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Home My WebLink About4600 STINE ROAD SB-989 2013HOODS ALARMS SPRINKLER SYSTEMS SFIRA B OUT H AST UST Permit No. Permit No. Permit No. Permit No. Permit No. Permit No. File Number: ZCQ &"7 Address: S-r -22-L Bakersfield, CA 933 Date Received: 5?-- :? cr -- ! 3 Business Name: -2'V AT V' e a 6 u d-f • SYSTEM: BUILDING SQUARE FEET: INSPECTION LOG New Mod. Commercial Hood System Fire Alarm System Fire Sprinkler System Ingay Finish Aboveground Storage Tank Underground Storage Tank minor modification Underground Storage Tank removal Underground Storage Tank C Other. Building Sq. Feet: Calculation Bldg. Sq. Ft: Comments: 9. a. 3. 4. Date Time 8 I/3 I .n Signature Signature BILLING & PERMIT STATEMENT PERMIT # ly % B l OarPARIM MT BAKERSFIELD FIRE DEPARTMENT Prevention Services 2101 H Street Bakersfield, CA 93301 Phnna• AA1 a Fax• hh1 -RS7 -7171 All permits must be reviewed, stamped, and approved PRIOR TO BEGINNING WORK. PERMITTYPE FEE CALCULATION TOTAL DUE Alarm - New & Modification (minimum charge) $280 SITE INFORMATION LOCATION OF PROJECT PROPERTY OWNER Metro Gas & Mart Metro Gas & Mart STARTING DATE NAME 8/30/13 9:00am Mike PROJECT NAME ADDRESS PHONE # Metro Gas & Maxi 4600^^ Stine Rd. 661- 831 -0836 PROJECT ADDRESS CITY D/'"C ICEF2.._S I E LD STATE C /4 ZIP CODE 4600 STine Rd. Bakersfield CA 93309 93309 CONTRACTOR INFORMATION 96 (inspection only) CONTRACTOR NAME CA LICENSE # TYPE OF LICENSE EXPIRATION DATE PHONE # Frank Landa 804904 A C61 D4013/3 J 14 661 -631 -3870 CONTRACTOR COMPANY NAME FAX # Confidence UST Services Inc. 661- 587 -9758 ADDRESS CITY ZIP CODE 16250 Meacham Road lBakerafield93314 All permits must be reviewed, stamped, and approved PRIOR TO BEGINNING WORK. PERMITTYPE 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 Mandated UST Testing: Fuel Mont Cert /SB989 /Cath. Prot. NOTE: $96 /hr for each type of test/per site /per UST system even if scheduled at the same time 96 /hr (2 hrs minimum) _ $192 82 Oil well (Installation, Inspection, or re- inspection) X 96 /hr 82 Tent # 96 /tent 84 After -hours inspection fee 121 /hr (2 hrs minimum) = $242 Pyrotechnic (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 /ins = $605 84 Re- inspection /Follow -up Inspection 96 /hr 84 Portable LPG (Propane): # of Cages? _ 96 /hr 84 Explosive Storage 266 84 Copying & File Research (File Research fee $50 /hr) 0.25 /page 84 Miscellaneous 84 FD2021 (Ray 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 AR1N T 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 Matreo Gas & Mart NAME & PHONE # OF CONTACT PERSON Mike (661) 831 -0836 ADDRESS 4600 Stine Rd. , Bakersfield CA 93309 OWNER NAME Metro Gas & Mart 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 Frank T-a.nda (661) 20c;-c;944 CERTIFICATION # 486853 703 DATE & TIME TEST TO BE CONDUCTED 8/30/13 ICC # 8058524 -U1 TEST METHOD APPLICANT SIG TURE DATE THIS APPLICATION BECOMES A PERMIT WHEN APPROVED APP VED BY 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 a AUTHORIZATION FOR FUEL ELECTRICAL SEAK -OFF TANK - TESTING -- . -- A UST REMOVAL DESCRIPTION DATE SIGNATURE AST NEW INSTALL DESCRIPTION DATE SIGNATURE MODIFICATIONS MINOR / MAJOR AST REMOVAL DESCRIPTION DATE SIGNATURE EVR UPGRADE PRIOR-TO- OPERATION -OF ANY SYSTEM, ALL_USTANb %OR_AST_SYSTEMS_SHALL BE INSTALL,.COMPLETE AND ACCEPTED'BY MISC. ACTIVITY I THE SAKERSFIELD CITY FIRE DEPARTMENT. r,-FIRE-DEPARTMENT (FINAL) REMARKS: BUILDING ADDRESS: JOB DESCRIPTION: 6- OCCUPANCY TYPE: 23 OWNER: .rirea < 6 - P 1yi4r PERMIT NO. -1660C qZG CONTRACTOR: a PHONE # i-- Q FD 1743 