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Home My WebLink About5609 STINE ROAD (9)z 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 J 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 oftest date. A. General Information Facility Name: CHEVRON Site Address: 5609 STINE ROAD Facility Contact Person: LOUNG CHAO Bldg. No.: City: BAKERSFIELD Zip: _ Contact Phone No.: (661) 345 -6208 Make/Model of Monitoring System: TLS -350 Date ofTesting/Servicing: 4/5/2012 B. Inventory of Equipment Tested /Certified Tank ID: UNL87 i Dispenser ID: 3/4 Tank ID: UNL911DIESEL Dispenser Containment Sensor(s). Model: 406 In -Tank Gauging Probe. Model: MAG -1 In -Tank Gauging Probe. Model: MAG -1 Annular Space or Vault Sensor. Model: 420 Annular Space or Vault Sensor. Model: 420 Piping Sump / Trench Sensor(s). Model: 208 Piping Sump / Trench Sensor(s). Model: 208 Fill Sump Sensor(s). Model: Fill Sump Sensor(s). Model: Mechanical Line Leak Detector. Model: RED JACKET Mechanical Line teal: Detector. Model: RED JACKET Electronic Line Leak Detector. Model: Electronic Line Leak Detector. Model: Tank Overfill / High -Level Sensor. Model: MAG -1 Tank Overfill / High - Level Sensor. Model: MAG -1 Other (specify equipment type and model in Section E on Page 2). Other (specify equipment type and model in Section E on Page 2). Tank lD .-. DIESEL/91. Tank ID: In -Tank Gauging Probe. Model: 01n -TankGauging Probe. Model: MAGA H Annulai Space or Vault Sensor. Model: 420 Annular Space or Vault Sensor. Model: R-Piping Sump / Trench Sensor(s). Model: 208 Piping Sump / Trench Sensor(s). Model: TillSutnp Seitsor(s). Model: Fill Sump Sensor(s). Model: Mechanical Line Leak Detector. Model: RED JACKET Mechanical Line Leak Detector. Model: Electronic Line LeakDetector. Model: Electronic Line Leak Detector. Model: Tank Overfill / High -Level Sensor. Model: MAG-1 Tank Overfill / High -Level Sensor. Model: Other (specify equipment type and model in Section E on Page 2). Other (specify equipment type and model in Section E on Page 2). Dispenser 111): 112 i Dispenser ID: 3/4 Disp'en'ser Containment Sensor(s). Model: 406 Dispenser Containment Sensor(s). Model: 406 Shear Valve(s). Shear Valve(s). Dispenser Containment Float(s) and Chain(s). Dispenscr Containment Float(s) and Chain(s). Dispenser ID: 516 Dispenser ID: 718 Dispenser Containment Sensor(s). Model: 406 Dispenser Containment Sensor(s). Model: 001 Shear Valve(s). Shear Valve(s). Dispenser Containment Float(s) and Chain(s). Dispenser Containment Float(s) and Chain(s). Dispenser ID: 9/10 Dispenser ID: spenscr Containment Sensor(s). Model: 001 Dispenser Containment Sensor(s). Model: hear Valve(s).. Shear Valve(s). Dlspetser Containment Float(s) and Chain(s). DispenserContainment Float(s) and Chain(s). Ittie facility contains more tanks or dispensers, copy this form. Include information for every tank and dispenser at the facility. C': CeitifiCatlOn - 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 eorrectand a Plot Plan showing the layout of