HomeMy WebLinkAboutFMC 2021Appendix VI
Underground Storage Tank
Monitoring System Certification Form
CERS = California Environmental Reporting System, GPH = Gallons Per Hour, ID = Identification,
ICC = International Code Council, LLD = Line Leak Detector, NA = Not Applicable, SW = Single-
Walled, UDC = Under-Dispenser Containment, UST = Underground Storage Tank,
VPH = Vacuum/Pressure/Hydrostatic
Page 1 of 6
TYPE OF ACTION Installation Repair 12 Month
1. FACILITY INFORMATION
CERS ID Certification Date
Facility Name
Facility Address City ZIP Code
2. SERVICE TECHNICIAN INFORMATION
Company Performing the Certification Phone
Mailing Address
Service Technician Performing Test
Contractor/Tank Tester License Number
ICC Number ICC Expiration Date
3.TRAINING AND CERTIFICATIONS
Manufacturer and Test Equipment Training Certifications Expiration Date
4.CERTIFICATION BY SERVICE TECHNICIAN CONDUCTING TEST
I hereby certify that the monitoring system is operational in accordance with California Code
of Regulations, title 23, division 3, chapter 16, section 2638; that required supporting
documentation is attached; and all information contained herein is accurate.
Service Technician Signature Date Total # of Pages
Underground Storage Tank
Monitoring System Certification Form
Page 2 of 6
5.MONITORING SYSTEM AND PROGRAMMING
A separate Monitoring System Certification Form must be prepared for each control panel.
Make of Monitoring System
Control Panel
Model of Monitoring System
Control Panel
Software Version Installed
Attach the post-certification reports if the monitoring system is capable of generating
either; Monitoring System Set-up Alarm History Report Yes No NA
All monitoring equipment is operational per manufacturer’s specifications?
Secondary containment systems are free of damage, debris, or liquid?
Are the audible and visual alarms operational?
All sensors have been: 1) visually inspected for wiring kinks, breaks and residual
buildup on floats; and 2) tested for functionality and confirmed operational?
Are all sensors installed to detect a release at the earliest opportunity in the
secondary containment?
The monitoring system set-up was reviewed, and proper settings confirmed?
Was the monitoring control panel’s backup battery visually inspected, functionally
tested, and confirmed operational?
Does the flow of fuel stop at the dispenser if a release is detected in the under-
dispenser containment?
Does the turbine automatically shut down if the piping secondary containment
monitoring system fails to operate or is electrically disconnected?
Does the turbine automatically shut down if the piping secondary containment
monitoring system detects a release? Which sensors initiate positive shut down?
(Check all that apply) Sump UDC
If monitoring system alarms are relayed to a remote monitoring center, is all
communication equipment operational?
Describe all answers marked “No” or “Fail” and proposed remedy in Section 9.
List all monitoring equipment either replaced or repaired in Section 9
Underground Storage Tank
Monitoring System Certification Form
Page 3 of 6
6. SENSOR TESTING RESULTS
List only sensors tested on date of this certification. List “Sensor ID” as labeled in system
programming. Additional copies of this page may be attached to accommodate all sensors tested.
Sensor ID Sensor Model Component(s) Monitored Pass Fail
Describe all answers marked “No” or “Fail” and proposed remedy in Section 9.
List all monitoring equipment either replaced or repaired in Section 9
Underground Storage Tank
Monitoring System Certification Form
Page 4 of 6
7. LINE LEAK DETECTOR TESTING
Check this box if line leak detectors ARE NOT installed. (Do not complete this section.)
Simulated release rate verified: (Check all that apply.)
3 GPH 0.1 GPH 0.2 GPH Yes No NA
Has the testing apparatus been properly calibrated?
For emergency generator tank systems, does the LLD create an audible and visual
alarm when a leak is detected?
For mechanical LLDs, does the LLD restrict the flow through the pipe when a
release is detected?
For electronic LLDs, does the turbine automatically shut off when a release is
detected?
For electronic LLDs, does the turbine automatically shut off if any portion of the
monitoring system is disabled or disconnected?
For electronic LLDs, does the turbine automatically shut off if any portion of the
monitoring system malfunctions or fails a tightness test?
For electronic LLDs, have all accessible wiring connections been visually inspected
for kinks and breaks?
Were all items on the equipment manufacturer’s maintenance checklist completed?
Were all LLDs confirmed operational within regulatory requirements?
LLD ID LLD Model Lines Monitored Pass Fail
Describe all answers marked “No” or “Fail” and proposed remedy in Section 9.
List all monitoring equipment either replaced or repaired in Section 9
Underground Storage Tank
Monitoring System Certification Form
Page 5 of 6
8. IN-TANK GAUGING TESTING
Check this box if tank gauging is used only for inventory control.
Check this box if NO tank gauging equipment is installed.
(Do not complete this section if either box is checked.)
Yes No NA
All wiring has been: 1) visually inspected for kinks, breaks and proper entry and
termination; and 2) tested for ground faults?
Were all in-tank gauging probes visually inspected for damage and residue buildup
to ensure that floats move freely, functionally tested, and confirmed operational?
Was accuracy of system’s product level readings tested?
Was accuracy of system’s water level readings tested?
Were all probes reinstalled properly?
Were all items on the equipment manufacturer’s maintenance checklist completed?
Probe ID Probe Model Tanks Monitored Pass Fail
9. COMMENTS
Describe all answers marked “No” or “Fail” and proposed remedy.
List all monitoring equipment either replaced or repaired.
Appendix VIII Underground Storage Tank Spill Container Testing Report Form
CERS = California Environmental Reporting System, ID = Identification, ICC = International Code
Council
Page 1 of 2
TYPE OF ACTION ☐ Installation ☐ Repair ☐ 12 Month
1. FACILITY INFORMATION
CERS ID
Test Date
Facility Name
Facility Address
City
ZIP Code
2. SERVICE TECHNICIAN INFORMATION
Company Performing the Test
Phone
Mailing Address
Service Technician Performing Test
Contractor/Tank Tester License Number
ICC Number
ICC Expiration Date
3. TRAINING AND CERTIFICATIONS
Manufacturer and Test Equipment Training Certifications Expiration Date
4. TEST PROCEDURE INFORMATION
Test Procedures Used Components Tested
5. CERTIFICATION BY SERVICE TECHNICIAN CONDUCTING TEST
I hereby certify that each spill container was tested in accordance with California Code of
Regulations, title 23, division 3, chapter 16, section 2637.1; that required supporting
documentation is attached; and all information contained herein is accurate. I understand
that test procedures shall be made available upon request by the governing authority.
