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HomeMy WebLinkAbout4200 ASHE ROAD (9)Z U 1 MONITORING SYSTEM CERTIFICATION For Use By All Jurisdictions Within the State ofCalifornia Authority Cited: Chapter 6 7, Health and Safety Code; Chapter 16, Division 3, Title 23, California Code ofRegulations This form must be used to document testing and servicing of monitoring equipment. A separate certification or report must be prepared for each monitoring_ system control panel by the technician who performs the work. A copy ofthis form must be provided to the tank system owner /operator. The owner /operator must submit a copy ofthis form to the local agency regulating UST systems within 30 days of test date. A. General Information Facility Name: PANAMA BUENA VISTA U.S.D. Bldg. No.: Site Address: 4200 ASHE RD. City: BAKERSFIELD Zip: 93313 Facility Contact Person: VICKI STALNAKER Make/Model ofMonitoring System: TLS -350 INSP.- ESTER ON-SITE B. Inventory of Equipment Tested /Certified Check the appropriate boxes to indicate specific equipment inspected/serviced: Contact Phone No.: Date of Testing/Servicing: 3/23/2012 Tank ID: REGULAR 87 Tank ID: DIESEL In -Tank Gauging Probe. Model: MAGIn -Tank Gauging Probe. Model: MAG Annular Space orVault 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: FX1V Mechanical Line Leak Detector. Model: FXiDV Electronic Line Leak Detector. Model: Electronic Line Leak Detector. Model: Tank Overfill / High -Level Sensor. Model: MAG / E.O.A. Tank Overfill / High -Level Sensor, Model: MAG / E.O.A. Other (specify equipment type and model in Section E on Page 2). Other (specify equipment type and model in Section E on Page 2). Tank ID: WASTE OIL Tank ID: In -Tank Gauging Probe. Model: MAG In -Tank Gauging Probe. Model: Annular Space or Vault Sensor. Model: 420 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: N/A Tank Overfill / High -Level Sensor. Model: Other (specify equipment type and model in Section E on Page 2). Other (specify equipment type and model in Section E on Page 2). Dispenser ID: 112 Dispenser 1D: 314 Dispenser Containment Sensor(s). Model: 208 Dispenser Containment Sensor(s). Model: 208 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 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). Ifthe 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 equipment. For any equipment capable of generating such reports, I have also attached a copy ofthe report; (check all that apply): ® System set -up Alarm history report Technician Name (print): RYAN MASON Signature: 1 Certification No.: A27367 ICC# 8029371 -UT License. No.: 611 809850 Testing Company Name: RICH ENVIRONMENTAL Phone No.: (661) 392 -8687 Testing Company Address: 5643 BROOKS CT. BAKERSFIELD, CA 93308 Date