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Home My WebLink AboutUST Test 07/04 ; t ., Tanknology 8900 Shoal Creek Blvd, Building 200 Austin, Texas 78757 Phone: (512) 451-6334 Fax: (512) 459-1459 Date Printed and Mailed: 07/28/2004 BAKERSFIELD FIRE DEPARTMENT OFFICE OF ENVIRONMENTAL SERVICES INSPECTOR STEVE UNDERWOOD 900 TRUXTUN AVE., STE. 210 BAKERSFIELD, CA. 93301 Test Date: 07/13/2004 Order Number: 3135565 Dear Regulator, Enclosed are the results of recent testing performed at the following facility: ULTRAMAR 074 3225 BUÇK OWENS BLVD. HWY . 99/HwY 58 BAKERSFIELD, CA. 93301 Testing performed: Leak detector tests Line tests Monitor Certification Sincerely, :D~.K~ , Dawn Kohlmeyer Manager, Field Reporting ~>~ ~ ~ . .~ , . . ~., Dlnlcnology PURPOSE: COMPLIANCE TEST DATE: 07/13/04 CLIENT: VALERO 685 WEST THIRD ST HANFORD, CA 93230 Sandy Huff (559)583-3298 TANKNOLOGY CERTIFICATE OF TESTING 8900 SHOAL CREEK, BUILDING 200 AUSTIN, TEXAS 78757 TELEPHONE (512) 451-6334 FAX (512) 459-1459 TEST RESULT SUMMARY REPORT WORK ORDER NUMBER: 3135565 CUSTOMER PO: SITE: ULTRAMAR 074 3225 BUCK OWENS BLVD. HWY 99/HWY 58 BAKERSFIELD, CA 93301 Manager (661 )324-9481 TEST TYPE: TLD-1 87 89 20k 20k 3 UNLEADED 4 PLUS 6 DIESEL 7 DIESEL DW FIBERG DW FIBERG DW FIBERG DW FIBERG PRESSURE P 0.006 PRESSURE P 0.006 PRESSURE P P P P 0.003 0.003 0.003 0.009 PRESSURE P P 0.003 0.014 y y y y 87 89 20k 20k 3 RED JACKET 4 RED JACKET 6 RED JACKET 7 RED JACKET FX2V FX1V FX2-DV FX2-DV 110211102 P 111796 P 21199 9638 P 4120 4744 P 87 3 RED JACKET For owner detailed report information, visit www.tanknology.com and select On-Line Reports-WRAP, or contact your local Tanknology office. Tester Name: WILLIAM ROGERS ø//S-'¡-/ Technician Certification Number: 1647 Printed 07/27/2004 15:32 KOHLMEYER ¡. ~ ... ';: .. INDIVIDUAL TANK INFORMATION AND TEST RESULTS ~.DJnImoIogy 8900 SHOAL CREEK, BUILDING 200 AUSTIN, TEXAS 78757(512) 451-6334 TEST DATE: 07/13/04 CLIENT: VALERO WORK ORDER NUMBER3135565 SITE:ULTRAMAR 074 Tank ID: 87 3 Product: UNLEADED Capacity in gallons: 14, 139 Diameter in inches: 95.00 Length in inches: 337 Material: . DW STEEL COMMENTS Tank manifolded: NO Vent manifolded: YES Vapor recovery manifolded: YES Overfill protection: YES Overspill protection: YES Installed: ATG CP installed on: / / Bottom to top fill in inches: Bottom to grade in inches: Fill pipe length in inches: Fill pipe diameter in inches: Stage I vapor recovery: Stage II vapor recovery: 140.5 146.0 44.5 4.0 DUAL ASSIST Start (in) End (in) New/passed Failed/replaced New/passed Failed/replaced L.D. #1 L.D. #1 L.D. #2 L.D. #2 Dipped Water Level: Dipped Product Level: Probe Water Level: Ingress Detected: Water Test time: Inclinometer reading: VacuTect Test Type: , VacuTect Probe Entry Point: Pressure Set Point: Tank water level in inches: Water table depth in inches: Determined by (method): Result: COMMENTS Bubble NOT TESTED Make: RED JACKET RED JACKET Ullage Model: FX1-DV FX2V SIN: 10304 8268 110211102 Open time in sec: 4.00 Holding psi: 12 Resiliency cc: 150 NOT Test leak rate mllm: 189.0 TESTED Metering psi: 40 Calib. leak in gph: 3.00 3.00 Results: PASS PASS COMMENTS Material: Diameter (in): Length (ft): Test psi: Bleedback cc: Test time (min): Start time: End time: Final gph: Result: Pump type: Pump make: COMMENTS DW FIBERG 2.0 30.0 50 o 40 15:03 15:43 0.006 PASS PRESSURE RED JACKET NOT TESTED NOT TESTED NOT TESTED Impact Valves Operational: YES Printed 07/27/2004 15:32 i' ~ -=- ': . INDIVIDUAL TANK INFORMATION AND TEST RESULTS ~~ DlnImoIogy 8900 SHOAL CREEK, BUILDING 200 AUSTIN, TEXAS 78757. (512) 451-6334 TEST DATE: 07 /13/04 CLIENT: VALERO WORK ORDER NUMBER3135565 SITE:ULTRAMAR 074 Tank ID: 89 4 Product: PLUS Capacity in gallons: 10,139 Diameter in inches: 95.00 Length in inches: 337 Material: DW STEEL COMMENTS Tank manifolded: NO Vent manifolded: YES Vapor recovery manifolded: YES Overfill protection: YES Overspill protection: YES Installed: ATG CP installed on: / / Bottom to top fill in inches: Bottom to grade in inches: Fill pipe length in inches: Fill pipe diameter in inches: Stage I vapor recovery: Stage II vapor recovery: 138.5 145.0 42.5 4.0 DUAL ASSIST Start (in) End (in) New/passed Failed/replaced New/passed Failed/replaced L.D. #1 L.D. #1 L.D. #2 L.D. #2 Dipped Water Level: Dipped Product Level: Probe Water Level: Ingress Detected: Water Test time: Inclinometer reading: VacuTect Test Type: VacuTect Probe Entry Point: Pressure Set Point: Tank water level in inches: Water table depth in inches: Determined by (method): Result: COMMENTS Bubble NOT TESTED Ullage Make: Model: SIN: Open time in see: Holding psi: Resiliency cc: Test leak rate mllm: Metering psi: Calib. leak in gph: Results: NOT TESTED RED JACKET FX1V 111796 5324 2.00 14 100 189.0 40 3.00 PASS COMMENTS Material: Diameter (in): Length (ft): Test psi: Bleedback cc: Test time (min): Start time: End time: Final gph: Result: Pump type: Pump make: COMMENTS DW FIBERG 2.0 30.0 50 o 40 15:03 15:43 0.006 PASS PRESSURE RED JACKET NOT TESTED NOT TESTED NOT TESTED Impact Valves Operational: YES Printed 07/27/2004 15:32 TEST DATE: 07/13/04 CLIENT: VALERO INDIVIDUAL TANK INFORMATION AND TEST RESULTS -~ Dlnlmology 8900 SHOAL CREEK, BUILDING 200 AUSTIN, TEXAS 78757 (512) 451-6334 WORK ORDER NUMBER3135565 SITE:ULTRAMAR 074 Tank ID: 2 Ok 6 Product: DIESEL Capacity in gallons: 20 I 068 Diameter in inches: 129 . 00 Length in inches: 358 Material: DW STEEL Tank manifolded: NO Vent manifolded: NO Vapor recovery manifolded: NO Overfill protection: YES Overspill protection: YES Installed: ATG CP installed on: / / Bottom to top fill in inches: Bottom to grade in inches: Fill pipe length in inches: Fill pipe diameter in inches: Stage I vapor recovery: Stage II vapor recovery: 193.0 201. 0 64.0 4.0 NONE NONE COMMENTS Lines b, C, d and a & b form tank #7 are all stilite lines. Start (in) End (in) New/passed Failed/replaced New/passed Failed/replaced L.D. #1 L.D. #1 L.D. #2 L.D. #2 Dipped Water Level: Dipped Product Level: . Probe Water Level: Ingress Detected: Water Test time: Inclinometer reading: VacuTect Test Type: VacuTect Probe Entry Point: Pressure Set Point: Tank water level in inches: Water table depth in inches: Determined by (method): Result: Bubble Ullage Make: Model: SIN: Open time in sec: Holding psi: Resiliency cc: Test leak rate ml/m: Metering psi: Calib. leak in gph: Results: RED JACKET FX2-DV 21199 9638 NOT TESTED 6.00 14 450 189.0 42 3.00 PASS NOT TESTED COMMENTS COMMENTS Material: DW FIBERG DW FIBERG DW FIBERG DW FIBERG Diameter (in): 3.0 3.0 3.0 3.0 Length (ft): 220.0 20.0 20.0 20.0 Test psi: 50 SO SO SO Bleedback cc: 0 0 0 0 Test time (min): SO 40 30 30 Start time: 09:36 12:33 11:46 11:06 End time: 10:26 13:13 12:16 11:36 Final gph: 0.003 0.003 0.003 0.009 Result: PASS PASS PASS PASS Pump type: PRESSURE PRESSURE PRESSURE PRESSURE Pump make: RED JACKET RED JACKET RED JACKET RED JACKET COMMENTS Impact Valves Operational: YES Printed 07/27/2004 15:32 ;;: ~I ~ . INDIVIDUAL TANK INFORMATION AND TEST RESULTS -fÞDJnknoIogy 8900 SHOAL CREEK, BUILDING 200 AUSTIN, TEXAS 78757.