HomeMy WebLinkAboutMITIGATION
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MONITOR SYSTEM CERTIFICATION
For Use By All Jurisdictions Within the State of California
Authonty Cited Chaptar 6, 7, Health and Safely Code; Chaptar 16, Division 3, Title 23, California Code of Regulallon.
This form must be used to documenttestin~ and servicln~ of moni!onn~ equipment. i\.MQ;I~Ç~J1!fj,ª1i2o..slr.LQPQI1!J1J!-ªLºg,P.L~PIlli'-Q.
tQf,,!!ª.ÇI:UJ1QniJ.QOO9.§Y.I1Q!Il.£QOlf.Ql pª@! by the techr\lcian who performs the work A COpy of this form must be providad to the lank
system owner/operator, The owner/oparator must submit a copy of this form !O the local agency regulating UST systams within 30
days of test date,
A. General Information
Facility Name: Sprint Bakersfield POP
Site Addrass' 715 East Sumner
Facility Contact Person: Matt Bacon
Make/Model of Monitoring System: -~eaër-Root TLS-350
B. Inventory of Equipment Tested/Certified
SIN 81253305505001
City'
Bldg, No ____
Baersfield
Contact Phone No, (661)
Date of Testinç¡/Servicin~:
Check the a ro riste box81Ito indlcsle e ui
Tank ID: # 1 Diesel
!'.. In-Tank Gauging Probe
KJ Annular Space or Veult Sensor
~ Piµlng Sump/rrenc!) ~ensor(s)
. ,. Fill Sump Sensor(s)
Mechanical Line Leak Detector
Electronic Line Leak Detector
-J 'TanK OV\)rfm J H¡gh-Lifv"øl St:iÎ:)ûi,
Dispenser Containment Sensor(s)
Shear Valve(s)
Dispenser Containmem Float(s) and Chain(s),
Othar s cll e ui mant t and modal in Section E on Pa e 2
Tank \0
:::J In· Tank Gauging Probe
-- Annular Space or Vault Sensor
Piping SumpfTrench Sensor(s)
Fill Sump Sensor(s)
Mechanical Line Leak Detector
Electronic Line Leak Detector,
Tank Overfill/ High-Level Sensor
Oispen$er Containment Sen$ort,s),
Shear Valve(s)
Dispen$er Containment Float(s) and Charn(s),
Other s i e ui ment t and model in Seclion E on Pa
Zip: 93305
322 ·8592
9 /1/04
Tank ID'
In- Tank Gauging Probe
Annular Space or Vault Sensor
Plplr1g Sump/! renct) Sensor(s)
Fill Sump Sonsor(s) .
Mechanlcai Line Leak Detector,
ElectroniC Line Leak Detector,
Tank Overfill/ High-Lavel Sensor,
Dispenser Containment Sensor(s)
Shear Valve(s)
Dispenser Containment Float(s) and Chain(s)
Other s cif e UI ment t a and model in Section E on Pa e 2 ,
Tank \0
- In- Tank Gauglñg Probe
Annular Space or Vaull Sensol
Piping SumpfTrench Sensor(s)
Fill Sump Sensor(s),
Mechanical Line Leak Detector
Eiectronrc Line Leak Detector
Tank Overfill/ High·Level Sensor,
Dispenser Containment Sensor(s),
Shear Valve(s).