ofTesting/Servicing: 3/23/2012 Page 1 of 5 UN4M -1/4 www.unidomorg Rev. 01 /17/08 Monitoring System Certification D. Results of Testing/Servicing Software Version Installed: 329.01 Complete the following checklist: LraaLl f 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 ifthe 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 overfiil 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 of tank capacity does the alarm trigger? 90% Yes* No Was any monitoring equipment replaced? If yes, identify specific sensors, probes, or other equipment replaced and list the manufacturer name and model for all replacement parts in Section E, below. Yes* No Was liquid found inside any secondary containment systems designed as dry systems? (Check all that apply) Product; Water. Ifyes, describe causes in Section E, below. Yes No* Was monitoring system set -up reviewed to ensure proper settings? Attach set up reports, ifapplicable 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: Page 2 of 5 UN -036 — 2/4 www.unidocs.org Rev. 01/17108 Monitoring System Certification F. In -Tank Gauging / SIR Equipment: Check this box if tank gauging is used only for inventory control. Check this box if no tank gauging or SIR 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 of system product level readings tested? Yes No* Was accuracy of system water level readings tested? Yes No* Were all probes reinstalled properly? Yes No* I 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): Cmmnlete the following checklist: Check this box if LLDs are not installed. Yes No* For equipment start -up or annual equipment certification, was a leak simulated to verify LLD performance? N/A Check all that apply) Simulated leak rate: ® 3 g.p.h.; 0.1 g.p.h ; [10.2 g.p.h. Yes No* Were all LLDs confirmed operational and accurate within regulatory requirements? Yes No* Was the testing apparatus properly calibrated? Yes No* For mechanical LLDs, does the LLD restrict product flow if it detects a leak? N/A Yes No* For electronic LLDs, does the turbine automatically shut off 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 LLDs, does the turbine automatically shut off if any portion ofthe 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 Section H, below, describe how and when these deficiencies were or will be corrected. H. Comments: UN-036 — 3/4 Page 3 of 6 www.unidocs.org Rev. 01117/08 0-.. A':i ,. C,!. - I.: 1h 1- w -A. It, r. y1 A, -7:4 4 1A :s 7 77 ep. 7. r. t! L7 iV 4:' Y! rill e-. i! F, rt". 71 r.: 'f IJAIt iv! Q 1. - J 4 M-ft" ..I w t:t -iz Tf t? I I!' ro P£ wp Y. k; ly tt 0; W A. 'a q 1i ot 'A a R 134 1T Y. "I k 4 'el 41 t 's 4 V 'di T., 7 ;1% i4 1' 4 i A 1 1 ^R n 1. ( .0 .3 :S is S4 1; 7c tr. r,.; 1; 'A 01 1 A.. PP, t:i 1. :6 tl W. 3- :1 7, t er 5:A.