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Home My WebLink About3221 TAFT HWY AST 2013HOODS ALARMS SPRINKLER SYSTEMS SPRAY BOOTHH AST Permit No. Permit No. Permit No. Permit No. Permit No. UST Permit No. a wAi r File Number: ?71 Address: 3 ;Zz ( d41- -Lj y Bakersfield, CA 933 Date Received: - a _ ,'3 Business Name: d1m,,o SYSTEM: BUILDING SQUARE FEET: INSPECTION LOCH New Mod. Commercial Hood System Fire Alarm System m-- minor modification removal Fire Sprinkler System Spw-ay Finish Sy%% em Aboveground Storage Tank Underground Storage-Tank Underground Storage Tank Underground Storage Tank illlllll[eitl"Li Building Sq. Feet: Calculation Bldg. Sq. Ft: Comments: a - -T;&.rj << S `iarC L-e 1. a. 3. a. Date Time Signature Signature I T rg3T ir!_-p S -6y oG Ei 7 %3%i3 FWA 31z' 3 LIN& roe Signature Signature I T rg3T ir!_-p S -6y oG Ei 7 %3%i3 UNDERGROUND STORAGE TANK PERMIT APPLICATION TO CONSTRUCT- INSTALL NEW TANK (NEW FACILITY) /NEW TANK INSTALL (EXISTING FACILITY) /MOD -MINOR MOD Permit # TYPE OF APPLICATION CHECK ONE ONLY) NEW TANK INSTALL /NEW FACILITY MODIFICATION OF FACILITY NEW TANK INSTALVEXISTING FACILITY MINOR MODIFICATION OF FACILITY STARTING DATE/ + BAKERSFIELD FIRE DEPARTMENT FACILITY NAME Prevention Services EXISTING FACILITY PERMIT # 1600 Truxtun Ave., Suite 401ADAUEeFInBakersfield, CA 93301 FIRN Phone: 661- 326 -3979 • Fax: 661- 852 -2171 ARTII f TANK OWNER M/ Page 1 of 1 NEW TANK INSTALL /NEW FACILITY MODIFICATION OF FACILITY NEW TANK INSTALVEXISTING FACILITY MINOR MODIFICATION OF FACILITY STARTING DATE/ + PROPOSED COMPLETION DATE ' f4 _ FACILITY NAME EXISTING FACILITY PERMIT # FACILITY ADDRESS goz 1 ,4FT' CITY t / ZIP CODE /jf 7 TYPE OF BUSINESS ' w w' APN TANK OWNER M/ PHONE # - rf o ADDRESS , rig, ^ A` xj CITY y rim ENSE ZIP CODE CONTRACTOR J' 1 CAf' JLIC # ICC # Z55177/ 71 ADDRESS .3 "rte d / DV Q G 07 wy-,'{ I i s CITY ,)% ` ZIP CODY0.6JS/ LJ PHONE # ' ) BAKIE`iRSFIELD CITY SINS CENSE # WORK/MAaN/5` COMP 3 7rl INSURER BRIEFLY DESCRIBE THE WORK TO BE DONE: lam` i o4 II T utc,s I we, SseS II WATER TO FACILITY PROVIDED BY DEPTH TO GROUND WATER 1 0 SOIL TYPE EXPECTED AT SITE CO'UNTERMOFTANKSTOBEINSTALLED2iARETHEYFORMOTORFUEL? ES Cl NO SPILL PREVENTION CONTROL AND URES PLAN ON FILE? P—YES NO THIS SECTION IS FOR MOTOR FUEL STORAGE TANKS TANK # VOLUME UNLEADED REGULAR PREMIUM DIESEL AVIATION IZ o Gay A00 GAL. THIS SECTION IS FOR NON -MOTOR FUEL STORAGE TANKS TANKS # VOLUME UNLEADED REGULAR PREMIUM DIESEL AVIATION FOR OFFICIAL USE ONLY APPLICATION DATE FACILITY # OF TANKS FEES $ THE APPLICANT HAS RECEIVED, UNDERSTANDS, AND WILL COMPLY WITH THE ATTACHED CONDITIONS OF THIS PERMIT AND ANY OTHER STATE, LOCAL, AND FEDERAL REGULATIONS. THIS FORM HAS BEEN COMPLETED UNDER PENALTY OF PERJURY, AND TO THE BEST OF MY KNOWLEDGE IS TRUE AND CORRECT. AP V,ED BY APPLICANT NAME (PRINT) APPLICANT SIGNATURE THIS APPLICATION BECOMES A PERMIT WHEN APPROVED FD2086 (Rev 06/07) 4 d' i . _ UNDERGROUND STORAGE TANKS APPLICATION TO PERFORM ELD /LINE TESTING/ SB989 SECONDARY CONTAINMENT TESTING/TANK TIGHTNESS TEST AND FUEL MONITORING CERTIFICATION PERMIT # ENHANCED LEAK DETECTION TANK TIGHTNESS a e R a P/RL Rru r BAKERSFIELD FIRE DEPARTMENT Prevention Services 1600 Truxtun Ave., Suite 401 Bakersfield, CA 93301 Phone: 661-326-3979 • Fax: 661-852-2171 Page 1 of 1 LINE TESTING SB -989 SECONDARY CONTAINMENT FUEL MONITORING CERTIFICATION SITE INFORMATION FACILITY / NAME & PHONE # OF CONTACT PERSON ADDRESS /7// I CR- EICJ I I.D CA OWNER NAME bFyAI OPERATOR NAME PERMIT TO OPERATE # OF TANKS TO BE TESTED: IS PIPING GOING TO BE TESTED? YES NO TANK # VOLUME CONTENTS C I Z o0o raq PW MNU . TANK TESTING COMPANY TESTING COMPANY- /- y_ %,/d// ffl NAME & PH3 E ? 4 CONTACT PE /'. 4V ` VV MAILING ADDRESS' . P4 VGN Uv o5 -7r e NAME HONE # OF TESTER R SPECIAL INSPECTOR CERTIFICATION # * 44 I DATE & TIME TEST TO BE CONDUCTED ICC # "/77&q TEST METHOD APPLICANT SIGNATURE lb DATE 4HIS APPLICATION BECOMES A PERMIT WHEN APPROVED VED BY DATE FD2095(Rev 06/07) l i . y. i 5 , n y: _ t: 1 l i . y. i 5 , n y: _ J r 44 Page 1 of 2 ahLEAK DETECTION TECHN0L0G1ESLLC Exclusive Providers for MDleak® and PHDleak® Testing Technologies Facility Certification CONFIDENTIAL Test Type: California ELD New Construction Test Express Final Test Facility Name: Happy Gas Job #: 2666 Prepared For: DNJ Construction, Inc Site Address: 3221 Taft Hwy City: Bakersfield Primary Test Leak Rate: 0.005 eah State and Zip: Ca 93313 Secondary Test Leak Rate: 0.1 gph Start Date: 4/17/2013 End Date: 4/17/2013 SYSTEM Tk -1 87 TK -2 91 TK -3 DSL Product Primary: PASS PASS PASS Product Secondary: PASS PASS PASS Vent Primary: PASS PASS PASS Vent Secondary: PASS PASS PASS VR Primary: PASS PASS NA VR Secondary: PASS PASS NA Tank: PASS PASS PASS Turbine Sump: PASS PASS PASS Turbine Sump Elect: PASS PASS PASS Turbine Head: PASS PASS PASS FilWapor Sump: PASS PASS PASS Fill Sump ect: P PASS PASS Pill & Vapor Poppet: PASS PASS PASS UDC's: PASS PASS PASS Fill Spill Bucket: PASS PASS PASS Vapor Spill Bucket: PASS PASS NA Certifying Field Technician: Ken Huey State Lie. # : 01 -1620 Certification Leak Rate: 0.005 gph Certifying Technician Signature: Date: 4/17/2013 This is a statement to confirm that the components listed above, at the time of testing, have been tested to a leak sensitivity listed above using the MDleak® and PHDleak® Method. The MDleak® and PHDleak® Method is one of the most versatile and comprehensive testing procedure offered to the petroleum industry. All petroleum owners and contractors which utilize the MDleak® and PHDleak® Method can be assured that their facility has passed the Nation's highest standard in preventative leak detection. I declare under penalty of perjury that I am a licensed tank tester in the MDleak® and PHDleak@ method, a method listed by the NWGLDE organization and that the information contained in this report is true and correct to the best of my knowledge. If you have any questions on the testing please do not hesitate to call. @ 520- 2074878. Office use only Statement Confirmed by: Date: 4/17/2013 e 3221 Taft Hwy n L DETECTION N0L0GIESLLc Exclusive Providers for MDleak® and PHDleak® Testing Technologies Page 2 of 2 Log of Repaired Leaks Tank Information CONFIDENTIAL Tk -1 87 TK -2 91 TK -3 DSL 12000 3000 5000 Fill Bucket Riser Top Steel Pipe - Single Wall 2783 4/16/13 17:09 Leak Final Modem Modern Modem 2801 4/16/13 18:16 Leak Final Tk -187 Product Union Vacuum Vacuum Vacuum 58 58 58 8 f 8 f 811 Tank Sump Boots Turbine Bravo Smith Red Jacket UDC/Dis erasers Information It Gilbarco OPW Smith IN in Information Manufacture Smith Smith Fire -Flex Phil -Tite Heal Reference # Log of Repaired Leaks Date Time Status System Component Manufacture 2782 4/16/13 17:06 Leak Final TK -3 DSL Fill Bucket Riser Top Steel Pipe - Single Wall 2783 4/16/13 17:09 Leak Final TO 87 VR Bucket Swivel OPW 2801 4/16/13 18:16 Leak Final Tk -187 Product Union Unknown Log of Unrepaired Leaks Reference # Date Time Status System Component Manufacture Page 1 of 1 ahLEAK DETECTION TECH NOLOGIESLLc Exclusive Providers for MDleak® and PHDleak® Testing Technologies 3221 Taft Hwy Reference Addendum CONFIDENTIAL i\ r • 4r 1. 1 j Ay . 1 rte- 1 SWRCB, January 2002 Page of Secondary Containment Testing Report Form Thisform is intendedfor use by contractors performingperiodic testing of USTsecondary containment systems. Use the appropriate pages ofthisform to report resultsfor all components tested. The completedform, written test procedures, and printoutsfrom tests (ifapplicable), should be provided to the facility owner /operatorfor submittal to the local regulatory agency. 