** x END x x x =. x SOFTWARE REVISION LEVEL VERSION 329.01 SOFTWARE# 346329 -100 -B CREATED - 09.01.29.15.44 S- MODULEU 330160 -006 -a SYSTEM FEATURES: PERIODIC IN -TANK. TESTS ANNUAL IN -TANK TESTS CSLD ISD SYSTEM SETUP JUN 13. 2013 8:35 AM SYSTEM UNITS U.S. SYSTEM LANGUAGE ENf=LISH SYSTEM DATE /TIME FORMAT MON DD YYYY HH:MiM :SS xM CHEVRON 2700 OSWELL ST BAKERSFIELD CA 93306 661- 871 -1200 SHIFT TIME 1 : 5:00 AM SHIFT TIME 2 : DISABLED SHIFT TIME 3 DISABLED SHIFT TIME 4 DISABLED TANK PER TST NEEDED WRN DISABLED TAW, ANN TST NEEDED WRN DISABLED LINE RE- ENABLE METHOD PASS LINE TEST LINE PER TST NEEDED WRN ENABLED LINE PER TST NEEDED WRN j DAYS = 25 LINE PER TST NEEDED ALM DAYS = 30 LINE ANN TST NEEDED WRN DISABLED PRINT TO VOLUMES ,& ENABLED s TEMP COMPENSATION VALUE (DEG F ): 60.0' STICK HEIGHT OFFSET DISABLED ULLAGE: 90% H- PROTOCOL DATA FORMAT j HEIGHTPRECISION T'EST"DURATION HOURS: 12 DAYLIGHT SAVING TIME ENABLED START DATE MAR WEEK 2 SUN START TIME 2:00 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 DISABLED CUSTOM ALARMS DISABLED SERVICE NOTICE DISABLED ISO 3166 COUNTRY CODE: MASS; DENSITY DISABLED COMMUNICATIONS SETUP PORT SETTINGS: COMM BOARD : 1 (EDIM i RS -232 SECURITY CODE : DISABLED COMM BOARD 3 (RS -232) BAUD RATE 9600 PARITY EVEN STOP BIT 1 STOP DATA LENGTH: 7 DATA RS -232 SECURITY CODE : DISABLED COMM BOARD : 5 (RS -485) BAUD RATE 2400 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 1 STOP DATA LENGTH: 8 DATA RS -232 SECURITY CODE : DISABLED RS -232 END OF MESSAGE SIPHON MANIFOLDED TANKS SIPHON MANIFOLDED TANKS DISABLED T#: NONET#: NONE LINE MANIFOLDED TANKSLINEMANIFOLDEDTANKSTit: NONETit: NONE LEAK IHIN PERIODIC: 1% LEAK. MIN PERIODIC: 1% 97 97 LEAK P11 N ANNUAL I go LEAK MIN ANNUAL 1% 97 97 PERIODIC, TEST TYPE PERIODIC: TEST TYPE STANDARD STANDARD ANNUAL TEST FAIL AUTO TRANSMIT SETTINGS: IN —TANK SETUP ALARM DISABLED PERIODIC TEST FAIL PERIODIC: TEST FAIL AUTO LEAK ALARM LIMIT ALARM DISABLED GROSS TEST FAIL GROSS TEST FAIL ALARM DISABLED DISABLED AUTO HIGH WATER LIMIT A. T 1:SUPREME ANN TEST AVERAGING: OFF T 2:DIESEL PRODUCT CODE 2 DISABLED PRODUCT CODE THERMAL COEFF :.000700 1 THERMAL COEFF :.000450 DELIVERY DELAY 1 h1114 AUTO OVERFILL LIMIT TANK DIAMETER 92.00 TANK DIAMETER TANK. PROFILE 92.00 4 PTSDISABLED AUTO LOW PRODUCT TANK PROFILE FULL VOL 4 PTS 9728 FULL VOL 9728 DISABLED 69.0 INCH VOL 7910 69.0 INCH VOL 46.0 INCH VOL : 7910 4864AUTOTHEFTLIMIT DISABLED 46.0 INCH VOL 4664 23.0 INCH VOL 1816 AUTO DELIVERY START 23.0 IN"'H VOL 1818 DISABLED AUTO DELIVERY END FLOAT SIZE: 4.0 IN. FLOAT SIZE: 4.0 114. DISABLED AUTO EXTERNAL INPUT ON WATER WARNING 1.0 WATER WARNING 1.0 DISABLED HIGH WATER LIMIT: 2.0 HIGH WATER LIMIT: 2.0 AUTO EXTERNAL INPUT OFF DISABLED MAX OR LABEL VOL: 9728 MAX OR LABEL VOL: 9728 AUTO SENSOR FUEL ALARM OVERFILL LIMIT 905 OVERFILL LIMIT 905 DISABLED 6755 8755 AUTO SENSOR WATER ALARM HIGH PRODUCT 95% HIGH PRODUCT 955 9241DISABLED AUTO SENSOR OUT ALARM DELIVERY LIMIT 9241 12% DELIVERY LIMIT 125 DISABLED 1167 112% LOW PRODUCT 400 LOW PRODUCT LEAK ALARM LIMIT: 400 99LEAK. ALARM LIMIT: 99 LIMIT: SUDDEN LOSS LIMIT: 99SUDDENLOSSLIMIT: 99 TANK TILT 0.00TANK. TILT 0.00 PROBE OFFSET 0.00PROBEOFFSET0.00 RS -232 END OF MESSAGE SIPHON MANIFOLDED TANKS SIPHON MANIFOLDED TANKS DISABLED T#: NONET#: NONE LINE MANIFOLDED TANKSLINEMANIFOLDEDTANKSTit: NONETit: NONE LEAK IHIN PERIODIC: 1% LEAK. MIN PERIODIC: 1% 97 97 LEAK P11 N ANNUAL I go LEAK MIN ANNUAL 1% 97 97 PERIODIC, TEST TYPE PERIODIC: TEST TYPE STANDARD STANDARD ANNUAL TEST FAIL ANNUAL TEST FAIL ALARM DISABLED ALARM DISABLED PERIODIC TEST FAIL PERIODIC: TEST FAIL ALARM DISABLED ALARM DISABLED GROSS TEST FAIL GROSS TEST FAIL ALARM DISABLED ALARM DISABLED ANIV TEST AVERAGING: OFF ANN TEST AVERAGING: OFF PER TEST AVERAGING: OFF PER TEST AVERAGING: OFF TANK TEST NOTIFY: OFF TANK. TENT NOTIFY: OFF TNK TST SIPHON BREAK:OFF TNK TST.SIPHON BREAK:OFF DELIVERY DELAY 1 h1114 DELIVERY DELAY I MIN PUMP THRESHOLD 10.00% PUMP THRESHOLD 10.00% I 