(512) 451-6334 TEST DATE: 07 /13/04 CLIENT: VALERO WORK ORDER NUMBER3135565 SITE:ULTRAMAR 074 Tank ID: 20k 7 Product: DIESEL Capacity in gallons: 20, 000 Diameter in inches: 129 .00 Length in inches: 357 Material: DW STEEL Tank manifolded: NO Vent manifolded: NO Vapor recovery manifolded: NO Overfill protection: YES Overspill protection: YES Installed: ATG CP installed on: / / Bottom to top fill in inches: Bottom to grade in inches: Fill pipe length in inches: Fill pipe diameter in inches: Stage I vapor recovery: Stage II vapor recovery: 193.0 201. 0 64.0 4.0 NONE NONE COMMENTS this tank does not exist. it is put in only to be able to show all of the satellite lines for the diesel tank. Start (in) End (in) New/passed Failed/replaced New/passed· Failed/replaced L.D. #1 L.D. #1 L.D. #2 L.D. #2 Dipped Water Level: Dipped Product Level: Probe Water Level: Ingress Detected: Water Test time: Inclinometer reading: VacuTect Test Type: VacuTect Probe Entry Point: Pressure Set Point: Tank water level in inches: Water table depth in inches: Determined by (method): Result: COMMENTS Bubble Make: Model: SIN: Open time in sec: Holding psi: Resiliency cc: Test leak rate ml/m: Metering psi: Calib. leak in gph: Results: NOT TESTED Ullage RED JACKET FX2~DV 4120 4744 4.00 14 480 189.0 44 3.00 PASS NOT TESTED COMMENTS Material: Diameter (in): Length (ft): Test psi: Bleedback cc: Test time (min): Start time: End time: Final gph: Result: Pump type: Pump make: "" COMMENTS DW FIBERG 3.0 20.0 DW FIBERG 3.0 20.0 50 o 50 09:36 10:26 0.003 PASS PRESSURE RED JACKET Impact Valves Operational: YES NOT TESTED 50 o 30 10:32 11:02 0.014 PASS o NOT 0 TEST~ß:OO 00:00 0.000 PRESSURE RED JACKET Printed 07/27/2004 15:32 . ' MONITORING SYSTEM CERTIFICATION For Use By All Jurisdictions Within the State of California Authority Cited: Chapter 6. 7, Health and Safety Code; Chapter 16, Division 3 Title 23, California Code of Regulations . . This form must be used to document testing and servicing of monitoring equipment. If more than one monitoring system control panel is installed at the facility, a separate certification or reDort must be DreDared for each monitorina svstem control Danel by the technician who performs the work. A copy of this form must be provided to the tank system owner/operator. The owner/operator must submit a copy of this form to the local agency regulating UST systems within 30 days of test date. A. General Information Facility Name: UL TRAMAR 074 Site Address: 3225 BiJCK OWENS BLVD. HWY 99/HWY 58 City: BAKERSFIELD Contact Phone No: 324-9481 Date of Testing/Service: 07113/2004 CA Zip: 93301 Facility Contact Person: Manager MakelModel of Monitoring System: GILBARCO EMC Work Order Number: 3135565 B. Inventory of Equipment TestedlCertified Check the appropriate boxes to indicate specific equipment inspected/serviced Tank ID: 87 Tank ID: 89 . X In-Tank Gauging Probe. Model: 730 X In-Tank Gauging Probe. Model: 730 X Annular Space or Vault Sensor. Model: 420 XI Annular Space or Vault Sensor. Model: 420 X Piping SumpffrenchSensor(s). Model: 208 Yl Piping SumpfTrench Sensor(s). Model: 208 = - Fill Sump Sensor(s). Model: = Fill Sump Sensor(s). Model: X Mechanical Line Leak Detector. Model: FX1DV 'II. Mechanical Line Leak Detector. Model: FXW = Electronic Line Leak Detector. Model: ;.;.;. Electronic Line Leak Detector. Model: = = Tank Overfill/High-Level Sensor. Model: Tank Overfill/High-Level Sensor. Model: = Other (specify equipment type and model in Section E on page 2). - Other (specify equipment type and model in Section E on page 2). Tank ID: UIt:::>t:L Tank ID: X In-Tank Gauging Probe. Model: 730 - Model: In-Tank Gauging Probe. ~ Annular Space or Vault Sensor. Model: 420 Annular Space or Vault Sensor. ~ Model: ~ Piping Sumpffrench Sensor(s). Model: 208 Piping Sumpffrench Sensor(s). Model: Fill Sump Sensor(s). Model: = Fill Sump Sensor(s), Model: X Mechanical Line Leak Detector. Model: FX2DV (2) - Mechanical Line Leak Detector. Model: = Electronic Line Leak Detector. Model: - = Electronic Line Leak Detector. Model: Tank Overfill/High-Level Sensor. Model: = Tank Overfill/High-Level Sensor. Model: X Other (specify equipment type and model in Section E on page 2). D Other (specify equipment type and model in Section E on page 2). - IDlspenser ID: 1/2 Dispenser ID: 3/4 D Dispenser Containment Sensor(s) Model: n Dispenser Containment Sensor(s) Model: [K] Shear Valve(s). ŒJ Shear Valve(s) D Dispenser Containment Float(s) and Chain(s). n Dispenser Containment Float(s) and Chain(s). Dispenser ID: 5/6 Dispenser ID: 7/8 D Dispenser Containment Sensor(s) Model: n Dispenser Containment Sensor(s). Model: ŒJ Shear Valve(s). ~ Shear Valve(s). n Dispenser Containment Float(s) and Chain(s). o Dispenser Containment Float(s) and Chain(s). Dispenser ID: DSL 1 Dispenser ID: DSL2 D Dispenser Containment Sensor(s) Model: o Dispenser Containment Sensor(s). Model: ŒJ Shear Valve(s). :R]Shear Valve(s). D Dispenser Containment Float(s) and Chain(s). =:J Dispenser Containment Float(s) and Chain(s). * If the facility contains more tanks or dispensers, copy this form. Include information for every tank and dispenser at the facility. C. Certification I certify that the equipment identified in this document was inspected/serviced in accordance with the manufacturers' guidelines. Attached to this certification is information (e.g manufacturers' checklists) necessary to verify that this information is correct. and a Site Plan showing the layout of monitoring equipment. For any equipment capable of generating such reports, I have also attached a copy of the (Check all that apply): 0 System set-up ŒJ Alarm history report Signature: License. No.: Phone No.: (800) 800-4633 Date otTesting/Servicing: 07/13/2004 Þ//~I-/ Technician Name (print): WILLIAM ROGERS Certification No.: 8520 Testing Company Name: Tanknology Site Address: 8900 Shoal Creek, Bldg. 200 Austin, TX 78757 Monitorin2 System Certification Page 1 of 3 Based on CA form dated 03/01 Monitoring System Certification I' I Site Address: 3225 BUCK OWENS BLVD. HWY 99/HWY 58 Date of Testing/Service: 07/13/2004 D. Results of Testing/Servicing Software Version Installed: 7.03 Complete the following checklist: rxl Yes DNo' Is the audible alarm operational? ~ Yes DNo' Is the visual alarm operational? ~ Yes DNo' Were all sensors visually inspected, functionally tested, and confirmed operational? ~ Yes DNo' Were all sensors installed at lowest point of secondary containment and positioned so that other equipment will not interfere with their proper operation? n Yes DNo' IIXlNtA If alarms are relayed to a remote monitoring station, is all communications equipment (e.g. modem) operational? DYes ~NO' DNtA For pressurized piping systems, does the turbine automatically shut down if the piping secondary containment monitoring system detects a leak, fails to operate, or is electrically disconnected? If yes: which sensors initiate positive shut-down? (check all that apply) 0 SumplTrench Sensors; 0 Dispenser Containment Sensors. Did you confirm positive shut-down due to leaks and sensor failure/disconnection? DYes n No ~ Yes ONO' ONtA For tank systems that utilize the monitoring system as the primary tank overfill warning device (i.e.: no mechanical overfill prevention valve is installed), is the overfill warning alarm visible and audible at the tank fill points{s) and operating properly? If so, at what percent of tank capacity does the alarm trigger? 