1. FACILITY INFORMATION Facility Name: Happy Gas Date ofTesting: 4/13/2013 Facility Address: 3221 Taft Hwy. Bakersfield, Ca. Facility Contact: Phone: Date Local Agency Was Notified of Testing : Name of Local Agency Inspector (ifpresent during testing): 2. TESTING CONTRACTOR INFORMATION Company Name: Advanced Compliance Pass Technician Conducting Test: Bruce W. Hinsley Not Tested Credentials: X CSLB Licensed Contractor SWRCB Licensed Tank Tester License Type: C61 /D40 License Number: 971259 Manufacturer Training Manufacturer Component(s) Date Training Expires Incon TS -STS 9/17/2014 X 3. SUMMARY OF TEST RESULTS Component Pass Fail Not Tested Repairs Made Component Pass Fail Not Tested Repairs Made 87 UL Fill Sump X 87 UL STP Sump X 91 UL Fill Sump X 91 UL STP Sump X Diesel Fill Sump X Diesel STP Sump X Vent Sump X UDC 1 -2 X UDC 3 -4 X UDC 5 -6 X UDC 7 -8 X If hydrostatic testing was performed, describe what was done with the water after completion of tests: Startup testing prior to the first drop of fuel into new tanks. All containments were new and clean. Water was clean when removed from sumps. There was no power to the monitor or STPs yet. CERTIFICATION OF TECHNICIAN RESPONSIBLE FOR CONDUCTING THIS TESTING To the best ofmy knowledge, thefacts stated in this document are accurate and infull compliance with legal requirements Technician's Signature: Date: 4/13/2013 SWRCB, January 2002 Page of 4. TANK ANNULAR TESTING Test Method Developed By: Tank Manufacturer Industry Standard Professional Engineer Other (Spec) Test Method Used: Pressure Vacuum Hydrostatic Other (Specify) Test Equipment Used: Equipment Resolution: Is Tank Exempt From Testing ?' Tank # Tank # Tank # Tank # Yes No Yes No Yes No Yes No Tank Capacity: Tank Material: Tank Manufacturer: Product Stored: Wait time between applying pressure /vacuum /water and starting test: Test Start Time: Initial Reading (Ri): Test End Time: Final Reading (RF): Test Duration: Change in Reading (RF -Rj): Pass/Fail Threshold or Criteria: Test Result: Pass Fail Pass Fail Pass Fail Pass Fail Was sensor removed for testing? Yes No NA Yes No NA Yes []No NA Yes No NA Was sensor properly replaced and verified functional after testing? Yes No NA Yes No NA Yes No NA Yes No NA Comments — (include information on repairs made prior to testing, and recommendedfollow -upforfailed tests) Secondary containment systems where the continuous monitoring automatically monitors both the primary and secondary containment, such as systems that are hydrostatically monitored or under constant vacuum, are exempt from periodic containment testing. {California Code of Regulations, Title 23, Section 2637(a)(6)1 SWRCB, January 2002 5. SECONDARY PIPE TESTING Page of Test Method Developed By: Piping Manufacturer Industry Standard Professional Engineer Other (Specify) Test Method Used: X Pressure Vacuum Hydrostatic Other (Spec) Test Equipment Used: Nitrogen / Pressure Gauge Equipment Resolution: Piping Run # Piping Run # Piping Run # Piping Run # Piping Material: Piping Manufacturer: Piping Diameter: Length ofPiping Run: Product Stored: Method and location of piping-run isolation: Wait time between applying pressure /vacuum /water and starting test: Test Start Time: Initial Reading (R,): Test End Time: Final Reading (RF): Test Duration: Change in Reading (RF -R,): 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 recommendedfollow -upforfailed tests) SWRCB, January 2002 Page of 6. PIPING SUMP TESTING Test Method Developed By: Sump Manufacturer X Industry Standard Professional Engineer Other (Specify) Test Method Used: Pressure Vacuum X Hydrostatic Other (Specify) Test Equipment Used: Incon TS -STS Sump # 87 STP Sump # 91 STP Equipment Resolution: 0.002 Sump # Diesel STP Sump # Vent Sump Diameter: 48" 48" 48" 24" Sump Depth: 48" 48" 48" 24" Sump Material: FRP FRP FRP FRP Height from Tank Top to Top of Highest Piping Penetration: 9" 9" 9" 7" Height from Tank Top to Lowest Electrical Penetration: 6" 6" 6" N/A Condition of sump prior to testing: Clean Clean Clean Clean Portion of Sump Tested' 60% 60% 60% 70% Does turbine shut down when sump sensor detects liquid (both and water)?* Yes No NA Yes No NA Yes No NA Yes No NA product Turbine shutdown response time Is system programmed for fail -safe shutdown ?* Yes No NA Yes No NA Yes No NA Yes No NA Was fail -safe verified to be operational?* Oyes No NA Yes No NA Yes No NA Yes No NA Wait time between applying pressure /vacuum /water and starting test: 12 Hrs. 12 Hrs. 12 Hrs. 12 Hrs. Test Start Time: 09:11/9:27 08:28/08:45 08:28/08:45 09:11/9:27 Initial Reading R 5.3706 "/5.3710" 5.6809 "/5.6808" 6.7365 "/6.7365" 6.0790 "/6.0803" Test End Time: 09:26/09:42 08:44/09:00 08:44/09:00 09:26/09:42 R) Final Readin g( F 5.3711 "/5.3710" 5.6807 "/5.6806" 6.7364 "/6.7366" 6.0802 "/6.0813" Test Duration: 30 Min. 30 Min. 30 Min. 30 Min. Change in Reading (RF -R,): 0.0005 "10.0000" 0.0002 " /- 0.0002" 0. 0001 "/+0.0001" 0.0012" /+0.0010" Pass/Fail Threshold or Criteria: 0.002" 0.002" 0.002" 0.002" Test Result: X Pass Fail X Pass Fail X Pass Fail X Pass Fail Was sensor removed for testing? Yes No NA Yes No NA Yes No NA Yes No NA Was sensor properly replaced and verified functional after testing? Yes No NA X Yes No NA Yes No NA Yes No NA Comments — (include information on repairs made prior to testing, and recommendedfollow -upforfailed tests) If the entire depth of the sump is not tested, specify how much was tested. If the answer to any ofthe questions indicated with an asterisk(*) is "NO" or "NA ", the entire sump must be tested. (See SWRCB LG -160) SWRCB, January 2002 Page of 7. UNDER- DISPENSER CONTAINMENT (UDC) TESTING Test Method Developed By: UDC Manufacturer Industry Standard Professional Engineer Other (Specify) Test Method Used: Pressure Vacuum Hydrostatic Other (Specie) Test Equipment Used: Incon TS -STS UDC # 1 -2 UDC # 3-4 Equipment Resolution: 0.002 UDC # 5-6 UDC # 7 -8 UDC Manufacturer: Bravo Bravo Bravo Bravo UDC Material: FRP FRP FRP FRP UDC Depth: 24" 24" 24" 24" Height from UDC Bottom to Top of Highest Piping Penetration: 10" 10" 10" 10" Height from UDC Bottom to Lowest Electrical Penetration: N/A N/A N/A N/A Condition of UDC prior. to testin : Clean Clean Clean Clean Portion of UDC Tested 75% 75% 75% 75% Does turbine shut down when UDC sensor detects liquid (both product and water)?* Yes No NA Yes No NA Yes No NA Yes No NA Turbine shutdown response time Is system programmed for fail- safe shutdown ?* Yes No NA Yes No NA Yes No NA Yes No NA Was fail -safe verified to be Yes No NA Yes No NA Yes No NA Yes No NA operational?' Wait time between applying pressure /vacuum /water and starting test 12 Hrs. 12 Hrs. 12 Hrs. 12 Hrs. Test Start Time: 10:10/10:26 10:10/10:26 10:10/10:26 10:10/10:26 Initial Reading (Rj): 4.0442 "/4.0435" 5.3185 "/5.3182" 6.1870 "/6.1869" 4.8380 "/4.8377" Test End Time. 10:25/10:42 10:25/10:42 10:25/10:42 10:25/10:42 Final Reading (RF): 4.0436 "/4.0430" 5.3182 "/5.3181" 6.1868 "/6.1867" 4.8380 "/4.8375" Test Duration: 30 Min. 30 Min. 30 Min. 30 Min. Change in Reading (RF -R,): 0.0006 " /- 0.0005" 0.0003 " /- 0.0001" 0.0002 " /- 0.0002" 0.0000 " /- 0.0002" Pass/Fail Threshold or Criteria: Test Result: X Pass Fail X Pass Fail X Pass Fail X Pass Fail Was sensor removed for testing? Yes No NA Yes No NA Yes No NA Yes No NA Was sensor properly replaced and verified functional after testing? Yes No NA Yes No NA Yes No NA Yes No NA Comments — (include information on repairs made prior to testing, andrecommendedfollow -upforfailed tests) Ifthe entire depth of the UDC is not tested, specify how much was tested. Ifthe answer to any ofthe questions indicated with an asterisk(*) is "NO" or "NA ", the entire UDC must be tested. (See SWRCB LG -160) SWRCB, January 2002 8. FILL RISER CONTAINMENT SUMP TESTING Page of Facility is Not Equipped With Fill Riser Containment Sums Fill Riser Containment Sumps are Present, but were Not Tested Test Method Developed By: Sump Manufacturer X Industry Standard Professional Engineer Other (Specify) Test Method Used: Pressure Vacuum X Hydrostatic Other (Spec) Test Equipment Used: Incon TS -STS Equipment Resolution: 0.002 Fill Sump # 87 UL Fill Sump # 91 UL Fill Sump # Diesel Fill Sump # Sump Diameter: 42" 42" 42" Sump Depth: 48" 48" 48" Height from Tank Top to Top of Highest Piping Penetration: N/A N/A N/A Height from Tank Top to Lowest Electrical Penetration: 8" 8" 8" Condition of sump prior to testing: Clean Clean Clean Portion of Sump Tested 60% 60% 60% Sump Material: FRP FRP FRP Wait time between applying pressure /vacuum /water and starting test: 12 Hrs. 12 Hrs. 12 Hrs. Test Start Time: 08:28/08:45 08:28/08:45 09:11/09:27 Initial Reading (R,): 3.8545 "/3.8545" 4.3776 "/4.3772" 5.2844 "/5.2842" Test End Time: 08:44/09:00 08:44/09:00 09:26/09:42 Final Reading (RF): 3.8547'/3.8555" 4.3774 "/4.3776" 5.2842 "/5.2840" Test Duration: 30 Min. 30 Min. 30 Min. Change in Reading RF -R,): 0.0002 " / +0.0010" 0.0002 "/+0.0004" 0.0002 " /- 0.0002" Pass/Fail Threshold or Criteria: 0.002" 0.002" 0.002" Test Result: X Pass Fail X Pass Fail X Pass Fail Pass Fail Is there a sensor in the sump? Yes No Yes No Yes No Yes No Does the sensor alarm when either product or water is detected? Yes No NA Yes No NA Yes No NA Yes No NA Was sensor removed for testing? Yes No NA Yes No NA Yes No NA El Yes 11 No El NA Was sensor properly replaced and verified functional