Loading...
HomeMy WebLinkAboutFMC 2012HOODS ALARMS SPRINKLER SYSTEMS OLIR V BOOTH AST UST Permit No. Permit No. Permit No. Permit No. Permit No. Permit No. i3 /C6z;z7Q File Number: 3 f'3 Address: Date Received: Business Name: DD i <sid rc.r SG cr• Bakersfield, CA 933 SYSTEM: BUILDING SQUARE FEET: New Mod. Commercial Hood System Fire Alarm System Fire, Sprinkler System Spw-a y (f=GP1 s h Sys em Aboveground Storage Tank Underground Storage Tank minor modification Underground Storage Tank removal Underground Storage Tank Other. 7;'--71 C— Comments: Building Sq. Feet: Calculation Bldg. Sq. Ft: a. 3. 4. INSPECTION LOG Date Time Signature 1 BILLING & PERMIT STATEMENT PERMIT # FIRE O,ARTM Nf BAKERSFIELD FIRE DEPARTMENT Prevention Services 2101 H Street Bakersfield, CA 93301 Dhnnc• AA1 _'27F. -ZQ7Q . Fav• f.F,1 _RS_7171 All J permits must be reviewed, stamped, and approved PRIOR TO BEGINNING WORK. PERMIT TYPE FEE CALCULATION TOTAL DUE Alarm - New & Modification (minimum charge) $280 INFORMATION LOCATION OF PROJECT PROPE)aY OWNER STARTING DATE COMPLETION DATE NAME PROJECT NAME ADDRESS PHONE k 1-u r- CE2- 0 0 3.7 091(" PRO] C7ADDRESS CITY g kKE12.SFIELD STATE CA ZIP CODE 33 Over 10,000 sq ft 0 .028 x sq ft CONTRACTOR INFORMATION CO TRACTOR NAME c.JaIIt CA LICENSE # TYP OF LICENSE EXPIRATION DATE 14 PHONE # 6G( =53M4. FEZ i -3 3Z? CONTRACTOR COMPANY NAME JA0 FAX # Cn - - 32s -z ADDRESS CITY ZIP CODE S7-oo f01 I .. ., r ,. 3O All J permits must be reviewed, stamped, and approved PRIOR TO BEGINNING WORK. PERMIT TYPE FEE CALCULATION TOTAL DUE Alarm - New & Modification (minimum charge) $280 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 headsp ( ) 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 n 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 BILLING & PERMIT STATEMENT BAKERSFIELD FIRE DEPARTMENT Prevention Services - PERMIT # IRTpq 2101 H Street Bakersfield, CA 93301 01-a- F.F.1_'AIA- 1070. Fav• F,F,1 -RS7 -7171 IC A All permits must be reviewed, stamped, and approved PRIOR TO BEGINNING WORK. PERMIT TYPE FEE CALCULATION 308 od- isc 4s , § y yr '&- e r M t' 0 FRESNO `ACA ' , 1220 DATE k CHECK NUMBEF2` a,{-{. 1,, f . Y Nf'a'` x- _ti`c• ,'a ..,?a:,f''x,y .' S ° r _!^Sy,vh{°Gx, "K 2°"'F., }c1 S'Cf.'4. . ti r{t , a, t~ t » U1 . w•4,4 4` r PAY,= EXAMYTHIS AMOUNT f3rle Hurtd ed Nlnetyy TwoAndXx t r.:,.......: 110000000 20 S 2115 ':L220004961: "'3490000916110 Underground Storage Tank (Removal) TR SITE INFORMATION LOCATION OF PROJECT E60 ax PROPE,07Y OWNER V o G STARTING DATE COMPLETION DATE NAME VIZ 82 PROJECT NAME ADDRESS PHONE # fur. y G >? o t PROFCT ADDRESS coil Qt 3r i, CITY $f}KE1Z5 1 EI D STATE CA ZIP CODE 3 84 After -hours inspection fee 121 /hr (2 hrs minimum) = $242 CONTRACTOR INFORMATION 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 CONTRACTOR NAME CA LICENSE # TYP OF LICENSE EXPIRATION DATE PHONE # 61 84 z-2 CONTRACTOR COMPANY NAME FAX # U P 0 - zT- - ADDRESS CITY ZIP CODE Al -, - e A,. „ r 0 ,a- 30s IC A All permits must be reviewed, stamped, and approved PRIOR TO BEGINNING WORK. PERMIT TYPE FEE CALCULATION 308 od- i sc 4s , § y yr '&- e r M t' 0 FRESNO `ACA ' , 1220 DATE k CHECK NUMBEF2` a,{-{. 