HomeMy WebLinkAbout2023 FMC1
Jennifer Pruitt
Subject:SA004, AT&T Annual Precision Line Testing Notification (BKFDCA12), Bakersfield
Location:1918 M STREET, BAKERSFIELD, CA 93301-4635
Start:Mon 10/16/2023 9:00 AM
End:Mon 10/16/2023 11:00 AM
Recurrence:(none)
Meeting Status:Meeting organizer
Organizer:Simplex Communication
Required Attendees:AGUILAR, ADOLFO; MEDINA, ELOISA; 'FLORES, CECILIA'; 'HAYN, CINDY H (ATTSI)' (ch1921@att.com) ; Carlos
Cardenas; Jennifer Pruitt; Maria Figueroa; Krystine Gossett; HIROSHIMA-HARBER, STACIE A; Pat Banbury; 'jk5482
@att.com'; Steven Robles
Categories:Precision Line Testing, Legacy S Site
There is an AT&T Annual Precision Line Test scheduled for this location on the date and time indicated.
NOTE: -Testing Permit #23-10000039
SA004 1918 M STREET BAKERSFIELD 93301-4635
CUPA Notification:
OTTL Notification:
TEST DUE DATE 10/19/2023
PERMIT REQUIRED for TESTING
1. BILLING & PERMIT STATEMENT - FEE SCHEDULE (PDF)
2. UST TESTING APPLICATION (PDF)
Stacie A. Hiroshima‐Harber (ss7891@att.com) must approve MOP before test start.
Please contact the Compliance Manager with any questions and/or comments at:
simplexcommunication@tait.com
714.560.8200
Environmental Health/CUPA Contact Information:
Bakersfield City Fire Department
2
2101 H Street
Bakersfield, CA 93301
Method of Notification: Email
Contact (Once Permit is Approved):
https://www.bakersfieldcity.us/1048/Inspection‐Request
Test Results Submittal: USTResults@bakersfieldfire.us
1
Jennifer Pruitt
Subject:SA004, AT&T Annual Monitor Certification, PLLD Testing & Spill Bucket Testing Notification (BKFDCA12), Bakersfield
Location:1918 M STREET, BAKERSFIELD, CA 93301-4635
Start:Mon 10/16/2023 9:00 AM
End:Mon 10/16/2023 11:00 AM
Recurrence:(none)
Meeting Status:Meeting organizer
Organizer:Simplex Communication
Required Attendees:AGUILAR, ADOLFO; MEDINA, ELOISA; 'FLORES, CECILIA'; 'HAYN, CINDY H (ATTSI)' (ch1921@att.com) ; Carlos
Cardenas; Jennifer Pruitt; Maria Figueroa; Krystine Gossett; Pat Banbury; Steven Robles
Categories:Annual Monitoring Certification & Spill Bucket Testing, Line Leak Detection Testing, Legacy S Site
There is an AT&T Annual Monitor Certification, PLLD Test and Spill Bucket Test scheduled for this location on the date
and time indicated.
NOTE: -Testing Permit #23-10000038
SA004 1918 M STREET BAKERSFIELD 93301-4635
TEST DUE DATE 10/19/2023
PERMIT REQUIRED for TESTING
1. BILLING & PERMIT STATEMENT - FEE SCHEDULE (PDF)
2. UST TESTING APPLICATION (PDF)
Please contact the Compliance Manager with any questions and/or comments at:
simplexcommunication@tait.com
714.560.8200
Environmental Health/CUPA Contact Information:
Bakersfield City Fire Department
2101 H Street
Bakersfield, CA 93301
Method of Notification: Email
Contact (Once Permit is Approved):
2
https://www.bakersfieldcity.us/1048/Inspection‐Request
Test Results Submittal: USTResults@bakersfieldfire.us
1
Jennifer Pruitt
From:Luke Preece <lpreece@bakersfieldfire.us>
Sent:Tuesday, August 29, 2023 12:53 PM
To:Carlos Cardenas
Cc:Jennifer Pruitt
Subject:RE: ***Scheduling Request***AT&T Annual October Testing - Bakersfield Fire Dept.
External Email.
Carlos,
These times are good with me. I have you on the calendar.
Thank you
Luke Preece
Fire Prevention/Environmental Officer
Bakersfield Fire Department
email: lpreece@bakersfieldfire.us
web: www.bakersfieldfire.us
phone: 661-326-3659
From: Carlos Cardenas <ccardenas@TAIT.COM>
Sent: Tuesday, August 29, 2023 11:20 AM
To: Luke Preece <lpreece@bakersfieldfire.us>
Cc: Jennifer Pruitt <jpruitt@TAIT.COM>
Subject: ***Scheduling Request***AT&T Annual October Testing ‐ Bakersfield Fire Dept.
