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Home My WebLink About3701 MING AVENUE FMC 2013S'^ HOODS ALARMS SPRINKLER SYSTEMS SPRAY AST UST Permit No. Permit No. Permit No. Permit No. Permit No. Permit No. 1-3-16= 36 ( File Number: 5 Date Received: — /.3 Address: Bakersfield, CA 933 Business Name:A Comments: 1. a. 3. 4. ONSFECTM L®G Date Time 011-1 a-, Signature Signature SYSTEM: BUILDING SQUARE FEET: New Mod. Commercial Hood System Building Sq. Feet: Fire alarm System Calculation Bldg. Sq. Ft: Fire Sprinkler System SPA-- j F7 1 SV';if'P,nT Aboveground Storage Tank Underground Storage Tank minor modification Underground Storage Tank removal Underground Storage Tank Comments: 1. a. 3. 4. ONSFECTM L®G Date Time 011-1 a-, Signature Signature MO'NITOiUNG SYSTEM CERTWICATtGN For Use By All Jurisdictions Within the State ofCalifornia Authority Cited.• Chapter 6.7, Health andSareh, Code; Chapter 16, Division 3, Title 23, California Code ofRegulations This form must be used to document testing and servicing of monitoring equipment. A stTmic certilication or report must be propored for each monitoring system control pa cl 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 sy%lLms within 30 days of test date. A. General Information Facility Name: #7785 Feettip #32 Bldg. No.: Site Address; 3701 Wong Avenue City: bakersfield, CA Lip: 93309 Facitity Contact Person: Omm Gamis Contact Phone, No.: (681) 393 7000 Make /Modes. of Monitoring, Systems Veeder -Root TLS -350 Date. ofTesting /Servicing: 811112013 B. Inventory of Equipment Tcsted/Certifi.ed Check the appropriate boxes to indicate specific eouipment insnected /serviced: Tank ID: 12,000 Gal. Regular Tank ID: 12,000 Gal. Super In -TankGauging Probe. Model: 847390 -107 In-Tank Gauging Probe. McKlel: $47390 -107 Annular Space or Vault Sensor. Model: 794380 -303 Annular Space or vault Sensor. Madcl: 794380.303 Piping Sump / Trench Sensor(s). Model: 794380 -208 Piping Sump / Trench Srnsor(s). Mules: 794380 -208 Fill Sump Sensor(sl. Model: 794380 -208 Fifl Sump Sunsor(s). Model: 794380 -208 Mechanical Line Leak fktceton Model: FX -1V Mechanical Line i.cak Detector. vtodcl: FX -1V Electronic Line Uuk fkxector. Model: Hectrunic Line Leak Deteoor. Model: tank Cnwfill / High -Level Sensor. Model: 847390 -107 rank Overfill / High -1 cvel Smsor. Model: 847390.107 Other ('spc66'equipment t.Npcand model in Seaion is on Page.2). 01 Other (spcxin' equipment. gjv and model in Scctinn H on Page..2:). Tank. f13: 12;001,1 Gal., Diesel T"k lD: In -Tank GAugfng Prabc.. Mader: 847390 -107 in -Tank Gauging Probe. Model: 0 AMU%V sp&WN Vauk scram. hkxk : 794390 -M g Ammar Space or Vwk :izrrw. MoM: Piping Sump / Tmich Sensur(s). Model: 794380 -208 i Piping Sump / Trench Scnsor(s). Model: ID iii Sump Sensoro). Model: 794380 -208 rill Sump Sensor(s). Model: Mechanical Line leak Detector. Mudcl: FX -1DV Mechanical Line Leak rktector. Model: Electronic Line I.enk Detector. Model: Hlectronic Line Leak lktector. Model: Tank Overfill / High -Level Scn:wr. Model: 847390 -107 Tank Overfill / I ligh -Level Sensor. Model: Other (specify equipment type and model in Section Eon Page 2). Other (specify equipment type and model in Suction Fon Page 2). Dispenser ID: 1 -2 Dispenser ID: 3-4 Dispenser Containment Sensor(s). Model: 794380 -208 Dispenser Containment Sensor(s). Model: 794380.208 Shear Valve(s). Shear Valvc(s). Dispenser Containment Float(s) and Chain(s). Dispenser Containment Fhun(s) and Chain(s). Dispenser ID: 5-6 Dispenser 1D: 7-8 DispenserContainment Sensor(s). Model: 794380 -208 Dispenser Containment Sensor(s). Model: 794380 -208 Shear Valw1s). Shear Valve(s). Dispenser Containment Fluut(s) and Chain(s). Dispenser Containment Float(s) and Chain(s). Dispenser ID: VENT -BOX Dispenser ID: Dispenser Containment Sensor(s). Model: 794380 -208 Dispenser Containment Scnsor(s). Model: Shear Valve(s). Shear Valve(s). DispenserContainment Flont(s) and Chain(s). Dispenser Containment Float(s) and Chain(s). If the facility contains more tanks or dispenser%. copy this t1inn. Include intitmtation tir every tank and dispenser at the facility. C. Certification - I 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 a uipment. For any equipment capable ofgenerating such reports, 1 have also attached a copy of the report; (check all that apply): System set -up ® Alarm history report Technician Name (print): Kristopher Karns Signature: ,...