Service Technician Signature Date
Total # of Pages
Underground Storage Tank Spill Container Testing Report Form
Additional copies of this page may be attached.
Page 2 of 2
6. SPILL CONTAINER DETAILS
Test Method Developed by ☐ Manufacturer ☐ Industry Standard ☐ Professional Engineer
Test Type ☐ Pressure ☐ Vacuum ☐ Hydrostatic
Tank ID
Spill Container Manufacturer:
Method of Cathodic Protection ☐ Nonmetallic
☐ Other
☐ Nonmetallic
☐ Other
☐ Nonmetallic
☐ Other
☐ Nonmetallic
☐ Other
Is the spill container minimum
capacity five gallons excluding
riser volume?
☐ Yes
☐ No*
☐ Yes
☐ No*
☐ Yes
☐ No*
☐ Yes
☐ No*
Method to keep spill container
empty
☐ Drain
☐ Pump
☐ Other
☐ Drain
☐ Pump
☐ Other
☐ Drain
☐ Pump
☐ Other
☐ Drain
☐ Pump
☐ Other
Spill Container Test Results ☐ Pass
☐ Fail
☐ Pass
☐ Fail
☐ Pass
☐ Fail
☐ Pass
☐ Fail
Tank ID
Spill Container Manufacturer:
Method of Cathodic Protection ☐ Nonmetallic
☐ Other
☐ Nonmetallic
☐ Other
☐ Nonmetallic
☐ Other
☐ Nonmetallic
☐ Other
Is the spill container minimum
capacity five gallons excluding
riser volume?
☐ Yes
☐ No*
☐ Yes
☐ No*
☐ Yes
☐ No*
☐ Yes
☐ No*
Method to keep spill container
empty
☐ Drain
☐ Pump
☐ Other
☐ Drain
☐ Pump
☐ Other
☐ Drain
☐ Pump
☐ Other
☐ Drain
☐ Pump
☐ Other
Spill Container Test Results ☐ Pass
☐ Fail
☐ Pass
☐ Fail
☐ Pass
☐ Fail
☐ Pass
☐ Fail
1 8. COMMENTS
Describe all answers marked “Other,” “No,” or “Fail” and each proposed remedy.
* Mark here if:
Spill containers do not have a minimum capacity of five gallons and require replacement.
SPILL BUCKET TESTING INFORMATION
Test Method Used:
Test Equipment Used: Equipment Resolution:
Identify Spill Bucket (By Tank Number, Stored Product, etc.) 1 2 3 4
Bucket Installation Type:
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:
CVE
Cal- Valley Equipment
3500 Gilmore Ave.
Bakersfield CA 93308
661 -327-9341 FAX# 661 -325-2529
VAPORLESS MANUFACTURING, INC.
LDT-890 Leak Detector Test Record
Technician Date
Pass / Fail
Product
Manufacturer
Leak rate
Operating pressure
Line pressure (pump off)
Facility Address
Bleed back (pump off)
Step through time to full flow
Stays in leak search position
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<
I20100FEB 5, 2021 9:30 AM
BROOKSIDE MARKET
8803 CAMINO MEDIA BAKERSFIELD CA 93311
IN-TANK INVENTORY
TANK PRODUCT VOLUME TC VOLUME ULLAGE HEIGHT WATER TEMP 1 UNLEADED 13948 13928 6134 83.55 0.83 62.01
2 PREMIUM 6768 6747 5273 69.98 0.00 64.28 3 DIESEL 6308 6292 1719 93.49 0.00 65.49
>
<I90500
FEB 5, 2021 9:31 AMSOFTWARE REVISION LEVEL
VERSION 327.04SOFTWARE# 346327-100-E
CREATED - 07.02.06.10.28
S-MODULE# 330160-004-aSYSTEM FEATURES:
PERIODIC IN-TANK TESTS ANNUAL IN-TANK TESTS
ISD PMC
>
<I50201
FEB 5, 2021 9:31 AM
SHIFT TIME 1 : 11:00 PM
><
I50202FEB 5, 2021 9:31 AM
SHIFT TIME 2 : DISABLED
>
<I50203
FEB 5, 2021 9:31 AM
SHIFT TIME 3 : DISABLED
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>
<I50204
FEB 5, 2021 9:31 AM
SHIFT TIME 4 : DISABLED
><
I54600FEB 5, 2021 9:31 AM
TANK PER TST NEEDED WRN: DISABLED
>
<I54900
FEB 5, 2021 9:31 AM
TANK ANN TST NEEDED WRN: DISABLED
><
I55300FEB 5, 2021 9:31 AM
LINE RE-ENABLE METHOD
PASS LINE TEST
><
I55600FEB 5, 2021 9:31 AM
LINE PER TST NEEDED WRN: DISABLED
>
<I55900
FEB 5, 2021 9:31 AM
LINE ANN TST NEEDED WRN: DISABLED
><
I51400FEB 5, 2021 9:31 AM
H-PROTOCOL DATA FORMAT
HEIGHT
><
I51A01
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FEB 5, 2021 9:31 AM
DAYLIGHT SAVING TIME
ENABLED OFF
><
I51B00FEB 5, 2021 9:31 AM
DAYLIGHT SAVING TIME
START DATE APR WEEK 1 SUN 2:00 AM
END DATE OCT WEEK 6 SUN 2:00 AM
>
<I51600
FEB 5, 2021 9:31 AM