90 % ~ Yes' ONO Was any monitoring equipment replaced? If yes, identify specific sensors, probes, or other equipment replaced and list the manufacturer name and model for all replacement parts in Section E, below. DYes' ~NO Was liquid found inside any secondary containment systems designed as dry systems? (check all that apply) o Product; o Water. If yes, describe causes in Section E, below. ~ Yes ONO' Was monitoring system set-up reviewed to ensure proper settings? Attach set-up reports, if applicable. ~ Yes ONO' Is all monitoring equipment operational per manufacturers' specifications? . In Section E below, describe how and when these deficiences were or will be corrected. E. Comments: THERE WAS AN ADDITIONAL SUMP CALLED A FILTER SUMP- SENSOR (208) REPLACED 1 FX1 DV LEAK DETECTOR IN THE 87 LINE. Page 2 of 3 Based on CA form dated 03/01 · ' Monitoring System Certification Site Address: 3225 BUCK OWENS BLVD. HWY 99/HWY 58 Date of Testing/Service: 07/13/2004 F. In-Tank Gauging I SIR Equipment o Check this box if tank gauging is used only for inventory control. D Check this box if no tank gauging or SIR equipment is installed. This section must be completed if in-tank gauging equipment is used to perform leak detection monitoring. Complete the following checklist: ŒJves DNo· Has all input wiring been inspected for proper entry and termination, including testing for ground faults? ŒJves DNo· Were all tank gauging probes visually inspected for damage and residue buildup? ŒJves DNo· Was accuracy of system product level readings tested? ŒJves DNo· Was accuracy of system water level readings tested? 0ves DNo· Were all probes reinstalled properly? ŒJves DNo· Were all items on the equipment manufacturers' maintenance checklist completed? * In the Section H, below, describe how and when these deficiencies were or will be corrected. G. Line leak Detectors (llD) : D Check this box if LLDs are not installed. Complete the following checklist: Œ]ves DNo· DN/A For equipment start-up or annual equipment certification, was a leak simulated to verify LLD performance? (Check all that apply) Simulated leak rate: ~ 3 g.p.h 0 0.1 g.p.h 00.2 g.p.h /Xl Yes DNo· Were all LLDs confirmed operational and accurate within regulatory requirements? Œ]ves DNo· Was the testing apparatus properly calibrated? o Yes DNO· DN/A For mechanical LLDs, does the LLD restrict product flow if it detects a leak? DYes DNo· [! N/A For electronic LLDs, does the turbine automatically shut off if the LLD detects a leak? DYes ONO· Œ]N/A For electronic LLDs, does the turbine automatically shut off if any portion of the monitoring system is disabled or disconnected? DYes ONO· 0N/A For electronic LLDs, does the turbine automatically shut off if any portion of the monitoring system malfunctions or fails a test? DYes ONO· 0N/A For electronic LLDs, have all accessible wiring connections been visually inspected? o Yes ONO· Were all items on the equipment manufacturers' maintenance checklist completed? * In the Section H, below, describe how and when these deficiencies were or will be corrected. H. Comments: Page 3 of 3 Based on CA form dated 03/01 MONITORING SYSTEM CERTIFICATION For Use By All Jurisdictions Within the State of California Authority Cited: Chapter 6. 7, Health and Safety Code; Chapter 16, Division 3 Title 23, California Code of Regulations · .This form must be used to document testing and servicing of monitoring equipment. If more than one monitoring system control panel is installed at the facility, a separate certification or reDar! must be prepared for each monitorina svstem control panel by the technician who performs the work. A copy of this form must be provided to the tank system owner/operator. The owner/operator must submit a copy of this form to the local agency regulatingUST systems within 30 days of test date, A. General Information Facility Name: UL TRAMAR 074 Site Address: 3225 BUCK OWENS BLVD. HWY 99/HWY 58 City: BAKERSFIELD Contact Phone No: 324-9481 Date of Testing/Service: 07/13/2004 CA Zip: 93301 Facility Contact Person: Manager MakelModel of Monitoring System: Work Order Number: 3135565 B. Inventory of Equipment Tested/Certified Check the appropriate boxes to indicate specific equipment inspected/serviced Tank ID: Tank ID: In-Tank Gauging Probe, Model: n In-Tank Gauging Probe. Model: = Model: 1 Annular Space or Vault Sensor. Annular Space or Vault Sensor. Model: = Piping SumplTrench Sensor(s). Model: - . Piping SumplTrench Sensor(s). Model: = - Fill Sump Sensor(s). Model: = Fill Sump Sensor(s). Model: = Mechanical Line Leak Detector. Model: Mechanical Line Leak Detector. Model: = Model: ;;;;;; Electronic Line Leak Detector. Electronic Line Leak Detector. Model: = Model: = Tank OverfilVHigh-Level Sensor. Tank OverfilVHigh-Level Sensor. Model: = Other (specify equipment type and model in Section E on page 2). Other (specify equipment type and model in Section E on page 2). '-- TanklD: Tank ID: - In-Tank Gauging Probe. Model: r- In-Tank Gauging Probe. Model: = Annular Space or Vault Sensor. Model: Annular Space or Vault Sensor. Model: = Piping SumplTrench Sensor(s). Model: Piping SumplTrench Sensor(s). Model: = Fill Sump Sensor(s). Model: r- = Fill Sump Sensor(s). Model: Mechanical Line Leak Detector. Model: - Mechanical Line Leak Detector. MOdel: = Electronic Line Leak Detector. Model: = = Electronic Line Leak Detector. Model: Tank Overfill/High-Level Sensor. Model: - Tank Overfill/High-Level Sensor. Model: = Other (specify equipment type and model in Section E on page 2). - Other (specify equipment type and model in Section E on page 2). - - IDlspenser IU: DSL3 DispenserlD: DSL 4 o Dispenser Containment Sensor(s) Model: I Dispenser Containment Sensor(s) Model: ŒJ Shear Valve(s). XJ Shear Valve(s) o Dispenser Containment Float(s) and Chain(s), h Dispenser Containment Float(s) and Chain(s). Dispenser ID: DSL5 Dispenser ID: o Dispenser Containment Sensor(s) Model: h Dispenser Containment Sensor(s). Model: [K] Shear Valve(s). tJ Shear Valve(s). In Dispenser Containment Float(s) and Chain(s). h Dispenser Containment Float(s) and Chain(s). Dispenser ID: Dispenser ID: o Dispenser Containment Sensor(s) Model: h Dispenser Containment Sensor(s). Model: '--' D Shear Valve(s). D Shear Valve(s). D Dispenser Containment Float(s) and Chain(s). D Dispenser Containment Float(s) and Chain(s). * If the facility contains more tanks or dispensers, copy this form. Include information for every tank and dispenser at the facility. C. Certification I certify that the equipment identified in this document was inspected/serviced in accordance with the manufacturers' guidelines. Attached to this certification is information (e.g manufacturers' checklists) necessary to verify that this information is correct. and a Site Plan showing the layout of monitoring equipment. For any equipment capable of generating such reports, I have also attached a copy of the (Check all that apply): D System set-up D Alarm history report Signature: License. No.: Phone No.: (800) 800-4633 Date of Testing/Servicing: 07/13/2004 µ//S'1-/ Technician Name (print): WILLIAM ROGERS Certification No.: Testing Company Name: Tanknology Site Address: 8900 Shoal Creek, Bldg. 200 Austin, TX 78757 Monitoring System Certification Page 1 of3 Based on CA form dated 03/01 SITE DIAGRAM 1- ~ DJnIcnology 8900 SHOAL CREEK. BUILDING 200 AUSTIN. TEXAS 78757 (512) 451-6334 FAX (512) 459-1459 TEST DATE: 07/13/04 CLIENT: VALERO WORK ORDER NUMBER3135565 SITE: ULTRAMAR 074 o sump ~ ~ ~ ~ ~ ~ ð ~ ..