HomeMy WebLinkAboutFMC 2020&(56 &DOLIRUQLD(QYLURQPHQWDO5HSRUWLQJ6\VWHP,' ,GHQWLILFDWLRQ,&& ,QWHUQDWLRQDO&RGH&RXQFLO< <HV1 1R1$ 1RW$SSOLFDEOH
81 ZZZXQLGRFVRUJ 5HY
81'(5*5281'6725$*(7$1.
021,725,1*6<67(0&(57,),&$7,21)250 3DJHRI
7KLVIRUPPXVWEHXVHGWRGRFXPHQWWHVWLQJDQGVHUYLFLQJRIXQGHUJURXQGVWRUDJHWDQN 867 PRQLWRULQJHTXLSPHQW$FRS\
RIWKLVIRUPPXVWEHSURYLGHGWRWKH867RZQHURURSHUDWRU7KHRZQHURURSHUDWRUPXVWVXEPLWDFRS\RIWKLVIRUPWRWKHORFDO
DJHQF\UHJXODWLQJWKH867VZLWKLQGD\VRIWKHGDWHRIWKHPRQLWRULQJV\VWHPFHUWLILFDWLRQ
, )$&,/,7<,1)250$7,21
&(56,''DWHRI0RQLWRULQJ6\VWHP&HUWLILFDWLRQ
%XVLQHVV1DPH(Same as Facility Name or DBA-Doing Business As)
%XVLQHVV6LWH$GGUHVV &LW\ =,3&RGH
,, 81'(5*5281'6725$*(7$1.6(59,&(7(&+1,&,$1,1)250$7,21
1DPHRI&RPSDQ\3HUIRUPLQJWKH&HUWLILFDWLRQ 3KRQH
0DLOLQJ$GGUHVV
1DPHRI8676HUYLFH7HFKQLFLDQ3HUIRUPLQJWKH&HUWLILFDWLRQ(Print as shown on the ICC Certification)
&RQWUDFWRU7DQN7HVWHU/LFHQVH ,&&&HUWLILFDWLRQ ,&&&HUWLILFDWLRQ([SLUDWLRQ'DWH
0RQLWRULQJ6\VWHP7UDLQLQJDQG&HUWLILFDWLRQV(List all applicable certifications.) ([SLUDWLRQ'DWH
,,, 5(68/762)7(67,1*6(59,&,1*
Indicate and attach the following reports if the monitoring equipment is capable of generating either.<11$0RQLWRULQJ6\VWHP6HWXS$ODUP+LVWRU\5HSRUW
:DVDQ\PRQLWRULQJHTXLSPHQWUHSODFHG"
(If “Yes,” identify the specific devices replaced and list the manufacturer and model for all replacement parts in section IV below.)
:DVGDPDJHGHEULVRUOLTXLGIRXQGLQVLGHDQ\VHFRQGDU\FRQWDLQPHQWV\VWHPV"
(If “Yes,” describe what was found in section IV below.)
,VDOOPRQLWRULQJHTXLSPHQWRSHUDWLRQDOSHUPDQXIDFWXUHU¶VVSHFLILFDWLRQV"
(If “No,” describe why in section IV below.)
,9 &200(176
If directed to use this section, describe how and when the issues were or will be corrected.
9 &(57,),&$7,21%<8676(59,&(7(&+1,&,$1&21'8&7,1*7+,67(67,1*
,KHUHE\FHUWLI\WKDWWKHHTXLSPHQWLGHQWLILHGLQWKLVGRFXPHQWZDVLQVSHFWHGVHUYLFHGLQDFFRUGDQFHZLWK&DOLIRUQLD&RGHRI
5HJXODWLRQV7LWOH'LYLVLRQ&KDSWHU6HFWLRQDQGDOOLQIRUPDWLRQFRQWDLQHGKHUHLQLVWUXHDQGDFFXUDWH$WWDFKHGWR
WKLVFHUWLILFDWLRQLVLQIRUPDWLRQ HJPDQXIDFWXUHUV
FKHFNOLVWVPRQLWRULQJV\VWHPVHWXSDODUPKLVWRU\UHSRUWHWF QHFHVVDU\
WRYHULI\WKDWWKLVLQIRUPDWLRQDQGWKHVLWHSODQVKRZLQJWKHOD\RXWRI867V\VWHPLVFRPSOHWHDQGDFFXUDWH
8676HUYLFH7HFKQLFLDQ6LJQDWXUH
%XLOGLQJ
10022566 2/6/2020
Mt Vernon & Columbus ARCO
2698 Mt. Vernon Avenue Bakersfield 93306
16250 Meacham Road, Bakersfield, CA 93314
Aaron Perrigo
804904 8485827 9/14/2020
Veeder Root B47853 8/3/2020
Confidence UST Services, Inc. (800) 339-9930
,' ,GHQWLILFDWLRQ6: 6LQJOH:DOOHG93+ 9DFXXP3UHVVXUH+\GURVWDWLF//' /LQH/HDN'HWHFWRU
81 ZZZXQLGRFVRUJ 5HY
81'(5*5281'6725$*(7$1.
021,725,1*6<67(0&(57,),&$7,21)250 3DJHRI
9, ,19(1725<2)(48,30(17&(57,),('
A separate Monitoring System Certification Form must be prepared for each monitoring system control panel.
0DNHRI0RQLWRULQJ6\VWHP&RQWURO3DQHO
0RGHORI0RQLWRULQJ6\VWHP&RQWURO3DQHO
6RIWZDUH9HUVLRQ,QVWDOOHG
Check the appropriate boxes to indicate specific equipment inspected/serviced.
0RQLWRULQJ'HYLFH8VHG'HYLFH0RGHO0RQLWRULQJ'HYLFH8VHG'HYLFH0RGHO
7$1.,'
(By tank number, stored product, etc.)
7$1.,'
(By tank number, stored product, etc.)
,Q7DQN*DXJLQJ(SW Tank),Q7DQN*DXJLQJ(SW Tank)
$QQXODU6SDFHRU9DXOW6HQVRU$QQXODU6SDFHRU9DXOW6HQVRU
93+6HQVRU93+6HQVRU
3URGXFW3LSLQJ3URGXFW3LSLQJ
0HFKDQLFDO//'0HFKDQLFDO//'
(OHFWURQLF//'(OHFWURQLF//'
93+6HQVRU 3LSLQJ 93+6HQVRU 3LSLQJ
6XPS6HQVRU6XPS6HQVRU
93+6HQVRU 6XPS 93+6HQVRU 6XPS
)LOO3LSLQJ)LOO3LSLQJ
93+6HQVRU 3LSLQJ 93+6HQVRU 3LSLQJ
6XPS6HQVRU6XPS6HQVRU
93+6HQVRU 6XPS 93+6HQVRU 6XPS
9HQW3LSLQJ9HQW3LSLQJ
93+6HQVRU 3LSLQJ 93+6HQVRU 3LSLQJ
6XPS6HQVRU6XPS6HQVRU
93+6HQVRU 6XPS 93+6HQVRU 6XPS
9DSRU5HFRYHU\3LSLQJ9DSRU5HFRYHU\3LSLQJ
93+6HQVRU 3LSLQJ 93+6HQVRU 3LSLQJ
6XPS6HQVRU6XPS6HQVRU
93+6HQVRU 6XPS 93+6HQVRU 6XPS
0RQLWRULQJ'HYLFH8VHG
'HYLFH0RGHO0RQLWRULQJ'HYLFH8VHG
'HYLFH0RGHO
7$1.,'
(By tank number, stored product, etc.)
7$1.,'
(By tank number, stored product, etc.)
,Q7DQN*DXJLQJ(SW Tank),Q7DQN*DXJLQJ(SW Tank)
$QQXODU6SDFHRU9DXOW6HQVRU$QQXODU6SDFHRU9DXOW6HQVRU
93+6HQVRU93+6HQVRU
3URGXFW3LSLQJ3URGXFW3LSLQJ
0HFKDQLFDO//'0HFKDQLFDO//'
(OHFWURQLF//'(OHFWURQLF//'
93+6HQVRU 3LSLQJ 93+6HQVRU 3LSLQJ
6XPS6HQVRU6XPS6HQVRU
93+6HQVRU 6XPS 93+6HQVRU 6XPS
)LOO3LSLQJ)LOO3LSLQJ
93+6HQVRU 3LSLQJ 93+6HQVRU 3LSLQJ
6XPS6HQVRU6XPS6HQVRU
93+6HQVRU 6XPS 93+6HQVRU 6XPS
9HQW3LSLQJ9HQW3LSLQJ
93+6HQVRU 3LSLQJ 93+6HQVRU 3LSLQJ
6XPS6HQVRU6XPS6HQVRU
93+6HQVRU 6XPS 93+6HQVRU 6XPS
9DSRU5HFRYHU\3LSLQJ9DSRU5HFRYHU\3LSLQJ
93+6HQVRU 3LSLQJ 93+6HQVRU 3LSLQJ
6XPS6HQVRU6XPS6HQVRU
93+6HQVRU 6XPS 93+6HQVRU 6XPS
Veeder Root TLS-350 334.01
T1 Unl
847390-207
794390-409
FX1V
794380-208
794380-208
T2 Prem
847390-107
794390-409
FX1V
794380-208
794380-208
,' ,GHQWLILFDWLRQ93+ 9DFXXP3UHVVXUH+\GURVWDWLF8'& 8QGHU'LVSHQVHU&RQWDLQPHQW
81 ZZZXQLGRFVRUJ 5HY
81'(5*5281'6725$*(7$1.
021,725,1*6<67(0&(57,),&$7,21)250 3DJHRI
0RQLWRULQJ'HYLFH8VHG'HYLFH0RGHO0RQLWRULQJ'HYLFH8VHG'HYLFH0RGHO
9(1775$16,7,216803,' 9(1775$16,7,216803,'
6XPS6HQVRU6XPS6HQVRU
93+6HQVRU93+6HQVRU
8'&,' 8'&,'
(OHFWURQLF6HQVRU(OHFWURQLF6HQVRU
0HFKDQLFDO'HYLFH0HFKDQLFDO'HYLFH
93+6HQVRU93+6HQVRU
8'&,' 8'&,'
(OHFWURQLF6HQVRU(OHFWURQLF6HQVRU
0HFKDQLFDO'HYLFH0HFKDQLFDO'HYLFH
93+6HQVRU93+6HQVRU
8'&,' 8'&,'
(OHFWURQLF6HQVRU(OHFWURQLF6HQVRU
0HFKDQLFDO'HYLFH0HFKDQLFDO'HYLFH
93+6HQVRU93+6HQVRU
8'&,' 8'&,'
(OHFWURQLF6HQVRU(OHFWURQLF6HQVRU
0HFKDQLFDO'HYLFH0HFKDQLFDO'HYLFH
93+6HQVRU93+6HQVRU
2WKHU0RQLWRUHG&RPSRQHQW,' 2WKHU0RQLWRUHG&RPSRQHQW,'
2WKHU(Specify in section VII.)2WKHU(Specify in section VII.)
2WKHU0RQLWRUHG&RPSRQHQW,' 2WKHU0RQLWRUHG&RPSRQHQW,'
2WKHU(Specify in section VII.)2WKHU(Specify in section VII.)
2WKHU0RQLWRUHG&RPSRQHQW,' 2WKHU0RQLWRUHG&RPSRQHQW,'
2WKHU(Specify in section VII.)2WKHU(Specify in section VII.)
Include information for every underground storage tank component monitored by this monitoring system control panel. If the monitoring system
control panel monitors more components than this form accommodates, additional copies of these pages may be attached.
9,, &200(176
Use this section to provide additional comments about the inventory of the equipment certified.
1-2
794380-208
3-4
794380-208
5-6
794389-208
7-8
784380-208
< <HV1 1R1$ 1RW$SSOLFDEOH
81 ZZZXQLGRFVRUJ 5HY
81'(5*5281'6725$*(7$1.