CAUTION: This email originated from outside your organization. Exercise caution when opening attachments or clicking
links, especially from unknown senders.
Hello Inspector Preece,
Thank you for the voicemail. Per your available dates, I was hoping we could schedule tesƟng for the following dates and
Ɵmes:
SA004, AT&T Annual Monitor Certification,
PLLD Testing & Spill Bucket Testing
Notification (BKFDCA12), Bakersfield
1918 M STREET
BAKERSFIELD, CA 93301
Mon 10/16/2023
9:00 AM
Permit #
23-10000038
SA004, AT&T Annual Precision Line Testing
Notification (BKFDCA12), Bakersfield
1918 M STREET
BAKERSFIELD, CA 93301
Mon 10/16/2023
9:00 AM
Permit #
23-10000039
SA002, AT&T Annual Monitor Certification
& Spill Bucket Testing Notification
(BKFDCA01), Bakersfield
1520 20TH ST
BAKERSFIELD, CA 93301
Tue 10/17/2023
9:00 AM
Permit #
23-10000037
2
SA098, AT&T Annual Monitor Certification
& Spill Bucket Testing Notification
(BKFDCA14), Bakersfield
3221 S. H STREET
BAKERSFIELD, CA 93304
Tue 10/17/2023
11:00 AM
Permit #
23-10000040
Carlos E. Cardenas | TAIT Environmental Services, Inc.
Project Manager
701 N. Parkcenter Dr., Santa Ana, CA 92705
P: 714-567-6418 C: 909-230-8256
ccardenas@tait.com | www.tait.com
This email message, including any attachment(s), is intended only for the recipient(s) named above. It may contain information that is confidential, privileged, or protected by
law. The unlawful use, distribution, or publication of this information is strictly prohibited. If you receive this communication in error, please notify the sender immediately by
return email and delete the original message, including all attachment(s).
1
Jennifer Pruitt
From:WB-DWQ-OTTL <OTTL.OTTL@waterboards.ca.gov>
Sent:Wednesday, September 20, 2023 10:34 AM
To:Carlos Cardenas
Subject:RE: ***Scheduling Request***SA004, AT&T Annual Precision Line Testing Notification (BKFDCA12), Bakersfield
External Email.
Thank you
Kaitlin Cottrell
Environmental Scientist
State Water Resources Control Board
UST Leak Prevention Unit
916‐319‐0742
From: Carlos Cardenas <ccardenas@TAIT.COM>
Sent: Monday, September 18, 2023 5:46 PM
To: WB‐DWQ‐OTTL <OTTL.OTTL@waterboards.ca.gov>
Cc: Jennifer Pruitt <jpruitt@TAIT.COM>; Erin Langford <elangford@TAIT.COM>; Megan Proano <mproano@TAIT.COM>;
Samantha Joe <sjoe@TAIT.COM>; Randy Novak <rnovak@TAIT.COM>
Subject: RE: ***Scheduling Request***SA004, AT&T Annual Precision Line Testing Notification (BKFDCA12), Bakersfield
EXTERNAL:
Hello,
Per your request, attached is Patrick Banbury’s updated Petro‐Tite Certification. The new expiration date is 9/18/2025.
Carlos E. Cardenas
Tait Environmental Services, Inc.
(714) 567-6418
From: WB‐DWQ‐OTTL <OTTL.OTTL@waterboards.ca.gov>
Sent: Friday, September 15, 2023 3:54 PM
To: Carlos Cardenas <ccardenas@TAIT.COM>
Cc: Jennifer Pruitt <jpruitt@TAIT.COM>
Subject: RE: ***Scheduling Request***SA004, AT&T Annual Precision Line Testing Notification (BKFDCA12), Bakersfield
External Email.
Testing notification received.
The certification we have on record for Banbury for Petro‐Tite expires 10/5/2023. Please send a copy of the updated
certs once available.
Thank you,
Kaitlin Cottrell
2
Environmental Scientist
State Water Resources Control Board
UST Leak Prevention Unit
916‐319‐0742
From: Carlos Cardenas <ccardenas@TAIT.COM>
Sent: Wednesday, September 13, 2023 1:20 PM
To: WB‐DWQ‐OTTL <OTTL.OTTL@waterboards.ca.gov>
Cc: Jennifer Pruitt <jpruitt@TAIT.COM>
Subject: RE: ***Scheduling Request***SA004, AT&T Annual Precision Line Testing Notification (BKFDCA12), Bakersfield
EXTERNAL:
I’m so sorry. Attached is the notification form that I meant to attach on the original notification.
Carlos E. Cardenas
Tait Environmental Services, Inc.