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 of this form must be provided to the tank system owner /operator. The owner /operator must submit a copy of this form to the local agency regulating UST systems within 30 days of this date. A. General Information Facility Name: Metro Station Bldg. No.: Site Address: 4600 Stine Road City: Bakersfield zip: 93309 Facility Contact Person: Sam Bassem Make /Model of Monitoring System: Veeder -Root TLS 350 B. Inventory of Equipment Tested /Certified Check the appropriate boxes to Indicate specific equipment inspected/serviced: Contact Phone No.: 661 -496 -0838 Date of Testing/Servicing: 3/25/2013 Tank ID: 12000 gal. Regular 1 Tank ID: 12000 gal. Regular 2 In -Tank Gauging Probe. Model: 847390-107 Lx] In -Tank Gauging Probe. Model: 847390 -107 Lx] Annular Space or Vault Probe. Model: 794390-420 U Annular Space or Vault Sensor. Model: 794390 -420 U Piping Sump / Trench Sensor(s). Model: 794380-208 U Piping Sump / Trench Sensor(s). Model: 794380 -208 Fill Sump Sensor(s) Model: Fill Sump Sensor(s). Model: U Mechanical Line Leak Detector. Mode I:FXiV U Mechanical Line Leak Detector. Model: FX1V Electronic Line Leak Detector. Model: Electronic Line Leak Detector. Model: Tank Overfill / High Level Sensor. Model: 847390 -107 U Tank Overfill / High Leval Sensor. Model: 847390 -107 Other (specify equip. type and model in Sec. E on Pg. 2) Other (specify equip. type and model in Sec. E on Pg. 2) Tank ID: 12000 gal. Super Tank ID: 12000 gal. Diesel x] In -Tank Gauging Probe. Model:847390 -107 Lx] In -Tank Gauging Probe. Model: 847390 -107 Lx] Annular Space or Vault Sensor. Model:794390 -420 x] Annular Space or Vault Sensor. Model: 794390 -420 U Piping Sump / Trench Sensor(s). Modcl:794380 -208 L Piping Swap / Trench Sensor(s). Model: 794380 -208 Fill Sump Sensors(s). Model: Fill Sump Sensor(s). Model: n Mechanical Line Leak Detector. Model:FX1V Lx] Mechanical Line Leak Detector. Model: FX1DV Electronic Line Leak Detector. Model: Electronic Line Leak Detector. Model: U Tank Overfill / High Level Sensor. Model: 847390-107 Lx] Tank Overfill / High Level Sensor. Model. 847390 -107 Other (specify equip. type and model in Sec. E on Pg. 2) Other (specify equip. typs and model in Sec. E on Pg. 2) Dispenser ID: 1 - 2 Dispenser ID: 3-4 Dispenser Containment Sensor(s). Model: 794380 -208 U Dispenser Containment Sensor(s). Model: 794380 -208 n Shear Valve(s). X] 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 xU Dispenser Containment Sensor(s). Model: 794380 - 208 U Dispenser Containment Sensor(s). Model: 794380 -208 Lx] Shear Valve(s). U Shear Valve(s). Dispenser Containment Float(s) and Chains(s). Dispenser Containment Float(s) and Chain(s). Dispenser ID: 9-10 Dispenser ID: U Dispenser Containment Sensor(s). Model: 794380 -208 Dispenser Containment Sensor(s). Model: Shear Valve(s). Shear Valve(s). Dispenser Containment Float(s) and Chain(s) Dispenser Containment Float(s) and Chain(s). If the facility contains more tanks or dispensers, copy this form. Include information for every tank and dispenser at the facility. C. Certification -I certify that the equipment identified in this document was inspected /seryices in accordance with the manufacturers' guidlines. Attached to this Certification is information (e.g. manufacturers' checklist) necessary to verify that this information is correct and a plot plan showing the layout of monitoring equipment. For equipment capable of generating such reports, I have attached a copy of the report; (check all that apply) x System S t -up x Alarm history report Technician