021,725,1*6<67(0&(57,),&$7,21)250 3DJHRI
9,,, 021,725,1*6<67(0$1'352*5$00,1*
This section must be completed if a monitoring panel is used to perform leak detection monitoring.<11$
$UHWKHYLVXDODQGDXGLEOHDODUPVRSHUDWLRQDO"
:HUHDOOVHQVRUVYLVXDOO\LQVSHFWHGIRUNLQNVDQGEUHDNVLQWKHFDEOHVDQGIRUUHVLGXDOEXLOGXSWRHQVXUHWKDWIORDWVPRYHIUHHO\
IXQFWLRQDOO\WHVWHGDQGFRQILUPHGRSHUDWLRQDO"
:HUHDOOVHQVRUVLQVWDOOHGDWORZHVWSRLQWRIVHFRQGDU\FRQWDLQPHQWDQGSRVLWLRQHGVRWKDWRWKHUHTXLSPHQWZLOOQRWLQWHUIHUHZLWK
WKHLUSURSHURSHUDWLRQ"
:DVPRQLWRULQJV\VWHPVHWXSUHYLHZHGWRHQVXUHSURSHUVHWWLQJV"
:DVWKHPRQLWRULQJSDQHO¶VEDFNXSEDWWHU\YLVXDOO\LQVSHFWHGIXQFWLRQDOO\WHVWHGDQGFRQILUPHGRSHUDWLRQDO"
'RHVWKHIORZRIIXHOVWRSDWWKHGLVSHQVHULIDOHDNLVGHWHFWHGLQWKHXQGHUGLVSHQVHUFRQWDLQPHQW"
'RHVWKHWXUELQHDXWRPDWLFDOO\VKXWGRZQLIWKHSLSLQJVHFRQGDU\FRQWDLQPHQWPRQLWRULQJV\VWHPIDLOVWRRSHUDWHRULVHOHFWULFDOO\
GLVFRQQHFWHG"
'RHVWKHWXUELQHDXWRPDWLFDOO\VKXWGRZQLIWKHSLSLQJVHFRQGDU\FRQWDLQPHQWPRQLWRULQJV\VWHPGHWHFWVDOHDN"
:KLFKVHQVRUVLQLWLDWHSRVLWLYHVKXWGRZQ"(Check all that apply.)6XPS8QGHU'LVSHQVHU&RQWDLQPHQW
,IDODUPVDUHUHOD\HGWRDUHPRWHPRQLWRULQJVWDWLRQLVDOOFRPPXQLFDWLRQVHTXLSPHQW HJPRGHP RSHUDWLRQDO"
For any answer of “N” above, describe in Section IX how and when these deficiencies were or will be corrected.
,; &200(176
; ,17$1.*$8*,1*7(67,1*
&KHFNWKLVER[LIWDQNJDXJLQJLVXVHGRQO\IRULQYHQWRU\FRQWURO(Do not complete this section.)
<11$&KHFNWKLVER[LI12WDQNJDXJLQJHTXLSPHQWLVLQVWDOOHG (Do not complete this section.)
This section must be completed if in-tank gauging is used to perform leak detection monitoring.
+DVDOOLQSXWZLULQJEHHQLQVSHFWHGIRUNLQNVDQGEUHDNVLQWKHFDEOHVDQGIRUSURSHUHQWU\DQGWHUPLQDWLRQLQFOXGLQJWHVWLQJIRU
JURXQGIDXOWV"
:HUHDOOLQWDQNJDXJLQJSUREHVYLVXDOO\LQVSHFWHGIRUGDPDJHDQGUHVLGXHEXLOGXSWRHQVXUHWKDWIORDWVPRYHIUHHO\IXQFWLRQDOO\
WHVWHGDQGFRQILUPHGRSHUDWLRQDO"
:DVDFFXUDF\RIV\VWHP¶VSURGXFWOHYHOUHDGLQJVWHVWHG"
:DVDFFXUDF\RIV\VWHP¶VZDWHUOHYHOUHDGLQJVWHVWHG"
:HUHDOOSUREHVUHLQVWDOOHGSURSHUO\"
:HUHDOOLWHPVRQWKHHTXLSPHQWPDQXIDFWXUHU¶VPDLQWHQDQFHFKHFNOLVWFRPSOHWHG"
For any answer of “N” above, describe in Section XI how and when these deficiencies were or will be corrected.
;, &200(176
*3+ *DOORQV3HU+RXU< <HV1 1R1$ 1RW$SSOLFDEOH93+ 9DFXXP3UHVVXUH+\GURVWDWLF,' ,GHQWLILFDWLRQ
81 ZZZXQLGRFVRUJ5HY
81'(5*5281'6725$*(7$1.
021,725,1*6<67(0&(57,),&$7,21)250 3DJHRI
;,, /,1(/($.'(7(&7257(67,1*
&KHFNWKLVER[LIOLQHOHDNGHWHFWRUV //' DUH127LQVWDOOHG(Do not complete this section.)<11$This section must be completed if LLDs are installed.
:DVDOHDNVLPXODWHGWRYHULI\//'SHUIRUPDQFH"
(Check all that apply.)6LPXODWHGOHDNUDWHYHULILHG *3+*3+*3+
:DVWKHWHVWLQJDSSDUDWXVSURSHUO\FDOLEUDWHG"
)RUHPHUJHQF\JHQHUDWRUWDQNV\VWHPVGRHVWKH//'FUHDWHDQDXGLEOHDQGYLVXDODODUPZKHQDOHDNLVGHWHFWHG"
)RUPHFKDQLFDO//'VGRHVWKH//'UHVWULFWWKHIORZWKURXJKWKHSLSHZKHQDOHDNLVGHWHFWHG"
)RUHOHFWURQLF//'VGRHVWKHWXUELQHDXWRPDWLFDOO\VKXWRIIZKHQDOHDNLVGHWHFWHG"
)RUHOHFWURQLF//'VGRHVWKHWXUELQHDXWRPDWLFDOO\VKXWRIILIDQ\SRUWLRQRIWKHPRQLWRULQJV\VWHPLVGLVDEOHGRUGLVFRQQHFWHG"
)RUHOHFWURQLF//'VGRHVWKHWXUELQHDXWRPDWLFDOO\VKXWRIILIDQ\SRUWLRQRIWKHPRQLWRULQJV\VWHPPDOIXQFWLRQVRUIDLOVDWHVW"
)RUHOHFWURQLF//'VKDYHDOODFFHVVLEOHZLULQJFRQQHFWLRQVEHHQYLVXDOO\LQVSHFWHGIRUNLQNVDQGEUHDNV"
:HUHDOOLWHPVRQWKHHTXLSPHQWPDQXIDFWXUHU¶VPDLQWHQDQFHFKHFNOLVWFRPSOHWHG"
:HUHDOO//'VFRQILUPHGRSHUDWLRQDOZLWKLQUHJXODWRU\UHTXLUHPHQWV"
For any answer of “N” above, describe in Section XIII how and when these issues were or will be corrected.
;,,, &200(176
;,9 9$&88035(6685(+<'5267$7,&021,725,1*(48,30(177(67,1*
&KHFNWKLVER[LI93+PRQLWRULQJLV127XVHG(Do not complete this section.)
This section must be completed if VPH monitoring is used to perform leak detection monitoring.
6\VWHP7\SH 0DUNDOOWKDWDSSO\ 9DFXXP3UHVVXUH+\GURVWDWLF
6HQVRU,'&RPSRQHQW 6 0RQLWRUHG%\7KLV6HQVRU 6HQVRU)XQFWLRQDOLW\
7HVW
,QWHUVWLWLDO&RPPXQLFDWLRQ
7HVW
3DVV )DLO 3DVV )DLO
3DVV)DLO3DVV)DLO
3DVV)DLO3DVV)DLO
3DVV)DLO3DVV)DLO
3DVV)DLO3DVV)DLO
3DVV)DLO3DVV)DLO
3DVV)DLO3DVV)DLO
3DVV)DLO3DVV)DLO
3DVV)DLO3DVV)DLO
3DVV)DLO3DVV)DLO
3DVV)DLO3DVV)DLO
3DVV)DLO3DVV)DLO
+RZZDVLQWHUVWLWLDOFRPPXQLFDWLRQYHULILHG"6LPXODWHG/HDNDW)DU(QGVRIWKH,QWHUVWLWLDO6SDFH9LVXDO,QVSHFWLRQ
2WKHU(Describe the method in section XV below.)*DXJH
:DVWKHYDFXXPRUSUHVVXUHUHVWRUHGWRRSHUDWLQJOHYHOVLQDOOLQWHUVWLWLDOVSDFHV"<HV1R(Describe the reason in section XV below.)
For any answer of “Fail” above, describe in Section XV how and when these issues were or will be corrected.
;9 &200(176
Arco AMPM Setup
Responses Received: 200 ARCO AMPM 83781 2698 MT VERNON AVE BAKERSFIELD CA 93306 FEB 6, 2020 11:01 AM TANK PRODUCT GALLONS INCHES WATER DEG F ULLAGE 1 UNLEADED R 17481 96.62 0.0 52.0 2222 2 UL PREMIUM 4238 45.68 0.0 58.4 7611 I90500 FEB 6, 2020 11:01 AM SOFTWARE REVISION LEVEL VERSION 334.01 SOFTWARE# 346334-101-B CREATED - 17.01.09.18.49 S-MODULE# 330160-004-a SYSTEM FEATURES: PERIODIC IN-TANK TESTS ANNUAL IN-TANK TESTS ISD/APM I50500 FEB 6, 2020 11:01 AM SYSTEM TYPE AND LANGUAGE FLAG SYSTEM UNITS U.S. SYSTEM LANGUAGE ENGLISH SYSTEM DATE/TIME FORMAT MON DD YYYY HH:MM:SS xM I50201 FEB 6, 2020 11:01 AM SHIFT TIME 1 : 6:00 AM I50202 FEB 6, 2020 11:01 AM SHIFT TIME 2 : DISABLED I50203
FEB 6, 2020 11:01 AM SHIFT TIME 3 : DISABLED I50204 FEB 6, 2020 11:01 AM SHIFT TIME 4 : DISABLED I54600 FEB 6, 2020 11:01 AM TANK PER TST NEEDED WRN: DISABLED I54900 FEB 6, 2020 11:01 AM TANK ANN TST NEEDED WRN: DISABLED I55300 FEB 6, 2020 11:01 AM LINE RE-ENABLE METHOD PASS LINE TEST I55600 FEB 6, 2020 11:01 AM LINE PER TST NEEDED WRN: DISABLED I55900 FEB 6, 2020 11:01 AM LINE ANN TST NEEDED WRN: DISABLED I50D00 FEB 6, 2020 11:01 AM PRINT TC VOLUMES ENABLED I50E00 FEB 6, 2020 11:01 AM TEMP COMPENSATION VALUE (DEG F ): 60.0
I60B00 FEB 6, 2020 11:01 AM STICK HEIGHT OFFSET ENABLE STATUS DISABLED I51400 FEB 6, 2020 11:01 AM H-PROTOCOL DATA FORMAT HEIGHT I51A01 FEB 6, 2020 11:02 AM DAYLIGHT SAVING TIME ENABLED OFF I51B00 FEB 6, 2020 11:02 AM DAYLIGHT SAVING TIME START DATE MAR WEEK 2 SUN 2:00 AM END DATE NOV WEEK 1 SUN 2:00 AM I51600 FEB 6, 2020 11:02 AM RE-DIRECT LOCAL PRINTOUT DISABLED I50400 FEB 6, 2020 11:02 AM 232 SECURITY CODE PORT SECURITY CODE STATUS 1 000000 DISABLED 2 000000 DISABLED 3 000000 DISABLED 4 000000 DISABLED 5 000000 DISABLED 6 000000 DISABLED
I21900 FEB 6, 2020 11:02 AM TANK CHART SECURITY DISABLED I5BD00 FEB 6, 2020 11:02 AM CUSTOM ALARM LABELS DISABLED I56000 FEB 6, 2020 11:02 AM MASS/DENSITY DISABLED I88101 FEB 6, 2020 11:02 AM PORT SETTINGS: COMM BOARD : 1 (EDIM ) RS-232 SECURITY CODE : DISABLED I88102 FEB 6, 2020 11:02 AM PORT SETTINGS: COMM BOARD : 2 (S-SAT ) BAUD RATE : 9600 PARITY : NONE STOP BIT : 1 STOP DATA LENGTH: 8 DATA RS-232 SECURITY CODE : DISABLED DTR NORMAL STATE: HIGH I88103 FEB 6, 2020 11:02 AM PORT SETTINGS: COMM BOARD : 3 (RS-232) BAUD RATE : 9600 PARITY : NONE STOP BIT : 1 STOP DATA LENGTH: 8 DATA RS-232 SECURITY CODE : DISABLED