~ C-STORE 8 ~ ~ 0 ENT :E CD 0 VENTS :J () 0 18~ ~~ Ultra mar #51-4 @ UL 3225 Buck Owens Blvd. 16~~ Bakersfield, CA CD CAR WAS DSL Printed 07/27/200415:32 KOHLMEYER W òrk Ordèr: ¡ ¡ ! I' I I I ! ¡ I I I I I I l I 3135565 Tanknology-NDE 8900 Shoal Creek, Building 200 Austin, Texas 78757 · , ;1""\(,'\' (0" \. /\ <-'/,,: Wórk ûrdèr: 3135565 Tanknology-NDE 8900 Shoal Creek, Building 200 Austin, Texas 78757 , ;. i: _ -~ ~ \ ,~,// ë .¡'\ \\ ~. '7 :",y .., 'Tanlcnology 8900 Shoal Creek Blvd, Building 200 Austin, Texas 78757 Phone: (512) 451-6334 Fax: (512) 459-1459 Date Printed and Mailed: 07/28/2004 KERN CTY - ENVIROMENTAL HEALTH 2700 M STREET SU ITE 300 BAKERSFIELD, CA. 93301 Test Date: 07/13/2004 Order Number: 3135565 Dear Regulator, Enclosed are the results of recent testing performed at the following facility: UL TRAMAR 074 3225 BUCK OWENS BLVD. HWY 99/HWY 58 BAKERSFIELD, CA. 93301 Testing performed: Leak detector tests Line tests Monitor Certification Sincerèly, :b~K~ Dawn Kohlmeyer Manager, Field Reporting J~ DJnknology PURPOSE: COMPLIANCE TEST DATE: 07/13/04 CLIENT: VALERO 685 WEST THIRD ST HANFORD, CA 93230 Sandy Huff (559)583-3298 TANKNOLOGY CERTIFICATE OF TESTING 8900 SHOAL CREEK, BUILDING 200 AUSTIN, TEXAS 78757 TELEPHONE (512) 451-6334 FAX (512) 459-1459 TEST RESULT SUMMARY REPORT WORK ORDER NUMBER: 3135565 CUSTOMER PO: SITE: ULTRAMAR 074 3225 BUCK OWENS BLVD. HWY 99/HWY 58 BAKERSFIELD, CA 93301 Manager (661 )324-9481 htness Tests Results 87 89 20k 20k UNLEADED PLUS DIESEL DIESEL 14,139 95.00 DW STEEL 10,139 95.00 DW STEEL 20,068 129.0 DW STEEL 20,000 129.0 DW STEEL *Where regulations require, for VacuTect external water level may be depth of dry well or water is assumed at lowest point that can be confirmed dry. Product Pi e Ti htness Test Results 87 3 DW FIBERG PRESSURE P 0.006 TLD-1 Y 89 4 DW FIBERG PRESSURE P 0.006 TLD-1 Y 20k 6 DW FIBERG PRESSURE P P P P 0.003 0.003 0.003 0.009 TLD-1 Y 20k 7 DW FIBERG PRESSURE P P 0.003 0.014 TLD-1 Y 87 89 20k 20k 3 RED JACKE T 4 RED JACKET 6 RED JACKET 7 RED JACKET FX2V FX1V FX2-DV FX2 -DV 110211102 P 111796 P 21199 9638 P 4120 4744 P 87 3 FX1-DV 10304 8268 P For owner detailed report information, visit www.tanknology.com and select On-Line Reports-WRAP, or contact your local Tanknology office: Tester Name: WILLIAM ROGERS Technician Certification Number: 1647 Tester Signature: ~ I' Date Signed: r .....-'~-oJ I declare under penalty of perjury that I am . censed tank tester in the State of California and that the information contained i~IS report is true and correct to the best of my knowledge, .. . -wÞ'DJnknology PURPOSE: COMPLIANCE TEST DATE: 07/13/04 CLIENT: VALERO 685 WEST THIRD ST HANFORD, CA 93230 Sandy Huff (559)583-3298 TANKNOLOGY CERTIFICATE OF TESTING 8900 SHOAL CREEK, BUILDING 200 AUSTIN, TEXAS 78757 TELEPHONE (512) 451-6334 FAX (512) 459-1459 TEST RESULT SUMMARY REPORT WORK ORDER NUMBER: 3135565 CUSTOMER PO: SITE: UL TRAMAR 074 3225 BUCK OWENS BLVD. HWY 99/HWY 58 BAKERSFIELD, CA 93301 Manager (661 )324-9481 TEST TYPE: TLD-1 87 89 20k 20k 3 UNLEADED 4 PLUS 6 DIESEL 7 D7ESEL DW FIBERG DW FIBERG DW FIBERG DW F:IBERG PRESSURE P 0.006 PRESSURE P 0.006 PRESSURE P P P P 0.003 0.003 0.003 0.009 PRESSURE P P 0.003 0.014 y y y y 87 89 20k 20k 3 RED JACKET FX2V 4 RED JACKET FX1V 6 RED JACKET FX2-DV 7 RED JACKET FX2-DV 110211102 P 111796 P 21199 9638 P 4120 4744 P 87 3 RED JACKET FX1-DV 10304 8268 P For owner detailed report information, visit www.tanknology.com and select On-Line Reports-WRAP, or contact your local Tanknology office. Tester Name: WILLIAM ROGERS ø//S''¡-/ Technician Certification Number: 1647 Printed 07/28/2004 07:50 SBOWERS ., , INDIVIDUAL TANK INFORMATION AND TEST RESULTS t-~ DJnknology 8900 SHOAL CREEK, BUILDING 200 AUSTIN, TEXAS 78751 (512) 451-6334 TEST DATE: 07 /13/04 CLI ENT: VALERO WORK ORDER NUMBER3'l35565 SITE:ULTRAMAR 074 Tank 10: 87 3 Product: UNLEADED Capacity in gallons: 14,139 Diameter in inches: 95. 00 Length in inches: 337 Material: DW STEEL COMMENTS Tank manifolded: NO Vent manifolded: YES Vapor recovery manifolded: YES Overfill protection: YES Overspill protection: YES Installed: ATG CP installed on: / / Bottom to top fill in inches: Bottom to grade in inches: Fill pipe length in inches: Fill pipe diameter in inches: Stage I vapor recovery: Stage II vapor recovery: 140.5 146.0 44.5 4.0 DUAL ASSIST Start (i n) End (in) New/passed Failed/replaced New/passed Failed/replaced L.D. #1 L.D. #1 L.D. #2 L.D. #2 Dipped Water Level: Dipped Product Level: Probe Water Level: Ingress Detected: Water Test time: Inclinometer reading: VacuTect Test Type: VacuTect Probe Entry Point: Pressure Set Point: Tank water level in inches: Water table depth in inches: Determined by (method): Result: COMMENTS Bubble Make: RED JACKET RED JACKET Ullage Model: FX1-DV FX2V SIN: 1030t 8~68 110~1110~ Open time in sec: 4.00 Holding psi: 12 Resiliency cc: 150 NOT 'Test leak ratð mllm: 1ô9.0 TESTED Meterìng psi: 40 Calib. leak in gph: 3.00 3.00 Results: PASS PASS COMMENTS NOT TESTED Material: Diameter (in): Length (ft): Test psi: Bleedback cc: Tes\time (min): Start time: End time: Final gph: Result: Pump type: Pump make: COMMENTS DW FIBERG 2.0 30.0 50 o 40 15:03 15:43 0.006 PASS PRESSURE RED JACKET NOT TESTED NOT TESTED NOT TESTED Impact Valves Operational: YES Printed 07/28/2004 07:50 ~:' . INDIVIDUAL TANK INFORMATION AND TEST RESULTS ~., Tånknology 8900 SHOAL CREEK, BUILDING 200 AUSTIN, TEXAS 78757 (512) 451-6334 TEST DATE:07/13/04 CLlENT:VALERO WORK ORDER NUMBER3135565 SITE:ULTRAMAR 074 Tank ID: 89 4 Product: PLUS Capacity in gallons: 10,139 Diameter in inches: 95.00 Length in inches: 337 Material: DW STEEL COMMENTS Tank manifolded: NO Vent manifolded: YES Vapor recovery manifolded: YES Overfill protection: YES Overspill protection: YES Installed: ATG CP installed on: / / Bottom to top fill in inches: Bottom to grade in inches: Fill pipe length in inches: Fill pipe diameter in inches: Stage I vapor recovery: Stage II vapor recovery: 138.5 145.0 42.5 4.0 DUAL ASSIST Dipped Water Level: Dipped Product Level: Probe Water Level: Ingress Detected: Water Test time: Inclinometer reading: VacuTect Test Type: VacuTect Probe Entry Point: Pressure Set Point: Tank water level in inches: Water table depth in inches: Determined by (method): Result: COMMENTS Bubble NOT TESTED Ullage Make: Model: SIN: Open time in see: Holding psi: Resiliency cc: Test leak rate mUm: Metering psi: Calib. leak in gph: Results: New/passed Failed/replaced New/passed Failed/replaced L.D. #1 L.D. #1 L.D. #2 L.D. #2 RED JACKET FX1V 111796 5324 2.00 14 100 18ir.c 40 3.00 PASS NOT TESTED COMMENTS Material: Diameter (in): Length (ft): Test psi: Bleedback cc: Test time (min): Start time: End time: Final gph: Result: Pump type: Pump make: COMMENTS DW FIBERG 2.0 30.0 50 o 40 15:03 15:43 0.006 PASS PRESSURE RED .JACKET NOT TESTED NOT TESTED NOT TESTED Impact Valves Operational: YES Printed 07/28/2004 07:50 ..'; -1 INDIVIDUAL TANK INFORMATION AND TEST RESULTS ~~ Dlnlmology 8900 SHOAL CREEK, BUILDING 200 AUS-TIN, TEXAS 78757 (512) 451-6334 TEST DATE: 07 /13/04 CLlENT:VALERO WORK ORDER NUMBER3135565 SITE:ULTRAMAR 074 Tank ID: 20k 6 Product: DIESEL Capacity in gallons: 20, 068 Diameter in inches: 129 .00 Length in inches: 358 Material: DW STEEL Tank manifolded: NO Vent manifolded: NO Vapor recovery manifolded: NO Overfill protection: YES Overspill protection: YES Installed: ATG CP installed on: / / COMMENTS Lines b, c, d and a & b form tank #7 are all stilite lines. Bottom to top fill in inches: Bottom to grade in inches: Fill pipe length in inches: Fill pipe diameter in inches: Stage I vapor recovery: Stage II vapor recovery: 193.0 201. 0 64.0 4.0 NONE NONE Start (in) End (in) Dipped Water Level: Dipped Product Level: Probe Water Level: Ingress Detected: Water Test time: Inclinometer reading: VacuTect Test Type: VacuTect Probe Entry Point: Pressure Set Point: Tank water level in inches: Water table depth in inches: Determined by (method): Result: Bubble Ullag.e Make: Model: SIN: Opentime in see: Holding psi: Resiliency cc: rest lèak rate ml/m: Metering psi: Calib. leak in gph: Results: NOT TESTED COMMENTS COMMENTS New/passed Failed/replaced New/passed Failed/replaced L.D. #1 L.D. #1 L.D. #2 L.D. #2 RED JACKET FX2-DV 21199 9638 6.00 14 4~0 189.0 42 3.00 PASS NOT TESTED Material: DW FIBERG DW FIBERG DW FIBERG DW FIBERG Diameter (in): 3.0 3.0 3.0 3.0 Length (ft): 220.0 20.0 20.0 20.0 Test psi: 50 50 50 50 Bleedback cc: 0 0 0 0 Test time (min): 50 40 30 30 Start time: 09:36 12:33 11:46 11:06 End time: 10:26 13:13 12:16 11:36 Final gph: 0.003 0.003 0.003 0.009 Result: PASS PASS PASS PASS Pump type: PRESSURE PRESSURE PRESSURE PRESSURE Pump make: RED JACKET RED JACKET RED JACKET RED JACKET COMMENTS Impact Valves Operational: YES Printed 07/28/2004 07:50 -,; . INDIVIDUAL TANK INFORMATION AND TEST RESULTS ~~ DJnknology 8900 SHOAL CREEK, BUILDING 200 AUSTIN, TEXAS 78757 (512) 451-6334 TEST DATE: 07 /13/04 CLlENT:VALERO WORK ORDER NUMBER3135565 SITE:ULTRAMAR 074 Tank 10: 20k 7 Product: DIESEL Capacity in gallons: 20,000 Diameter in inches: 129.00 Length in inches: 357 Material: DW STEEL Tank manifolded: NO Vent manifolded: NO Vapor recovery manifolded: NO Overfill protection: YES Overspill protection: YES Installed: ATG CP installed on: / / Bottom to top fill in inches: Bottom to grade in inches; Fill pipe length in inches: Fill pipe diameter in inches: Stage I vapor recovery: Stage II vapor recovery: 193.0 201. 0 64.0 4.0 NONE NONE COMMENTS this tank does not exist. it is put in only to be able to show all of the satel~ite lines for the diesel tank. Start (in) Dipped Water Level: Dipped Product Level: Probe Water Level: Ingress Detected: Water Test time: Inclinometer reading: VacuTectTestType: VacuTect Probe Entry Point: Pressure Set Point: Tank water level in inches: Water table depth in inches: Determined by (method): Result: COMMENTS End (in) New/passed Failed/replaced New/passed Failed/replaced L.D. #1 L.D. #1 L.D. #2 L.D. #2 Bubble Make: Model: SIN: Open time in see: Holding psi: Resiliency cc: Test leak rate m!/m: Metering psi: Calib. leak in gph: Results: NOT TESTED Material: Diameter (in): Length (ft): Test psi.: Bleedback cc: Test time (miny: Start time: End time: Final gph: Result: Pump type: Pump make: COMMENTS Ullage RED JACKET PX2-DV n~o 47U 4.00 14 480 189.0 44 3.00 PASS NOT TESTED COMMENTS DW FIBERG 3.0 20.0 DW FIBERG 3.0 20.0 SO o SO 09:36 10:26 0.003 PASS PRESSURE RED JACKET Impact Valves Operational: YES NOT TESTED SO o 30 10:32 11:02 0.014 PASS o NOT 0 TES~2>:OO 00:00 0.000 PRESSURE RED JACKET Printed 07/28/2004 07:50 MONITORING SYSTEM CERTIFICATION For Use By All Jurisdictions Within the State of California Authority Cited: Chapter 6. 7, Hea/th and Safety Code; Chapter 16, Division 3 Tit/e 23, California Code of Regu/ations . This fonn must be used to document testing and servicing of monitoring equipment. If more than one monitoring system control panel is installed at the facility, a separate certification or reoort must be prepared for each monitorina system control panel by the technician who perfonns the work, A copy of this fonn must be provided to the tank system owner/operator. The owner/operator must submit a copy of this fonn to the local agency regulating UST systems within 30 days of test date, A. General Information Facility Name: UL TRAMAR 074 Site Address: 3225 BUCK OWENS BLVD. HWY 99/HWY 58 City: BAKERSFIELD Contact Phone No: 324-9481 Date of resting/Service: 07/13/2004 CA Zip: 93301 Facility Contact Person: Manager Make/Model of Monitoring System:GILBARCO EMC Work Order Number: 3135565 B. Inventory of Equipment Tested/Certified Check the appropriate boxes to indicate specific equipment inspected/serviced Tank ID: 87 Tank ID: 89 X In-Tank Gauging Probe. Model: 730 xl In-Tank Gauging Probe, Model: 730 X Annular Space or Vault Sensor. Model: 420 XI Annular Space or Vault Sensor. Model: 420 X Piping SumplTrench Sensor(s). Model: 208 o Piping SumplTrench Sensor(s). Model: 208 = Fill Sump Sensor(s). Model: - = Fill Sump Sensor(s). Model: ~ Mechanical Line leak Detector. Model: FX1DV v Mechanical Line leak Detector. Model: FX1V = = Electronic Line leak Detector, Model: Electronic line leak Detector. Model: = Tank OverfilUHigh-level Sensor. Model: = Tank OverfilUHigh-level Sensor. Model: = Other (specify equipment type and model in Section E on page 2). Other (specify equipment type and model in Section E on page 2). - Tank ID: LJII:::"iI::L Tank ID: :&J In-Tank Gauging Probe, Model: 730 - In-Tank Gauging Probe. Model: X Annular Space or Vault Sensor. Model: 420 Annular Space or Vault Sensor. Model: )( Piping SumplTrench Sensor(s). Model: 208 Piping SumpITrench 5ensor(s). Model: == Fill Sump Sensor(s). Model: - Model: = Fill Sump Sensor(s). X Mechanical Line Leak Detector. Model: FX2DV (2) - Mechanical Line leak Detector. Model: = Electronic Line leak Detector. Model: = = Electronic Line leak Detector. Model: Tank Overfilì/High-Level Sensor. Model: - X Tank OverfilUHigh-Level Sensor. Model: Other (specify equipment type and model in Section E on page 2). - Other (specify equipment type and model in Section E on page 2). - - ¡Ulspenser IU: 1/2 Dispenser ID: 3/4 D Dispenser Containment Sensor(s) Model: -, Dispenser Containment Sensor(s) Model: ŒJ Shear Valve(s). XJ ShearValve(s) D Dispenser Containment Float(s) and Chain(s), =, Dispenser Containment Float(s) and Chain(s). Dispenser ID: 5/6 Dispenser ID: 7/8 o Dispenser Containment Sensor(s) Model: t Dispenser Containment