Name (print): Bradley Seykora Signature: _ Certification No: 840738 License No: 804904 Testing Company Name: Confidence UST Services, Inc. Phone No: 800 - 339 -9930 Site Address: 4600 Stine Road, Bakersfield CA 93309 Date of Testing/Servicing: 3/25/2013 D. Results of Testing /Servicing Software Version Installed: 331.00 Complete the following checklist: x] Yes No* Is the audible alarm operational? x Yes I No* Is the Visual alarm operational? x Yes No* Were all sensors visually inspected, functionally tested, and confirmed operational? x I Yes No* Were all sensors installed at the lowest point of secondary containment and positioned so that other equipment will not interfere with their proper operation? Yes No* If alarms are relayed to a remote monitoring station, is all communications equipment (e.g. modem) Hx N/A operational? x Yes No* For pressurized piping systems, does the turbine automatically shut down if the piping secondary N/A containment monitoring system detects a leak, fails to operate, or is electrically disconnected? If yes: which sensors initate positive shut - down? E Sump /Trench Sensors Dispenser Containment Sensors Did you confirm positive shut -down due to leaks and sensor failure /disconnected? [X] 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 visual and audible at the tank fill point(s) and operating properly? If so, at what percent oftank capasity does the alarm trigger? 9p % Yes* U 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* Lx] No Was liquid found inside any secondary containment systems designed as dry systems? Product; Water. If yes, describe causes in Section E, below. x Was monitoring system set -up reviewed to ensure proper settings? Attach set -up reports, if applicable. x Yes No* I Is all monitoring equipment operational per manufacturer's specifications? In Section E below, discribe how and when these deficiencies were or will be corrected. E. Comments: F. In -Tank Guaging / SIR Equipment: [X] Check this box if tank guaging is used only for inventory control. Check this box if tank guaging or SIR equipment is installed. This section must be completed if in -tank guaging equipment is used to perform leak detection monitoring. Complete the following checklist: Lx Yes No* Has all input wiring been inspected for proper enter and termination, including testing for ground faults? x Yes No* Were all tank guaging probes visually inspected for damage and residue buildup? x Yes No* Was accuracy of system product level readings tested? x Yes No* Was accuracy of system water level readings tested? x Yes 7 No* Were all probes reinstalled properly? Lx] Yes No* I Were all items on the equipment manufacturer's maintenance checklist completed? In the Section H, below, describe how and when these deficiencies were or will be corrected. G. Line Leak Detectors (LLD): Check this box if LLD's are not installed. Complete the following checklist: Lx] Yes No* For equip. start -up or annual equipment certification, was a leak simulated to varify LLD performance? Check all that apply) Simulated leak rate: E3 g.p.h.: 0.1 g.p.h.; 0.2 g.p.h.; x Yes No* Were all LLD's confirmed operational and accurate within regulatory requirments? Was the testing apparatus properly calibrated? No For mac anical LLD's, does the LLD restrict product flow i it detects a leak? qYeNo* N/A No* For electronic LLD's, does the turbine automatically shut off ifthe LLD detects a leak? N/A Yes No* For electronic LLD's, does the turbine automatically shut off if any portion of the monitoring system is x] N/A disabled or disconnected? Yes No* For electronic LLD's, does the turbine automatically shut off if any portion ofthe monitoring system rx] N/A malfunction or fails a test? Yes No* For electronic LLD's, have all accessible wiring connections been visually inspected? x] N/A x Yes No I 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: METRO STATION 4600 STINE ROAD SOFTWARE REVIS WN LEVEL BAK,EkSFIELD. CA VERSION 331.00 SOFTWARE# 346331 -100 -A CREATED - 11.02.10.12.31 MAR 25. 