The URL can be used to link to this page

Home My WebLink About1125 COFFEE ROAD (10)Tanknology 11000 N. MoPac Expressway, Suite 500 Austin, Texas 78759 Phone: (512) 451 -6334 Fax: (512) 459 -1459 BAKERSFIELD FIRE DEPARTMENT OFFICE OF ENVIRONMENTAL SERVICES INSPECTOR CRAIG PERKINS 1501 TRUXTUN AVE. BAKERSFIELD, CA. 93301 Test Date: 10/28/2011 Order Number: 3187420 Dear Regulator, Date Printed and Mailed: 11/28/2011 Enclosed are the results of recent testing performed at the following facility: CHEVRON 203576 1125 COFFEE RD. BAKERSFIELD, CA. 93308 Testing performed: Monitor Certification Sincerely, Dawn Kohlmeyer Manager, Field Reporting 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 of Regulations This form must be used to document testing and servicing of monitoring equipment. If more than one monitoring system control panel is installed at the facility, 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 submita copy ofthis form to the local agency regulating UST systems within 30 days oftest date. A. General Information Facility Name: CHEVRON 203576 Site Address: 1125 COFFEE RD. City: BAKERSFIELD CA Zip: 93308 Contact Phone No: 588 -9066 Date of Testing /Service: 10/28/2011 Facility Contact Person: PATTY Make /Model of Monitoring System:TLS 350 Work Order Number: 3187420 B. Inventory of Equipment Tested /Certified Check the appropriate boxes to indicate specific equipment inspected /serviced 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 equipment type and model in Section E on page 2). Other (specify equipment type 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 Sumprrrench 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 equipment type and model in Section E on page 2). Other ecis equipment (p ty eq pment type and model in Section E on page 2). Dispenser 7 -8 Dispenser ID: Dispenser Containment Sensor(s) Model: VI-406 Dispenser Containment Sensor(s) Model: XD Shear Valve(s). Shear Valve(s) IDDispenser 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). 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 Site Plan showing the layout of monitoring equipment. For any equipment capable of generating such reports, I have also attached a copy of the (Check all that apply): XO System set -up F-1 Alarm history report Technician Name (print): EDWIN PINEDA Signature: Certification No.: 8026748 -UT License. No.: 743160 (Class 'A' General Enginering Contractor License) Testing Company Name:Tanknology Phone No.: (800) 800 -4633 Site Address: 11000 N. MoPac Expressway, suite 500, Austin, TX 78759 Date of Testing /Servicing: 10/28/2011 Monitoring System Certification Page 1 of 3 Based on CA form dated 03/08 Site Address 1125 COFFEE RD. D. Results of Testing /Servicing Software Version Installed: Complete the following checklist: Monitoring System Certification Date of Testing /Service: 10/28/2011 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 * N/A I If alarms are relayed to a remote monitoring station, is all communications equipment (e.g. modem) operational? Yes No' N/A For pressurized piping systems, does the turbine automatically shut down if the piping secondary containment 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 * N/A For tank systems that utilize the monitoring system as the primary tank overfill warning device (i.e.: no mechanical overfill prevention valve is installed), is the overfill warning alarm visible and audible at the tank fill points(s) and operating properly? If so, at what percent of tank capacity does the alarm trigger? x 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, if applicable. Yes No Is all monitoring equipment operational per manufacturers' specifications? In Section E below, describe how and when these deficiences were or will be corrected. Comments: E. MIN- RUGGIONTAKNI 4MM-1911111110011 DISPENSER 7-8 AND DISPENSER DID NO Page 2 of 3 Based on CA form dated 03/08 Monitoring System Certification Site Address: 1125 COFFEE RD. F. In -Tank Gauging / SIR Equipment Check this box if no tank gauging or SIR equipment is installed. Date of Testing /Service: 10/2812011 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 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 No * Was accuracy of system water level readings tested? Yes No * Were all probes reinstalled properly? Yes No * Were all items on the equipment manufacturers' 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 LLDs are not installed. Complete the following checklist: Yes No' El N/A For equipment start-up or annual equipment certification, was a leak simulated to verify LLD performance? Check all that apply) Simulated leak rate: 3 9•P h 0.1 9•P• h 0.2 9•P• h Yes No' Were all LLDs confirmed operational and accurate within regulatory requirements? Yes No * Was the testing apparatus properly calibrated? Yes No' N/A For mechanical LLDs, does the LLD restrict product flow if it detects a leak? Yes No' N/A For electronic LLDs, does the turbine automatically shut off if the LLD detects a leak? Yes No' N/A For electronic LLDs, does the turbine automatically shut off if any portion of the monitoring system is disabled or disconnected? Yes No' N/A For electronic LLDs, does the turbine automatically shut off if any portion of the monitoring system malfunctions or fails a test? Yes No* I N/A For electronic LLDs, have all accessible wiring connections been visually inspected? Yes I No' Were all items on the equipment manufacturers' maintenance checklist completed? In the Section H, below, describe how and when these deficiencies were or will be corrected. H. Comments: Page 3 of 3 Based on CA form dated 03/08 I\ WILA adL pp Tankrx)k)gy 8501 N MOPAC EXPRESSWAY, SUITE 400 AUSTIN, TEXAS 78759 512) 451 -6334 FAX (512) 459 -1459 TEST DATE:10 /28/11 WORK ORDER NUMBER3187420 CLIENT:CHEVRON PRODUCTS COMPANY SITE:CHEVRON 203576 COMMENTS Witness Testing with Inspector Ernie Medina Bakersfield Fire to install and test Beaudrea 406 Sensor at dispenser 7/8. Testing confirmed with Inspector on 10/24/11. Technician checked in with 2ndSite and WO # 111028 -XXX was given. Replaced the 406 sensor in Disp# 7/8, the dispenser would not shut down, issue is with the dispenser, No water was found in the 89 annular space, PARTS REPLACED QUANTITY DESCRIPTION 1 LIQUID SENSOR MLLIUM F'INF'UIN I I t5 I KtSUL I, (IF' AF'F'LIL;AbLt) ITEMS TESTED HELIUM PINPOINT LEAK TEST RESULTS Printed 11/28/2011 07:37 MTUTTLE T I SITE DIAGRAM p Tanknolo9Y 8501 N MOPAC EXPRESSWAY, SUITE 400 AUSTIN, TEXAS 78759 512) 451 -6334 FAX (512) 459 -1459 TEST DATE: 10 /28/11 WORK ORDER NUMBER3187420 CLIENT:CHEVRON PRODUCTS COMPANY SITE: CHEVRON 203576 3 44 #5Q 1>#6 #11 12 CANOPY 1 < 1>#2 #7< 1>#8 #9 10 co m D C mo z n m OD CU)U) zD c 00 D z m L2 L STP 82KO O O OF L3 87 L6 STP 12KO O O O U) z w L4 91 L5 STP OA O O ( SA 12K DUMP - STER C -STORE N S AIR/ breakers TLS ICEH2OCARWASH Printed 11/28/2011 07:37 MTUTTLE