Dispenser Containment Float(s) and Chain(s)
Other s cif e UI mant e and model in Section E on P e 2
Model ....!!1.1!9___.:....__.___
Model Tr, Sleto _
Model :~UIsçr;¡¡'IÖiii;ri¡¡..__"..~:.,=~.~
Model
Model
Model;
iv10dei
Modei:
-----Mõdë¡----------·
Model
Modal'
Model
Model:
Model
Model:
Model:
-----
Model
Model
Model
MOdel
MOdel
Model
Model:
Model
.~_._--~~._-
Model
Model
Model
Model
Model:
Model:
Modal:
Model:
C, Certification - I cal1ify thatlhe equipment identified In this document was Inspected/serviced In accordance with the manufacturer's gUidelines
Attached to Ihis C9f1ification is informal ion (e,g. manufaC1urers' checklists) necessary to vellty that this information is correct and a Plot Plan
showing the layout of monitoring equipmenl For any aquipment capaola of generating such repol1s, I have also attached a copy of the rapon;
(check a/l that app/y), 0 System set-up
o Alarm history raport
Technician Name (print): Michael Moore
Testing Company Name Hedwl~!'.!!!0íl,_~~C<!.tJ!lL_
Pave 1 of 3
Cart.lLic No
562060899
Phone No (800 I 582-6368
Signat~~ vtvt~fI1V
-.
Monitor System Certlfioatlon
Site Address: 715 East Sumner, Bakersfield, CA
Date of T estinglServicinQ:
9 11104
D. Results of Testlng/Servlolng
So"ware Version Installed: Veeder·Root TLS-350 # 81253305505001
Com lete the followln oheokllst:
'. ...:ù'~, -u._Itc!~- L~.lli~!1u.ql~I~,!!!.~E'!!.~L~tI9'l~!L,_._.,._ .._.__..~__....''''''_ ........ - ''''''n''''_'' -,.----....-----.'--.-..------
.~ y.!!!... '_-Õ-"li.~ .1!!..!h~_yLs,u~I..'!!~rr!!.9.P.~!ª!'00~1?____ -... ".-:-. --..-..-......--...-,---....--..,-....------------'--- ..,-,-, ---. , ,
,< ~~;- ---O---~~ ~;~-~~'~;,;~;;;fn~T:Ti;d!~¡~~;~~'~¿;n¡t!b;'~~ir;~;,~~ë;;;,¥a~~f~~~..~~~~s~*~~:~? so that'ö¡;;ãrequlp;"ëñï;;ïï7,ot·--·,-----------'
Interfere with the!.U<Œper operation?
No' If alarms are ralayed to e remote monrtorrng station, is all communiœlions equipment (e,g. modem) operational?
N/A
No' For prassurized piping systems, does the turbine automatically shut down if the piping secondary containment
N/A monitoring system detects a leak, falls to operate or is electrically disconnected? If yes' which sensors initiate
positive shut-down? (ChecK all that apply) ŒJ SumpfTrench Sensors 0 Dispenser Containment Sensors
Did ou cC!nfrrm P~u.H: OWf\ d'!.!!JE..I_~,,-!!.~nsof failul.ejdiscC!,n.neCllon? I2JYes, 0 No,
No' For tenk systems Ihet utilize the monllorlng syslem as the primary tank overfill warning device (I e no mechanical
NIA overfill prevention valve IS Instelled), IS the overfill warning alarm visible and eudlble at the lank fill pOlnl(s) and
~ratinQ1?I2P~~"'_.!!!..!':i}!IJ~.'i!!Dl.Q!.l~!lIi.£~_ª_~(~J.b.·!.!1larm ~-L_________
No' Was any monitoring equipment replaced? If yes. Identify specific sensors, probes, or other equipmont replac~a
and list the manufacturer name and modei 'S'r all replacement parts in Section E, below
No' Was liquid found inside any secondary containment systems designed as dry systems? (Cnock ail that apply)
o Product: 0 Waler. ~ es describe causes in Section E, below,
No· Was monitorin('! s"stem set-;...¡ revIewed to on~'Jr6 ro oaf sa1ìln s7 Attach set iJ Ttt rts, ¡r a ¡Icable
Yes No' Is all monitorin e ui menl 0 rational er menufecturers cifiœtions?