2013 12:43 PM S- MODULE# 330160 -004 -a SYSTEM FEATURES: PERIODIC IN -TANK TEST SYSTEM STATUS REPORT ANNUAL III -TANK TESTS I SD /APM ALL FUNCTIONS NORMAL INVENTORY REPORT T (:REGULAR 1 VOLUME = 3487 GALS ULLAGE e 8513 GALS 90% ULLAGE= 7313 GALS TC VOLUME - 3467 GALS HEIGHT - 32.07 INCHES SYSTEM SETUP WATER VOL = 0GALS - - - - - - - - - - - - WATER = 0.00 INCHES MAR 25, 2013 12:43 PM TEMP - 67.4 DEG F T 2:REGULAR 2 GALS SYSTEPI UNITS VOLUME = 3491 GALS U.S. ULLAGE = 8509 GALS SYSTE°I LANGUAGE 90% ULLAGE= 7309 GALS ENGLISH TC VOLUME - 3471 GALS SYSTEM DATE /TIME FORMAT HEIGHT - 32.09 INCHES MON DD YYYY HH:MM:SS xM WATER VOL 0 GALS DISABLED WATER o 0.00 INCHES METRO STATION TEMP m 67.1 DEG F 4600 STINE ROAD T 4:DIESEL BAKERSFIELD, CA T 3:SUPER VOLUME = 2205 GALS SHIFT TIME 1 DISABLED ULLAGE = 9795 GALS SHIFT TIME 2 DISABLED 90% ULLAGE- 8595 GALS SHIFT TIME 3 DISABLEDTCVOLUME - 2186'GALS SHIFT TIME 4 DISABLED HEIGHT - 23.09 INCHES WATER VOL = 18 GALS TANK PER TST NEEDED WRNWATER = 0.89 INCHES DISABLED TEMP - 71.3 DEG F TANK. ANN TST NEEDED WRN DISABLED T 4:DIESEL LINE RE- ENABLE METHOD VOLUME = 2224 GALS PASS LINE TEST ULLAGE = 9776 GALS 90% ULLAGE= 8576 GALS LINE PER TST NEEDED WRN TC VOLUME - 2215 GALS DISABLED HEIGHT = 23.23 INCHES LINE ANN TST NEEDED WRN WATER VOL = 20 GALS DISABLED WATER = 0.97 INCHES TEMP - 68.5 DEG F PRINT TC VOLUMES ENABLED MANIFOLDED TANKS TEMP COMPENSATION INVENTORY TOTALS VALUE (DEG F ): 60.0 T (:REGULAR 1 STICK HEIGHT OFFSET T 2:REGULAR 2 DISABLED VOLUME - 6978 GALS ULLAGE: 90% TC VOLUME = 6938 GALS A x x x x END x x x x x vL LI--11 H r VKITH 1 HEIGHT DAYLIGHT SAVING TIME DISABLED RE- DIRECT LOCAL PRINTOUT DISABLED EURO PROTOCOL PREFIX S SYSTEM SECURITY CODE : 000000 MAINTENANCE HISTORY DISABLED TANK CHART SECURITY DISABLED CUSTOM ALARMS DISABLED SERVICE NOTICE DISABLED ISO 3166 COUNTRY CODE: VAPOR MONITORING TYPE CARB ISD MASS/DENSITY DISABLED I COMMUNICATIONS SETUP IN—TANK SETUP T 2:REGULAR 2 PRODUCT CODE 2 THERMAL COEFF :.000750 T 1:REGULAR 1 TANK DIAMETER 96.50 PORT SETTINGS: PRODUCT CODE I TANK PROFILE 1 PT THERMAL 0 FULL VOL 12000 COMM BOARD : 1 (ED1M ) TANK DIAMETER 96.50 RS -232 SECURITY TANK PROFILE 1 PT CODE : DISABLED FULL VOL 12000 FLOAT SIZE: 4.0 IN. COMM BOARD 2 (RS -232) WATER WARNING 2.0 BAUD RATE 9600 FLOAT SIZE: 4.0 IN. HIGH WATER LIMIT: 3.0 PARITY NONE WATER ALARM FILTER: LOW STOP BIT I STOP DATA LENGTH: WATER WARNING : 1.5 HIGH WATER LIMIT: 3.0 MAX OR LABEL VOL: 1200138DATA RS -232 SECURITY WATER ALARM FILTER: LOW OVERFILL LIMIT 90% CODE DISABLED 10800 MAX OR LABEL VOL: 12000 HIGH PRODUCT COMM BOARD 3 (RS -232) OVERFILL LIMIT 9G`o 10800 DELIVERY LIMIT 11400 15% BAUD RATE 1200 PARITY NONE HIGH PRODUCT 95Y. 1800 STOP BIT 1 STOP DATA LENGTH: 8 DATA 11400 DELIVERY LIMIT 15 LOW PRODUCT 400 RS -232 SECURITY 1800 LEAK ALARM LIMIT: CODE DISABLEU 99 LOW PRODUCT : 400 TANK TILT 0.00 LEAK ALARM LIMIT: 99 PROBE OFFSET 0.00 AUTO TRANSMIT SETTINGS: SUDDEN LOSS LIMIT: TANK TILT 0.00 AUTO LEAK ALARM LIMIT PROBE OFFSET 0.00 SIPHON MANIFOLDED TANKS DISABLED TO: NONE AUTO HIGH WATER LIMIT LINE MANIFOLDED TANKS DISABLED SIPHON MANIFOLDED TANKS TO: 01 AUTO OVERFILL