after testing? yes No NA Yes No NA Yes No NA Yes No NA Comments — (include information on repairs made prior to testing, andrecommendedfollow -upforfailed tests) SWRCB, January 2002 Page of 9. SPILLJOVERFILL CONTAINMENT BOXES Facility is Not Equipped With Spill/Overfill Containment Boxes SpillJOverfill Containment Boxes are Present, but were Not Tested Test Method Developed By: Spill Bucket Manufacturer Industry Standard Professional Engineer Other (Specify) Test Method Used: Pressure Vacuum Hydrostatic Other (Spec) Test Equipment Used: Equipment Resolution: Spill Box # Spill Box # Spill Box # Spill Box # Bucket Diameter: Bucket Depth: Wait time between applying pressure /vacuum /water and test: starting Test Start Time: Initial Reading (R,): Test End Time: Final Reading (RF): Test Duration: Change in Reading (RF -R,): Pass/Fail Threshold or Criteria: Test Result: Pass Fall Pass Fail Pass Fail Pass Fail Comments — (include information on repairs made prior to testing, and recommendedfollow -upforfailed tests) TAFTHAPPYGAS 3221 TAFT HWY. i HAPPY GAS 3221 HWY. BAKERSFIELD CA BAKERSFIELD CA 3221 TAFT HWY. j BAKERSFIELD CA 04/13/2013 9:27 AM 04/13/2013 8:44 AM 04/13/2013 9:00 AM SUMP LEAK TEST REPORT SUMP LEAK TEST REPORT SUMP LEAK TEST REPORTj VENT 87 FILL 7 FILL TEST STARTEDI 9:11 AM TEST STARTED 8:28 AM TEST STARTED 04/13/2013 TEST STARTED 8:45 AM TEST STARTED 04/13,-2013 7NBEGINLEVEL BEGIN LEVEL 3.8545 IN TEST STARTED 04 /13/2013 END TIME 9:26 AMENDDATEENDTIME8:44 AM END DATE 04/13/2013 BEGIN LEVEL 3.8545 IN END TIME 9:00 AM 0443/2013ENDLEVEL6.0802 IN END LEVEL 3.8547 IN END DATE 04/13/2013 LEAK THRESHOLD 0.002 IN LEAK THRESHOLD 0.002 IN END LEVEL 3.8555 IN TEST RESULT PASSED TEST RESULT PASSED LEAK THRESHOLD 0.002 IN TEST RESULT PASSED UDC 3 -4 91 STP 91 STP TEST STARTED TEST STARTED 8:28 AM TEST STARTED 04/13/2013 TEST STARTED 8:45 AM TEST STARTED 04/13/2013BEGINLEVEL6.7022 IN BEGIN LEVEL 5.6809 IN j TEST STARTED 04/13/2013 END TIME 9.26 RM END TIME 8:44 AM BEGIN LEVEL 5.6808 IN END DATE 04/13/2013i END DATE 04/13/2013 END TIME 9:00 AM END LEVEL 6.7208 IN END LEVEL 5.6807 IN END DATE 04/13/2013 LEAK THRESHOLD 0.002 IN LEAK THRESHOLD 0.002 IN END LEVEL 5.6806 IN TEST RESULT INCREASED TEST RESULT PASSED LEAK THRESHOLD 0.002 IN TEST RESULT PASSED 87 STP 91 FILL 91 FILL TEST STARTED 9:11 AM TEST STARTED 8:28 AM TEST STARTED 04/13/2013 TEST STARTED 04/13/2013 TEST STARTED 8:45 AM BEGIN LEVEL 5.3706 IN BEGIN LEVEL 4.3776 IN TEST STARTED 04 /13/2013 END TIME 9;26 AM END TIME 8:44 AM j BEGIN LEVEL 4.3772 IN END DATE 04/13/2013 END DATE 04/13/2013 I END TIME 9:00 AM END LEVEL 5.3711 IN END LEVEL 4.3774 IN END DATE 04/13/2013 LEAK THRESHOLD 0.002 IN LEAK THRESHOLD 0.002 IN END LEVEL 4.3776 IN TEST RESULT PASSED TEST RESULT PASSED LEAK THRESHOLD 0.002 IN TEST RESULT PASSED DSL FIL DSL STP DSL STP TEST STARTED 9:11 AM TEST STARTED 8:28 AM TEST STARTED 04/13/2013 TEST STARTED 04/13/2013 TEST STARTED 8:45 AM BEGIN LEVEL 5.2844 IN BEGIN LEVEL 6.7365 IN TEST STARTED 04/13/2013 END TIME 9 :26 AM END TIME 8:44 AM BEGIN LEVEL 6.7365 IN END DATE 04/13/2013 END DATE 04/13/2013 END TIME 9:00 AM END LEVEL 5,2842 IN END LEVEL 6.7364 IN END DATE 04/13/2013 LEAK THRESHOLD 0.002 IN LEAK THRESHOLD 0.002 IN END LEVEL 6.7366 IN EST RESULT PASSED TEST RESULT PASSED LEAK THRESHOLD 0.002 IN TEST RESULT PASSED HAPPY GAS 3221 TAFT HWY. BAKERSFIELD CA 04/13/2013 9:43 AM SUMP LEAK TEST REPORT VENT TEST STARTED 9:27 AM TEST STARTED 04 /13/2013 BEGIN LEVEL 6.0803 IN END TIME 9:42 AM END DATE 04/13/2013 END LEVEL 6.0813 IN LEAK THRESHOLD 0.002 IN TEST RESULT PASSED UDC 3 -4 TEST STARTED 927 AM TEST STARTED 04/13/2013 BEGIN LEVEL 6.7187 IN END TIME 9:42 AM END DATE 04/13/2013 END LEVEL 6.7213 IN LEAK THRESHOLD 0.002 IN TEST RESULT INCREASED 87 STP, TEST STARTED 9:27 AM TEST STARTED 04/13/2013 BEGIN LEVEL 5.3710 IN END TIME 9:42 AM END DATE 04/13/2013 END LEVEL 5.3710 IN LEAK THRESHOLD 0.002 IN TEST RESULT PASSED DSL FIL TEST STARTED TEST STARTED BEGIN LEVEL END TIME END DATE END LEVEL LEAK THRESHO'. TEST RESULT 9:27 AM 04/13/2013 5.2842 IN 9:42 AM 04/13/2013 5.2840 IN D 0.002 IN PASSED HAPPY GAS 3221 TAFT HWY. HAPPY GASBRKERSFIELDCA3221TAFTHWY. BAKERSFIELD CA 04/13/2913 19:26 AM 04/13/2013 10:42 AM SUMP LEAK TEST REPORT SUMP LEAK TEST REPORT UDC 1 -2 UDC 1 -2 TEST STARTED 10:10 AM TEST STARTED 04/13/2013 TEST STARTED 10:26 AM BEGIN LEVEL 4.0442 IN TEST STARTED 04/13/2013 END TIME 10:25 AM BEGIN LEVEL 4.0435 IN j END DATE 04/13/2013 END TIME 10:42 AM END LEVEL 4.0436 IN END DATE 04/13/2013 LEAK THRESHOLD 0.002 IN END LEVEL 4.0430 IN y TEST RESULT PASSED LEAK THRESHOLD 0.002 IN TEST RESULT PASSED UDC 3-4 UDC 3 -4 TEST STARTED 10:10 AM TEST STARTED 04/13/2013 TEST STARTED 10:26 AM BEGIN LEVEL 5.3185 IN TEST STARTED 04/13/2013 END TIME 10:25 AM BEGIN LEVEL 5.3182 IN END DATE 04/13/2013 END TIME 10:42 AM END LEVEL 5.3182 IN END DATE 04/13/2013 LEAK THRESHOLD 0.002 IN END LEVEL 5.3181 IN TEST RESULT PASSED LEAK THRESHOLD 0.002 IN TEST RESULT PASSED UDC 5 -6 UDC 5-6 TEST STARTED 10:10 AM 1 TEST STARTED 04/13/2013 TEST STARTED 10:26 AM BEGIN LEVEL 6.1870 IN TEST STARTED 04/13/2013 END TIME 10:25 AM BEGIN LEVEL 6.1869 IN END DATE 04/13/2013 END TIME 10:42 AM END LEVEL 6.1868 IN END DATE 04/13/2013 LEAK THRESHOLD 0.002 IN END LEVEL 6.1867 IN TEST RESULT PASSED LEAK THRESHOLD 0.002 IN TEST RESULT PASSED UDC 7 -8 UDC 7 -8 TEST STARTED 10:10 AM TEST STARTED 04/13/2013 TEST STARTED 10:26 AM BEGIN LEVEL 4.8380 IN TEST STARTED 04/13/2013 END TIME 10:25 AM BEGIN LEVEL 4.8377 IN END DATE 04/13/2013 END TIME 10:42 AM END LEVEL 4.8380 IN END DATE 04 /13/2013 LEAK THRESHOLD 0.002 IN END LEVEL 4.8375 IN TEST RESULT PASSED LEAK THRESHOLD 0.002 IN TEST RESULT PASSED 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 panel by the technician who performs the work. A copy ofthis 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: Happy Gas & Mini Mart Bldg. No.: Site Address: 3221 Taft Highway City: Bakersfield Zip: 93313 Facility Contact Person: Amita Contact Phone No.: (661) 831 -2323 Make /Model of Monitoring System: Veeder -Root TLS 350 Date of Testing/Servicing: 4/24/2013 B. Inventory of Equipment Tested /Certified Check the appropriate boxes to indicate specific equipment inspected /serviced: Tank ID: 12000 gal. Regular Tank ID: 3000 gal. Super Z In -Tank Gauging Probe. Model: 847390 -107 In -Tank Gauging Probe. Model: 847390 -107 Z Annular Space or Vault Sensor. Model: 794390 -420/ Vacuum Z Annular Space or Vault Sensor. Model: 794390 -420/ Vacuum Z Piping Sump / Trench Sensor(s). Model: 794380 -208 / 794390 -304 Z Piping Sump / Trench Sensor(s). Model: 794380 -208 / 794390 -304 Z Fill Sump Sensor(s). Model: 794380 -208 / 794390 -304 Z Fill Sump Sensor(s). Model: 794380 -208 / 794390 -304 Mechanical Line Leak Detector. Model: Mechanical Line Leak Detector. Model: Z Electronic Line Leak Detector. Model: PLLD Z Electronic Line Leak Detector. Model: PLLD Z Tank Overfill / High -Level Sensor. Model: 847390 -107 Z Tank Overfill / High -Level Sensor. Model: 847390 -107 Other (specify equipment type and model in Section E on Page 2). Other (specify equipment type and model in Section E on Page 2). Tank ID: 3000 gal. Diesel Tank ID: Z In -Tank Gauging Probe. Model: 847390 -107 In -Tank Gauging Probe. Model: Z Annular Space or Vault Sensor. Model: 794390 -420/ Vacuum Annular Space or Vault Sensor. Model: Z Piping Sump / Trench Sensor(s). Model: 794380 -208 / 794390 -304 Piping Sump / Trench Sensor(s). Model: Z Fill Sump Sensor(s). Model: 794380 -208 / 794390 -304 Fill Sump Sensor(s). Model: Mechanical Line Leak Detector. Model: Mechanical Line Leak Detector. Model: Z Electronic Line Leak Detector. Model: PLLD Electronic Line Leak Detector. Model: Z Tank Overfill / High -Level Sensor. Model: 847390 -107 Tank Overfill / High -Level Sensor. Model: Other (specify equipment type and model in Section E on Page 2). Other (specify equipment type and model in Section E on Page 2). Dispenser ID: 1 -2 Dispenser ID: 3-4 Z Dispenser Containment Sensor(s). Model: 794380 -208 / 794390 -304 Z Dispenser Containment Sensor(s). Model: 794380 -208 / 794390 -304 Z Shear Valve(s). Z Shear Valve(s). Dispenser Containment Float(s) and Chain(s). Dispenser Containment Float(s) and Chain(s). Dispenser ID: 5-6 Dispenser ID: 7-8 Z Dispenser Containment Sensor(s). Model: 794380 -208 / 794390 -304 Z Dispenser Containment Sensor(s). Model: 794380 -208 / 794390 -304 Z Shear Valve(s). Z Shear Valve(s). Dispenser Containment Float(s) and Chain(s). Dispenser