(714) 567-6418
From: WB‐DWQ‐OTTL <OTTL.OTTL@waterboards.ca.gov>
Sent: Wednesday, September 13, 2023 8:31 AM
To: Carlos Cardenas <ccardenas@TAIT.COM>; WB‐DWQ‐OTTL <OTTL.OTTL@waterboards.ca.gov>
Cc: Jennifer Pruitt <jpruitt@TAIT.COM>
Subject: RE: ***Scheduling Request***SA004, AT&T Annual Precision Line Testing Notification (BKFDCA12), Bakersfield
External Email.
Hi Carlos,
Please fill out the attached testing notification form with applicable testing information.
Office of Tank Tester Licensing Test Notification Form
Thank you,
Kaitlin Cottrell
Environmental Scientist
State Water Resources Control Board
UST Leak Prevention Unit
916‐319‐0742
From: Carlos Cardenas <ccardenas@TAIT.COM>
Sent: Monday, September 11, 2023 5:44 PM
To: WB‐DWQ‐OTTL <OTTL.OTTL@waterboards.ca.gov>
Cc: Jennifer Pruitt <jpruitt@TAIT.COM>
Subject: ***Scheduling Request***SA004, AT&T Annual Precision Line Testing Notification (BKFDCA12), Bakersfield
EXTERNAL:
Hello,
3
There is an AT&T Annual Precision Line Test scheduled for this location on the date and time indicated.
SA004 1918 M STREET BAKERSFIELD 93301‐4635 10/16/2023 9:00 AM
Site Contacts:
Adolfo Aguilar aa376w@att.com
Stacie A. Hiroshima‐Harber ss7891@att.com
Test Companies Information:
IDECO, Inc.
431 W Blueridge Ave.
Orange, CA 92865
Tester:
Tait Environmental Services
701 N. Parkcenter Dr.
Santa Ana, CA 92705
Tester:
‐ Patrick Banbury (Tait Environmental Services, Inc.)
ICC# 5254955 exp. Date 11/15/2024
SWRCB License # 90‐1413 (Leighton O’Brien Line Test Kit and/or Petro‐Tite Test Kit)
Thank you,
Carlos E. Cardenas | TAIT Environmental Services, Inc.
Project Manager
701 N. Parkcenter Dr., Santa Ana, CA 92705
P: 714-567-6418 C: 909-230-8256
ccardenas@tait.com | www.tait.com
This email message, including any attachment(s), is intended only for the recipient(s) named above. It may contain information that is confidential, privileged, or protected by law. The unlawful use, distribution, or publication of this information is strictly prohibited. If you receive this communication in error, please notify the sender immediately by return email and delete the original message, including all attachment(s).
Appendix 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
SA004
✔
10023349 10/16/2023
10/16/2023
PACIFIC BELL TELEPHONE CO. DBA AT&T CALIFORNIA
1918 M ST.BAKERSFIELD 93301
TAIT Environmental Services, Inc. (714) 560-8222
701 N. Parkcenter Dr., Santa Ana, CA 92705
PATRICK C. BANBURY
588098
5254955 11/15/2024
Veeder Root A20465 5/1/2025
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
Veeder Root TLS-350 Plus 123.01
✔✔
✔
✔
✔
✔
✔
✔
✔
✔
✔
✔
✔
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
L1 794390-420/NA Tank Annular
✔
L2 794380-208/797241 Fill Sump
✔
L3 794380-208/174617 Piping Sump ✔
L4 794380-208/NA Piping Transition Sump ✔
L5 794380-208/930304 Day Tank Containment Box ✔
L6 794380-208/930141 Generator Room Floor ✔
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
✔
✔
✔
✔
✔
✔
✔
✔
✔
✔
Q1 PLLD 8484/427614 Diesel SA004U001
✔
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.
✔
T1 846390-109/729482 Diesel SA004U001
✔
Backup Generator System.
Underground Storage Tank
Monitoring System Certification Form
Page 6 of 6
10. MONITORING SITE PLAN
Date site plan was prepared:
If a site plan has been prepared that shows all required information, you may include it, rather than this page,
with your Monitoring System Certification Form. The site plan must show the general layout of tanks and
identify locations of the monitoring panel, and all leak detection equipment and monitoring locations. Include
a legend for all symbols depicted.
10/16/2023
Test Date:
LEAK DETECTOR TESTING
Facility ,':
6WUHHW$GGUHVV:Technician:
ICC #
Test Information
Product
Manufacturer
Model
New Leak Detector
(Yes/No)
Serial Number
Electronic LD
(Yes/No)
Calibrated Test Leak
Rate: (189 mil/min
@ 10 PSI) (Yes/No)
Check Valve Holding
PSI
Resiliency
(Bleed Back MIL)
Slow Flow
Metering PSI / (N/A)
Turbine Shut Down
Electronic LD
(Yes/No/NA)
Slow Flow At Nozzle
(Yes/No/NA)
Opening Time
(Seconds)
Pass/Fail
This letter certifies that the annual leak detector tests were performed at the above referenced facility
according to the equipment manufacturers procedures and limitations and the results as listed are to my
knowledge true and correct. The leak detector test pass/fail is determined using a low flow threshold trip
rate of 3 gph at 10 PSI.