LIMIT TO: NONE DISABLED LINE MANIFOLDED TANKS LEAK MIN PERIODIC: O:oAUTOLOWPRODUCTTO020DISABLED AUTO THEFT LIMIT DISABLED LEAK MIN PERIODIC: 0% LEAK MIN ANNUAL 0% AUTO DELIVERY START 0 0 DISABLED AUTO DELIVERY END LEAK MIN ANNUAL 0% 0 PERIODIC_. TEST TYPEDISABLEDSTANDARDAUTOEXTERNALINPUTON DISABLED AUTO EXTERNAL INPUT OFF PERIODIC TEST TYPE ANNUAL TEST FAIL DISABLED STANDARD ALARM DISABLED AUTO SENSOR FUEL ALARM DISABLED ANNUAL TEST FAIL PERIODIC TEST FAIL AUTO SENSOR WATER ALARM ALARM DISABLED ALARM DISABLED DISABLED AUTO SENSOR OUT ALARM PERIODIC TEST FAIL GROSS TEST FAIL DISABLED ALARM DISABLED ALARM DISABLED GROSS TEST FAIL ANN TEST AVERAGING: OFF ALARM DISABLED PER TEST AVERAGING: OFF ANN TEST AVERAGING: OFF TANK TEST NOTIFY: OFF PER TEST AVERAGING: OFF TNK TST SIPHON BREAK:OFF TANK TEST NOTIFY: OFF DELIVERY DELAY 5 MINRS -232 END OF MESSAGE DISABLED TNK TST SIPHON BREAK :OFF PUMP THRESHOLD 10.00 d DELIVERY DELAY 5 MIN PUMP THRESHOLD : 10.00: r T 3:SUPER PRODUCT CODE 3 THERMAL COEFF :.000750 TANK DIAMETER 96.50 TANK PROFILE 1 PT FULL VOL 12000 FLOAT SIZE: 4.0 IN. WATER WARNING 1.5 HIGH WATER LIMIT: 2.0 WATER ALARM FILTER: LOW MAX OR LABEL VOL: 12000 OVERFILL LIMIT 90% 10800 HIGH PRODUCT 95% 11400 DELIVERY LIMIT 15% 1800 LOW PRODUCT 400 LEAK ALARM LIMIT: 99 SUDDEN LOSS LIMIT: 99 TANK TILT 0.00 PROBE OFFSET 0.00 SIPHON MANIFOLDED TANKS TO: NONE LINE MANIFOLDED TANKS TO: N014E LEAK MIN PERIODIC: Or 0 LEAK MIN ANNUAL 0v5 0 PERIODIC TEST TYPE STANDARD ANNUAL TEST FAIL ALARM DISABLED PERIODIC TEST FAIL ALARM DISABLED GROSS TEST FAIL ALARM DISABLED ANN TEST AVERAGING: OFF PER TEST AVERAGING: OFF TANK TEST NOTIFY: OFF TNK TST SIPHON BREAK:OFF DELIVERY DELAY 5 MIN PUMP THRESHOLD 10.00% T 4:DIEBEL PRODUCT CODE 4 THERMAL COEFF 000450 TANK DIAMETER 96.50 TANK PROFILE 1 PT FULL VOL 12000 FLOAT SIZE: 4.0 IN. WATER WARNING 2.0 HIGH WATER LIMIT: 3.0 WATER ALARM FILTER: LOW MAX OR LABEL VOL: 12000 OVERFILL LIMIT 901/4 10800 HIGH PRODUCT 95% 11400 DELIVERY LIMIT 15% 1800 LOW PRODUCT 400 LEAK ALARM LIMIT: 99 SUDDEN LOSS LIMIT: 99 TANK TILT 0.00 PROBE OFFSET 0.00 SIPHON MANIFOLDED TANKS TO: NONE LINE MANIFOLDED TANKS TO: NONE LEAK MIN PERIODIC:: 0% 0 PERIODIC TEST TYPE STANDARD PERIODIC TEST FAIL ALARM DISABLED GROSS TEST FAIL ALARM DISABLED PER TEST AVERAGING: OFF TANK TEST NOTIFY: OFF TNK TST SIPHON BREAK:OFF DELIVERY DELAY 5 MIN PUMP THRESHOLD 10.00% LEAK TEST METHOD TEST ON DATE : ALL TANK FEB 10, 2011 START TIME : DISABLED TEST RATE :0.20 GAL /HR DURATION : 2 HOURS TST EARLY STOP:DISABLED LEAK TEST REPORT FORMAT NORMAL LIQUID SENSOR SETUP L I:DISP 1 -2 TRI -STATE (SINGLE FLOAT) CATEGORY : DISPENSER PAN L 2:DISP 3 -4 TRI -STATE (SINGLE FLOAT) CATEGORY : DISPENSER PAN L 3:DISP 5 -6 TRI -STATE (SINGLE FLOAT) CATEGORY : DISPENSER PAN L 4:DISP 7 -8 TRI -STATE (SINGLE FLOAT) CATEGORY : DISPENSER PAN L S:DISP 9 -10 TRI -STATE (SINGLE FLOAT) CATEGORY : DISPENSER PAN L 9:REGULAR 1 STP TRI -STATE (SINGLE FLOAT) CATEGORY : STP SUMP L10:REGULAR I ANN TRI -STATE (SINGLE FLOAT) CATEGORY : ANNULAR SPACE L11:REGULAR 2 STP TRI -STATE (SINGLE FLOAT) CATEGORY : STP SUMP L12 :REGULAR 2 ANN TRI -STATE (SINGLE FLOAT) CATEGORY : ANNULAR SPACE L13:SUPER STP TRI -STATE (SINGLE FLOAT) CATEGORY : STP SUMP L14:SUPER ANN TRI -STATE (SINGLE FLOAT) CATEGORY : ANNULAR SPACE LI5:DIESEL STP TRI -STATE (SINGLE FLOAT) CATEGORY : STP SUMP L16:DIESEL ANN TRI -STATE (SINGLE FLOAT) CATEGORY : ANNULAR SPACE R 2:REGULAR 2 R 3:SUPER PUMP SENSOR SETUP TYPE: TYPE: PUMP CONTROL OUTPUT STANDARD TANK 0: 2 NORMALLY CLOSED S I:REGULAR 1 TA14K 0: 1 DISPENSE MODE: MANIFOLDED: ALTERNATE S 2:REGULAR 