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INSPECTION RECORD �:� BAventio Se FIRE DEPARTMENT Prevention Services 2101 H Street UST JOB CARD Bakersfield, CA 93301 Tel,: (661 ) 326 -3979 Fax: (6611852-2171 Post this Card at the Job Site and DO NOT Remove for Duration of Work PRIOR TO OCCUPANCY OF ANY SYSTEM, ALL UST AND /OR AST SYSTEMS SHALL BE INTALLED, COMPLETED, AND ACCEPTED BY THE BAKERSFIELD CITY FIRE DEPARTMENT. T INALI RU11 DING ADDRESS' 2- Cn U IPAJ JOB DESCRIPTION: OCCUPANCY TYPE: OWNER: PERMIT NO.: ij100W3rL CONTRACTOR: 'ic—S CLW1 FD 2165 (Rev. 3/2018) 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. U nio -�-t h^^ on, monitoring system control panel is installed the 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 of test date. ' _ etions are printed an the be ek-o'f this page. A. General Information Facility Name: MINIT STOP TEXACO Site Address: 2900 UNION City: Facility Contact Person: THOMAS YOON Make/Model of Monitoring System: TLS -350 B. Inventory of Equipment Tested /Certified rh—V thn nn nnAote hnxes to indiente specific enuimomt insneeted/serviced:: Bldg. No.: BAKERSFIELD Zip: 93305 Contact Phone No.: (661) 395 -1161 Date of Testing/Servicing: 5/20/2015 Tank ID: 87 Tank ID: 91 NIn -Tank Gauging Probe. Model: VEEDER -ROOT Nhi -Tank Gauging Probe. Model: VEEDER -ROOT • Annular Space or Vault Sensor. Model: 420 - SPLIT ® Annular Space or Vault Sensor. Model: 420 - SPLIT • 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 Z Mechanical Line Leak Detector. Model- RED-JACKET ❑ 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 Sump / Trench Sensor(s). Model: ❑ Fill Sump Sensoa 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). Dispenser ID: 1 -2 Dispenser ID: 3-4 • Dispenser Containment Sensor(s). Model BEAUDREW N Dispenser Containment Seasons). Model: BEAUDREW • Shear Valve(s). N Shear Valve(s). ❑ Dispenser Containment Floats) 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 Chan(s). ❑ Dispenser Containment Floats) and Chain(S. IME Dispenser ID: Dispenser ID: ❑ Dispenser Containment Sensou s). Model: ❑ Dispenser Containment Sensor(s). Model: ❑ Shear Valve(s). ❑ Shear Valve(s). ❑ Dispenser Containment Flom(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 Sitv-Plot Plan showing the layout of monitoring equipment. For any equipment capable of generating such reports, I have also attached a copy of the report; (check all that apply): Z System set -up ® Alarm history report Technician Name (print): JOSE OCHOA Signature- Certification No.: 835931 Licet o.: Testing Company Name: FRANZEN -HILL Phone No.: (559) 842 -7282 Testing Company Address: 1100 NORTH J STREET Date of Testing/Servicing: 5/2012015 Monitoring System Certification D. Results of Testing/Servicing Software Version Installed: 119.05 Complete the folio win 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? If so, at what percent of tank capacity does the alarm trigger? % ❑ Yes* M 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. Was liquid found inside any secondary containment systems designed as dry systems? (Check all th❑ Product; ❑ Water. If yes, describe causes in Section E, below. ;ZYes EON Was monitoring system set -up reviewed to ensure proper settings? Attach set up reports, if applicable Is all monitoring equipment operational per manufacturer's specifications? a In Section F, bej9w, describe how and when these deficiencies were or will be corrected. E. Comments: 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 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 he corrected. G. Line Leak Detectors (LLD): ❑ Check this box if LLDs are not installed. !'nmdntn ihn fnllnwinn rhPeklicte ® 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 ; ❑ 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 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 of the 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: Page 3 of 4 Monitoring System Certification UST Monitoring Site Plan Site Address: 2900 UNION AVE BAKERSFIELD CA, 93305 Date map was drawn: 5/20/15. Instructions If you already have a diagram that shows all required information, you may include it, rather than this page, with your Monitoring System Certification. On your site plan, show the general layout of tanks and piping. Clearly identify locations of the following equipment, if installed: monitoring system control panels; sensors monitoring tank annular spaces, sumps, dispenser pans, spill containers, or other secondary containment areas; mechanical or electronic line leak detectors; and in -tank liquid level probes (if used for leak detection). In the space provided, note the date this Site Plan was prepared. Page 4 of 4 SWRCB, January 2006 Spill Bucket Testing Report Form This form is intended for use by contractors performing anneal testing of UST spill containment structures. The completed form and printouts from tests (if applicable), should be provided to the facility owner /operator for submittal to the local regulatory agency. 1. FACILITY INFORMATION Facility Name: MINIT STOP TEXACO Date of Testing: 5 -20 -15 Facility Address: 2900 UNION AVE Facility Contact: THOMAS YOON Phone: (661) 395 -1161 Date Local Agency Was Notified of Testing: Name of Local Agency Inspector (if present during testing): TESTING CONTRACTOR INFORMATION Company Name: FRANZEN -HELL echnician Conducting Test: JOSE OCHOA edenfialsl: U CSLB Contractor X ICC Service Tech. U SWRCB Tank Tester U Other (Specify) License Number(s): SPILL BUCKET TESTING INFORMATION Test Method Used: X Hydrostatic ❑ Vacuum ❑ Other Test Equipment Used: Equipment Resolution: Identify Spill Bucket (By Tank Number, Stored Product, etc.) 1- 87 2- 91 3- 4- Bucket Installation Type: E Direct Bury ❑ Contained in Sum n Direct Bury 0 Contained in Sump ❑ Direct Bury ❑ Contained in Sump ❑ Direct Bury 0 Contained in Sum Bucket Diameter: 12" 12" Bucket Depth: 14" 14" Wait time between applying vacuum/water and start of test: 15 MINUTES 15 MINUTES Test Start Time (Tj): 9:30 AM 9:30 AM Initial Reading (RD: 14" 14" Test End Time (TF): 10:30 AM 10:30 AM Final Reading (RF): 12" 9 '' /z" Test Duration (TF —T ,): IHR 1HR Change in Reading (RF - R): 2" 4 ''/2' Pass/Fail Threshold or Criteria: 0 0 Test Result: ❑ Pass 8 Fail ❑ Pass E Fail 0 Pass ❑ Fail ❑ Pass ❑ Fail Comments — (include information on repairs made prior to testing, and recommended follow -up for failed tests) CERTIFICATION OF TECHNICIAN RESPONSIBLE FOR CONDUCTING THIS TESTING I hereby certif y that all they farm ' n contained in this report is true, accurate, and in full compliance with legal requirements. Technician's Signature: Date: 5 -20 -15 State laws and regulations do not currently require testing to be performed by a qualified contractor. However, local requirements may be more stringent. MONITORING SYSTEM CERTIFICATION II��II�I�I�IIIIIIIII 77 For Use By All Jurisdictions Within the State of California IE 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. 