I88104 FEB 6, 2020 11:02 AM I88105 FEB 6, 2020 11:02 AM I88106 FEB 6, 2020 11:02 AM I52000 FEB 6, 2020 11:02 AM RECEIVER AUTO DIAL TYPE & START TIME RCVR LOCATION LABEL DIAL TYPE START TIME 1 ON DATE AUG 6, 2018 DISABLED 2 ON DATE AUG 6, 2018 DISABLED 3 ON DATE AUG 6, 2018 DISABLED 4 ON DATE AUG 6, 2018 DISABLED 5 ON DATE AUG 6, 2018 DISABLED 6 ON DATE AUG 6, 2018 DISABLED 7 ON DATE AUG 6, 2018 DISABLED 8 ON DATE AUG 6, 2018 DISABLED I60100 FEB 6, 2020 11:02 AM TANK CONFIGURATION DEVICE LABEL CONFIGURED 1 UNLEADED R ON 2 UL PREMIUM ON 3 OFF 4 OFF I60200 FEB 6, 2020 11:02 AM TANK PRODUCT LABEL TANK PRODUCT LABEL 1 UNLEADED R 2 UL PREMIUM 3 4 I60300 FEB 6, 2020 11:02 AM TANK PRODUCT CODE
TANK PRODUCT LABEL 1 UNLEADED R 1 2 UL PREMIUM 3 3 3 4 4 I60900 FEB 6, 2020 11:02 AM TANK THERMAL COEFFICIENT TANK PRODUCT LABEL 1 UNLEADED R 0.000700 2 UL PREMIUM 0.000700 3 0.000000 4 0.000000 I60700 FEB 6, 2020 11:02 AM TANK DIAMETER TANK PRODUCT LABEL INCHES 1 UNLEADED R 117.75 2 UL PREMIUM 117.75 3 0.00 4 0.00 I60A00 FEB 6, 2020 11:02 AM TANK FULL VOLUME TANK PRODUCT LABEL TANK PROFILE GALLONS 1 UNLEADED R 20 PTS 19703 2 UL PREMIUM 20 PTS 11849 3 1 PT 0 4 1 PT 0 I60400 FEB 6, 2020 11:02 AM TANK FULL VOLUME TANK PRODUCT LABEL GALLONS 1 UNLEADED R 19703 2 UL PREMIUM 11849 3 0 4 0 I60500
FEB 6, 2020 11:02 AM TANK 4 POINT VOLUMES TANK PRODUCT LABEL GALLONS 1 UNLEADED R 19703 16062 9961 3824 2 UL PREMIUM 11849 9717 5992 2243 3 0 0 0 0 4 0 0 0 0
I60600 FEB 6, 2020 11:02 AM TANK 20 POINT VOLUMES TANK PRODUCT LABEL GALLONS 1 UNLEADED R 19703 19389 18791 18010 17091 16062 14923 13739 12507 11269 9961 8678 7409 6170 4977 3824 2780 1878 1049 400 2 UL PREMIUM 11849 11676 11334 10963 10334 9717 9027 8307 7554 6795 5992 5204 4426 3652 2941 2243 1616 1079 594 221 3 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 4 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 I61500 FEB 6, 2020 11:02 AM TANK PRODUCT LABEL METER DATA 1 UNLEADED R NO 2 UL PREMIUM NO 3 NO 4 NO I62F00 FEB 6, 2020 11:02 AM MAG PROBE FLOAT SIZE TANK PRODUCT LABEL FLOAT SIZE: 1 UNLEADED R 4.0 IN. 2 UL PREMIUM 4.0 IN. I62700 FEB 6, 2020 11:02 AM TANK HIGH WATER WARNING LIMIT TANK PRODUCT LABEL INCHES 1 UNLEADED R 2.0 2 UL PREMIUM 2.0
I64200 FEB 6, 2020 11:02 AM WATER ALARM FILTER TANK PRODUCT LABEL 1 UNLEADED R LOW 2 UL PREMIUM LOW I62400 FEB 6, 2020 11:02 AM TANK HIGH WATER LEVEL LIMIT TANK PRODUCT LABEL INCHES 1 UNLEADED R 3.0 2 UL PREMIUM 3.0 I62800 FEB 6, 2020 11:02 AM TANK MAXIMUM VOLUME LIMIT TANK PRODUCT LABEL GALLONS 1 UNLEADED R 19703 2 UL PREMIUM 11849 3 0 4 0 I62300 FEB 6, 2020 11:02 AM TANK OVERFILL LEVEL LIMIT TANK PRODUCT LABEL GALLONS 1 UNLEADED R 17733 2 UL PREMIUM 10664 3 0 4 0 I62200 FEB 6, 2020 11:02 AM TANK HIGH PRODUCT LIMIT TANK PRODUCT LABEL GALLONS 1 UNLEADED R 18718 2 UL PREMIUM 11257 3 0 4 0 I62900 FEB 6, 2020 11:02 AM TANK DELIVERY REQUIRED LIMIT
TANK PRODUCT LABEL GALLONS 1 UNLEADED R 2955 2 UL PREMIUM 1777 3 0 4 0 I62100 FEB 6, 2020 11:02 AM TANK LOW PRODUCT LIMIT TANK PRODUCT LABEL GALLONS 1 UNLEADED R 1000 2 UL PREMIUM 500 3 0 4 0 I62600 FEB 6, 2020 11:02 AM TANK LEAK ALARM LIMIT TANK PRODUCT LABEL GALLONS 1 UNLEADED R 99 2 UL PREMIUM 99 3 99 4 99 I62500 FEB 6, 2020 11:02 AM TANK SUDDEN LOSS LIMIT TANK PRODUCT LABEL GALLONS 1 UNLEADED R 99 2 UL PREMIUM 99 3 99 4 99 I60800 FEB 6, 2020 11:02 AM TANK TILT TANK PRODUCT LABEL INCHES 1 UNLEADED R 1.00 2 UL PREMIUM 0.00 3 0.00 4 0.00 I60B00 FEB 6, 2020 11:02 AM STICK HEIGHT OFFSET ENABLE STATUS DISABLED
I60C00 FEB 6, 2020 11:02 AM TANK STICK HEIGHT OFFSET TANK PRODUCT LABEL INCHES 1 UNLEADED R 0.00 2 UL PREMIUM 0.00 3 0.00 4 0.00 I61200 FEB 6, 2020 11:02 AM TANK MANIFOLDED PARTNERS TANK PRODUCT LABEL SIPHON MANIFOLDED TANKS LINE MANIFOLDED TANKS 1 UNLEADED R NONE NONE 2 UL PREMIUM NONE NONE 3 NONE NONE 4 NONE NONE I63600 FEB 6, 2020 11:02 AM PERIODIC LEAK TEST MIN VOLUME TANK PRODUCT LABEL GALLONS 1 UNLEADED R 5713 2 UL PREMIUM 3436 3 0 4 0 I62A00 FEB 6, 2020 11:02 AM ANNUAL LEAK TEST MIN VOLUME TANK PRODUCT LABEL GALLONS 1 UNLEADED R 5713 2 UL PREMIUM 3436 3 0 4 0 I62C00 FEB 6, 2020 11:02 AM TANK PERIODIC TEST TYPE TANK PRODUCT LABEL PERIODIC TEST TYPE 1 UNLEADED R STANDARD 2 UL PREMIUM STANDARD 3 STANDARD 4 STANDARD I62D00 FEB 6, 2020 11:02 AM
TANK LEAK TEST FAIL ALARMS TANK PRODUCT LABEL 1 UNLEADED R GROSS TEST FAIL ALARM DISABLED PERIODIC TEST FAIL ALARM DISABLED ANNUAL TEST FAIL ALARM DISABLED 2 UL PREMIUM GROSS TEST FAIL ALARM DISABLED PERIODIC TEST FAIL ALARM DISABLED ANNUAL TEST FAIL ALARM DISABLED 3 GROSS TEST FAIL ALARM DISABLED PERIODIC TEST FAIL ALARM DISABLED ANNUAL TEST FAIL ALARM DISABLED 4 GROSS TEST FAIL ALARM DISABLED PERIODIC TEST FAIL ALARM DISABLED ANNUAL TEST FAIL ALARM DISABLED I63100 FEB 6, 2020 11:02 AM TANK LEAK TEST AVERAGING TANK PRODUCT LABEL ANNUAL PERIODIC 1 UNLEADED R OFF OFF 2 UL PREMIUM OFF OFF 3 OFF OFF 4 OFF OFF I63000 FEB 6, 2020 11:02 AM IN-TANK LEAK TEST NOTIFY TANK PRODUCT LABEL TANK TEST NOTIFY: 1 UNLEADED R OFF 2 UL PREMIUM OFF 3 OFF 4 OFF I63200 FEB 6, 2020 11:02 AM TANK TEST SIPHON BREAK TANK PRODUCT LABEL SIPHON BREAK 1 UNLEADED R OFF 2 UL PREMIUM OFF 3 OFF 4 OFF I61000 FEB 6, 2020 11:02 AM
TANK DELIVERY DELAY TANK PRODUCT LABEL 1 UNLEADED R 5 2 UL PREMIUM 5 3 1 4 1 I63A00 FEB 6, 2020 11:02 AM LOW LEVEL PUMP THRESHOLD FOR SEQUENTIAL LINE MANIFOLD TANK PRODUCT LABEL PUMP THRESHOLD 1 UNLEADED R 10.00% 2 UL PREMIUM 10.00% 3 10.00% 4 10.00% I61100 FEB 6, 2020 11:02 AM LEAK TEST METHOD - - - - - - - - - - - - TEST ON DATE : ALL TANK JAN 9, 2017 START TIME : DISABLED TEST RATE :0.20 GAL/HR DURATION : 2 HOURS TST EARLY STOP:DISABLED I61300 FEB 6, 2020 11:02 AM CSLD PROBABLITY OF DETECTION I61400 FEB 6, 2020 11:02 AM CSLD CLIMATE FACTOR I61600 FEB 6, 2020 11:02 AM TANK PRODUCT LABEL CAL UPDATE 1 UNLEADED R IMMEDIATE 2 UL PREMIUM IMMEDIATE 3 IMMEDIATE 4 IMMEDIATE
I61A00 FEB 6, 2020 11:02 AM IN-TANK LEAK TEST EARLY STOP TANK PRODUCT LABEL TST EARLY STOP: 1 UNLEADED R DISABLED 2 UL PREMIUM DISABLED 3 DISABLED 4 DISABLED I61B00 FEB 6, 2020 11:02 AM IN-TANK LEAK GROSS TEST AUTO-CONFIRM I61C00 FEB 6, 2020 11:02 AM CSLD REPORT ONLY I62B00 FEB 6, 2020 11:02 AM TANK LAST ANNUAL TEST TANK PRODUCT LABEL DATE 1 UNLEADED R ??? 0, 0 2 UL PREMIUM ??? 0, 0 3 ??? 0, 0 4 ??? 0, 0 I63300 FEB 6, 2020 11:02 AM LEAK TEST REPORT FORMAT: NORMAL I63400 FEB 6, 2020 11:02 AM RECONCILIATION WARNING LIMIT TANK PRODUCT LABEL GALLONS 1 UNLEADED R 0 2 UL PREMIUM 0 3 0 4 0 I63500 FEB 6, 2020 11:02 AM
RECONCILIATION ALARM LIMIT TANK PRODUCT LABEL GALLONS 1 UNLEADED R 1 2 UL PREMIUM 1 3 1 4 1 I63900 FEB 6, 2020 11:02 AM ACCU CHART END SHAPE FACTOR TANK PRODUCT LABEL 1 UNLEADED R END FACTOR: NONE 2 UL PREMIUM END FACTOR: NONE 3 END FACTOR: NONE 4 END FACTOR: NONE I78000 FEB 6, 2020 11:02 AM I77700 FEB 6, 2020 11:02 AM I77800 FEB 6, 2020 11:02 AM I78C00 FEB 6, 2020 11:02 AM I78300 FEB 6, 2020 11:02 AM I78F00 FEB 6, 2020 11:02 AM