2 TANK 0: 2 DISPENSE MODE: MANIFOLDED: ALTERNATE OUTPUT RELAY SETUP R I:REGULAR I TYPE: PUMP CONTROL OUTPUT TANK p: 1 IN —TANK ALARMS T 1:HIGH WATER ALARM T 1:LOW PRODUCT ALARM LIQUID SENSOR ALMS L 2:FUEL ALARM L 3 :FUEL ALARM L 4 :FUEL ALARM L 5:FUEL ALARM L 9:FUEL ALARM L11:FUEL ALARM L 2:SENSOR OUT ALARM L 3:SENSOR OUT ALARM L 4:SENSOR OUT ALARM L 5:SENSOR OUT ALARM L 9:SENSOR OUT ALARM L11:SENSOR OUT ALARM L 2:SHORT ALARM L 3:SHORT ALARM L 4:SHORT ALARM L 5:SHORT ALARM L 9:SHORT ALARM L11:SHORT ALARM ISD SITE ALARMS ISD GROSS PRES FAIL ISD DEGRD PRES FAIL ISD VAPOR LEAK FAIL ISD VP PRES FAIL ISD VP STATUS FAIL ISD SETUP FAIL ISD SENSOR OUT FAIL PC —ISD FAILURE ISD HOSE ALARMS ALL:GROSS COLLECT FAIL ALL:DEGRD COLLECT FAIL ALL:FLOW COLLECT FAIL IN —TANK ALARMS T 2:HIGH WATER ALARM T 2:LOW PRODUCT ALARM LIQUID SENSOR ALMS L 2:FUEL ALARM L 3:FUEL ALARM L 4:FUEL ALARM L 5:FUEL ALARM L 9:FUEL ALARM LII:FUEL ALARM L 2:SENSOR OUT ALARM L 3:SENSOR OUT ALARM L•4:SENSOR OUT ALARM L 5:SENSOR OUT ALARM L 9:SENSOR OUT ALARM LII:SENSOR OUT ALARM L 2:SHORT ALARM L 3:SHORT ALARM L 4:SHORT ALARM L 5:SHORT ALARM L 9:SHORT ALARM LII:SHORT ALARM ISD SITE ALARMS ISD GROSS PRES FAIL ISD DEGRD PRES FAIL ISD VAPOR LEAK FAIL ISD VP PRES FAIL ISD VP STATUS FAIL ISD SETUP FAIL ISD SENSOR OUT FAIL PC —ISD FAILURE ISD HOSE ALARMS ALL:GROSS COLLECT FAIL ALL:DEGRD COLLECT FAIL ALL:FLOW COLLECT FAIL TANK a: 3 IN —TANK ALARMS T 3 :HIGH WATER ALARM T 3:LOW PRODUCT ALARM LIQUID SENSOR ALMS L 2:FUEL ALARM L 3:FUEL ALARM L 4:FUEL ALARM L 5:FUEL ALARM L13:FUEL ALARM L 2:SENSOR OUT ALARM L 3:SENSOR OUT ALARM L 4:SENSOR OUT ALARM L 5:SENSOR OUT ALARM L13:SENSOR OUT ALARM L 2:SHORT ALARM L 3:SHORT ALARM L 4:SHORT ALARM L 5:SHORT ALARM L13:SHORT ALARM ISD SITE ALARMS ISD GROSS PRES FAIL ISD DEGRD PRES FAIL ISD VAPOR LEAK FAIL ISD VP PRES FAIL ISD VP STATUS FAIL ISD SETUP FAIL ISD SENSOR OUT FAIL PC —ISD FAILURE ISD HOSE ALARMS ALL:GROSS COLLECT FAIL ALL:DEGRD COLLECT FAIL ALL:FLOW COLLECT FAIL R 4:DIESEL TYPE: STANDARD 1ORMALLY CLOSED TANK is : 4 IN —TANK ALARMS T 4:HIGH WATER ALARM T 4:LOW PRODUCT ALARM LIQUID SENSOR ALMS L 1:FUEL ALARM L 2 :FUEL ALARM L 3:FUEL ALARM L15:FUEL ALARM L 1:SENSOR OUT ALARM L 2:SENSOR OUT ALARM L 3:SENSOR OUT ALARM L15:SENSOR OUT ALARM L 1 :SHORT ALARM L 2:SHORT ALARM L 3:SHORT ALARM L15:SHORT ALARM R 5:OVERFILL ALARM TYPE: STANDARD NORMALLY OPEN TANK 0: NONE IN —TANK ALARMS ALL:OVERFILL ALARM ALL :HIGH PRODUCT ALARM SMARTSENSOR SETUP s 2:FM 3 -4 CATEGORY AIRFLOW METER s 3:FM 5 -6 CATEGORY AIR FLOW METER s 4:FM 7 -8 CATEGORY AIR FLOW METER s 5:FM 9 -10 CATEGORY AIR FLOW METER s 6:VP PRESSURE SEN. CATEGORY VAPOR PRESSURE s 7:CANISTER CATEGORY VAPOR VALVE S 8:ATM P SENSOR CATEGORY ATM P SENSOR EVR /ISD SETUP EVR TYPE: BALANCE BALANCE NOZZLE TYPE VST VAPOR PROCESSOR TYPE VEEDER -ROOT POLISHER ANALYSIS TIMES TIME: 11:59 PM DELAY MINUTES: I ACCEPT HIGH ORVR: ENABLED ISD HOSE TABLE ID FP FL HL AA RR 01 03 03 02 01 03 02 04 04 02 01 03 03 05 05 02 02 03 04 06 06 02 02 03 05 07 07 02 03 03 06 08 08 02 03 03 07 09 09 02 04 03 08 16 10 02 04 03 ISD AIRFLOW METER MAP ID SERIAL NUM LABEL 1 40348 FM 3 -4 2 40070 FM 5 -6 3 40350 FM 7 -8 4 40356 FM 9 -10 ISD FUEL GRADE HOSE MAP 1 2 3 4 FP MHH MHH MHH MHH AA 01 1 0 0 0 U U U U 0 02 2 0 0 0 U U U U 0 03 201 101 901 3 U 1 04 202 102 902 3 U 1 05 203 103 903 3 U 2 06 204 104 904 3 U 2 07 105 905 205 U U 3 08 206 106 906 U U 3 09 207 107 907 U U 4 16 208 108 908 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 PMC SETUP PMC VERSION: 01.04 VAPOR PROCESSOR TYPE VEEDER -ROOT POLISHER ALARM HISTORY REPORT