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 of this form to the local agency regulating UST systems within 30 days of this date. A. General Information Facility Name: Jungle Color International dba Minit Stop Liquor Bldg. No.: Site Address: 2900 Union Avenue City: Bakersfield Zip: 93305 Facility Contact Person: Young Don Choi Contact Phone No.: 661-395-1611 Make/Model of Monitoring System: Veeder-Root TLS-350 Date of Testing/Servicing: 9/7/2010 B. Inventory of Equipment Tested/Certified Check the appropriate boxes to In cote specific equipment InsWtedf—iced: Tank ID: 15000 gal.Regular Tank ID: 5000 gal.Plus [x] In-Tank Gauging Probe. Model:847390-107 Lx] In-Tank Gauging Probe. Model:847390-107 Lx] Annular Space or Vault Probe. Model:794390-420 [X] Annular Space or Vault Sensor. Model:794390-420 Lx] Piping Sump/Trench Sensor(s). Model:794380-208 Lx] Piping Sump/Trench Sensor(s). Model: 794380-208 ❑ Fill Sump Sensor(s) Model: ❑ Fill Sump Sensor(s). Model: U Mechanical Line Leak Detector. Model:FX1V LX] Mechanical Line Leak Detector. Model: FX1V ❑ Electronic Line Leak Detector. Model: ❑ Electronic Line Leak Detector. Model: L] Tank Overfill/High Level Sensor. Model:OPW-6I-SO U Tank Overfill/High Leval Sensor. Model: OPW-61S0 ❑ Other(specify equip,type and model in Sec. E on Pg.2) ❑ Other(specify equip.type and model in Sec. E on Pg.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 Sump/Trench Sensor(s). Model: F-1 Fill Sump Sensors(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 equip.type and model in Sec. E on Pg.2) ❑ Other(specify equip.typs and model in Sec. Eon Pg.2) Dispenser ID: 1 &2 Dispenser ID: 3&4 [7 Dispenser Containment Sensor(s). Model: Beaudreau E Dispenser Containment Sensor(s).Model: Beuadreau [X] Shear Valve(s). [x_1 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 Chains(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 equipment that the a ui ment identified in this document was inspected/services in accordance with the manufacturers'guidlines.Attached to this Certification is information(e.g.manufacturers'checklist)necessary to verify that this information is correct and a plot plan showing the layout of monitoring equipment.For equipment capable of generating such reports,I have attached a copy of the report; (check all that apply) x0 System Set-up- x Alarm history report Technician Name(print): Kristopher Karns Signature: Certification No: 834106 License No:804904 Testing Company Name: Confidence UST Services,Inc. Phone No: 800-339-9930 Site Address: 2900 Union Avenue,Bakersfield,CA 93305 IIIIIIIIIIIIIIIIIIII _Date of Testing/Servicing: 9/712010 78 IE v D. Results of Testing/Servicing Software Version Installed: 119-05 Complete the following checklist: L] Yes ❑ No* Is the audible alarm operational? x Yes No* Is the Visua a arm operational? x Yes No* Were all sensors visually inspected,functionally tested,and confirmed operational? x Yes ❑ No* Were all sensors installed at the 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) Hx N/A operational? x Yes ❑ No* For pressurized piping systems,does the turbine automatically shut down if the piping secondary ❑N/A containment monitoring system detects a leak,fails to operate,or is electrically disconnected?If yes: which sensors initate positive shut-down? ❑Sump/Trench Sensors❑Dispenser Containment Sensors Did you confirm positive shut-down due to leaks and sensor failure/disconnected? U Yes; ❑ No; U 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 visual and audible at the tank fill point(s)and operating properly?If so,at what percent of tank capasity does the alarm trigger? 61-SO % ❑ Yes* U No Was any monitoring equipment replaced?If Yes, identify speci fic sensors,probes,or other equipment replaced and list the manufacturer name and model for all replacement parts in Section E,below. ❑ Yes* 1 No Was liquid found inside any secondary containment systems designed as dry systems? ❑ Product; ❑ Water. If yes,describe causes in Section E,below. x L7 No* I Was monitoring system set-up reviewed to ensure proper settings?Attach set-up reports, if applicable. x 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: F. In-Tank Guaging/SIR Equipment: E Check this box if tank guaging is used only for inventory control. ❑ Check this box if tank guaging or SIR equipment is installed. This section must be completed if in-tank guaging equipment is used to perform leak detection monitoring. Complete the following checklist: L] Yes ❑ No* Has all input wiring been inspected for proper enter and termination,including testing for ground faults? x Yes No* Were all tank guaging probes visually inspected for damage and residue buildup? x Yes No* Was accuracy of system product level readings tested? x Yes No* Was accuracy of system water level readings tested? x Yes No* Were all probes reinstalled properly? Lx] Yes ❑ No* Were all items on the equipment manufacturer's 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 LLD's are not installed. Com lete the following checklist: Lx] Yes ❑ No* For equip. start-up or annual equipment certification,was a leak simulated to varify LLD performance? (Check all that apply) Simulated leak rate: E13 g.p.h.: 00.1 g.p.h.; ❑0.2 g.p.h.; LYes No* Were all