monitoring a ui ment. For an equipment ca able f generating such reports, I have alsogYgPYeqPPggP attached a copy of the report; (check all that apply): System set -up ® Alarm ry report a. Technician Name (print): RICH PHILLIPS Signature: i Certification No.: A29084 / 1035169 -UT License. No.: C611 D40 809850 UriTesting Company Name: RICH ENVIRONMENTAL Phone No.: (661) 392 -8687 Testing Company Address: 5643 BROOKS CT. BAKERSFIELD, CA 93308 Date ofTesting/Servicing: 415112 Page 1 of 5 UN -036 — 1/4 www.unidoes.org Rev. 01/17/08 s 11. y, n,SeMioq E below, describe how and when these deficiencies were or will be corrected. E '.comments• a i . Monitoring System Certification A Results of Testing/Servicing Software Version Installed: 329.01 Comnlete the following checklist: q jv 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 that apply) ® Sump/Trench Sensors; Dispenser Containment Sensors. Did you confirm positive shut -down due to leaks and sensor failure /disconnection? ® Yes; No. Yes No* For tank systems that utilize the monitoring system as the primary tank overfill warning device (i.e., no N/A mechanical overfill prevention valve is installed), is the overfill warning alarm visible and audible at the tank fill point(s) and operating properly? If so, at what percent oftank capacity does the alarm trigger? % 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 No* Was monitoring system set -up reviewed to ensure proper settings? Attach set up reports, ifapplicable t] No* Is all monitoring equipment operational per manufacturer's specifications? I r - Page 2 of 5 UN -036 — 2/4 www.unidocs.org Rev. 01/17/08 Nsywe Monitoring System Certification F. In -Tank Gauging / SIR Equipment: ® Check this box iftank gauging is used only for inventory control. Check this box if no tank gauging or SIR equipment is installed. This:section must be completed if in -tank gauging equipment is used to perform leak detection monitoring. Complete the following checklist: Yes No* Has all input wiring been inspected for proper entry and termination, including testing for ground faults? Yes No* Were all tank gauging probes visually inspected for damage and residue buildup? Yes No* Was accuracy of system product level readings tested? Yes 1 No* Was accuracy ofsystem 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): Check this box if LLDs are not installed. Cmm lofo Ap fnllnwino rhnnlrlich Yes No* For equipment start-up or annual equipment certification, was a leak simulated to verify LLD performance? E; 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? ISI"Yes., No* Was the testing apparatus properly calibrated? Yes , No* For mechanical LLDs, does the LLD restrict product flow if it detects a leak? N/A Yes No* For electronic LLDs, does the turbine automatically shut off ifthe LLD detects a leak? N/A 10 Yes No* For electronic LLDs, does the turbine automatically shut off if any portion of the monitoring system is disabled II r N/A or disconnected? I Yes No* For electronic LLDs, does the