. In Seotlon E below, desoribe how and when these deflolenole8 were or will be oorrected,
E, Commente:
---Õiesel
____,_ Form
Tn State Annular L-2 0794390-420
,_P'.!!g,§!~~jT.05J£iPi~iL~Uf.!lP'_L'2 ·~~~_...iŒ~1!,O-352
Serial ~
265173
04393
.-------.----
...-._-~-~-----
-..-..- -_..,----~~ ---.-..
cleaiiè'dõùïšümp¡ïñd$'p;íí bucket - 114 of waler remo.ed !rom sump bottom,
--,-------------
-------
-----
----.-.-'"."
~--~._~----_.
---.-_--,_..~--._------_.~--
'~'----~---
.---.-----_._-------...._-~.--'-.,
----------..----.---
--...-_--_._~-----~_....--.....-..
Page 2 of 3
03101
..
Monitoring Syatem Certification
Site Addre.s: 715 East Sumner, Bakersfield (,;A
Uate Of r estln\¡/Servlclng
9 11 I 04
F, In·Tank Gauging I SIR Equipment:
o Check this box if tank gauging is used only for inventory control.
o Check this box If no tank gauging or SIR equipment is installed,
This section must be completed If in·tank gauging equipment IS used to perform laak detection monitoring
Complete the followlno checklist:
x Ves ..k!.. No' H~\l.'..~£~\y~~n9J!OO~1'~~~,~~l2£.p!..0~~r~Je!,~~~0!!~,<d\!!¡¡.l~~!L~.J~~-'!u-",C1La,'!Ì.~~.?.--:.Y.'IJ1~.:éi!!!þ!!!..
~ -Ÿë"L 1-..----uN~
No' Were alllan~II!'.lJ~o_~gs visually 10_'!P.~st,~[QL dama9!!.J1!,d r~sidue PUlldup? ___
x Ves No' Wes acclJracy of sYitem product level reading s tested? ~.__.__...----
x Vas No' Was accuracv of svstem water level readings tested?
,-
x Ves No' Were all proPes reinstalled properly?
..
x Vas No' Were all items On the aquipment manufactlJrer's maintenance checklist completed?
. In the Section H, below, de.crib41 how and when theee deflclencle. were or wtll be corrected,
G, Line Leak Deteclore (LLD):
ILl Check this box if LLDs are not installed.
C
h f
h kll
omDlele t e ollow no c ec at:
IU Ves ~ No or aqUlpmenl slan·up or annual equipment ce.é!~IIC8llon, was a .lea" slmulatao 10 va DIy LLL1 penorrnancer
o NIA Cheçk allJ~.E~latad I~,,-.J:J 3 9·P h, 00 1..9P h 02 g P h ..
Ves No' Wera all LLD~ confirmed operational a'!9~£9!.éª-I~_ within regulatory requiraments?
Ves No' Was the testing apparatus properly callPratad?
IU Ves ~ No' For mechanical LLDs, does tha LLD rastrict product flow rl il detects a leek?
N/A
IU Ves Ô No' For electronic LLDs, does the tiJrblne automatically shut off if tha LLD detects a leak?
NJA
.J Ves i= No' For electronic LLDs, does tha turbine autometlcally shut off rl any portion of the monitoring system is disabled
NJA or disconnected?
.J Ves i= No' For electronic LLDs, does the turbine autometically shut off if any portion of the monitoflng system malfunctions
:TYãs -~ ~~ or falls a te.t?
U-No' FõiëieëiróÙ LLDs. heve all accessible wifing connections been viSualiy¡;-;šPãèïëd?----------..--····
o N/A
Vas IT No' Were all itams on the eouloment manufacturer's melntenance checklist comolãì~---···
. In the Seellon H, below, describe how and when theee deflelancle. were or wtll be eorr,eled,
H, Comments:
-----~.
----
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.----.
---..---..----*
- -_._------..__..-._-----_._~~--------~._._--
--.-..--",-.
