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HomeMy WebLinkAbout2524 OSWELL STREET (7)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 f 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 of this form to the local agency regulating UST systems within 30 days oftest date. A. General Information Facility Name: MOBIL Site Address: 2524 OSWELL ST. City: BAKERSFIELD Bldg. No.: Zip: 93304 Facility Contact Person: LONGE CHAO Contact Phone No.: ( ) Make/Model of Monitoring System: TLS -350 Date of Testing/Servicing: 41512012 B. Inventory of Equipment Teste&Certified Check the annronriate boxes to indicate specific eauinment insnected/serviced: Tank ID: UNL87 Tank ID: PREM91 In -Tank Gauging Probe. Model: MAG In -Tank Gauging Probe. Model: MAG Annular Space or VaultSensor. Model: 420 Annular Space or Vault Sensor. Model: 420 Piping Sump / Trench Sensor(s). Model: 208 Piping Sump / Trench Sensor(s). Model: 208 Q Fill Sump Sensor(s). Model: Fill Sump Sensor(s). Model: Mechanical Line Leak Detector. Model: RED JACKET Mechanical Line Leak Detector. Model: RED JACKET Electronic Line Leak Detector. Model: Electronic Line leak Detector. Model: Tank Overfill / High -Level Sensor. Model: FLAPPER Tank Overfill / High -Level Sensor. Model: FLAPPER Other (specifyequipment type and model in Section E on Page 2). Q Other (specify equipment type and model in Section E on Page 2). Tank rD: DIESEL Tank ID: In -Tank Gauging Probe. Model: MAG Q In -Tank Gauging Probe. Model: Annular Space orVault Sensor. Model: 420 Q Annular Space or Vault Sensor. Model: Piping Sump / Trench Sensor(s). Model: 208 Piping Sump / Trench Sensor(s). Model: QQFiII Sump Sensor(s). Model: Fill Sump Sensor(s). Model: Mechanical Line Leak Detector, Model: RED JACKET Mechanical Line Leak Detector. Model: Electronic Line Leak Detector. Model: Electronic Line Leak Detector. Model: Tank Overfill / High -Level Sensor. Model: FLAPPER Tank Overfill / High -Level Sensor. Model: FLAPPER 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: ' 1 -2 Dispenser ID: 3-4 Dispenser Containment Sensor(s). Model: 001 Dispenser Containment Sensor(s). Model: 001 Shear Valve(s). Shear Valve(s). Q Dispenser Containment Float(s) and Chain(s). Dispenser Containment Float(s) and Chain(s). Dispenser ID: 54 Dispenser ID: 7-8 Dispenser Containment Sensor(s). Model: 001 Dispenser Containment Sensor(s), Model: 001 Shear Valve(s). Shear Valve(s). Q Dispenser Containment Float(s) and Chain(s). Dispenser Containment Float(s) and Chain(s). Dispenser ID: 9 -10 Dispenser ID: Dispenser Containment Sensor(s). Model: BEAUDREAU Q Dispenser Containment Sensor(s). Model: Shear Valve(s). Q Shear Valve(s). Dispenser Containment Float(s) and Chain(s). Q DispenserContainment Float(s) and Chain(s). Itthe 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 ge rating such reports, I have also attached a copy of the report; (check all that apply): ® System set -up ® Alarm hilt eport Technician Name (print): RICH PHILLIPS Signature: Certification No.: A2908411035169 -UT License. No.: C611 D40 809850 Tesfing Company Name: RICH ENVIRONMENTAL Phone No.: (661) 392 -8687 Testing ;Company Address: 5643 BROOKS CT. BAKERSFIELD, CA 93308 Date ofTesting/Servicing: 4!512012 1JN -03G —1 /A . Page 1 of 5 www.unidocs.org Rev. 01/17/08 Monitoring System Certification A Results of Testing/Servicing Software Version Installed: fmmnipta thn fnllnwina rhnr1r1icf- Yes I 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 ID 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, if applicable 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. 