RE-DIRECT LOCAL PRINTOUTDISABLED
>
<I50400
FEB 5, 2021 9:31 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 5, 2021 9:31 AM
TANK CHART SECURITYENABLED
>
<I5BD00
FEB 5, 2021 9:32 AM
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CUSTOM ALARM LABELS
DISABLED
>
<I56000
FEB 5, 2021 9:32 AM
MASS/DENSITY
DISABLED
><
I88101FEB 5, 2021 9:32 AM
PORT SETTINGS:
COMM BOARD : 1 (EDIM )RS-232 SECURITY
CODE : ******
><
I88102FEB 5, 2021 9:32 AM
PORT SETTINGS:
COMM BOARD : 2 (S-SAT ) BAUD RATE : 9600
PARITY : NONE STOP BIT : 1 STOP
DATA LENGTH: 8 DATARS-232 SECURITY
CODE : ****** DTR NORMAL STATE: HIGH
>
<I88103
FEB 5, 2021 9:32 AMPORT SETTINGS:
COMM BOARD : 3 (RS-232)
BAUD RATE : 9600 PARITY : NONE
STOP BIT : 1 STOP DATA LENGTH: 8 DATA
RS-232 SECURITYCODE : ******
>
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<
I60100FEB 5, 2021 9:32 AM
TANK CONFIGURATION
DEVICE LABEL CONFIGURED
1 UNLEADED ON 2 PREMIUM ON
3 DIESEL ON 4 HACKED OFF
>
<I60200
FEB 5, 2021 9:32 AM
TANK PRODUCT LABEL
TANK PRODUCT LABEL 1 UNLEADED
2 PREMIUM 3 DIESEL
4 HACKED >
<I60300
FEB 5, 2021 9:32 AM
TANK PRODUCT CODE
TANK PRODUCT LABEL 1 UNLEADED 1
2 PREMIUM 2 3 DIESEL 3
4 HACKED 4>
<I60900
FEB 5, 2021 9:32 AM
TANK THERMAL COEFFICIENT
TANK PRODUCT LABEL 1 UNLEADED 0.000700
2 PREMIUM 0.000700 3 DIESEL 0.000450
4 HACKED 0.000000>
<I60700
FEB 5, 2021 9:32 AM
TANK DIAMETER
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TANK PRODUCT LABEL INCHES 1 UNLEADED 127.50
2 PREMIUM 127.50 3 DIESEL 127.50
4 HACKED 0.00>
<I60A00
FEB 5, 2021 9:32 AM
TANK FULL VOLUME
TANK PRODUCT LABEL TANK PROFILE GALLONS
1 UNLEADED 1 PT 20082
2 PREMIUM 1 PT 12041
3 DIESEL 1 PT 8027
4 HACKED 1 PT 111111
>
<I60400
FEB 5, 2021 9:32 AM
TANK FULL VOLUME
TANK PRODUCT LABEL GALLONS 1 UNLEADED 20082
2 PREMIUM 12041 3 DIESEL 8027
4 HACKED 111111>
<I60500
FEB 5, 2021 9:32 AM
TANK 4 POINT VOLUMES
TANK PRODUCT LABEL GALLONS 1 UNLEADED 20082 0 0 0
2 PREMIUM 12041 0 0 0 3 DIESEL 8027 0 0 0
4 HACKED 111111 0 0 0
><
I60600FEB 5, 2021 9:32 AM
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TANK 20 POINT VOLUMES
TANK PRODUCT LABEL GALLONS
1 UNLEADED 20082 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0
0 0 0 0 2 PREMIUM 12041 0 0 0
0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0
3 DIESEL 8027 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0
0 0 0 0 4 HACKED 111111 0 0 0
0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0
>
<I61500
FEB 5, 2021 9:33 AM
TANK PRODUCT LABEL METER DATA 1 UNLEADED NO
2 PREMIUM NO 3 DIESEL NO
4 HACKED NO
><
I62F00FEB 5, 2021 9:33 AM
MAG PROBE FLOAT SIZE
TANK PRODUCT LABEL FLOAT SIZE:
1 UNLEADED 4.0 INCHES 2 PREMIUM 4.0 INCHES
3 DIESEL 4.0 INCHES
><
I62700FEB 5, 2021 9:33 AM
TANK HIGH WATER WARNING LIMIT
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TANK PRODUCT LABEL INCHES
1 UNLEADED 2.0 2 PREMIUM 2.0
3 DIESEL 2.0>
<9999FF1B><
I62400FEB 5, 2021 9:33 AM
TANK HIGH WATER LEVEL LIMIT
TANK PRODUCT LABEL INCHES
1 UNLEADED 3.0 2 PREMIUM 3.0
3 DIESEL 3.0>
<I62800
FEB 5, 2021 9:33 AM
TANK MAXIMUM VOLUME LIMIT
TANK PRODUCT LABEL GALLONS 1 UNLEADED 20082
2 PREMIUM 12041 3 DIESEL 8027
4 HACKED 111111>
<I62300
FEB 5, 2021 9:33 AM
TANK OVERFILL LEVEL LIMIT
TANK PRODUCT LABEL GALLONS 1 UNLEADED 18073
2 PREMIUM 10837 3 DIESEL 7224
4 HACKED 0>
<I62200
FEB 5, 2021 9:33 AM
TANK HIGH PRODUCT LIMIT
TANK PRODUCT LABEL GALLONS 1 UNLEADED 19078
2 PREMIUM 11439 3 DIESEL 7625
4 HACKED 0>
<
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I62900
FEB 5, 2021 9:33 AM
TANK DELIVERY REQUIRED LIMIT
TANK PRODUCT LABEL GALLONS 1 UNLEADED 2008
2 PREMIUM 1204 3 DIESEL 802