Technician Signature:Date:
&LW\
=LS&RGH6WDWH
&OLHQW1DPH
0DQXIDFWXUHU&HUW
SA004 PACIFIC BELL TELEPHONE CO
1918 M ST.Pat Banbury
BAKERSFIELD 5254955
93301 CA A20465
Diesel SA004U001
10/16/2023
10/16/2023
Veeder Root
PLLD 8484
No
427614
Yes
Yes
24
100 MIL
N/A
No
N/A
N/A
Pass
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
SA004
✔
10023349 10/16/2023
10/16/2023
PACIFIC BELL TELEPHONE CO. DBA AT&T CALIFORNIA
1918 M ST. BAKERSFIELD 93301
TAIT Environmental Services, Inc. (714) 560-8222
701 N. Parkcenter Dr., Santa Ana, CA 92705
PAYTRICK C. BANBURY
588098
5254955 11/15/2024
FFS EVR Phase I Systems - VR-101 1001733709 5/19/2024
RP-1200 SA004U001 Spill Container
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.
✔
✔
SA004U001
Phil-Tite
✔
✔
✔
✔
Spill container contained in the fill sump.
I50301
OCT 17, 2023 6:49 AM
# 1:BKFDCA12 SA004 S-S
I50302
OCT 17, 2023 6:49 AM
# 2:1918 M ST.
I50303
OCT 17, 2023 6:49 AM
# 3:BAKERSFIELD CA.93301
I50304
OCT 17, 2023 6:49 AM
# 4:661-631-2540
I51700
OCT 17, 2023 6:49 AM
SYSTEM TYPE AND LANGUAGE FLAG
SYSTEM UNITS
U.S.
SYSTEM LANGUAGE
ENGLISH
SYSTEM DATE/TIME FORMAT
MON DD YYYY HH:MM:SS xM
I50F00
OCT 17, 2023 6:49 AM
MON DD YYYY HH:MM:SS xM
I10200
OCT 17, 2023 6:50 AM
BKFDCA12 SA004 S-S
1918 M ST.
BAKERSFIELD CA.93301
661-631-2540
SYSTEM CONFIGURATION
SLOT BOARD TYPE POWER ON RESET CURRENT
1 4 PROBE / G.T. 163076 162818
2 INTERSTITIAL BD 201149 200794
3 PLLD SENSOR BD 3929 3901
4 UNUSED 4890335 4872817
5 UNUSED 4886334 4868911
6 UNUSED 4888581 4865835
7 UNUSED 4888067 4871726
8 UNUSED 4888795 4867166
9 COMBO I/O BOARD 9931 9934
10 COMBO I/O BOARD 9974 9956
11 PLLD POWER BD 100599 100523
12 UNUSED 4890459 4868232
13 UNUSED 4886114 4864850
14 UNUSED 4890373 4873184
15 UNUSED 4889025 4871657
16 UNUSED 4884809 4870523
COMM 1 FAXMODEM BOARD 40242 40308
COMM 2 UNUSED 4887677 4868297
COMM 3 UNUSED 4888682 4870064
COMM 4 UNUSED 4888747 4870152
COMM 5 UNUSED 4886756 4865483
COMM 6 UNUSED 4884681 4873599
I60100
OCT 17, 2023 6:51 AM
TANK CONFIGURATION
DEVICE LABEL CONFIGURED