I78700 FEB 6, 2020 11:02 AM I70200 FEB 6, 2020 11:02 AM LIQUID LABEL DEVICE LABEL 1 87 STP 2 87 ANN 3 91 STP 4 91 ANN 5 DISP 1-2 6 DISP 3-4 7 DISP 5-6 8 DISP 7-8 9 87 FILL 10 91 FILL 11 12 13 14 15 16 I70300 FEB 6, 2020 11:02 AM LIQUID TYPE SENSOR LOCATION TYPE 1 87 STP TRI-STATE (SINGLE FLOAT) 2 87 ANN TRI-STATE (SINGLE FLOAT) 3 91 STP TRI-STATE (SINGLE FLOAT) 4 91 ANN TRI-STATE (SINGLE FLOAT) 5 DISP 1-2 TRI-STATE (SINGLE FLOAT) 6 DISP 3-4 TRI-STATE (SINGLE FLOAT) 7 DISP 5-6 TRI-STATE (SINGLE FLOAT) 8 DISP 7-8 TRI-STATE (SINGLE FLOAT) 9 87 FILL TRI-STATE (SINGLE FLOAT) 10 91 FILL TRI-STATE (SINGLE FLOAT) 11 TRI-STATE (SINGLE FLOAT) 12 TRI-STATE (SINGLE FLOAT) 13 TRI-STATE (SINGLE FLOAT) 14 TRI-STATE (SINGLE FLOAT) 15 TRI-STATE (SINGLE FLOAT) 16 TRI-STATE (SINGLE FLOAT) I70400 FEB 6, 2020 11:02 AM LIQUID CATEGORY SENSOR LOCATION CATEGORY 1 87 STP STP SUMP
2 87 ANN ANNULAR SPACE 3 91 STP STP SUMP 4 91 ANN ANNULAR SPACE 5 DISP 1-2 DISPENSER PAN 6 DISP 3-4 DISPENSER PAN 7 DISP 5-6 DISPENSER PAN 8 DISP 7-8 DISPENSER PAN 9 87 FILL PIPING SUMP 10 91 FILL PIPING SUMP 11 OTHER SENSORS 12 OTHER SENSORS 13 OTHER SENSORS 14 OTHER SENSORS 15 OTHER SENSORS 16 OTHER SENSORS I74200 FEB 6, 2020 11:02 AM I74300 FEB 6, 2020 11:02 AM I74400 FEB 6, 2020 11:02 AM I74700 FEB 6, 2020 11:02 AM I74800 FEB 6, 2020 11:02 AM I74900 FEB 6, 2020 11:02 AM I7BC00 FEB 6, 2020 11:02 AM I80200 FEB 6, 2020 11:02 AM I80300 FEB 6, 2020 11:02 AM
I80400 FEB 6, 2020 11:02 AM I80700 FEB 6, 2020 11:02 AM RELAY LABEL DEVICE LABEL 1 87 STP 2 91 STP 3 4 OVERFILL ALARM I80900 FEB 6, 2020 11:02 AM RELAY ORIENTATION RELAY DESIGNATION ORIENTATION 1 87 STP NORMALLY CLOSED 2 91 STP NORMALLY CLOSED 3 NORMALLY OPEN 4 OVERFILL ALARM NORMALLY OPEN I80B00 FEB 6, 2020 11:02 AM RELAY TANK ASSIGNMENT RELAY DESIGNATION TANK 1 87 STP 1 2 91 STP 2 3 NONE 4 OVERFILL ALARM NONE I80A00 FEB 6, 2020 11:02 AM RELAY TYPE RELAY DESIGNATION TYPE 1 87 STP STANDARD 2 91 STP STANDARD 3 STANDARD 4 OVERFILL ALARM STANDARD I80C00 FEB 6, 2020 11:02 AM I80800
FEB 6, 2020 11:02 AM RELAY SETUP REPORT R 1:87 STP TYPE: STANDARD NORMALLY CLOSED TANK #: 1 LIQUID SENSOR ALMS L 1:FUEL ALARM L 5:FUEL ALARM L 6:FUEL ALARM L 7:FUEL ALARM L 8:FUEL ALARM L 1:SENSOR OUT ALARM L 5:SENSOR OUT ALARM L 6:SENSOR OUT ALARM L 7:SENSOR OUT ALARM L 8:SENSOR OUT ALARM L 1:SHORT ALARM L 5:SHORT ALARM L 6:SHORT ALARM L 7:SHORT ALARM L 8:SHORT ALARM ISD SITE ALARMS ISD GROSS PRES FAIL ISD DEGRD PRES FAIL ISD VAPOR LEAK FAIL ISD VP PRES FAIL ISD HOSE ALARMS ALL:GROSS COLLECT FAIL ALL:DEGRD COLLECT FAIL R 2:91 STP TYPE: STANDARD NORMALLY CLOSED TANK #: 2 LIQUID SENSOR ALMS L 3:FUEL ALARM L 5:FUEL ALARM L 6:FUEL ALARM L 7:FUEL ALARM L 8:FUEL ALARM L 3:SENSOR OUT ALARM L 5:SENSOR OUT ALARM L 6:SENSOR OUT ALARM L 7:SENSOR OUT ALARM L 8:SENSOR OUT ALARM L 3:SHORT ALARM L 5:SHORT ALARM L 6:SHORT ALARM L 7:SHORT ALARM
L 8:SHORT ALARM ISD SITE ALARMS ISD GROSS PRES FAIL ISD DEGRD PRES FAIL ISD VAPOR LEAK FAIL ISD VP PRES FAIL ISD HOSE ALARMS h 9:GROSS COLLECT FAIL h10:GROSS COLLECT FAIL h11:GROSS COLLECT FAIL h12:GROSS COLLECT FAIL h13:GROSS COLLECT FAIL h14:GROSS COLLECT FAIL h15:GROSS COLLECT FAIL h16:GROSS COLLECT FAIL h17:GROSS COLLECT FAIL h18:GROSS COLLECT FAIL h19:GROSS COLLECT FAIL h20:GROSS COLLECT FAIL h21:GROSS COLLECT FAIL h22:GROSS COLLECT FAIL h23:GROSS COLLECT FAIL h24:GROSS COLLECT FAIL h25:GROSS COLLECT FAIL h26:GROSS COLLECT FAIL h27:GROSS COLLECT FAIL h28:GROSS COLLECT FAIL h29:GROSS COLLECT FAIL h30:GROSS COLLECT FAIL h31:GROSS COLLECT FAIL h32:GROSS COLLECT FAIL h33:GROSS COLLECT FAIL h34:GROSS COLLECT FAIL h35:GROSS COLLECT FAIL h36:GROSS COLLECT FAIL h37:GROSS COLLECT FAIL h38:GROSS COLLECT FAIL h39:GROSS COLLECT FAIL h40:GROSS COLLECT FAIL h41:GROSS COLLECT FAIL h42:GROSS COLLECT FAIL h43:GROSS COLLECT FAIL h44:GROSS COLLECT FAIL h45:GROSS COLLECT FAIL h46:GROSS COLLECT FAIL h47:GROSS COLLECT FAIL h48:GROSS COLLECT FAIL h49:GROSS COLLECT FAIL h50:GROSS COLLECT FAIL h51:GROSS COLLECT FAIL h52:GROSS COLLECT FAIL h53:GROSS COLLECT FAIL h54:GROSS COLLECT FAIL h55:GROSS COLLECT FAIL h56:GROSS COLLECT FAIL h57:GROSS COLLECT FAIL h58:GROSS COLLECT FAIL h59:GROSS COLLECT FAIL h60:GROSS COLLECT FAIL h61:GROSS COLLECT FAIL h62:GROSS COLLECT FAIL
h63:GROSS COLLECT FAIL h64:GROSS COLLECT FAIL h65:GROSS COLLECT FAIL h66:GROSS COLLECT FAIL h67:GROSS COLLECT FAIL h68:GROSS COLLECT FAIL h69:GROSS COLLECT FAIL h70:GROSS COLLECT FAIL h71:GROSS COLLECT FAIL h72:GROSS COLLECT FAIL h73:GROSS COLLECT FAIL h74:GROSS COLLECT FAIL h75:GROSS COLLECT FAIL h76:GROSS COLLECT FAIL h77:GROSS COLLECT FAIL h78:GROSS COLLECT FAIL h79:GROSS COLLECT FAIL h80:GROSS COLLECT FAIL h81:GROSS COLLECT FAIL h82:GROSS COLLECT FAIL h83:GROSS COLLECT FAIL h84:GROSS COLLECT FAIL h85:GROSS COLLECT FAIL h86:GROSS COLLECT FAIL h87:GROSS COLLECT FAIL h88:GROSS COLLECT FAIL h89:GROSS COLLECT FAIL h90:GROSS COLLECT FAIL h91:GROSS COLLECT FAIL h92:GROSS COLLECT FAIL h93:GROSS COLLECT FAIL h94:GROSS COLLECT FAIL h95:GROSS COLLECT FAIL h96:GROSS COLLECT FAIL h97:GROSS COLLECT FAIL h98:GROSS COLLECT FAIL h99:GROSS COLLECT FAIL h 9:DEGRD COLLECT FAIL h10:DEGRD COLLECT FAIL h11:DEGRD COLLECT FAIL h12:DEGRD COLLECT FAIL h13:DEGRD COLLECT FAIL h14:DEGRD COLLECT FAIL h15:DEGRD COLLECT FAIL h16:DEGRD COLLECT FAIL h17:DEGRD COLLECT FAIL h18:DEGRD COLLECT FAIL h19:DEGRD COLLECT FAIL h20:DEGRD COLLECT FAIL h21:DEGRD COLLECT FAIL h22:DEGRD COLLECT FAIL h23:DEGRD COLLECT FAIL h24:DEGRD COLLECT FAIL h25:DEGRD COLLECT FAIL h26:DEGRD COLLECT FAIL h27:DEGRD COLLECT FAIL h28:DEGRD COLLECT FAIL h29:DEGRD COLLECT FAIL h30:DEGRD COLLECT FAIL h31:DEGRD COLLECT FAIL h32:DEGRD COLLECT FAIL h33:DEGRD COLLECT FAIL h34:DEGRD COLLECT FAIL
h35:DEGRD COLLECT FAIL h36:DEGRD COLLECT FAIL h37:DEGRD COLLECT FAIL h38:DEGRD COLLECT FAIL h39:DEGRD COLLECT FAIL h40:DEGRD COLLECT FAIL h41:DEGRD COLLECT FAIL h42:DEGRD COLLECT FAIL h43:DEGRD COLLECT FAIL h44:DEGRD COLLECT FAIL h45:DEGRD COLLECT FAIL h46:DEGRD COLLECT FAIL h47:DEGRD COLLECT FAIL h48:DEGRD COLLECT FAIL h49:DEGRD COLLECT FAIL h50:DEGRD COLLECT FAIL h51:DEGRD COLLECT FAIL h52:DEGRD COLLECT FAIL h53:DEGRD COLLECT FAIL h54:DEGRD COLLECT FAIL h55:DEGRD COLLECT FAIL h56:DEGRD COLLECT FAIL h57:DEGRD COLLECT FAIL h58:DEGRD COLLECT FAIL h59:DEGRD COLLECT FAIL h60:DEGRD COLLECT FAIL h61:DEGRD COLLECT FAIL h62:DEGRD COLLECT FAIL h63:DEGRD COLLECT FAIL h64:DEGRD COLLECT FAIL h65:DEGRD COLLECT FAIL h66:DEGRD COLLECT FAIL h67:DEGRD COLLECT FAIL h68:DEGRD COLLECT FAIL h69:DEGRD COLLECT FAIL h70:DEGRD COLLECT FAIL h71:DEGRD COLLECT FAIL h72:DEGRD COLLECT FAIL h73:DEGRD COLLECT FAIL h74:DEGRD COLLECT FAIL h75:DEGRD COLLECT FAIL h76:DEGRD COLLECT FAIL h77:DEGRD COLLECT FAIL h78:DEGRD COLLECT FAIL h79:DEGRD COLLECT FAIL h80:DEGRD COLLECT FAIL h81:DEGRD COLLECT FAIL h82:DEGRD COLLECT FAIL h83:DEGRD COLLECT FAIL h84:DEGRD COLLECT FAIL h85:DEGRD COLLECT FAIL h86:DEGRD COLLECT FAIL h87:DEGRD COLLECT FAIL h88:DEGRD COLLECT FAIL h89:DEGRD COLLECT FAIL h90:DEGRD COLLECT FAIL h91:DEGRD COLLECT FAIL h92:DEGRD COLLECT FAIL h93:DEGRD COLLECT FAIL h94:DEGRD COLLECT FAIL h95:DEGRD COLLECT FAIL h96:DEGRD COLLECT FAIL h97:DEGRD COLLECT FAIL