- Certification No.: 834106 License. No.: 804904 Testing Company Name: Confidence UST Services Phone No.: (800) 339 -9930 Site Address: 3701 Ming Avenue, Bakerfield, CA 93309 Date of Testing/Servicing: 81112013 Page 1 of 3 Monitoring System Certification D. Results of Testing/Servicing Software Version Installed: 329.02 Cmmnirtp the fnlinwinn rhprklict- 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) 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 Thal 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* Cl No Was liquid found inside any secondary containment systems designed as dry systems? (Check all 1har apple!) Product; ® Water. Ifyes, describe causes in Section E, below. J@ Yes El 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: I removed small amount of water from all STP Sumps. Page 0 of 3 T Monitorrag System, Certification F [n -Tank Gauging / SIR. Equipment: [91 Check this, box iftank gauging is used only for inventory- controL Check.this box, ifno tank gauging,or S'IR equipment is, installed. This section trust be completed ifin -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 ofsystem product level readings tested? Yes No* Was accuracy of system water level readings tested? Yes No* Were all probes reinstalled properly? Yes No* Were all items on the equipment manufacturer's maintenance checklist completed? In the Section H, below, describe how and when these deficiencies were or will be corrected. G. Line Leak Detectors (LLD): Compleete the followine checklist: Check this box if LLDs are not installed. 0 Yes D No* For equipment: start-up or annual equipment. certification, was a leak. simulated, to verify l.i.D perfurmance? N/A rClieck:ull tarunnh ?I Simulated leaf- rate: ® 3 g.p.h.; 0.1 g-.p.h.; 010.2 g.p.h. O Yes No* Were all LLDs confirmcdt operational and accurate, within regulatory requirements? Yes No* Was the testing apparatus properly calibrttloO Q Yes No* For mechanical 1.1-13s, does the. I JA)I reslricti. product. flow if it d'etecis a leak? N/A Yes No* For electronic LLDs, does the turbine automatically shut oll' if the 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 LLD& 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 r FASTRIP 785 COLLWTION TESTS 3701 hl l NG AVE GROSS 9f4 EPSF I ELU rl3309 9Lm ULLAGE:- ,H :: AeL(0) A %L(0) t ISD DAILY REPORT 08 -01 -13 12 :44 PM HEIGHT a U3.16 114CHES FP 1: FASTRIP 7u5 WATER VOL a 0 GALS 3701 MING AVE S•''STEM :STHTUS REPORT BAKERSF I ELD 53309 FP 2: 661- 397 -3699 ALL FUNCTIONS NORMAL - 0.96( 40) 1.05(254) 00 -01 -13 12:44 PM I NVENTORY 1, P()FT 4 EVR TYPE: VACUUM ASSIST T 1 : UNL EALjEE, ISO VERSION 01.02 VOLUME . 2776 GAIZ BLEND3 I.II.LAGE o 9224 GALS REPORT DATE: 08 -01 31Yk ULLAGE- 8024 GALS ISD VERSION 01.02 TC VOLIRJE o 2722 GALS BLEND3 HEIGHT 25,93 INCHES; OVERALLiSTATUS PASS WATER VOL 0 EVR CONTAINMEar PASS WATER s ;,•- r r S EVR iOLLEGT I ON PFD TEMP A STAGEI 0 of CI NOTFST 58) 1.00(285! SELF TEST PASS FP 7: ISD MONITOR UP -TIME 100 %i T 2 : F•RaII UM 0.98( VOLUME ULLAGE = CONTAINMENT 'PESTS 9O': ULLAGE= 0.53( TC '•11(1 )l.l,RjE . , GROSS 95% 0.0 "WC HEIr::HT . 3; DGRD 75U -0.1 "W(; IdmTEF vc;l_ . VAPOR LEAK I CFH WATER ;. MAX -0.4 "WC TEMP = P MIN -5.,0 "WC T J:DIESEL VOL13,1F : ;It COLLWTION TESTS ULLAGE _ ;- GROSS DGRD. 9Lm ULLAGE:- ,H :: AeL(0) A %L(0) TC VOLUME - 3815 #IL.S HEIGHT a U3.16 114CHES FP 1: BLEND:: WATER VOL a 0 GALS 1.01( 61) 0.98(377) WAFER n O.OU I NCHES FP 2: BLEND3 TEMP . 90.9 DEG F 0.96( 40) 1.05(254) FP 3: BLENDS 1.19( 65) 1.0:3(396) 4 tF • • END 4 w : k FP 4: BLEND3 0.93( 39) 11.94(250) FP 5: BLEND3 0.93( 70) 0.95(359) FP 6: BLEND3 1.09( 58) 1.00(285! FP 7: BLEND3 0.98( 72) 1.01(283) FP 8: BLEND3 0.53( 33) 0.49(131) S01'TWARE REVISION LEVFI, SELF TEST VERSION 329.02 SOFTW -AREu 346329- 100 -C: SETUP TEST PASS CREATED •- 09.07.01.16.29 SENSOR OUT TEST' r•+iSS S- MODULE>r :J3U160--U04 -a SYSTEM FEATURES. PERIODIC 1N -TfiNK TESTS HNINUAL IN -TANK TESTS ISD 3YSTEMI SETUP 08 01 -1., 12:44 PM SYSTEM UNJ7'S U.S. SYSTEM LANGUAGE EI*,'L i SH SYSTEM DATE /TIME t"Ob:M%•,'I MM -DD -YY 4IH:Vi:SS xM FASTRIP 785 3701 MING AVE BAKERSFIELD 99309 661 -397 -3699 SHIFT TIME 1 6:00 AM SHIFT TIME 2 111 w+BLEU SHIFT TIME 3 : DISABLED SHIFT TIME 4 D 1 SABI_ED TANK PER TST NEEDED WRN DISABLED TANK ANN TST NEEDED WRN DISABLED LINE RE- ENABLE II£THOD PASS L 114E TEST LINE PER TBT NEEDED WRN DISABLED LINE ANN TST NEEDED WRN DISABLED PRINT TC VOLUMES ENABLED Trl•1P COMPENSATION VALUE (DEG F ): 60.0 STICK HEIGHT OFFSET DISABLED ULLAGE: 90x I1- -PROTOCOL DATA