1 Q 3:DIESEL T 3:UNLEADED PRODUCT CODE 3 LEAK TEST METHOD TYR:2 ".0.,3.OIN FIBERGLASSTHERMALCOEFF :.0001700 2.01N DIA LEN: 105 FEET TANK DIAMETER 92.00 TEST CSLD ALL TANK TANK PROFILE 4 PTS Pd = 95% 3.OIN DIA LEN: 115 FEETFULLVOL9728CLIMATEFACTOR:MODERATE 69.0 INCH VOL 7910 SHUTDOWN RATE: NONE 46.0 INCH VOL 4864 GROSS TEST LOW PRESSURE SHUTOFF:NO23.0 INCH VOL 1818 AUTO- CONFIRM: DISABLED LOW PRESSURE 0 PSI REPORT ONLY: T 2:DIESELFLOATSIZE: 4.0 IN. DISABLED DISPENSE MODE: STANDARD WATER WARNING 1.0 TST EARL! STOF':EIVABLED SENSOR: NON- VENTED HIGH WATER LIMIT: 2.0 PRESSURE OFFSET: O.OPSI LEAK TEST REPORT FORIhAT MAX OR LABEL VOL: 9728 NORMAL OVERFILL LIMIT 90% 8755 HIGH PRODUCT 95% 9241 DELIVERY LIMIT 12% 1167 IOW PRODUCT 400 LEAK ALARM LIMIT: 99 SUDDEN LOSS LIMIT: 99 TANK TILT 0.00 PROBE OFFSET 0.00 PRESSURE LINE LEAK SETUP LINE LEAK LOCKOUT SETUP SCHEDULE SIPHON MANIFOLDED TANKS DAILYYUT T#: NONE G I:UNLEADED START TIME: DISABLEDLINEMANIFOLDEDTANKSSTOPTIMEDISABLED T#: NONE TYP:2.O.i3.01N FIBERGLASS 2.0IN DIA LEN: 105 FEET LEAK MIN PERIODIC: 1% 3.OIN DIA LEN: 115 FEET 97 SHUTDOWN RATE: NONE LEAK MIN ANNUAL 1% LOW PRESSURE SHUTOFF:NO 97 LOW PRESSURE 0 PSI TPERIODICTESTTYPE PEN ODDISSPENSSEHEMODE: STANDARD STANDARD SENSOR: NON - VENTED LIQUIDSENSOR SETUPANNUALTESTFAILPRESSUREOFFSET: U.OPSI ALARM DISABLED L 1:UNL STPPERIODICTESTFAILTRI -STATE (SINGLE FLOAT) ALARM DISABLED CATEGORY : STP SUMP GROSS TEST FAIL ALARM DISABLED L 2:UNL FILL TRI -STATE (SINGLE FLOAT) ANN TEST AVERAGING: OFF CATEGORY : PIPING, SUMPPERTESTAVERAGING: OFF TANK TEST NOTIFY: OFF L 3:SUP STP Q 2:SUPREM TRI -STATE (SINGLE FLOAT) TNK TST SIPHON BREAK:OFF CATEGORY : STP SUMP TYP:2.Oi3.01N FIBERGLASSDELIVERYDELAY1MIN2.01N DIA LEN: 105 FEET PUMP THRESHOLD 10.00% L 4 :SUP FILL 3.0IN DIA LEN: 115 FEET TRI -STATE (SINGLE FLOAT) CATEGORY : PIPING SUMP SHUTDOWN RATE: NONE LOW PRESSURE SHUTOFF:NO LOW PRESSURE 0 PSI L 5 :DSL STP TRI -STATE (SINGLE FLOAT) T 1:SUPREME CATEGORY : STP SUMP DISPENSE MODE: STANDARD SENSOR: NON- VENTED PRESSURE OFFSET: O.OPSI U, L 6:DSL FILL TRI -STATE (SINGLE FLOAT) CATEGORY : PIPING SUMP L 7 :LISP 7 -8 TRI -STATE (SINGLE FLOAT) CATEGORY : DISPENSER PAN L B :DISP 5 -6 TRI -STATE (SINGLE FLOAT) CATEGORY : DISPENSER. PAP! L 9:DISP 1 -2 TRI -STATE (SINGLE FLOAT) CATEGORY : DISPENSER PAN Lf0:DISP 3 -4 TRI-STATE (SINGLE FLOAT) CATEGORY : DISPENSER PAN OUTPUT RELAY SETUP R 1 :OVERFILL ALARM TYPE: STANDARD NORMALLY OPEN TANK #: 1 IN -TANK ALARMS ALL:OVERFILL ALARM ALL:HIGH PRODUCT ALARM ALL:MA'r, PRODUCT 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 PLLD LINE DISABLE SETUP Q 1:UNLEADED IN -TANK, ALARMS T 3:HIGH WATER ALARM LIQUID SENSOR ALMS L 1:FUEL ALARM L 7:FUEL ALARM L B:FUEL ALARM L 9:FUEL ALARM L10:FUEL ALARM L 1:SENSOR OUT ALARM L 7:SENSOR OUT ALARM L 8:SENSOR OUT ALARM L 9:SENSOR OUT ALARM L10:SENSOR OUT ALARM L I:SHORT ALARM L 7:SHORT ALARM L B:SHORT ALARM L 9:SHORT ALARM L10:SHORT ALARM PRESSURE LINE LEAK Q 1:PLLD OPEN 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 Q 2:SUPREM IN -TANK ALARMS T 1:HIGH WATER ALARM LIQUID SENSOR ALMS L 3:FUEL ALARM L 7:FUEL ALARM L B : FUEL ALARM L 9:FUEL ALARM L10:FUEL ALARM L 3:SENSOR OUT ALARM L 7:SENSOR OUT ALARM L 8:SENSOR OUT ALARM L 9:SENSOR OUT ALARM 1_10:SENSOR OUT ALARM L 3:SHORT ALARM L 7:SHORT ALARM L 8:SHORT ALARM L 9:SHORT ALARM 1_10:SHORT ALARM PRESSURE L-INE LEAK Q 2:PLLD OPEN 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 lh J - VI LbLL IN -TANK ALARMS T 2:HIGH WATER ALARM LIQUID SENSOR ALMS L 5:FUEL ALARM L 7:FUEL ALARM L B:FUEL ALARM L 9:FUEL ALARM LIO:FUEL ALARM L 5:SENSOR OUT ALARM L 7:SENSOR OUT ALARM L B:SENSOR OUT ALARM L 9:SENSOR OUT ALARM L10:SENSOR OUT ALARM L 5:SHORT ALARM L 7:SHORT ALARM L 8:SHORT ALARM L 9:SHORT ALARM L10:SHORT ALARM PRESSURE LINE LEAK Q 3:PLLD OPEN ALARM SMARTSENSOR SETUP s 2:FM 1 -2 CATEGORY AIR FLOW METER s 3:FP1 3 -4 CATEGORY AIR FLOW METER s 4:FM 5 -6 CATEGORY AIR. FLOW METER s 5:FM 7 -8 CATEGORY AIR. FLOW METER s 7:PS 3 -4 CATEGORY