01117/08 Monitoring System Certification F. In -Tank Gauging / SIR Equipment: lR 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 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. Comnlete the fnllnwinu checklist: 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.; [10. 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 off ifthe 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 g N/A or fails a test? Yes No* For electronic LLDs, have all accessible wiring connections been visually inspected? N/A Yesj No* Were all items on the equipment manufacturer's maintenance checklist completed? Xn Section H, below, describe how and when these deficiencies were or will be corrected. IU :Comments: IN-036 — 3/4 Page 3 of 5 www.unidocs.org Rev. 01/17/08 Monitoring System Certification Form: Addendum for Vacuum/Pressure Interstitial Sensors Y. Results of Vacuum/Pressure Monitoring Equipment Testing This page should be used to document testing and servicing of vacuum and pressure interstitial sensors. A copy of this form 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 oftest date. Manufacturer: N/A Model: System Type: Pressure; Vacuum Sensor ID 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 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 How was interstitial communication verified? Leak Introduced at Far End ofInterstitial Space;' Gauge; Visual Inspection; Other (Describe in Sec. J, below) EWas vacuum/pressure restored to operating levels in all interstitial spaces? [I Yes No (Ifno, describe in Sec. J, below) J. 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 -66A -1/1 www.unidws.org Rev. 01/26106 LISITVT SWRCB, January 2006 . Spill Bucket Testing Report Form Thisform is intendedfor use by contractors performing annual testing ofUSTspill containment structures. The completedform and printouts from tests (fapplicable), should be provided to thefacility owner /operatorfor submittal to the local regulatory agency. 1. FACILITY INFORMATION Facility Name: MOBIL I Date of Testing: 4/5112 Facility Address: 2524 OSWELL ST, BAKERSFIELD 93304 Facility Contact: LONGE CHAD Phone: 661 - 345 -b208 Date Local Agency Was Notified ofTesting: 3/2/12 Name of Local 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 (Spec) License Number(s): 1035169 -UT 3. SPILL BUCKET TESTING INFORMATION Test Method Used: X Hydrostatic 0 Vacuum Other Test Equipment Used: VISUAL I Equipment Resolution: 0 1 .. ...... ... z Identify Spill Bucket (By Tank Number, Stored Product, etc. I REG 87 -FILL 2 PREM91 -FILL 3 DIESEL FILL 4 Bucket Installation Type: X Direct Bury Contained in Sump X Direct Bury Contained in Sump X Direct Bury Contained in Sump Direct Bury Contained in Sum ucket Diameter. 