Containment Float(s) and Chain(s). Dispenser ID: Vent Box Dispenser ID: Z Dispenser Containment Sensor(s). Model: 794380 -208 / 794390 -304 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 - 1 certify that the equipment identified in this document was inspected /serviced in accordance with the manufacturers' guidelines. Attached to this Certification is information (e.g. manufacturers' checklists) necessary to verify that this information is correct and a Plot Plan showing the layout of monitoring equipment. For any equipment capable of generating such reports, I have also attached a copy of the report; (check all that apply): ® System set -up Z Alarm history report Technician Name (print): _ Kristopher Karns Signature: -el. _ Certification No.: B34106 License. No.: 804904 Testing Company Name: Confidence UST Services, Inc. Phone No.: (800) 339 -9930 Site Address: 3221 Taft Highway, Bakersfield, CA 93313 Date of Testing/Servicing: 4124/2013 Page 1 of 3 Monitoring System Certification D. Results of Testing/Servicing Software Version Installed: 333.02 Complete the following checklist: Yes No* Is the audible alarm operational? Yes No* Is the visual alarm operational? Yes No* Were all sensors visually inspected, functionally tested, and confirmed operational? Yes No* Were all sensors installed at lowest point of secondary containment and positioned so that other equipment will not interfere with their proper operation? Yes No* If alarms are relayed to a remote monitoring station, is all communications equipment (e.g., modem) E N/A operational? Yes No* For pressurized piping systems, does the turbine automatically shut down if the piping secondary containment N/A monitoring system detects a leak, fails to operate, or is electrically disconnected? If yes: which sensors initiate positive shut -down? (Check all that apply) ® Sump /Trench Sensors; ® Dispenser Containment Sensors. Did you confirm positive shut -down due to leaks and sensor failure /disconnection? ® Yes; No. Yes No* 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 visible and audible at the tank fill point(s) and operating properly? if so, at what percent oftank capacity does the alarm trigger? 90% Yes* 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* No Was liquid found inside any secondary containment systems designed as dry systems? (Check all that apply) Product; Water. Ifyes, describe causes in Section E, below. Yes No* Was monitoring system set -up reviewed to ensure proper settings? Attach set up reports, if applicable Yes No* Is all monitoring equipment operational per manufacturer's specifications? In Section E below, describe how and when these deficiencies were or will be corrected. E. Comments: Replaced Overfill Alarm light bulb. Page 2 of 3 Monitoring System Certification F. In -Tank Gauging / SIR Equipment: ® Check this box iftank gauging is used only for inventory control. Check this box if no tank gauging or SIR equipment is installed. This section must be completed if in -tank gauging equipment is used to perform leak detection monitoring. Complete the following checklist: Yes No* Has all input wiring been inspected for proper entry and termination, including testing for ground faults? Yes No* Were all tank gauging probes visually inspected for damage and residue buildup? Yes No* Was accuracy of system product level readings tested? Yes 1 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): Complete the following checklist: Check this box if LLDs are not installed. Yes No* For equipment start-up or annual equipment certification, was a leak simulated to verify LLD performance? N/A Check all that apply) Simulated leak rate: ® 3 g.p.h.; 0.1 g.p.h ; 0.2 g.p.h. Yes No* Were all LLDs confirmed operational and accurate within regulatory requirements? Yes No* Was the testing apparatus properly calibrated? Yes No* 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 ifthe LLD detects a leak? N/A Yes No* For electronic LLDs, does the turbine automatically shut off if any portion of the monitoring system is disabled N/A or disconnected? Yes No* For electronic LLDs, does the turbine automatically shut off if any portion of the monitoring system malfunctions N/A or fails a test? Yes No* For electronic LLDs, have all accessible wiring connections been visually inspected? N/A Yes No* Were all items on the equipment manufacturer's maintenance checklist completed? In the Section H, below, describe how and when these deficiencies were or will be corrected. H. Comments: Page 3 of 3 Monitoring System Certification Form: Addendum for Vacuum/Pressure Interstitial Sensors I. Results of Vacuum/Pressure Monitoring Equipment Testing This page should be used to document testing and servicing of vacuum and pressure interstitial sensors. A' copy of this form must be included with the Monitoring System Certification Form, which must be provided to the tank system owner /operator. The owner /operator must submit a copy of the Monitoring System Certification Form to the local agency regulating UST systems within 30 days oftest date. Manufacturer: Veeder Root Model: 330020 -463 System Type: Pressure; ® Vacuum Sensor ID Component(s) Monitored by this Sensor: 87 Vent S -1 Sensor Functionality Test Result: ® Pass; Fail Interstitial Communication Test Result: ® Pass; Fail Component(s) Monitored by this Sensor: 87 Vapor S -2 Sensor Functionality Test Result: ® Pass; Fail Interstitial Communication Test Result: ® Pass; Fail Component(s) Monitored by this Sensor: 87 Product S -3 Sensor Functionality Test Result: ® Pass; Fail Interstitial Communication Test Result: ® Pass; Fail Component(s) Monitored by this Sensor: 87 Annular S-4 Sensor Functionality Test Result: ® Pass; Fail Interstitial Communication Test Result: ® Pass; Fail Component(s) Monitored by this Sensor: 91 Vent S -5 Sensor Functionality Test Result: ® Pass; Fail Interstitial Communication Test Result: ® Pass; Fail Component(s) Monitored by this Sensor: 91 Product S-6 Sensor Functionality Test Result: ® Pass; Fail Interstitial Communication Test Result: ® Pass; Fail Component(s) Monitored by this Sensor: Diesel Vent S -9 Sensor Functionality Test Result: ® Pass; Fail Interstitial Communication Test Result: ® Pass; Fail Component(s) Monitored by this Sensor: Diesel Product S -10 Sensor Functionality Test Result: ® Pass; Fail Interstitial Communication Test Result: ® Pass; Fail Component(s) Monitored by this Sensor: Diesel / 91 Annular S -11 Sensor Functionality Test Result: ® Pass; Fail Interstitial Communication Test Result: ® Pass; Fail Component(s) Monitored by this Sensor: Sensor Functionality Test Result: Pass; Fail Interstitial Communication Test Result: Pass; Fail How was interstitial communication verified? Leak Introduced at Far End of Interstitial Space;' Gauge; Visual Inspection; Other (Describe in Sec. J, below) Was vacuum /pressure restored to operating levels in all interstitial spaces? ® Yes No (Ifno, describe in Sec. J, below) J. Comments: Page 4 of 4 If the sensor successfully detects a simulated vacuum/pressure leak introduced in the interstitial space at the furthest point from the sensor, vacuum/pressure has been demonstrated to be communicating throughout the interstice. UN -036A -1 /1 www.unidoes.org Rev. 01/26/06 SOFTWARE REVISION LEVEL VERSION 333.02 SOFTWAREO 346333 -100 -C CREATED - 12.08.10- II -.22 S- MODULE0.330160 -0047a SYSTEM:FEATURES: PERIODIC IN- TANK'TESTS ANNUAL IN -TANK TESTS 1SD /APM SYSTEM SETUP APR 24, 2013 9:27 AM SYSTEM UNITS U.S. SYSTEM LANGUAGE ENGLISH SYSTEM DATE /TIME FORMAT MON DD YYYY HH : MM : SS. xM HAPPY GAS. 3221 T,AFT HWY BAKERSFIELD CA 93313 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- PR6TOCOL DATA FORMAT HEIGHT PRECISION TEST DURATION HOURS: I 1 DAYLIGHT SAVING TIME DISABLED RE- DIRECT LOCAL PRINTOUT DISABLED EURO PROTOr:OL PREFIX S SYSTEM.SECURITY CODE .000000 MAINTENANCE °,HISTORY DISABLED TANK CHART, SECURITY, J D -1 SABLED CUSTOM ALARMS DISABLED SERV 1CE' NOT ICE DISABLED ISO 3166' COU14TRY CODE: VAPOR_HONITORING TYPE GARB, I SD MASS /DENSITY, DISABLED FISCAL'HEIGHT SECURITY DISABLED INVENTORY ALARMS U14ITS C014F I G : STANDARD MAX OR LABEL: VOLUME HIGH. PRODUCT'. %; MAX` OVERFILL ,: X MAXDELIVNEEDED: P. MAX LOW PRODUCT': VOLUME ALARM REDUCTION! ENABLED COMMl1141CAT'IONS SETUP. PORT SETTINGS': COMM BOARD' 1 (RS -232). BAUD' RATE, 1200' PARITY_ : ODD STOP BIT 1 STOP DATA LENGTH: 7 DATARS -'M SECUR.1TY CODE: DISABLED COM1'BOARD, : 2 (EDIM ) RB -232 SECURITY CODE 'DISABLED AUTO TRANSMIT SETTINiZ AUTO LEAK ALARM LIMITDISABLED - AUTO: HI.Gh WATER LIMIT DISABLED AUTO OVERFILL LIMIT DISABLED. AUTO LOW. PRODUCT DISABLED AUTO THEFT LIMIT DISABLED AUTO DELIVER`; START DISABLED AUTO DELIVERY END DISABLED AUTO- EXTERNAL .INPUT ON DISABLED AUTO EXTERNAL INPUT OFF DISABLED. AUT.O.SENSOR FUEL ALARM D,I,SABLED AUTO 'SENSOR WATER- ALARM DISABLED AUTO.SENSOR OUT ALARM DISABLED. RS -232 END OF MESSAGE DISABLED I N -TANK SETUP T 2: PRE111,011 1 PRODUCT CODE 2' T 3:DlESEL T I: REGULAR THERMAL.COEFF :.00U700ITANK.