1 DIESEL TK,SA004U001 ON
2 OFF
3 OFF
4 OFF
I60200
OCT 17, 2023 6:51 AM
TANK PRODUCT LABEL
TANK PRODUCT LABEL
1 DIESEL TK,SA004U001
2
3
4
I60300
OCT 17, 2023 6:51 AM
TANK PRODUCT CODE
TANK PRODUCT LABEL
1 DIESEL TK,SA004U001 1
2 2
3 3
4 4
I60400
OCT 17, 2023 6:51 AM
TANK FULL VOLUME
TANK PRODUCT LABEL GALLONS
1 DIESEL TK,SA004U001 20149
2 0
3 0
4 0
I60700
OCT 17, 2023 6:51 AM
TANK DIAMETER
TANK PRODUCT LABEL INCHES
1 DIESEL TK,SA004U001 114.00
2 0.00
3 0.00
4 0.00
I60900
OCT 17, 2023 6:51 AM
TANK THERMAL COEFFICIENT
TANK PRODUCT LABEL
1 DIESEL TK,SA004U001 0.000450
2 0.000000
3 0.000000
4 0.000000
I61200
OCT 17, 2023 6:51 AM
TANK MANIFOLDED PARTNERS
TANK PRODUCT LABEL SIPHON MANIFOLDED TANKS LINE MANIFOLDED TANKS
1 DIESEL TK,SA004U001 NONE NONE
2 NONE NONE
3 NONE NONE
4 NONE NONE
I62100
OCT 17, 2023 6:51 AM
TANK LOW PRODUCT LIMIT
TANK PRODUCT LABEL GALLONS
1 DIESEL TK,SA004U001 9000
2 0
3 0
4 0
I62200
OCT 17, 2023 6:51 AM
TANK HIGH PRODUCT LIMIT
TANK PRODUCT LABEL GALLONS
1 DIESEL TK,SA004U001 19141
2 0
3 0
4 0
I62300
OCT 17, 2023 6:51 AM
TANK OVERFILL LEVEL LIMIT
TANK PRODUCT LABEL GALLONS
1 DIESEL TK,SA004U001 18134
2 0
3 0
4 0
I62400
OCT 17, 2023 6:51 AM
TANK HIGH WATER LEVEL LIMIT
TANK PRODUCT LABEL INCHES
1 DIESEL TK,SA004U001 2.0
I62800
OCT 17, 2023 6:51 AM
TANK MAXIMUM VOLUME LIMIT
TANK PRODUCT LABEL GALLONS
1 DIESEL TK,SA004U001 20149
2 0
3 0
4 0
I62900
OCT 17, 2023 6:51 AM
TANK DELIVERY REQUIRED LIMIT
TANK PRODUCT LABEL GALLONS
1 DIESEL TK,SA004U001 8865
2 0
3 0
4 0
I70300
OCT 17, 2023 6:52 AM
LIQUID TYPE
SENSOR LOCATION TYPE
1 ANNULAR SPACE TRI-STATE (SINGLE FLOAT)
2 FILL SUMP TRI-STATE (SINGLE FLOAT)
3 PIPING SUMP TRI-STATE (SINGLE FLOAT)
4 TRANSTION SUMP TRI-STATE (SINGLE FLOAT)
5 DAY TANK CONTAINMENT TRI-STATE (SINGLE FLOAT)
6 GEN ROOM FLOOR TRI-STATE (SINGLE FLOAT)
7 TRI-STATE (SINGLE FLOAT)
8 TRI-STATE (SINGLE FLOAT)
I90200
OCT 17, 2023 6:52 AM
SOFTWARE REVISION LEVEL
VERSION 123.01
SOFTWARE# 346123-100-B
CREATED - 02.06.21.13.00
S-MODULE# 330160-002-A
SYSTEM FEATURES:
PERIODIC IN-TANK TESTS
ANNUAL IN-TANK TESTS
CSLD
I11100
OCT 17, 2023 6:53 AM
BKFDCA12 SA004 S-S
1918 M ST.
BAKERSFIELD CA.93301
661-631-2540
PRIORITY ALARM HISTORY
ID CATEGORY DESCRIPTION ALARM TYPE STATE DATE TIME
Q 1 OTHER DIESEL TK-SA004U001 GROSS LINE FAIL CLEAR 10-16-23 10:51AM
I 2 INPUT PUMP RUN EXTERN INPUT ALARM CLEAR 10-16-23 10:51AM
I 2 INPUT PUMP RUN EXTERN INPUT ALARM ALARM 10-16-23 10:51AM
Q 1 OTHER DIESEL TK-SA004U001 GROSS LINE FAIL ALARM 10-16-23 10:47AM
Q 1 OTHER DIESEL TK-SA004U001 GROSS LINE FAIL ALARM 10-16-23 10:43AM
I 2 INPUT PUMP RUN EXTERN INPUT ALARM CLEAR 10-16-23 10:43AM
I 2 INPUT PUMP RUN EXTERN INPUT ALARM ALARM 10-16-23 10:43AM
I 2 INPUT PUMP RUN EXTERN INPUT ALARM CLEAR 10-16-23 10:42AM
I 2 INPUT PUMP RUN EXTERN INPUT ALARM ALARM 10-16-23 10:40AM
I 2 INPUT PUMP RUN EXTERN INPUT ALARM CLEAR 10-16-23 10:40AM
I 2 INPUT PUMP RUN EXTERN INPUT ALARM ALARM 10-16-23 10:39AM
T 1 TANK DIESEL TK,SA004U001 MAX PRODUCT ALARM CLEAR 10-16-23 10:02AM
T 1 TANK DIESEL TK,SA004U001 PROBE OUT CLEAR 10-16-23 10:02AM
T 1 TANK DIESEL TK,SA004U001 OVERFILL ALARM CLEAR 10-16-23 10:00AM
T 1 TANK DIESEL TK,SA004U001 PROBE OUT ALARM 10-16-23 10:00AM
T 1 TANK DIESEL TK,SA004U001 MAX PRODUCT ALARM ALARM 10-16-23 9:58AM
T 1 TANK DIESEL TK,SA004U001 OVERFILL ALARM ALARM 10-16-23 9:57AM
T 1 TANK DIESEL TK,SA004U001 HIGH WATER ALARM CLEAR 10-16-23 9:57AM
T 1 TANK DIESEL TK,SA004U001 HIGH WATER ALARM ALARM 10-16-23 9:52AM
T 1 TANK DIESEL TK,SA004U001 SUDDEN LOSS ALARM CLEAR 10-16-23 9:49AM
T 1 TANK DIESEL TK,SA004U001 LOW PRODUCT ALARM CLEAR 10-16-23 9:48AM
T 1 TANK DIESEL TK,SA004U001 PROBE OUT CLEAR 10-16-23 9:48AM
T 1 TANK DIESEL TK,SA004U001 PROBE OUT ALARM 10-16-23 9:47AM
T 1 TANK DIESEL TK,SA004U001 LOW PRODUCT ALARM ALARM 10-16-23 9:47AM
T 1 TANK DIESEL TK,SA004U001 SUDDEN LOSS ALARM ALARM 10-16-23 9:46AM
L 6 OTHER GEN ROOM FLOOR FUEL ALARM CLEAR 10-16-23 9:40AM
L 6 OTHER GEN ROOM FLOOR FUEL ALARM ALARM 10-16-23 9:36AM
L 5 OTHER DAY TANK CONTAINMENT FUEL ALARM CLEAR 10-16-23 9:34AM
L 5 OTHER DAY TANK CONTAINMENT FUEL ALARM ALARM 10-16-23 9:32AM
L 4 OTHER TRANSTION SUMP FUEL ALARM CLEAR 10-16-23 9:24AM
L 4 OTHER TRANSTION SUMP FUEL ALARM ALARM 10-16-23 9:23AM
L 3 STP SUMP PIPING SUMP FUEL ALARM CLEAR 10-16-23 9:21AM
L 3 STP SUMP PIPING SUMP FUEL ALARM ALARM 10-16-23 9:14AM
L 2 PIPE FILL SUMP FUEL ALARM CLEAR 10-16-23 9:12AM
L 2 PIPE FILL SUMP FUEL ALARM ALARM 10-16-23 9:08AM
L 1 ANNULAR ANNULAR SPACE FUEL ALARM CLEAR 10-16-23 9:07AM
L 1 ANNULAR ANNULAR SPACE FUEL ALARM ALARM 10-16-23 9:03AM
I 2 INPUT PUMP RUN EXTERN INPUT ALARM CLEAR 10-16-23 8:48AM
I 2 INPUT PUMP RUN EXTERN INPUT ALARM ALARM 10-16-23 8:47AM
I 3 INPUT GEN RUN EXTERN INPUT ALARM CLEAR 10-13-23 7:12PM
I 2 INPUT PUMP RUN EXTERN INPUT ALARM CLEAR 10-13-23 4:08PM
I 2 INPUT PUMP RUN EXTERN INPUT ALARM ALARM 10-13-23 3:56PM
I 3 INPUT GEN RUN EXTERN INPUT ALARM ALARM 10-13-23 3:45PM
I 3 INPUT GEN RUN EXTERN INPUT ALARM CLEAR 10-04-23 6:23AM
I 3 INPUT GEN RUN EXTERN INPUT ALARM ALARM 10-04-23 5:15AM