4 HACKED 0>
<I62100
FEB 5, 2021 9:33 AM
TANK LOW PRODUCT LIMIT
TANK PRODUCT LABEL GALLONS 1 UNLEADED 500
2 PREMIUM 500 3 DIESEL 500
4 HACKED 0>
<I62600
FEB 5, 2021 9:33 AM
TANK LEAK ALARM LIMIT
TANK PRODUCT LABEL GALLONS 1 UNLEADED 99
2 PREMIUM 99 3 DIESEL 99
4 HACKED 99>
<I62500
FEB 5, 2021 9:33 AM
TANK SUDDEN LOSS LIMIT
TANK PRODUCT LABEL GALLONS 1 UNLEADED 50
2 PREMIUM 50 3 DIESEL 50
4 HACKED 99>
<I60800
FEB 5, 2021 9:34 AM
TANK TILT
TANK PRODUCT LABEL INCHES
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1 UNLEADED 0.00
2 PREMIUM 0.00 3 DIESEL 0.00
4 HACKED 0.00>
<I60B00
FEB 5, 2021 9:34 AM
STICK HEIGHT OFFSET ENABLE STATUSDISABLED
>
<I60C00
FEB 5, 2021 9:34 AM
TANK STICK HEIGHT OFFSETTANK PRODUCT LABEL INCHES
1 UNLEADED 0.00 2 PREMIUM 0.00
3 DIESEL 0.00 4 HACKED 0.00
><
I61200FEB 5, 2021 9:34 AM
TANK MANIFOLDED PARTNERS
TANK PRODUCT LABEL SIPHON MANIFOLDED TANKS LINE MANIFOLDED TANKS
1 UNLEADED NONE NONE 2 PREMIUM NONE NONE
3 DIESEL NONE NONE 4 HACKED NONE NONE
><
I63600FEB 5, 2021 9:34 AM
PERIODIC LEAK TEST MIN VOLUME
TANK PRODUCT LABEL GALLONS
1 UNLEADED 2008 2 PREMIUM 1204
3 DIESEL 802 4 HACKED 0
><
I62A00FEB 5, 2021 9:34 AM
ANNUAL LEAK TEST MIN VOLUME
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TANK PRODUCT LABEL GALLONS
1 UNLEADED 2008 2 PREMIUM 1204
3 DIESEL 802 4 HACKED 0
><
I62C00FEB 5, 2021 9:34 AM
TANK PERIODIC TEST TYPE
TANK PRODUCT LABEL PERIODIC TEST TYPE
1 UNLEADED STANDARD 2 PREMIUM STANDARD
3 DIESEL STANDARD 4 HACKED STANDARD
>
<I62D00
FEB 5, 2021 9:34 AM
TANK LEAK TEST FAIL ALARMS
TANK PRODUCT LABEL 1 UNLEADED GROSS TEST FAIL ALARM DISABLED
PERIODIC TEST FAIL ALARM DISABLED ANNUAL TEST FAIL ALARM DISABLED
2 PREMIUM GROSS TEST FAIL ALARM DISABLED
PERIODIC TEST FAIL ALARM DISABLED ANNUAL TEST FAIL ALARM DISABLED
3 DIESEL GROSS TEST FAIL ALARM DISABLED
PERIODIC TEST FAIL ALARM DISABLED ANNUAL TEST FAIL ALARM DISABLED
4 HACKED GROSS TEST FAIL ALARM DISABLED
PERIODIC TEST FAIL ALARM DISABLED ANNUAL TEST FAIL ALARM DISABLED
><
I63100FEB 5, 2021 9:34 AM
TANK LEAK TEST AVERAGING
TANK PRODUCT LABEL ANNUAL PERIODIC
1 UNLEADED OFF OFF 2 PREMIUM OFF OFF
3 DIESEL OFF OFF
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4 HACKED OFF OFF
>
<I63000
FEB 5, 2021 9:34 AM
IN-TANK LEAK TEST NOTIFY
TANK PRODUCT LABEL TANK TEST NOTIFY: 1 UNLEADED OFF
2 PREMIUM OFF 3 DIESEL OFF
4 HACKED OFF
><
I63200FEB 5, 2021 9:34 AM
TANK TEST SIPHON BREAK
TANK PRODUCT LABEL SIPHON BREAK
1 UNLEADED OFF 2 PREMIUM OFF
3 DIESEL OFF 4 HACKED OFF
>
<I61000
FEB 5, 2021 9:34 AM
TANK DELIVERY DELAY
TANK PRODUCT LABEL 1 UNLEADED 15
2 PREMIUM 15 3 DIESEL 15
4 HACKED 1>
<I63A00
FEB 5, 2021 9:35 AM
LOW LEVEL PUMP THRESHOLD FOR SEQUENTIAL LINE MANIFOLD
TANK PRODUCT LABEL PUMP THRESHOLD 1 UNLEADED 10.00%
2 PREMIUM 10.00% 3 DIESEL 10.00%
4 HACKED 10.00%
>
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<
I61100FEB 5, 2021 9:35 AM
LEAK TEST METHOD
- - - - - - - - - - - -TEST ANNUALLY: ALL TANK
DEC WEEK 2 WEDSTART TIME : 2:30 AM
TEST RATE :0.20 GAL/HRDURATION : 2 HOURS
TST EARLY STOP:DISABLED
>
<I61300
FEB 5, 2021 9:35 AMCSLD PROBABLITY OF DETECTION
><
I61400FEB 5, 2021 9:35 AM
CSLD CLIMATE FACTOR
>
<I61600
FEB 5, 2021 9:35 AM
TANK PRODUCT LABEL CAL UPDATE 1 UNLEADED IMMEDIATE
2 PREMIUM IMMEDIATE 3 DIESEL IMMEDIATE
4 HACKED IMMEDIATE
><
I61A00FEB 5, 2021 9:35 AM
IN-TANK LEAK TEST EARLY STOP
TANK PRODUCT LABEL TST EARLY STOP:
1 UNLEADED DISABLED 2 PREMIUM DISABLED
3 DIESEL DISABLED 4 HACKED DISABLED
><
I61B00
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FEB 5, 2021 9:35 AM
IN-TANK LEAK GROSS TEST AUTO-CONFIRM
><
I61C00FEB 5, 2021 9:35 AM