` D I AMETER' ,98,.00. THERMAL ,COEFF s .000470 PRODUCT CODE I TANK :PROFILE" I .PT= TANK 96.00- THERMAL COEFF :,000700 FULL VOL 3008 1 TANK PROFEL ' I PT TANK DIAMETER 94,50 FULL VOL 3008. TANK PROFILE 1 PTFULLVOL1200212002, FLOAT. SIZE: 4:0 IN. WATER H I N I;MUM .0..000 FLOAT SIZE: 3.0 IN. FLOAT SIZE : WATER WARN'i "NG 2.0 I JATER .M I N`1MUM" 0.000. 4 0 11VWATERM1NIIJUh10. [ N. z- HIGH WATER•.LIMIT -:: 3.0 FI a WATER - WARNING 2.0WATER .ALARM LTER?: L,'Ou{ HIGH WATER. LIMIT : 3.0 WATER WARNING 2,0 4JATER ALARM FILTER.: LOW HIGH WATER LIMIT:. 3,0WATERALARMFILTER: LOW III OR -LABEL VOLUME 3008 MAX' OR 'LABEL MAX OR LABEL HIGH PRODUCT; VOLUME 30Q8. VOLU1hE 1 2002 MAX 90. 9 PRHIGHODUCT. GALLONS) 2707 Y.; MAX 90.1 HIGH PRODUCT GALLONS) 2707 MAX 90.1 OVERFILL ,L 11111 T GALLONS) 10802 MAX ::,. 95. i OVERFILL LIMITI,GA.LLONS) 2Ba8 MAX 95.1 OVERFILL L 1r1 J,T GALLONS) 2,858 MAX 95,1 DELIVERY LIMIT iGALLONS) 11402 V. MAX.: 15.1 DELIVERY LIMITGALLONS) 451 r f 5'. I DELIVERY LIMIT LOW. PRODUi 'T, MAX GALLONS), :. 451 MAX : 15-.1GALLONS) 1 800 VOLUME :. 300: LOIJ ,PODUCF 'f- LOW PRODUCT LEAK "-ALARM LIMM 99. VOLUME 300 VOLUME : 500 SUDDEN LOSS LIMIT: 99. LEAK. ALARM 'LI MI T : 99 TANK TILT' 0.00 SUDDEN LOSS LIMIT: 99 LEAK ALARM LIMIT: PROBE OFFSET 0.00 TANK TILT 0.00 SUDDEN LOST LIMIT.: 99 PROBE OFFSET 0.00 TANK TILT 0.00PROBEOFFSET0OQ SIPHON MAN,I;FOLDED• TANKS T>t:''1VONE., FOLDED SIPHON;.MAN,1FOLDED TANKSLI,NE•MA.N1 TANKS 7q;. NONE SIPHON MANIFOLDED TANKS To': NONE LANE MAN,1_FOLDED TANKSTO: NONE TO: N014ELINEMANIFOLDED:TANKSTO: NONE LEAK,MIN,PERIODIG: 0 LEAK ,M1 N .PER IODIC:: 0% LEAK MIN PERIODIC: LEA *: MIN ANNUAL (r4 0 0 0 LEAK- ,MIN:ANNUAL 0% 0 LEAK III ANNUAL Q7. PERIODIC TEST TYPE. 0 STANDARD PERIODIC. TEST TYPE PERIODIC TEST TYPE. ANNUAL TEST FAIL - STANDARD STANDARD ALARM DISABLED ANNUAL TEST.FA "I'L, ANNUAL TENT FAIL ERI OD l TEST; :FAIL ALARM'•DISABLED ALARM - DISABLED ALARM D1SFiBLED PER I:ODIC TEST, FAIL PERIODIC TEST .FAIL ROSS "TEST FAIL ALARM DISABLED ALARM DISABLED ALARM 'D I SABLED GROSS, TEST FA 1',1:. GROSS TEST FAIL, ANN' TEST AVERAG I NG.: ' OFF ALy i1?hl DISABLED ALHRM;DISABLED P. ER TEST AVERAG 1 NG :; OFF ANN TEST AVERAGING: OFF FINN TEST AVERAGING: TANK. TEST 'NOTIFY. OFF PER TEST AVERAGING: OFF OFFPERTESTAVERAGING: OFF TNK TST S P'HON bl ?ip .:OFF TANK ,TEST' NOT 1 F`!: OFF TANK TEST NOTIFY:' OFF DELI VERY• DELA! 1 -0. M I N TNK.TS'T•'SLPHON BREAK:OFF TNK TST SIPHON BREAK :OFF PUMP'THRESHOLD 1,0;'00;:: DELIVERY DELAY : 10 M114 PUNP._THRESHOLD 10.00X DELJVEkY DELAY :,10'MINPIMPTHRESHOLD LEAK TEST METHOD TEST WEEKLY :! ALL. TANK SUN START TIME : 2:00 AM, TEST. RATE 0..20 ,GAL/HR DURATION 2 HOURS - TST EARLY STOP:DISABLED LEAK TEST REPORT FORMAT" NORMAL PREFiSURE LINE-LEAK ETUP' d I:REGULAR 1 TYP :2.Oi3.01N FIBERGLASS 2.01N DIA LEN: 139 FEET 3.01N DIA LEN: 139 FEET SHUTDOWN RATE: 3.0 GPH -" LOW PRESSURE SHUTOFF,' :NO LOW PRESSURE O -PSI T I:REGULAR DISPENSE MODE: STANDARD SENSOR: 14ON- VENTED PRESSURE OFFSET: O.OPS1, 1 MECHANICAL BLENDER: NO 0 2:PREMIUM, TYP :.2.Oi3 ..01 N. F I BERr3LASS 2.01'N D i A LEN: 13`1 FEET 3.01 N D'1 A ,LEN.: 1:35 FEET SHUTDOWN RATE: 3.0 GPH LOW PRESSURE SHU_TOFF:NO LOW PRESSURE 0 PS.1 T 2 : PRE11 I UM DISPENSE MODE ". STANDARD' SENSOR: NON - VENTED PRESSURE OFFSET:.O.OPSI.; PECHANICAL BLENDER: NO 0 3:DSL t TYP.:2:0 3:0 "IN FI:BERGI ASS2.a]14 DIA' LEN,: 04: EET 3 ..0,114 01 A LEN 94 ,FEET SHUTDOWN RATE: 3:0 GPH- LOW PRESSURE - SHUTOFF': NO LOW. PRESSURE..:, 0—PSi' T 3 :DIESEL , DISPENSE 'MODE:, STANDARD' SENSOR: NON - VENTEDPRESSUREOFFSET: 'O,-0PS1 MECHANI CAL .13[:>r,NDER : NO LINE LEAK LOCKOUT SETUP LOCKOUT SCHEDULE DA1LY START TIME : - DISABLED STOP TIME' DISABLED i LIQUID 'SENSOR 'SETUP 1.:87- TURBINEDWSUMP- "2 -I CATEGORY STP SUMP L.2:87 FiLL DW SUMP; "2 -1CATEGORY 'PIP1, SUMP L 3E9l. TURBINE DW,SUMP 2 -1 CATEGORY STp.SUMP L 4:91 FILL DW SUMP, 2 -1 CATEGORY.: PIPING SUMP L 5:DSL'TURBINEDW - SKIP 2 -1 CATEGORY P -1 PING SUMP L-6 :DSL FILL DW :SUMP- '2 -1 CATEGORY : Pl "PING SUMP L ,7T: VENT DW 'SUMP' 2 -1 CATEGOR;' : OTHER. SENSORS L 9:D.ISP'1 -2' DW SUh10 2' -1 _ CATEGORY; : D'I SPENSER .PAN LIO :DISP 3 -4 DW. SKIP 2 -1 CATEGORY :DISPENSER PAN L'1 I : DI'SP. 5 -6 DW SUh1P, 2 =1 CATEGORY DISPENSER PAN L12 :DISP, 7 -8_ DW SUMP,2 -1 CATEGORY-: DISPENSER PAN sl3:FM 3 =4 CATEGORY AIR FLOW METER s.1,4cFhf 5 -6' CATEGORY AIR FLOW METER 51.5:FM 7 -8 CATEGORY AIR FLOW METER s16:PRESSURE SENSOR CATEGORY VAPOR-PRESSURE ri Q 2 : PREM I_UM` SMARTSENSOR .SETUP OUTPUT RELAY SETUP I IN-TANK ALARMS T 2,: LEAK 'ALARM... _ s 1:87 VENT R 1.:OVERFI LL T 2 : COW'. PRODUCT- ALARM CATEGORY VAC .SENSOR TYPE: - PUMP a: STANDARD LIQUID SENSOR'ALMS Q'1 :REGULAR NORMALLY' OPEN L 3: FUEL ALARM VOLUME: 25.3' GALLONS L. 41FUEL ALARM' RELIEF VALVE: : NO TANK 0: NONE L 9-:FUEL ALARM LIO :FUEL .ALARM s 2.:87 VAPOR L 1 1 :FUEL 'ALARM CATEGORY. VAC_ . SENSOR IN -TANK: ALARMS L12: FUEL ,ALARM' PUMP o: ALL:OVERFILL ALARM L I:SENSOR.;OUT ALARM Q !:REGULAR' L 4 :SENSOR OUT - ALARM; VOLUME: -15:A GALLONS L 9:SENSOR OUT ALARM RELIEF VALVE: NO- L10:SENSOR OUT ALARM LI`I :SENSOR! OUT ALARM s ;3 :87 PRODUCT L12:SENSOR,OUT'ALARM CATEGORY VAC. SENSOR L ' 3 : SHORT , AL:ARM ` PUMP 0: L '4 :SHORT ALARM Q, ; l : REGULAR L_9 :SHORT ALARM VOLUME: 32._0 GALLONSL10 :SHORT'AL:ARM RELIEF. VALVE: :'NO L1'I:SHORT ALARM L 12:SHORT ALARM s '4:87 ANNULAR PLLD LINE DISABLE SETUP CATEGORY VAC`SENSOR I _SITE,ALARMS" PUMP d: 1-SD GROSS-PRES FAIL I : REGUL•,AR , 0 !:REGULAR ISD DEGRD PRES'FA1L Q rVOLOME: 32.0:GALLONS ISD'VAPOR_ LEAK.FAIL RELIEF VALVE: :' NO 1N -TANK ALARMS T i : LEAK ALARM J SD• HOSE ALARMS . s 5:91 .VENT' T ):LOW PRODUCT +ALARM ALL:GROSS COLLECT FAIL CATEGORY VAC SENSOR ALL : DEGRD, FAIL PUMP 0: LIQUID SENSOR AUDIS COLLECT' ALL : FL014: COLLECT FAIL, Q .2 : PREh K UM L 1:FUEL ALARM -. VOLUME: 25.1 GALLONS L 2:FUEL ALARM Q. 3':.DSL RELIEF .VALVE:- : _NO L 9:FUEL ALARM LIO:FUEL ALARM 1A. -TANK ALARMS s 6:91 PRODUCT ALLI1:FUEL ARM T 3: LEAK- ALARM CATEGORY VAC SENSOR L IC" FIJI ALARM T 3 : LOW PRODUCT ALARM, PUMP P: L I : SE;N _'. -k OUT ALARM ' Q 2; PREMIUM L 2:SENSOR OUT ALARM LIQUID SENSOR ,ALMS• VOLUME: 30'.l.GALLONS L 9:SENSOR OUT ALARM L 5 :FUEL - ALARM) RELIEF VALVE: NO L 10 : SENSOR OUT- AL AI?M L 6 : FUEL ALARM L 1 1 :SENSOR OU'I fa.ftiktl L10 : FUEL ALARM s Q: ATM . L12:SENSOR; oUT iiLr•,RM. L1 I :FUEL -ALARM CATEGORY: -.ATM •P SENSOR L I:SHORT ALARM L 5:SENSOR OUT,HL:ARM L 2:SHORT ALARM L` 6 :BENSOR OUT 'ALARM 5,',g': DSL VENT. L 9:SHORT ALARM L10,SENSOR'OUT -ALARM CATEGORY VAC SENSOR LLO:SHORT ALARM L'1d :SENSOR OUT ALARM PUMP,d: L1I:SHORT ALARM L SISHORT-ALARM Q 3::DSL L12 :SHORT'ALARM L 6:SHORT ALARM VOLUME;: 25..3 GALLONS LI.O:SHORT,ALARM RELIEF.VALVE: : NO ISO SITE ALARMS fLII:SHORT ALARM ISD GROSS PRES FAIL s10:DSL;PRODUCT, ISD DEGRD PRES FATL CATEGORY 'VAC SENSOR ISO VAPOR LEAK.FAIL PUMP,": Q 3:DSL ISO HOSE ALARMS VOLUME: 11.6'GALLONS ALL:GROSS COLLECT FAIL RELIEF VALVE; : NO ALL:DEGRD COLLECT.FAIL ALL:FLOW COLLECT FAIL 511:DSL ANNULAR. CATEGORY vH ' : L-msOR PUMP 0,: A ,3 : DSL VOLUME: 32.0 - GALLONS RELIEF.VALVE: : NO a1,2 :fM 1 -2 CATEGORY. AIR FLOW METER sl3:FM 3 =4 CATEGORY AIR FLOW METER s.1,4cFhf 5 -6' CATEGORY AIR FLOW METER 51.5:FM 7 -8 CATEGORY AIR FLOW METER s16:PRESSURE SENSOR CATEGORY VAPOR-PRESSURE EVRi1SD SETUP EVR.TYPE: BALANCE BALANCE NOZZLE TYPE VST VAPOR PROCESSOR TYPE NONE ANALYSIS TIMES TIME: 1.1:59 PM DELAY MINUTES: 1 ACCEPT HIGH ORVR: MAP DISABLED SERIAL NUM LABEL 1 58891 - - - 1SD HOSE TABLE 2 58886 ID FP FL HL AA RR 01 01 01 02 01 00 02 02 02 02 01 OG' 03 03 03 02 02 00 04 04 04 02 02 00' 05 05 05 02 03 00 06 06 06 02 03 00 07 07 07 02 04 00 08 08 08 • 02 04 00 ISD AIRFLOW METER MAP ID SERIAL NUM LABEL 1 58891 - - - FM- 1 =2 - - -- 2 58886 FM 3 -4 3 59646 FM 5 -6 4 58895 FM 7 -8 ISD FUEL GRADE HOSE MAP 1 .2 3 4 FP MHH MHH MHH MHH AA 01 201 901 101 U U 1 02 202 902 1"02 U U 1 03 203 903 103 U 'U '2 04 204 904 104 U U .2. 