turbine automatically shut off if any portion of the monitoring system malfunctions 0 N/A or fails a test? Yes El 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? r 1n Section H, below, describe how and when these deficiencies were or will be corrected. L .Comments: L f ; Page 3 of 5 UK -036 — 3/4 www.unidoes.org Rev. 01/17/08 Monitoring System Certification Form: Addendum for Vacuum/Pressure Interstitial Sensors I. Results ofVacuum/Pressure Monitoring Equipment Testing q-54% / This page should be used to document testing and servicing of vacuum and pressure interstitial sensors. A copy of this' 'focal must be included with the Monitoring System Certification Form, which must be provided to the tank system owner /operator. The owner /operator must submit a copy of the Monitoring System Certification Form to the local agency regulating UST systems within 30 days of test date. Manufacturer: Model: System Type: Pressure; Vacuum Sensor M Component(s) Monitored by this Sensor: Sensor Functionality Test Result: Pass; Fail Interstitial Communication Test Result: Pass; Fail Component(s) Monitored by this Sensor: Sensor Functionality Test Result: Pass; Fail Interstitial Communication Test Result: Pass; Fail Component(s) Monitored by this Sensor: Sensor Functionality Test Result: Pass; Fail Interstitial Communication Test Result: Pass; Fail Component(s) Monitored by this Sensor: Sensor Functionality Test Result: Pass; Fail Interstitial Communication Test Result: Pass; Fail t. •. • Component(s) Monitored by this Sensor: Sensor Functionality Test Result: Pass; Fail Interstitial Communication Test Result: Pass; Fail Component(s) Monitored by this Sensor: Sensor Functionality Test Result: Pass; Fail Interstitial Communication Test Result: Pass; Fail Component(s) Monitored by this Sensor: Sensor Functionality Test Result: Pass; Fail Interstitial Communication Test Result: Pass; Fail Component(s) Monitored by this Sensor: Sensor Functionality Test Result: Pass; Fail Interstitial Communication Test Result: Pass; Fail Component(s) Monitored by this Sensor: Sensor Functionality Test Result: Pass; Fail Interstitial Communication Test Result: Pass; Fail Components) Monitored by this Sensor: Sensor Functionality Test Result: Pass; Fail Interstitial Communication Test Result: Pass; Fail How was.interstitial communication verified? Leak Introduced at Far End of Interstitial Space;' Gauge; Visual Inspection; Other (Describe in Sec. J, below) Was vacuum/pressure restored to operating levels in all interstitial spaces? Yes No (Ifno, describe in Sec. J, below) J. . i Comments: NONE OF THESE SENSORS ARE PRESENT AT THIS SITE. Page 4 of 5 If the sensor successfully detects a simulated vacuum/pressure leak introduced in the interstitial space at the furthest point from the sensor, vacuum/pressure has been demonstrated to be communicating throughout the interstice. UN,4,3,6A -1/1 www.unidoes.org Rev. 01/26/06 jniwing System C-6diribitibn 1. UST moliitorjag sito -.)P.Ian Site Address: r,Mv D 7-3IC.