Sensor(s). Model: o Shear Valve(s). '!J ShearValve(s). '1 Dispenser Containment Float(s) and Chain(s). --, Dispenser Containment Float(s) and Chain(s). Dispenser ID: DSL 1 Dispenser lD: DSL2 D Dispenser Containment Sensor(s) Model: r Dispenser Containment Sensor(s). Model: -' ŒJ ShearValve(s). :Kl Shear Valve(s). o Dispenser Containment Float(s) and Chain(s). tJ Dispenser Containment Float(s) and Chain(s). . If the facility contains more tanks or dispensers, copy this form. Include information for every tank and dispenser at the facility. C. Certification I certify that the equipment identified in this document was inspected/serviced in accordance with the manufacturers' guidelines. Attached to this certification is information (e.g manufacturers' checklists) necessary to verify that this information is correct. and a Site Plan showing the layout of monitoring equipment. For any equipment capable of generating such reports, I have also attached a copy of the (Check all that apply): 0 System set-up [8] Alarm history report Technician Name (print): WILLIAM ROGERS Certification No.: 8520 Testing Company Name: Tanknology Site Address: 8900 Shoal Creek, Bldg. 200 Austin, TX 78757 ß/#'S'1-/ Signature: License. No.: Phone No.: (800) 800-4633 Date otTesting/Servicing: 07/13/2004 Monitoring System Certification Page 1 of 3 Based on CA form dated 03/01 Monitoring System Certification Site Address: 3225 BUCK OWENS BLVD. HWY 99/HWY 58 Date of Testing/Service: 07/13/2004 D. Results of Testing/Servicing Software Version Installed: 7.03 Complete the following checklist: !Xl Yes nNo' Is the audible alarm operational? o Yes DNo' Is the visual alarm operational? o Yes nNO' Were all sensors visually inspected, functionally tested, and confirmed operational? o Yes DNo' Were all sensors installed at lowest point of secondary containment and positioned so that other equipment will not interfere with their proper operation? n Yes nNo' JxlN/A If alarms are relayed to a remote monitoring station, is all communications equipment (e.g. modem) operational? DYes [8]No' DN/A For pressurized piping systems, does the turbine automatically shut down if the piping secondary containment monitoring system detects a leak, fails to operate, or is electrically disconnected? If yes: which sensors initiate positive shut-down? (check all that apply) D Sumprrrench Sensors; D Dispenser Containment Sensors. Did you confirm positive shut-down due to leaks and sensor failure/disconnection? DYes DNo o Yes DNo' DN/A For tank systems that utilize the monitoring system as the primary tank overfill waming device (I.e.: no mechanical overfill prevention valve is installed), is the overfill waming alarm visible and audible at the tank fill points(s) and operating properly? If so, at what percent of tank capacity does the alarm trigger? 90 % o Yes' DNO Was any monitoring equipment replaced? If yes, identify specific sensors, probes, or other equipment replaced and list the manufacturer name and model for all replacement parts in Section E, below. DYes' 0No Was liquid found inside any secondary containment systems designed as dry systems? (check all that apply) D Product; o Water. If yes, describe causes in Section E, below. o Yes DNo' Was monitoring system set-up reviewed to ensure proper settings? Attach set-up reports, if applicable. o Yes DNo' Is all monitoring equipment operational per manufacturers' specifications? . In Section E below, describe how and when these deficiences were or will. be corrected. E. Comments: THERE WAS AN ADDITIONAL SUMP CALLED A FILTER SUMp·· SENSOR (208) REPLACED 1 FX1DV LEAK DETECTOR IN THE 87 LINE. Page 2 of 3 Based on CA form dated 03/01 ~,. " Monitoring System Certification Site Address: 3225 BUCK OWENS BLVD. HWY 99/HWY 58 Date of Testing/Service: 07/13/2004 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 leak detection monitoring. Complete the following checklist: 0ves ONO' Has all input wiring been inspected for proper entry and termination, including testing for ground faults? 0ves ONO' Were all tank gauging probes visually inspected for damage and residue buildup? 0ves ONO' Was accuracy of system product level readings tested? 0ves ONO' Was accuracy of system water level readings tested? ŒJves ONO' Were all probes reinstalled properly? 0ves ONO' Were all items on the equipment manufacturers' maintenance checklist completed? * In the Section H, below, describe how and when these deficiencies were or will be corrected. G. Line leak Detectors (llD) : D Check this box if LLDs are not installed. Complete the following checklist: I!]ves ONO' ONtA For equipment start-up or annual equipment certification, was a leak simulated to verify LLD performance? (Check all that apply) Simulated leak rate: [8] 3 g.p.h 0 0.1 g.p.h 00.2 g.p.h 10ves ONo' Were all LLDs confirmed operational and accurate within regulatory requirements? ,Œ]ves ONO' Was the testing apparatus properly calibrated? 0ves ONO' ONtA For mechanical LLDs, does the LLD restrict product flow if it detects a leak? Dves ONO' 0N/A For electronic LLDs, does the turbine automatically shut off if the LLD detects a leak? DVes ONo' 0NtA For electronic LLDs, does the turbine automatically shut off if any portion of the monitoring system is disabled or disconnected? Dves ONo' 0NtA For electronic LLDs, does the turbine automatically shut off if any portion of the monitoring system malfunctions or fails a test? Dves ONO' I!]N/A For electronic LLDs, have all accessible wiring connections been visually inspected? 0. Yes DNo' Were all items on the equipment manufacturers' maintenance checklist completed? * In the Section H, below, describe how and when these deficiencies were or will be corrected. H. Comments: Page 3 of 3 Based on CA form dated 03/01 ..;;; . MONITORING SYSTEM CERTIFICATION For Use By All Jurisdictions Within the State of California Authority Cited: Chapter 6.7, Health and Safety Code; Chapter 16, Division 3 Title 23, California Code of Regulations . This form must be used to document testing and servicing of monitoring equipment. If more than one monitoring system control panel is installed at the facility, a separate certification or reDort must be DreDared for each monitorino system control Danel by the technician who performs the work. A copy of this form must be provided to the tank system owner/operator. The owner/operator must submit a copy of this form to the local agency regulating UST systems within 30 days of test date. A. General Information Facility Name: UL TRAMAR 074 Site Address: 3225 BUCK OWENS BLVD. HWY 99/HWY 58 City: BAKERSFIELD Contact Phone No: 324-9481 Date otTesting/Service: 07/13/2004 CA Zip: 93301 Facility Contact Person: Manager Make/Model of Monitoring System: Work Order Number: 3135565 B. Inventory of Equipment TestedlCertified Check the appropriate boxes to indicate specific equipment inspected/serviced Tank ID: Tank ID: In-Tank Gauging Probe. Model: n In-Tank Gauging Probe. Model: = Annular Space or Vault Sensor. Model: Annular Space or Vault Sensor. Model: = Piping Sumpffrench Sensor(s). Model: - Piping Sumpffrench Sensor(s). Model: = Fill Sump Sensor(s). Model: = Fill Sump Sensor(s). Model: = Mechanical Line Leak Detector. Model: = Mechanical Line Leak Detector. Model: = Electronic Line Leak Detector. Model: ¡;;;;; Electronic Line Leak Detector. Model: = Tank OverfilVHigh-Level Sensor. ¡= Model: Tank OverfilVHigh-Level Sensor. Model: = Other (specify equipment type and model in Section E on page 2). Other (specify equipment type and model in Section E on page 2). '-- Tank ID: Tank ID: - In-Tank Gauging Probe. Model: ,...