1,, f . Y Nf'a'` x- _ti`c• ,'a ..,?a:,f''x,y .' S ° r _!^Sy,vh{°Gx, "K 2°"'F., }c1 S'Cf.'4. . ti r{t , a, t~ t » U1 . w•4,4 4` r PAY,= EXAMYTHIS AMOUNT f3rle Hurtd ed Nlnetyy TwoAndXx t r.:,.......: 110000000 20 S 2115 ':L220004961: "'3490000916110 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 VIZ 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 Q 1 Miscellaneous 84 J f MONITORING SYSTEM CERTIFICATION For Use By All Jurisdictions Within the State of California Authority Cited: Chapter 6 7, Health and Safety Code; Chapter 16, Division 3, Title 23, California Code ofRegulations This form must be used to document testing and servicing of monitoring equipment, A soarate 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 acopy of this form to the local agency regulating UST systems within 30 days oftest date. A. General Information Facility Name: Fed EX Bldg. No.: Site Address: 6100 District Blvd City: Bakersfield Zip: 93313 Facility Contact Person: Chris Contact Phone No.: (661) 837 -0995 MakeJModel of Monitoring System: Veeder Root TLS -350 Date of Testing/Servicing: 6/1012013 B. Inventory of Equipment Tested/Certified Check the appropriate boxes to indicate specific equipment tna ected/aerviced: Tank ID: Diesel Tank ID: In -Tank Gauging Probe. Model: 847390-109 In -Tank Gauging Probe. Model: Annular Space or Vault Sensor. Model: 794390 -420 Annular Space or Vault Sensor. Model: 0 Piping Sump / Trench Sensor(s). Model: 794380 -208 Piping Sump / Trench Sensor(s). Model: Fill Sump Sensor(s). Model: 794380 -208 Fill Sump Sensor(s). Model: Mechanical Line Leak Detector. Model: Mechanical Line Leak Detector. Model: Electronic Line Leak Detector. Model: Electronic Line Leak Detector. Model: Tank Overfill / High- level Sensor. Model: 847390 -109, Rapper Tank Overfill / High -Level Sensor. Model: Other (specify equipmenttype and model in Section E on Page 2). Other (specify equipmenttype and model in Section E on Page 2). Tank ID: Tank ID: In -Tank Gauging Probe. Model: In -Tank Gauging Probe. Model: Annular Space or Vault Sensor. Model: Annular Space or Vault Sensor. Model: Piping Sump / Trench Sensor(s). Model: Piping Sump / Trench Sensor(s). Model: Fill Sump Sensor(s). Model: Fill Sump Sensor(s). Model: Mechanical Line Leak Detector. Model: Mechanical line Leak Detector. Model: Electronic Line Leak Detector, Model: Electronic Line Leak Detector. Model: Tank Overfill / High -Level Sensor. Model: Tank Overfill / High -Level Sensor. Model: Other (specify equipmenttype and model in Section E on Page 2). Other (specify equipment type and model in Section E on Page 2). Dispenser ID: 1 Dispenser ID: 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). Dispenser ID: Dispenser ID: Dispenser Containment Sensor(s). Model: Dispenser Containment