Page 3 of 3
03101
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~'yOu already ha~ I diagram that shows all requlmi information, you may include it, rather tl1an this page., with
"~:oor Monitoring System Certi.fieðÜon, On your site plan, show the general layout of tanks and piping. Clearly
. -; ~',', ' locations of the fol.1owiI18 equipment, if installed, morutorirlg system control PlU1eJS. sensors monitoring
: ~ annular spa~, sumps.. dìspe1l~ P4J1.8. spill OODtain~S, or other s.econda.ry oomalTU"llC'1lt arua; mechanical or
~,~onic line leak det~ors, 411d m-tank liquid I~ proO~ (if used for leU ~eçtion) In the space provided,
~~ the date thì..8 Site Pl&.a was prepared.
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UST Monitoring Site Plan
CSp~,~T)
. . . , . .
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>,
----- .
. , , ,
------.
Date awp ~ drawn;
Instructions
- -.... -"'...
'.
San Joaquin Valley Air Pollution Control District
Service & Repair Log
,'\,A <> CJ ,.
Date: "\ - \ ~ Û L-
:r. '^ <--
State: ~ A
L S ó '-' 5;' ~'l. - G.'.1 G ¥'
a '"L...
Time of Repairs:
Phase I Repairs (Tanks(Âdäpfõr:~(Örop Tubè~, PN Vents, Etc.)
'-67 \':' ~\ c.J r..... 1:\' \ 0 ..- ¡¿¿Dlc( ~ c,Ct. <.;,. <.:.: ",-',
~"I"'ì:'-,Ir" <- ,-,,~
~ì Ibvoo Tv~c....- ('J . ~ \ h- <:.
, , .J
Time of Repairs:
Phase II Repairs (Nozzles, Hoses, Piping, etc.)
,"
'Indic¡aJ~ if the item was repaired or replaced,
.' ,
LEAK TEST '1ETHOD
- - - - - -
- - - -
TEST f10NTHLY : TANK
WEEK I MON
START T I (1E : 1 2 : 00 AM
TEST RATE :0.20 GAL/HR
DURATION : 2 HOURS
LEAK TEST REPORT FORf"tAT
NORMAL
LIQUID SENSOR SETUP
"
- - - - - - - -
, '",'
".·A/iJ,
, · "t:~
, ,
L I: DIESEL sUr~tP
DUAL FL T. D I SCR 1f11 NATI NG
CATEGORY : PIPING SUMP
L 2:DIESEL ANNULAR
TRI-STATE (SINGLE FLOAT)
CATEGORY : ANNULAR SPACE
LIGUID SENSOR SETUP
- - - - - - - - - -
""',
L 1 :DIESEL SUf1?
DUAL FLT, DISCRlI11 NATI NO
CATEGORY : PI i',I NG SUMP
,1
L 2:DIESEL ANNULAR,
TR I -STATE (S I NGLE' 'FLOAT)
CATEGORV : ANNULAR S~ACE
ALARM HISTORY REPORT
----- SYSTEM ALARM -----
PAPER OUT
FEB 25, 2003 1 :24 PM
PRINTER ERROR
FEB 25, 2003 :23 PM
BATTERY I S OFF '
JAN I, 1996 8:00 AM
EXTERNAL INPUT SETUP
- - - - - - -
NONE
~ A ~ ~ ~ END ~ ~ . ~ ~
OUTPUT RELAY SETUP
- - - - - - - - -
R I: ALARt1
TYPE:
STANDARD
NORMALLY OPEN
IN-TANK ALARMS
T 1: LEAl< ALARM
T I :HIGH WATER ALARM
T :OVERFILL ALARM
T :SUDDEN LOSS ALARM
T l:HIGH PRODUCT ALARM
T 1: PROBE OUT
T l:GROSS TEST FAIL
LIQUID SENSOR ALMS
L : FUEL ALARM
L 2:FUEL ALARM
L ! :HICy T. rOllln 61 ÜO,,,.
..;. , . r,..