h98:DEGRD COLLECT FAIL h99:DEGRD COLLECT FAIL R 3: TYPE: STANDARD NORMALLY OPEN TANK #: NONE - NO ALARM ASSIGNMENTS - R 4:OVERFILL ALARM TYPE: STANDARD NORMALLY OPEN TANK #: NONE IN-TANK ALARMS ALL:OVERFILL ALARM ALL:HIGH PRODUCT ALARM ALL:MAX PRODUCT ALARM LIQUID SENSOR ALMS ALL:FUEL ALARM ALL:SENSOR OUT ALARM ALL:SHORT ALARM I79000 FEB 6, 2020 11:03 AM EDIM:1 VR:330273-002-C TD:97.11.13.15.52 I79100 FEB 6, 2020 11:03 AM I72300 FEB 6, 2020 11:03 AM ARCO AMPM 83781 2698 MT VERNON AVE BAKERSFIELD CA 93306 SMARTSENSOR ASSIGNMENT DEVICE LABEL CATEGORY 01 1-2 PS VAPOR PRESSURE 02 1-2 FM AIR FLOW METER 03 3-4 FM AIR FLOW METER 04 5-6 FM AIR FLOW METER
05 7-8 FM AIR FLOW METER 06 UNKNOWN 07 UNKNOWN 08 UNKNOWN 09 UNKNOWN 10 UNKNOWN 11 UNKNOWN 12 UNKNOWN 13 UNKNOWN 14 UNKNOWN 15 UNKNOWN 16 UNKNOWN 17 UNKNOWN 18 UNKNOWN 19 UNKNOWN 20 UNKNOWN 21 UNKNOWN 22 UNKNOWN 23 UNKNOWN 24 UNKNOWN 25 UNKNOWN 26 UNKNOWN 27 UNKNOWN 28 UNKNOWN 29 UNKNOWN 30 UNKNOWN 31 UNKNOWN 32 UNKNOWN 33 UNKNOWN 34 UNKNOWN 35 UNKNOWN 36 UNKNOWN 37 UNKNOWN 38 UNKNOWN 39 UNKNOWN 40 UNKNOWN IV4E00 FEB 6, 2020 11:03 AM ARCO AMPM 83781 2698 MT VERNON AVE BAKERSFIELD CA 93306 EVR/ISD SETUP TYPE: VACUUM ASSIST VACUUM ASSIST TYPE: HEALY VAC IV4F00 FEB 6, 2020 11:03 AM ARCO AMPM 83781 2698 MT VERNON AVE BAKERSFIELD CA 93306 NOZZLE A/L RANGE A/L RATIO: 0.95 - 1.15
IV4000 FEB 6, 2020 11:03 AM ARCO AMPM 83781 2698 MT VERNON AVE BAKERSFIELD CA 93306 VAPOR PROCESSOR TYPE NONE IV4700 FEB 6, 2020 11:03 AM ARCO AMPM 83781 2698 MT VERNON AVE BAKERSFIELD CA 93306 ASSESSMENT TIME START TIME: 10:00 AM TIME DELAY MINUTES: 1 IV5200 FEB 6, 2020 11:03 AM ARCO AMPM 83781 2698 MT VERNON AVE BAKERSFIELD CA 93306 ACCEPT HIGH ORVR: NO IV4A00 FEB 6, 2020 11:03 AM ARCO AMPM 83781 2698 MT VERNON AVE BAKERSFIELD CA 93306 ISD HOSE TABLE HOSE FP FP AFM REL HOSE ID ID LABEL ID ID LABEL 01 00 01 01 UU BLEND3 02 01 02 01 UU BLEND3 03 02 03 04 UU BLEND3 04 03 04 04 UU BLEND3 05 04 05 02 UU BLEND3 06 05 06 02 UU BLEND3 07 06 07 03 UU BLEND3 08 07 08 03 UU BLEND3
IV4B00 FEB 6, 2020 11:03 AM ARCO AMPM 83781 2698 MT VERNON AVE BAKERSFIELD CA 93306 PRODUCT/HOSE MAP TABLE FP AFID M1/H1 M2/H2 M3/H3 M4/H4 00 01 01/01 09/01 00/01 xx/xx 01 01 01/02 09/02 00/02 xx/xx 02 04 01/03 09/03 00/03 xx/xx 03 04 01/04 09/04 00/04 xx/xx 04 02 01/05 09/05 00/05 xx/xx 05 02 01/06 09/06 00/06 xx/xx 06 03 01/07 09/07 00/07 xx/xx 07 03 01/08 09/08 00/08 xx/xx IV4900 FEB 6, 2020 11:03 AM ARCO AMPM 83781 2698 MT VERNON AVE BAKERSFIELD CA 93306 LABEL TABLE ID LABEL 01 UNASSIGNED 02 BLEND3 03 REGULAR 04 MID GRADE 05 PREMIUM 06 GOLD 07 BRONZE 08 SILVER 09 BLEND2 10 BLEND4 IV1000 FEB 6, 2020 11:03 AM ISD VERSION: 01.05
Arco AMPM Alarm History
Responses Received: I10200 FEB 6, 2020 11:04 AM ARCO AMPM 83781 2698 MT VERNON AVE BAKERSFIELD CA 93306 SYSTEM CONFIGURATION SLOT BOARD TYPE POWER ON RESET CURRENT 1 UNUSED 9721741 9492468 2 UNUSED 9598742 9469755 3 UNUSED 9581358 9456669 4 UNUSED 9581929 9466891 5 4 PROBE / G.T. 163950 163602 6 INTERSTITIAL BD 202196 201832 7 8SMARTSENSOR BD 39453 39356 8 INTERSTITIAL BD 202372 201809 9 UNUSED 9592785 9476086 10 RELAY BOARD 14993 15007 11 UNUSED 9584325 9472098 12 UNUSED 9573265 9471702 13 UNUSED 9574322 9470446 14 UNUSED 9577960 9456347 15 UNUSED 9575485 9464718 16 UNUSED 9568823 9471416 COMM 1 ELEC DISP INT. 101341 101176 COMM 2 SERIAL SAT BD 485119 483628 COMM 3 RS232 SERIAL BD 15056 15051 COMM 4 UNUSED 9593186 9475910 COMM 5 UNUSED 9572461 9466811 COMM 6 UNUSED 9575147 9469323 I90200 FEB 6, 2020 11:04 AM SOFTWARE REVISION LEVEL VERSION 334.01 SOFTWARE# 346334-101-B CREATED - 17.01.09.18.49 S-MODULE# 330160-004-a SYSTEM FEATURES: PERIODIC IN-TANK TESTS ANNUAL IN-TANK TESTS ISD/APM I11100 FEB 6, 2020 11:04 AM ARCO AMPM 83781 2698 MT VERNON AVE BAKERSFIELD CA 93306
PRIORITY ALARM HISTORY ID CATEGORY DESCRIPTION ALARM TYPE STATE DATE TIME E 1 OTHER G COMMUNICATION ALARM CLEAR 11-28-19 2:33PM E 1 OTHER G COMMUNICATION ALARM ALARM 11-28-19 2:30PM E 1 OTHER G COMMUNICATION ALARM CLEAR 11-28-19 6:58AM E 1 OTHER G COMMUNICATION ALARM ALARM 11-28-19 6:56AM E 1 OTHER G COMMUNICATION ALARM CLEAR 11-27-19 11:52PM E 1 OTHER G COMMUNICATION ALARM ALARM 11-27-19 11:48PM E 1 OTHER G COMMUNICATION ALARM CLEAR 11-27-19 6:53PM E 1 OTHER G COMMUNICATION ALARM ALARM 11-27-19 6:48PM E 1 OTHER G COMMUNICATION ALARM CLEAR 11-27-19 8:44AM E 1 OTHER G COMMUNICATION ALARM ALARM 11-27-19 8:42AM E 1 OTHER G COMMUNICATION ALARM CLEAR 11-26-19 3:52PM E 1 OTHER G COMMUNICATION ALARM ALARM 11-26-19 3:50PM E 1 OTHER G COMMUNICATION ALARM CLEAR 11-26-19 2:20PM E 1 OTHER G COMMUNICATION ALARM ALARM 11-26-19 2:19PM E 1 OTHER G COMMUNICATION ALARM CLEAR 10-25-19 11:53PM E 1 OTHER G COMMUNICATION ALARM ALARM 10-25-19 11:52PM E 1 OTHER G COMMUNICATION ALARM CLEAR 10-24-19 6:16AM E 1 OTHER G COMMUNICATION ALARM ALARM 10-24-19 6:15AM f 1 OTHER 1-2 FM CHK VAPOR FLOW MTR CLEAR 10-22-19 10:00AM f 1 OTHER 1-2 FM CHK VAPOR FLOW MTR ALARM 10-20-19 10:02AM E 1 OTHER G COMMUNICATION ALARM CLEAR 9-25-19 8:43AM E 1 OTHER G COMMUNICATION ALARM ALARM 9-25-19 8:41AM h 3 OTHER FP3: BLEND3 GROSS COLLECT FAIL CLEAR 9-22-19 2:05PM h 3 OTHER FP3: BLEND3 GROSS COLLECT FAIL ALARM 9-22-19 10:02AM E 1 OTHER G COMMUNICATION ALARM CLEAR 9-21-19 8:28AM E 1 OTHER G COMMUNICATION ALARM ALARM 9-21-19 8:26AM E 1 OTHER G COMMUNICATION ALARM CLEAR 9-15-19 4:57AM E 1 OTHER G COMMUNICATION ALARM ALARM 9-15-19 3:41AM E 1 OTHER G COMMUNICATION ALARM CLEAR 9-06-19 12:51PM E 1 OTHER G COMMUNICATION ALARM ALARM 9-06-19 12:50PM E 1 OTHER G COMMUNICATION ALARM CLEAR 9-06-19 10:35AM E 1 OTHER G COMMUNICATION ALARM ALARM 9-06-19 10:34AM E 1 OTHER G COMMUNICATION ALARM CLEAR 8-27-19 1:12PM E 1 OTHER G COMMUNICATION ALARM ALARM 8-27-19 1:10PM E 1 OTHER G COMMUNICATION ALARM CLEAR 8-27-19 5:47AM E 1 OTHER G COMMUNICATION ALARM ALARM 8-27-19 5:46AM E 1 OTHER G COMMUNICATION ALARM CLEAR 8-20-19 10:15AM E 1 OTHER G COMMUNICATION ALARM ALARM 8-20-19 10:12AM L 4 ANNULAR 91 ANN FUEL ALARM CLEAR 8-15-19 8:58AM L 4 ANNULAR 91 ANN FUEL ALARM ALARM 8-15-19 8:58AM E 1 OTHER G COMMUNICATION ALARM CLEAR 7-29-19 3:34AM E 1 OTHER G COMMUNICATION ALARM ALARM 7-29-19 3:33AM h 2 OTHER FP2: BLEND3 GROSS COLLECT FAIL CLEAR 7-23-19 10:11AM h 1 OTHER FP1: BLEND3 GROSS COLLECT FAIL CLEAR 7-23-19 10:10AM h 2 OTHER FP2: BLEND3 GROSS COLLECT FAIL ALARM 7-23-19 10:02AM h 1 OTHER FP1: BLEND3 GROSS COLLECT FAIL ALARM 7-23-19 10:02AM E 1 OTHER G COMMUNICATION ALARM CLEAR 7-13-19 2:49AM E 1 OTHER G COMMUNICATION ALARM ALARM 7-13-19 2:47AM E 1 OTHER G COMMUNICATION ALARM CLEAR 7-09-19 5:39AM E 1 OTHER G COMMUNICATION ALARM ALARM 7-09-19 5:38AM I11200 FEB 6, 2020 11:04 AM ARCO AMPM 83781 2698 MT VERNON AVE BAKERSFIELD CA 93306