12" 12" 12" Bucket Depth: 14" 14" 14" Wait.time between applying vacuum/wafer and start oftest: 30 MIN 30 MIN 30 MIN Test Start Time (Tj): 1:00 1:00 1:00 Initial Reading (Ri): 14" 14" 14" Test End Time (TF): 2:00 2:00 2:00 Final Reading (RF): 14" 14" 14" Test Duration (TF— Tj): I -HOUR 1 -HOUR I -HOUR Change in Reading (RF - R,): 0" 0" 0" Pass/Fail Threshold or Criteria: 0.00 0.00 0.00 Test Resalt: X Pass Fail X Pass Fail X Pass Fail Pass D Fail Comments — (include information on repairs made prior to testing, andrecommendedfollow -upforfailed tests) CERTIFICATION OF TECH IAN RESPONSIBLE FOR CONDUCTING THIS TESTING IYiereby certify that all the Information co aimed to 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. x}5991 f RICH ENVIRONMENTAL 5643 BROOKS CT. BAKERSFIELD, CA. 93308 OFFICE (661)392 -8687 FAX (661)392 -0621 PRODUCT LINE LEAK DETECTOR TEST WORK SHEET FACILITY NAME: MOBIL W /0 #: FACILITY ADDRESS: 2524 OSWELL ST, BAKERSFIELD 93304 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: RED JACKET NO 12 FAIL SERIAL # MECHANICAL pREM91 L/D TYPE: RED JACKET YES 11 PASS SERIAL # MECHANICAL DIESEL L/D TYPE: RED JACKET YES 11 PASS SERIAL # MECHANICAL RE -TEST L/D TYPE : RED JACKET UNL87 YES 12 PASS SERIAL # MECHANICAL 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 Pm4ls SIGNATURE: DATE: 4/5/12 DISABLED CUSTOM SECURIn, TANK 'PER TST NEEDED WRN COMMUNICATIONS SETUP DISABLED UINAELEDANN TST NEEDED WRNTANK DISABLED DISABLED ISO 3166 COUNTRY LANGUAGE CODE: PORT SETTINGS: LINE RE-ENABLE METHOD MASS /DENSITY PASS LINE COMM BOARD 1 tSDIM > 3IL LINE PER TST NEEDED WRN N -232 SECURITY CODE : DISABLED 4 OSWELL ST. FR CA 93306 DISABLEDLINEANN TST NEEDED WRN COMM BOARD' 2 (RS -232) DISABLED 13AUD RATE 1200 PARITY ODD 5, 2012 12:49 PM PRINT TC VOLUMES STOP BIT : I STOP ENABLED DATA LENGTH: 7 DATA RS -232 SECURITY TEMP CoMpENSATION CODE : DISABLED YSTEM STATUS , REPORT. r VALUE (DEC F 1 60.0 OFFSET 3LL FUNCTIONS NORMAL STICK HEIGHT DISABLED AUTO TRANSMIT SSETTINGS: ULLAGE: 90%' H--PROTOCOL DATA FORMAT AUTO LEAK ALARM LIMIT DISABLED HEIGHTDAYLIGHT SAVING TIME AUTO HIGH WATER LIMIT DISABLED ENABLED AUTO OVERFILL LIMIT START DATE DISABLED MAR WEEK 2 SUN AUTO LOW PRODUCT TWARE REVISION LEVEL START TIME 2:00 AM DISABLED AUTO THEFT LIMIT RSION 330.01 TWARE# 346330-100 -B END RATE NOV WEEK 1 SUN A TT DE AUTOO DELIVERY START TEDj - 10.07.23.17.25 END TIME DISABLED 2'40 AM AUTO DELIVERY END 10DULE# 33(1160 -064 -a STEM FEATURES: RE- DIRECT LOCAL PRINTOUT DISABLED AUTO EXTERNAL INPUT ON ERIODIC IN-TANK TESTS DISABLED DISABLEDUALIN-TANK TESTS PREFIX AUTO EXTERNAL INPUT OFF ISD E PROTOCOL DISABLED AUTO SEOR FUEL. ALARMSENSOR 1J . 1(I AUTO DISABLED 20 REPETITIV AUTO SENSOR WATER ALARM DISABLED 3.10 AUTO SYSTEM SECURITY AUTO SENSOR OUT ALARM 3.20 REPETITIV CODE :000000 DISABLED MAINTENANCE HISTORY D I BA13L.ED DISABLED CUSTOM SECURIn, IFT TIME I : DISABLED IFT TIME 2 : DISABLED IFT TIMETIMM 4 : DISABLED RS-232 END OF MESSAGE DISABLEDCUSTOMALARMS STEM SETUP DISABLED 5. 