- = In-Tank Gauging Probe. Model: Annular Space or Vault Sensor. Model: Annular Space or Vault Sensor. Model: = Piping Sumpffrench Sensor(s). Model: Piping SumpfTrench Sensor(s). Model: = Fill Sump Sensor(s). Model: - = Fill Sump Sensor(s). Model: Mechanical Line Leak Detector. Model: ,..... Mechanical Line Leak Detector. Model: = Electronic Line Leak Detector. Model: ,...- ¡;;;;; Electronic Line Leak Detector. Model: Tank Overfill/High-Level Sensor. Model: ,..... = I Tank Overfill/High-Level Sensor. Model: Other (specify equipment type and model in Section E on page 2). ,..... Other (specify equipment type and model in Section E on page 2). - '-- ulspenser IU: DSL3 Dispenser ID: DSL 4 o Dispenser Containment Sensor(s) Model: ,...- Dispenser Containment Sensor(s) Model: :Eí ShearValve(s). "X Shear Valve(s) D Dispenser Containment Float(s) and Chain(s). := Dispenser Containment Float(s) and Chain(s). Dispenser lD: DSL5 Dispenser ID: D Dispenser Containment Sensor(s) Model: n Dispenser Containment Sensor(s). Model: ~ Shear Valve(s). tJ ShearValve(s). n Dispenser Containment Float(s) and Chain(s). D Dispenser Containment Float(s) and Chain(s). Dispenser ID: Dispenser ID: D Dispenser Containment Sensor(s) Model: D Dispenser Containment Sensor(s). Model: D Shear Valve(s). o Shear Valve(s). D Dispenser Containment Float(s) and Chain(s). o Dispenser Containment Float(s) and Chain(s). * If the facility contains more tanks or dispensers, copy this form. Include information for every tank and dispenser at the facility. C. Certification I certify that the equipment identified in this document was inspected/serviced in accordance with the manufacturers' guidelines. Attached to this certification is information (e.g manufacturers' checklists) necessary to verify that this information is correct. and a Site Plan showing the layout of monitoring equipment. For any equipment capable of generating such reports, I have also attached a copy of the (Check all that apply): 0 System set-up 0 Alarm history report Technician Name (print): WILLIAM ROGERS Certification No.: Testing Company Name: Tanknology Site Address: 8900 Shoal Creek, Bldg. 200 Austin, TX 78757 µ//5'I-/ Signature: License. No.: Phone No.: (800) 800-4633 Date of Testing/Servicing: 07/13/2004 Monitoring System Certification Page 1 of 3 Based on CA form dated 03/01 .- TEST DATE: 07/13/04 CLIENT: VALERO SITE DIAGRAM t-~ DJnknoIogy 8900 SHOAL CREEK, BUILDING 200 AUSTIN, TEXAS 78757 (512) 451-6334 FAX (512) 459-1459 WORK ORDER NUMBER3135565 SITE: ULTRAMAR 074 '. "'" Osump ~ ~ ¢ ~ ~ ~ ð ~ ~ C-STOt"{E OJ ~ ~ c: 8 0 ^ 0 ENT :E () 0 VENTS ::J en 0) 18~ ~~ Ultramar #51-4 @ UL 3225 Buck Owens Blvd. 16tt~ Bakersfield, CA ø CAR WAS DSL Printed 07/28/2004 07:50 SBOWERS . - . Work Order: 3135565 SENSOR ALARt1 .. L 5:DIE8EL St,MP STP SUMP FUEL ALARM JUt 13. 2004 B:?8 AM u___ SENSOR ALARt'1 ----- L 6:DIE9EL ANUL ANNULAR SPACE fUEL ALARM JUL 13. 2004 8:30 AM SENSOR ALARM ----- L 7:ftLTER SIJM¡:' PIPING SUMP fUEL ALARM JUL 13. 20IJ4 8:33 AM .--- IN-TANK ALARM ----- T 1 :DIE8EL Z HI ':;H PRODUCT ALAR,!,1 JUL 13. 2004 8:37 ~1 BEACON 3074 3225 BOCK OWENS BAKERSFIELD.CA 93308 661 324-9481 JUL 13. 2004 8:37 AM ~(STEH STATUS REPORT - - - - - - - - - - - - l' 1 ¡HICH PRùDUC1' ALARM ---- tN-TANK ALA~1 ----- T 1 :DIESEL :2 OVEFlf I LL ALARM JUL 13. 2004 8:37 AM '/~ ~ .<,'-' '\ r ,",- : . \. >. ALARM _u__ /\¥ /. IN-TANK AI.AFiM T 1 :DIES£t. :2 HIGH PRODUCT ALARM JUL 13. 2004 8:37 AM .--- I N-TANK ALARM -__u T 1 :DIESEL :2 DEl I VERY NEEDED JUL 13. 2004 8:38 AM ---- IN-TANK ALARM ----- T 1 :tm:aEl 2 LO~J PRODUCT ALARM JUL 13. 2004 8:38 At1 ---- IN-TANK ALARM ----- T 1 :DIESEl.. 2 HIGH WATER AL.ARM JUL 13. 2004 8:48 AM ---- IN-1'AN1< ALARM u___ T 1 :IH HIGH RN1 NO JUt 13. 004 8:48 AM t.. STP PUEL ALARr1 JUL 13. 2004 2:15 N1 SENSOR ALARM -~--- t.. a:UNL ANUL ANNULAR SPACE FUEL ALARM JUt. 13. 2004 2:16 PH ----- SENSOR ALARM ----- L I: FLUB 8l11P SIP SUMP FUEL AL.ARM JUL 13. 2004 2:17 PM - ---- SENSOR ALARM L 4:F'I.UB ANUL ANNULAR SPACE PUEl ALARM ~1UL l~,. 200.: 2: 17 Pi~~ ---- IN-TANK ALARM ----- T 3: UNLEADED PROBE Ot!i JUt 13. 2004 2;18 PM ---- IN-TAN1< ALARM ----- T 3:UNLEADED INVALID FUEL LEVEL JUt 13. 2004 2:18 PH ---- tN-TANK ALARM ----- T 4:PLUB PROBE OUT Jut 13. 2004 2:19 PH Tanknology-NDE 8900 Shoal Creek, Building 200 Austin, Texas 78757 o . . iW . t i- Work Order: 31.35565 _~'"~hA«=~_'"W""",/,w¡;__m ¡N-TA~~ ALARM ----- T :3: UNLEAí.¡EI) HIGH ~IATER ALARM Jut 13. 200~ 2:19 PM ---- !N-TANK ALARM ----- í ',3: UNLEADED HIGH WATER WARNIJ'll(; JUL 13. 2004 2:19 PM ---- IN-TANK ALARM ----- T :3: UNLEADED HIGH PRODUCT ALARM JUL 13. 2004 2:20 PM ---- IN-TANK ALARM ----- r :]: UNLEADED OVERFILL ALARM JUL 13. 2004 2:21 PM ---- IN-TANK ALARM ----- T 3:UNtEADED DELIVERY NEEDED JUL 13. 2004 2:22 PM ---- IN-TANX ALARM --___ T :]: UNLEADED LOW PRODUCT ALARM JUL 13. 2004 2:22 PM . "/ ~ / ,,' , 1_> ---- IN-TAt« ALARM ----- T 4 : PLUS HIGH PRODUC'T JUt 13. 2004 PM @ ---- IN-TANK ALARM --- T 4 :PLtB OVERFILL ALARM JUL 13. 2004 2:25 PM ---- iN-TANK ALARM ----- T 4 : PLUS HIGH WATER ALARM JUL 1.3. ¡¡¡004 2:~m PM ---- IN-TANK ALARM ----- T :3: Uf'U.£ADED HWH PRODUCT ALARM JUL 13. 2004 2:25 PM ---- IN-TANX ALARM ----- T 4:PllJB HIGH WATER WARNING Jut 13. 2004 2:33 PM ---- IN-TAt« ALARM ----- T 4:PUJB MAX PRODUCT ALARM JUt 13. 2004 2:25 PM ---- IN-TANK ALARM ----- T 3:UNLEADED MAX PRODOCT ALARM JUL 13. 2004 2:26 PM ---- IN-TANK ALARM ----- T 4 :PLtJ9 LOW PRODOCT ALARM JUL 13. 2004 2:27 PM ---- IN-TANK ALARM ----- i 4:PLlIS DELIVER\' NEEDED JUL 13. 2004 2:27 PM Tanknology-NDE 8900 Shoal Creek, Building 200 Austin, Texas 78757 0~~ e ., Tanlcnology ., Î ..' e 8900 Shoal Creek Blvd, Building 200 Austin, Texas 78757 Phone: (512) 451-6334 Fax: (512) 459-1459 Date Printed and Mailed: 07/28/2004 BAKERSFIELD FIRE DEPARTMENT OFFICE OF ENVIRONMENTAL SERVICES INSPECTOR STEVE UNDERWOOD 900 TRUXTUN AVE., STE. 210 BAKERSFIELD, CA. 93301 Test Date: 07/13/2004 Order Number: 3135565 Dear Regulator, Enclosed are the results of recent testing performed at the following facility: UL TRAMAR 074 3225 BUCK OWENS BLVD. HWY 99/HWY 58 BAKERSFIELD, CA. 93301 Testing performed: Leak detector tests Line tests Monitor Certification Sincerely, J)~K~ Dawn Kohlmeyer Manager, Field Reporting ~Jt~ n.nknology PURPOSE: COMPLIANCE TEST DATE: 07/13/04 CLIENT: VALERO 685 WEST THIRD ST HANFORD, CA 93230 Sandy Huff (559)583-3298 NKNOLOGY CERTIFICATE OF TESTI. 