05 205 905 105 U U 3 06 206 906 106 U U 3 07 207 907 107 U U 4 08 208 908 108 U 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- D,ISPENSER.' ALARE. I:. M - - -- } ; ALARM 'HTSTOR;' REPORTt COMMUN I CATION ALARMAPR' 24..2013 9.:33 AM E I:87 TURBINE.- -- 1 STP ;SUMP T T:REGULAR,.. I NVENTO ', 1'PICREASE INCREASE,START APR '24 -. 201-3 a 9-: '22 AM VOLUME . 7084 -GAL9HEIGHT' 53,:97 'INCHES WATER 0:75 INCHES 78':0 DEG'--F 1 NOREASE END APR-24: 2013 9:33 AM VOLUME _ 7264.4GALSHEIGHT. _ 55'..09. 1 NCHESWATER1. 77 1NCHESTEMP478.3'DEG F GROSS INCREASE- l00TCNET1Nc;REASE. 176 ALARM HISTORY-REPORT I,N —TAk ALARM - - - -- T'1•:REGULAR r 1- n END X X x 3s w x s END ,X .N ALARM H,ISTQRY REPORT SENSOR,ALARM'----- L 2 :87 FILL P I P.I NG SUMP END ALARM.HISTORY REPORT SENSOR ALARM - - - -- L 3:91 TURB I IqE STP SUMP s ; .x END X X X ?i x ALARM HISTORY REPORT SENSOR ALARM - - - -- L 4:91 FILL P I P•1 NG, SUMP x x x x t END r x* x x ALARM HISTORY'REPORT SENSOR ALARM - - - -- L 5:DSL TURBINE PIPINGiSUMP xxx XENDxx - xx ALARM HISTORY REPORT SENSOR ALARM - L 6:DSL FILL PIPING SUMP ALARM H I STORY REPORT ALARM HISTORY REPORT - - - -- SENSOR ALARM ° - -- SENSOR ALARM - - -= + LI'I:DISP 5 -6- L 7: VENT, j DISPENSER -'PAN OTHER•SENSORS. END ALARM HISTORY REPORT SENSOR, ALARM =-- -- L '9:DISP 1' -2 DISPENSER PAN x x A x x END. N ,'x _x: X x ALAR11 HI STOP.Y• REPORT SENSOR ALARM-- -- --- LI0:DISP 5 -4' D I SPENSER, PAN x ;o W x .x END r r_ W k,;( x ri x e 3. END rt x x x A X, X' x m - x END *;rt x h, x ALARM-HISTORY .REPORT SENSOR ALARM - - - -- L-12:DISP ? =B` _ DISPENSER PAN: x :x'i(kENDxx w A W ALARM HISTORY REPORT SENSOR ALARM - - - -- 0.4:REGULAR t xxrxEND~rx . ALARM HISTORY.REPORT SENSOR ALARM - - - -- p 2:PREMIUM cxxx'AE14DX 'A x #X ALARM HISTOR`. REPORT SENSOR ALARM 0 3:DSL x x x,x END .A ii A 'A A ALARM HISTORY REPORT SMARTSENSOR ALARM -- s 1:87 VENT x w x' END A; x x ), a. ALARM .H I STORY :REPORT SMARTSENSOR ALARM -- s - 2:,8 ?; VAPOR SETUP, :DATA' WARNING APR 23. .2013 3 :.11'1. Pll. x * ^ x x EI4D x k- x x x ALARM H'1 STOR`l' • REPORT SHARTSENSOR ALARM -- s 3:87 PRODUCT NO VACUUM ALARM APR 23. 201.31c 1:25 ,PM t NO VACUUM ALARM APR ,23. _2013' 3:1,2-'PM NO VACUUM'ALARM APR 23. 20.13 -3:.'i--1 'PM 3i -x t Z: X END .x 'X X ALARM . H l S-rORY REPORT SMARTSENSOR ALARM -- s 4 :67 ANNULAR 140 VACUUH ALARM APR 24. 201'3 9:20.AM 140 VACUUM ALARM APR 24• '201.3 - 6:46 AM NO VACUUM ALARM, APR -24. 2013 8•:43 -AM ALARM Hi STORY REPORT SMARTSENSOR -ALARM -- i- s:591 VENT,. SETUP DATA WARNING" APR: 23. 2013 '3:11 PM N X)0 W X END x k*O H ALARM HISTORY'REPORT SMARTSENSOR ALARM -- s'6:91µPRODUCT SETUP DATA•WARNING APR -23, 2013 3:I1 PM END x w x x x ALARM HISTORY REPORT SMARTSENSOR ALARM -- s 9': DSL VENT NO VACUUM ALARM APR. 23. 2013 3:11 PM s j X 'k END. X ;. x x ;: HAPPY GAS ALARM H I STORY "REPORT' 4 3221, TAFT' HWY , BAKERS_F:IELD CA SMARTSENSOR, ALARM. -- 933b3 s10 :D$L PRODUCT ; APR. 2.4,. 2013 = 10:06 AM xxxxA END x9xX..x ALARM Hi STORY 'REP,ORT SMARTSENSOR ALARM. - - sII:LSL ANNULAR NO VACUUM ALARM APR 23: 2013 5:1.6 PM c x x x x END *.* x x . HAPPY GAS 3221 TAFT HW`! BAKERSFIELD CA 93313 APR 24, 2013 10:02.AM SYSTEM'STATUS REPORT ALL.FUNCTIONS NORMAL DISPENSER ALARM - - -- E I. - , COMHUNI'CATION ALARM. AP,R'2Q 201- 11.0:12,AM PRESSURE' L -I NE LEAK-ALARM 6 1:REGULAR PLLD SHUTDOWN;ALARM APR '24. 201.3 10: 15.'AM. SENSOR ALARM L 1:87 •TURBINE . STP 'SUMP' FUEL'•ALARM APR 24 2013 10:I51,AM SENSOR ALARM a -- SENSOR ,ALARM - - - -- L 5:DSL TURBINE,' PIPING SUMP" FUEL ALARM J : APR: 24. 20,13 f_0 16 AM SENSOR 'ALARM.:--- - L 5:DSL TURBINE - PIPING SUMP LOW, L I CCU 1 D• ALARM APR 24: 2013 '10:16.AM PRESSURE LINE LEAK ALARM 0 2 c PREM 1 UM .' PLLD.SHUTDOWN - ALARM APR :24. 2013' 10: 11 AM SENSOR ALARM - - --- L 3 : 91 TURBINE STP SUMP. FUEL-ALARM APR, 24, ' 20.13 1;0 : 17 AM SENSOR ALARM L 3-:'.91 ;TURBI NE STP, 'SUMP LOW'LIOUID ALARM APR 24. 20.13.10 :17 AM L_1 87 TURBINE S`-S 'EM STATUS. REPORT STP': SUMP, `?- LOW LIQUID ;ALARM ALL-FUNCTIONS NORMAL APR 24.. 2013 10::15.f1M PRESSURE LINE LEAK ALARM W (:REGULAR PLLi) SHUTDOWN ALARM APR 24-:2013,10:.18 AM' PRESSURE LINE,LEAR ALARM' - QP 3 : DSL . PLL:D ,SHUTDOWN •ALARM APR 24. 2013` .1.0::1,6 NM T SENSOR ALARM - - - -- 1SENSORALARM - - - -- + L. 6:LiL FILLL2:87 FILL P 1 P 1 Nc:' Sump' PIPING SUMP FUEL-ALARM- FUEL ALARP) - y APR 24. 2013 10: l8 AM APR. 24, 2013 10;20, AM SENSOR ALARhI - - - -- PRESSURE LINE LEAK ALARM L 2:87 FILL. Q 2 :,PREM 1 UI °) PLLD SHUTDOWN ,ALARM LOWTLGQU MPALARM APR 24 201"3 10:21 A14 APR 24: 2013 10:18.AM SENSOR, ALAR11 . - - - -- PRESSURE LINE LEAK ALARM L 4:;91 h1r; , F1 0 3: DSL P I P l SUPM PLLD-SHUTDOWN ALARM FUEL ALARM APR 24, 2013 10:f9 AM APR 24. 201,3 70:21 kM SENSOR ALARMSENSORALARM - -_- L n : DSL FILL L 4 19 I. F!FLL PIPING SUMP LOW LIQUID SUMP FUEL ALARM LOW LIQUID ALARM,_ APR 24;.2013 10:19 AM APR „24. 2013 10.2.1 HM SENSOR ALARM SENSOR ,ALARIl - - - -- L 7: :VENT - L IDSL FILL 'OTHER! SENSORSPIPINGSUMPFUEI;'AL-ARM; LOW L I OU 1 D ALARM APR 24 . '2613 I 0:-22 AI-LAPR24, 2013 . 10:19 AM, PRESSURE L I NE LEAK ALARM - - - -- SER8OR ALAR-11 - - - -- Q 3:6SL :L 7 tVENT PLLD SHUTDOWN ALARM. OTI:IEP..SE11GORS APR 24, 2013 10:20 AM LOW LIOUID'ALARM, APR 24. 201.3 10 :26 'AM P.RESSURE-.LINE. LEAK ALARM Q (,.:REGULAR PLLD SHUTDOWN ALARM, APR '24 2013 10:27 AM PRESSURE' L 1 NE LEAK ALARM 0 2':PREMlUll . PLLD.SHUTDOWN ALARM APR 24, 2013 10:27 AM SENSOR ALARM L 9:DISP l -2 DISPENSER PAN FUEL ALARM APR 24 2013.10:27 AM SE1413OR ALARM L 9:DISP 1 -2 DISPENSER PAN LOW,LIQU1D,ALARM APR 24, 2013 .10:28 AM PRESSURE 'L l NE. LEA): ALARM 0 1'.: REGULAR PLLD SHUTDOWN ALARM APR 24, 201. 3.10:28 AM 1 PRESSURE LINE LEAK ALARM 0 2: PREhi YUM . PLLD SHUTDOWN ALARM APR' 24: 2013,..10:28 .AM PRESSURE,LINE LEAK ALARMSENSOR _ALAi?M - - - -- ;.Q f :REGULARPRESSURELINELEAKALARM: LII:DIiSP 5-6. SHUTDOWN ALARM03: ESL A fSP.I;NSER PAN .- . APR 2q. •2013 10:37 AMPLLDSHUTDOWN-ALARM _ FUEL ALARM APR 24, 2013,10:28 AN I APR,24: 2013 10:29 AM' I, PkESSURE'LINE LEAK. ALARM SENSOR ALARM - - - -- - -- -- SENSOR ALARM - - - -- G 2:PREMIUM LIO:D.ISP 3 -4 L11:DISP 5 -6' PLLD SHUTDOWN ALARM DISPENSER PAN DISPENSEP, APR'24, 2013 10:37 AM FUEL ALARM LOW LIQUID ALARM APR 24. 2013 10:28 AM APR 24, 201.: 10:30 AM. SENSOR ALARM - -- -- L 9:DISP 1=2 SENSOR ALARM - -_ -- PRESSURE ;LI1NE'_LEAK'ALARM DISPENSER PAN L1D:DISP 3 -4 0 I:REGULAR SENSOR 020131 0: DISPENSER PAN PLLD' SHUTDOWN ALARM APR 24. 2013 10 37 W1 LOW LIQUID ALARM APR,-24, 2013,"10"31 AJ APR 24, 2013 10:29 AN PRESSURE.LINE LEAK ALARM PRESSURE LINE LEAK- ,ALARM W 3 : DSL PRESSURE LINE. LEAK ALARM 0 2:PREMIUM PLLD SHUTDOWN ALARM 0 1:REGULAR PLLD.SHUTDOWN - ALOM APR 24, 2013.10:37 AM PLED SHUTDOWN ALARht APR '24, 2013 10:31 -AM APR 24 2013 10:29 AM SENSOR. ALARM -- - -- SENSOR `HLaRN _ - - - =- LID DISP 3 -4 PRESSURE LINE LEAK ARM L12 :DISP 7 -8 DISPENSER PANLASENSOR. OUT ALARM02 :PREMIUM DISPENSER -PAN, APR 24': 2013 10:37 AMPLLDSHUTDOWNALARMFUELALARM APR 24, 2013.10 :29'AM APR 24. 2013 1,0:31 Am 1I SENSOR ALARM - - - -- PRESSURE LINE LEAK ALARM -- - -- SENSOR ALARM - - -- L'I1 :DISP;.5 -6 . Q 3:DSL L12:DISP 7 -8 DISPENSER PAN PLLD SHUTDOW14 ALARM D-ISPENSER. PAN' SENSOR .OUT ALARM APR 24. 2013 10:29 AM LOW .L IGUI D, ALARM APP. 24 , 2013' 10:37 AM, APR 24. 2013 10:31 AM IN-TANX ALARM T 3.:D.IOUT PRESSURE. LINE LEAN ALARMPROBEOUTU:I:REGULAR SENSOR ALARM -- APR 24. X113 10:,4Q AM; ROSS .L' I NE FAIL L 6:DSL FILL APR 24,'M13 10:58 AM PIPING SUMP SENSOR. OUT ALARM APR 24, 2013 10:38 All IN -TANK ALARM - - - -- T - i : REGULAR , - SENSOR ALARM -" - -- SENSOR ALARM - - - -- f INVENTORY INCREASE SENSOR ALARM -- - -- L 7 :VENT '' L12 DISP 7-8 OTHER SENSORS. INCREASE START. DISPENSER.PAN SENSOR-OUT ;ALRRM APR. 24. 2013 1.0:40 AM SENSOR OUT ALARM APR 24. 2013 10;37 AM APR 24. 20I3.10:38:AO VOLUME a 7273 GALS HEIGHT o 55.1.6 INCHES WATER - 0.00 INCHES TEMP = 87. -5 DEG ;F INCREASE ENDrAPR24, 2013 10:53 AM SENSOR : ALARM - - --- VOLUME - 1.1119 GALS SENSOR ALARM --- -- L 2 :87 FILL HEIGHT - 82.53 INCHES L 5 :DSL TURBINE P'I PIING, SUMP WATER = 0.00 INCHES PIPING SUMP SE08OR OUT ALARM TEMP = 87.6 DEG F SENSOR OUT ALARM APR :24.- 2013 {10: 38 -AM iAPR24. 2013 10:372AI1 INCREASE END APR 24, 20.13 10:36 Al" GROSS INCREASE- 3846 TO. NET, INCREASE- 3771. IN-TANX ALARM T 3.:D.IOUT PRESSURE. LINE LEAN ALARMPROBEOUTU:I:REGULAR SENSOR ALARM -- APR 24. X113 10:,4Q AM; ROSS .L' I NE FAIL L 6:DSL FILL APR 24,'M13 10:58 AM PIPING SUMP SENSOR. OUT ALARM APR 24, 2013 10:38 All IN -TANK ALARM - - - -- SENSOR ALARM -" - -- T I :RE(;ULAR L 3:91 TURBINE OVERFILL ALARM 5TP SUMP APR 24. 2013 10: 41 ,AM SENSOR OUT ALARM APR 24. 