CSLD REPORT ONLY
><
I63400FEB 5, 2021 9:35 AM
RECONCILIATION WARNING LIMIT
TANK PRODUCT LABEL GALLONS
1 UNLEADED 0 2 PREMIUM 0
3 DIESEL 0 4 HACKED 0
><
I63500FEB 5, 2021 9:35 AM
RECONCILIATION ALARM LIMIT
TANK PRODUCT LABEL GALLONS
1 UNLEADED 1 2 PREMIUM 1
3 DIESEL 1 4 HACKED 1
><
I78700FEB 5, 2021 9:35 AM
>
<I70200
FEB 5, 2021 9:35 AM
LIQUID LABEL
DEVICE LABEL 1 87 ANNULAR
2 87 STP 3 87 FILL
4 91-DIESEL ANNULAR
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5 91 STP
6 91 FILL 7 DIESEL STP
8 DIESEL FILL 9 DISP 1-2
10 DISP 3-4 11 DISP 5-6
12 DISP 7-8 13
14 15
16
><
I70300FEB 5, 2021 9:35 AM
LIQUID TYPE
SENSOR LOCATION TYPE
1 87 ANNULAR TRI-STATE (SINGLE FLOAT) 2 87 STP TRI-STATE (SINGLE FLOAT)
3 87 FILL TRI-STATE (SINGLE FLOAT) 4 91-DIESEL ANNULAR TRI-STATE (SINGLE FLOAT)
5 91 STP TRI-STATE (SINGLE FLOAT) 6 91 FILL TRI-STATE (SINGLE FLOAT)
7 DIESEL STP TRI-STATE (SINGLE FLOAT) 8 DIESEL FILL TRI-STATE (SINGLE FLOAT)
9 DISP 1-2 TRI-STATE (SINGLE FLOAT) 10 DISP 3-4 TRI-STATE (SINGLE FLOAT)
11 DISP 5-6 TRI-STATE (SINGLE FLOAT) 12 DISP 7-8 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 5, 2021 9:35 AM
LIQUID CATEGORY
SENSOR LOCATION CATEGORY 1 87 ANNULAR ANNULAR SPACE
2 87 STP STP SUMP 3 87 FILL OTHER SENSORS
4 91-DIESEL ANNULAR ANNULAR SPACE 5 91 STP STP SUMP
6 91 FILL OTHER SENSORS 7 DIESEL STP STP SUMP
8 DIESEL FILL OTHER SENSORS
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9 DISP 1-2 DISPENSER PAN
10 DISP 3-4 DISPENSER PAN 11 DISP 5-6 DISPENSER PAN
12 DISP 7-8 DISPENSER PAN 13 OTHER SENSORS
14 OTHER SENSORS 15 OTHER SENSORS
16 OTHER SENSORS
><
I80700FEB 5, 2021 9:35 AM
RELAY LABEL
DEVICE LABEL
1 87 STP 2 91 STP
3 DIESEL STP 4
>
<I80900
FEB 5, 2021 9:36 AM
RELAY ORIENTATION
RELAY DESIGNATION ORIENTATION 1 87 STP NORMALLY CLOSED
2 91 STP NORMALLY CLOSED 3 DIESEL STP NORMALLY CLOSED
4 NORMALLY OPEN
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I80B00FEB 5, 2021 9:36 AM
RELAY TANK ASSIGNMENT
RELAY DESIGNATION TANK
1 87 STP 1 2 91 STP 2
3 DIESEL STP 3 4 NONE
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<I80A00
FEB 5, 2021 9:36 AM
RELAY TYPE
file:///C/Users/jerryr/Desktop/02-05-21%20Oaks%20Monitor/Oaks%20setup.txt[2/5/2021 12:51:49 PM]
RELAY DESIGNATION TYPE
1 87 STP STANDARD 2 91 STP STANDARD
3 DIESEL STP STANDARD 4 STANDARD
>
<I80800
FEB 5, 2021 9:36 AM
RELAY SETUP REPORT
R 1:87 STP TYPE:
STANDARDNORMALLY CLOSED
TANK #: 1
LIQUID SENSOR ALMS L 1:FUEL ALARM
L 2:FUEL ALARM L 9:FUEL ALARM
L10:FUEL ALARM L11:FUEL ALARM
L12:FUEL ALARM L 1:SENSOR OUT ALARM
L 2:SENSOR OUT ALARM L 9:SENSOR OUT ALARM
L10:SENSOR OUT ALARM L11:SENSOR OUT ALARM
L12:SENSOR OUT ALARM
ISD SITE ALARMS ISD GROSS PRES FAIL
ISD DEGRD PRES FAIL ISD VAPOR LEAK FAIL
ISD HOSE ALARMS
ALL:FLOW COLLECT FAIL
R 2:91 STP
TYPE: STANDARD
NORMALLY CLOSED
TANK #: 2
LIQUID SENSOR ALMS
file:///C/Users/jerryr/Desktop/02-05-21%20Oaks%20Monitor/Oaks%20setup.txt[2/5/2021 12:51:49 PM]
L 4:FUEL ALARM
L 5:FUEL ALARM L 9:FUEL ALARM
L10:FUEL ALARM L11:FUEL ALARM
L12:FUEL ALARM L 4:SENSOR OUT ALARM
L 5:SENSOR OUT ALARM L 9:SENSOR OUT ALARM
L10:SENSOR OUT ALARM L11:SENSOR OUT ALARM
L12:SENSOR OUT ALARM
ISD SITE ALARMS ISD GROSS PRES FAIL
ISD DEGRD PRES FAIL ISD VAPOR LEAK FAIL
ISD HOSE ALARMS
ALL:FLOW COLLECT FAIL
R 3:DIESEL STP
TYPE: STANDARD
NORMALLY CLOSED
TANK #: 3
LIQUID SENSOR ALMS
L 4:FUEL ALARM L 7:FUEL ALARM
L12:FUEL ALARM L 4:SENSOR OUT ALARM
L 7:SENSOR OUT ALARM L12:SENSOR OUT ALARM
R 4: TYPE:
STANDARDNORMALLY OPEN
TANK #: NONE
- NO ALARM ASSIGNMENTS -
><
I79000FEB 5, 2021 9:36 AM
file:///C/Users/jerryr/Desktop/02-05-21%20Oaks%20Monitor/Oaks%20setup.txt[2/5/2021 12:51:49 PM]