IN-TANK SETUP
------
T I :DIESEL
PRODUCT CODE
THERl"lAL COEFF
TANK D I AtvlETER
TANK PROFILE
FULL VOL
36.0 INCH VOL
24,0 INCH VOL
12,0 INCH VOL
1
,000450
48,00
4 PTS
548
448
274
100
FLOAT SIZE: 4,0 IN, 8496
WATER WARNING : 1,0
HIGH WATER LIMIT: 2,0
MAX OR LABEL VOL: 548
OVERFILL LIMIT 90%
493
HIGH PRODUCT 95%
520
DELIVERY LIMIT 0%
o
LOW PRODUCT : 50
LEAK ALARM LIMIT: 25
SUDDEN LOSS LIMIT: 99
TANK TILT : 0.00
MANifOLDED TANKS
Tit: NONE
LEAK MIN PERIODIC:
,
,
25%
137
LEAl< tv11 N ANNUAL
25%
137
PERIODIC TEST TYPE
STAI~DI1RD
ANNUAL TEST FAIL
ALARI'l t) I SABLED
PERIODIC TEST FAIL
ALARM DISABLED
GROSS TEST FAIL
ALARtvl DISABLED
ANN TEST AVERAGING: OFF
PER TEST AVERAGING: OFF
TANK TEST NOTIFY: OFF
TNK TST SIPHON BREAK:OFF
DELIVERY DELAY I MIN
SYSTEl1 SETUP
SEP I. 2004 2:54 PM
----- SENSOR ALARM
L 2:DIESEL ANNULAR
ANNULAR SPACE
FUEL ALARM
SEP 1. 2004 3:15 PM
SYSTEI'l UN TS
U,S.
SYSTEr1 LANGUAGE
ENGLISH
SYSTEM DATE/T I ('lE FORMAT
MON DD '1'1'1'1 HH:MM:SB xM
SPRINT
715 SUMNER STREET
BAKERSFIELD CA
661-322-8592
'"
"--
----- SENSOR ALARM
L 1 :DIESEL SUMP
PIPING SUMP
HIGH LIGUID ALARM
SEP 1. 2004 3:21 PM
SHIFT Tlr'IE I
SHIFT TIME 2
SHIFT Tlt1E 3
SHIFT Tlr1E 4 .,.:
DISABLED
DISABLED
DIBABLED
DISABLED
TANK PERIODIC WARNINGS
DISABLED
TANK ANNUAL WARNINGS
DISABLED
LINE PERIODIC WARNINGS
DISABLED
LINE ANNUAL WARN I r~GS
DISABLED
PR I NT TC VOLUr1ES
ENABLED
TEMP COMPENSATION
VALUE <DEG F ): 60,0
STICK HEIGHT OFFSET
DISABLED
DAYLIGHT SAVING TIME
ENABLED
START DATE
APR WEEK 1 SUN
START TIME
2:00 AM
END DATE
OCT WEEK 4 SUN
END TIME
2:00 AM
SPRINT
715 SUMNER STREET
BAKERSFIELD CA
661-322-8592
SEP 1. 2004 3:24 PM
SYSTEM STATUS REPORT
------
--....---
ALL FUNCTIONS NORMAL
SYSTEM SECURITY
CODE : 000000
SPRINT
715 SUMNER STREET
BAKERSFIELD CA
661-322-8592
SEP 1. 2004 3:24 PM
cor1MUN I CAT IONS SETUP
SYSTEM STATUS REPORT
- - - - - - - - - - - -
ALL FUNCTIONS NORMAL
INVENTORY REPORT
- - - - - - -
PORT SETTINGS:
NONE FOUND
RS-232 SECUR IT"
CODE : 000000
T I: DIESEL
VOLUME · 489 GALS
ULLAGE = 59 GALS
90% ULLAGE- 4 GALS
TC VOLUME· 483 GALS
HEIGHT · 39.55 INCHES
WATER VOL · 0 GALS
WATER s 0,00 INCHES
TEMP · 88,2 DEO F
. . . . . END . . . . .
RS-232 END OF MESSAGE
Di8;ó:BLED