Sensor(s). Model: Shear Valve(s). Shear Valve(s). Dispenser Containment Float(s) and Chain(s). Dispenser Containment Float(s) and Chain(s). Dispenser ID: Dispenser 1D: Dispenser Containment Sensor(s). Model: Dispenser Containment Sensor(s). Model: Shear Valve(s). Shear Valve(s), Dispenser Containment Floats) 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/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 uipment. For any equi ment capable of generating such reports, I have also attached a copy ofthe report; (check all that apply): System set -up Z Alarm history report Technician Name (print): Jerry Rangel Signature: Certification No.: ICC: 5309489 License. N 9217 A, Herz Testing Company Name: Cal - Valley Equipment Phone No.: (661) 327 -9341 Testing Company Address: 3500 Gilmore Avenue, Bakersfield, CA 93308 Date ofTesting/Servicing: 611012013 Page 1 of 4 UN -036 —1/4 www.unidoea.org Rev. 01/17/08 I3;4onitoring System Certification D. Results of Testing/Servicing Software Version Installed: 421.00 Comnlete the followine 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 ofsecondary 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 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 points) and operating properly? If so, at what percent oftank capacity does the alarm trigger'1 80% 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. If yes, describe causes in Section E, below. Yes 0 No* Was monitoring system set -up reviewed to ensure proper settings? Attach set up reports, if applicable Yes No* I 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: Page 2 of 4 UN -036 — 2/4 www.uWdoMorg Rev. 01/17/08 4anitoring System Certification F. In -Tank Gauging / SIR Equipment: ® Check this box iftank gauging is used only for inventory control. Check this box ifno 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 systemproduct 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 Section H, below, describe how and when these deficiencies were or will be corrected. G. Line Leak Detectors (LLD): Comnlete the following cherklist! Check this box if LLDs are not installed. Yes O 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 ifit detects a leak? N/A Yes No* For electronic LLDs, does the turbine automatically shut offif 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 LLDs, does the turbine automatically shut off ifany portion of the monitoring system malfunctions C] N/A or fails a test? Yes No* For electronic LLDs, have all accessible wiring connections been visually inspected? N/A Yes No* ere items on the equipment manufacturer's maintenance checklist completed? In Section H, below, describe how and when these deficiencies were or will be corrected. H. Comments: UN -036 — 3/4 Page 3 of 4 www.unidoes.org Rev. 01M/08 Monitoring System Certification UST Monitoring Site Plan site Address: 6100 District Blvd., Bakersfield, CA. 53313 I .......... I ........ ...... (,, , i A; AxA- jl............... ... I ..... . Tw- an•...... .......... I ............... I............. I........... I ........... I............ t Gvr2f t1 w,uti: . . . . . . . . . . . . . . . . . . . . I . . . . . . . . . . . . . . . . . . . . . . . I . . . . . . . ioft. . . . . . . . . . . . . . . . . . . 7443 5Q -Z'4 . . . . . . . . . . .. . . .... . 4eC56rs.. ..... .............................. J Na JIP'! . . 7. iJ 4ir4................... Date map was drawn: Instructions If you already have a diagram that shows all required information, you may include it, rather than this page, with your Monitoring System Certification. On your site plan, show the general layout of tanks and piping: Clearly identify locations of the following equipment, if installed: monitoring system control panels; sensors monitoring tank annular spaces, sumps, dispenser pans, spill containers, or other secondary containment areas; mechanical or electronic line leak detectors; and in -tank liquid level probes (if used for leak detection). In the space provided, note the date this Site Plan was prepared. Page 4 of 4 UN -036 — 414 www.unidocaorg Rev. 01!17/08 SWRCB, January 2006 Spill Bucket Testing Report Form Thisform is intendedfor use by contractorsperforming annual testing ofUST spill containment structures. The completedform and printoutsfrom tests (ifapplicable), should beprovided to thefacility owner /operatorfor submittal to the local regulatory agency. 1. FACILITY INFORMATION Facility Name: Fed Ex Date ofTesting: 06/10/13 Facility Address: 6100 District Blvd., Bakersfield, CA. 93313 Facility Contact: Chris I Phone: 661 - 837 -0995 Date Local Agency Was Notified ofTesting: 06/01/12 Name ofLocal Agency Inspector (i(present during testing): Esther Duran 2. TESTING CONTRACTOR INFORMATION Company Name: Cal- Valley Equipment Technician Conducting Test: Jerry Range] Credentials: CSLB Contractor X ICC Service Tech. SWRCB Tank Tester 0 Other (Specify) License Number(s): 5309489 -UT 3. SPILL BUCKET TESTING INFORMATION Test Method Used: X Hydrostatic Vacuum Other Test Equipment Used: Measuring Tape Equipment Resolution: Y4" Identify Spill Bucket (By Tank Number, Stored Product etc. 1 Diesel 1111 2 3 slazamum 4 Bucket Installation Type: Direct Bury X Contained in Sump 11 Direct Bury 0 Contained in Sump Direct Bury 0 Contained in Sum Direct Bury Contained in Sump Bucket Diameter. 11" x 12" Bucket Depth- 1 I" Wait time between applying vacuum/water and start of test: 15 minutes Test Start Time (TO: 9:00 am Initial Reading (RO: 6" Test End Time (T& 10:00 am Final Reading (RF): 6" Test Duration (TF — TO: 1 hour Change in Reading (RF - N: None Pass/Fail Threshold or Criteria: No loss of level y J IOWA 1 d I Comments — (include information on repairs made prior to testing, and recommendedfollow -upforfailed tests) CERTIFICATION OF TECHNICIAN RESPONSIBLE FOR CONDUCTING THIS TESTING I hereby certify that all the information contained in this report is true, accurate, and in full compliance with legal requirements Technician's Signature: Date:-06/10/13 State laws and regula ons do not currently require testing to be performed by a qualified contractor. However, local requirements may be more stringent. AUTO DIAL TIME SETUP: SYSTEM SETUP JUN 10.. 