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HomeMy WebLinkAbout3620 WILSON ROAD (3)MONITORING SYSTEM CERTIFICATION For Use By All Jurisdictions Within the State ofCalifornia Authority Cited: Chapter 6.7, Health andSafety 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 of this 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 oftest date. A. General Information Facility Name: MOBIL Bldg. No.: Site Address: 3620 WILSON RD City: BAKERSFIELD Zip: Facility Contact Person: TIM TRAN Contact Phone No.: (661) 833 -6507 Make/Model of Monitoring System: TLS -350 Date of Testing/Servicing: 411812012 B. Inventory of Equipment Tested /Certified Check the annra Hate hn :es to indicate sneritie equipment inspected /serviced: Tank ID: UNL87 Tank ID: PREM91 In -Tank Gauging Probe. Model: MAG In -Tank Gauging Probe. Model: MAG 0 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: 208 Fill Sump Sensor(s). Model: 208 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: E.O.A. Tank Overfill / High -Level Sensor. Model: E.OA 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: DIESEL Tank ID: In -Tank Gauging Probe. Model: In -Tank Gauging Probe. Model: MAG Annular Space or Vault Sensor. Model: 420 Annular Space or Vault Sensor. Model: Piping Sump / Trench Sensor(s). Model: 208 Piping Sump / Trench Sensor(s). Model: Fill Sump Sensor(s). Model: 208 Fill Sump Sensor(s). Model: Mechanical Line teak Detector. Model: RED JACKET Mechanical Line Leak Detector. Model: Electronic Line Leak Detector. Model: Electronic Line Leak Detector. Model: Tank Overfill l High -Level Sensor. Model: E.OA Tank Overfill I 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: 1 -2 Dispenser ID: 3-4 Dispenser Containment Sensor(s). Model: 001 SIA Dispenser Containment Sensor(s). Model: 001 SIA Shear Valve(s). Shear Valve(s). 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 SIA Dispenser Containment Sensor(s). Model: 001 31A 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 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 ELAlarin history report Technician Name (print): RYAN MASON Signature: Certification No.: A27367 ICC# 8029371 -UT License. No.: 11 809850 Testing Company Name: RICH ENVIRONMENTAL Phone No.: (661) 392 -8687 Testing Company Address: 5643 BROOKS CT. BAKERSFIELD, CA 93308 Date ofTesting/Servicing: 411812012 Page 1 of 5 UN -036 —1/4 www.unidocs.org Rev. 01/17/08 Monitoring System Certification D. Results of Testing/Servicing Software Version Installed: 328.03 Comnlete the followinLr 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 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? Ifso, at what percent of tank capacity does the alarm trigger? 