VAPOR PRESSURE EVR /ISD SETUP EVR TYPE: VACUUM ASSIST VACUUM ASSIST TYPE HEALY VAC NOZZLE A/L RANGE MAX: 1.15 MIN: 0.95 VAPOR PROCESSOR TYPE NONE ANALYSIS TIMES TIME: 10:00 AM DELAY MINUTES: 1 ACCEPT HIGH ORVR: MAP DISABLED SERIAL NUM LABEL 1 ISD HOSE TABLE 1 -2 2 ID FP FL HL AA RR 01 17 01 02 01 UU 02 18 02 02 01 UU 03 19 03 02 02 UU 04 20 04 02 02 UU 05 21 05 02 03 UU 06 22 06 02 03 UU 07 23 07 02 04 UU 08 24 08 02 04 UU ISD AIRFLOW METER MAP ID SERIAL NUM LABEL 1 28307 FM 1 -2 2 28216 FM 3 -4 3 28266 FM 5 -6 4 28287 FM 7 -8 ISD FUEL GRADE HOSE MAP 1 2 3 4 FT, MHH MHH MHH MHH AA 17 201 301 901 5 U 1 18 202 302 902 5 U 1 19 203 303 903 U U 2 20 204 304 904 U U 2 21 205 305 905 U U 3 22 206 306 906 U U 3 23 207 307 907 5 U 4 24 208 308 908 5 U 4 LABEL TABLE 1: UNASSIGNED 2: BLEND3 3: REGULAR 4: MID GRADE 5: PREMIUM 6: GOLD 7: BRONZE 8: SILVER 9: BLEND2 10: BLEND4 rriu =i OF PM(,' VERSION: 01.02 VAPOR PROCESSOR TYPE NONE PROCESSOR CONTROL LEVEL: NONE CHEVRON 2700 OSWELL ST BAKERSFIELD CA 93306 661 - 871 -1200 JUN 13, 2013 8:38 AM PRESSURE LINE LEAK TEST HISTORY 0 !:UNLEADED LAST 3.0 GAL /HR PASS: JUN 13. 2013 8:31 AM FIRST 0.20 GAL /HR PASS EACH MONTH: FIRST 0.10 GAL /HR PASS EACH MONTH: END * w * * * CHEVRON 2700 OSWELL ST BAKERSFIELD CA 93306 661- 871 -1200 JUN 13. 2013 8:38 AM PRESSURE LINE LEAK TEST HISTORY 0 2:SUPREM LAST 3.0 GAL /HR PASS: JUN 13, 2013 8:29 AM FIRST 0.20 GAL /HR PASS EAC.•H MONTH: FIRST 0.10 GAL /HR PASS EACH MONTH: x END * * * * 3( CHEVRON 2700 OSWELL ST BAKERSFIELD CA 93306 661- 871 -1200 JUN 13. 2013 8:38 AM PRESSURE LINE LEAK TEST HISTORY 0 3:DIESEL LAST 3.0 GAL/HR PASS: JUN 13. 2013 4:57 AM FIRST 0.20 GAL /HR PASS EACH MONTH: FIRST 0.10 GAL /HR PASS EACH MONTH: i * * * * END * * 0 * * CHEVRON 2700 OSWELL ST MAY 1. 'u J v• i ti ry TEST LENGTH 28 HOURS CHEVRON BHKERSFIELD CA 93306 STARTING VOLUME= 3190 2700 OSWELL ST 661- 871 -1200 PERCENT VOLUME 32.8 BAKERSFIELD CA 93306 TEST LENGTH 27 HOURS TEST TYPE - CSLD 661 -871 -1200 JUN 13, 2013 8:39 AM NOV 1, 2012 12:21 AM JUN 13, 2013 8:39 AM TEST TYPE = CSLD JUN 12, 2013 4:57 AM PERCENT VOLUME = 25.6 TANK LEAK TEST HISTORY TEST LENGTH 28 HOURS STARTING VOLUME= 2967 TANK LEAK TEST HISTORY T I:SUPREME PERCENT VOLUME - 30.5 T 2:DIESEL FEB 28, 2013 2:11 AM TEST TYPE = CSLD FEB 16, 2013 9:11 PM LAST GROSS TEST PASSED: JUN 13. 2013 4:13 AM LAST GROSS.TEST PASSED: STARTING VOLUME= 3195 JUL 5, 2012 3 :48 AM2 JUN 13, 2013 7:48 AM PERCENT VOLUME = 32.9 TEST LENGTH 29 HOURS STARTING VOLUME= 2004 TEST TYPE = STANDARD STARTING VOLUME- 3362 PERCENT VOLUME - 20.6 PERCENT VOLUME 34.6 TEST TYPE - STANDARD MAR 6, 2013 5:20 AM TEST TYPE - CSLD MAR 30. 2013 9:53 AM LAST ANNUAL TEST PASSED: f * END LAST ANNUAL TEST PASSED: NO TEST PASSED AUG 1, 2012 3:31 AM TEST LENGTH 27 HOURS NO TEST PASSED FULLEST ANNUAL TEST PASS STARTING VOLUME- 3204 PERCENT VOLUME - 32.9 FULLEST ANNUAL TEST PASS NO TEST PASSED TEST TYPE - CSLD NO TEST PASSED LAST PERIODIC-TEST PASS: JUN 13, 2013 5:07 AM SEP 26, 2012 3:09 AM LAST PERIODIC TEST PASS: TEST LENGTH 31 HOURS TEST LENGTH 31 HOURS JUN 13. 2013 8:02 AM STARTING VOLUME= 2853 STARTING VOLUME= 4073 TEST LENGTH 34 HOURS PERCENT VOLUME - 29.3 PERCENT VOLUME = 41.9 STARTING VOLUME= 1959 TEST TYPE r_SLD TEST TYPE CSLD PERCENT VOLUME - 20.1 TEST TYPE = CSLD OCT 25, 2012 3:56 AM FULLEST PERIODIC TEST PASSED EACH MONTH: TEST LENGTH 26 HOURS STARTING VOLUME= 3948 FULLEST PERIODIC TEST PERCENT VOLUME 40.6 PASSED EACH MONTH: JAN 23, 2013 2:38 AM TEST TYPE CSLD JAN 5, 2013 4:20 AMTESTLENGTH27HOURSTESTLENGTHHOURSSTARTINGVOLUME- 3475 PERCENT VOLUME m 35.7 NOV 1, 2012 12:21 AM UMSTARTINGVOLUME= E= 2490 TEST TYPE = CSLD TEST LENGTH 29 HOURS PERCENT VOLUME = 25.6 STARTING VOLUME= 3931 TEST TYPE CSLD PERCENT VOLUME - 40.4 FEB 28, 2013 2:11 AM TEST TYPE = CSLD FEB 16, 2013 9:11 PMTESTLENGTH28HOURSTESTLENGTH51HOURSSTARTINGVOLUME= 3398 PERCENT VOLUME - 34.9 DEC 10, 2012 5:07 AM STARTING VOLUME= 2137 TEST TYPE CSLD TEST LENGTH 27 HOURS PERCENT VOLUME = 22.0 STARTING VOLUME= 3488 TEST TYPE CSLD PERCENT VOLUME 35.9 MAR 6, 2013 5:20 AM TEST TYPE = CSLD MAR 30. 