( raw 14P .............. ........ I ....... 10A , .... 5.-, robc. Crt IV r1a r& IC I . . . I I . . . . . . . . . . . . . . . . . . . I . . . . . . . . . . . . . . . . . . . -AY AIA I ........... I .................... .... ............ I..., ...... I ......... I ............. I ......... ............. .............. I . . I . 1 . F4 IF, r.6 VO or I ....... I .... .. ...... I ........ I ........ I ...... .......... I ............ I ...... I)atomap was drawn: I Instructiola If you already have a di4gram that -shows all'.mquired information, you may include it rather than this page, with your Monitoring System C;ertifN IDnyoursite-plan, show -tht-&=W :layout oftanksmd pipffig.. Clearly identify locations of the following equipment, if installed-, monitoring system control paneils, sonors monitoring tank annular spaces, sumps, dispenser pans, spill Couwner% or,other secondary cobtaininva arm; inwima:cai a - 1,*r,e k deteca)rg, and in-tank liquid level- probes (if used for leak detection). In the•sparA pkovidod, note the .49c phis Sire Plan prepared. iUN-06-4/4 if . rage 1 ;,f , __ , www,oWd6morg Rev. DIMM a a t q1:_R1(0 SWRCB, January 200k Spill Bucket Testing Report Form Thisform is intendedfor use by contractors performing annual testing ofUSTspill containment structures. The completedform and printoutsfrom tests (ifapplicable), should be provided to thefacility owner /operatorfor submittal to the local regulatory agency. 1. FACILITY INFORMATION Facility Name: CHEVRON I Date of Testing: 4/5/12 Facility Address: 5609 STINE ROAD, BAKERSFIELD Facility Contact: LOUNG CHAO Phone: Date Local Agency Was Notified of Testing : 3/2/12 NameofLocal Agency Inspector (fpresent during testing): 2. TESTING CONTRACTOR INFORMATION Company Name: RICH ENVIRONMENTAL Technician Conducting Test: RICH PHILLIPS Credentials: CSLB Contractor X ICC Service Tech. SWRCB Tank Tester Other (Specie) License Number(s): 1035169 -UT 3. SPILL BUCKET TESTING INFORMATION Test Method Used: X Hydrostatic Vacuum Other Test Equipment Used: VISUAL Equipment Resolution: 0 w, ..d .w...,. , ,.......,.. Identify Spill Bucket (By Tank Number, Stored Product, etc.) 1 UNL87 2 DIESEL 3 RE -TEST 91 FILL 4 Bucket Installation Type: X Direct Bury Contained in Sump X Direct Bury Contained in Sump X Direct Bury 0 Contained in Sump Direct Bury Contained in Sum tticket Diameter:' 12 12 12 Pub et' Depth: 14 14 14 WWsittime between applying vacuum/water and start oftest: 30 MIN 30 MIN 30 MIN Test Stmt Time (T): 9:30 2:00 4:30 Initial Reading (Rj): 14 14 14 Test End Time (TF): 10:30 3:00 5:30 Final Reading (RF): 14 14 Test Duration (TF — Tj): 1 -HOUR 1 -HOUR 1 -HOUR Change in Reading (RF - R,): 000 000 000 Pass/Fail Threshold or Criteria: 0.00 0.00 0.00 Test Result: 16 I X Pass Fail X Pass 0 Fail X Pass Fail 0 Pass Fail CO_MK16WS —(include information on repairs made prior to testing, and recommendedfollow -upforfailed tests) IUJNL91 - .REMOVED DRAIN VALVE (PHIL -TITE) CLEANED -UP - PASSED CERTIFICATION OF TEC CLAN RESPONSIBLE FOR CONDUCTING THIS TESTING t'likreby certify that all the information rained in this report is true, accurate, and infull compliance with legal requirements. Technician's Signature: Date: 4/5/12 State laws and regulations do not currently require testing to be performed by a qualified contractor. However, local requirements may be more stringent. RICH ENVIRONMENTAL . 