2013 10:38 AM T 3:DIESEL' INVENTORY INCREASE INCREASE START APR 24. -2013 10.:43 AM VOLUME 230% GALS IN -TANK ALARM - -r -- HEIGHT 68.87 INCHES T (:REGULAR WATER '0.00 INCHES SENSOR ALARM --- -- PROBE; 00T, TEMP 86.1 DEG F L 4:91 FILL APR -24., 2013 16:41 AM. PIPING SUMP SENSOR OUT ALARM INCREASE END APR 24, 20.13 10:36 Al" r, APR 24, 2013 10:55 AM VOLUME = 2773 GALS HEIGHT - 83.34 INCHES WATER _ O.OG INCHES TEMP a 86 -.2 DEG F IN -TANK ALARM -- - -- T 3:DIESEL. GROSS . INCREASE- 464 OVERFILL ALARM TO NET•:INCREASE- 458 SENSOR,ALARM -'- -- APR 24,'2013-10:44 AK L 1:87 TURBINE STP SUMP SENSOR OUT ALARM APR 24. 2013 10:3Ei AM t IN-TANX ALARM T 3.:D.IOUT PRESSURE. LINE LEAN ALARMPROBEOUTU:I:REGULAR SENSOR ALARM -- APR 24. X113 10:,4Q AM; ROSS .L' I NE FAIL L 6:DSL FILL APR 24,'M13 10:58 AM PIPING SUMP SENSOR. OUT ALARM APR 24, 2013 10:38 All PRESSURE LINE LEAK ALARM PRESSURE-LI:NE'LEAK' 'ALARM - -` SMARTSENSOR ALARM,- - 1Q' 3:DSG s :87' VENT 0 i:REGULAR NO VACUUM ALARM PLLD SHUTDOWN ALARM PLLD :SHUTDOWN" ALARM APR 24, 2013.14:.39'AM. APR 24, 2013 10:58 AM j APR 24. 2013. 1110 AM T 2:PREMIUII - SMARTSENSOR ALARM -- 1N -TANK ALARM --- -- INV:PREMI' INCRIA6E s 1 87 VENT T 2:PREMIUM HIGH_ LlOUID'ALARM OVERFILL ALARM APR 24.201.3 11:34 AM APR 24, 2013 i1:00 AM INCREASE START__ ApR'.24, 20.13 1.0:59 AM VOLUME F 1978,GALSHEIGHT - .60.00'INCHE8 WATER e' 0.:00 jNCHES TEMP 89.4 DEG'F INCREASE END IN-TANK ALARM - - APR , 24 , 2013, 1.1 : 1 1 AM T BI UM VOLUME 2768-GALSPROBEOUTHEIGHT = 83.15,'1NGHE.SAPR24. 2013 I1:00,AM WATER - 0.00 INCHESTEMP, - 89.13; DEC' "F GROSS INCREASE- 7.90 TC, NET -INOREASE=• 773 IN -TANK ALARM --- -- T 2:PREMIUM LOW TEMP WARNI.NG APR 24, 2013 11:01 AM PRESSURE LINE LEAK .ALARM, 0 2:PREMIUM GROSS LINE FAIL APR 24, 2013 11:04'AM SMARTSENSOR ALARM -- s 3:87•PRODUGT NO VACUUM ALARM. APR24,. 201 3 11:34 AM SI'1ARTSENSOR ALARM'-- s 2:87 'VAPOR'' NO VACUUM ALARM APR 24. 2013 11:34 AM PRESSURE LINE.L•EAK ALARM' 0 2 :PREMIUM PLLD SHUTDOWN ALARM APR 24. 2013 11:04,AM SIYIARTSENSOR ALARM -- s 3: Q7• P.RODUCT NIGH' L'IOU1Fi •ALARil APR. 24 - '200 .11 : 34 AM PRESSURE LINE LEAI( ALARM 0 3:DSL GROSS LINE FAIL APR 24. 2013 11 10 AM 4 HAPPY GAS 3221 TAFT HWY BAKERSF I ELD CA 93313 APR 24, 2013,11:37 AM SYSTEM STATUS REPORT E I:COMMUNICATION ALARM 9 I:GROSS LINE FAIL . 0 1:PLLD SHUTDOWN.ALARM C 2:GROSS LINE FAIL G 2:PLLD SHUTDOWN ALARM 0 3:GROSS LINE FAIL Q 3:PLLD SHUTDOWN ALARM s ):NO VACUUM ALARM 3 2:NO VACUUM ALARM s 3:NO VACUUM ALARM INVENTORY REPORT T I:REGULAR VOLUME - 5299 GALS ULLAGE = 6703 GALS; 901. ULLAGE-- 5502 GALS TC VOLUME - 5255- GALS HEIGHT - 42.90 INCHES WATER VOL = 0 GALS WATER - 0.00 INCHES TEMP - 71.9 DEC F T 2:PREM CUM VOLUME 698 GALS ULLAGE = 2110-GALS 90% ULLAGE- 1009 GALSTOVOLUME - 888 GALS HEIGHT' - 32.53 INCHES WATER VOL - 0 GALS WATER - 0.00 INCHES TEMP - ` 73.9 'DEG F, T 3:DIESEL VOLUME _ 900' GALS ULLAGE. _ 2108 GALS 90% ULLAGE!- 807 GALS TC VOLUME - 894 GALS HEIGHT = 32:60 INCHES WATER VOL - 0 'GALS WATER - 0 -.00 INCHES TEMP - 73.7 DEG F A ii x x x E14D N ** x W Sh1ARTSEN50R ALARM -- s 9.: DSL VENT . P!0 ACUUVM ALARM 49 AMHAPPYGASAM24, 2013 1.1: 3221 TAFT• WY BAKERSF I ELD• Cr: 93313 APR -24, _2013 11:41 AM S`fSTEM `STATUS . REPORT SMARTSENSOR ALARM. -- E 1 =1111IUN I CATION ALARM l G 4 : GROSS, L I.14E FAIL s10:DSL PRODUCT Or I:PLLD- SHUTDOWN ALARM J NO- VACUUM ALARM ; AM AP;R.24. 201,3 1L.45 HAPPY GAS SYSTEM ;STATUS- REPOR`f - 3221 TAFT.HWY E 1 : COhll`1UN I CAT.1(iN. ALARM BAKERSF :I ELD CA 1:GROS9 LINE FAIL 1 :PLLD SHUTDOWN ALARM 93313 L) 2: GROSS: LINE FAIL r, 2 ,.PLED .SHUTDOWNI ALARM APR 24. 201,3 11:39 HM 3:GROSS LINE FAIL SMARTSENSOR ALARM.'__ SYSTEM STATUS. REPORT t 10:DSL PRODUCT NO VACUUM ALARMl :45 AME: I :COMMUNICATION, ALARhI APR 24. 2013 I 0 1iGROSS LINE FAtIL Q" 1 :,PLLD - SHUTDOWN ,ALARM G 2:GROSS-LINE FAIL 0,2:PLLD,SHUTD04JN ALARM Q 3:GROSS LINE.FAIL SMARTgENSOR,ALARM -- 0.3 :PLLD SHUTDOWN ALARM S g:pSL.VENT HIGH LIQUID APR 24, 2013 1l: NLAR 6 s 2.:NO VACUUM ALARM Sh1ARTSEN50R ALARM -- s 9.: DSL VENT . P!0 ACUUVM ALARM 49 AMHAPPYGASAM24, 2013 1.1: 3221 TAFT• WY BAKERSF I ELD• Cr: 93313 APR -24, _2013 11:41 AM S`fSTEM `STATUS . REPORT E 1 =1111IUN I CATION ALARM l G 4 : GROSS, L I.14E FAIL HAPPY GAS TAFT . 3221 AI'ERSF LELD ^,A 9331.3 Or I:PLLD- SHUTDOWN ALARM APR: 24, 2013;1 :50'AM 0 2 :GR0SS LIN FAIL G 2:PLLD, SHUTDOWN 'ALARM SYSTEM ;STATUS- REPOR`f - 0. 3: GROSS * LI NE FA, I L, E 1 : COhll`1UN I CAT.1(iN. ALARM G 3:PLLD SHUTDOWN NL iRhl- 1:GROS9 LINE FAIL 1 :PLLD SHUTDOWN ALARM L) 2: GROSS: LINE FAIL r, 2 ,.PLED .SHUTDOWNI ALARM 3:GROSS LINE FAIL 3 3:.PLLD' SHUTDOWN ALARM SMARTSENSOR.ALARM -- s '9: DSL..VENT,. . 5.'9:NO VACUUM ALARM NO VACUUM'ALARM APR. -241. ,20.13 1'1 :45'AM SMARTSENSOR.ALARM -- s 5:91 VENT NO VACUUM ALARM APR 24. 2013 1 l :'S3 ,AM SMARTSENSOR ALARM -= s 6:91 PRODUCT NO VACUUM ALARM APR 24. 2013. 11:53 -AM SMARTSENbSOR:'ALARM -- s 6 :91 PRODUCT HIGH LIQUID ALARM APR 24, 2013 11:54 AM SMARTSENSOR ALARM - s 5 :91 VENT HIGH LIQUID ALARM' APR 24.. 2013 11:55 AM SMARTSENSOR ALARM -- s 5:91 VENT NO VACUUM ALARM APR 24, 2013 11 :56 AM SPIARTSENSOR,ALARM -- s 6:91 PRODUCT " NO VACUUM ALARM APR 24. 2013 11 :56 Ali SRARTSENSOR "ALAP.W elI:DSL'ANNULAR NO VACUUM' ALARM , . APR 24.. 20,13' 12:05 PM SMARTSENSOR,ALARM -- s1, f ;.DSL "ANNULAR' ' N0. VACUUM ALARM APR 24: t_2013 .12:05 PIN SMARTSENSOR•'ALARM -- s 4:'87 ANNULAR NO VACUUM ALARM APR 24. '2013 12:08' PM SMART: Liv:3GR' ALARM -- sl.1:DSLrANNUL•AE HIGH'LIQUID°ALARM APR. 24. `200.12• :.13 'PM SMARTSENSOR ALARM s'4:.87 ANNULAR HIGH LIQUID ALARM APR '24 2013 12:22 .PM 1 HAPPY GAS 3221 TAFT,HWY BAKERSFIELD CA 93313 APR _24.. ,20;03' 12: 33 PM SYSTEM STATUS REPORT E 'I: COMMUNICATION ALARM QA :GROSS LIME FAIL Q J:PLLD SHUTDOWN ALARK 0 2: GROSS L 1 NE , FA I L Q 2:PLLD SHUTDOWN ALARM 0 3:GROSS LI:NE'FAI 0' 3 : PLM SHUTDOWN, ALARM. s 4:140 VACUUM.ALARM 5.11:NO VACUUM'ALARM HAPPY GAS' 3221 TAFT HWY BAKERSFIELD CA. 933.1.3. APR: 24 2013, 12:.34 PM SYSTEM STATUS REPORT E L :COMMUNICATI'ON, ALARM Q ,1:GROSS LINE, 1=AIL 0 1 :PLLD SHUTDOWN. ALARM Q 2: GROS'S L I PIE FAIL 0 2:PLLD SHUTDOWN ALARM 3 -3:GROSS LINE FAIL G' 3 : PLLD 'SHUTDOWN' ALARM s 4: NO VACUUM`ALARM s III :NO VACUUM ALARM HAPPY GAS - -- SMARTSENSOR ALARM' -- 1 HAPPY' GAS 3221 TAFT HWY s 5:9C VENT'. 3221,TAFT HWY BAKERSFIELD CA NO VACUUM ,ALARM BAKERSF.IELD CA93313 -APR :24. 2013 '.l 2:56 PM 9.3313 - APR 24, 2013 12:37•'PM SYSTEM STATUS,REPORT E I:COMMUNICATION ALARM s 4:NO VACUUM ALARM s11:N0 VACUUM. ALARM HAPPY GAS 3221 TAFT HWY BAKER8F.1 ELD 'CA 93313 APR. 24, 2013 12:38 PM SYSTEM STATUS.REPORT a 4:NO VACUUM ALARM - 511:,NO VACUUM ALARM SMARTSENSOR DIAGNOSTIC APR 24. 2013 12:50 PM s 5:91 VENT VAC SENSOR. SERIAL NUMBER 1.2370020COMPENSATEDPRESSURE: 6.227 PSIUNCOMPENSATEDPRESSURE: EVACUATION STATE :4 PSI VACUUM :OKFLUIDSTATUS: NORMALVCV: CLOSED 4 -24 -13 12:34PM LEAK RATE: 3.468 GPHTIMETONOVAC: 0:181 HHHH : MM . 1-24-13 1.2 : 50PPI EVAC RAT10:2.9 @ - 6.2PS1SENSORFAULTS: NONE SMARTStN,50R' b l'AGNOST I C APR, 24. 20'13' 1 :O1.,PM s 4 :87 .ANNU' t:AR VAC SENSOR SERIAL NUMBER 13030003 COMPENSATED, PRESSURE: 6.000 PSI UNCOMPENSATED PRESSURE: 6.256r PSI. EVACUATION - STATE: EVAC ACTIVE MANUAL FLUID ,STATUS'.- NORMAL VCV :. OPEN' 4 -24 -13 '12:51PM LEAK RATE: O:OOO GPH Ti Mt TO' NO-VAC: - 0 :,00 HHHH:MM, 4 -24 -13 I:OOPM _ EVAC. RATIO: '10 e - 6.OPSj, SENSOR FAULTS: NONE SMARTSEPSOR ,ALARM -- sII:DSL ANNULAR. VACUUM .WARNI'NG APR 14 2013 ':l :031, PM. APR. 24 r -2013 1:12. PM SYSTEM.:STATUS REPORT ALL,FUNCTIONS NORMAL. INVENTORY REPORT T I:REGULAR VOLUME - 5299.GALS ULLAGE - 6703 GALS 90% ULLAGE- 5502 GALS TC VOLUME- 5255 GALS HEIGHT - 42.91' INCHES WATER VOL - O GALS WATER =. 0.00 INCHES TEMP- - 71.8 DEG F' T 2:PREMIUM VOLUME 898 GALS ULLAGE 21-10 GALS 90% ULLAGE_- 1809 GALS TC VOLUME 888 GALS HEIGHT' - 32.53 INCHES WATER VOL 0 GALS WATER• - 0.00'INCHES TEMP 74.2 DEG F T 3:DIESEL VOLUME - 900 GALS ULLAGE - 2.108 GALS 90% ULLAGE- 1807 GAES TC VOLUME` 894 GALS HEIGHT a 32.60 INCHES WATER VOL -- ` 0 GALS. WATER 0.00 INCHES TEMP - 73`.7 DEG . F END k x A S lARTSENSOR. DIAGNOSTIC APR 24, 2013 1:12.-PM s.I: "87 VENT VAC SENSOR SERIAL NUMBER 13030002' COMPENSATED PRESSURE: 7'. 