LLD's confirmed operational and accurate within regulatory requirments? x Yes No Was the testing apparatus properly calibrated? Yes No* For machamcal LLD's,does the LLD restrict product flow if it detects a leak? N/A ❑ Yes No* For electronic LLD's, does the turbine automatically shut off if the LLD detects a leak? Lx] N/A ❑ Yes No* For electronic LLD's,does the turbine automatically shut off if any portion of the monitoring system is [x] N/A disabled or disconnected? ❑ Yes No* For electronic LLD's, does the turbine automatically shut off if any portion of the monitoring system [X] N/A malfunction or fails a test? ❑ Yes No* For electronic LLD's,have all accessible wiring connections been visually inspected? Lx] N/A x Yes No I Were all items on the equipment manufacturer's maintenance checklist completed? *In the section H,below,describe how and when these deficiencies were or will be corrected. H. Comments: TEXACO M I N I STOP- SYSTEM SETUP 29UG UNION SYSTEM SETUP ,. BAKEkSFIELD.CA SEF 7. 2010 11:51 AM , - '- - - - - - - - SEP 7, 20'10 8:51 -AM t SEP 7, 2010 8:51 AM SYSTEM UNITS " U.S. SYSTEM' UNITS STATUS kEP SYSTEM ART SYSTEM LANGUAGE U'.S. ENGLISH SYSTEM LANGUAGE R SYSTEM DATE,'TIME FORMAT ENGLISH' ALL FUNCTION'S hJvF.h(tiL MON DD YYYY HH:.MM:SS xM SYSTEM DATE.-,TIME FORMAT INVENTORY REPORT I MON DD YYYY HH:MM .S xM 'TEXACO Mi N I- STOP. 2900: UiV:ION ( i TEXACO_MINI .STOP BAKER8171ELD.CA ! 2900 UNION T J :UNLEADED BAKERSFIELD.CA VOL LIME = 3612 GALS ULLAGE = 11388 CAL: - 90% ULLAGE= 9888 GHLS SHIFT GALS T;IMEy I DISABLED TC VOLUME 354t, SHIFT TIME 2 DISHBLfr., SHIFT TIME 1 :-DISABLED HEIGHT SHIFT TIME D I S :,. SHIFT TIME 2 DISABLED 2. CE f SHIFT TIME 4 ? .]1IA81`,ZiP SHIFT TIME 3 :: DISABLED WATER VOL = 0 GALS 1 SHLFT TIME 4 DISABLED,, WATER = 0.00 INCHES TEMP TANK'PER.TST'-NEEDED WRN, - = 65.7 DEG F DIS�iHLEI) TANK PER. TST NEEDED`WRN f TANK ANN: TST"NEEDED WRN DISABLED ! T 2:PREmIUM t D-ISABLED TANK ANN'TST NEEDED WRN + DISABLED VOLUME = 1743 GALS ULLAGE _ 3257 GALS PASS 'RE--ENABLE METHOD ETHOD LINE RE-ENABLE METfiOD 903 ULLAGE= 1757 GrLS PASS LINE TEST TC VOLUME = 1?09 GALS LINE PER TST NEEDED WRN HEIGHT = 4:2.36 INCHES DISABLED LINE"PER TST NEEDED WRN � WATER VOL = 0 GALS � � } DISABLED WATER = 0.00 I NCHES LINE ANN TST NEEDED l•:Fl,-- -• LINE ANN TST' NEEDED WRN TEMP = 87.6 DEG F DISABLED DI•.SABLED .PRINT TC VOLUMES ENABLED PRINT TC VOLUMES n n n END f * ENABLED TEMP COMPENSATION- VALUE TEMP COMPENSATION- VALUE (DEC; F ) .._60.0, _ , STICK HEIGHT OFFSET VALUE (DEG F ) : 60.0 DISABLED STICK .HEIGHT OFFSET DAYLIGHT SAV I•NG TIME. - DISABLED ENABLED DAYLIGHT SAVING TIME START DATE ENABLED MAR WEEK 2 SUN START DATE START TIME { MAR WEEK 2 SUN 2:00 AM START TIME END, DATE 2:00 AM NOV SUN END DATE END TI MEEK 1 'NOV WEEK I- SUN 2:00 AM END TIME `2:00 AM.. SYSTEM SECURITY SYSTEM SECURITY CODE 000000 CODE 000000 r 1 - i IN—TANK -SETUP — COMMUNICATIONS SETUP T .2:PREMIUM T 1 UNLEADED' i PRODUCT CODE 2 PRODUCT CODE i THERMAL COEFF :.000700 PORT SETTINGS: THERMAL COEFF ', .000700 - TANK' DIAMETER 111 .50 TANK DIAMETER' 111 .50 TANK PROFILE 1 PT NONE FOUND TANK PROFILE 1 PT FULL VOL 5000 FULL VOL i, 15000 RS-232 SECURITY FLOAT SIZE: 4.0 IN. 8496 CODE 000000 FLOAT SIZE: 4.0 IN. 8496 WATER WARNING 2.0 WATER WARNING 1 ,5 HIGH WATER LIMIT: 2.0 HIGH WATER LIMIT: 2.0 MAX OR LABEL VOL: 5000 - MAX OR LABEL VOL: 15000 OVERFILL LIMIT 90'/ RS-232 END OF MESSAGIr OVERFILL L1MIT .' 90% 4500 DISABLED 13500 ? HIGH PRODUCT 95% `HIGH PRODUCT 95% 4750 14250 DELIVERY LIMIT 8% DELIVERY LIMIT' �." 8i � � 400 LOW PRODUCT 200 LOW PRODUCT 500 j LEAK ALARM LIMIT: 99 LEAK•. ALARM LIMIT: 99 SUDDEN LOSS LIMIT: 99 SUDDEN LOSS LIMIT: 99� TANK TILT 0.00 TANK TILT 0.00 MANIFOLDED TANKS COI°MUIVIGAT.IONS SETUP MANIFOLDED TANKS T#: NONE _ T#: NONE LEAK MIN PERIODIC: 0% PORT SETTINGS: LEAK MIN PERIODIC: 0r4. 0 0 NONE FOUND LEAK MIN ANNUAL 0% LEAK MIN ANNUAL : 0� 0 ' RS-232 SECURITY 0 + CODE : 000000 `PERIODIC TEST TYPE PERIODIC TEST TYPE I STANDARD STANDARD-- ANNUAL TEST FAIL ANNUAL TEST. FAIL ALARM DISABLED:_ ; ALARM DISABLED RS-232 END OF MESSAGE � 4 PERIODIC TEST FAIL DISABLED — PERIODIC. TEST FAIL ALARM DISABLED ALARM DISABLED. 1 .GROSS TEST FAIL GROSS .TEST FAIL ALARM DISABLED ALARM DISABLED t ANN TEST AVERAGING: OFF ANN TEST AVERAGING: OFF PER TEST AVERAGING: OFF PER TEST AVERAGING: OFF J TANK TEST NOTIFY: OFF TANK TEST .NOT.I FY: OFF R 4 TNK TST SIPHON BREAK:OFF TNK TST SIPHON BREAK:OFF i •a _ DELIVERY DELAY : 10 MIN DELIVERY DELAY 10 MIN j- 1 I i LEAK TEST METHOD TEST ON DATE ALL TANK SEP '27. 2000 + START TIME : 1-:00 AM TEST RATE :0.20 GAL/HR. DURATION 4 HOURS._ i } LEAK TEST REPORT FORMAT f NORMAL. IN—TANK SETUP— — — — — — T 2:FREMIUM PRODUCT CODE � � LIQUID SENSOR SETUPT T 1 :UNLEADED THERMAL COEFF x:,.000700 ? PRODUCT CODE 1 TANK DIAMETER :• 111 .50 L 1 :UNL SUMP THERMAL COEFF : .000700 TANK PROFILE 1 FT " TkI-STATE (SINGLE FLOAT) TANK DIAMETER 111 .50 FULL VOL �> 5000 CATEGORY : STP SUMP TANK PROFILE 1 PT FULL VOL 15000 FLOAT SIZE: 4.0 IN. 849E ` 4 L '2:PREM SUMP FLOAT SIZE: 4.0 IN. 8496 — WATER WARNING 2,0 - STATE—STATE (SINGLE FLOAT? HIGH WATER LIMIT: 2.0 CATEGORY : STP BUMF WATER WARNIhdG 1 .5 HIGH WATER LIMIT: 2.0 MAX- OR LABEL 'VOL: 5000 L 3:ANNULAR OVERFILL. LIMIT 9D'�' TR:I—STATE ,(SINGLE FLOAT) MAX, OR LABEL VOL: 15000 4500, : , --CATEGORY ANNULAR SPACE OVERFILL LIMIT 90% - HIGH PRODUCT 95%s .I. 13500 4750 ). HIGH PRODUCT 95% DELIVERY LIMIT, t- 8/, 14350 400 L 4:EMERGENCY STOP DELIVERY LIMIT 8% " NORMALLY CLOSED 1200 LOW PRODUCT 2Q0 CATEGORY OTHER'SENSORS LEAK ALARM LIMIT: 99 LOW PRODUCT 500 SUDDEN LOSS LIMIT: 99 j LEAK ALARM LIMIT: 99 TANK TILT 0.00 ; SUDDEN LOSS LIMIT: 99 TANK TILT 0.00 MANIFOLDED TANKS T#: NONE MANIFOLDED TANKS T#: NONE LEAK MIN PERIODIC: Or- 0 LEAK MIN PERIODIC: 0% p LEAK MIN ANNUAL LEAK MIN ANNUAL : 0% LIQUID SENSOR SETUP D — PERIODIC TEST TYPE 'STANDARD 1---h' i :UNL_SUMP PERIODIC TEST TYPE : TRI—STATE (SINGLE FLOAT) STANDARD ANNUAL TEST FAIL CATEGORY STP .SUMP- • ALARM DISABLED ANNUAL TEST FAIL ALARM DISABLED -PERIODIC TEST FAIL L 2':PREM SUMP ALARM DISABLED" TRI-STATE (SINGLE FLOAT) PERIODIC TEST FAIL,• CATEGORY : STP SUMP ALARM DISABLED GROSS TEST FAIL ALARM DISABLED 1 — GROSS TEST FAIL L 3:ANNULAR ALARM DISABLED ANN TEST AVERAGING: OFF TRI—STATE (SINGLE FLOAT) PER TEST AVERAGING: OFF CATEGORY ANNULAR SPACE ANN TEST. AVERAGING: OFF �. OFF PER TEST AVERAGING: OFF TANK TEST NOTIFY: •1 TANK TEST NOTIFY: OFF TNK TST SI.PHON, BREAK:OFF L 4 EMERGENCY STOP � TNK TST SIPHON BREAK:OFF DELIVERY DELAY 10 MIN,. ;i NORMALLY CLOSED :CATEGORY OTHER SENSORS DELIVERY DELAY 10 MIN { • . E LEAK TEST METHOD TEST ON DATE ALL TANK SEP 27. 