2012 12:49 PM SERVICE NOTICE DISABLED STEM UNITS S. ISO 3166 COUNTRY LANGUAGE CODE: VGLISH 3TEM DATE /TIME FORMATVDDYYYYHH:W'SS xM MASS /DENSITY DISABLED 24LOSWELL ST. CERPFIELD CA 93306 IFT TIME I : DISABLED IFT TIME 2 : DISABLED IFT TIMETIMM 4 : DISABLED RS-232 END OF MESSAGE DISABLED TANK. SETUP I :UNL -87 DUCT CODE i 3RMAL COEFF :.000700 VK DIAMETER 113.75 VK PROFILE 1 PT FULL VOL 15023 SAT SIZE: 4.0 IN. rER WARNING 2.0 3H WATER LIMIT: 3.0 OR LABEL VOL: 15023ERFILLLIMIT90% 135203HPRODUCT95% 14271 LIVERY LIMIT 1014 1502 A PRODUCT 500 AX ALARM LIMIT: 99 DDEN LOSS LIMIT: 99NKTILT0.00OBEOFFSET0.00 PHON MANIFOLDED TANKS NONE NE MANIFOLDED TANKS NONE AK MIN PERIODIC: 0% 0 AK MIN ANNUAL 0% 0 RIODIC TEST TYPE, STANDARD INUAL TEST FAIL ALARM DISABLED RIODIC TEST FAIL ALARM DISABLED OSS TEST FAIL ALARM DISABLED IN TEST AVERAGING: OFFRTESTAVERAGING: OFF NK TEST NOTIFY: OFF IX TST SIPHON BREAK:OFF LIVERY DELAY 15 MINIMPTHRESHOLD10.0014 T 2:PREM -91 PRODUCT CODE 2 THERMAL COEFF :.000700 TANK DIAMETER 90.00 TANK PROFILE 1 PT FULL VOL 11550 FLOAT SIZE: 4.0 IN. WATER WARNING 2.0 HIGH WATER LIMIT: 3.0 MAX OR LABEL VOL: 11550 OVERFILL LIMIT 90% 10395 HIGH PRODUCT 95% 10972 DELIVERY LIMIT 10• 1155 LOW PRODUCT 500 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 LEAK MIN ANNUAL 0% 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 : 15 MIN PUMP THRESHOLD : 10.00% T 3 :DIESEL PRODUCT CODE 3 THERMAL COEFF :.000450 TANK DIAMETER 90.00 TANK PROFILE 1 PT FULL VOL 11550 FLOAT SIZE: 4.0 IN. WATER WARNING 2.0 HIGH WATER LIMIT: 3.0 OR LABEL VOL: 11550MAX OVERFILL LIMIT 90'•6 10395 HIGH PRODUCT 951% 10972 DELIVERY LIMIT 10% 1155 LOW PRODUCT 500 LEAK ALARM LIMIT: 99 SUDDEN LOSS LIMIT: 99 TANK TILT 0.00 PROBE OFFSET 0.00 SIPHON MANIFOLDED TANKS T;I: NONE LINE MANIFOLDED TANKS TO: NONE LEAK MIN PERIODIC: 06/6 0 LEAK MIN ANNUAL 0% 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 15 MIN PUMP THRESHOLD 10.00% A fS9 `r1 AK Ti ST METHOD I rOUTPUT RELAY SETUP ST ON DATE : ALL TANK N 29, 2009 3 36136 ART TIME : DISABLED I.R 1:87 STP ST RATE :0,20 GAi HR TYPE: RATION 2 HOURS STANDARD NORMALLY CLOSED T EARLY STOP:DISABLID 0: 1 AK TEST REPORT FORMAT NORMAL. LIQUID SENSOR ALMS a L 1:FUEL ALARM L 1:SENSOR OUT ALARM ISD S I TE ALARMS ISD GROSS PRES FAIL ISD DEGRD PRES FAIL ISD VAPOR LEAK FAIL ISD VP PRES FAIL ISD VP STATUS FAIL QUID SENSOR SETUP ISD HOSE ALARMS ALL:FLOW COLLECT FAIL 1:87 STP sR 2:91 STP I —STATE (SINGLE FLOAT) TYPE: TEGORY : STP SUMP STANDARD NORMALLY CLOSED 2:57 ANNULAR TANK #: 2 I —STATE (SINGLE FLOAT) TEGORY : ANNULAR SPACE LIQUID SENSOR ALMS L 3:FUEL ALARM L 4:FUEL ALARM 3:91 PROBE SUMP L 3:SENSOR OUT ALARM I —STATE (SINGLE FLOAT) L 4:SENSOR OUT ALARM TEGORY : PIPING SUMP ISD SITE ALARMS ISD GROSS PRES FAIL 4:91 STP ISD DEGRD PRES FAIL I —STATE (SINGLE FLOAT) ISD VAPOR LEAK FAIL ` TEGORY : STP SUMP ISD VP PRES FAIL ISD VP STATUS FAIL 5:91 ANNULAR ISD HOSE ALARMS I —STATE (SINGLE FLOAT) ALL:FLOW COLLECT FAIL TEGORY : ANNULAR SPACE R 3:DIESEL STP s•TYPE: STANDARD 6:DIESEL PROBE SUMP NORMALLY CLOSED I —STATE (SINGLE FLOAT) TEGORY : PIPING SUMP TANK 4: 3 7:DIESEL STP LIQUID SENSOR ALMS I —STATE (SINGLE FLOAT) L 6:FUEL ALARM TEGORY : STP SUMP L 7:FUEL ALARM L 6:SENSOR OUT ALARM L 7:SENSOR OUT ALARM 8:DIESEL ANNULAR I —STATE (SINGLE FLOAT) R 4:REMOTE ALARM TEGORY : ANNULAR SPACE TYPE: STANDARD NORMALLY CLOSED TANK #: NONE NO ALARM ASSIGNMENTS — 9 i SMARTSENSOR SETUP- - - - s 