2013 9:35 All COMMUNICATIONS SETUP D B:VEEDER ROOT (FMS) DIAL WEEKLY TUE DIAL TIME : 5:38 PM SYSTEM UNITS PORT SETTINGS: RECEIVER REPORTS: U.S. SYSTEM LANGUAGE ENGLISH COMM BOARD 1 (FXMOD) SYSTEM DATE /TIME FORMAT BAUD RATE 2400 MOlV DD YYYY HH:MM:SS xM PARITY ODD STOP BIT 1 STOP 265022 FEDEX FREIGHT DATA LENGTH: 7 DATA 6100 DISTRICT BLVD RS -232 SECURITY BAKERSFIELD CA CODE : DISABLED DIAL TYPE TONE ANSWER ON I RING SHIFT TIME 1 DISABLED MODEM SETUP STRING SHIFT TIME 2 DISABLED SHIFT TIME 3 DISABLED DIAL TONE INTERVAL: 32 SHIFT TIME 4 DISABLED COMM BOARD 2 (RS -232) END OF MESSAGE TANK PER TST NEEDED WRN BAUD RATE 1200 DISABLDISABLED DISABLED STOP BIT ODSTOP AUTO DIAL ALARM SETUP TANK ANN TST NEEDED WRN DATA LENGTH: 7 DATADISABLED LINE PER TST NEEDED WRN RS -232 SECURITY D B:VEEDER ROOT (FMS) DISABLED CODE : DISABLED LINE ANN TST NEEDED WRN IN -TANK ALARMS DISABLED AUTO TRANSMIT SETTINGS: ALL:LEAK ALARM ALL:HIGH WATER ALARM PRINT TC VOLUMES AUTO LEAK ALARM LIMIT ALL:OVERFILL ALARM ENABLED DISABLED ALL:LOW PRODUCT ALARM TEMP COMPENSATION AUTO HIGH WATER LIMIT j ALL :SUDDEN LOSS ALARM ALL:HIGH PRODUCT ALARM VALUE (DEG F ): 60.0 DISABLED AUTO OVERFILL LIMIT ALL:INVALID FUEL LEVEL STICK HEIGHT OFFSET DISABLED ALL :PROBE OUT DISABLED AUTO LOW PRODUCT ALL :HIGH WATER WARNING DISABLED ALL:DELIVERY NEEDED H- PROTOCOL DATA FORMAT AUTO THEFT LIMIT ALL :MAX PRODUCT ALARM HEIGHT DISABLED ALL:GROSS TEST FAIL DAYLIGHT SAVING TIME AUTO DELIVERY START ALL:PERIODIC TEST FAIL ENABLED DISABLED ALL:ANNUAL TEST FAIL START DATE AUTO DELIVERY END ALL:NO CSLD IDLE TIME MAR WEEK 3 SUN DISABLED ALL:CSLD INCR RATE WARN START TIME AUTO EXTERNAL INPUT ON ALL:A000 -CHART CAL WARN 2:00 AM DISABLED ALL:RECON WARNING END DATE NOV WEEK 1 SUN AUTO EXTERNAL INPUT OFF I ALL:RECON ALARM ALL:LOW TEMP WARNING END TIME DISABLED ALL:GROSS FAIL LINE TNK 2:00 AM AUTO SENSOR FUEL ALARM RE- DIRECT LOCAL PRINTOUT DISABLED AUTO SENSOR WATER ALARM LIQUID SENSOR ALMS ALL:FUEL ALARM DISABLED DISABLED AUTO SENSOR OUT ALARM ALL:SENSOR OUT ALARM DISABLED ALL:SHORT ALARM EURO PROTOCOL PREFIX ALL:WATER ALARM S ALL:WATER OUT ALARM ALL:HIGH LIQUID ALARM ALL:LOW LIQUID ALARM ALL:LIQUID WARNING SYSTEM SECURITY CODE 000000 RECEIVER SETUP: EXTERNAL INPUTS D B:VE£DER ROOT (FMS) ALL:EXTERN INPUT ALARM 1- 866 - 743 -8379 RECEIVER ALARMSRCVRTYPE:. COMPUTER SERVICE REPORT WARNPORTNO: 1 RETRY NO: 5 ALARM CLEAR WARNING RETRY DELAY: 5. CONFIRMATION REPORT: OFF IN -TANK SETUP T I:DIESEL PRODUCT CODE 1 THERMAL COEFF :.000450 TANK DIAMETER 109.50 TANK PROFILE 1 PT FULL VOL 12000 FLOAT SIZE: 4.0 IN. WATER WARNING 5.0 HIGH WATER LIMIT: 5.0 MAX OR LABEL VOL: 12000 OVERFILL LIMIT 90% 10800 HIGH PRODUCT 95% 11400 DELIVERY LIMIT 5% 600 LOW PRODUCT 500 LEAK ALARM LIMIT: 99 