EDIM:1 VR:349643-001-B TD:97.10.27.11.25
>
<I72300
FEB 5, 2021 9:36 AM
BROOKSIDE MARKET 8803 CAMINO MEDIA
BAKERSFIELD CA 93311
SMARTSENSOR ASSIGNMENT
DEVICE LABEL CATEGORY01 DISP 1-2 FM AIR FLOW METER
02 DISP 3-4 FM AIR FLOW METER03 DISP 5-6 FM AIR FLOW METER
04 DISP 7-8 FM AIR FLOW METER05 PRESS SENSOR VAPOR PRESSURE
06 UNKNOWN07 UNKNOWN
08 UNKNOWN09 UNKNOWN
10 UNKNOWN11 UNKNOWN
12 UNKNOWN13 UNKNOWN
14 UNKNOWN15 UNKNOWN
16 UNKNOWN17 UNKNOWN
18 UNKNOWN19 UNKNOWN
20 UNKNOWN21 UNKNOWN
22 UNKNOWN23 UNKNOWN
24 UNKNOWN25 UNKNOWN
26 UNKNOWN27 UNKNOWN
28 UNKNOWN29 UNKNOWN
30 UNKNOWN31 UNKNOWN
32 UNKNOWN33 UNKNOWN
34 UNKNOWN35 UNKNOWN
36 UNKNOWN37 UNKNOWN
38 UNKNOWN
file:///C/Users/jerryr/Desktop/02-05-21%20Oaks%20Monitor/Oaks%20setup.txt[2/5/2021 12:51:49 PM]
39 UNKNOWN
40 UNKNOWN
><
IV4700
FEB 5, 2021 9:37 AM
BROOKSIDE MARKET 8803 CAMINO MEDIA
BAKERSFIELD CA 93311
ASSESSMENT TIME
START TIME: 10:00 AMTIME DELAY MINUTES: 1
>
<IV5200
FEB 5, 2021 9:37 AM
BROOKSIDE MARKET 8803 CAMINO MEDIA
BAKERSFIELD CA 93311
ACCEPT HIGH ORVR: NO
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IV4A00FEB 5, 2021 9:37 AM
BROOKSIDE MARKET
8803 CAMINO MEDIA BAKERSFIELD CA 93311
ISD HOSE TABLE
HOSE FP FP AFM HOSE ID ID LABEL ID LABEL
01 01 01 01 BLEND3 02 02 02 01 BLEND3
03 03 03 02 BLEND3 04 04 04 02 BLEND3
05 05 05 03 BLEND3 06 06 06 03 BLEND3
07 07 07 04 BLEND3 08 08 08 04 BLEND3
>
<
file:///C/Users/jerryr/Desktop/02-05-21%20Oaks%20Monitor/Oaks%20setup.txt[2/5/2021 12:51:49 PM]
IV4B00
FEB 5, 2021 9:37 AM
BROOKSIDE MARKET 8803 CAMINO MEDIA
BAKERSFIELD CA 93311
PRODUCT/HOSE MAP TABLE
FP AFID M1/H1 M2/H2 M3/H3 M4/H4
01 01 02/01 09/01 01/01 xx/xx02 01 02/02 09/02 01/02 xx/xx
03 02 02/03 09/03 01/03 xx/xx04 02 02/04 09/04 01/04 xx/xx
05 03 02/05 09/05 01/05 xx/xx06 03 02/06 09/06 01/06 xx/xx
07 04 02/07 09/07 01/07 xx/xx08 04 02/08 09/08 01/08 xx/xx
>
<IV4900
FEB 5, 2021 9:37 AM
BROOKSIDE MARKET 8803 CAMINO MEDIA
BAKERSFIELD CA 93311
LABEL TABLE
ID LABEL01 UNASSIGNED
02 BLEND3 03 REGULAR
04 MID GRADE 05 PREMIUM
06 GOLD 07 BRONZE
08 SILVER 09 BLEND2
10 BLEND4
><
IV1000FEB 5, 2021 9:37 AM
ISD VERSION: 01.01
>
<I90200
FEB 5, 2021 9:37 AM
file:///C/Users/jerryr/Desktop/02-05-21%20Oaks%20Monitor/Oaks%20setup.txt[2/5/2021 12:51:49 PM]
SOFTWARE REVISION LEVEL
VERSION 327.04SOFTWARE# 346327-100-E
CREATED - 07.02.06.10.28
S-MODULE# 330160-004-aSYSTEM FEATURES:
PERIODIC IN-TANK TESTS ANNUAL IN-TANK TESTS
ISD PMC
>
<I11100
FEB 5, 2021 9:37 AM
BROOKSIDE MARKET 8803 CAMINO MEDIA
BAKERSFIELD CA 93311
PRIORITY ALARM HISTORY
ID CATEGORY DESCRIPTION ALARM TYPE STATE DATE TIMEE 1 OTHER COMMUNICATION ALARM CLEAR 2-01-21 2:09AM
E 1 OTHER COMMUNICATION ALARM ALARM 2-01-21 2:06AME 1 OTHER COMMUNICATION ALARM CLEAR 1-25-21 2:08AM
E 1 OTHER COMMUNICATION ALARM ALARM 1-25-21 2:06AME 1 OTHER COMMUNICATION ALARM CLEAR 1-18-21 2:09AM
E 1 OTHER COMMUNICATION ALARM ALARM 1-18-21 2:07AME 1 OTHER COMMUNICATION ALARM CLEAR 1-11-21 2:10AM
E 1 OTHER COMMUNICATION ALARM ALARM 1-11-21 2:07AME 1 OTHER COMMUNICATION ALARM CLEAR 1-04-21 2:09AM
E 1 OTHER COMMUNICATION ALARM ALARM 1-04-21 2:07AME 1 OTHER COMMUNICATION ALARM CLEAR 12-28-20 2:09AM
E 1 OTHER COMMUNICATION ALARM ALARM 12-28-20 2:06AME 1 OTHER COMMUNICATION ALARM CLEAR 12-21-20 2:08AM
E 1 OTHER COMMUNICATION ALARM ALARM 12-21-20 2:06AME 1 OTHER COMMUNICATION ALARM CLEAR 12-14-20 2:10AM
E 1 OTHER COMMUNICATION ALARM ALARM 12-14-20 2:08AME 1 OTHER COMMUNICATION ALARM CLEAR 12-07-20 2:09AM
E 1 OTHER COMMUNICATION ALARM ALARM 12-07-20 2:07AME 1 OTHER COMMUNICATION ALARM CLEAR 11-30-20 2:09AM