90% Yes* No Was any monitoring equipment replaced? Ifyes, 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* 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 5 UN -036 - 2/4 wwwxnidomorg Rev. 01/17/08 Monitoring System Certification F. In -Tank Gauging / SIR Equipment: udrvo 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 ofsystem 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): Cmmnlete the fnllowino rherkliate 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 ifany 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 5 www.anidomorg Rev. 01/17/08 mwtodng sygemV6040ion Ske UST'"todi Site Z// I & le6 r r d 'e. W. 6 m. fr. Is A It IIr t-7. 7 m w r. r e m•. r r. r. r r .!. b. r. . r r•. . o r m r r r r r o l aMr` . ry.../. Y4 u My WWO %,06t'the thispage, with ym your aft p1m, Ahow. me ftAft 46d.p'q)*_ cko*.Iklw* oo loc nngLtzia. wwwarito oil—Wal — elecoxWo U= JeW. dm"wrl ft.*UV " Wl pijbta (lfused.foe. note Q dWAU Site Pift wea pmpamdl Y61aa RICH ENVIRO"ENT'AL 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: WILSON MOBIL FACILITY ADDRESS: 3620 WILSON RD, BAKERSFIELD, CA 93309 PRODUCT LINE TYPE: PRESSURE PRODUCT LEAK DETECTOR TYPE TEST TRIP PASS BELOW P.S.I. OR SERIAL NUMBER 3 G.P.H. FAIL LT"7 L/D TYPE: RED JACKET 12 PASS YES SERIAL # MECHANICAL PREM91 L/D TYPE: RED JACKET 12 PASS YES SERIAL # MECHANICAL DIESEL L/D TYPE: RED JACKET PASS YES 12SERIAL # MECHANICAL 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 IS TRUE AND CORRECT TO THE BEST OF MY KNOWLEDGE. TECHNICIAN: RYAN MASON SIGNATURE: DATE: 418 -12 10 u 6100 SWRCB, January 2006 Spill Bucket Testing Report Form Thuform is intendedfor use by contractors performing annual testing ofUSTspill containment structures. The completedform and printoutsfrom tests (fapplicable), should be provided to thefacility owner /operatorfor submittal to the local regulatory agency. 1. FACILITY INFORMATION Facility Name: WILSON MOBIL Date of Testing: 4 -18 -12 Facility Address: 3620 WILSON RD, BAKERSFIELD, CA 93309 Facility Contact: TIM TRAN Phone: 661- 833 -6507 Date Local Agency Was Notified ofTesting: Name of Local Agency Inspector (fpresent during testing): ESTHER 2_ TF,STINC: CONTRACTOR INFORMATION Company Name: RICH ENVIRONMENTAL Technician Conducting Test: RYAN MASON Credentials: CSLB Contractor X [CC Service Tech. 0 SWRCB Tank Tester 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 Y 4IdentifySpillBucket (By Tank Number, StoredProduct, e!c. 2 1 REGULAR 87 -FILL 2 PREMIIUM 91- FILL 3 DIESEL FILL Bucket Installation Type: 11 Direct Bury X Contained in Sump Direct Bury X Contained in Sump Direct Bury X Contained in Sump Direct Bury Contained in Sum Bucket Diameter. 