NON-PRIORITY ALARM HISTORY ID CATEGORY DESCRIPTION ALARM TYPE STATE DATE TIME SYSTEM PRINTER ERROR CLEAR 2-06-20 10:59AM SYSTEM PRINTER ERROR ALARM 2-06-20 10:59AM SYSTEM PRINTER ERROR CLEAR 2-06-20 10:59AM SYSTEM PAPER OUT CLEAR 2-06-20 10:59AM SYSTEM PAPER OUT ALARM 2-06-20 10:58AM SYSTEM PRINTER ERROR ALARM 2-06-20 10:58AM SYSTEM PRINTER ERROR CLEAR 2-06-20 10:57AM SYSTEM PAPER OUT CLEAR 2-06-20 10:57AM SYSTEM PRINTER ERROR ALARM 2-06-20 10:57AM SYSTEM PAPER OUT ALARM 2-06-20 10:57AM OTHER ISD GROSS PRES WARN CLEAR 1-21-20 2:19PM OTHER ISD GROSS PRES WARN ALARM 1-21-20 10:01AM h 6 OTHER FP6: BLEND3 DEGRD COLLECT WARN CLEAR 1-16-20 11:46AM h 6 OTHER FP6: BLEND3 DEGRD COLLECT WARN ALARM 1-16-20 10:02AM SYSTEM PRINTER ERROR CLEAR 1-05-20 2:11AM SYSTEM PAPER OUT CLEAR 1-05-20 2:11AM SYSTEM PRINTER ERROR ALARM 1-05-20 2:11AM SYSTEM PAPER OUT ALARM 1-05-20 2:11AM SYSTEM PRINTER ERROR CLEAR 1-05-20 2:11AM SYSTEM PAPER OUT CLEAR 1-05-20 2:11AM SYSTEM PRINTER ERROR ALARM 1-05-20 2:10AM SYSTEM PAPER OUT ALARM 1-05-20 2:10AM SYSTEM PRINTER ERROR CLEAR 1-05-20 2:10AM SYSTEM PRINTER ERROR ALARM 1-05-20 2:10AM SYSTEM PRINTER ERROR CLEAR 1-05-20 2:10AM SYSTEM PAPER OUT CLEAR 1-05-20 2:10AM SYSTEM PRINTER ERROR ALARM 1-05-20 2:10AM SYSTEM PAPER OUT ALARM 1-05-20 2:10AM SYSTEM PRINTER ERROR CLEAR 1-05-20 2:09AM SYSTEM PRINTER ERROR ALARM 1-05-20 2:09AM SYSTEM PRINTER ERROR CLEAR 1-05-20 2:09AM SYSTEM PRINTER ERROR ALARM 1-05-20 2:09AM SYSTEM PRINTER ERROR CLEAR 1-05-20 2:09AM SYSTEM PAPER OUT CLEAR 1-05-20 2:09AM SYSTEM PRINTER ERROR ALARM 1-05-20 2:08AM SYSTEM PAPER OUT ALARM 1-05-20 2:08AM SYSTEM PRINTER ERROR CLEAR 1-05-20 2:07AM SYSTEM PRINTER ERROR ALARM 1-05-20 2:07AM SYSTEM PRINTER ERROR CLEAR 1-05-20 2:07AM SYSTEM PRINTER ERROR ALARM 1-05-20 2:07AM SYSTEM PRINTER ERROR CLEAR 1-05-20 2:07AM SYSTEM PAPER OUT CLEAR 1-05-20 2:07AM
SYSTEM PRINTER ERROR ALARM 1-05-20 2:06AM SYSTEM PAPER OUT ALARM 1-05-20 2:06AM SYSTEM PRINTER ERROR CLEAR 1-05-20 2:06AM SYSTEM PRINTER ERROR ALARM 1-05-20 2:06AM SYSTEM PRINTER ERROR CLEAR 1-05-20 2:06AM SYSTEM PAPER OUT CLEAR 1-05-20 2:06AM SYSTEM PAPER OUT ALARM 1-05-20 2:06AM SYSTEM PRINTER ERROR ALARM 1-05-20 2:06AM I20600 FEB 6, 2020 11:04 AM ARCO AMPM 83781
2698 MT VERNON AVE BAKERSFIELD CA 93306
TANK ALARM HISTORY TANK 1 UNLEADED R LOW PRODUCT ALARM AUG 9, 2018 6:00 PM INVALID FUEL LEVEL AUG 9, 2018 7:18 PM DELIVERY NEEDED DEC 22, 2019 1:22 PM OCT 1, 2019 7:46 PM SEP 30, 2019 6:40 AM TANK 2 UL PREMIUM DELIVERY NEEDED DEC 29, 2019 9:53 PM SEP 25, 2019 12:07 PM AUG 23, 2019 5:57 PM TANK 5 TANK 6 TANK 7 TANK 8 TANK 9 TANK 10 TANK 11 TANK 12 TANK 13 TANK 14 TANK 15 TANK 16 I38200 FEB 6, 2020 11:04 AM I30200 FEB 6, 2020 11:04 AM ARCO AMPM 83781 2698 MT VERNON AVE BAKERSFIELD CA 93306 LIQUID ALARM HISTORY REPORT SENSOR LOCATION 1 87 STP
JAN 31, 2019 9:55 AM SENSOR OUT ALARM JAN 31, 2019 9:50 AM FUEL ALARM JAN 31, 2019 9:50 AM FUEL ALARM 2 87 ANN JAN 31, 2019 9:56 AM SENSOR OUT ALARM JAN 31, 2019 9:37 AM FUEL ALARM AUG 6, 2018 11:44 AM SENSOR OUT ALARM 3 91 STP JAN 31, 2019 9:56 AM SENSOR OUT ALARM JAN 31, 2019 9:48 AM FUEL ALARM AUG 6, 2018 11:44 AM SENSOR OUT ALARM 4 91 ANN AUG 15, 2019 8:58 AM FUEL ALARM JAN 31, 2019 9:56 AM SENSOR OUT ALARM JAN 31, 2019 9:43 AM FUEL ALARM 5 DISP 1-2 JAN 31, 2019 9:55 AM SENSOR OUT ALARM JAN 31, 2019 9:54 AM FUEL ALARM AUG 6, 2018 11:44 AM SENSOR OUT ALARM 6 DISP 3-4 JAN 31, 2019 9:55 AM SENSOR OUT ALARM JAN 31, 2019 9:54 AM FUEL ALARM AUG 6, 2018 11:44 AM SENSOR OUT ALARM 7 DISP 5-6 JAN 31, 2019 9:56 AM SENSOR OUT ALARM JAN 31, 2019 9:53 AM FUEL ALARM AUG 6, 2018 11:44 AM SENSOR OUT ALARM 8 DISP 7-8 JAN 31, 2019 9:56 AM SENSOR OUT ALARM JAN 31, 2019 9:53 AM FUEL ALARM AUG 6, 2018 11:44 AM SENSOR OUT ALARM 9 87 FILL JAN 31, 2019 9:56 AM SENSOR OUT ALARM JAN 31, 2019 9:53 AM FUEL ALARM AUG 6, 2018 11:44 AM SENSOR OUT ALARM 10 91 FILL JAN 31, 2019 9:56 AM SENSOR OUT ALARM JAN 31, 2019 9:49 AM FUEL ALARM JAN 31, 2019 9:49 AM FUEL ALARM I31600 FEB 6, 2020 11:04 AM ARCO AMPM 83781 2698 MT VERNON AVE BAKERSFIELD CA 93306 SMART SENSOR ALARM HISTORY REPORT SENSOR LOCATION 1 1-2 PS 2 1-2 FM 3 3-4 FM 4 5-6 FM 5 7-8 FM AUG 6, 2018 10:45 AM COMMUNICATION ALARM I40200
FEB 6, 2020 11:04 AM I40300 FEB 6, 2020 11:04 AM I34200 FEB 6, 2020 11:04 AM I34700 FEB 6, 2020 11:04 AM IV0100 FEB 6, 2020 11:04 AM ARCO AMPM 83781 2698 MT VERNON AVE BAKERSFIELD CA 93306 ISD ALARM STATUS REPORT EVR TYPE: VACUUM ASSIST ISD TYPE: 01.05 VAPOR PROCESSOR TYPE: NONE OVERALL STATUS :PASS EVR VAPOR COLLECTION :PASS EVR VAPOR CONTAINMENT :PASS ISD MONITOR UP-TIME :100% EVR/ISD PASS TIME :100% WARNING ALARMS DATE TIME DESCRIPTION READING VALUE 20-01-21 10:01:57 CONTAINMENT GROSS OVER PRESSURE WEEKLY 95% 2.59 20-01-16 10:02:31 A/L RATIO DEGRADATION FP 6 BLEND3 0.80 20-01-04 10:03:42 CONTAINMENT GROSS OVER PRESSURE WEEKLY 95% 2.25 19-12-28 10:02:04 CONTAINMENT GROSS OVER PRESSURE WEEKLY 95% 2.18 19-12-21 10:02:08 CONTAINMENT GROSS OVER PRESSURE WEEKLY 95% 2.71 19-12-14 10:02:25 CONTAINMENT GROSS OVER PRESSURE WEEKLY 95% 1.40 19-11-07 10:02:19 CONTAINMENT GROSS OVER PRESSURE WEEKLY 95% 2.13 19-11-06 10:02:06 CONTAINMENT GROSS OVER PRESSURE WEEKLY 95% 2.13 19-11-05 10:02:17 CONTAINMENT GROSS OVER PRESSURE WEEKLY 95% 2.13 19-11-04 10:02:30 CONTAINMENT GROSS OVER PRESSURE WEEKLY 95% 2.13 FAILURE ALARMS DATE TIME DESCRIPTION READING VALUE 19-09-22 10:02:52 A/L RATIO GROSS BLOCKAGE FP 3 BLEND3 BLKD 19-07-23 10:02:50 A/L RATIO GROSS BLOCKAGE FP 2 BLEND3 BLKD 19-07-23 10:02:50 A/L RATIO GROSS BLOCKAGE FP 1 BLEND3 BLKD 18-08-11 10:03:51 A/L RATIO GROSS BLOCKAGE FP 3 BLEND3 1.97 SHUTDOWN & MISCELLANEOUS EVENTS DATE TIME DESCRIPTION ACTION/NAME 20-01-21 14:19:12 CONTAINMENT GROSS & DEGRD TEST MANUALLY CLEARED 20-01-16 11:46:14 COLLECTION TEST HH06 GRADE TEST MANUALLY CLEARED 20-01-04 10:05:56 CONTAINMENT GROSS & DEGRD TEST MANUALLY CLEARED
19-12-28 10:27:37 CONTAINMENT GROSS & DEGRD TEST MANUALLY CLEARED 19-12-21 10:27:42 CONTAINMENT GROSS & DEGRD TEST MANUALLY CLEARED 19-12-14 10:06:02 CONTAINMENT GROSS & DEGRD TEST MANUALLY CLEARED 19-11-07 12:38:36 CONTAINMENT GROSS & DEGRD TEST MANUALLY CLEARED 19-11-03 01:00:00 TIME CHANGE DETECTED AT: 19-11-03 02:00:13 19-10-22 09:46:00 COLLECTION TEST HH02 GRADE TEST MANUALLY CLEARED 19-10-22 09:44:59 COLLECTION TEST HH01 GRADE TEST MANUALLY CLEARED
Arco AMPM Alarm History After
Responses Received: I10200 FEB 6, 2020 12:27 PM ARCO AMPM 83781 2698 MT VERNON AVE BAKERSFIELD CA 93306 SYSTEM CONFIGURATION SLOT BOARD TYPE POWER ON RESET CURRENT 1 UNUSED 9721741 9624444 2 UNUSED 9598742 9593849 3 UNUSED 9581358 9596932 4 UNUSED 9581929 9603581 5 4 PROBE / G.T. 163950 164042 6 INTERSTITIAL BD 202196 201976 7 8SMARTSENSOR BD 39453 39456 8 INTERSTITIAL BD 202372 202159 9 UNUSED 9592785 9610158 10 RELAY BOARD 14993 15007 11 UNUSED 9584325 9603378 12 UNUSED 9573265 9599420 13 UNUSED 9574322 9604931 14 UNUSED 9577960 9601694 15 UNUSED 9575485 9597561 16 UNUSED 9568823 9593318 COMM 1 ELEC DISP INT. 101341 101266 COMM 2 SERIAL SAT BD 485119 484082 COMM 3 RS232 SERIAL BD 15056 15051 COMM 4 UNUSED 9593186 9612694 COMM 5 UNUSED 9572461 9601497 COMM 6 UNUSED 9575147 9590191 I90200 FEB 6, 2020 12:27 PM SOFTWARE REVISION LEVEL VERSION 334.01 SOFTWARE# 346334-101-B CREATED - 17.01.09.18.49 S-MODULE# 330160-004-a SYSTEM FEATURES: PERIODIC IN-TANK TESTS ANNUAL IN-TANK TESTS ISD/APM I11100 FEB 6, 2020 12:27 PM ARCO AMPM 83781 2698 MT VERNON AVE BAKERSFIELD CA 93306