E 1 OTHER COMMUNICATION ALARM ALARM 11-30-20 2:06AME 1 OTHER COMMUNICATION ALARM CLEAR 11-27-20 8:03AM
E 1 OTHER COMMUNICATION ALARM ALARM 11-27-20 7:59AME 1 OTHER COMMUNICATION ALARM CLEAR 11-23-20 2:09AM
E 1 OTHER COMMUNICATION ALARM ALARM 11-23-20 2:07AME 1 OTHER COMMUNICATION ALARM CLEAR 11-16-20 2:09AM
E 1 OTHER COMMUNICATION ALARM ALARM 11-16-20 2:06AME 1 OTHER COMMUNICATION ALARM CLEAR 11-09-20 2:08AM
E 1 OTHER COMMUNICATION ALARM ALARM 11-09-20 2:06AME 1 OTHER COMMUNICATION ALARM CLEAR 11-02-20 2:09AM
E 1 OTHER COMMUNICATION ALARM ALARM 11-02-20 2:07AM
file:///C/Users/jerryr/Desktop/02-05-21%20Oaks%20Monitor/Oaks%20setup.txt[2/5/2021 12:51:49 PM]
E 1 OTHER COMMUNICATION ALARM CLEAR 10-26-20 1:09AM
E 1 OTHER COMMUNICATION ALARM ALARM 10-26-20 1:06AMT 1 TANK UNLEADED OVERFILL ALARM CLEAR 10-23-20 9:53AM
T 1 TANK UNLEADED OVERFILL ALARM ALARM 10-23-20 9:36AME 1 OTHER COMMUNICATION ALARM CLEAR 10-19-20 2:08AM
E 1 OTHER COMMUNICATION ALARM ALARM 10-19-20 2:06AME 1 OTHER COMMUNICATION ALARM CLEAR 10-12-20 2:08AM
E 1 OTHER COMMUNICATION ALARM ALARM 10-12-20 2:05AME 1 OTHER COMMUNICATION ALARM CLEAR 10-08-20 9:16AM
E 1 OTHER COMMUNICATION ALARM ALARM 10-08-20 9:11AME 1 OTHER COMMUNICATION ALARM CLEAR 10-05-20 2:09AM
E 1 OTHER COMMUNICATION ALARM ALARM 10-05-20 2:06AME 1 OTHER COMMUNICATION ALARM CLEAR 9-28-20 2:10AM
E 1 OTHER COMMUNICATION ALARM ALARM 9-28-20 2:07AMT 1 TANK UNLEADED OVERFILL ALARM CLEAR 9-24-20 7:02AM
T 1 TANK UNLEADED OVERFILL ALARM ALARM 9-24-20 6:43AME 1 OTHER COMMUNICATION ALARM CLEAR 9-21-20 2:09AM
E 1 OTHER COMMUNICATION ALARM ALARM 9-21-20 2:07AME 1 OTHER COMMUNICATION ALARM CLEAR 9-14-20 2:08AM
E 1 OTHER COMMUNICATION ALARM ALARM 9-14-20 2:06AM
><
I11200FEB 5, 2021 9:37 AM
BROOKSIDE MARKET
8803 CAMINO MEDIA BAKERSFIELD CA 93311
NON-PRIORITY ALARM HISTORYID CATEGORY DESCRIPTION ALARM TYPE STATE DATE TIME
SYSTEM PRINTER ERROR CLEAR 1-22-21 4:15PM SYSTEM PAPER OUT CLEAR 1-22-21 4:15PM
SYSTEM PRINTER ERROR ALARM 1-22-21 4:15PM SYSTEM PAPER OUT ALARM 1-22-21 4:15PM
h 2 OTHER FP2: BLEND3 FLOW COLLECT WARN CLEAR 10-09-20 12:21PMh 2 OTHER FP2: BLEND3 FLOW COLLECT WARN ALARM 10-09-20 10:05AM
OTHER ISD VAPOR LEAK WARN CLEAR 8-24-20 3:39PM OTHER ISD VAPOR LEAK WARN ALARM 8-24-20 10:04AM
SYSTEM PRINTER ERROR CLEAR 8-24-20 8:53AM SYSTEM PAPER OUT CLEAR 8-24-20 8:53AM
SYSTEM PRINTER ERROR ALARM 8-24-20 8:53AM SYSTEM PAPER OUT ALARM 8-24-20 8:53AM
h 7 OTHER FP7: BLEND3 FLOW COLLECT WARN CLEAR 8-10-20 8:27AMh 7 OTHER FP7: BLEND3 FLOW COLLECT WARN ALARM 8-09-20 10:04AM
SYSTEM PRINTER ERROR CLEAR 7-27-20 9:52AM SYSTEM PRINTER ERROR ALARM 7-27-20 9:52AM
SYSTEM PRINTER ERROR CLEAR 7-06-20 9:24AM SYSTEM PRINTER ERROR ALARM 7-06-20 9:24AM
SYSTEM PRINTER ERROR CLEAR 6-26-20 10:11AM SYSTEM PRINTER ERROR ALARM 6-26-20 10:11AM
SYSTEM PRINTER ERROR CLEAR 6-25-20 11:51PM
file:///C/Users/jerryr/Desktop/02-05-21%20Oaks%20Monitor/Oaks%20setup.txt[2/5/2021 12:51:49 PM]
SYSTEM PAPER OUT CLEAR 6-25-20 11:51PM
SYSTEM PRINTER ERROR ALARM 6-25-20 11:50PM SYSTEM PAPER OUT ALARM 6-25-20 11:50PM
SYSTEM PRINTER ERROR CLEAR 6-12-20 12:05AM SYSTEM PAPER OUT CLEAR 6-12-20 12:05AM
SYSTEM PRINTER ERROR ALARM 6-12-20 12:04AM SYSTEM PAPER OUT ALARM 6-12-20 12:04AM
SYSTEM PRINTER ERROR CLEAR 5-28-20 11:59PM SYSTEM PAPER OUT CLEAR 5-28-20 11:59PM
SYSTEM PRINTER ERROR ALARM 5-28-20 11:59PM SYSTEM PAPER OUT ALARM 5-28-20 11:59PM
h 3 OTHER FP3: BLEND3 FLOW COLLECT WARN CLEAR 5-26-20 3:50PMh 3 OTHER FP3: BLEND3 FLOW COLLECT WARN ALARM 5-26-20 10:05AM
SYSTEM PRINTER ERROR CLEAR 5-15-20 12:00AM SYSTEM PAPER OUT CLEAR 5-15-20 12:00AM