FORMAT IIE:13HT I.AI LIGHT SAV 1 NG TIME ENABLED START DATE MAR WEEK 1 SUN START T;ME 2: Or.; AM END D iE NOV WEEK 1 SUN END TIME 2 :00 AM i r t Kt ^L' l KtUT L(A;HL F -R I NTviIT LI 1 S -41LED t IOINIUNICATIONS SETUP SETUP EURO FIROTCv`•aL PREF 1:: S T I:UNLEADED FORT SETT IPIt;s: PRODUCT CODE i THERMAL COEFF :.00071:10 r„)TEI-i SECURITY CL PIN BOARD : I (ED I M > TAN), D 1:1I1E R 96.00 ODE 000000 RS -232 RECURI11 TANK PROFILE 4 PTo CODE : DISABLED FULL VOL 12001:1 MA NTENHN,_'E HI0""TORY 1 72.0 1 NCH VOL : 9999 DCE:+BLEli COMM BOARD 2 (RS-23: ?; 48.0 INt'H VOL. : 6355 BAUD RATE SEGO 24.0 llw:H VOL 2505 PARITY NONE TANI; :HART SFi1'L1R I TY STOP BIT 1 STOP DISABLED DATA LEWh TH: 9 DATA FLOAT S17-E; 4.0 IN. RS -232 f3B:URI'1'Y C'OGE : Di SAkiLEO WAGERWATER 1 LIU!9TOM ALHR1tiS MIT' 3.0 DISi+BLF:D ColIl1 BO(ARD '1 i'RS -23 ' BAUD RATE 9600 Py OR LAgf L VOL.: 120130 PARITY : NONE OVERFILL LIMIT SERVICE NOTICE STOP BIT : I, STOP 0800 DISABLED VATA LENGTH: B DATA HIGH F•ROCIUC;T 135 +: RS -_32 SECURITY 1140C• CODE : D1 ABLED PEL I VERY' L I M I T 15% SO 3166 COUNTRY L8U0 ODE: AUTO Tkmm3rif T SE7'TIPAAK. LOIn( F'ROLu'7 12 1? LEAF HLARM LIMIT' 99 1"ASS,415NSITY 11U1'O LEAP, ALARM LIMIT SUDDEN LOSS LIMIT: 99 DISAABLED DISABLED TANK TILT 0.00 AUTO H'I;'.H WmTE.R LIMIT PROBR OFFSET -3.00 D 1 SHBLED AIlTO OVERFILL. LIMIT L1ISABLEL7 SIPHON MANIFOLDED TANKS A I %l LOU PRODCP T D I SABLED Td: Now I. L NE MANNFOLDED 'CAWS AUTO THEFT LIMIT TO: NONE D184BLED AUTO DELIVERY START L'i£sADLED LEAX MIN PER10U11:: AUTO DEL.1 VEP. END 1I uI SAR'L.ED AUTO EYTERNHL INPUT ON LEAK. MIN HNNUAL : DISABLED 12d AUTO EY.TERNHI. INPUT OFF DISABLED AUTO SENSOR FUEL ALARM PERIODIC TEST TYSTANLwRGDISABLED AUT0 SENSOR. WATER ALAP.M DISABLED ANNUAL TEST FAIL AUTO SENSOR OUT A f%RM ALARM DISABLED DISABLED PERIODIC TEST FAIL ALARM vic,44BLED GROSS TEST FAIL ALARM DISABLED ANN TEST AVERou-,I NG' OFF PER TEST AVERAGING: OFF RS -232 END OF ME:,;S. j;E DISABLED TANK TEST NOTIFY: OFF TNX TST S 1 pHON BREW:: DELIVERY DELAY I MIN PUMP THRESHOLD : 10.00: T 2:PREMIUM PR! )DU,: T CODE ? THERMAL !,'OD'V 000700 TFiNK D I AME'TER 96.00 TANK PROFILE 4 PTS FULL VOL : 12000 72.0 INCH7H VOL 9999 48.0 INCH VOL 6355 24.0 L IW'H VOL 2505 FLOAT SIZE: 4.0 1N, WATER WARNING 2.0 HIGH WATER LIMIT: 3.0 MAX OR LABEL VOL: 12000 OVERFILL LIMIT 90x 108UU H l i;H PROPUt-T 95 %: 11400 DELIVERY LIMIT 15% 1800 LOW PRODUI::T 1200 LEAK ALARM LIMIT: 99 SUDDEN LOSS LIMIT: 99 TANK TILT 000 PROBE OFFSET 0..00 SIPHON rIANIFOLDED TANKS TO; NONE LANE MANIFOLDED TANKS TO: NONE LEAK MIN PERIODIC: I% 120 LEAK MIN ANNUAL 1" 120 PERIODIC TEST TYPE STHNDwRD r;N WAL TEST FAIL ALARM DISABLED PERIODIC TEST FAIL ALARM DISABLED I:RCY38 TEST FAIL ALARM DISABLED ANN TEST AVER4:114G: OFF PER TEST AVERAGING: OFF T! INK. TEST NOTIFY: OFF TNK •1•ST SIPHON SREAK :OFF DELIVERY PEI-AV I MIN PUMP THRESHOLD : 10.0(r: T :3: DI ESEL PRODUCT CODE THERMAL COEFF :.000.750 TANK DIAMETER. 96.00 TANK PROFILE 4 PTS FULL VOL 12000 72.0 INCH VOL 9999 48.0 INCH VOL : 6355 24.0 INCH VpL 2505 FLOAT SIZE: 4.0 IN. WATER WARNING; 2.0 HIGH WATER LIMIT: 3.0 MAX OR LABEL VOL: 12000 OVERFILL LIMIT 90% 10600 HIGH PRODUA::T 95+: 11400 DELIVERY LIMIT 15% 1800 LOW PRODUCT 1200 LEAK ALARM LIMIT: 99 SUDDEN LOSS LIMIT: 99 TAro: T I LT 3 . 00 PROAE: OFFSET 0.00 SIPHON MANI FOLDED TANKS TO: NONE L 114E MAN I FOLDED TANKS TO: NONE LEAK MIN PERIODIC:: l%: 120 LEA): MIN ANNUAL 1 120 PERIODIC TEST TYPE STANDARD ANNUAL. TEST FAIL ALARM DISABLEDABLED PERIODIC TEST FAIL ALARM DISABLED G3k(*38 TEST FAIL ALARM DISABLED ANN TEST AVERAGING: OFF PER TEST AVERAGING: OFF TAN): TEST NOTIFY: OFF TNK TST SIPHON BREHK:OFF DELIVERY DELAY I MIN PUMP THRESHOLD 10.0011 LEAK TEST METHOD TEST ON DATE: : All THNK JUL 1. 2009 START TIME : DISABLED TEST RATE :0.20 GAL,-HR DURATION : 2 HOURS TST EARLY STOP:DISHBLED LEAK TEST REPORT FORMAT NORMAL LIQUID SENSOR SL7UP L I ;UNL STP TRI -STATE (61NGLE FLOAT) CATEGORY : STP SUMP L 2:UNL FILL TRI -STATE iSINGLE FLOAT) CATEGORY : PIPING SUMP L 3:UNL ANN DUAL POINT HVDROS7HT I C• CATEGORY : ANNULAR SPACE L 4:PNL STP TR.I -STATE <61NGLE FLOAT) CATEGORY : STP SUMP L 5:PNL FILL TRI -STATE (SINGLE FLOATi CATEGORY : PIPING SUMP I. 6 : PNL ANN DUAL POINT HYDROSTATIC CATEGORY : ANNULAR SPACE. L 7:DSL STP TRI -STATE tSINGLE FLOAT) CATEGORY : STP SUMP L 8:DSL FILL TRI -STATE (SINGLE FLOAT) CATEGORY : PIPING BLIMP L 9 : DSL ANN DUAL POINT HYDROSTATIC CATEGORY : ANNULAR SPA,'E L10:VENT BOX TRI - ST04TE t 81 N3LE FLOAT CATEGORY : PIPING SUMP I LII:DISP 1 -2 TRI -STATE tSINGLE FLOAT) CATEGORY : DISPENSER PHN LI2:DISP ,t- -a TRI -•S'T'ATE (S [ IW: LE FLOAT) DlSPEN.; I"" SF:TUF, EVR ,ISD SETUP PPM:' VERSION: 01.02 VAPUk PRt.;c1's.S0k TYPE EVR TYPE: VAruuf.i.A:SIS,r NONE VACUUM ASSIST TYPE HEALY VAC PRfr:'E.S'SOR i'ONTPGL LEVEL: MINE NOZZLE A; L RANGE MAX.: 1.15 MIN: 0.95 VAPOR PROCESSOR TYPE 14ONE LABEL TABLE 1: UNASSIGNED 2: BLEND3 3: REGULAR 4: MID GRADE 5: PREMIUM 6: COLD 7: BRON?E 8: SILVER 9: BLEND2 10: BLEND4 ALARM HISTORY REPORT IN -THNV #ALARM - - - -- T 1:UNLEmDEL, OVERFILL ALARM 07- 23••13 5:15 AM 07 -04 -13 10:51 PM 06 -15 -13 9:04 AM LOW PRODWT ALARM 07 -15 -13 8:37 PM 03 -25 -13 6:25 PM 02 -08 -13 12:30 PM SUDDEN LOSS ALARM 07 -26 -13 9:23 All 01 -25 -13 1:21 PM 09 -12 -12 8:16 Ali HIGH FRODWT ALAWI 07 -26 -13 10:03 AM 04 -27 -13 10:55 PM 04 -21 -13 12:45 PM INVALID FUEL LEVEL 03 -25 -13 9:13 PM 01 -25 -13 1 :21 PM 09 -11 -12 3:40 PM PROBE OUT 07 -26 -13 10 :04 AM 07 -26 -13 9:23 All 09 -12 -12 8:17 AM DELIVERY NEEDED 07 -25 -13 8:24 PM 07- -20 -13 12:28 PM 07 -18-13 9:23 PM LOW TEMP WARNING 09 -12 -12 9:49 OV4 08 -Oi -12 9:56 Arl 08 -09 -11 1:33 PM o u A A END * r, a x ANALYSIS TIMES TIME: 10:00 AM DELAY MINUTES: 1 0I7'IWHRE REVISION LEVEL VER2,10N 329.02 ACCEPT HIGH ORVR: SOFTWARE0 346329 - 100-x_ ENABLEDCREATED - 05.07.01.16.29 S- +3DULEV 2301&0-004-a ISD HOSE TABLE ID FP FL HL AA RRSYSTEMFEATURES: PERIODIC: IN -TANK TESTS 01 01 01 02 Ol UUANNUALIN--TANK TESTS 02 02 02 02 01 OU1.41 03 03 03 02 02 1U 04 04 04 02 02 UU 05 05 05 02 03 UU 06 06 06 02 03 UU 07 07 07 02 04 UU 06 08 08 02 04 UU ISD AIRFLOW METER MAP ID SERIAL. NUM LABEL 1 7329 FM 1 -2 2 7378 FM 3 -4 3 7309 F'M 5 -6 4 6956 FI4 7 -8 131) FIIEI, (.RADE HOSE MAP 1 2 3 4 FP MHH MHH MHH MHH AA 01 ^01 301 901 U U 1 02 202 302 902 U U 1 03 203 303 903 5 U 2 04 204 304 904 5 U 2 05 205 305 905 U U 3 06 206 306 906 U U 3 07 207 307 907 5 U 4 08 208 308 908 5 U 4 LABEL TABLE 1: UNASSIGNED 2: BLEND3 3: REGULAR 4: MID GRADE 5: PREMIUM 6: COLD 7: BRON?E 8: SILVER 9: BLEND2 10: BLEND4 ALARM HISTORY REPORT IN -THNV #ALARM - - - -- T 1:UNLEmDEL, OVERFILL ALARM 07- 23••13 5:15 AM 07 -04 -13 10:51 PM 06 -15 -13 9:04 AM LOW PRODWT ALARM 07 -15 -13 8:37 PM 03 -25 -13 6:25 PM 02 -08 -13 12:30 PM SUDDEN LOSS ALARM 07 -26 -13 9:23 All 01 -25 -13 1:21 PM 09 -12 -12 8:16 Ali HIGH FRODWT ALAWI 07 -26 -13 10:03 AM 04 -27 -13 10:55 PM 04 -21 -13 12:45 PM INVALID FUEL LEVEL 03 -25 -13 9:13 PM 01 -25 -13 1 :21 PM 09 -11 -12 3:40 PM PROBE OUT 07 -26 -13 10 :04 AM 07 -26 -13 9:23 All 09 -12 -12 8:17 AM DELIVERY NEEDED 07 -25 -13 8:24 PM 07- -20 -13 12:28 PM 07 -18-13 9:23 PM LOW TEMP WARNING 09 -12 -12 9:49 OV4 08 -Oi -12 9:56 Arl 08 -09 -11 1:33 PM o u A A END * r, a x ALARM HISTORY REPORT IN -TAN); ALARM - - - -- T 2:PREMIUM OVERFILL ALARM 08-01-12 5:422 All LOW PRODUCT ALARM 08 -01 -12 8:43 All SUDDEN LOSS ALARM 08 -01 -12 8:43 AM 08 -09 -11 12:34 PM 08-18-10 8:49 AM HIGH PRODUCT ALARM 07 -26 -13 10:01 AM 08 -01 -12 9:42 AM 08 -09 -II 1:33 PM PROBE OUT 07 -26 -13 10:02 AM 07 -26 -13 9:25 All 08 -01 -12 9:43 All DELIVERY NEEDED 07 -26 -13 9:25 All 09 -12-12 2:33 PM 08 -01 -12 8:43 AM LOW TEMP WARNING 07 -26 -13 10:02 AM 08 -09-11 1:34 PM P it x 1:111) x R 9 ALARM HISTORY REPORT IN -T,rnC ALiPM - - - -- T 3:DIESEL OVERFILL ALARM 08 -01 -12 9:40 AM H IVH PRODUCT Ai.A.RM 07 -26 -13 9:59 AM 08 -01 -12 9:40 AM 08 -09 -I1 1:34 PM INVALID FUEL LEVEL 08 -09 -11 12:36 PM PROBE OUT 07 -26 -13 10:00 AM 07 -26 -13 9:25 AM 08 -01 -12 9:40 AM DELIVERY NEEDED 07 -26 -13 9:25 AM 12 -17 -12 3:47 PM LOW TEMP WARNING 08 -01 -12 9:41 AM 08-09 -II 1 :35 PM a o: s +i s END * A# x X ALARM HISTORY REPORT 3ENSOR HL-RM - - - -- L I! U14L STP STP SUMP SFW60R OISf ALARM 07 -26 -13 10:23 AM FUEL ALARM 07- 26 -1:3 9:51 AM SENSOR OUT ALARM 08 -01 -12 9:33 AM x END •: x # x ALARM HISTORY REPORT SENSOR ALARM - - - -- L 2:UNL FILL P I P I NO $L1MP SENSOR OUT ALARM 07 -26 -13 10:23 AM FUEL ALARM 07 -26 -13 10:06 AM SENSOR OUT ALARM 08 -01 -12 9:33 AM 4 0 w END } # t n . ALARM HISTORY REPORT SENSOR ALARM - - - -- L 3:UNL ANN ANNULAR SPACE SENSOR OUT ALARM 07 -26 -13 10:23 AM' LOW LIQUID ALARM 07 -26 -13 9:31 AM HIGH LIQUID ALARM 07 -26 -13 9:29 AM x 4. 4« END X# x* x i,L iRM 1413TORY REPORT SENSOR ALARM - - - -- L 4:PNL STP STP SUMP E:EW.*R OUT ALARM 0 ?