196 PSI UNCOMPENSATED PRESSURE 7.460 PSI EVACUATION,STATE; VACUUM OK FLUID STATUS: NORMAL VCV: CLOSED'; 4 -24 -13 1:12PM, LEAK RATE: - 0.031 GPH TIME TO NO VAC.: 100-00 HHH_H:MM EVAC RATIO: l; ,NOWW SENSOR FAULTS: NONE s 2:87 VAPOR' VAC SENSOR SERIAL NUMBER 13030005 COMPENSATED PRESSURE:' 5.933 PSI UNCOMPENSATED,PRESSURE: 6:198 PSI EVACUATION STATE: EVAC PENDING FLUID STATUS: NORMAL, VCV: CLOSED 4 -24 -13 1:12PM LEAK RATE: 0.220 GPH TIME TO NO VAC: 23:32 HHHH:MM EVAC RATIO.: UNKNOWN SENSOR FAULTS:- NONE s 3:67 PRODUCT VAC SENSOR SERIAL NUMBER 13030004 COMPENSATED PRESSURE: -, - 6.493 PSI UNCOMPENSATED PRESSURE,: 76.758• PSI EVACUATION STATE,: VACUUM OK FLUID STATUS: NORMAL vCV: CLOSED 4 -24 -13 1:12PM LEAK, RATE:. 0.020 GPH; TIME TO NO' .VAC : 100:00 HHHH:MM 4 -24 =13 10:57AM EVAC RATIO :I'.•7 - 6.6PSI SENSOR FAULTS: NONE s 4,:,87' ANNULAR VAC. :SENSOR.`_ SER i AL NUMBER' .- - 13030003 COMPENSATED - PRESSURE::_ . 3.%15 PSI UNCOMPENSATEU'PRESSURE EVACUATION: STATE: EVAC 'PENDING._ , - . FLUID. STATUS:" NORMAL VCV: CLOSED 4-24 -1 ;3'' .I:12PM LEAK RATE: 24.354 GPH 71 ME - TO Id0 VAC. : C. "I6 1•1HHH'MM 4-24,:713. 'I.1,01w" ._ : EVAC ' RATIO :10:.;0 'q -6.. OPS SENSOR ,- FAUL`T$: NONE_ . , , . . s 5: 91 TVErJ VAC SENSOR, SERIAL 'NUMBER 1,2370020 COMPENSATED VRESOURE: - 5:440_PS'1 UNCOMPENSATED,PRESSURE': 5.705' PST EVAGUATION: STATE: — EVAC PEND I,NG' FLU1D'STATUS: NORMAL VCV: CLOSED 4 -24 '- 1 3. _I c,1.1.PM -. LEAK , RATEt 0...077 GP,H T1 ME T.O 14.0 VAC: . 9,9 :45, HHHH:MM 4- 24-1`2 1.2 :50PM EVAC' RAT_I.O : Z.9, U 6.2PSl; SENSOR` FAULI`3 NONE s 6-:91 PRODUCT VAC .SENSOR. SERIAL- NUMBER ! 1237062_I' ' COMPENSATED',;PRESSURE: 7.518 PSI' UI400MPENSATED ,PRESSURE: EVACUATION STATE. VACUUM 0'K . FLUID STATUS: NORMAL VCV: CLOSED 4 -24-13 l .: 12PM. LEAK.'RATE 0.163 GPH TIME TO NO' VAC : 82 :05 HHHH:MM, EVAC RAT10: UNKNOWN - SEPISOR .FAULTS : NONE 1 s 8; ATM ATM. P •SENSOR SERIAL NUMBER; 7259. 1ATM PRESSURE - 0.265. PSI s -9. :`DSL VENT VAC SENSOR SERIALiNUMBER .,, 18B29 COMPENSATED;PRESSURE: 6.216 PSI UNCOMPENSATED PRESSURE: 5.491 PSI EVACUATI:ON•STATE: VACUU11 OK, FLUID :STATUS: NORMAL, VCV : - CLOSED 4 -24 -13 1 :12PM LEAK;RATE: 0.1.26 GPH T I ME" TO NO VAC: 71:15 HHHH,:Mh1 4L24 -13 I0 19AM EVAG RATIO.: 10 C 4.7PS1 SENSOR FAULTS: NONE, - sl,O:DSL PRODUCT VAC. SENSOR SERIAL NUMBER 13020010 COMPENSATED PRESSURE: 9.189 PSI UNCOMPENSATED'PRESSURE:. 9 .•153, PS EVACVATION.STATE,:. VACUUM OK. FLUID STATUS: NORMAL VCV,: CLOSED 4 -24 -13 1:1.1 PM LEAK 'RATE:, 0.041 CPH TIME. TO NO VAC: 100:00 HHHH:MM EVAC, RATM: UNKNOWN SENSOR FAULTS:: NONE sIII ;DSL ANNULAR' VAC. SENSOR - SERIAL'NUMBER• 13020002 COMPENSATED PRESSURE: 7.756 PSI UNrOMPENSATED-PRESSU,RE: 8.021 PSI EVACUATION STATE: VACUUM OX, FLUID STATUS.: NORMAL VCV.: CLOSED 4-24'—I,3 1 : 1 2PM LEAK RATE: 7.127 CPH TIME TG NO VAC: 2:04 HHHH':MM 4—,2,4'— 1 X 1 :OSPM- EVAC RAT I..6:. 36@ —7.9PS l SENSOR.FAULTS:. NONE — s12 :FM 1 -2 AIR FLOW-METER: ' SERIAL NUMBER 5BB51 HARPY'GAS 3221 'T,AFT' H41,`! BAKERSF'I ELD' CA 933113; s 13 : FM 3 -4 APR, 24"r "2013 1:29 :PM AIR ,FLOW METER SERIAL NUMBER 58886 SYSTEM STATU?_REPORT sl4:FM 5 -6. AtL FUNCTIONS NORMAL AIR ,FLOW, METER INVENTORY REPORT SERIAL NUMBER 59646 T !;:REGULAR 5300 GALE: VOLUME` " sl5:FM 7 -9 U1,LAGE- . ° 6702; GALS GALS AIR FLOW METER: 90?4 ;UL' LAGS° 5501 TG 5256` GALS SERIAL NUMBER 58895= VOLUME HEIGHT. m 42.. 91 INCHES 0 GAL 13WATERVOL WATER ° 0.00 INCHEa TEMP; Ti .8 IEr, F s16 :PRESSURE SENSOR VAPOR PRESSURE T 2:PREMIUM 898, GALSSERIALNUMBER12805VOLU19E: ° 21,10, GALSULLAGE• ° 90%' ULLAGE- I11809 GALS, TC= VOLUME 888 ;GALS HEIGHT 53'1NCHES WATER. "'VOL '- 0 .GALS 17NCHESWATER0.00 TEMP °: 74.2 'DEG 'F T. 3 : Di ESEL 9f10 C;ALSVOLUME ° ULLAGE' ° 2100 GALS Son ULLAGE° • 1,807 GALS, TC VOLUME n' '894 GALS HEIGHT 32. E0 INCHES WATER VOL 0 GALS. 0 I NCHE.S. WATER :0¢ TEMP a 73;.8.DEG F x: END A ..x rp a J SWRCB, January 2006 Spill Bucket Testing Report Form Thisform is intendedfor use by contractors performing annual testing ofUSTspill containment structures. The completedform and printouts from tests (f applicable), should be provided to thefacility owner /operatorfor submittal to the local regulatory agency. 1. FACILITY INFORMATION Facility Name: Happy Gas & Mini Mart Date of Testing: 4/24/2013 Facility Address: 3221 Taft Highway, Bakersfield, CA 93313 Facility Contact: Amita I Phone: 661 -831 -2323 Date Local Agency Was Notified of Testing: 4/23/2013 Name of Local Agency Inspector (fpresent during testing): Ernie Medina 2. TESTING CONTRACTOR INFORMATION Company Name: Confidence UST Services, Inc. Technician Conducting Test: Kristopher Karns Credentials: Z CSLB Contractor x ICC Service Tech. 0 SWRCB Tank Tester Other (Spec) License Number(s): CSLB# 804904 ICC# 5264406 -UT TT# 09 -1743 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 x Contained in Sump Direct Bury x Contained in Sump Direct Bury Contained in Sum Bucket Diameter: 12.00" 12.00" 12.00" Bucket Depth: 12.50" 12.50" 12.25" Wait time between applying vacuum/water and start oftest: 5 min. 5 min. 5 min. Test Start Time (Ti): 10:45am 10:45am 10:45am Initial Reading (Rj): 10.00" 11.25" 10.75" Test End Time (TF): 11:45am 11:45am 11:45am Final Reading (RF): 10.00" 11.25" 10.75" Test Duration (TF — Ti): 1 hour 1 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 Results Ox. Pass 0 Fail D Pass Fail " t] ,Pass` ?` Fail° Pass Fail ` Comments — (include information on repairs made prior to testing, and recommendedfollow -upforfailed tests) CERTIFICATION OF TECHNICIAN RESPONSIBLE FOR CONDUCTING THIS TESTING 1 hereby certify that all the Information contained in this report is true, accurate, and in full compliance with legal requirements. Technician's Signature: , Date:_ 04/24/2013 State laws and regulations do not currently require testing to be performed by a qualified contractor. However, local requirements may be more stringent. Happy Gas & Mart 3221 Taft Hwy Bakersfield, CA 4/24/2013 2= External Overfill Alarm 3= Emergency Shut Off Switch 4= Veeder Root ATG Probe 5= Veeder Root PLLD 6= Veeder Root 208 Sump Sensor 7= Veeder Root 420 Annular Sensor 8= Veeder Root 304 Sump Sensor 9= 12000 Gal. Regular STP Sump 10= Regualr Fill Sump 11= 3000 Gal. Super STP Sump 12= Super Fill Sump 13= 3000 Gal. Diesel STP Sump 14= Diesel Fill Sump 15= Vent Box Comments: The Diesel and Super are a Split tank and share one Annular. 2 * 6 Ll '#F1DFh LJ #FIDF 40 @ 40 C% BUST= UST 4UC10 TIM, Job Order/ Invoice # go 689' BUILD WITH CONFIDENCE' Toll Free #: 1- 800 - 339 -9930 Da Call de Time 1017 Station Control Number Repair Da Invoice Date 3ai d Name Confidence UST Construction Inc. Work performed at Station number: s Street 16250 Meacham Road Street a a I T%> cuo city Bakersfield, Ca 93314 City g St to ZipoJU Total C Mileage Terms M S tn 2Tl Store number: Description of work performed: bVICIAJ& M G i ,o Rll ESTr Total Amount Invoice A + B + C m i . L Tour• Labor Date Name / Number Class Hours Hourly Amount Arrived Departed Labor Travel Total Handling % Rate Tax ( If applicable) AM Total B May we please have your comments regarding service / equipment provided by the above named contractor: Store Employee Printed Name Store Employee Signature PM PM AM AM PM PM AM AM PM PM Employee Signature Date Vendor Signature Date Contractor Supplied - Materials - Rentals Amount Sub -Total Quantity Total A Labor Total B Material Total C Mileage Total Amount Invoice A + B + C Accounting Breakdown Mileage Miles Rate Total Sub Total Handling % Tax ( If applicable) Total C Total B May we please have your comments regarding service / equipment provided by the above named contractor: Store Employee Printed Name Store Employee Signature p INVOICE - gffF17c SITE - CANARY A- tq Joe 3v L{ l jog t, 3V14 5 , 51p pertop - P VA C pub 11,3 O 1 S v Q e 5 , 51p pertop - P VA C pub 11,3 O 1 S v Q aaaal3 aaas aaaa aaaa r- I C f E4 ry r A 2 9 j i i i B t O i 2 i Lilt lit lit M & I lit ML r 33 ?$ 333 3333 3337 a lit iI pp 333 pit 111 O a 3111 Taft High"ysew - • ama.. vaA r. ff f ff w tLkoMY, Ca 770 .. .. Bakers/Idd, Ca. 93313 WIBLE ROAD- i ._. ..._.... ....... 1 I Ca Contraata Liwnw • 7924" s, a o . Rill: i tit I: 9A4 FFF tilt jf i asPapp gad . Oil f IIo o r- I C f E4 ry r A 2 9 j i i i B t O i 2 i s I lit ML r 9 9 I a lit iI pp 333 O a 3111 Taft High"ysew - • ama.. vaA r. zz w tLkoMY, Ca 770 .. .. Bakers/Idd, Ca. 93313 it Ca Contraata Liwnw • 7924" r- I C f E4 ry r A 2 9 j i i i B t O T7=.::>— Z --<=— i 2 i s I lo L t 9 9 I T7=.::>— Z --<=— s D - N . J CONSTRUCTION INC. HAPPY GAS & MINI MART O a 3111 Taft High"ysew - • ama.. vaA w tLkoMY, Ca 770 .. .. Bakers/Idd, Ca. 93313 7 • ti r • 7077 661 - 831 -1313 Ca Contraata Liwnw • 7924" REVISIONS I BY V cc M Z a N O M V M NU 0G 7 e M F U) o v Z ao M p O, E_vN O Q CL Z 14 0 V Z Z NOof V 0G e F U) o v Z ao E_vN O v tQ Z 14 0 m V Date 4 —3 - 0