- Aid$ 1 --20e, %- RICH ENVIRONMENTAL 3305 BRITTAN ST. BAKERSFIELD, CA. 93308 OFFICE (661)326 -8402 FAX (661)326 -8934 PRODUCT LINE LEAK DETECTOR TEST WORK SHEET W /0 #: FACILITY NAME: PANAMA BUENA VISTA SCHOOL DISTRICT FACILITY ADDRESS: 4200 ASHE RD. BAKERSFIELD, CA. PRODUCT LINE TYPE: PRESSURE PRODUCT LEAK DETECTOR TYPE TEST TRIP PASS BELOW P.S.I. OR SERIAL NUMBER 3 G.P.H. FAIL UNL87 L/D TYPE : FXl V YES 10 P.S.I. PASS SERIAL # 1783 DIESEL L/D TYPE: FX1DV YES 10 P.S.I. PASS SERIAL # 7883 L/D TYPE: _ PASS YES SERIAL # FAIL L/D TYPE: PASS YES SERIAL # 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 1S TRUE AND CORRECT TO THE BEST OF MY KNOWLEDGE. TECHNICIAN: RYAN MASON SIGNATURE: i DATE: 3/23/12 p. S -6Z-1 fSWRCB, January 2006 Spill Bucket 'Testing Report Form Thisform is intendedfor use by contractors performing annual testing of USTspill containment structures. The completedform and printoutsfrom tests (tfapplicable), should beprovided to thefacility owner /operatorfor submittal to the local regulatory agency. 1. FACiQ.ITY INFORMATION Facility Name: PANAMA BUENA VISTA U.S.D. Date ofTesting: 3/23/2012 Facility Address: 4200 ASHE RD. BAKERSFIELD, CA. 93313 Facility Contact: VICKI STALNAKER Phone: Date Local Agency Was Notified ofTesting: Name of Local Agency Inspector (ifpresent during testing): ESTER Y 1 YY: _ M 7a1 19T 7.7JE`IYCe7 1 Company Name: RICH ENVIRONMENTAL Technician Conducting Test: RYAN MASON Credentials: 0 CSLB Contractor X ICC Service Tech. SWRCB Tank Tester 0 Other (Specify) License Number(s): 8029371 -UT 3. SPILL BUCKET TESTING INFORMATION Test Method Used: X Hydrostatic Vacuum 0 Other Test Equipment Used: VISUAL Equipment Resolution: 0 Identify Spill Bucket (By Tank N,ulnber, $tored Product, etc. 1 REGULAR 87 -FILL 2 WASTE OIL 3 DIESEL FILL 4 Bucket Installation Type: X Direct Bury 0 Contained in Sump X Direct Bury Contained in Sump X Direct Bury 0 Contained in Sump Direct Bury 0 Contained in Sum BucketDimneter. 12" 12" 12" c]cpt,Llepth; 14" 14" 14" Wait time between applying vacuum/water and start oftest: 30 MIN 30 MIN 30 MIN Test Start Time (T): 0900 1000 0900 Initial Reading (RO: 12" 12" 12" Test End Time (TF): 1000 1100 1000 Final Reading. (RF): 12" 1211 12" Test•Duration (TF — TO: 1 -HOUR 1 -HOUR 1 -HOUR Change in Reading (RF - Ri): 0 0 0 Pass/Fail Threshold or Criteria: 0.00 0.00 0.00 X Pass Fail X Pass Fail X Pass Fail Pass Fail C_+ Offiffients — (include information on repairs made prior to testing, andrecommendedfollow -up forjailed tests) Ar . w C-FR41FICATION OF TECHNICIAN RESPONSIBLE FOR CONDUCTING THIS TESTING 1 herdby cw* that all the information contained in this report is true, accurate, and Infull compliance with legal requirements. i Tophnician's Signature:` Date: 323/12 i.. State laws and