12" 12" 12" Bucket Depth: 14" 14" 14" Wait time between applying vacuum/water and start oftest: 30 MIN 30 MIN 30 MIN Test Start Time (Tj): 9:30AM 9:30AM 9 :30AM Initial Reading (R): 9" 9" 9" Test End Time (TF): 10:30AM 10:30AM 10:30AM Final Reading (RF): 9" 9" 9" Test Duration (TF -TO: 1 -HOUR I -HOUR I -HOUR Change in Reading (RF - Rj): 0" 0" 0" Pass/Fail Threshold or Criteria: 0.00 0.00 0.00 Test Fail X Pass (7 Fair Pass . D 1Faii comments — (include information on repairs made prior to testing, and recommendedfollow -upforfailed tests) CERTIFICATION OF TECHNICIAN RESPONSIBLE FOR CONDUCTING THIS TESTING Ihereby certify that all the Information contained in this report is true, accurate, and in full compliance with legal requirements. Technician's Signature: Date: 4 -18 -12 State laws and regulations do nol'currently require testing to be performed by a qualified contractor. However, local requirements may be more stringent. SOFTWARE REVISION LEVEL VERSION 328.03 SOFTWARE# 346326 -100 -D CREATED - 08.06.06.17.21 S- MODULE# 330160 -004 -6 SYSTEM FEATURES. PERIODIC IN -TANK TESTS ANNUAL IN -TANK TESTS ISD SYSTEM SETUP APR 18, 2012 11 :08 AM SYSTEM UNITS U.S. SYSTEM LANGUAGE ENGLISH SYSTEM DATE /`TIME FORMAT MON DD YYYY HH:MM:SS xM WILSON MOBIL INC 3620 WILSON BAKERSFIELD CA 93309 SHIFT TIME 1 : 4:00 AM SHIFT TIME 2 : DISABLED SHIFT TIME 3 : DISABLED SHIFT TIME 4 : DISABLED TANK PER TST NEEDED WRN DISABLED TANK ANN TST NEEDED WRN DISABLED LINE RE- ENABLE METHOD PASS LINE TEST LINE PER TST NEEDED WRN DISABLED LINE ANN TST NEEDED WRN DISABLED PRINT TC VOLUMES ENABLED TEMP COMPENSATION VALUE <DEG F ): 60.0 STICK HEIGHT OFFSET DISABLED ULLAGE: 90% DAYLIGHT SAVING TIME ENABLED START DATE MAR WEEK 2 SUN START TIME 2:00 AM END DATE NOV WEEK 1 SUN END TIME 2:00 AM RE-DIRECT LOCAL PRINTOUT DISABLED IN-- TANK SETUP- - 4 _ - T I:UNL PRODUCT CODE 1 THERMAL COEFF :.000700 TANK DIAMETER 113.75 TANK PROFILE I PT FULL VOL 15023 FLOAT SIZE: 4.0 IN. WATER WARNING 2.0 HIGH WATER LIMIT: 3.0 MAX OR LABEL VOL: 15023 OVERFILL LIMIT : 90% 13520 HIGH PRODUCT 950/4 14271 DELIVER`: LIMIT 10% 1502 LOW PRODUCT 500 LEAK ALARM LIMIT: 99 SUDDEN LOSS LIMIT: 50 TANK TILT 0.04 PROBE OFFSET 0.00 SIPHON MANIFOLDED TANKS TO: NONE LINE MANIFOLDED TANKS T#: NONE LEAK MIN PERIODIC: 10. 