SUDDEN LOSS LIMIT: 99 TANK TILT 0.00 MANIFOLDED TANKS TO: NONE DELIVERY DELAY : 5 MIN LIQUID SENSOR SETUP L !:ANNULAR TRI -STATE (SINGLE FLOAT) CATEGORY : ANNULAR SPACE L 2:DISPENSER TRI -STATE (SINGLE FLOAT) CATEGORY : DISPENSER PAN L 3:SOUTH SUMP TRI -STATE (SINGLE FLOAT) CATEGORY : STP SUMP L 4:NORTH SUMP TRI -STATE (SINGLE FLOAT) CATEGORY STP SUMP EXTERNAL INPUT SETUP NONE OUTPUT RELAY SETUP - - r i SOFTWARE REVISION LEVEL R !:REMOTE ALARM VERSION 421.00 TYPE: SOFTWARE# 346421 -100 -A STANDARD CREATED - 00.11.15.13.40 NORMALLY OPEN NO SOFTWARE MODULE IN-TANK ALARMS ALL:OVERFILL ALARM ALL:LOW PRODUCT ALARM ALL:HIGH PRODUCT ALARM ALL :PROBE OUT ALL:HIGH WATER WARNING ALL:DELIVERY NEEDED ALL:MAX PRODUCT ALARM LIQUID SENSOR ALMS ALL:FUEL ALARM ALL:SENBOR OUT ALARM ALL:SHORT ALARM ALL:WATER ALARM ALL:HIGH LIQUID ALARM ALL:LOW LIQUID ALARM ALL:LIQUID WARNING R 2:POSITIVE SHUTOFF TYPE: STANDARD NORMALLY OPEN NO ALARM ASSIGNME14TS 1 i ALARM HISTORY REPORT SYSTEM ALARM - - - -- PAPER OUT APR 17, 2013 12:20 PM PRINTER ERROR APR 17. 2013 12 :20 PM BATTERY IS OFF JAN 1, 1996 8:00 AM i xxxx* END xxxxx ALARM HISTORY REPORT IN —TANK ALARM — T 1:DIESEL OVERFILL ALARM JUN 12. 2012 8:51 AM DEC 13. 2010 1.2:57 PM SEP 16. 2009 1:21 PM LOW PRODUCT ALARM MAR 6, 2008 12:25 AM HIGH PRODUCT ALARM JUN 12. 2012 8:51 AM APR 8, 2011 4:03 PM MAR 15. 2010 1:35 PM INVALID FUEL LEVEL. JUN 12, 2012 8:14 AM APR 8. 2011 4:03 PM MAR 15. 2010 1:35 PM PROBE OUT JUN 12, 2012 9:16 AM JUN 12, 2012 8:12 AM APR 8, 2011 4:04 PM DELIVERY NEEDED MAR '6. 2008 12:15 AM MAX PRODUCT ALARM JUN 12, 2012 8:51 AM APR 8. 2011 4:03 PM MAR 15, 2010 1:35 PM LOW TEMP WARNING JUN 12, 2012 9:18 AM x x x x x END x x x x x ALARM HISTORY REPORT SENSOR ALARM - - - -- L 1:ANNULAR ANNULAR SPACE FUEL ALARM JUN 12, 2012 9:00 AM FUEL ALARM JUN 12. 2012 8:54 AM FUEL ALARM JUN 12, 2012 8:54 AM ALARM HISTORY REPORT SENSOR ALARM ----- f L 3:SOUTH SUMP STP SUMP FUEL ALARM JUN 12, 2012 9:00.AM FUEL ALARM I MAY 3, 2011 10:46 AM FUEL ALARMiMAY3. 2011 10:43 AM x x x x x END x x x x x r i i ALARM HISTORY REPORT SENSOR ALARM - - --_ L 2 :DISPENSER DISPENSER PAN FUEL ALARM JUN 12, 2012 9:01 AM FUEL ALARM APR 8, 2011 4:09 PM SENSOR OUT ALARM MAR 15, 2010 1 :44 PM xxxxxENl).xxxxx cxxxxENDxxxxx i ALARM HISTORY REPORT SENSOR ALARM L 4:NORTH SUMP } STP SUMP FUEL ALARM JUI4 12. 2012 9:00 AM FUEL ALARM APR 8, 2011 3:59 PM FUEL ALARM MAR 15, 2010 1:32 PM i xxxxxENDx *xxx 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 UST REMOVAL DESCRIPTION DATE SIGNATURE AST NEW INSTALL DESCRIPTION DATE SIGNATURE MODIFICATIONS MINOR / MAJOR AST REMOVAL DESCRIPTION DATE SIGNATURE EVR UPGRADE PRIOR TO OPERATION OF ANY SYSTEM, ALL UST AND /OR AST SYSTEMS SHALL BE INSTALL, COMPLETE AND ACCEPTED BY MISC. ACTIVITY THE BAKERSFIELD_CITY FIRE DEPARTMENT. FIRE DEPARTMENT (FINAL) REMARKS: BUILDING ADDRESS: 6 r vtic- % - /3( JOB DESCRIPTION: wj OCCUPANCY TYPE: OWNER: 7q f PERMIT NO. - /DLYJ. oZ CONTRACTOR: C4--( PHONE # 7 - ::Uq/ FD 1743