1:CARBON CANISTER CATEGORY VAPOR VALVE s 2:PRESSURE SENSOR CATEGORY VAPOR PRESSURE s 3 :DISP._ 3 -4 CATEGORY AIR FLOW METER s 4:DISP 1 -2 CATEGORY AIR FLOW METER is 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 EVR /ISD SETUP EVR TYPE: BALANCE BALANCE NOZZLE TYPE VST VAPOR PROCESSOR TYPE VEEDER -ROOT POLISHER ANALYSIS TIMES TIME: 10:00 AM DELAY MINUTES: 1 ACCEPT HIGH ORVR: ENABLED ISD HOSE TABLE ID FP FL HL AA RR 01 01 01 02 02 02 02 02 02 02 02 02 03 03 03 02 01 02 04 04 04 02 01 02 05 UU 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 05 02 10 16 10 02 05 02 ISD AIRFLOW METER MAP ID SERIAL NUM LABEL 1 41517 DISP 3 -4 2 41519 DISP 1 -2 3 36136 DISP 5 -6 4 34956 DISP 7 -8 5 35821 DISP 9 -10 D FUFL GRADE HOSE MAP 1 2 3 4 MHH MHH MHH MHH AA 101 201 901 U U 2 102 202 902 U U 2 103 203 903 U U 1 104 204 904 U U 1 I U 9 U 2 0 0 0 0 906 106 206 U U 3 207 907 3 U 107 4 208 908 3 U 108 4 109 209 909 3 U 5 110 210 910 3 U 5 BEL TABLE r--- - - - - -- UNASSIGNED BLEND3 REGULAR MID GRADE PREMIUM GOLD BRON2E SILVER BLEND2 BLEND4 10 SETUP 1C VERSION: 01.03 3POR PROCESSOR TYPE EDER -ROOT POLISHER ARM HISTORY REPORT 1N -TANK ALARM - JERFILL ALARM PR 1, 2012 8:26 AM 4R 27, 2012 2:58 PM aR 11, 2012 3:02 AM OW,PRODUCT ALARM PR 2, 2011 2:54 PM IGH PRODUCT ALARM OV 9, 2011 2:50 AM NVALID FUEL LEVEL PR 2, 2011 2 :42 PM ELIVERY NEEDED PR 2, 2011 11:27 AM OW TEMP WARNING EC 15, 2011 4:32 AM EC 10, 2011 5:57 AM F.0 8, 2011 3:30 AM ALARM HISTORY REPORT SENSOR ALARM - - - -- L 1:87 STP STP SUMP SENSOR OUT ALARM APR 5, 2012 1:41 PM FUEL ALARM APR 5, 2012 1:20 PM SENSOR OUT ALARM APR 6, 2011 9:43 AM ALARM HISTORY REPORT SENSOR ALARM - - - -- L 2:87 ANNULAR ANNULAR SPACE SENSOR OUT ALARM APR 5. 2012 1 :41 PM FUEL ALARM APR 5, 2012 1:21 PM SENSOR OUT ALARM APR 6, 2011 9:43 AM ALARM HISTORY REPORT SENSOR ALARM - - - -- L 3:91 PROBE SUMP PIPING SUMP SENSOR OUT ALARM APR 5, 2012 1:41 PM- SENSOR OUT ALARM APR' G. 2011 9:43 AM FUEL ALARM APR 6, 2011 9 :30 AM ALARM HISTORY REPORT SENSOR ALARM - - - -- L 4 :91 STP STP SUMP SENSOR OUT ALARMAPR5, 2012 1:41 PM FUEL ALARMAPR5. 2012 1:22 PM SENSOR OUT ALARMAPR6, 2011 9:43 AM SENSOR ALARM - - - -- L 5:91 ANNULAR ANNULAR SPACE SENSOR OUT ALARM APR 5, 2012 1:41 PM FUEL ALARM APR 5. 2012 1:23 PM SENSOR QUT .ALARM APR 6, 2011 9:43 AM ALARM HISTORY REPORT SENSOR ALARM - - - -- L 6:DIESEL PROBE SUMPPIPINGSUMP SENSOR OUT ALARMAPR5, 2012 1:41 PM SENSOR OUT ALARM APR 6. 2011 9:43 AM FUEL ALARM APR 6, 2011 9:29 AM ALARM HISTORY REPORT SENSOR ALARM ----- L 7:DIESEL STP STP SUMP SENSOR OUT ALARM APR 5, 2012 1:41 PM FUEL ALARM APR 5, 2012 1:23 PM SENSOR OUT ALARM APR 6, 2011 9:43 AM ALARM HISTORY REPORT SENSOR ALARM - - - -- L 8:DIESEL ANNULARANNULARSPACE SENSOR OUT ALARM APR 5, 2012 1:41 PM FUEL ALARM APR 5, 2012 1:23 PM SENSOR OUT ALARMAPR6, 2011 9:43 AM T MONITOR CERT. FAILURE REPORT SITE NAME: MOBIL DATE: 4/5/12 THE FOLLOWING COMPONENTS WERE REPLACED/REPAIRED TO COMPLETE TESTING. REPAIRS: UNL87 LEAK DETECTORS FAILED - REPLACED AND RE- TESTED - PASSED LABOR: PARTS INSTALLED: REPLACED 1 -RED JACKET FX1V AND TESTED 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 RICK 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.