2000 START TIME : • 1 :00 AM TEST RATE :0.20 GAL/HR DURATION- : 4 HOURS LEAK TEST REPORT FORMAT - NORMAL OUTPUT RELAY SETUP TYPE: � .: RECONCI?LIAT'ION.SETUP - - - - - - -- - - - - - STA;NDARD, _ _ - - - - -- - - NORMALLY`OPE IV R 1 :UNLEADED TYPE: r -AUTOMAT_ LC .DA I LY' CLOSING- STANDARD LIQUID SENSOR AI MS t T:I ME: 1 2:00 AM •- NORMALLY CLOSED L .1':FUEL-ALARM L 3:FEL':AALAARRM M REGONGILI:ATION4L 2:FUALL IMONTHLY LIQUID SENSOR ALMS L 4:FUEL ;ALARM t ; L 1 :FUEL ALARM TEMP-'COMPENSATION., L 3:FUEL ALARM R 4:ALARM ,- j," :STANDARD, L 4:FUEL..ALARM TYPE: L 1 :SENSOR OUT ALARM STANDARD � � ��' � -_BUS SLOT .FUEL METERSTAfIK., L 1 :SHORT ALARM NORMALLY OPEN-, TANK"MAP EMPTY OUTPUT RELAY SETUP L.IQUJD `SENSOR 'ALMS - L •1..:FUEL ALARK, , } R 1 :UNLEADED L.2°:•FUEL "ALAR T,- T.'PE: L, 3'FUEL ALARM-- STANDARD L 4:FUEL.'ALARM - NORMALLY CLOSED LIQUID SENSOR ALMS L 1 :FUEL ALARM L 3:FUEL ALARM I L 4:F UEL ALARM `- .SOFTWARE -REV I S I O N':;I;EVEL,; UERSI;ON 119.05 L 1 :S£NSOR OUT ALARM SOFTWARE# 346119-1170-F � L 1 :SHORT ALARM k CREATED- D0.02,25,1 :1'5 R 2:PREMIUM `NO•SOFTWARE MODULE TYPE: :SYSTEM FEATURES':- STANDARD "'PERIODIL '1N-.TANK,TESTS NORMALLY CLOSED ANNUAL [N-T.ANK TESTS LIQUID SENSOR ALMS L 2:FUEL ALARM F L 3:FUEL ALARM L 4:FUEL ALARM L 2:SENSOR OUT ALARM L 2:SHORT ALARM RECD NC I L I.AT I ON SETUP R 2:PREM I UM s. TYPE: � r �r ALARM HISTORY REPORT. STANDARD AUTOMATIC DAILY CLOSING . NORMALLY CLOSED TIME •.2:00'"AM SENSOR .ALARM ----- ! I .L ':UNL PERIOD IIC REPONCLIATION I ,:SUMP' FUEL SUMP LIQUID SENSOR ALMS MODE.: NItiNTHLY' FUEL ALARM L 2:FUEL ALARM :,APR 12 201:0 1 35 PM L 3:FUEL ALARM T.EMP:COMPENSATION _ r... L 4:I UEL ALARM x STANDARD - t FUEL,%ALARM y L 2:SENSOR OUT ALARM i ,-7 FEB ,2'4 -2010 7`:16' FM', L 2:SHORT ALARM BUS SLOT F.UEL,'+lETER TANK R 3:ALARM TANK MAP'EMPTY :FEB- 2.4 2010 6:-1 9 PM . TYPE: STANDARD . NORMALLY OPEN__ LIQUID SENSOR ALMS I. ALL:FUEL ALARM R 3:ALARM TYPE: STANDARD X.X` X''END NORMALLY OPEN a LIQUID SENSOR ALMS ALL:FUEL ALARM rALARM HISTORY REP ORT ALARM _HISTORY REPORT _ -- SENSOR ALARM ----- . , L 4:F.MERGENCY STOP SENSOR ALARM -- -- ----- SENSOR ALARM == = OTHER SENSORS PEM SUMP L 4:EMERGENCY STOP FUEL ALARM STP SUMP OTHER SENSORS. SEP 7, 2010 9:16 AM FUEL ALARM FUEL ALARM FEB 12, 2010 7:08 PM JUL 12, 2010 6:19 PM FUEL ALARM FUEL ALARM #'I FEB 12, 2010 7:02 PM NOV`24. 2009' 5:08 PM. FUEL ALARM SENSOR OUT ALARM FEB 12, 2010 6:46 PM NOV- 24, 2009 5:08 PM ----- SENSOR ALARM --- L 1 :UNL SUMP STP SUMP SENSOR OUT ALARM . SEP 7, _2610 9:16 AM * END * * * * x END X X * 4E ----- SENSOR ALARM -_--- L 2:PREM SUMP STP SUMP SENSOR OUT ALARM SEP 7, 2010 9:16 AM ALARM HISTORY REPORT ----- SENSOR ALARM ----- L 2:PREM SUMP ' -- SENSOR ALARM ----- STP SUMP L. 3:ANNULAR FUEL ALARM ANNULAR SPACE SEP 7, 2010 9:03 AM SENSOR OUT ALARM SEP 8, 2009 3:32 AM - -- SENSOR ALARM ----- SENSOR OUT ALARM L 4:EMERGENCY STOP_ . SEP 8, 2009 3:32 AM OTHER SENSORS 1 FUEL ALARM SENSOR OUT ALARM -SEP ' 7, 2010 9:20• AM ' SEP 6, 2009 3:32 AM ; -- SENSOR ALARM ----- f L 1 :UNL SUMP _ STP SUMP, FUEL ALARM SEP 7, 2010 9:05 AM ----- SENSOR ALARM ----- L 4:EMERGENCY STOP * * END * * OTHER SENSORS 1 SENSOR OUT ALARM SEP 7, 2010 9:21 AM -- SENSOR.ALARM -----, L 3:ANNUL-AR ANNULAR SPACE FUEL ALARM SEP 7. '2010 9:08 AM SENSOR ALARM'-==-_ i L 4:EMERGENCY STOP., OTHER SENSORS FUEL ALARM SEP 7, 2010 9:21 AM " ----- SENSOR ALARM ----- E L 3:ANNUL6R ANNULAR SPACE, SENSOR OUT ALARM SEP 7. 2010 5-:16 AM - 1 ._ _ r_..--�- _ .t _._._. ..w �._'r-- �� ♦'-.-....-r+'_rte' - n--= :....��f -- -" .1 -- SENSOR ALARM-- SENSOR ALARM ----- - L 4:EMERGENCY STOP L 4:EMERGENCY STOP OTHER SENSORS OTHER SENSORS SENSOR OUT ALARM FUEL ALARM• SEP 7: 2010 9:21 : 1 _SEP 7. 2010 9:24 AM -- SENSOR ALARM.•- --- . TEXACO MINI STOP L 4-:EMERGENCY STOP 2900. UNION OTHER 'SENSORS FUEL ALARM .BAKERSFIOLD.'CA SEP 7. 2010 ':9:21 gtht. SEP 7. .2010 9:48 AM ' SYSTEM STATUS REPORT I ALL FUNCTIONS NORMAL _ ----- SENSOR ALARM ----- L .4:EMERGENCY-STOP OTHER SENSORS - SENSOR OUT ALARM SEP 7, 2010 9:21 6M-'_ ----- SENSOR ALARM -- -'- L 4:EMERGENCY STOP OTHER SENSORS FUEL 'ALARM SEP 7, 2010 9:'21.AM ----- SENSOR ALARM --,--.- L 4:EMERGENCY'S_TOP OTHER SENSORS FUEL ALARM SEP 7, 2010 9:23 AM ----- SENSOR ALARM ----- L 4:EMERGENCY STOP OTHER SENSORS SENSOR OUT ALARM SEP 7. 2010 9:24 AM SWRCB,January 2006 Spill Bucket Testing Report Form This form is intended for use by contractors performing annual testing of UST spill containment structures. The completed form and printouts from tests (f applicable), should be provided to the facility owner/operator for submittal to the local regulatory agency. 1. FACILITY INFORMATION Facility Name: Jungle Color Int'1 dba Minit Stop Liquor Date of Testing: 9/7/2010 Facility Address: 2900 Union Avenue,Bakersfield,CA 93305 Facility Contact: Young Don Choi I Phone: 661-395-1611 Date Local Agency Was Notified of Testing: 8/3/2010 Name of Local Agency Inspector(f present during testing): Ernie Medina 2. TESTING CONTRACTOR INFORMATION Company Name: Confidence UST Services, Inc. Technician Conducting Test: Kristopher Karns Credentials: 10 CSLB Contractor ❑x ICC Service Tech. 0 SWRCB Tank Tester ❑Other(Spec) License Number(s): CSLB# 804904 ICC# 5264406-UT Tank Tester# 09-1743 3. SPILL BUCKET TESTING INFORMATION Test Method Used: Z Hydrostatic ❑Vacuum ❑Other Test Equipment Use Lake Test Equipment Resolution: 0.0625" Identify Spill Bucket(By Tank 1 Regular 2 Super 3 4 Number, Stored Product, etc. ❑D Direct Bury ❑x Direct Bury ❑Direct Bury ❑ Direct Bury Bucket Installation Type: ❑Contained in Sump ❑Contained in Sump ❑Contained in Sump ❑Contained in Sum Bucket Diameter: 12.00" 12.00" Bucket Depth: 13.75" 14.00" Wait time between applying 5 min. 5 min. vacuum/water and start of test: Test Start Time(Tj): 9:00am 9:00am Initial Reading(Rj): 11.00" 11.50" Test End Time(TF): 10:00am 10:00am Final Reading(RF): 11.00" 11.50" Test Duration(TF—Tj): 1 hour I hour Change in Reading(RF-Rj): 0.00" 0.00" Pass/Fail Threshold or 0.0625" 0.0625" Criteria: Test Result. © Pass ❑Fail ❑x Pass ❑Fail ❑ Pass ❑Fail ❑ Pass ❑Fail Comments— (include information on repairs made prior to testing, and recommended follow-up for failed tests) CERTIFICATION OF TECHNICIAN RESPONSIBLE FOR CONDUCTING THIS TESTING I hereby certify that all the information contained in this report is true,accurate,and in full compliance with legal requirements. Technician's Signature: A� Date:_9/7/2010 ' State laws and regulations do not currently require testing to be performed by a qualified contractor. However, local requirements may be more stringent. IIlIIIIIIIIIIIIIIIII 47 MONITORING SYSTEM CERTIFICATION — - IE 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.: 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 of this form to the local agency regulating UST systems within 30 days of this date. A. General Information Facility Name: Texaco Minit Stop Liquor Bldg.No.: Site Address: 2900 Union Avenue City: Bakersfield Zip: 93305 Facility Contact Person: Brian Alderete Contact Phone No.: 661-327-5008 Make/Model of Monitoring System: Veeder-Root TLS 350 Date of Testing/Servicing: 08/28/2008 B. Inventory of Equipment Tested/Certified Check the appropriate boxes to indicate specific equipment inspected/serviced: Tank ID: 15000 gal.Regular Tank ID: 5000 gal.Super [] In-Tank Gauging Probe. Model:847390-107 U In-Tank Gauging Probe. Model:847390-107 [x] Annular Space or Vault Probe. Model:794390-409 Annular Space or Vault Sensor. Model: Shared [x] Piping Sump/Trench Sensor(s). Model:794380-208 Lx] Piping Sump/Trench Sensor(s). Model: 794380-208 ❑ Fill Sump Sensor(s) Model: ❑ Fill Sump Sensor(s). Model: [J Mechanical Line Leak Detector. Model:FX1y [X] Mechanical Line Leak Detector. Model: FX1v ❑ Electronic Line Leak Detector. Model: ❑ Electronic Line Leak Detector. Model: [J Tank Overfill/High Level Sensor. Model:OPW 61-SO U Tank Overfill/High Leval Sensor. Model: OPW 61-SO ❑ Other(specify equip.type and model in Sec. E on Pg. 2) ❑ Other(specify equip.type and model in Sec. E on Pg. 2) Tank 1D: 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 Sensors(s). Model: ❑ Fill Sump Sensor(s). Model: D Mechanical Line Leak Decector. 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 equip. type and model in Sec. E on Pg. 2) ❑ Other(specify equip.typs and model in Sec. E on Pg.2) Dispenser ID: 1 &2 Dispenser ID: 3&4 Fx] Dispenser Containment Sensor(s). Model: Beaudreau 406 U Dispenser Containment Sensor(s). Model: Beaudreau 406 [x] Shear Valve(s). [X] 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 Chains(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 dispens r t e facility. C. Certification-I certify that the equipment identified in this document was inspected/services in ccor 0eisttvthel manufacturer s'guidlines.Attached to this Certification is information(e.g.manufacturer ec st) arfy that this information is correct and a plot plan showing the layout of monitoring equipment. or ui t c rating such reports,I have attached a copy of the report; (check all that apply) ❑x Sylt m Se-up x ory report Technician Name(print): Nicholas Petty Signature: Certification No: 835576 License No:804904 Testing Company Name: Confidence UST Services,Inc. Phone No: 800-339-9930 Site Address: 2900 Union Avenue,Bakersfield,CA 93305 I IIIIIII IIIII III IIII -Date of Testing/Servicing: 8/2812008 48 IE D. Results of Testing/Servicing Software Version Installed: 119.05 Complete the following checklist: Lx] Yes ❑ No* Is the audible alarm operational? x Yes No* Is the Visual alarm operational? x Yes No* Were all sensors visually inspected,functionally tested,and confirmed operational? x I Yes ❑ No* Were all sensors installed at the 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) Hx N/A operational? rxj Yes ❑ No* For pressurized piping systems,does the turbine automatically shut down if the piping secondary ❑N/A containment monitoring system detects a leak, fails to operate,or is electrically disconnected? If yes: which sensors initate positive shut-down? U Sump/Trench Sensors Lx]Dispenser Containment Sensors Did you confirm positive shut-down due to leaks and sensor failure/disconnected? L] Yes; ❑ No; ❑ Yes ❑ No* For tank systems that utilize the monitoring system as the primary tank overfill warning device(i.e.no U N/A mechanical overfill prevention valve is installed),is the overfill warning alarm visual and audible at the tank fill point(s)and operating properly?If so,at what percent of tank capasity does the alarm trigger? Fla er % ❑ Yes* U 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* U No Was liquid found inside any secondary containment systems designed as dry systems? ❑ Product; ❑ Water. If yes, describe causes in Section E,below. K=yes Was monitoring system set-up reviewed to ensure proper settings?Attach set-up reports,if applicable. No* Is all monitoring equipment operational per manufacturer's specifications? * In Section E below,discribe how and when these deficiencies were or will be corrected. E. Comments: F. In-Tank Guaging/SIR Equipment: [X] Check this box if tank guaging is used only for inventory control. ❑ Check this box if tank guaging or SIR equipment is installed. This section must be completed if in-tank guaging equipment is used to perform leak detection monitoring. Complete the following checklist: U Yes ❑ No* Has all input wiring been inspected for proper enter and termination,including testing for ground faults? x Yes No* Were all tank guaging probes visually inspected for damage and residue buildup? x Yes No* Was accuracy of system product level readings tested? x Yes No* Was accuracy of system water level readings tested? x Yes No* Were all probes