2013 9:53 AMTESTLENGTH25HOURS STARTING VOLUME- 3395 f * END TEST LENGTH 48 HOURS PERCENT VOLUME = 34.9 STARTING VOLUME= 1961 TEST TYPE CSLD PERCENT VOLUME = 20.2 TEST TYPE CSLD APR 25, 2013 12:04 AM APR 5, 2013 10:48 AMTESTLENGTH31HOURS STARTING VOLUME 3336 TEST LENGTH 40 HOURS PERCENT VOLUME = 34.3 STARTING VOLUME= 1990 TEST TYPE a CSLD PERCENT VOLUME = 20.5 TEST TYPE = CSLD MAY 31, 2013 12:48 PM TEST LENGTH 60 HOURS STARTING VOLUME- 2079 PERCENT VOLUME - 21.4 TEST TYPE = CSLD JUN 1, 2013 12:52 All TEST LENGTH 60 HOURS STARTING VOLUME- 2079 PERCENT VOLUME 21.4 TEST TYPE - CSLD JUL 30, 2012 7:13 AM TEST LENGTH 44 HOURS STARTING VOLUME- 1744 PERCENT VOLUME CSLD 17.9 TEST TYPE _ AUG 11, 2012 9:34 AM TEST LENGTH 38 HOURS STARTING VOLUME- 2149 PERCENT VOLUME 22.1 TEST TYPE = CSLD SEP 2, 2012 6:38 AM TEST LENGTH 39 HOURS STARTING VOLUME= 1945 PERCENT VOLUME 20.0 TEST TYPE = CSLD OCT 14. 2012 3:19 AM TEST LENGTH 51 HOURS STARTING VOLUME= 1992 PERCENT VOLUME 20.5 TEST TYPE = CSLD NOV 22. 2012 6:07 AM TEST LENGTH 43 HOURS STARTING VOLUME= 1972 PERCENT VOLUME 20.3 TEST TYPE = CSLD DEC 31, 2012 1:48 PM TEST LENGTH 52 HOURS STARTING VOLUME= 2262 PERCENT VOLUME = 23.5 TEST TYPE = CSLD A x x x x END x x x x x 2700 OSWELL ST BAKERSFIELD CA 93306 661 - 871 -1200 JUN 13, 2013 8:39 AM TANK LEAK TEST HISTORY T 3:UNLEADED LAST GROSS TEST PASSED: JUN 13, 2013 4:12 AM STARTING VOLUME= 5891 PERCENT VOLUME = 60.6 TEST TYPE = STANDARD LAST ANNUAL TEST PASSED: NO TEST PASSED FULLEST ANNUAL TEST PASS NO TEST PASSED LAST PERIODIC TEST PASS: JUN 13, 2013 5:07 AM TEST LENGTH 28 HOURS STARTING VOLUME= 6437 PERCENT VOLUME = 66.2 TEST TYPE = CSLD FULLEST PERIODIC TEST PASSED EACH MONTH: JAN 28, 2013 2:11 AM TEST LENGTH 28 HOURS STARTING VOLUME= 7253 PERCENT VOLUME 74.6 TEST TYPE = CSLD FEB 6, 2013 4:19 AM TEST LENGTH 25 HOURS STARTING VOLUME- 7379 PERCENT VOLUME 75.9 TEST TYPE = CSLD MAR 27, 2013 5:05 AM TEST LENGTH 25 HOURS STARTING VOLUME= 6886 PERCENT VOLUME 70.8 TEST TYPE = CSLD APR 22, 2013 3:47 AM TEST LENGTH 30 HOURS STARTING VOLUME= 7259 PERCENT VOLUME 74.6 TEST TYPE = CSLD MAY 2. 2013 2:51 AM TEST LENGTH 27 HOURS STARTING VOLUME= 7130 PERCENT VOLUME = 73.3 TEST TYPE = CSLD JUN 12, 2013 4:b'7 AM TEST LENGTH 27 HOURS STARTING VOLUME- 6675 PERCENT VOLUME 68.6 TEST TYPE = CSLD JUL 31, 2012 3:54 AM TEST LENGTH 24 HOURS STARTING VOLUME= 6950 PERCENT VOLUME = 71.4 TEST TYPE - CSLD AUG 7. 2012 5:11 AM TEST LENGTH 22 HOURS STARTING VOLUP1E= 7233 PERCENT VOLUME = 74.4 TEST TYPE = CSLD SEP 7. 2012 5:08 AM TEST LENGTH 28 HOURS STARTING VOLUME= 7025 PERCENT VOLUME = 72.2 TEST TYPE = CSLD OCT 7, 2012 5:51 AM TEST LENGTH 22 HOURS STARTING VOLUME= 6303 PERCENT VOLUME a 64.8 TEST TYPE = CSLD NOV 25, 2012 3:23 AM TEST LENGTH 23 HOURS STARTING VOLUME= 6804 PERCENT VOLUME = 70.0 TEST TYPE - CSLD DEC 24. 2012 4:05 AIM TEST LENGTH 23 HOURS STARTING, VOLUME= 6852 PERCENT VOLUME 70.4 TEST TYPE - CSLD x x x x x END x x x x x ALARM HISTORY REPORT SYSTEM ALARM PAPER OUT JUN 11, 2013 6:17 PM PRINTER ERROR JUN 1 1 , 2013 6:25 P1°1 ALARM HISTORY REPORT HLHRP1 H 1 STURY REPORT HLHKln "ln l vA x nr..r - a IN -TANK ALARM IN -TANK ALARM - - - -- SENSOR ALARM - - - -- L 2:UNL FILL T 1:SUPREME T 3 :UNLEADED PIPING SUMP FUEL ALARM OVERFILL ALARM OVERFILL ALARM JUN Il, 2012 1:44 PM MAR 8, 2010 9:36 AM FEB 28. 2013 DEC 27, 2012 2:27 AM 2:15 AM SENSOR OUT ALARM SUDDEN LOSS ALARM DEC 5, 2012 12:29 AM JUN 11, 2012 1 :43 PM JUN 11. 2012 1:08 PM LOW PRODUCT ALARM FUEL ALARM HIGH PRODUCT ALARM OCT 5, 2012 4:05 PM JUN 11, 2012 1:23 PM JUN 11, 2012 1:36 PM SEP 21, 2012 5:58 PM JUN 9, 2011 9:08 AM SUDDEN LOSS ALARM PROBE OUT JUN 11, 2012 1:09 PM JUN 11, 2012 1:36 PM JUN 11, 2012 1 :08 PM HIGH PRODUCT ALARM JUN 9, 2011 9:08 AM JUN 11, 2012 1:34 PM SEP 16, 2011 10:50 PM HIGH WATER WARNING JUN 9, 2011 9:07 AM MAR 8, 2010 9:35 AM INVALID FUEL LEVEL END * ' OCT 5, 2012, 3:59 PM DELIVERY NEEDED SEP 21. 