5643 BROOKS CT. BAKERSFIELD, CA. 93308 OFFICE (661)392 -8687 FAX (661)392 -0621 PRODUCT LINE LEAK DETECTOR TEST WORK SHEET W /0#: FACILITY NAME: CHEVRON FACILITY ADDRESS: 5609 STINE ROAD, BAKERSFIELD PRODUCT LINE TYPE: PRESSURE 45996 PRODUCT LEAK DETECTOR TYPE TEST TRIP PASS BELOW P.S.I. OR SERIAL NUMBER 3 G.P.H. FAIL UNL87 L/D TYPE. RED JACKET YES 10 PASS SERIAL # PREM91 L/D TYPE: RED JACKET YES 12 PASS SERIAL # DIESEL LID TYPE: RED JACKET YES 10 PASS SERIAL # L/D TYPE: YES PASS SERIAL # NO FAIL I CERTIFY THE ABOVE TESTS WERE CONDUCTED ON THIS DATE ACCORDING TO RED JACKET PUMPS FIELD TEST APPARATUS TESTING PROCEDURE AND LIMITATIONS. THE MECHANICAL LEAK DETECTOR TEST PASS / FAIL IS DETERMINED BY USING A LOW FLOW THRESHOLD TRIP RATE OF 3 GALLONS PER HOUR OR LESS AT 10 P.S.I. I ACKNOWLEDGE THAT ALL DATA COLLECTED IS TRUE AND CORRECT TO THE BEST OF MY KNOWLEDGE. TECHNICIAN RICH PHIL SIGNATURE: DATE: 4/5/12 FTWARE REV I S I0N LEVEL. ' RsIOIV 330.01 TANK CHART SECURITY PTWARE# 346330-100 -B DISABLED IEATED - 10.07.23.17.25 * MODULE# 330160-004 -a CUSTOM ALARMS RS -232 END OF I$SSAGE STEM FEATURES: DISABLED PERIODIC IN -TANK TESTS DISABLED ANNUAL IN -TANK TESTS SERVICE NOTICE ISD DISABLED ISO 3166 COUNTRY CODE: P'IASS /DENSITY DISABLED IIV -TANY, SETUP STEM SETUP T 1:87 R 5. 2012 11:28 AM PRODUCT GODS I THERMAL COEFF :.000700 TANK DIAMETER 85.00 TANK PROFILE 1 PT STEM UNITS FULL VOL 12048 I.S. STEM LANGUAGE NGLISH FLOAT SIZE: 4.0 IN. STEM DATE /TIME FORMAT COMMUNICATIONS SETUPWDiD, 'YYYY HH:MM:SS xM WATER WARNINGNG 2.0 HIGH WATER LIMIT: 3.0 U 1 °STIPJE p 1TT NE `RD PORT SETTINGS: MAX OR LABEL VOL: 12048 n+ idR , PTELD -CA OVERFILL LIMIT 90%: 10843COMMBOARD1 (ED I M ) RS -232 SECURITY HIGH PRODUCT 95% y IpFT ` T,1ME' 1 .: DISABLED I I 'f i ME 2 D'! SABLED CODE : D I SABLE`U DELIVERY 11445 LI I °11 T I TIME 3 DISABLED COMM BOARD : 3 (RS -232) 1204 I1F TIME 4 DISABLED BAUD RATE : 1200 NK PER TST NEEDED WRN PARITY : ODD STOP BIT : 1 STOP LOW PRODUCT 500 LEAK ALARM LIMIT: 99 SABLED ANN TST NEEDED WRN DATA LENGTH: 7 DATA SUDDEN LOSS LIMIT: 99 0.00INK SABLED RS -232 SECURITY CODE : DISABLED TANK TILT PROBE OFFSET 0.00 NE RE- ENABLE METHOD Sa LINE TEST AUTO TRANSMIT SETTINGS: SIPHON MANIFOLDED TANKS NE PER TST NEEDED WRN AUTO LEAK ALARM LIMIT T #: NONE LINE MANIFOLDED TANKSSABLED N)« ANN TST NEEDED WRN DISABLED T #: NONE SABLED AUTO HIGH WATER LIMIT DISABLED AUTO OVERFILL LIMIT LEAK MIN PERIODIC: iNT TC VOLUhIES DISABLED 1204 ABL•ED AUTO LOW PRODUCT MF',CDI4PENSATIOP! DISABLED LEAK MIN ANNUAL 10% 1204 4UE..;(DEG F ): 60.0 AUTO THEFT LIMIT HEIGHT OFFSET DISABLED AUTO DELIVERY START8ABUEDDISABLED PERIODIC TEST TYPEi "A 90y 3T +.y it AUTO