- 26 -•13 10:23 AM FUEL ALARM 07 -26 -13 9 :50 AM SENSOR OUT ALARM 07 -26 -13 9:45 AM N. ii x k END i* 0 K A x ALARM HISTORY REPORT SENSOR ALARM -- L 5:PNL FILL PIPING SUMP SFP12;0R OUT HLORM 07 -26 -13 iO:23 AM FUEL ALHKI 07 -26 -13 10:09 AM FUEL P-LARM 03 -08 -13 12:12 PM A- A k« END r - .)i w I w 'i A +e i% F I'III x x A k r A x•*: END x a J. s A ALARM HISTORY REPORT ALARM HISTORY REPORT a - -- SENSOR ALARM - - -; SENSOR ALARM - -- -- L B:DSL.FIL.L L 7:DSL STP SE14BOR ALARM - - - -- PIPING SU14 07 -30-13 5 :29 PM L 6 : PNL ANN SENSOR ()U'l' ALARM ANNULAR. SPAc *E 07-26-13 10:25 AM SENSOR OUT ALARM FUEL ;.kLAR'1 07 -26 -13 10:23 AM FUEL ALARM 07 -26 -13 9:29 AM 07 -26 -13 10:12 AM LOW LIQUID AI:ARM 07-26 -13 9:30 AM FUE:. ALARM 07 -26 -13 10:12 AM HIGH LIQUID ALARM 07 -26 -13 4 :29 All w 'i A +e i% F I'III x x A k r A x•*: END x a J. s A 0 x k* 4 END A x" A A ii r n f END x x x* a ALARM HISTORY REPORT ALARM HISTORY REPORT SENsoR ALARM '- - -` L 9:DSL ANN SENSOR ALARM - -- -- ANNULAR SPACE L 7:DSL STP HIGH LIQUID :;LARM STP SUMP 07 -30-13 5 :29 PM SENSOR OUT ALARM 07 -26 -13 10:23 AM SENSOR OUT ALARM 07 -26 -13 10:23 AM FUEL ;.kLAR'1 07 -26-13 9:37 AM LOW LIQUID A1. -RM 07 -26 -13 9:29 AM FUEL. ALARM 07 -20 -13 6:56 AM 0 x k* 4 END A x" A A ii r n f END x x x* a ALARM HISTORY RV: VRT SENSOR H1_HRM - - - -- LARM HI STc 1RY REPORT LARM HISTOP`! REPORT L 3:UNL ANN AU sRh1 HISTORY REPORT SENSOR. ALARM - - - -- SENSOR ALARM - - - -- SENSOR ALARM - - - -- LlO:VENT Sox L13:DISP 5 -6 SENSOR ALARM - - - -- DISPENSE 7PIPINGSUMPL12:DISP 3 -4 NDISPENSERPANFUELALARMD15PENSERPANSENSOROUTALARM117 -26 -13 10:34 AN, SENSOR OUT ALARM 07 -26 -13 10:2:1 AM10: FUEL ALARM 07 -26 -19 1 fi: '3 AM u'.1 -26 -13 9:58 AM SENSOR OUT ALARM SENSOR OUT ALARM FUEL ALARM07 -26-13 10:23 AM FUEL f.LHRM 07 -26 -13 9:54 P44 08 -22-12 2:03 AM 0-26 -13 9:56 HM Fl!Fi_ W.µP,M SENSOR Al -okPl ^ - - -- SENSOR OUT ALHRM12 -07 -12 8:11 PM SENSOR OUT ALARM 08 -01 -12 9:33 AM 08 -01 -12 9:33 AM R u i . x END x . * , * * i( X k r END END ,c r ,s x ALARM HISTORY REPORT SENSOR H1_HRM - - - -- LARM HISTOP`! REPORT L 3:UNL ANNS£N50k ALARM ANNU:.!, SPACEL11:D1SP 1 -2 SENSOR ALARM - - - -- SOW L1IJNUlA AL 3Y,MDISPENSERPANL13:DISP 5 -6 08 -01 -13 12:58 F44SENSOROUTALARMDISPENSERPAN 07 -26 -13 10:23 AM SEM30R OUT ALARM 07 -26-13 10:23 AM FUEL ALARM 07 -26 -13 9:57 AM FUEL ALARM u'.1 -26 -13 9:58 AM SENSOR OUT ALARM 08 -01 -12 9:33 AM FUEL ALARM 08 -22-12 2:03 AM SENSOR Al -okPl ^ - - -- L 7:DSL STP STT' SUMP FUEL. ALARM 08- 01 -1:J 12:58 PM i d i k in ENE, x a* #* END i. 4 A A 0 SENSOR ALARM - - - -- L 6: P L ANN ANNULAR SPW-E LOW LIQUID ALARM r.1g -01 -13 12:56 PM SENSOR ALARM L 9:D5L ANN ANNULAR SPACE LOW LIQUID ALARM 08- 01-13 12:58 PM SENSOR ALARM - - - -- L NULAR ANN -- SENSOR ALARM -- ANNULAR SPADE - -- - -" - - - -- SENSOR ALHkM --- -- H113H LIQUID ALARM L 1 :UN1. STP L13:DISP 5 -6 08 -01 -13 12:59 PM SPP SUMP DISPENSER PAN FUEL ALARM FUEL ^.LARM00- 01 -11 1:04 PM Ge -01 -13 1:13 PM SENSOR ALARM L 6:PNL ANN ANNULAR SPIiC:E SENSOR ALARM -- - -- FASfRIP 785 HIGH LIQU11) ALARM 1. 9:DSL ANN 3701 MING AVE OH -01-13 12:59 PM ANNULAR SPACE BAKERSFIELD 93309 LOW LIQUID ALARM 661- 397 -369908 -01 -13 1:04 PM 08 -01 -13 1:17 PM SYSTEM STATUS REPORT ALL FUNCTIONS NORMAL SENOR ALARM L 9:Wl. ANN WINULAR SPACE SEtV5GP ALARM -- - -- HIGH LIQUID ALARM L1l:DISP 1-2 G@ -01 -13 12:59 PM DISPENSER PAN FUEL. ALARM 08- 01-13 1:08 PM SENSOR ALARM - --- L 2:UNL FILL PIPING SUMP FUEL ALARM 08 -01 -13 1:17 PM SENSOR ALARM L 4:PNL STF STP SUMP SENSOR h1ARM -- FIiEL ALARM L12:DISP 3 -4 06 -01 -13 1:01 PM DISPENSER PAN FUEL ALARM 08 -01 -13 1:09 PM SENSOR ALARM - - - -- L 5:PWL FILL PIPING SUMP FUEL ALARM 08 -01 -12 1:19 PM SENSOR ALARM L 3:UNL ANN ANNULAR SPoc;E S.,ENSOR ALARM - - - -- L014 LIQUID AL++RM L14:DISP 7 -8 08-131 -13 1:03 PM DISPENSER PAN FUEL ALARM 06- 01-ILI 1:11 PM IN -TANK ALARM - - - -- T I: UNLEADED DELIVERY NEEDED 08 -01 -13 1:19 PM TENSOR hLARM L 6:PNL ;HN ANNULAR SPACE SENSOR A1.HPJI - - - -- LOW LIQUID ALARM L13:DISP 5 -6 08 -01 -13 1:04 15,11 DISPENSER PAN FUEL ALARM 08- 01 -1:i 1:12 PM IN -TANK ALARM --- -- T I:UNLEADED PROBE OUT 08 -01 -13 1:19 PM 0 T 2 : PPkl1 I UM , INVENTORY INCREASE IN-TANK HLHRr'I - =-- -- INCREASE START T I:UNLEADED T --- I1N- N- I 11M TANY ALARM - - - -- 08 -01 -13 1:21 PM LOW PRODUCT ALARM 08 -01 -13 1:29 PMPROBEOUTVOLI.IME - 28:36 Gf%LS08 -01 -13 1:21 PM HEIGHT - 26.35 IN(,14M WATER = 0.00 1WHES TEMP = 89.. DEG F T 1 : LINLI:4)E 1 INVENTORY' I WREMSE 1 NG,REASE START INCREASE END T 1:UNLEADED 08 -01 -13 1:25 PM C1H -0 I - 13 1:19 F'M INVENTORY Ira:REA.;G VOLUME - 7379 GALS IN -TAW ALARM - ---- IN -TANK ALARM - - - -- HEIGHT - 54.46 WATER - 0.00 INCHES INCHES T I:UNLEADED DELIVERY NEEDEDTIESELTEMP - X0.4 DEG F 08 -01 -13 1:29 PM PROBE OUT FUEL ALARM IN-TANK. ALARM - - - -- 08 -01 -13 1:22 PM 08 -01 -13 1 :22 PM 10 UME 8885 GALS GROSS I NCREA8E- 4543 SENSOR ALARM - - - -- HEIGHT - 64.27 INCHES TC NET I ra: REASE- 4 143 L1U :VENT BOX T 1 : LINLI:4)E 1 INVENTORY' I WREMSE 1 NG,REASE START T 1:UNLEADED C1H -0 I - 13 1:19 F'M INVENTORY Ira:REA.;G SENSOR ALAW - - - -- 1. H:DSL FILL IN -TAN11 ALARM --- -- INCREASE START P I PI NC: :31.1r1P VOLUME = 1267 t14ALFs 08-01-13 1:27 PrlFUELALARM IN-TANK. ALARM - - - -- HE I'GHT = 1.4.48 08 -01 -13 1 :22 PM 10 UME 8885 GALS WATER - 0.00 SENSOR ALARM - - - -- HEIGHT - 64.27 INCHES 1 :28 PM HIG PRODUCT L1U :VENT BOX WATER _ -2.10 INCHES DEG F PIPING, SUMP TEMP - 96.8 DEG F 1:30 P14 I NCRE:ASE: END FUEL ALARM 08 -01 -13 1:27 PM 08 -01 -13 1:24 F19 INCREASE END VULUr1E . 8885 GALS 08-01 -13 1:00 F'N HEIGHT = 64.27 VOLWE - 1 1 174 - •;LS IN -IrAm: HLRkwf - - - -- NER..:t?7 - 81.84 1ACWE5 T 3: D:,E8EL INCHES WATER ° -2, I'll I'N!"•HFB 1-041 TFJ•U' WARNING TEMP - 9R. 0, DEll F 08 -U G -13 1:23 PI'I ALARM - - - -- IN -TANK ALAP.M -- -- GROSS 1.N,REASE- 2189 IN-TANK T 1:UNLEADED TC NET IWR£fASF•- 222u INVALID FUEL OVERFILL ALARM T 2 : PRElil llM GR)SS 1NOb7 ASE- 08 -01 -13 1:27 FT1 08 -UI -13 T 1 : LINLI:4)E 1 INVENTORY' I WREMSE 1 NG,REASE START C1H -0 I - 13 1:19 F'M IN -TAN11 ALARM --- -- VOLUME = 1267 t14ALFs T 1 : UNLEADED IN-TANK. ALARM - - - -- HE I'GHT = 1.4.48 1 "rkHE' PROBE, OUT T 2: PREM I UM WATER - 0.00 1NCHES 08- 01 -13, 1 :28 PM HIG PRODUCT ALARM TEMP - 80.0 DEG F 08••01 -1:1 1:30 P14 I NCRE:ASE: END 08 -01 -13 1:24 F19 VULUr1E . 8885 GALS HEIGHT = 64.27 1WHES WATER ° --2.11 INCHES TEMP = 91.7 DEG F IN -TANK ALARM - - - -- T I : UNLEADED IN-TANK ALAR(I - - - -- INVALID FUEL LEVEL T 2 : PRElil llM GR)SS 1NOb7 ASE- 7616 08 -UI -13 1:29 PM OVERFILL ALARM TC NET INC•&SE- 7446 OB -01 -13 1:30 PM I IN-TANK ALARM - - - -- T 2: 4'REM I Ul4 PRUNE OUT 08 -01 -13 1:31 PM IN -TANK ALARM - - - -- T 2:PREMIUM 1 NVALI U FUEL LEI'E:. 08 -01 -1a 1:31 PM 1 N-TANI' ALAAdl - - - -- T 3 :1+ IESEL HIGH PRODUCT ALARM 08 -01 -13 1:32 PM FA:',TRIP 785 XD1 MM AVE SAYERSF 1 ELD 9:3309 661- 397 -3699 08 -01 -13 1:32 PM iES'b £T{+TLG REPORT T 3 : H 1 CH PRUM't ;1*L.HRM IN-TAN ALARM - - - -- T 3:D I EBEL PROBE OUT 08 -01-13 1:32 P11 1 T 2: PREPI 1 U'9 INVENTORY INCREASE INCREASE W-%PT 08- 01 -1 1:30 Pm VOLUME - 7379 GALS HEIGHT - 54.48 INCHES WATER - 0.00 INCHES TEMP - 10Q.4 DEG F INCREASE END 08 -01 -13 1:33 PM VOLUME - 1 1470' GALS HEIGHT - 85.05 INCHES 1.:RTER - 0.75 INCHES TEMP - 101.4 DEC F GROSS 1 NREASE- 4091 TC NET INCREASE- 3966 IN -TANK ALARM - - - -- T 3 :DIESEL fMIALID FUEL LEVEL 06 -01-13 1:33 PM T 3: Co I ESEL INVENTORY INCREASE INCREASE START OU -01 -13 1:33 PM VOLlB1E - 3:28 GALS HFI,aHT a 29.01' INCHES WATER - 0.00 INCHES TEMP - 106.2 VEG F INCREASE END 08 -01 -13 1 :36 F'M VOLUME - 3874 GAW, HEIGHT' = 33.19 tWHES WATER o 0.00 INCHES TEMP - 106.1 DEG F' GROSS I NC:kfJi6E- 646 TO NET }WREASE- 632 SENSOR. ALARM -- - -- L13:DISP 5 -6 DISPENSER PAN fSEMSOR OUT ALARM 08-01-13 1':37 PM SENSOR - ,L:.RM - - - -- L I:UNL STP STP SUMP SEId:;OR OUT ALARM 08 -01 -13 1:37 PM SENSOR ALARM - - - -- L9:rALANN ANNULAR SPACE SENSOR OUT ALARM 08 -01 -1U 1:37 l+hl SENSOR ALARM - - - -- L.5:PNL FILL P1P1;NC: SUMV, SENOR, OI.TT ALARM, 08 -01 -13 1 :37 PI'1 SEN:30R ALARM - - - -- Ll4*1.81? 7 -8. D18PENSER PiAN SENOR OUT ALARM' a7 PM SENSOR ALARM L 2'[111L. FILL PIPIW SUMP SENSOR OUT Al.ARM 138-01--1,3 1:37 PM SE14SOR ALAhH L 111: VENT 80:,. P 1 T. 1 NG SUMP MOP. OUT HI..AR11 08 -01 -13 1:37 P+9 SEN:I:Ik ALARM - -- L : :I:I.INL ANN ANNULAR SPACE SENSOR OUT ALARM. 1:37 PM SE14SOR ALARM - - - -- L 4:PNL STP STP SUMP SENSOR OUT r+LARM 08 -01-13 1:37 PM SENSSOR ALARM - - - °- L 6: PI,IL ANN ANNULAR SPAa SENSOR OUT ALARM 06 -01-13 1:37 PM SENSOR ALARM - - - -- L1I:DISP 1 -2 U11-:PENSER PAN SENSOR OUT ALARM 08 -01 -13 1:37 PM SENSOR ALARM - - --- L12:17PISP 3 -4 DISPENSER PAN SENSOR OUT ALARM 08-01-1:3 1:37 PM a SENSOR. ALARM - - - -- L 7:DSL STP STP SUMP SENSOR OUT ALARM 06 -01 -13 1:37 PM E,,EIISOR ALARM - -- -- L 8:DSL FILL PIPING HUMP SL:W30R OUT ALARM 08 -01 -13 1:37 PM FA: il'R I P 785 3701 MING AVE BAKERSFIELD 93309 661 -397 -3699 08-01 -13 2:28 PM SYSTEM ST:+TUS- REPORT - ALL FUNC:'C I ONS NORMAL INVENTORY REPORT T I : UNI-FADED VOLUME - 2756 GALE: ULLAGE = 924d i::ALS 90%: ULLAGE- 0044 GALE TC VOLUME - 2702 GALS HEIGHT - 25.79 INCHES WATER VOL - 0 GALS WATER - U.00 INCHES TEMP - 88.1 UEG F T 2:PREMIUM VOLUME - 4184 GALS ULLAGE . 