2012 5:49 PM DEC 28, 2012 2:44 PM JUN 9, 2011 8:43 AM SEP 23, 2012 9:13 PM APR 23, 2012 7:03 AM PROBE UUT JUN 11, 2012 1:35 PM MAX PRODUCT ALARM JUN 9, 2011 9:07 AM JUN 9. 2011 9:08 AM JUN 9. 2011 8:43 AM HIGH WATER WARNING LOW TEMP WARNING MAR 8, 2010 9:46 AM JUN 9, 2011 MAR 8. 2010 8:49 AM 9:34 AM ALARM HISTORY REPORT SENSOR ALARM - - - -- DELIVERY NEEDED L 3:SUP STP MAR 25, 2013 4:27 PM STP SUMP MAR 17, 2013 7:23 PM SENSOR OUT ALARM FEB 9. 2013 5:36 PM JUN 11, 2012 1:43 PM MAX PRODUCT ALARM FUEL ALARM JUN 9, 2011 9:07 AM JUN 11, 2012 1:14 PM MAR 8, 2010 9:37 AM END SENSOR OUT ALARM JUN 9, 2011 9:11 AM NO CSLD IDLE TIME APR 30. 2012 7:40 PM OCT 2. 2011 11:37 AM LOW TEMP WARNING JUN 11, 2012 1:36 PM MAR 8, 2010 9:47 AM ALARM HISTORY REPORT * * END IN -TANK ALARM - - - -- T 2:DIESEL SUDDEN LOSS ALARM JUN 9, 2011 8:40 AM HIGH PRODUCT ALARM JUN 11, 2012 1:38 PM JUN 9, 2011 9:09 AMMAR8, 2010 9:38 AM INVALID FUEL LEVEL JUL 20, 2011 3:55 AM PROBE OUT JUN 11, 2012 1:38 PM JUN 11. 2012 1:07 PMJUN9. 2011 9:09 AM DELIVERY NEEDED JUN 3, 2013 5:59 PMMAY2, 2013 7:26 AM APR 8. 2013 1:17 PM MAX PRODUCT ALARM JUN 9, 2011 9:09 AM MAR 8. 2010 9:38 AM LOW TEMP WARNING JUN I1. 2012 1:39 PM JUN 9, 2011 9:10 AM x * * END * * * * * ALARM HISTORY REPORT SENSOR ALARM - - - -- L 1:UNL STP STP SUMP SENSOR OUT ALARM JUN 11, 2012 1:43 PM FUEL ALARM JUN 11, 2012 1:13 PM SENSOR OUT ALARM JUN 9, 2011 9:11 AM i ALARM HISTORY REPORT ALARM HISTORY REPORT ALARM HISTORY REPORT SENSOR ALARM - - - -- L 4:SUP FILL PIPING SUMP FUEL ALARM JUN 11, 2012 1:44 PM SENSOR OUT ALARM JUN 11, 2012 1:43 PM FUEL ALARM JUN 11, 2012 1:23 PH x x x x END x x x x x ALARM HISTORY REPORT SENSOR ALARM - - - -- L 5:DSL STP STP SUMP SENSOR OUT ALARM JUN 11, 2012 1:43 PM FUEL ALARM JUN 11, 2012 1:14 PM SENSOR OUT ALARM JUN 9. 2011 9:11 AM SENSOR ALARM - - - -- L 6:DSL FILL PIPIN]" SUMP SENSOR OUT ALARM JUN 11, 2012 1:43 PM FUEL ALARM JUN 11, 2012 1:24 PM SENSOR OUT ALARM JUN 9, 2011 9:11 AM x*** END x x x x x ALARM HISTORY REPORT SENSOR ALARM - - - -- L 7:DISP 7 -8 DISPENSER PAN SENSOR OUT ALARM JUN 11 , 2012 1:44 PI11 FUEL ALARM JUN 11, 2012 1:22 PM SENSOR OUT ALARM JUN 9, 2011 9:11 AM SENSOR ALARM - - - -- L 8:DISP 5 -6 DISPENSER PAN SENSOR OUT ALARM OU14 11, 2012 1:44 PM FUEL ALARM JUN 11, 2012 1:21 PM SENSOR OUT ALARM JUN 9, 2011 9:11 AM x x x END x x* x* ALARM HISTORY REPORT SENSOR ALARM - - - -- L 9:DISP 1 -2 DISPENSER PAN SENSOR OUT ALARM JUN 11, 2012 1:43 PM FUEL ALARM JUN 11, 2012 1:19 PM SENSOR OUT ALARM JUN 9, 2011 9:11 AM x x x x x END * * ** x * x x x x END ** x x x x x x x x END x x x ** ALARM HISTORY REPORT SENSOR ALARM - - - -- Ll0:DISP 3 -4 DISPENSER PAN SENSOR OUT ALARM JUN 11. 2012 1:44 PM FUEL ALARM JUN 1l, 2012 1:20 PM SENSOR OUT ALARM JUN 9, 2011 9:11 AM x ** x x END x x x x x ALARM HISTORY REPORT SENSOR ALARM - - - -- 9 I:UNLEADED PLLD SHUTDOWN ALARM MAR 25. 2013 10:02 AM PLLD SHUTDOWN ALARM MAR 24, 2013 10:02 AM PLLD SHUTDOWN ALARM MAR 23, 2013 10:02 AM FUEL OUT OCT 5. 2012 5:09 PM PLLD SHUTDOWN ALARM OCT 2. 2012 10 :05 AM PLLD SHUTDOWN ALARM AUG 22. 2012 10:03 All PLLD SHUTDOWN ALARM AUG 11, 2012 10:04 AM PLLD SHUTDOWN ALARM JUL 20, 2012 10:03 AM GROSS LINE FAIL JUL 5. 2012 4:44 PM GROSS LINE FAIL JUL 5. 2012 4:15 PM ALARM HISTORY REPORT SENSOR ALARM - - - -- 9 2:SUPREM PLLD SHUTDOWN ALARM MAR 25, 2013 10:02 AM PLLD SHUTDOWN ALARM MAR 24, 2013 10:02 AM PLLD SHUTDOWN ALARM MAR 23, 2013 10:02 All GROSS LINE FAIL FEB 16, 2013 6:02 AM GROSS LINE FAIL JAN 9, 2013 2:50 PM GROSS LINE FAIL JAN 9, 2013 2:46 PM GROSS LINE FAIL JAN 9, 2013 2:38 PM GROSS LINE FAIL JAN 3, 2013 8:14 AM PLLD SHUTDOWN ALARM OCT 2, 2012 10:05 AM PLLD SHUTDOWN ALARM AUG 22, 2012 10:03 AM x* * x x EIVD x x** x ALARM HISTORY REPORT SENSOR ALARM - - - -- G 3:DIESEL GROSS LINE FAIL JUL 13, 2012 11:44 AM PLLD SHUTDOWN ALARM JUN 25, 2012 11:51 All GROSS LINE FAIL JUN 25, 2012 11 :51 AM PLLD SHUTDOWN ALARM JUN 25, 2012 11:43 AM GROSS LINE FAIL JUN 25, 2012 11:43 AM PLLD SHUTDOWN ALARM JUN 18, 2012 5:46 PM GROSS LINE FAIL JUN 1B, 2012 5:46 PM PLLD SHUTDOWN ALARM JUN 18, 2012 5:09 PM GROSS LINE FAIL JUN 16, 2012 5:09 PM PLLD SHUTDOWN ALARM JUN 18, 2012 4:10 PM x x x x x END x x x x x IN -TANK ALARM - - - -- T 3:UNLEADED IN-TANK ALARM HIGH WATER WARNING T 2:DIESEL JUN 13. 