DELIVERY END QUICK P}tOTOGJOL` DATA FORMAT D I SABLED AUTO EXTERNAL INPUT ON ANNUAL TEST FAIL c TIGHT ,.., _... DISABLED ALARM DISABLEDY1: i GHT VING TIMESA. AUTO EXTERNAL INPUT OFFSABLED, AI;REC.T LOCAL PRINTOUT DISABLED PERIODIC TEST FAIL ALARM DISABLEDSABLI~D ' AUTO SENSOR FUEL ALARM i I DISABLED1: R4 PROTOCOL PREFIX AUTO SENSOR WATER ALARM GROSS TEST FAIL ALARM DISABLEDDISABLED AUTO SENSOR OUT ALARM DISABLED ANN TEST AVERAGING: OFF PER TEST AVERAGING: OFF STEM SECURITY TANK TEST NOTIFY: OFF DE : 000000 TNK.TST SIPHON BREAK:OFFINTENANCEHISTORY SABLED DELIVERY DELAY : 15 MIN PUMP THRESHOLD : 10.00% 2:91 RODUCT CODE 2 T 3:DIESEL 3iERMALCOEFF :.000700 PRODUCT CODE THERMAL COEFF :.000450 LEAK TEST METHOD 3NK DIAMETER aNK PROFILE 95.00 i PT TANK DIAMETER : 95.00 VEST ON DATE ALL TANK 04 FULL VOL 6016 TANK PROFILE 1 PT FULL VOL 4008 3, 2010MAR3, 2:3a AMTIME : -11TESTRATE OAT SIZE: 4.0 IN. FLOAT SIZE: 4.0 IN, 0.20HOULDURATION ATER WARNING 2.0 2.0 TST EARLY•STOP:DISABLED IGH WATER LIMIT: 3.0 WATER WARNING HIGH WATER LIMIT: 3.0 TEST kEPORT FORMATLEAKENHANCEDAXORLABELVOL: VERFILL LIMIT 9016 90% MAX'OR LABEL VOL: 4008 7214 OVERFILL LIMIT iIGH PRODUCT '` 95% 7615 3609 HIGH PRODUCT q„ „DELIVERY LIMIT : 601 395% DELIVERY LIMIT 10% 400 OW PRODUCT EAK ALARM LIMIT: 500 99 LOW PRODUCT 300 UDDEN LOSS LIMIT: 5G LEAK ALARM LIMIT: 99 50ANKTILT ROBE OFFSET 0.00 0.00 SUDDEN LOSS LIMIT: TANK TILT 0.00 LIQUID SENSOR SETUP - PROBE OFFSET 0•D0 jIPHON MANIFOLDED TANKS G #: NONE SIPHON MANIFOLDED TANKS L 1:67 ANNULAR TRI -STATE (SINGLE FLOAT) LINE MANIFOLDED TANKS T #: NONE CATEGORY : ANNULAR SPACE TV: NONE LINE MANIFOLDED TANKS T #: NONE LEAK MIN PERIODIC: 10% LEAK 111N PERIODIC: lok L 2:91 - DIESEL ANNULARSINGLEFLOAT) 801 TRI -STATE CATEGORY : ANNULAR SPACE LEAK MIN ANNUAL 10% 801 LEAK 11114 ANNUAL ADO PERLODIC TESL TYPE L 3:67 STP QUICK PERIODIC TEST TYPE CATEGORY AT :( STPGSUMPLOAT) QUICK ANNUAL' TEST FAIL ALARM DISABLED ANNUAL TEST FAIL ALARM DISABLED L 4:91 STP SINGLE FLOAT) PERIOItgC' TEST FAIL TR1-STATE CATEGORY : STP SUMP ALARM DISABLED PERIODIC AST FAIL DISABLED GROSS TEST FAIL ALARI1 D 1 SABLED GF.OSS TEST FA I L L 5 :DSL STP TRI -STATE (SINGLE FLOAT} ALARM DISABLED CATEGORY STP SUMP R;NN:TEST AVERAGING: PER TEST AVERAGING: OFF OFF ANN TEST AVERAGING: OFF PER TEST AVERAGING: OFF TANK TEST NOTIFY: OFF TANK TEST NOTIFY: OFF TNK TST SIPHON BREAK:OFF TNK TST SIPHON BREAK :OFF DELIVERY DELAY : PUMP THRESHOLD 15 MIN 10.00% DELIVERY DELAY 15 MIN PUMP THRESHOLD 10.00% toe•+• L}sqa[* /--- OUTPUT RELAY SETUP R 1:87 TYPE STANDARD NORMALLLV CLOSED TANK 9: 1 LIQUID SENSOR ALMS L I:FUEL ALARML3:FUEL ALARM L 1:SENSOR OUT ALARML3:SENSORtOUT ALARM ISD SITE ALARMS ISD GROSS PRES FAILISDDEGRDPRESFAILISDVAPORLEAKFAILISDVPPRESFAIL ISD VP STATUS FAIL ISD HOSE ALARMS ALL:FLOW COLLECT FAIL R 2:91 TYPE: STANDARD NORMALLY CLOSED TANK >t : 2 F, t r• L I GUft SENSOR ALMSL, , 2,: FUEL "ALARM k }. I:' 4':,FUEL ALARM L`'4`:SENSOR OUUT T ALARM. ISD SITE ALARMS ISD GROSS PRES FAILISDDEGRDPRESFAILISDVAPORLEAKFAILISDVPPRESFAIL