PRIORITY ALARM HISTORY ID CATEGORY DESCRIPTION ALARM TYPE STATE DATE TIME L10 PIPE 91 FILL SENSOR OUT ALARM CLEAR 2-06-20 12:27PM L 9 PIPE 87 FILL SENSOR OUT ALARM CLEAR 2-06-20 12:27PM L 6 DISP PAN DISP 3-4 SENSOR OUT ALARM CLEAR 2-06-20 12:27PM L 8 DISP PAN DISP 7-8 SENSOR OUT ALARM CLEAR 2-06-20 12:27PM L 7 DISP PAN DISP 5-6 SENSOR OUT ALARM CLEAR 2-06-20 12:27PM L 4 ANNULAR 91 ANN SENSOR OUT ALARM CLEAR 2-06-20 12:27PM L 3 STP SUMP 91 STP SENSOR OUT ALARM CLEAR 2-06-20 12:27PM L 2 ANNULAR 87 ANN SENSOR OUT ALARM CLEAR 2-06-20 12:27PM L 1 STP SUMP 87 STP SENSOR OUT ALARM CLEAR 2-06-20 12:27PM L 5 DISP PAN DISP 1-2 SENSOR OUT ALARM CLEAR 2-06-20 12:27PM L 3 STP SUMP 91 STP SENSOR OUT ALARM ALARM 2-06-20 12:27PM L 2 ANNULAR 87 ANN SENSOR OUT ALARM ALARM 2-06-20 12:27PM L 8 DISP PAN DISP 7-8 SENSOR OUT ALARM ALARM 2-06-20 12:27PM L 7 DISP PAN DISP 5-6 SENSOR OUT ALARM ALARM 2-06-20 12:27PM L 4 ANNULAR 91 ANN SENSOR OUT ALARM ALARM 2-06-20 12:27PM L 6 DISP PAN DISP 3-4 SENSOR OUT ALARM ALARM 2-06-20 12:27PM L 1 STP SUMP 87 STP SENSOR OUT ALARM ALARM 2-06-20 12:27PM L 5 DISP PAN DISP 1-2 SENSOR OUT ALARM ALARM 2-06-20 12:26PM L 5 DISP PAN DISP 1-2 FUEL ALARM CLEAR 2-06-20 12:26PM L10 PIPE 91 FILL SENSOR OUT ALARM ALARM 2-06-20 12:26PM L 1 STP SUMP 87 STP FUEL ALARM CLEAR 2-06-20 12:26PM L 5 DISP PAN DISP 1-2 FUEL ALARM ALARM 2-06-20 12:26PM L 1 STP SUMP 87 STP FUEL ALARM ALARM 2-06-20 12:26PM L 9 PIPE 87 FILL SENSOR OUT ALARM ALARM 2-06-20 12:26PM T 2 TANK UL PREMIUM PROBE OUT CLEAR 2-06-20 12:19PM T 2 TANK UL PREMIUM OVERFILL ALARM CLEAR 2-06-20 12:18PM T 2 TANK UL PREMIUM PROBE OUT ALARM 2-06-20 12:18PM T 2 TANK UL PREMIUM OVERFILL ALARM ALARM 2-06-20 12:18PM T 2 TANK UL PREMIUM PROBE OUT CLEAR 2-06-20 12:17PM T 2 TANK UL PREMIUM PROBE OUT ALARM 2-06-20 12:16PM L 7 DISP PAN DISP 5-6 FUEL ALARM CLEAR 2-06-20 11:55AM L 7 DISP PAN DISP 5-6 FUEL ALARM ALARM 2-06-20 11:55AM L 8 DISP PAN DISP 7-8 FUEL ALARM CLEAR 2-06-20 11:55AM L 8 DISP PAN DISP 7-8 FUEL ALARM ALARM 2-06-20 11:55AM L 6 DISP PAN DISP 3-4 FUEL ALARM CLEAR 2-06-20 11:54AM L 6 DISP PAN DISP 3-4 FUEL ALARM ALARM 2-06-20 11:54AM L 5 DISP PAN DISP 1-2 FUEL ALARM CLEAR 2-06-20 11:54AM L 5 DISP PAN DISP 1-2 FUEL ALARM ALARM 2-06-20 11:54AM L 2 ANNULAR 87 ANN FUEL ALARM CLEAR 2-06-20 11:51AM L 2 ANNULAR 87 ANN FUEL ALARM ALARM 2-06-20 11:51AM L 2 ANNULAR 87 ANN FUEL ALARM CLEAR 2-06-20 11:50AM L 2 ANNULAR 87 ANN FUEL ALARM ALARM 2-06-20 11:50AM
L 2 ANNULAR 87 ANN FUEL ALARM CLEAR 2-06-20 11:50AM L 2 ANNULAR 87 ANN FUEL ALARM ALARM 2-06-20 11:50AM L 4 ANNULAR 91 ANN FUEL ALARM CLEAR 2-06-20 11:38AM L 4 ANNULAR 91 ANN FUEL ALARM ALARM 2-06-20 11:37AM L 4 ANNULAR 91 ANN FUEL ALARM CLEAR 2-06-20 11:37AM L 4 ANNULAR 91 ANN FUEL ALARM ALARM 2-06-20 11:37AM L 4 ANNULAR 91 ANN FUEL ALARM CLEAR 2-06-20 11:37AM L 4 ANNULAR 91 ANN FUEL ALARM ALARM 2-06-20 11:36AM I11200 FEB 6, 2020 12:28 PM ARCO AMPM 83781
2698 MT VERNON AVE BAKERSFIELD CA 93306
NON-PRIORITY ALARM HISTORY ID CATEGORY DESCRIPTION ALARM TYPE STATE DATE TIME T 2 TANK UL PREMIUM LOW TEMP WARNING CLEAR 2-06-20 12:20PM T 2 TANK UL PREMIUM LOW TEMP WARNING ALARM 2-06-20 12:19PM T 2 TANK UL PREMIUM HIGH PRODUCT ALARM CLEAR 2-06-20 12:18PM T 2 TANK UL PREMIUM HIGH PRODUCT ALARM ALARM 2-06-20 12:18PM T 1 TANK UNLEADED R HIGH PRODUCT ALARM CLEAR 2-06-20 11:57AM T 1 TANK UNLEADED R HIGH PRODUCT ALARM ALARM 2-06-20 11:57AM SYSTEM PRINTER ERROR CLEAR 2-06-20 10:59AM SYSTEM PRINTER ERROR ALARM 2-06-20 10:59AM SYSTEM PRINTER ERROR CLEAR 2-06-20 10:59AM SYSTEM PAPER OUT CLEAR 2-06-20 10:59AM SYSTEM PAPER OUT ALARM 2-06-20 10:58AM SYSTEM PRINTER ERROR ALARM 2-06-20 10:58AM SYSTEM PRINTER ERROR CLEAR 2-06-20 10:57AM SYSTEM PAPER OUT CLEAR 2-06-20 10:57AM SYSTEM PRINTER ERROR ALARM 2-06-20 10:57AM SYSTEM PAPER OUT ALARM 2-06-20 10:57AM OTHER ISD GROSS PRES WARN CLEAR 1-21-20 2:19PM OTHER ISD GROSS PRES WARN ALARM 1-21-20 10:01AM h 6 OTHER FP6: BLEND3 DEGRD COLLECT WARN CLEAR 1-16-20 11:46AM h 6 OTHER FP6: BLEND3 DEGRD COLLECT WARN ALARM 1-16-20 10:02AM SYSTEM PRINTER ERROR CLEAR 1-05-20 2:11AM SYSTEM PAPER OUT CLEAR 1-05-20 2:11AM SYSTEM PRINTER ERROR ALARM 1-05-20 2:11AM SYSTEM PAPER OUT ALARM 1-05-20 2:11AM SYSTEM PRINTER ERROR CLEAR 1-05-20 2:11AM SYSTEM PAPER OUT CLEAR 1-05-20 2:11AM SYSTEM PRINTER ERROR ALARM 1-05-20 2:10AM SYSTEM PAPER OUT ALARM 1-05-20 2:10AM SYSTEM PRINTER ERROR CLEAR 1-05-20 2:10AM SYSTEM PRINTER ERROR ALARM 1-05-20 2:10AM SYSTEM PRINTER ERROR CLEAR 1-05-20 2:10AM SYSTEM PAPER OUT CLEAR 1-05-20 2:10AM SYSTEM PRINTER ERROR ALARM 1-05-20 2:10AM SYSTEM PAPER OUT ALARM 1-05-20 2:10AM SYSTEM PRINTER ERROR CLEAR 1-05-20 2:09AM SYSTEM PRINTER ERROR ALARM 1-05-20 2:09AM SYSTEM PRINTER ERROR CLEAR 1-05-20 2:09AM SYSTEM PRINTER ERROR ALARM 1-05-20 2:09AM SYSTEM PRINTER ERROR CLEAR 1-05-20 2:09AM SYSTEM PAPER OUT CLEAR 1-05-20 2:09AM SYSTEM PRINTER ERROR ALARM 1-05-20 2:08AM SYSTEM PAPER OUT ALARM 1-05-20 2:08AM
SYSTEM PRINTER ERROR CLEAR 1-05-20 2:07AM SYSTEM PRINTER ERROR ALARM 1-05-20 2:07AM SYSTEM PRINTER ERROR CLEAR 1-05-20 2:07AM SYSTEM PRINTER ERROR ALARM 1-05-20 2:07AM SYSTEM PRINTER ERROR CLEAR 1-05-20 2:07AM SYSTEM PAPER OUT CLEAR 1-05-20 2:07AM SYSTEM PRINTER ERROR ALARM 1-05-20 2:06AM SYSTEM PAPER OUT ALARM 1-05-20 2:06AM I20600 FEB 6, 2020 12:28 PM ARCO AMPM 83781
2698 MT VERNON AVE BAKERSFIELD CA 93306
TANK ALARM HISTORY TANK 1 UNLEADED R LOW PRODUCT ALARM AUG 9, 2018 6:00 PM HIGH PRODUCT ALARM FEB 6, 2020 11:57 AM INVALID FUEL LEVEL AUG 9, 2018 7:18 PM DELIVERY NEEDED DEC 22, 2019 1:22 PM OCT 1, 2019 7:46 PM SEP 30, 2019 6:40 AM TANK 2 UL PREMIUM OVERFILL ALARM FEB 6, 2020 12:18 PM HIGH PRODUCT ALARM FEB 6, 2020 12:18 PM PROBE OUT FEB 6, 2020 12:18 PM FEB 6, 2020 12:16 PM DELIVERY NEEDED DEC 29, 2019 9:53 PM SEP 25, 2019 12:07 PM AUG 23, 2019 5:57 PM LOW TEMP WARNING FEB 6, 2020 12:19 PM TANK 5 TANK 6 TANK 7 TANK 8 TANK 9 TANK 10 TANK 11 TANK 12 TANK 13 TANK 14 TANK 15 TANK 16 I38200 FEB 6, 2020 12:28 PM I30200