1502 LEAK MIN ANNUAL IO% 1502 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 TESL' NOTIFY: OFF TNK TST SIPHON BREAK:OFF DELIVERY DELAY 15 MIN PUMP THRESHOLD 10.00% I{41D6 t T 2:PREM PRODUCT CODE 2 THERMAL COEFF :.000700 TANK DIAMETER 113.75 TANK PROFILE I PT FULL VOL 14074 FLOAT SIZE: WATER WARNING HIGH WATER LIMIT: MAX OR LABEL VOL: OVERFILL LIMIT HIGH PRODUCT DELIVERY LIMIT 4.0 IN. LOW PRODUCT LEAK ALARM LIMIT: SUDDEN LOSS LIMIT: TANK TILT PROBE OFFSET 2.0 3.0 10074 9% 9066 95% 9570 10i 1007 500 99 50 0.00 0.00 SIPHON MANIFOLDED TANKS Tit: NONE LINE MANIFOLDED TANKS T #: NONE LEAK MIN PERIODIC: IDy: 1007 LEAY•. MIN ANNUAL 10% 1007 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.D0i IN —TANK ALARMS L 8:91 —DSL ANN ALL:OVERFILL ALARM TRI —STATE (SINGLE FLOAT) ALL:HIGH PRODUCT ALARM CATEGORY : ANNULAR SPACE OUTPUT RELAY SETUP T 3:DIESEL PRODUCT CODE 3 LEAK TEST METHOD LR1:37 STP j(itI THERMAL COEFF :.000450 TYPE: TANK DIAMETER 113.75 TEST ANNUALLY: ALL TANK STSTANDARDTANKPROFILE1PT VOL 5037 FEB WEEK I MON START TIME : 2:30 AM NORMALLYNORMALLY CLOSED TEST RATE :0.20 GAL /HR TANK it: 1DURATION : 2 HOURS FLOAT SIZE: 4.0 IN. TST EARLY STOP:DISABLED LIQUID SENSOR ALMSWATERWARNING : 2.0 L 1:FUEL ALARMHIGHWATERLIMIT: 3.0 LEAK TEST REPORT FORMAT L 4:FUEL ALARM MAX LABEL VOL: 5037 NORMAL L 7:FUEL ALARM OVERFILL LIMIT 90% L I:SENSOR OUT ALARM 4533 HIGH PRODUCT 95% ISD SITE ALARMS 4785 ISD GROSS PRES FAIL DELIVERY LIMIT 109 ISD DFGRD PRES FAIL 503 ISD VAPOR LEAK FAIL LOW PRODUCT : 500 ISD HOSE ALARMS ALL:GROSS COLLECT FAILLEAKALARMLIMIT: 99 SUDDEN LOSS LIMIT: 50 ALL:DEGRD COLLECT FAIL TANK TILT 0.00 LIQUID SENSOR SETUP R 2:91 STPPROBEOFFSET0.00 TYPE: L 1 :87 STP STANDARD SIPHON MANIFOLDED TANKS TRI —STATE (SINGLE FLOAT) NORMALLY CLOSED Tit: NONE CATEGORY : STP SUMP TANK #: 2LINEMANIFOLDEDTANKS T#: NONE L 2:91 STP TRI —STATE (SINGLE FLOAT) LIQUID SENSOR ALMS LEAK MIN PERIODIC: 10% CATEGORY : STP SUMP L 2:FUEL ALARM 503 L 8:FUEL ALARM L 2:SENSOR OUT ALARM LEAK MIN ANNUAL 10•% 503 L 3 :DSL STP ISD SITE ALARMSTRI —STATE (SINGLE FLOAT) CATEGORY STP SUMP ISD GROSS ARMS FAIL ISD DEGRD PRES FAIL PERIODIC TEST TYPE ISD VAPOR LEAK FAIL STANDARD L 4:87 FILL TRI —STATE (SINGLE FLOAT) R 3:DSL STP TYPE: ANNUAL TEST FAIL CATEGORY : OTHER SENSORS STANDARDALARMDISABLEDNORMALLYCLOSED PERIODIC TEST FAIL ALARM DISABLED L 5:91 FILL TANK is: 3 TRI —STATE (SINGLE FLOAT) GROSS TEST FAIL ALARM DISABLED CATEGORY : OTHER SENSORS LIQUID SENSOR ALMS L 3:FUEL ALARM ANN TEST AVERAGING: OFF L 6:FUEL ALARM PER TEST AVERAGING: OFF L 6 :DSL FILL L @:FUEL ALARM TRI —STATE (SINGLE FLOAT) L 3:SENSOR OUT ALARM TANK TEST NOTIFY: OFF CATEGORY : OTHER SENSORS R 4:OVERFILL ALARM TNK TST SIPHON BREAK:OFF TYPE: STANDARD DELIVERY DELAY 15 MIN L 7:87 ANN NORMALLY OPEN BUMP THRESHOLD 10.00 TRI —STATE (SINGLE FLOAT) TANK is: NONECATEGORY : ANNULAR SPACE