2013 9:08 HM IN -TANK. ALARM - - - -- LOW PRODUCT ALARM T 3:UNLEADED JUN 13. 2013 9:05 AM PROBE OUT JUN 13, 2013 9:02 AM PRESSURE LINE LEAK ALARM 0 3:DIESEL IN -TANK ALARM - - - -- PLLD SHUTDOWN ALARM T 2:DIESEL JUN 13, 2013 9:15 AI °1 IN -TANK ALARM - - - -- INVALID FUEL LEVEL T (:SUPREME JUN 13, 2013 9:05 AM DELIVERY NEEDED JUN 13, 2013 9:03 AM SENSOR ALARM - - - -- L 5:OSL STP STP SUMPIN -TANK ALARM - - - -- FUEL ALARMT2:DIESEL JUN 13, 2013 9:15 AM IN -TANK ALARM -- PROBE OUT T 1:2UPREME JUN 13, 2013 9:05 AM PROBE OUT JUN 13, 2013 9:03 AM GROSS_ INCREASE= ' 3010 TC NET INCREASE= "2957 PRE,cnURE LINE LEAK ALARM G 1:UNLEADED PLLD SHUTDOWN ALARM IN -TANK ALARM - - - -- JUN 13, 2013 9:17 AM T 2:DIESEL DELIVERY NEEDED JUN 13, 2013 9 :05 AM PRESSURE LINE LEAK ALARM 0 2:SUPREMT3:UNLEADED PLLD SHUTDOWN ALARMINVENTOR;' INCREASE JUN 13, 2013 9:16 All IN -TANK ALARM - - - -- T 1:SUPREM INCREASE START LOW TEMP WAWARNING JUN 13, 2013 9:02 AM JUN 13, 2013 9:04 AM VOLUME = 5311 GALS HEIGHT = 49.19 INCHES WATER = 0.76 1NCHES TEMP = 96.6 DEG. F SENSOR ALARM - - - -- INCREASE END L 3:SUP STPJUN13, 2013 9:05 AM STP SUMP I14 -TANK ALARM - - - -- VOLUME 8321 GALS FUEL ALARM JUN 13, 2013 9:16 AM T 2:DIESEL HEIGHT - 72.65 INCHES SUDDEN LOSS ALARM WATER = 1.05 INCHES JUN 13. 2013 9:05 AM TEMP - 85.9 DEG F GROSS_ INCREASE= ' 3010 TC NET INCREASE= "2957 PRE,cnURE LINE LEAK ALARM G 1:UNLEADED PLLD SHUTDOWN ALARM IN -TANK ALARM - - - -- JUN 13, 2013 9:17 AM T 2:DIESEL DELIVERY NEEDED JUN 13, 2013 9 :05 AM PRESSURE LINE LEAK ALARM Q 2:SUPREM - - - -- SENSOR ALARM - - - -- PLLD SHUTDOWN ALARM L 7:DISP 7 -8 SENSOR ALARM - - - -- JUN 13, 2013 9:19 AM DISPENSER PAN L 1:UNL STP FUEL ALARM STP SUMP JUN 13, 2013 9:20 AM FUEL ALARM JUN 13, 2013 9:17 AM PRESSURE LINE LEAK ALARM Q 3:DIESEL PLLD SHUTDOWN ALARM PRESSURE LINE LEAK ALARMJUN13, 2013 9:19 AM Q 'I:UNLEADED PRESSURE LINE LEAK ALARM PLLD SHUTDOWN ALARM Q 1:UNLEADED JUN 13. 2013 9:21 AM PLLD SHUTDOWN ALARM JUN 13, 2013 9:19 AM SENSOR ALARM - - - -- L 9:DISP 1 -2 DISPENSER PAN PRESSURE LINE LEAK ALARM FUEL ALARM 0 2:SUPREM PRESSURE LINE LEAK ALARM JUN 13, 2013 9:19 AM PLLD SHUTDOWN ALARM Q 2:SUPREM JUN 13, 2013 9:21 AM PLLD SHUTDOWN ALARM JUN 13, 2013 9:19 All PRESSURE LINE LEAK ALARM Q 1:UNLEADED PRESSURE LINE LEAK ALARMPLLDSHUTDOWNALARMQ3:DIESEL PRESSURE LINE LEAK ALARM JUN 13, 2013 9:20 AM PLLD SHUTDOWN ALARM Q 3:DIESEL JUN 13, 2013 9:21 All PLLD SHUTDOWN ALARM JUN 13, 2013 9:19 AM PRESSURE LINE LEAK ALARM 0 2:SUPREM - - - -- SENSOR ALARM - - - -- PLLD SHUTDOWN ALARM L 8:DISP 5 -6 SENSOR ALARM - - - -- JUN 13. 2013 9:20 AM DISPENSER PAN L10:DI,QP 3 -4 FUEL ALARM DISPENSER PAN JUN 13, 2013 9:21 AM FUEL ALARM JUN 13. 2013 9:19 AM SYSTEM STATUS REPORT T 3:HIGH WATER WARNING PRESSURE LINE LEAK ALARM Q 3:DfESEL PLLD SHUTDOWN ALARM CHEVRONJUN13. 2013 9:20 AM 2700 OSWELL ST PRESSURE LINE LEAK ALARM BAKERSFIELD CA 93306 Q 1:UNLEADED 661 -871 -1200PLLDSHUTDOWNALARM JUN 13, 2013 9:19 AM JUN 13, 2013 9:23 AM SYSTEM STATUS REPORT T 3:HIGH WATER WARNING CHEVRON 2700 OSWELL ST BAKERSFIELD CA 93:306 661 - 871 -1200 JUN 13, 2013 9:23 AM SYSTEM STATUS REPORT T 3:HIGH WATER WARNING PRESSURE LINE LEAK ALARM 0 1:UNLEADED PLLD SHUTDOWN ALARM JUN 13, 2013 9:30 AM SENSOR ALARM - - - -- L 1:UNL STP STP SUMP SENSOR OUT ALARM JUN 13. 2013 9:30 AM SENSOR ALARM2:UNL FILL PIPING SUMP SENSOR OUT ALARM JUN 13, 2013 9:30 AM PRESSURE LINE LEAK ALARM 0 2:SUPREM PLLD SHUTDOWN ALARM JUN 13, 2013 9:30 AM SENSOR ALARM - - - -- L 3:SUP STP STP SUMP SENSOR OUT ALARM JUN 13, 2013 9:30 AM SENSOR ALARM - - - -- L 4 :SUP FILL PIPING SUMP SENSOR OUT ALARM JUN 13, 2013 9:30 AM PRESSURE LINE LEAK ALARM 0 3:DIESEL PLLD SHUTDOWN ALARM JUN 13. 