I 3 INPUT GEN RUN EXTERN INPUT ALARM CLEAR 9-07-23 6:25AM
I 3 INPUT GEN RUN EXTERN INPUT ALARM ALARM 9-07-23 5:17AM
T 1 TANK DIESEL TK,SA004U001 LEAK ALARM CLEAR 8-25-23 1:03PM
T 1 TANK DIESEL TK,SA004U001 LEAK ALARM ALARM 8-25-23 9:30AM
I 3 INPUT GEN RUN EXTERN INPUT ALARM CLEAR 8-09-23 8:14AM
I11200
OCT 17, 2023 6:54 AM
BKFDCA12 SA004 S-S
1918 M ST.
BAKERSFIELD CA.93301
661-631-2540
NON-PRIORITY ALARM HISTORY
ID CATEGORY DESCRIPTION ALARM TYPE STATE DATE TIME
T 1 TANK DIESEL TK,SA004U001 HIGH PRODUCT ALARM CLEAR 10-16-23 10:02AM
T 1 TANK DIESEL TK,SA004U001 HIGH PRODUCT ALARM ALARM 10-16-23 9:58AM
T 1 TANK DIESEL TK,SA004U001 HIGH WATER WARNING CLEAR 10-16-23 9:57AM
T 1 TANK DIESEL TK,SA004U001 HIGH WATER WARNING ALARM 10-16-23 9:52AM
T 1 TANK DIESEL TK,SA004U001 DELIVERY NEEDED CLEAR 10-16-23 9:48AM
T 1 TANK DIESEL TK,SA004U001 DELIVERY NEEDED ALARM 10-16-23 9:47AM
SYSTEM PRINTER ERROR CLEAR 9-07-23 6:09PM
SYSTEM PRINTER ERROR ALARM 9-07-23 6:09PM
SYSTEM PRINTER ERROR CLEAR 7-14-23 6:35PM
SYSTEM PRINTER ERROR ALARM 7-14-23 6:35PM
SYSTEM PRINTER ERROR CLEAR 5-18-23 7:59PM
SYSTEM PAPER OUT CLEAR 5-18-23 7:59PM
SYSTEM PRINTER ERROR ALARM 5-18-23 7:59PM
SYSTEM PAPER OUT ALARM 5-18-23 7:59PM
T 1 TANK DIESEL TK,SA004U001 HIGH WATER WARNING CLEAR 10-19-22 9:48AM
T 1 TANK DIESEL TK,SA004U001 HIGH WATER WARNING ALARM 10-19-22 9:43AM
T 1 TANK DIESEL TK,SA004U001 DELIVERY NEEDED CLEAR 10-19-22 9:40AM
T 1 TANK DIESEL TK,SA004U001 DELIVERY NEEDED ALARM 10-19-22 9:37AM
SYSTEM PRINTER ERROR CLEAR 10-17-22 7:05PM
SYSTEM PAPER OUT CLEAR 10-17-22 7:05PM
SYSTEM PRINTER ERROR ALARM 10-17-22 7:05PM
SYSTEM PAPER OUT ALARM 10-17-22 7:05PM
T 1 TANK DIESEL TK,SA004U001 DELIVERY NEEDED CLEAR 10-15-21 10:16AM
T 1 TANK DIESEL TK,SA004U001 HIGH WATER WARNING CLEAR 10-15-21 10:16AM
T 1 TANK DIESEL TK,SA004U001 DELIVERY NEEDED ALARM 10-15-21 10:16AM
T 1 TANK DIESEL TK,SA004U001 HIGH WATER WARNING ALARM 10-15-21 10:00AM
T 1 TANK DIESEL TK,SA004U001 HIGH PRODUCT ALARM CLEAR 10-15-21 9:44AM
T 1 TANK DIESEL TK,SA004U001 HIGH PRODUCT ALARM ALARM 10-15-21 9:44AM
T 1 TANK DIESEL TK,SA004U001 DELIVERY NEEDED CLEAR 10-15-21 9:41AM
T 1 TANK DIESEL TK,SA004U001 DELIVERY NEEDED ALARM 10-15-21 9:39AM
SYSTEM PRINTER ERROR CLEAR 8-18-21 6:29AM
SYSTEM PAPER OUT CLEAR 8-18-21 6:29AM
SYSTEM PAPER OUT ALARM 8-18-21 6:28AM
SYSTEM PRINTER ERROR ALARM 8-18-21 6:28AM
SYSTEM PRINTER ERROR CLEAR 8-18-21 6:28AM
SYSTEM PAPER OUT CLEAR 8-18-21 6:28AM
SYSTEM PRINTER ERROR ALARM 8-18-21 5:16AM
SYSTEM PAPER OUT ALARM 8-18-21 5:16AM
SYSTEM SYS SECURITY WARNING CLEAR 11-30-20 3:43PM
SYSTEM SYS SECURITY WARNING ALARM 11-30-20 3:22PM
SYSTEM PRINTER ERROR CLEAR 10-16-20 11:54AM
SYSTEM PAPER OUT CLEAR 10-16-20 11:54AM
SYSTEM PRINTER ERROR ALARM 10-16-20 11:54AM
SYSTEM PAPER OUT ALARM 10-16-20 11:54AM
T 1 TANK DIESEL TK,SA004U001 HIGH WATER WARNING CLEAR 10-16-20 9:55AM
T 1 TANK DIESEL TK,SA004U001 DELIVERY NEEDED CLEAR 10-16-20 9:50AM
T 1 TANK DIESEL TK,SA004U001 DELIVERY NEEDED ALARM 10-16-20 9:50AM