regulations do nWcurrently require testing to be performed by a qualified contractor. However, local requirements66niorestringent. g COMMUNICATIONS •SETUP - - IN-TANK SETUP- _ V_ _ - - T 1 :DIESEL SOFTWARE REVISION LEVEL PORT SETTINGS: PRODUCT CODE 1 THERMAL COEFF :.000450 VERSION 329.01 COMM BOARD : 5 (RS -485) TANK DIAMETER 95.00 TANK PROFILE : 20 PTSSOFTWARE# 346329 - 100 -BCREATED - 09:01.29.15.44 BAUD RATE 2400 PARITY EVEN FULL VOL : 12153 STOP BIT : 1 STOP 90.3 INCH VOL : 11926 NO SOFTWARE - MODULE DATA LENGTH: 7 DATA 85.5 INCH VOL : 11520 80.8 INCH VOL 11016SYSTEMFEATURES: PERIODIC IN -TANK TESTS RS -232 SECURITY CODE : DISABLED 76.0 INCH VOL 10423 ANNUAL IN -TANK TESTS 71.2 INCH VOL 9770 66.5 INCH VOL 9087COMMBOARD6 (RS -232) BAUD RATE 1200 61.7 INCH VOL : 8355 PARITY ODD 57.0 INCH VOL 7614 STOP BIT : 1 STOP 52.2 INCH VOL : 6841 DATA LENGTH: 7 DATA 47.5 INCH VOL 6076 42.7 INCH VOL : 5295RS -232 SECURITY CODE : DISABLED 38.0 INCH VOL : 4539 33.2 INCH VOL : 3782 28.5 INCH VOL 3066 SYSTEM SETUP AUTO TRANSMIT SETTINGS: 23.7 INCH VOL 2368 19.0 INCH VOL 1730 AUTO LEAK ALARM LIMIT 14.2 INCH VOL 1136 MAR 23. 2012 12 :02 PM DISABLED 9.5 INCH VOL : 633 4.7 INCH VOL 224AUTOHIGHWATERLIMIT DISABLED SYSTEM UNITS AUTO OVERFILL LIMIT DISABLED FLOAT SIZE: 4.0 IN. U.S. SYSTEM LANGUAGE AUTO LOW PRODUCT DISABLED LATER WARNING : 2.0 ENGLISH AUTO THEFT LIMIT HIGH WATER LIMIT: 3.0 SYSTEM DATE /TIME FORMAT DISABLED. MON DD YYYY HH:MM:SS xM AUTO DELIVERY START MAX OR LABEL VOL: 12153 DISABLED OVERFILL LIMIT 953 PANAMA BUENA VISTA AUTO DELIVERY END 10937 4200 ASHE RD DISABLED HIGH PRODUCT 937 BAKERsFIELD CA AUTO EXTERNAL INPUT ON 1154545DISABLEDDELIVERYLIMIT AUTO EXTERNAL INPUT OFP 1215 SHIFT "TIME.1 : 1:00 AMSHIFT; TIME 2 : DISABLED DISABLED AUTO SENSOR FUEL ALARM LOW PRODUCT : 10U0 SHIFT TIME 3 : DISABLED DISABLED IOC ROC LIMIT: 50 SHIFT TIME 4 : DISABLED AUTO SENSOR WATER ALARM SUDDEN LOSS LIMIT: 50 DT TANK TILT 0.25 TANK PER TST NEEDED WRN AUTOTO SENSOR OUT ALARM PROBE OFFSET 0.00 DISABLED DISABLED TANK ANN TST NEEDED WRNDISABLED SIPHON MANIFOLDED TANKS Ti9: NONE LINE RE- ENABLE METHOD LINE MANIFOLDED TANKS PASS LINE TEST T#: NONE LINE PER TST NEEDED WRNDISABLED' LEAK M i N PER IODI.01. 3390 LINE ANN TST NEEDED WRN RS -232 END OF MESSAGE 4010 DISABLED DISABLED LEAK MIN ANNUAL 501 PRINT TC VOLUMES 6076 ENABLED TEMP. COMPENSATION PERIODIC TEST TYPE VALUE:(DEG F ): 60.0 STANDARE STICK HEIGHT OFFSET DISABLED ANNUAL TEST FAIL iULLAGE:. 