reinstalled properly? ❑ Yes ❑ No*I Were all items on the equipment manufacturer's 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 LLD's are not installed. Complete the following checklist: L] Yes ❑ No* For equip. start-up or annual equipment certification,was a leak simulated to varify LLD performance? (Check all that apply) Simulated leak rate: E3 g.p.h.: ❑O.I g.p.h.; ❑0.2 g.p.h.; x Yes No* Were all LLD's confirmed operational and accurate within regulatory requirments? x Yes No Was the testing apparatus properly calibrated? U Yes No* For mac amca LLD's,does the LLD restrict product flow if it detects a leak? N/A ❑ Yes No* For electronic LLD's,does the turbine automatically shut off if the LLD detects a leak? [x] N/A ❑ Yes No* For electronic LLD's, does the turbine automatically shut off if any portion of the monitoring system is [x] N/A disabled or disconnected? ❑ Yes No* For electronic LLD's,does the turbine automatically shut off if any portion of the monitoring system U N/A malfunction or fails a test? ❑ Yes No* For electronic LLD's,have all accessible wiring connections been visually inspected? U N/A x Yes 0 No Were all items on the equipment manufacturer's maintenance checklist completed? * In the section H,below,describe how and when these deficiencies were or will be corrected. H. Comments: Upon arrival,no leak detectors were installed. Two new Red Jacket FXl V leak detectors were installed and tested. The site is now functioning properly. SYSTEM SETUP AUG 28, 2008 12:40 PM TEXACO MINI STOP 2900 UNION BAKERSFIELD,CA SYSTEM UNITS - U.S. AUG 28. 2008 12:39 PM SYSTEM LANGUAGE 1N-TANK SETUP ENGLISH - - - - - - - - - - - - SYSTEM DATE/TIME FORMAT MON DD YYYY HH:MM:SS XM T I :UNLEADED SYSTEM STATUS REPORT PRODUCT CODE 1 - TEXACO MINI STOP THERMAL COEFF : .000700 ALL FUNCTIONS NORMAL 2900 UNION TANK DIAMETER 111 .50 BAKERSFIELD,CA TANK PROFILE i PT INVENTORY REPORT FULL VOL 15000 SHIFT TIME 1 DISABLED T 1 :UNLEADED SHIFT TIME 2 DISABLED FLOAT SIZE: 4.0 IN. 8496 VOLUME . 4220 GALS SHIFT TIME 3 DISABLED ULLAGE a 10780 GALS SHIFT TIME 4 DISABLED WATER WARNING 1 .5 90% ULLAGE- 9280 GALS HIGH WATER LIMIT: 2.0 TC VOLUME 4136 GALS TANK PER TST NEEDED WRN HEIGHT 36. 19 INCHES DISABLED MAX OR LABEL VOL: 15000 WATER VOL 0 GALS TANK ANN TST NEEDED WRN OVERFILL LIMIT 90% WATER 0.00 INCHES DISABLED 13500 TEMP = 88.4 DEG F HIGH PRODUCT 95% LINE RE-ENABLE METHOD 14250 PASS LINE TEST DELIVERY LIMIT 6% T 2:PREMIUM 1200 VOLUME ti 935 GALS LINE PER TST NEEDED WRN ULLAGE 4065 GALS DISABLED LOW PRODUCT 500 90% ULLAGE= 3565 GALS LINE ANN TST NEEDED WRN LEAK ALARM LIMIT: 99 TC VOLUME a 917 GALS DISABLED SUDDEN LOSS LIMIT: 99 HEIGHT m 27.01 INCHES TANK TILT 0.00 WATER VOL m 0 GALS PRINT TC VOLUMES WATER m 0.00 INCHES ENABLED MANIFOLDED TANKS TEMP = 86.0 DEG F T#: NONE TEMP COMPENSATION VALUE (DEG F ) : 60.0 * * END * * STICK HEIGHT OFFSET LEAK MIN PERIODIC: 0°r' DISABLED 0 DAYLIGHT SAVING TIME DISABLED LEAK MIN ANNUAL 0% 0 SYSTEM SECURITY PERIODIC TEST TYPE CODE : 000000 STANDARD ANNUAL TEST FAIL SOFTWARE REVISION LEVEL ALARM DISABLED VERSION 119.05 PERIODIC TEST FAIL SOFTWARE# 346119-100-F ALARM DISABLED CREATED - 00.02.25. 12. 15 GROSS TEST FAIL NO SOFTWARE MODULE ALARM DISABLED SYSTEM FEATURES: PERIODIC IN-TANK TESTS ANN TEST AVERAGING: OFF ANNUAL IN-TANK TESTS COMMUNICATIONS SETUP PER TEST AVERAGING: OFF TANK TEST NOTIFY: OFF PORT SETTINGS: TNK TST SIPHON BREAK:OFF NONE FOUND DELIVERY DELAY : 10 MIN RS-232 SECURITY CODE : 000000 RS-232 END OF MESSAGE DISABLED T 2:PREMIUM _ RECONCILIATION SETUP PRODUCT CODE 2 LIQUID SENSOR SETUP THERMAL COEFF : .000700 - - - - - - - - - - - - - - - - - - - - - - - - TANK DIAMETER 111 .50 TANK PROFILE i PT L I :UNL SUMP AUTOMATIC DAILY CLOSING FULL VOL 5000 TRI-STATE (SINGLE FLOAT) TIME: 2:00 AM CATEGORY STP SUMP FLOAT SIZE: 4.0 IN. 8496 PERIODIC RECONCILIATION L 2:PREM SUMP MODE: M014T HLY WATER WARNING 2.0 TRI-STATE (SINGLE FLOAT) TEMP COMPENSATION HIGH WATER LIMIT: 2.0 CATEGORY : STP SUMP STANDARD MAX OR LABEL VOL: 5000 BUS SLOT FUEL METER TANK OVERFILL LIMIT 90% L 3:ANNULAR _ _ _ _ 4500 TRI-STATE (SINGLE FLOAT) - - - - - - - - HIGH PRODUCT 95% CATEGORY : ANNULAR SPACE TANK MAP EMPTY 4750 DELIVERY LIMIT 8% 400 L 4:EMERGENCY STOP LOW PRODUCT 200 NORMALLY CLOSED LEAK ALARM LIMIT: 99 CATEGORY : OTHER SENSORS SUDDEN LOSS LIMIT: 99 TANK TILT 0.00 MANIFOLDED TANKS TO: NONE ALARM HISTORY REPORT LEAK MIN PERIODIC: 0% ----- SENSOR ALARM ----- 0 L 1 :UNL SUMP STP SUMP LEAK MIN ANNUAL 0% FUEL ALARM 0 AUG 23, 2007 11 :21 AM OUTPUT RELAY SETUP SENSOR OUT ALARM PERIODIC TEST TYPE - - - - - - - - - - - - JUL 5, 2007 5:02 AM STANDARD R 1 :UNLEADED SENSOR OUT ALARM ANNUAL TEST FAIL TYPE: JUL 5, 2007 3:35 AM ALARM DISABLED STANDARD PERIODIC TEST FAIL NORMALLY CLOSED ALARM DISABLED GROSS TEST FAIL LIQUID SENSOR ALMS L 1 :FUEL ALARM ALARM DISABLED L 3:FUEL ALARM ANN TEST AVERAGING: OFF L 4:FUEL ALARM PER TEST AVERAGING: OFF R 2:PREMIUM * * x END TYPE: TANK TEST NOTIFY: OFF STANDARD TNK TST SIPHON BREAK:OFF NORMALLY CLOSED DELIVERY DELAY : 10 MIN LIQUID SENSOR ALMS L 2:FUEL ALARM L 3:FUEL ALARM L 4:FUEL ALARM R 3:ALARM TYPE: STANDARD ALARM HISTORY REPORT NORMALLY OPEN ----- SENSOR ALARM ----- L 2:PREM SUMP LIQUID SENSOR ALMS STP SUMP ALL:FUEL ALARM FUEL ALARM LEAK TEST METHOD AUG 23, 2007 11 :25 AM R 4:ALARM SENSOR OUT ALARM TEST ON DATE ALL TANK TYPE: JUL 5, 2007 4:47 AM SEP 27, 2000 STANDARD START TIME : 1 :00 AM NORMALLY OPEN SENSOR OUT ALARM TEST RATE :0,20 GAL/HR DURATION 4 HOURS JUL 5, 2007 4: 12 AM LIQUID SENSOR ALMS L 1 :FUEL ALARM L 2:FUEL ALARM LEAK TEST REPORT FORMAT L 3:FUEL ALARM NORMAL L 4:FUEL ALARM ALARM HISTORY REPORT ----- SENSOR ALARM ----- L ANNULAR SPACE HISTORY REPORT ANNULAR SPACE ----- SENSOR ALARM ----- FUEL ALARM L 4:EMERGENCY STOP AUG 23, 2007 11 :28 AM ----- SENSOR ALARM ----- OTHER SENSORS L 5: FUEL ALARM SENSOR OUT ALARM OTHER SENSORS AUG 28, 2008 1 :09 PM JUL 5, 2007 1 :40 AM SETUP DATA WARNING JUN 4. 2005 2:35 PM SENSOR OUT ALARM SETUP DATA WARNING JUL 5, 2007 1 :40 AM FEB 18, 2005 11 :30 AM SETUP DATA WARNING JAN 12. 2004 4:40 PM ----- SENSOR ALARM ----- L 4:EMERGENCY STOP OTHER SENSORS SENSOR OUT ALARM AUG 28. 