T 1 TANK DIESEL TK,SA004U001 DELIVERY NEEDED CLEAR 10-16-20 9:47AM
T 1 TANK DIESEL TK,SA004U001 HIGH WATER WARNING ALARM 10-16-20 9:38AM
T 1 TANK DIESEL TK,SA004U001 DELIVERY NEEDED ALARM 10-16-20 9:31AM
I20600
OCT 17, 2023 6:55 AM
BKFDCA12 SA004 S-S
1918 M ST.
BAKERSFIELD CA.93301
661-631-2540
TANK ALARM HISTORY
TANK 1 DIESEL TK,SA004U001
LEAK ALARM AUG 25, 2023 9:30 AM
AUG 31, 2020 10:30 AM
JUL 5, 2019 8:30 PM
HIGH WATER ALARM OCT 16, 2023 9:52 AM
OCT 19, 2022 9:43 AM
OCT 15, 2021 10:00 AM
OVERFILL ALARM OCT 16, 2023 9:57 AM
OCT 19, 2022 9:48 AM
OCT 15, 2021 9:42 AM
LOW PRODUCT ALARM OCT 16, 2023 9:47 AM
OCT 19, 2022 9:37 AM
OCT 15, 2021 10:16 AM
SUDDEN LOSS ALARM OCT 16, 2023 9:46 AM
OCT 19, 2022 9:37 AM
OCT 15, 2021 9:39 AM
HIGH PRODUCT ALARM OCT 16, 2023 9:58 AM
OCT 15, 2021 9:44 AM
INVALID FUEL LEVEL JAN 25, 2019 9:08 AM
PROBE OUT OCT 16, 2023 10:00 AM
OCT 16, 2023 9:47 AM
OCT 19, 2022 9:54 AM
HIGH WATER WARNING OCT 16, 2023 9:52 AM
OCT 19, 2022 9:43 AM
OCT 15, 2021 10:00 AM
DELIVERY NEEDED OCT 16, 2023 9:47 AM
OCT 19, 2022 9:37 AM
OCT 15, 2021 10:16 AM
MAX PRODUCT ALARM OCT 16, 2023 9:58 AM
OCT 15, 2021 9:44 AM
I30200
OCT 17, 2023 6:55 AM
BKFDCA12 SA004 S-S
1918 M ST.
BAKERSFIELD CA.93301
661-631-2540
LIQUID ALARM HISTORY REPORT
SENSOR LOCATION
1 ANNULAR SPACE
OCT 16, 2023 9:03 AM FUEL ALARM
OCT 19, 2022 9:02 AM FUEL ALARM
OCT 15, 2021 9:10 AM FUEL ALARM
2 FILL SUMP
OCT 16, 2023 9:08 AM FUEL ALARM
OCT 19, 2022 9:07 AM FUEL ALARM
OCT 15, 2021 9:15 AM FUEL ALARM
3 PIPING SUMP
OCT 16, 2023 9:14 AM FUEL ALARM
OCT 19, 2022 9:13 AM FUEL ALARM
OCT 15, 2021 9:19 AM FUEL ALARM
4 TRANSTION SUMP
OCT 16, 2023 9:23 AM FUEL ALARM
OCT 19, 2022 9:17 AM FUEL ALARM
OCT 15, 2021 9:22 AM FUEL ALARM
5 DAY TANK CONTAINMENT
OCT 16, 2023 9:32 AM FUEL ALARM
OCT 19, 2022 9:24 AM FUEL ALARM
OCT 15, 2021 9:26 AM FUEL ALARM
6 GEN ROOM FLOOR
OCT 16, 2023 9:36 AM FUEL ALARM
OCT 19, 2022 9:32 AM FUEL ALARM
OCT 15, 2021 9:33 AM FUEL ALARM
Identification of Test Procedures for Secondary Containment Testing
To Whom It May Concern:
Tait Environmental Services, Inc., utilizes the following procedures when conducting Secondary
Containment Testing:
1) Containment Sumps, Transition Sumps, UDCs – Tait follows PEI‐RP1200‐17 Section 6.6 for the
accelerated test method. Tait uses the Incon TS‐1000 hydrostatic test equipment following the
attached procedures.
2) Spill Buckets; Direct Bury & Contained in Sumps – Spill buckets contained in sumps are tested
per PEI‐1200‐17, Section 6.2, however Tait Pass/Fail threshold is 0” drop in one hour. Direct Bury
Spill Buckets are test the same as containment sumps per PEI‐1200‐17, Section 6.6.
3) Tank Annular Space – testing is conducted per PEI‐1200‐17, Section 4.2
4) Piping Secondary Containment – Testing is conducted per PEI‐RP1200‐17, Section 5.3
Please consider this letter as our Test Procedure utilized when conducting Secondary Containment
Testing in lieu of either parts or the whole RP1200 document due to copyright infringement.