2013 9:30 AM SENSOR ALARM - - - -- L 5:DSL STP STP SUMP SENSOR OUT ALARM JUN 13, 2013 9:30 AM SENSOR ALARM - - - -- L 7:DISP 7 -8 DISPENSER PAN SENSOR OUT ALARM JUN 13. 2013 9:30 AM SENSOR ALARM - -- - L 6:DSL FILL PIPING SUMP SENSOR OUT ALARM JUN 13, 2013 9 :30 AM SENSOR ALARM - - - -- L 9:DISP 1 -2 DISPENSER PAN SENSOR. OUT ALARM JUN 13, 2013 9:30 AM SENSOR ALARM - - - -- L 8:DISP 5 -6 DISPENSER PAN SENSOR OUT ALARM JUN 13, 2013 9:30 AM SENSOR ALARM - - - -- L10:DISP 3 -4 DISPENSER PAN SENSOR OUT ALARM JUN 13, 2013 9:30 AM SENSOR ALARM - - - -- L 6:DSL FILL PIPING SUMP FUEL ALARM JUN 13, 2013 9:33 AM SENSOR ALARM - - - -- - - -- IN -TANK ALARM - - - -- L -:SUP FILL - IN -TANK ALARM - - - -- T 1:SUPREME T 2:DIESEL OVERFILL ALARMPIPINGSUMPLOWTEMPWARNINGJUN13. 2013 9:55 AMFUELIAI.ARM 9:35 AM JUN 13. 2013 9:53 AM IN -TANK ALARM - - - -- T -:DIESEL T I: SUPREMESENSORALARM - - - -- L 2 :UNL FILL INVENTORY INCREASE PROBE JUN 13 013 9:55 AMPIPINGSUMPINCREASESTARTFUELALARMJUN13. 2013 9:51 AMJUN13. 2013 9:36 AM VOLUME = 9093 GALS HEIGHT = 80.59 INCHES WATER = 0.96 INCHES TEMP = 80.8 DEG F GROSS INCREASE= 635 TC NET INCREASE- 626 IN -TANK ALARM - - - -- T 3:UNLEADED OVERFILL ALARMIN -TANK ALARM T 2:DIESEL JUN 13. 2013 9:57 AM OVERFILL ALARM JUN 13, 2013 9:52 AM IN -TANK ALARM - - - -- T I:SUPREME HIGH PRODUCT ALARM JUN 13, 2013 9:55 AM - - -- IN -TANK ALARM - - - -- T 3:UNLEADED IN -TANK ALARM - - - -- MAX PRODUCT ALARM T 2:DIESEL JUN 13, 2013 9:57 AM MAX PRODUCT ALARM JUN 13. 2013 9:52 AM IN -TANK ALARM T 1:SUPREME MAX PRODUCT ALARM JUN 13, 2013 9:55 AM - - -- 1N -TANK ALARM - - - -- T 3:UNLEADED IN -TANK ALARM - - - -- PROBE OUT T 2:DIESEL JUN 13. 2013 9:57 AM PROBE OUT JUN 13. 2013 9:52 AM INCREASE END IN -TANY, ALARM - - - -- JUN 13. 2013 9:54 AM T 3:UNLEADED HIGH PRODUCT ALARMIN -TANK ALARM - - - -- VOLUME 9728 GALS JUN 13, 2013 9:57 AMT -:DIESEL HEIGHT 108.70 INCHESHIGHPRODUCTALARMWATER0.94 IJUN13, 2013 9:52 AM TEMP 81.6 DEEGHES G F GROSS INCREASE= 635 TC NET INCREASE- 626 IN -TANK ALARM - - - -- T 3:UNLEADED OVERFILL ALARMIN -TANK ALARM T 2:DIESEL JUN 13. 2013 9:57 AM OVERFILL ALARM JUN 13, 2013 9:52 AM IN -TANK ALARM - - - -- T I:SUPREME HIGH PRODUCT ALARM JUN 13, 2013 9:55 AM - - -- IN -TANK ALARM - - - -- T 3:UNLEADED IN -TANK ALARM - - - -- MAX PRODUCT ALARM T 2:DIESEL JUN 13, 2013 9:57 AM MAX PRODUCT ALARM JUN 13. 2013 9:52 AM IN -TANK ALARM T 1:SUPREME MAX PRODUCT ALARM JUN 13, 2013 9:55 AM - - -- 1N -TANK ALARM - - - -- T 3:UNLEADED IN -TANK ALARM - - - -- PROBE OUT T 2:DIESEL JUN 13. 2013 9:57 AM PROBE OUT JUN 13. 2013 9:52 AM T 1:SUPREME INVENTORY INCREASE INCREASE START JUN 13. 2013 9:54 AM VOLUME = 8261 GALS PRESSURE LINE LEAK ALARMHEIGHT = 72.10 INCHES 0 I:UNLEADEDWATER = 0.00 INCHES GROSS LINE FAILTEMP = 90.3 DEC F JUN 13, 2013 10:08 AM INCREASE END JUN 13. 2013 9:57 AM VOLUME 9728 GALS HEIGHT 103.86 INCHES WATER 0.00 INCHES PRESSURE LINE LEAK: ALARM TEMP 90.2 DEG F 0 I:UNLEADED CHEVRON 2700 OSWELL STGROSSINCREASE= 1467 BAKERSFIELD CA 93306TCNETIN:REASE= 1437 661 -871 -1_00 JUN 13, 2013 10:10 AM SYSTEM STATUS REPORT 41 1:GR0SS LINE FAIL IN -TANK ALARM - - - -- T 3:UNLEADED LOW TEMP WARNING JUN 13. 2013 9:58 AM CHEVRON 2700 OSWELL ST BAKERSFIELD CA 93306 661 - 871 -1200 T 3:UNLEADED JUN 13, 2013 10:10 AM INVENTORY INCREASE INCREASE START SYSTEM STATUS REPORTJUN13, 2013 9:56 AM - - - - - - - - - - - - VOL.UME - 8321 GALS 0 !:GROSS LINE FAIL HEIGHT = 72.66 INCHES WATER = 1.06 INCHES TEMP = 92.7 DEG F INCREASE END JUN 13, 2013 9:59 AM VOLUME 9728 GALS HEIGHT 110.59 INCHES WATER 0.97 INCHES PRESSURE LINE LEAK: ALARMTEMP92.3 DEG F 0 I:UNLEADED GROSS LINE FAIL JUN 13. 2013 10:11 AM GROSS INCREASE= 1407 TC NET INCREASE= 1378 PRESSURE LINE LEAK ALARM G 2:SUPREM GROSS LINE FAIL JUIV 13, 2013 10:16 AM CHEVRON 2700 OSWELL ST BAKERSFIELD CA 93306 661- 871 -1200 JUN 13, 2013 10:17 AM SYSTEM STATUS REPORT G 2:GROSS LINE FAIL PRESSURE LINE LEAK ALARM 0 3:DIESEL GROSS LINE FAIL JUN 13, 2013 10:20 AM SENSOR ALARM L 6:DSL FILL PIPING SUMP FUEL ALARM JUN 13, 2013 11:08 AM SENSOR ALARM - - - -- L 6:DSL FILL PIPING SUMP FUEL ALARM JUN 13. 