2008 1 :09 PM END * * END ----- SENSOR ALARM ----- L 4:EMERGENCY STOP OTHER SENSORS ALARM HISTORY REPORT FUEL ALARM AUG 28. 2008 1 :09 PM ----- SENSOR ALARM ----- L 4:EMERGENCY STOP _____ SENSOR ALARf°M ----- OTHER SENSORS FUEL ALARM L 2:PREM SUMP AUG 22, 2008 7: 18 PM STP SUMP FUEL ALARM FUEL ALARM AUG 28, 2008 1 :01 PM JUN 29, 2008 2:52 PM - SENSOR OUT ALARM ----- SENSOR ALARM ----- JUN 29. 2008 2:52 PM L 4:EMERGENCY STOP OTHER SENSORS SENSOR OUT ALARM AUG 28, 2008 1 :09 PM ----- SENSOR ALARM ----- L 1 :UNL SUMP STP SUMP FUEL ALARM AUG 28, 2008 1 :02 PM END * n ----- SENSOR ALARM ----- L 3:ANNULAR ANNULAR SPACE FUEL ALARM AUG 28. 2008 1 :03 PM ----- SENSOR ALARM ----- L 4:EMERGENCY STOP OTHER SENSORS ----- SENSOR ALARM ----- L 4:EMERGENCY STOP OTHER SENSORS FUEL ALARM AUG 28, 2008 1 :09•PM TEXACO MINI STOP 2900 UNION HAKERSFIELD.CA AUG 28. 2008 1 :12 PM SYSTEM STATUS REPORT. ALL FUNCTIONS NORMAL TEXACO MINI STOP 2900 UNION HAKERSFIELD.CA AUG-28, 2008 1 :39 PM SYSTEM STATUS REPORT ALL FUNCTIONS NORMAL SWRCB,January 2006 Spill Bucket Testing Report Form This form is intended for use by contractors performing annual testing of UST spill containment structures. The completed form and printouts from tests(if applicable), should be provided to the facility owner/operator for submittal to the local regulatory agency. 1. FACILITY INFORMATION Facility Name: Texaco Minit Stop Liquor Date of Testing: 8/28/2008 Facility Address: 2900 Union Ave., Bakersfield,CA 93305 Facility Contact: Brian Alderete Phone: 661-327-5008 Date Local Agency Was Notified of Testing : 8/18/2008 Name of Local Agency Inspector(f present during testing): Craig Perkins 2. TESTING CONTRACTOR INFORMATION Company Name: Confidence UST Services, Inc. Technician Conducting Test: Nicholas Petty Credentials': X CSLB Contractor X ICC Service Tech. ❑SWRCB Tank Tester ❑Other(Spec) License Number(s): CSLB#804904 ICC#5315537-UT 3. SPILL BUCKET TESTING INFORMATION Test Method Used: x Hydrostatic ❑Vacuum ❑Other Test Equipment Used: Lake Test Equipment Resolution: 0.0625" emu._.... _.. --.��.4 . ,._.a. .�_�-,��..,�._,_� ;,x,,::�_��z.��,��..,���p- ,•„��.., e._„�,��:.,�.,:� �.,. .. __,.�� .,...... .�..<. -,. Identify Spill Bucket (By Tank 1 Regular#1 2 Regular#2 3 4 Number, Stored Product, etc.) i I Bucket Installation Type: ❑ Direct Bury ❑Direct Bury ❑ Direct Bury ❑Direct Bury x Contained in Sump x Contained in Sump Contained in Sump Contained in Sum Bucket Diameter: 12.00” 12.00” Bucket Depth: 12.00" 12.00" Wait time between applying 5 min. 5 min. vacuum/water and start of test: Test Start Time(Tj): l:00pm 1:00pm Initial Reading(Rj): 8.00" 8.50" Test End Time(TF): 2:00pm 2:00pm Final Reading(RF): 8.00" 8.50" Test Duration(TF—TI): 1 hour I hour Change in Reading(RF-Rj): 0.00" 0.00" Pass/Fail Threshold or 0.0625" 0.0625" Criteria: Test Result: X Pass ❑Fail X Pass ❑Fail Pass ❑Fail Pass Fail Comments— (include information on repairs made prior to testing, and recommended follow-up for failed tests) CERTIFICATION O EC NIC AN R SP SIBLE FOR CONDUCTING THIS TESTING I hereby certify that all the in for atio c t ed in e,accurate, and in full compliance with legal requirements. Technician's Signature: Date: 8/28/2008 ' State laws and regulations do not currently require testing to pe ormed by a qualified contractor. However, local requirements may be more stringent. --;:-,J ~ 'i ~~/ MONITOR SYSTEM CERTIFICATION For Use By All Jurisdictions W,thin the State of Caldomia Authority Cited· Chapter 6, 7, Health and Safety Code; Chapter 16, Division 3, Title 23, Caldomia Code of Regulations This form must be used to document testin9 and servici"9 of monitorinq equipment !"-~.Pªf!!J!!_~rtifi,,ªJjQ[LºU!>QO~.!1ly~Lt&P[.PJM!!!! for ~.Qni\QfÌ.DJny~t.!D.£Q!]![Q[I1e.!l.!by the technician who performs the work. A copy of this form must be provided to the lank ·system owner/operator. The owner/operator must submit a copy of this form to the local agency regulaling UST syslems within 30 days' of test date. . A. GenerallnfOl'lMtion Facility Name; Mini! Stop Mar1<et Site Address: 2900 Union Avenue Facility Contact Person: Nassari Make/Model of Monitoring System: B. Inventory of Equipment Tested/Certified City·. Bldg. No. Bakersfield Contact Phone No. (661) Date of T esling/Servicing: Gilbarco SIN A0470726605001 edlserviced : Zip 93305 619-<1547 10/15/04 S lit Tank, Same Annulars Tank 10: # 2 Prem,um In·Tenk Gauging Probe. Annular Space or Vault Sensor Piping SumplTrench Sensor(s) Fill Sump Sensor(s) Mechanical Line Leak Detector Electronic Line Leak Detector Tenk Overfill/ High-Level Sensor. Dispenser Containmenl Sensor! s) Sheer Valve(s) Oispenser Containment Float!s) and Chain(s) Olher s ui nt I and model in Section E on P Tank 10: In-Tank Gauging Probe. Annular Space or Vault Sensor Piping SumpIT ranch Sensor( s) Fill Sump Sensor(s) Mechanical Line Leak Detector. Electronic Line Leak Delector Tank Overlill/ High-Level Sensor. Dispenser Containment Sensor! s) Shear Valve(s). Dispenser Containment Float(s) and Chain(s). Other ui ment and model in Section E on P Model: Model: Model: Model: Model: Model Model Model Gilbarco Gilbarco Gilbarco -------- Model: Model: Model: Model: Model: Model: Model Model· Gilberco Gilbarco rri Slate Check the a riate box.. to indicate ul Tank 10: # 1 Unleaded x In-Tank Gauging Probe. x Annular Space or Vault Sensor. Piping SumplTrench Sensor(s). Fill Sump Sensor(s). Mechanical Line Leak Detector. Electronic Line Leak Detector. Tank Overfill/ High-Level Sensor. Dispenser Containment Sensor(s) Shear Valve(s) Dispenser Contamment Float(s) and Chain(s) Other s ui ent t and model in Section E on P Tank 10: In- Tank Gauging Probe. Annular Space or Vault Sensor. Piping SumplTrench Sensor(s). Fill Sump Sensor(s). Mechanical Line Laak Detector. ,Ele<;tronic Line Leak Detector. Tank Overfill/ High-Level Sensor Dispenser Containment Sensor!s). She~r ,Valve(s). Dispenser Containment Float(s) and,Chaln(s). Othèr s u, t and rno:œl in Section E on P ------- 2 Model Model: Model· Model Model: Model Model Model 2. Model: Model: Model: Model: Model: Model· Model Model: 2. C. Certification - I certify that the equipment iden1ifl8d in this document was inspected/serviced in accordance with the manufacturer's QUidelines. Altached to this Certification is information (e.g. manutacturOfS' checl<llsts) necessary to verify that this information is corract and a Plot Plan showing Ihe layout of monitoring equipment For any equipment capable of generating such reports, I have also attached a copy of the reportl (check all thai apply) 0 System sat-up o Alarm history report Technician Name (print): Michael Moore CertlLic. No. 562060699 T eating Company Name: Redwine T eating SeNiœs, Inc. Phone No.: (800) 582-6368 Page , of 3 Signam.J.....Jl vh1 ~ ~ Monitor System CerttftcatIon Site Addn¡ss: 2900 Union Avenue, Bakersfieid, CA Date of TestinglSelvicìng: 10/15/04 D. Results of TestlnglServicing Software Version Installed: Gilbarco # A0470726605001 No' N/A No' For pressurized piping systems, does the turbine automatically shut down if the piping secondary containment NJA monitoring system detects e leak, fails to operate, or is electrically disconnected? n yes which sensors initiate positive shut-<i<>M1? (Check all that apply) . [Ð Sumprrrench Sensors: 0 Dispenser Conta,nment Sensors. Did ou confirm itive shut-<i<>M1 due to leaks and sensor failure/disconnection? IKJYes· 0 No. No' For tank systems that utilize the monitoring system as the primary tank overfill waming device (Ie. no mechanical NJA overfill prevènlion valve is installed), is the overfill waming alarm visible and audible at the tank fill point(s) and . ati ? n so, at what cent of tank does the alarm tri 90 %. No' Was any monitoring equipment replaced? n yes, identify specific sensors, probes, or other equipment replaced and list the manufecturar name and model for all replacement parts in Section E, below. ._ NO' Was liquid found insidð any secondary rontainment 'ystems designed as dry systems? (Cneck all mal apply) o Product: 0 Water n ~,..2~scribe causes ,n Sect,on E, bel~":'.· . No· Was monitOfi s stem set-u reviewed to ensure ~~r set1ings? Attach set ~ reports. If applicable Yas No' Is all mon,tori ui t rational manufacturers iflcations? . In Section E below, describe how and when these deflclencles _re or will be corrected. Is the audible alarm ational? Is the visual alarm ational? Wen¡ all sensors visual! in ed functionall tested and confirmed rational? Were all sensors installed at lowest point of secondary containmen1 and positioned so that other equipment will not inteñere with their ation? n alarms are relayed to a remote monitoring station, is all communications equipment (eg. modem) operational? ----- E. Comments: Category Form Serial # Unleaded Gilbarco Piping Sump P A025920000 1 0 370383 Gilbarco Annular P A02691 I 44000 319968 Premium Tri State 0794380·208 N/A Gilbarco PA02691144000 319968 Four (4) spill buckets tested - water test performed passed --.- Page 2 of 3 03101 :-- \- Monitoring System certIfIcaöon Site Address: 2900 Union Avenue, Bakersfield, CA Data of T astlnQlServicing 10 115/ D4 o ChOCll this box if lank gaU\ ing is used vnly fOf inventory control. o Check this box If no !ank gau¡¡ing or SIR equipment is installed. This section must be complated if in-tank gaU¡¡lng eqUlpmenl is used to perform laak detection monitoring. F. In-Tank Gauging / SIR Equipment: C lete the followi checklist: x Yas No· and termination, includi tasti for ound fauns? . Whera visible Yes No· and residue buHdu ? Yas No· Yes No' Yas No· Yes No· Were all items on the ui manufacturer's maintenance checklist com letad? . In the Section H, below, describe how and when theM deflclençiea were or will be corrected. G. Una Leak Detectons (LLD): ŒJ Check this box II LLDs ara not installed. ete the followt checklist: es 0 NlA No· No· No· NiA No' For electronic LLDs, does the turbine automatically shut off II the LLD detects a leak? NIA No' NlA No' NlA No· NlA Yes No' Were all items on the I manufacturer's maintenanoa cI1ecklist . In the Section H, below, describe how and when theM deficiencies were or will be corrected. onnanœ . F Of electronic LLDs, does the turbine automatically shut off II any pQ(1ion of the monitoring systam is disabled or disconnected? For electronic LLDs, does the turbine automatically shut off if any pQ(1ion of the monitoring syslem mallunctions Of fails a test? FOf alectronic LLDs, have all accessible wiring connections been visually inspected? leled? H. Commenta: Page 3 01 3 03101 ~~~:~11D¡ ~YI1ØQ CentrkaUoo i'~' I; .,''',. ~'~Yi;' Þ-;1' '~r ,i-':;...., ~>,:'. '''·Cr,·. f'¡''fv" . 1ij~' ~'~~ Address: ~(:,~.¡,\ ~\.'\ ST"'\> \,v'Av)'-e-T 1 ~ø~.4,~' ~.J(,~;, ,;. . . . . . " ..,.,. 'J..\:..II' . i'~ f;> ,il .:.:,.:"... ,~;,'::'; . . 0g. o . . . . .:,:",,' UST MODitoring Site Plan :lC\00 lÜ~\o,^ Auc.) t'~)o\~X\J J CA S "?»OS , . . . . . . . , . . . , '. ·0" .~/.. .. '~p~' . . . . . .'). . g. ~. X .. .t.. '" . '? .. " <') . . . . \..:... . _' ; :t' \ , . ;':.'. . , , \ .' '~~\.:.:,:. . , ' . t:. . t1', ~. ~¡It<f!\' ~~{~:' ' ~~"{': ~;.\;~. . . '~~yOu already have I diagram that shoWI all required information. you may irK:lude it, rather than thjs ~e, with ':;r' :Onr Monitoring System CertifiC4tion On your site plan, show the general layout of tanks and piping. Clevty , '; :'".', . locations of the foUowing equjpmem, if inøtalled. monitoring system C<>cttroJ p~e1s; sensors mocit.oriDg i.~.k annular spaces, 5WDp~ dispe-n~ pam. spill coDtainm, or other $CCODdary contalnment areu; ~hanjca.l or '~¡~.' we line Je&k de(ectors; and in-tank liquid levcl probes (if used for leak detection), In the &p&ee provi<k;d, .~~ the cJ.te t.biJ Site Plan was prepared, 1':.,',)., . . ¥-."r.'~ " \ ]::~;2:::' ~""^'. ~ 'J~.:.; . :~"j ",: HI'!·','·· ':.:r.:.1·-', :,¡:,~!,i. . i~.r!;~ : ~ ( . :"'-.f' '> . . o.4:-~ . ..-.-...., L~::·· .....!.--~ . . t , . , . . . -_...---'------..~\ . i · i. . . . . , . . . . . , . . , . ;. i '\ · I· 0:,\\n'«O. . , l . , ; 1J ~~~oY ....... .L. . . . · [.~ ---'~:-'--~ ~ . t.J e;(A~ ~ . ~ i--.; '--Ttf. . . ·t-º~-· '-J' . . ~~._-.-~.. .~L-..., ~ ~ 1VU drawn; JQ.. lit~, InstTUctiQlU __0 ..... '." "