SYSTEM PRINTER ERROR ALARM 5-15-20 12:00AM SYSTEM PAPER OUT ALARM 5-15-20 12:00AM
SYSTEM PRINTER ERROR CLEAR 5-15-20 12:00AM SYSTEM PAPER OUT CLEAR 5-15-20 12:00AM
SYSTEM PRINTER ERROR ALARM 5-15-20 12:00AM SYSTEM PAPER OUT ALARM 5-15-20 12:00AM
SYSTEM PRINTER ERROR CLEAR 4-17-20 10:53AM SYSTEM PRINTER ERROR ALARM 4-17-20 10:53AM
SYSTEM PRINTER ERROR CLEAR 4-16-20 11:57PM SYSTEM PAPER OUT CLEAR 4-16-20 11:57PM
SYSTEM PRINTER ERROR ALARM 4-16-20 11:57PM SYSTEM PAPER OUT ALARM 4-16-20 11:57PM
SYSTEM PRINTER ERROR CLEAR 4-03-20 9:29AM SYSTEM PAPER OUT CLEAR 4-03-20 9:29AM
>
<I20600
FEB 5, 2021 9:37 AM
BROOKSIDE MARKET 8803 CAMINO MEDIA
BAKERSFIELD CA 93311
TANK ALARM HISTORY
TANK 1 UNLEADED
OVERFILL ALARM OCT 23, 2020 9:36 AM SEP 24, 2020 6:43 AM
MAY 22, 2020 2:24 PM
HIGH PRODUCT ALARM DEC 9, 2019 7:24 AM OCT 25, 2019 3:47 AM
TANK 2 PREMIUM
file:///C/Users/jerryr/Desktop/02-05-21%20Oaks%20Monitor/Oaks%20setup.txt[2/5/2021 12:51:49 PM]
TANK 3 DIESEL
><
I38200FEB 5, 2021 9:38 AM
>
<I30200
FEB 5, 2021 9:38 AM
BROOKSIDE MARKET 8803 CAMINO MEDIA
BAKERSFIELD CA 93311
LIQUID ALARM HISTORY REPORT
SENSOR LOCATION
1 87 ANNULAR FEB 12, 2020 10:11 AM SENSOR OUT ALARM
FEB 12, 2020 9:51 AM FUEL ALARM FEB 12, 2020 9:51 AM FUEL ALARM
2 87 STP FEB 12, 2020 10:11 AM SENSOR OUT ALARM
FEB 12, 2020 9:56 AM FUEL ALARM 3 87 FILL
FEB 12, 2020 10:11 AM SENSOR OUT ALARM FEB 12, 2020 10:09 AM FUEL ALARM
4 91-DIESEL ANNULAR FEB 12, 2020 10:11 AM SENSOR OUT ALARM
FEB 12, 2020 9:57 AM FUEL ALARM 5 91 STP
FEB 12, 2020 10:11 AM SENSOR OUT ALARM FEB 12, 2020 9:58 AM FUEL ALARM
6 91 FILL FEB 12, 2020 10:11 AM SENSOR OUT ALARM
FEB 12, 2020 10:07 AM FUEL ALARM 7 DIESEL STP
FEB 12, 2020 10:11 AM SENSOR OUT ALARM FEB 12, 2020 10:00 AM FUEL ALARM
8 DIESEL FILL APR 8, 2020 5:48 PM FUEL ALARM
FEB 12, 2020 12:50 PM FUEL ALARM FEB 12, 2020 10:11 AM SENSOR OUT ALARM
9 DISP 1-2 FEB 12, 2020 10:11 AM SENSOR OUT ALARM
FEB 12, 2020 10:05 AM FUEL ALARM 10 DISP 3-4
FEB 12, 2020 10:11 AM SENSOR OUT ALARM FEB 12, 2020 10:06 AM FUEL ALARM
11 DISP 5-6
file:///C/Users/jerryr/Desktop/02-05-21%20Oaks%20Monitor/Oaks%20setup.txt[2/5/2021 12:51:49 PM]
FEB 12, 2020 10:11 AM SENSOR OUT ALARM
FEB 12, 2020 10:04 AM FUEL ALARM 12 DISP 7-8
FEB 12, 2020 10:11 AM SENSOR OUT ALARM FEB 12, 2020 10:03 AM FUEL ALARM
FEB 12, 2020 10:01 AM FUEL ALARM
><
I31600FEB 5, 2021 9:38 AM
BROOKSIDE MARKET
8803 CAMINO MEDIA BAKERSFIELD CA 93311
SMART SENSOR ALARM HISTORY REPORT
SENSOR LOCATION 1 DISP 1-2 FM
2 DISP 3-4 FM 3 DISP 5-6 FM
4 DISP 7-8 FM 5 PRESS SENSOR
>
<I10200
FEB 5, 2021 9:38 AM
BROOKSIDE MARKET 8803 CAMINO MEDIA
BAKERSFIELD CA 93311
SYSTEM CONFIGURATION
SLOT BOARD TYPE POWER ON RESET CURRENT
1 UNUSED 9962839 10287769 2 UNUSED 9940357 10184894
3 UNUSED 9943437 10167121 4 UNUSED 9937717 10166505
5 4 PROBE / G.T. 163824 164332 6 INTERSTITIAL BD 202188 202927
7 INTERSTITIAL BD 203453 203910 8 8SMARTSENSOR BD 39564 39616
9 UNUSED 9944648 10186285 10 RELAY BOARD 14965 14980
11 UNUSED 9947895 10169314 12 UNUSED 9939053 10160705
13 UNUSED 9943558 10155856 14 UNUSED 9941568 10159205
15 UNUSED 9943810 10159822
file:///C/Users/jerryr/Desktop/02-05-21%20Oaks%20Monitor/Oaks%20setup.txt[2/5/2021 12:51:49 PM]
16 UNUSED 9937649 10157294
COMM 1 ELEC DISP INT. 101498 101726 COMM 2 SERIAL SAT BD 485684 487208
COMM 3 RS232 SERIAL BD 15049 15063 COMM 4 UNUSED 9949928 10173444
COMM 5 UNUSED 9937587 10155527 COMM 6 UNUSED 9944899 10156596
>
<I90200
FEB 5, 2021 9:38 AMSOFTWARE REVISION LEVEL
VERSION 327.04SOFTWARE# 346327-100-E
CREATED - 07.02.06.10.28
S-MODULE# 330160-004-aSYSTEM FEATURES:
PERIODIC IN-TANK TESTS ANNUAL IN-TANK TESTS
ISD PMC
>