2013 11:10 AM CHEVRON 2700 OSWELL ST BAKERSFIELD CA 93306_ 661 -871 -1200 JUN t3, 2013 11:49 AM SYSTEM STATUS REPORT ALL FUNCTIONS NORMAL SWRCB, January 2006 Spill Bucket Testing Report Form Thisform is intendedfor use by contractorsperforming annual testing of USTspill 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: Oswell Chevron I Date of Testing: 6/13/2013 Facility Address: - 2700 Oswell Street, Bakersfield, CA 93306 Facility Contact: Frank Sullivan I Phone: 661 - 327 -5008 Date Local Agency Was Notified of Testing: 5/20/2013 Name of Local Agency Inspector (fpresent during testing): Ernie Medina 2. TESTING CONTRACTOR INFORMATION Company Name: Confidence UST Services, Inc. Technician Conducting Test: Bryan A Self Credentials: Z CSLB Contractor 9 ICC Service Tech. El SWRCB Tank Tester Other (Spec) License Number(s): CSLB# 804904 ICC# 8022804 -UT TT # 11 -1756 3. SPILL BUCKET TESTING INFORMATION Test Method Used: x Hydrostatic Vacuum Other Test Equipment Used: Lake Test Equipment Resolution: 0.0625" Identify Spill Bucket (By Tank Number, Stored Product, etc) 1 Regular 2 Super 3 Diesel 4 Bucket Installation Type: Direct Bury x Contained in Sump Direct Bury Z Contained in Sump Direct Bury OO Contained in Sump Direct Bury Contained in Sum Bucket Diameter: 12.00" 12.00" 12.00" Bucket Depth: 12.00" 12.00" 12.00" Wait time between applying vacuum/water and start oftest: 5 min. 5 min. 5 min. Test Start Time (Tj): 9:00am 9:00am 9:00am Initial Reading (111): 9.75" 10.00" 9.75" Test End Time (TF): 10:00am 10:00am 10:00am Final Reading (RF): 9.75" 10.00" 9.75" Test Duration (TF — TI): 1 hour I hour l hour Change in Reading (RF -Rj): 0.00" 0.00" 0.00" Pass/Fail Threshold or Criteria: 0.0625" 0.0625" 0.0625" Test Result: O Pass Fail 21 Pass Fail Pass Fail Pass Fail Comments — (include information on repairs madeprior 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,,y accurate, and Infull compliance with legal requirements. Technician's Date: 6/13/2013 State laws and regulations do not curtly require testing tobe perfl5rmed by a qualified contractor. However, local requirements may be more stringent. 1 1 .. cil q' a ., ;. i. a irt. . fit). i, `i. ., e 1 1. i. t.. _ _ - .... .._ iW" 1 ri:t ' ' a. IS'• _ F` a 1. r f'9ie . 1 i 1 \t'. 1 .. \..1 ..t. 5: i... ..tom. t .. :1S'Y w a.i. ... { 1 , t J i' .'1 - . i 1.. J, .{ i,. I'll 1 ' . t _ F r. {. c 1I w s o In SITE PLOT PLAN OSWELL CHEVRON 2700 OSWELL ST. BAKERSFIELD, CA 93306 Ll 87 STP L2 87 FILL L3 91 STP L4 91 FILL L5 DSL STP L6 DSL FILL L7 UDC 7 -8 L8 UDC 5-6 L9 UDC 1 -2 1.10 UDC 3-4 ESO EMERGENCY SHUTOFF OFA OVERFILL ALARM PRODUCT SPILL CONTAINER VAPOR SPILL CONTAINER ANNULAR FIRE EXTINGUISHER GAS METER SHUT -OFF WATER METER SHUT -OFF O HEALY CAS EVACUATION MEETING POINT L$. 3 Y :6 ff--w 41 > a uR mss° :.- ± -: -:- CATCH RAGIN 1DetioCo yUST.= srAUcTc #, BUILD WITH CONFIDENCE' Lic. 970703 FIDE% u Vft UST, 9y,C,E5 `+ COMPLIANCE WITH CONFIDENCE' Lic. 804904 Toll Free #: 1- 800 - 339 -9930 Job Order / Invoice #: (o(o Date Called Time To Whom Repair Date1(0113// Name: Confidence UST Store Employee Print Name: Site Name: LA.I L Technician Sign / Date Street: 16250 Meacham Road Street: Z-I, City: Bakersfield CA 93312 City: State: C Zip: Terms: Store No: Description of work performed: f 1.-c b D wt~ Y,e ul. ve- k o LO k-- f t v< TRAVEL and LABOR 0.5 Hour Minimum Labor Charge) OVERTIME 5:00 PM - 7:00 AM) Date Technician(s) Name Start End Total OT Start OT End OT Total WON a- vi ja 27 f Travel Labor Travel Date Technician(s) Name Start End Total OT Start OT End OT Total Travel Labor Travel Date Technicians) Name Start End Total OT Start OT End OT Total Travel Labor Travel SUPPLIES - MATERIALS - RENTALS Check One Qty. UST Parts Site Parts i COMMENTS Store Employee Print Name: Technician Print Name: Store Employee Signature: Date Technician Sign / Date INVOICE - WHITE v v ; / (j V SITE - CANARY