IN —TANK ALARMS L 8:91 —DSL ANN ALL:OVERFILL ALARM TRI —STATE (SINGLE FLOAT) ALL:HIGH PRODUCT ALARM CATEGORY : ANNULAR SPACE ISD HOSE TABLE HIGH PRODUCT ALARM L(bloD ID FP EVR /ISD SETUP ALARM HISTORY REPORTSMARTSENSORSETUP RR SYSTEM ALARM - - - -- 01 EVR TYPE: VACUUM ASSIST PAPER OUT MARN12, 8:39 AM s i:DISP 3 -4 FM VACUUM ASSIST TYPE ERROR CATEGORY AIR FLOW METER HEAL`' VAC MAR 12, 2012 8:39 AM s 2:DISP 5 -6 FM NOZZLE AiL RANGE 01 CATEGORY AIR FLOW METER MAX: 1.15 MIN: 0.95 04 S 3:D1SP 1 -2 FM VAPOR PROCESSOR TYPE 05 CATEGORY AIR FLOW METER NONE 02 5 4:DISP CATEGORY 7 -8 FM AIR FLOW METER ANALYSIS TIMES 06 02 02 TIME: 9:59 AM 07 s 8:DISP 3 -4 PS DELAY MINUTES: 1 END CATEGORY VAPOR PRESSURE 08 08 02 04 ACCEPT HIGH ORVR: PM 1 OCT DISABLED.. — . 2008 ISD HOSE TABLE HIGH PRODUCT ALARM OVERFILL ALARM ID FP FL HL AA RR O^ 1 01 01 02 03 UU 02 02 02 02 03 UU 03 03 03 02 01 UU 04 04 04 02 01 UU ALARM HISTORY REPORT0505050202UU 06 06 06 02 02 UU - - -- IN -TANK ALARM - - - -- 07 07 07 02 04 UU 08 08 08 02 04 UU T 1:UNL ISD AIRFLOW METER MAP HIGH PRODUCT ALARM OVERFILL ALARM 1 ID SERIAL NUM LABEL 1: MAR 20. 2012 5:09 PM MHH MHH MHH AA___ MAR 2010 FEB 28, 2012 4:24 PM 1 55137 DISP 3 -4 F FEE 28. 2012 4:06 PM 2 18117 DISP 5 -6 F LOW PRODUCT ALARM D1 301 3 18100 DISP 1 -2 F SEP 5, 2011 3 :26 PM418118DISP7 -8 F OCTOCT 20, 2008 4:27 PM LABEL TABLE ISD FUEL GRADE HOSE MAP HIGH PRODUCT ALARM 1 2 3 4 11:25 AM 1: 2011 9:27 AM PMC SETUP 11:23 MHH MHH MHH MHH AA___ MAR 23, 2010 111:23 AM 3: 4: REGULAR MID GRADE LOW TEMP WARNING ggp 1. 2009 10'06 AN PM^, VERSION: 01.01 00 3 U U U U U U U 0 APR 19, 2011 9:28 AM 7: D1 301 201 101 U U 3 INVALID FUEL LEVEL VAPOR PROCESSOR TYPE 02 302 202 102 U U 3 SEP 5. 2011 3:14 PM NONE 03 303 103 203 U U 1 OCT 20. 2008 4:22 PM PROCESSOR CONTROL LEVEL: 04 05 304 305 204 104 U U 205 105 U U 1 2 PROBE OUT NONE 06 306 206 106 U U 2 SEP 1. 2011 3:42 PM 07 107 907 207 3 U 4 APR 19. 2011 9 :27 AM 08 108 908 208 3 U 4 APR 19, 2011 9:25 AM 091 UUUUUUU 0 10 11 3 U 1 0 U U U U U U 0 0 U U U U 0 0 DELIVERY NEEDED 133U2UUUUU 0 SEP 23, 2011 7:52 AM 14 3 U U U U U U U 0 SEP 5, 2011 7:46 AM APR 19. 2011 9:26 AM LABEL TABLE MAX PRODUCT ALARM MAR 23. 2010 11:25 AM 1: UNASSIGNED MAR 23. 2010 11:23 AM 2: BLEND3 3: 4: REGULAR MID GRADE LOW TEMP WARNING 5: PREMIUM SEP 1. 2011 3:43 PM 6: GOLD APR 19, 2011 9:28 AM 7: BRONZE SEP 1. 2009 10:06 AM 8: SILVER 9: BLEND2 10: BLEND4 x x A A A END X x x x * ALARM HISTORY REPORT SENSOR ALARM - - - -- END ri L 4:87 F ILL OTHER SENSORS SENSOR OUT ALARM APR 18. 2012 9:35 AM FUEL ALARM APR 18, 2012 9:22 AM SENSOR OUT ALARM APR 19. 