90%. ALARM DISABLEI tklrPROTOCOL'DATA FORMAT PERIODIC TEST FAIL HEIGHT •" ALARM DISABLEI SAVING TIMEENABLED GROSS TEST FAIL START DATE ALARM DISABLE: WEEK 2 SUNSTASTARRT .'fI ME ANN TEST AVERAGING: OF 2:00 AM PER TEST AVERAGING: OF END DATE NOV WEEK I SUN TANK TEST NOTIFY: OF END TIME 2:00 AM TNK TST SIPHON BREAK:OF RE- DIRECT LOCAL PRINTOUT DELIVERY DELAY : 3 MI DISABLED PUMP THRESHOLD 10.00 EURO PROTOCOL PREFIX T 2:UNLEADED T 3:WASTE OIL PRODUCT CODE 3 TRHERMAL CODEFF :.000700 THERMAL COEFF :.000470 TANK DIAMETER 95.00 TANK DIAMETER TANK PROFILE 46.00 1 PTTANKPROFILE20PTS FULL VOL 12153 FULL VOL 550 90.3 INCH VOL 11928 85.5 INCH VOL INCH.VOL 11520 11016 FLOAT SIZE: 4.0 IIN. 76.0 INCH VOL 71.2 INCH VOL 10423 9770 WATER WARNING 5.0 66.5 INCH VOL 9087 HIGH WATER LIMIT: 5.0 61.7 INCH VOL 8355 57.0 INCH VOL 7614 MAX OR LABEL VOL: OVERFILL LIMIT 550 90/152.2 INCH VOL 6841 47.5 INCH VOL 6076 495 42.7 INCH VOL 5295 HIGH PRODUCT 95% 38.0 INCH VOL : 4539 52% 33.2 I.NCH VOL 3782. DELIVERY LIMIT 28.5 INCH VOL 3066 5 23.7 INCH VOL 2368 1.0 INCH VOL 13 LOW PRODUCT I 144.2 INCH VOL 111366 LEAK ALARM LIMIT: 99 5 INCH VOL 633 SUDDEN LOSS LIMIT: 99 44.7 INCH VOL : 224 TANK TILT 0.00 PROBE OFFSET 0.00 FLOAT SIZE: 4.0 IN. SIPHON MANIFOLDED TANKS WATER WARNING 2.0 Tit: NONE HIGH WATER LIMIT: 3.0 LINE MANIFOLDED TANKS TO: NONE MAX OR LABEL VOL: 12153 OVERFILL LIMIT 90% 10937 LEAK MIN PERIODIC: 0% HIGH PRODUCT 95% 0 11545 DELIVERY LIMIT 10% LEAK MIN ANNUAL 0% 1215 0 LOW PRODUCT 1000 LEAK-ALARM LIMIT: 50 PERIODIC TEST TYPE SUDDEN LOSS LIMIT: 50 STANDARD TANK TILT 1.25 PROBE 'OFFSET 0.00 ANNUAL TEST FAIL ALARM DISABLED SIPHON MANIFOLDED TANKS PERIODIC TEST FAIL TO: NONE ALARM DISABLED LINE MANIFOLDED TANKS TO* NONE FAILGROSSTEST ALARM DISABLED LEAK MIN PERIODIC: 33% ANN TEST AVERAGING: OFF 4010 PER TEST AVERAGING: OFF LEAK. MIN ANNUAL 50% TANK TEST NOTIFY: OFF 6076 TNK TST SIPHON BREAK:OFF PERIODIC TEST TYPE DELIVERY DELAY 1 MIN STANDARD PUMP THRESHOLD : 10.00% 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 3 MIN PUMP - THRESHOLD 10.00% LEAK _TEST METHOD TEST ON DATE : ALL TANK JAN 29. 2009 START TIME : DISABLED TEST DURATION :0220HOURS TST EARLY STOP:DISABLED LEAK TEST REPORTNFORMAT LIQUID SENSOR- SETUP- L 1:UNLEADED ANNULAR TRI -STATE (SINGLE FLOAT) CATEGORY : ANNULAR SPACE L 2:UNLEADED STP SUMP TRI-STATE (SINGLE SUMP L 3:DIESEL ANNULAR TRI -STATE (SINGLE FLOAT) CATEGORY : ANNULAR SPACE L 4:DIESEL STP SUMP TRI-STATE (SINGLE UM L 5 :DISPENSER 1 2 TRI-STATE CATEGORY DISPENSER PAN L 6:DISPENSER 3 4 CATEGORY : (SINGLE DISPENSERPAP L 7:WASTE OIL TRI -STATE (SINGLE FLOAT'. CATEGORY : OTHER SENSOR a W&T VQTR TTMP -S ALARM HISTORY REPORT ALARM HISTORY REPORT OUTPUT RELAY SETUP SYSTEM ALARM - - - -- IN -TANK ALARM - PAPER OUT R 1:UNLEADED SHUTDOWN OCT 24, 2011 1:04 PM T 2:UNLEADED TYPE: PRINTER ERROR STANDARD DEC 23, 2011 12:18 PM HIGH PRODUCT ALARM NORMALLY CLOSED MAR 4, 2011 9:08 AM MAR 18, 2010 9 :20 AM IN -TANK ALARMS PROBE OUT T 2:HIGH WATER ALARM MAR 31, 2011 2:36 PM T 2:LOW PRODUCT ALARM MAR 4, 2011 9:09 AM MAR 4, 2011 9:08 AM LIQUID SENSOR ALMS