SENSOR ALARM - - -- L I:DISP 1 -2 DISPENSER PAN SETUP DATA WARNING APR 17, 2012 11:56 AM A x A x* END x x x x x ALARM HISTORY REPORT SENSOR ALARM - - - -- L 2:DISP 3 -4 DISPENSER PAN SETUP DATA WARNING APR 17, 2012 11:56 AM A x x x x END x x x x x ALARM HISTORY REPORT ALARM HISTORY REPORT SE14SOR ALARM - - - -- L 3:D1SP 5 -6 - - - -- SENSOR ALARM - - - -- DISPENSER PAN L 9:REGULAR 1 STP ALARM HISTORY REPORT SETUP DATA WARNING STP SUMP APR 17, 2012 11:56 AM SETUP DATA WARNING ----- SENSOR ALARM - - - -- APR 17, 2012 11:56 AM L12:REGULAR 2 ANN ANNULAR SPACE SETUP DATA WARNING APR 17, 2012 11 :56 AM x x x* x END x* x x x x x x x END * x x x x x** x x END x x x x x ALARM HISTORY REPORT ALARM HISTORY REPORT SENSOR ALARM - - - -- L 4:DISP 7 -6 - - - -- SENSOR ALARM - - - -- ALARM HISTORY REPORTDISPENSERPANL10:REGULAR 1 ANN SETUP DATA WARNING:: ANNULAR SPACE APR 17. 2012 11:56 AM SETUP DATA WARNING -- --- SENSOR ALARM - - - -- APR 17. 2012 11:56 AM L13:SUPER STP STP SUMP SETUP DATA WARNING APR 17. 2012 11:56 AM x ** x END x* x x x x x x x* END * x x x x x x** END x x x x x ALARM HISTORY REPORT ALARM HISTORY REPORT SENSOR ALARM - - - -- L 5:DISP 9 -10 - - - -- SENSOR ALARM - - - -- DISPENSER PAN LII:REGULAR 2 STP ALARM HISTORY REPORT SETUP DATA WARNING STP SUMP APR 17, 2012 11:56 AM SETUP DATA WARNING ----- SENSOR ALARM - - - -- APR 17. 2012 11:56 AM L14:SUPER ANN ANNULAR SPACE SETUP DATA WARNING APR 17, 2012 11:56 All x x x x x END * x x** x* x x END * x x x* x* END x* x x x ALARM HISTORY REPORT SENSOR ALARM ----- L15-DIESEL STP STP SUMP FUEL ALARM MAR B. 2013 11:42 PM FUEL ALARM MAR 8, 2013 10:13 PM FUEL ALARM MAR 8. 2013 9:58 AM 0 x x ie x END x K x x x ALARM HISTORY REPORT SENSOR ALARM L16:DIESEL ANN ANNULAR SPACE SETUP DATA WARNING APR l7. 2012 11:56 AM x x x x* END s x x x x SENSOR ALARM - - - -- L15:DIESEL STP STP SUMP FUEL ALARM MAR 25. 2013 1:33 PM SENSOR ALARM - - - -- L16:DIESEL ANN ANNULAR SPACE FUEL ALARM MAR 25, 2013 1:34 PM SENSOR ALARM - - - -- LII:REGULAR. 2 STP STP SUMP FUEL ALARM MAR 25. 2013 1:35 PM SENSOR ALARM - - --- L12:REGULAR 2 ANN ANNULAR SPACE FUEL ALARM MAR 25, 2013 1:36 PM SENSOR ALARM - - - -- L 9,: REGULAR 1 STP, STP SUMP FUEL ALARM MAR 25, 2013 1:37 PM SENSOR ALARM - - - -- L10:REGULAR 1 ANN ANNULAR SPACE FUEL ALARM MAR 25. 2013 1:38 PM SENSOR ALARM - - - -- L14:SUPER ANN ANNULAR SPACE FUEL ALARM MAR 25. 2013 1:38 PM SENSOR ALARM - - - -- L13:SUPER STP STP SUMP FUEL ALARM MAR 25, 2013 1:39 PM SENSOR ALARM - - - -- L 1:DISP 1 -2 DISPENSER PAN FUEL ALARM MAR 25, 2013 1:42 PM SENSOR ALARM - -- - L 2:DISP 3 -4 DISPENSER PAN FUEL ALARM MAR 25, 2013 1 :42 PM SENSOR ALARM L 3:DISP 5 -6 DISPENSER PAN FUEL ALARM MAR 25, 2013 1:43 PM SENSOR ALARM - - - -- L 4 :DISP 7 -8 DISPENSER PAN FUEL ALARM MAR 25, 2013 1:44 PM SENSOR. ALARM - - - -- L 5:DISP 9 -10 DISPENSER PAN FUEL ALARM MAR 25. 2013 1:46 PM SENSOR ALARM - - - -- L13:SUPER STP STP SUMP SENSOR OUT ALARM MAR 25, 2013 1:49 PM SENSOR ALARM - - - -- L 1:DISP 1 -2 DISPENSER PAN SENSOR OUT ALARM MAR 25, 2013 1:49 PM SENSOR ALARM - - - -- L 9:REGULAR 1 STP STP SUMP SENSOR OUT ALARM MAR 25, 2013 1:49 PM SENSOR ALARM - -- -- L14:SUPER ANN ANNULAR SPACE SENSOR OUT ALARM MAR 25. 2013 1:49 PM SENSOR ALARM - - - -- L 5:DISP 9 -10 DISPENSER PAN SENSOR OUT ALARM MAR 25, 2013 1:49 PM SENSOR ALARM - - - -- L15:DIESEL STP STP SUMP SENSOR OUT ALARM MAR 25, 2013 1:49 PM SENSOR ALARM - - - -- L16:DIESEL ANN ANNULAR SPACE SENSOR OUT ALARM MAR 25. 2013 1:49 PM SENSOR ALARM - - - -- L 2:DISP 3 -4 DISPENSER PAN SENSOR OUT ALARM MAR 25. 2013 1:49 PM SENSOR ALARM - - - -- L10:REGULAR 1 ANN ANNULAR SPACE SENSOR OUT ALARM MAR 25. 