2011 9:21 AM 144IN ALARM HISTORY REPORT ALfiRM HISTORY REPORT ALARM HISTORY REPORT SENSOR ALARM - - - -- IN -TANK ALARM - - - -- IN -TANK ALARM - - - -- STP SUMP T 3:DIESEL SENSOR OUT ALARM T 2:PREM APR 18, 2012 9:35 AM OVERFILL ALARM OVERFILL ALARM APR 19, 2011 9:31 AM FUEL ALARM APR 19. 2011 9:33 AM MAR 23, 2010 11:22 AM APR 18, 2012 9:18 All MAR 23, 2010 11 :17 AM MAR 23, 2010 11:19 AM SENSOR OUT ALARM LOW PRODUCT ALARM HIGH PRODUCT ALARM APR. 19, 2011 9 :21 AM OCT 22. 2008 9 :11 AM MAR 23. 2010 11:22 AM MAR 23, 2010 11:18 AM HIGH PRODUCT ALARM ' MAR 23, 2010 11:17 AM PROBE OUT APR 19, 2011 9:31 AM INVALID FUEL LEVEL APR 19. 2011 928 AM APR 19, 2011 9:32 AM MAR 23. 2010.1!:28 AM MAR 23, 2010 11:30 AM PROBE OUT MAX PRODUCT ALARM APR 19, 2011 9:33 AM MAR 23, 2010 11:18 AM END w -A x APR 19, 2011 9:31 AM MAR 23, 2010 11:29 AM LOW TEMP WARNING MAR 23. 2010 11:29 AM DELIVERY NEEDED APR it. 2012 4:25 PM MAR 30, 2012 4:19 PM FEB 12, 2012 11:55 AM MAX PRODUCT ALARM MAR 23, 2010 11:17 AM ALARM HISTORY REPORT SENSOR ALARM - -- -- x *END XR L'3:DSLSTP STP SUMP SENSOR OUT ALARM APR 18, 2012 9 :35 AM FUEL ALARM APR 18, 2012 9 :17 AM END X * * SENSOR OUT ALARM APR 19, 2011 9:21 AM ALARM HISTORY REPORT SENSOR ALARM - - - -- L 1:87 STP STP SUMP qRM APR 18, 2012 M FUEL ALARM x END A APR 16. 2012 9:21 AM FUEL ALARM APR 13. 2012 7:17 PM ALARM HISTORY REPORT SENSOR ALARM - - - -- END ri L 4:87 F ILL OTHER SENSORS SENSOR OUT ALARM APR 18. 2012 9:35 AM FUEL ALARM APR 18, 2012 9:22 AM SENSOR OUT ALARM APR 19. 2011 9:21 AM ALARM HISTORY REPORT SENSOR ALARM L 5:91 FILL OTHER SENSORS SENSOR OUT ALARM APR 18, 2012 9:20 AM SENSOR OUT ALARM APR 18,-2012 9:20 All FUEL ALARM APR 18, 20.12 9:19 AM xrix:t*ENDxx *x* ALARM HISTORY REPORT SENSOR ALARM - ---- L 6:DSL FILL OTHER SENSORS SENSOR OUT ALARM APR 18. 2012 9:35 AM FUEL ALARM APR 18, 2012 9:17 AM SENSOR OUT ALARM APR 15. 2011 9:21 AM x* x* END x x x x x ALARM HISTORY REPORT SENSOR ALARM - - - -- L 7:87 ANN ANNULAR SPACE SENSOR OUT ALARM APR 18, 2012 9:35 AM FUEL ALARM APR 18. 2012 9:23 AM SENSOR OUT ALARM APR 19, 2011 9:21 AM x A n x END * x x ** ALARM HISTORY REPORT SENSOR ALARM ---`- L 8 : 91 -DSL ANN ANNULAR SPACE SENSOR OUT ALARM APR 18, 2012 9:35 AM FUEL ALARM APR 18. 2012 9:21 AM SENSOR OUT ALARM APR 19, 2011 9:22 AM ik x x x END x* x* x ALARM HISTORY REPORT SENSOR ALARM - - - -- 0 1 OTHER SENSORS xx* END xRx ** MONITOR CERT. FAILURE REPORT SITE NAME: WILSON MOBIL ADDRESS: 3620 WILSON RD CITY: BAKERSFIELD REPAIRS: NONE PARTS INSTALLED: NONE DATE: 4 -18 -12 TECHNICIAN: RYAN MASON 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 RICA 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.