FEB 6, 2020 12:28 PM ARCO AMPM 83781 2698 MT VERNON AVE BAKERSFIELD CA 93306 LIQUID ALARM HISTORY REPORT SENSOR LOCATION 1 87 STP FEB 6, 2020 12:27 PM SENSOR OUT ALARM FEB 6, 2020 12:26 PM FUEL ALARM FEB 6, 2020 11:35 AM FUEL ALARM 2 87 ANN FEB 6, 2020 12:27 PM SENSOR OUT ALARM FEB 6, 2020 11:51 AM FUEL ALARM FEB 6, 2020 11:50 AM FUEL ALARM 3 91 STP FEB 6, 2020 12:27 PM SENSOR OUT ALARM FEB 6, 2020 11:34 AM FUEL ALARM JAN 31, 2019 9:56 AM SENSOR OUT ALARM 4 91 ANN FEB 6, 2020 12:27 PM SENSOR OUT ALARM FEB 6, 2020 11:37 AM FUEL ALARM FEB 6, 2020 11:37 AM FUEL ALARM 5 DISP 1-2 FEB 6, 2020 12:26 PM SENSOR OUT ALARM FEB 6, 2020 12:26 PM FUEL ALARM FEB 6, 2020 11:54 AM FUEL ALARM 6 DISP 3-4 FEB 6, 2020 12:27 PM SENSOR OUT ALARM FEB 6, 2020 11:54 AM FUEL ALARM JAN 31, 2019 9:55 AM SENSOR OUT ALARM 7 DISP 5-6 FEB 6, 2020 12:27 PM SENSOR OUT ALARM FEB 6, 2020 11:55 AM FUEL ALARM JAN 31, 2019 9:56 AM SENSOR OUT ALARM 8 DISP 7-8 FEB 6, 2020 12:27 PM SENSOR OUT ALARM FEB 6, 2020 11:55 AM FUEL ALARM JAN 31, 2019 9:56 AM SENSOR OUT ALARM 9 87 FILL FEB 6, 2020 12:26 PM SENSOR OUT ALARM FEB 6, 2020 11:35 AM FUEL ALARM JAN 31, 2019 9:56 AM SENSOR OUT ALARM 10 91 FILL FEB 6, 2020 12:26 PM SENSOR OUT ALARM FEB 6, 2020 11:36 AM FUEL ALARM JAN 31, 2019 9:56 AM SENSOR OUT ALARM I31600 FEB 6, 2020 12:28 PM ARCO AMPM 83781 2698 MT VERNON AVE BAKERSFIELD CA 93306 SMART SENSOR ALARM HISTORY REPORT
SENSOR LOCATION 1 1-2 PS 2 1-2 FM 3 3-4 FM 4 5-6 FM 5 7-8 FM AUG 6, 2018 10:45 AM COMMUNICATION ALARM I40200 FEB 6, 2020 12:28 PM I40300 FEB 6, 2020 12:28 PM I34200 FEB 6, 2020 12:28 PM I34700 FEB 6, 2020 12:28 PM IV0100 FEB 6, 2020 12:28 PM ARCO AMPM 83781 2698 MT VERNON AVE BAKERSFIELD CA 93306 ISD ALARM STATUS REPORT EVR TYPE: VACUUM ASSIST ISD TYPE: 01.05 VAPOR PROCESSOR TYPE: NONE OVERALL STATUS :PASS EVR VAPOR COLLECTION :PASS EVR VAPOR CONTAINMENT :PASS ISD MONITOR UP-TIME :100% EVR/ISD PASS TIME :100% WARNING ALARMS DATE TIME DESCRIPTION READING VALUE 20-01-21 10:01:57 CONTAINMENT GROSS OVER PRESSURE WEEKLY 95% 2.59 20-01-16 10:02:31 A/L RATIO DEGRADATION FP 6 BLEND3 0.80 20-01-04 10:03:42 CONTAINMENT GROSS OVER PRESSURE WEEKLY 95% 2.25 19-12-28 10:02:04 CONTAINMENT GROSS OVER PRESSURE WEEKLY 95% 2.18 19-12-21 10:02:08 CONTAINMENT GROSS OVER PRESSURE WEEKLY 95% 2.71 19-12-14 10:02:25 CONTAINMENT GROSS OVER PRESSURE WEEKLY 95% 1.40 19-11-07 10:02:19 CONTAINMENT GROSS OVER PRESSURE WEEKLY 95% 2.13 19-11-06 10:02:06 CONTAINMENT GROSS OVER PRESSURE WEEKLY 95% 2.13 19-11-05 10:02:17 CONTAINMENT GROSS OVER PRESSURE WEEKLY 95% 2.13 19-11-04 10:02:30 CONTAINMENT GROSS OVER PRESSURE WEEKLY 95% 2.13 FAILURE ALARMS
DATE TIME DESCRIPTION READING VALUE 19-09-22 10:02:52 A/L RATIO GROSS BLOCKAGE FP 3 BLEND3 BLKD 19-07-23 10:02:50 A/L RATIO GROSS BLOCKAGE FP 2 BLEND3 BLKD 19-07-23 10:02:50 A/L RATIO GROSS BLOCKAGE FP 1 BLEND3 BLKD 18-08-11 10:03:51 A/L RATIO GROSS BLOCKAGE FP 3 BLEND3 1.97 SHUTDOWN & MISCELLANEOUS EVENTS DATE TIME DESCRIPTION ACTION/NAME 20-02-06 12:25:42 READINESS ISD:PP EVR:NN EVR READINESS PENDING 20-02-06 12:25:42 ISD STARTUP 20-02-06 12:25:13 ISD SHUTDOWN 20-01-21 14:19:12 CONTAINMENT GROSS & DEGRD TEST MANUALLY CLEARED 20-01-16 11:46:14 COLLECTION TEST HH06 GRADE TEST MANUALLY CLEARED 20-01-04 10:05:56 CONTAINMENT GROSS & DEGRD TEST MANUALLY CLEARED 19-12-28 10:27:37 CONTAINMENT GROSS & DEGRD TEST MANUALLY CLEARED 19-12-21 10:27:42 CONTAINMENT GROSS & DEGRD TEST MANUALLY CLEARED 19-12-14 10:06:02 CONTAINMENT GROSS & DEGRD TEST MANUALLY CLEARED 19-11-07 12:38:36 CONTAINMENT GROSS & DEGRD TEST MANUALLY CLEARED
&(56 &DOLIRUQLD(QYLURQPHQWDO5HSRUWLQJ6\VWHP,' ,GHQWLILFDWLRQ867 8QGHUJURXQG6WRUDJH7DQN,&& ,QWHUQDWLRQDO&RGH&RXQFLO
81 ZZZXQLGRFVRUJ5HY
81'(5*5281'6725$*(7$1.
63,//&217$,1(57(67,1*5(3257)250 3DJHRI
7\SHRI$FWLRQ,QVWDOODWLRQ7HVW5HSDLU7HVW0RQWK7HVW
, )$&,/,7<,1)250$7,21
&(56,''DWHRI6SLOO&RQWDLQHU7HVW
%XVLQHVV1DPH(Same as Facility Name or DBA-Doing Business As)
%XVLQHVV6LWH$GGUHVV &LW\ =,3&RGH
,, 81'(5*5281'6725$*(7$1.6(59,&(7(&+1,&,$1,1)250$7,21
1DPHRI8676HUYLFH7HFKQLFLDQ3HUIRUPLQJWKH7HVW(Print as shown on the ICC Certification.) 3KRQH
&RQWUDFWRU7DQN7HVWHU/LFHQVH ,&&&HUWLILFDWLRQ ,&&&HUWLILFDWLRQ([SLUDWLRQ'DWH
6SLOO&RQWDLQHU7HVWLQJ7UDLQLQJDQG&HUWLILFDWLRQV(List applicable certifications.)
,,, 63,//&217$,1(57(67,1*,1)250$7,21
7HVW0HWKRG8VHG 0DQXIDFWXUHU*XLGHOLQHV(Specify)
,QGXVWU\&RGHRU(QJLQHHULQJ6WDQGDUG (Specify)
(QJLQHHUHG0HWKRG(Specify)
Attach the testing procedures and all documentation required to determine the results.RI$WWDFKHG3DJHV
7$1.,' (By tank number, stored product, etc.)
6SLOO&RQWDLQHU0DQXIDFWXUHU
0HWKRGRI&DWKRGLF3URWHFWLRQ 1RQ0HWDOOLF1RQ0HWDOOLF1RQ0HWDOOLF1RQ0HWDOOLF
,VRODWLRQ,VRODWLRQ,VRODWLRQ,VRODWLRQ
2WKHU(Specify in V.)2WKHU(Specify in V.)2WKHU(Specify in V.)2WKHU(Specify in V.)
,QVLGH'LDPHWHURI6SLOO&RQWDLQHU (Inches)
'HSWKRI6SLOO&RQWDLQHU (Inches)
'RHVWKHVSLOOFRQWDLQHUKDYHDJDOORQFDSDFLW\"<HV1R<HV1R<HV1R<HV1R
0HWKRGWR.HHS6SLOO&RQWDLQHU(PSW\ 'UDLQ9DOYH'UDLQ9DOYH'UDLQ9DOYH'UDLQ9DOYH
2QVLWH3XPS2QVLWH3XPS2QVLWH3XPS2QVLWH3XPS
2WKHU(Specify in V.)2WKHU(Specify in V.)2WKHU(Specify in V.)2WKHU(Specify in V.)
,9 6800$5<2)7(67,1*5(68/76
6SLOO&RQWDLQHU7HVW5HVXOWV 3DVV)DLO3DVV)DLO3DVV)DLO3DVV)DLO
9 &200(176
Any items marked “Fail” above must be explained in this section. Any additional comments may also be provided here.
9, &(57,),&$7,21%<8676(59,&(7(&+1,&,$1&21'8&7,1*7+,67(67,1*
,KHUHE\FHUWLI\WKDWWKHVSLOOFRQWDLQHUVZHUHWHVWHGLQDFFRUGDQFHZLWK&DOLIRUQLD&RGHRI5HJXODWLRQV7LWOH'LYLVLRQ
&KDSWHU6HFWLRQDQGDOOWKHLQIRUPDWLRQFRQWDLQHGKHUHLQLVDFFXUDWH
8676HUYLFH7HFKQLFLDQ6LJQDWXUH
If the facility has more components than this form accommodates, additional copies of this page may be attached.
Bakersfield 93306
804904 8485827 9/14/2020
OPW. 0148613 8/19/2020
PEI 1200
1
T1 Unl
OPW
11.00”
14.00”
T2 Prem
OPW
11.00”
14.00”
Aaron Perrigo (800) 339-9930
10022566 2/6/2020
Mt Vernon & Columbus ARCO
2698 Mt. Vernon Avenue
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: Date of Testing:
Facility Address:
Facility Contact: Phone:
Date Local Agency Was Notified of Testing :
Name of Local Agency Inspector (if present during testing):
2. TESTING CONTRACTOR INFORMATION
Company Name:
Technician Conducting Test:
Credentials1: CSLB Contractor ICC Service Tech. SWRCB Tank Tester Other (Specify) __________________
License Number(s):
3. SPILL BUCKET TESTING INFORMATION
Test Method Used: Hydrostatic Vacuum Other
Test Equipment Used: Equipment Resolution:
Identify Spill Bucket (By Tank
Number, Stored Product, etc.)
1234
Bucket Installation Type: Direct Bury
Contained in Sump
Direct Bury
Contained in Sump
Direct Bury
Contained in Sump
Direct Bury
Contained in Sump
Bucket Diameter:
Bucket Depth:
Wait time between applying
vacuum/water and start of test:
Test Start Time (TI):
Initial Reading (RI):
Test End Time (TF):
Final Reading (RF):
Test Duration (TF –TI):
Change in Reading (RF -RI):
Pass/Fail Threshold or
Criteria:
Test Result: Pass Fail 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:________________________________________________ Date:_________________________
1 State laws and regulations do not currently require testing to be performed by a qualified contractor. However, local requirements
may be more stringent.
Mt Vernon & Columbus ARCO 2/6/2020
2698 Mt. Vernon Avenue Bakersfield 93306
Ibrahim (661) 472-5480
1/30/2020
Kris Karns
Confidence UST Services, Inc.
Aaron Perrigo
804904 8485827
Lake Test 0.0625”
T1 Unl T2 Prem
11.00” 11.00”
14.00” 14.00”
5 min 5 min
11:00am 11:00am
13.00” 13.00”
12:00pm 12:00pm
13.00” 13.00”
1 hr 1 hr
0.00” 0.00”
0.0625” 0.0625”
2/6/2020
✔✔
✔
✔✔
✔✔