2013 1:49 PM SENSOR ALARM - - - -- L 3:DISP 5 -6 DISPENSER PAN SENSOR OUT ALARM MAR 25, 2013 1:49 PI °1 SENSOR ALARM - - - -- L 4:DISP 7 -8 DISPENSER PAN SENSOR OUT ALARM MAR 25, 2013 1:49 PM SENSOR ALARM - - - -- METRO STATION L11:REGULAR 2 STP 4600 STINE ROAD STP SUMP BAKERSFIELD, CA SENSOR OUT ALARH MAR 25, 2013 1:49 PM MAR 25, 2013 2:11 PM SENSOR ALARM L 12 : REGULAR 2 ANN ANNULAR SPACE SENSOR OUT ALARM MAR 25, 2013 1:49 PM SENSOR ALARM - - - -- L 2:DISP 3 -4 DISPENSER VAN FUEL ALARM MAR 25. 2013 1:57 PM SYSTEM STATUS REPORT ALL FUNCTIONS NORMAL SENSOR ALARM - - - -- L 2 :DISP 3 -4 D 1 SPE14SER PAN FUEL ALARM MAR 25, 2013 2:34 PM METRO STATION 4600 STINE ROAD BAKERSFIELD, CA MAR 25. 2013 2:44 PM P SYSTEM ASTATUS REPORT ALL FUNCTIONS NORMAL SWRCB, January 2006 Spill Bucket Testing Report Form Thisform is intendedfor use by contractors performing annual testing ofUST spill containment structures. The completedform and printouts from tests (if applicable), should be provided to thefacility owner /operatorfor submittal to the local regulatory agency. 1. FACILITY INFORMATION Facility Name: Metro Station Date of Testing: 3/26/2012 Facility Address: 4600 Stine Road Facility Contact: Mike Phone: 661 -831 -0836 Date Local Agency Was Notified of Testing: 3/19/2013 Name of Local Agency Inspector (fpresent during testing): Ernie Medina 2. TESTING CONTRACTOR INFORMATION Company Name: Confidence UST Services, Inc. Technician Conducting Test: Bradley Seykora Credentials: x CSLB Contractor 9 ICC Service Tech. SWRCB Tank Tester Other (Spec) License Number(s): CSLB# 804904 ICC# 8111231 -UT 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. l Regular #1 2 Regular #2 3 Super 4 Diesel Bucket Installation Type: x Direct Bury Contained in Sump x Direct Bury Contained in Sump x Direct Bury Contained in Sump x Direct Bury Contained in Sum Bucket Diameter: 12.00" 12.00" 12.00" 12.00" Bucket Depth: 1 13.50" 13.75" 13.50" 14.00" Wait time between applying vacuum /water and start of test: 5 min. 5 min. 5 min. 5 min. Test Start Time (Ti): 1:15 PM 1:15 PM 1:15 PM 1:15 PM Initial Reading (Rj): 7.50" 7.25" 7.00" 9.50" Test End Time (TF): 2:15 PM 2:15 PM 2:15 PM 2:15 PM Final Reading (RF): 7.50" 7.25" 7.00" 9.50" Test Duration (TF — Ti): 1 hour 1 hour 1 hour 1 hour Change in Reading (RF - Rj): 0.00" 0.00" 0.00" 0.00" Pass/Fail Threshold or Criteria: 0.0625" 0.0625" 0.0625" 0.0625" Test Result: 9 Pass Fail 9 Pass Fail 0 Pass Fail 9 Pass Fail Comments — (include information on repairs made prior to testing, and recommendedfollow -upfor failed tests) CERTIFICATION OF TECHNICIAN RESPONSIBLE FOR CONDUCTING THIS TESTING I hereby certify that all the information contained in this report is true, accurate, and in full compliance with legal requirements. Technician's Signature: Date: 03/25/2013 State laws and regulations cfo not currently require testing to be performed by a qualified contractor. However, local requirements may be more stringent. 1= Veeder Root TLS 350 2= External Overfill Alarm 3= ESO Switch 4= Veeder Root ATG Probe 5= Veeder :Boot 208 Sump Sensor 6= Veeder :Root 420 Annular Seri. 7= FX1 V Line Leak Detector 8= PX1 DV Lire Leak Detector 9= Regular 1 STP Sump 1 g= Regualr 2 STP Sump 11= Super STP Sump 12= Diesel STP Sump 13= Regular I Spill Bucket 14= Regular 1 Vapor Bucket 15= Regular 2 Spill Bucket 15= Regular 2 Vapor Bucket 17= Super Spill Bucket 18= Super Vapor Bucket 19= Diesel Spill Bucket Metro Station 4600 Stine Road Bakersfield, CA 9a3O9 1 I L- 5 4 e7' I I 57,9. 103 94 5,7,10 35 16 05,8,12, A 9 1. 4. L..