L 2:FUEL ALARM L 6:FUEL ALARM DELIVERY NEEDED L 2:SENSOR OUT ALARM END * * * MAY 24, 2010 4:09 PM L 6:SENSOR OUT ALARM MAX PRODUCT ALARM PMC ALARMS MAR 4, 2011 9:08 AM VP PRESSURE FAIL MAR 18, 2010 9:20 AM R 3: TYPE: STANDARD NORMALLY CLOSED IN -TANK ALARMS ALARM HISTORY REPORT T 1:HIGH WATER ALARM T 1:LOW PRODUCT ALARM IN -TANK ALARM - - - -- LIQUID SENSOR ALMS T 1:DIESEL END L 4:FUEL ALARM L 5:FUEL ALARM LOW PRODUCT ALARM L'4:SENSOR OUT ALARM OCT 5. 2010 3:50 PM L.5:SENSOR OUT ALARM HIGH PRODUCT ALARM R•4:. MAR 4, 2011 9:13 AM TYPE: MAR 18, 2010 9:20 AM STANDARD NORMALLY CLOSED PROBE OUT MAR 31, 2011 2:28 PM MAR 30, 2011 12:04 PM IN -TANK ALARMS MAR 30, 2011 3:16 AM ALARM HISTORY REPORT ALL:OVERFILL ALARM ALL:H:IGH PRODUCT ALARM IN -TANK ALARM - - -- ALL:MAX PRODUCT ALARM DELIVERY NEEDED OCT 5, 2010 11:25 AM T 3:WASTE OIL MAX PRODUCT ALARM MAR 4, 2011 9:13 AM MAR 18, 2010 9:20 AM SMARTSENSOR SETUP END x *a s 1 :CCVP CATEGORY VAPOR VALVE x* x x* END X*** X s 2:PRESSURE SENSOR CATEGORY VAPOR PRESSURE s 8-:ATM CATEGORY ATM P SENSOR ALARM HISTORY REPORT SENSOR ALARM - -- L 1:UNLEADED ANNULAR ANNULAR SPACE FUEL ALARM MAR 23, 2012 9:49 AM SENSOR OUT ALARM MAR 4, 2011 9:22 AM PMC SETUP FUEL RM PMC VERSION: 01.02 MAR 42011 9:07 AM VAPOR PROCESSOR TYPE VEEDER -ROOT POLISHER a W&T VQTR TTMP -S ALARM HISTORY REPORT SENSOR ALARM - - - -- L 2:UNLEADED STP SUMP STP SUMP FUEL ALARM MAR 23, 2012 9:48 AM FUEL ALARM OCT 14, 2011 8:57 AM SENSOR OUT ALARM MAR 4. 2011 9:22 AM END # x x * 4 ALARM HISTORY REPORT SENSOR ALARM - - - -- L 3:DIESEL ANNULAR ANNULAR SPACE FUEL ALARM MAR. 23. 2012 9:52 AM SENSOR OUT ALARM OCT 24, 2011 1:04 PM FUEL ALARM OCT 24. 2011 1:03 PM END * * * * * ALARM HISTORY REPORT SENSOR ALARM -- L 4:DIESEL STP SUMP STP SUMP FUEL ALARM MAR 23. 2012 9:51 AM SENSOR OUT ALARM MAR .4. 2011 9:22 AM FUEL ALARM MAR 4. 2011 9:17 AM ALARM HISTORY REPORT y -J-6 L-1 SENSOR ALARM - - - -- L 5:DISPENSER I 2 DISPENSER PAN FUEL ALARM MAR 23, 2012 10:20 AM FUEL ALARM MAR 23, 2012 9:50 AM SENSOR OUT ALARM MAR 4. 2011 9:22 AM A * * * * END * * * * ALARM HISTORY REPORT SENSOR ALARM - - - -- L 6:DISPENSER 3 4 DISPENSER PAN FUEL ALARM MAR 23, 2012 10:14 AM FUEL ALARM MAR 23, 2012 9:50 AM SENSOR OUT ALARM MAR 4, 2011 9 :22 AM A * * * * END * * * * * ALARM HISTORY REPORT SENSOR ALARM - - - -- L 7:WASTE OIL OTHER SENSORS FUEL ALARM MAR 23, 2012 9:57 AM FUEL ALARM MAR 4. 2011 10:59 AM SENSOR OUT ALARM MAR 4. 2011 9:22 AM 4ssIA /// MONITOR CERT. FAILURE REPORT SITE NAME : PANAMA BUENA VISTA U.S.D. DATE: 3/23/12 F.Tia THE FOLLOWING COMPONENTS WERE REPLACED/REP,iRED 7 COMPLETE TESTING. REPAIRS: NONE LABOR: NONE PARTSINTALLED: NONE 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 ENVIRONMANTAL 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.