7816 GALS 90% ULLAGE 6616 GALS TC VOLUME - 4097 GALS HEIGHT - 35.12 INCHES WATER VUL 0 GALS WATER 0.00 INCHES TEMP - 89.4 DEG F T 3:DIEBEL VOLUME - 3876 GALS ULLAGE a 8124 GALS 90% ULLro3E- 6924 GALS TC VOLUME - 3821 GALS HEIGHT - 33.20 INCHES WATER VOL - 0 GALS WATER = 0.00 INCHES TEMP o 91.3 DEG F R x * A END ; * * r * FASTRIP 362 6401 S.H ST. aw(ERSF IEL.D.CA93304 661 - -831 -4709 kllC I, ::013 1 1 :14 AM SYSTP'M STATUS REPORT - ALL FUNCTIONS NORMAL INVENTORY REPORT T I:UNLEADED VOLUME 9965 GALS ULLAGE 135 GALS 90'. TILLAGE- 9711 ALSVOLUME HEHE VOLUME - 73 55 INCHES WATER VOL = 0 GALS 0.00 IWHESWATER = TEMP 82.2 DEG F T 2:PREMIIIM VOLUME 7437 GALS ULLAGE - 4563 GALS 90'x: ULLAGE- 3363 GALS 7289 GALSTCVOLUME HEIGHT - 57.05 INCHES WTER VOL LS 0.81 INCHESWATER TEMP - B8.4 DEG F T 3:DIESELOVOLUME 2613 GALS TILLAGE g3B7 GALS ULLAGE` 4i8167GAL" 2580 GALSTCVOLUPIE - HEIGHT - 25.91 INCHEB WATER VOL - 15 GALS 0.79 1NCHE8WATER - TEMP - 87.1 DEG F w k . * * END 11 w R * * SWRCB, January 20011 Spill Bucket Testing Report. Form Thisform is intendedjor use. by canrractorc pe.1brming annual testing of CISTspi /l, containment,struclurex, The completedform and printoutsfrom tests (ifapplicable), should be provided to thefacility, owiterloperator for submittal to the local regidatary agency. 1. FACILITY INFORMATION Facility Name: #7785 Fastrip 432 Date of Testing: 811/2413 Facility Address: 3701 Ming Avenue , Bakersfield, CA 93309 Facility Contact: Omero Garcia I Phone: 661- 393 -7000 Date Local Agency Was Notified of Testing : 7/23/2013 Name of Local Agency Inspector (Ifprevent during ieviipg): Ernie Medina 2. TESTING CONTRACTOR INFORMATION 3. SPILL BUCKET TESTING INFORMATION Test Method Used:. 1 >> Hydrostatic. Q Vacuum Other Test: Equipment Used: Lake Test L- quipmen : Resolution: 0.0625" Identify Spill Bucket ('B)u Tank Number, Stored Product, etc.) 1 Regular 2 Super 3 Diesel 4 Bucket. Installation T a Direct Bury 131 Contained in Sump 0 Direct. Bury xO Contained in Sump Direct. Bury ZC.ontained, in Sump f7 Direct Bury Contained in Sump Bucket Diameter: 12.00" 12.00''' 13.00" Bucket Depth: 13.00" 13.00" 12.75" Wait time between applying vacuum /water and start of test: 5 Min. 5 Min. 5 Min. Test Start Time (Ti): 1:00pm 1:00pm 1:00pm Initial Reading (RI): 11.75" 1 1.50" 11.75" Pest End Time (Ti,): 2:00pm 2:00pm 2:00pm Final Reading (RF): 11.75" 11.50" 11.75" Test Duration (TF — Tj): 1 hour 1 hour I hour Change in Reading (RF- Ri): 0.00" 0.00" 0.00" Pass /Fail Threshold or Criteria: 0.0625" 0.0625" 0.0625" Test Result: I@ Pass Fail I@ Pass Fail I@ Pass Fail Pass Falb Comments — (include information on repairs made prior to testing, and reconrtiencleclfulloni -tipfor,(4iled tests) CERTIFICATION OF TECHNICIAN RESPONSIBLE FOR CONDUCTING THIS TESTING 1 hereby certify that all the information contained In this report is true, accurate, and infull compliance with legal requirements. Technician's Signature: Date: 8/1/2013 State laws and regulations do not currently require testing to be performed by a qualified contractor. However, local requirements may be more stringent. s a 7[ N -.11 Lev 1 11 11 I I 11 11 I 3 -1200 GA¢LON I I lSTs 1I 1 I P I1 I DSL 81 871III I 1 I I I I 1 1 n II I 1 II La L1 1 FUEL O AREA 7 ALARM 110 H) 1 IL 1 LEGEND O IRE SITE PLOT PLAN tor: I L2 87 FILL ESO EXTINGUISHER PN NTS if L3 87 ANNULAR CIRCUIT HEALY CAS 3701 iffing Ave. j Q L4 91 STP BEAKER VEEDER -ROOT Bakerafteld, CA 93309 I L8 91 FILL W-S OAS METER/ 861) 397.3999 L8 91 ANNULAR SHUT0FP WATER SHUT-OFF BLDG i L7 DSL STP P PRODUCT L8 DSL FILL 1 VAPOR L9 DSL ANNULAR 1 ti 1 I 1 L10 VENT BOX 1 I L71 UDC 1 -2 CIRCUIT 1 1 tE HYDRANT L12 UDC 3-4 1RAKERE L13 UDC b - 8 7' 1 EXTINGUISHERR L14 UDC 7 - 8 m LEGEND SITE PLOT PLAN tor: L2 87 FILL ESO EMERGENCY SHUTOFF 0785 FASTRIP 032 if L3 87 ANNULAR H HEALY CAS 3701 iffing Ave. Q L4 91 STP TLS VEEDER -ROOT Bakerafteld, CA 93309 L8 91 FILL W-S WATER SHUT -OFF STREET 861) 397.3999 L8 91 ANNULAR W-B WATER SHUT-OFF BLDG L7 DSL STP P PRODUCT L8 DSL FILL V VAPOR L9 DSL ANNULAR ti 1 m L10 VENT BOX L71 UDC 1 -2 L12 UDC 3-4 L13 UDC b - 8 L14 UDC 7 - 8 a 104t* st U ST BUILDWITH C00010MV TOMPI.MWCE WrrH CONMEWL• Lic. 970703 Lic.804904 Toll Free 0: 1-8003394)930 job 0rftr?kw0ic,G#, Date Called Time TO Mom I Repair Date c3 Yew"L:j ffil(A31 Name: Conlidunue UST Site Name: t• M, ,.p z(4 Store Employee Print Name: Street: 16250 Meacham Road Street: 3--7-01 Store Employee Signtiture: -T6 City: BuLkersfidd, CA. 93314, jCity: Rp State". Zip:: Date Store No: Description of work rformed: A k, 1ILL TRAVELandLABOR Date Ksma s4ast usid mat 0'T suai OT Elio 0-F Tam Labor Travel Date Technician(s) Name Start End Total OT Start OT End OT Total Travel Labor Travel Date Technidan(s) Name Start End Total OT Start OT End OT Total Travel Labor Travel SUPPLIES - MATERIALS - RENTALS Check One My. UST Pads Site Pa;;W' COMMENTS Store Employee Print Name: Technician Print Name: Store Employee Signtiture: -T6 Data loc n lgnniu, Date INVOICE - WHITE SITE - CANARY BILLIING & PERMIT STATEMENT B_ / IN_R_8_P 11S\L_0 PERMIT # PARSirmr v v BAKERSFIELD FIRE DEPARTMENT Prevention Services 2101 H Street Bakersfield, CA 93301 Phnna a Fax• AA1 -RS7 -7171 All RI permits must be reviewed, stamped, and approved PRIOR TO BEGINNXNG WORK. PERMIT TYPE FEE CALCULATION TOTAL DUE Alarm - New & Modification (minimum charge) $280 SITE INFORMATION LOCATION OF PROJECT PROPERTY OWNER Fastrip #32 Jamieson Hill STARTING DATE Ee NAME 8/1/13 1:00 PM Omero Garcia Maintenance Manager PROJECT NAME ADDRESS PHONE # Fastrip #32 PO Box 82515 661- 393 -7000 PROJECT ADDRESS 3701 Min Ave. Bakersfield CA 93309 CITY [C K-FiTZS I E I_D STATE L' ZIP CODE 93380 -2515 CONTRACTOR INFORMATION CONTRACTOR NAME CA LICENSE # TYPE OF LICENSE EXPIRATION DATE PHONE # Bradley Se kora 1804904 C61 D40 13/31/14 661 -631 -3870 CONTRACTOR COMPANY NAME FAX # Confidence UST Services Inc. 661 - 587 -9758 ADDRESS CITY ZIP CODE 16250 Meacham Road Bakersfield 93314 All RI permits must be reviewed, stamped, and approved PRIOR TO BEGINNXNG WORK. PERMIT TYPE FEE CALCULATION TOTAL DUE Alarm - New & Modification (minimum charge) $280 ONLY TREASURY ACCT NO 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 hood Commercial Hood - Minor Modification (add /move nozzle) 96 (inspection only) 84 Spray Booth (New & Modification) 470 98 Aboveground Storage Tank (1 inspection per installation) AST 180 /tank 82 Additional Tank ATI 96 /tank 82 Aboveground Storage Tank (Removal, Mod,or Inspect'n) ATR 109 /tank 82 Underground Storage Tank (Installation /Inspection) NI 878 /tank 82 Underground Storage Tank (Modification) MOD 878 /site 82 Underground Storage Tank (Minor Modification) MTM 167 /site 82 Underground Storage Tank (Removal) TR 573 /tank 84 N Mandated UST Testing: Fuel Mont Cert/SB989 /Cath. Prot. NOTE: $96 /hr for each type of test/per site /per UST system ven 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 (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 (Rey 05/11) UNDERGROUND STORAGE TANKS APPLICATION TO PERFORM ELD /LINE TESTING/ SB989 SECONDARY CONTAINMENT TESTING /TANK TIGHTNESS TEST AND FUEL MONITORING CERTIFICATION Please note that these are separate individual tests and will be charged per separate type test accordingly.) PERMIT # ENHANCED LEAK DETECTION TANK TIGHTNESS B 11 R 8 P I D AN f/ f BAKERSFIELD FIRE DEPARTMENT Prevention Services 2101 H Street 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 Howard's Market 10meroNAME & PHONE # OF CONTACT PERSON Garcia (661) 393 -7000 ADDRESS 3300 Planz Road Bakersfield CA 93309 OWNER NAME Jamieson Hill OPERATOR NAME PERMIT TO OPERATE # OF TANKS TO BE TESTED: IS PIPING GOING TO BE TESTED? YES NO TANK # VOLUME CONTENTS TANK TESTING COMPANY TESTING COMPANY Confidence UST Services Inc. NAME & PHONE # OF CONTACT PERSON Karli Karns (661) 631 -3870 MAILING ADDRESS 16250 Meacham Road Bakersfield CA 93314 NAME & PHONE # OF TESTER OR SPECIAL INSPECTOR CERTIFICATION # 334106 DATE & TIME TEST TO BE CONDUCTED 1 m ICC # 5264406-UT TEST METHOD APPLICANT SIGNATURE t DATE b THIS APPLICATION BECOMES A PERMIT WHEN APPROVED APPROVED BY Q-"6-c DATE FD2095 (Rev 03/08) BAKERSFIELD CITY FIRE DEPARTMENT — INSPECTION RECORD Post this Card at the Job Site and DO NOT Remove for Duration of Work Inspection Request Phone No. (661) 326 -3979 UST NEW INSTALL DESCRIPTION DATE SIGNATURE BACKFILL PRIMARY PIPE SECONDARY PIPE SECONDARY CONTAINMENT SENSORS AUTHORIZATION FOR FUEL ELECTRICAL SEAK -OFF TANK TESTING 3 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; FALL LIST AND /OR AST SYSTEMS SHALL BE; INSTALL, COMPLETE AND ACCEPTED BY, MISC. ACTIVITY THE BAKERSFIELD CITY FIRE DEPARTMENT. FIRE DEPARTMENT (FINAL) 8'_/ 3 REMARKS: BUILDING ADDRESS: JOB DESCRIPTION: OCCUPANCY TYPE: OWNER: %L PERMIT NO. ,3 CONTRACTOR: C PHONE # X03 FD 1743