ISD VP STATUS FAIL ISD HOSE ALARMS ALL:FLOW COLLECT FAIL R 3:DIESEL TYPE: STANDARD NORMALLY CLOSED TANK 4: 3 LIQUID SENSOR ALMSt2 ;,FUEL ALARM 5':'FUEL ALARM _ t L,::SENSOR OUT AL SE3OR OUT ALARM pVFRY4 ,FILL 9A. NDARD ' dORMADLY:OPEN NONE N =TANK ALARMS ALL-'OVERFILL ALARMALL:HIGH PRODUCT ALARMALL:MAX PRODUCT ALARM SMARTSENSOR SETUP s 1:CARBON CANISTOR CATEGORY VAPOR VALVE s 2:VAPOR PRESSURE CATEGORY VAPOR PRESSURE s 3 :DISP 1 -2 CATEGORY AIR FLOW METER s 4:DISP 3 -4 CATEGORY AIR FLOW METER 3 5:DISP 5 -6 CATEGORY AIR FLOW METER s 6:DISP 7 -8 CATEGORY AIR FLOW METER s 7:DISP 9 -10 CATEGORY AIR FLOW METER s 8:ATM CATEGORY ATM P SENSOR EVRi1SD SETUP EVR TYPE: BALANCE BALANCE NOZZLE TYPE VST VAPOR PROCESSOR TYPE VEEDER -ROOT POLISHER ANALYSIS TIMES TIME: 10:00 All DELAY MINUTES: 1 ACCEPT HIGH ORVR: ENABLED ISD HOSE TABLE ID- SERIAL NUML %BEL ID FP FL HL AA RR 01 01 01 02 01 02 02 02 02 02 01 02 03 03 03 02 02 02 04 04 04 02 02 02 05 05 05 02 03 02 06 06 06 02 03 02 07 07 07 02 04 02 08 08 08 02 04 02 09 09 09 02 055 02 10 16 10 02 05 02 iAt)`ILI ISD AIRFLOW METER MAP HOSE MAP ID- SERIAL NUML %BEL 2 1 42051• DISP 1 -2 2 36945 DISP 3 -4 MHH 3 40078 DISP 5 -6 201 4 40343 DISP 7 -8 U U 5 42057 DISP 9 -10 202 ISD FUEL GRADE HOSE MAP 1 2 3 4 FP MHH MHH MHH MHH AA 01 201 101 901 U U 1 02 202 102 902 U U 1 03 203 103 903 U U 2 04 204 104 904 U U 2 05 205 105 905 3 U 3 06 206 106 906 3 U 3 07 207 107 907 U U 4 09 208 108 908 U U 4 09 209 109 909 U U 5 16 210 110 910 U U 5 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: 01.03 VAPOR PROCESSOR TYPE VEEDER-ROOT POLISHER ALP;iRll H I STORY REPORT SENSOR ALARM - - - -- L 1:87 ANNULAR ANNULAR SPACE SENSOR.OUT ALARM APR S. 2012 9:56 AM FUEL ALARM APR 5, 2012 9:31 AM SENSOR OUT ALARM MAR 7. 2011 9 :39 AM 15, 2,012 9:29 AM APR SElySOR OUT 1ALA 9"! 39 F,r1 lw1AR ALARM HISTORY REPORT SENSOR ALARM - - - -- L 3:87 STP STP SUMP SENSOR OUT ALARM APR 5. 2012 9:56 AM FUEL ALARM APR 5, 2012 9:30 AM SENSOR OUT ALARM MAR 7. 2011 9:39 AM ALARM HISTORY REPORT SENSOR ALARM - -- -- L- A:.91 STP STP . SW SENSOR OUT ALARM APR 5. 20t2 9:56 AM FUEL ALARM APR 5, 2012 9:30 AM SENSOR OUT ALARM MAR 7, 2011 9:39 AM STF SUIhP rr SENSOR OUT ALARM APR 5. 2012 9:56 AM FUEL ALARM APR 5, 2012 9:29 AM SENSOR OUT ALARM MAR 7, 2011 9:39 AM ALARM y 1gTOR` REPQRZ NSaR L 2: 91 SPACE ANNU OR GUT ALA9Cq 56 AC1 BENS 2012 AFR 5, FUEL rd Sa9 to r . LISggb . MONITOR CERT. FAILURE REPORT SITE NAME: CHEVRON DATE : 4/5/12 THE FOLLOWING COMPONENTS WERE REPLACED/REPAIRED TO COMPLETE TESTING. REPAIRS: CLEANED 91 FILL BUCKET AND RE- TESTED - PASSED SECOND TEST LABOR: PARTS INSTALLED : NAME • TITLE: SIGNATURE: THE ABOVE NAMED PERSON TAKES FULL RESPONSIBILITY OF NOTIFYING THE APPROPRIATE PARTY TO HAVE CORRECTIVE ACTION TAKEN TO REPAIR THE ABOVE LISTED PROBLEMS AND NOTIFYING RICH ENVIRONMENTAL FOR ANY NEEDED RETESTING. THIS ALSO RELEASES RICH ENVIRONMENTAL OF ANY FINES OR PENALTIES OCCURING FROM NON - COMPLIANCE. A COPY -OF THIS DOCUMENT HAS BEEN LEFT ON -SITE FOR YOUR CONVIENENCE. i