8900 SHOAL CREEK, BUILDING 200 AUSTIN, TEXAS 7 7 TELEPHONE (512) 451-6334 FAX (512) 459-1459 TEST RESULT SUMMARY REPORT WORK ORDER NUMBER: 3135565 CUSTOMER PO: SITE: ULTRAMAR 074 3225 BUCK OWENS BLVD. HWY 99/HWY 58 BAKERSFIELD, CA 93301 Manager (661 )324-9481 htness Tests Results 87 89 20k 20k UNLEADED PLUS DIESEL DIESEL 14,139 95.00 DW STEEL 10,139 95.00 DW STEEL 20,068 129.0 DW STEEL 20,000 129.0 DW STEEL ·Where regulations require, for VacuTect external water level may b~ depth of dry well or water is assumed at lowest point that can be confirmed dry. Product Pi e Ti htness Test Results 87 3 DW FIBERG PRESSURE P 0.006 TLD-1 Y 89 4 DW FIBERG PRESSURE P 0.006 TLD-1 Y 20k 6 DW FIBERG PRESSURE P P P P 0.003 0.003 0.003 0.009 TLD:"'l Y 20k 7 DW FIBERG PRESSURE P P 0.003 0.014 TLD-1 Y 87 89 20k 20k 3 RED JACKET FX2V 4 RED JACKET FX1V 6 RED JACKET FX2-DV 7 RED JACKET FX2-DV 110211102 P 111796 P 21199 9638 P 4120 4744 P 87 3 FX1-DV 10304 8268 P For owner detailed report information, visit www,tanknology.com and select On-Line Reports-WRAP, or contact your local Tanknology office. Tester Name: WILLIAM ROGERS Teo",'O" Cert'fio"'o, N"m'e""47 ~ Date Signed: ~ t.( -6 icensed tank tester in the State of California and that the information contained in this report edge. . Tester Signature: I declare under penalty of e 'ury at I is true and correct to the best of my kno f \' ¡ 1-~ Dlnlmology Sandy Huff (559)583-3298 TANKNOLOGY CERTIFICATE OF TESTING 8900 SHOAL CREEK, BUILDING 200 AUSTIN, TEXAS 78757- TELEPHONE (512) 451-6334 FAX (512) 459-1459 TEST RESULT SUMMARY REPORT WORK ORDER NUMBER: 3135565 CUSTOMER PO: SITE: UL TRAMAR 074 3225 BUCK OWENS BLVD. HWY 99/HWY 58 BAKERSFIELD, CA 93301 Manager {661 )324-9481 PURPOSE: COMPLIANCE TEST DATE: 07/13/04 CLIENT: VALERO 685 WEST THIRD ST HANFORD, CA 93230 TEST TYPE: TLD-1 UNLEADED PLUS DIESEL DIESEL PRESSURE PRESSURE PRESSURE P PRESSURE P P P P P 0.003 0.003 0.009 0.003 0.014 y y 87 89 20k 20k 3 RED JACKET 4 RED JACKET 6 RED JACKET 7 RED JACKET FX2V FX1V FX2-DV FX2-DV 110211102 P 111796 P 21199 9638 P 4120 47'44 P 87 3 RED JACKET FX1-DV 10304 8268 P For owner detailed report information, visit www.tanknology.com and select On-Line Reports-WRAP, or contact your local Tanknology office. Tester Name: WILLIAM ROGERS Technician Certification Number: 1647 þ//S'¡"/ Printed 07/28/2004 07:26 SBOWERS INDIVIDUAL TANK INFORMATION AND TEST RESULTS r~ Dlnknology 8900 SHOAL CREEK, BUILDING 200 AUSTIN, TEXAS 78757 (512) 451-6334 TEST DATE: 07 /13/04 CLlENT:VALERO WORK ORDER NUMBER3135565 SITE:ULTRAMAR 074 TanklD: 87 3 Product: UNLEADED Capacity in gallons: 14, 139 Diameter in inches: 95.00 Length in inches: 337 Material: DW STEEL COMMENTS jì¡.¡¡II~iQ:gfi,1111Q:~1iWJi&iÆ;;;\h¡¡j~'0 Tank manifolded: NO Bottom to top fill in inches: Vent manifolded: YES Bottom to grade in inches: Vapor recovery manifolded: YES Fill pipe length in inches: Overfill protection: YES Fill pipe diameter in inches: Overspill protection: YES Stage I vapor recovery: Installed: ATG Stage II vapor recovery: CP installed on: / / 140.5 146.0 44.5 4.0 DUAL ASSIST Dipped Water Level: Dipped Product Level: Probe Water Level: Ingress Detected: Water Test time: Inclinometer reading: VacuTect Test Type: VacuTect Probe Entry Point: Pressure Set Point: Tank water level in inches: Water table depth in inches: Determined by (method): Result: COMMENTS New/passed Failed/replaced New/passed Failed/replaced L.D. #1 L.D. #1 L.D. #2 L.D. #2 Bubble Make: RED JACKET RED JACKET Ullage Model: FX1-DV FX2V SIN: 10304 8268 110211102 Open time in see: 4.00 Holding psi: 12 Resiliency cc: 150 NOT Test leak rate ml/m: 189.0 TESTED Metering psi: 40 Calib. leak in gph: 3.00 3.00 Results: PASS PASS COMMENTS NOT TESTED Material: Diameter (in): Length (ft): Test psi: Bleedback cc: Test time (min): Start time: End time: Final gph: Result: Pump type: Pump make: COMMENTS DW FIBERG 2.0 30.0 50 o 40 15:03 15:43 0.006 PASS PRESSURE RED JACKET NOT TESTED NOT TESTED NOT TESTED Impact Valves. Operational: YES Printed 07/28/2004 07:26 INDIVIDUAL TANK INFORMATION AND TEST RESULTS -., Tånknology 8900 SHOAL CREEK, BUILDING 200 AUSTIN, TEXAS 78757 (512) 451-6334 TEST DATE: 07 /13/04 CLlENT:VALERO WORK ORDER NUMBER3BS565 SITE:ULTRAMAR 074 TanklD: 89 4 Product: PLUS Capacity in gallons: 10,139 Diameter in inches: 95. 00 Length in inches: 337 Material: DW STEEL COMMENTS Tank manifolded: NO Vent manifolded: YES Vapor recovery manifolded: YES Overfill protection: YES Overspill protection: YES Installed: ATG CP installed on: / / Bottom to top fill in inches: Bottom to grade in inches: Fill pipe length in inches: Fill pipe diameter in inches: Stage I vapor recovery: Stage II vapor recovery: 138.5 145.0 42.5 4.0 DUAL ASSIST Dipped Water Level: Dipped Product Level: Probe Water Level: Ingress Detected: Water Test time: Inclinometer reading: VacuTectTestType: VacuTect Probe Entry Point: Pressure Set Point: Tank water level in inches: Water table depth in inches: Determined by (method): Result: COMMENTS Bubble Make: Model: SIN: Open time in sec: Holding psi: Resiliency cc: Test leak rate ml/m: Metering psi: Calib. leak in gph: Results: New/passed Failed/replaced New/passed Failed/replaced L.D. #1 L.D. #1 L.D. #2 L.D. #2 RED JACKET FX1V 111796 5324 2.00 14 100 189.0 40 3.00 PASS NOT TESTED Ullage NOT TESTED COMMENTS Material: Diameter (in): Length (ft): Test psi: Bleedback cc: Test time (min): Start time: End time: Final gph: Result: Pump type: Pump make: COMMENTS DW FIBERG 2.0 30.0 50 o 40 15:03 15:43 0.006 PASS PRESSURE RED JACKET NOT TESTED NOT TESTED NOT TESTED Impact Valves Operational: YES Printed 07/28/2004 07:26 , i' TEST DATE: 07 /13/04 CLlENT:VALERO INDIVIDUAL TANK INFORMATION AND TEST RESULTS t-~ DJnImoIogy 8900 SHOAL CREEK, BUILDING 200 AUSTIN, TEXAS 78757 (512) 451-6334 WORK ORDER NUMBER3135565 SITE:ULTRAMAR 074 Tank 10: 20k 6 Product: DIESEL Capacity in gallons: 20, 068 Diameter in inches: 129.00 Length in inches: 358 Material: DW STEEL Tank manifolded: NO Vent manifolded: NO Vapor recovery manifolded: NO Overfill protection: YES Overspill protection: YES Installed: ATG CP installed on: / / Bottom to top fill in inches: Bottom to grade in inches: Fill pipe length in inches: Fill pipe diameter in inches: Stage I vapor recovery: Stage II vapor recovery: 193.0 201. 0 64.0 4.0 NONE NONE COMMENTS Lines b, c, d and a & b form tank #7 are all stilite lines. Dipped Water Level: Dipped Product Level: Probe Water Level: Ingress Detected: Water Test time: Inclinometer reading: VacuTect Test Type: VacuTect Probe Entry Point: Pressure Set Point: Tank water level in inches: Water table depth in inches: Determined by (method): Result: New/passed Failed/replaced New/passed Failed/replaced L.D. #1 L.D. #1 L.D. #2 L.D. #2 Bubble Ullage Make: Model: SIN: Open time in sec: Holding psi: Resiliency cc: est leak rate ml/m: Metering psi: Calib. leak in gph: Results: RED JACKET FX2-DV NOT TESTED 21199 9638 6.00 14 450 189.0 42 3.00 PASS NOT TESTED COMMENTS COMMENTS Material: DW FIBERG DW FIBERG DW FIBERG DW FIBERG Diameter (in): 3.0 3.0 3.0 3.0 Length (ft): 220.0 20.0 20.0 20.0 Test psi: 50 50 50 50 Bleedback cc: 0 0 0 0 Test time (min): 50 40 30 30 Start time: 09:36 12:33 11:46 11:06 End time: 10:26 13:13 12:16 11:36 Final gph: 0.003 0.003 0.003 0.009 Result: PASS PASS PASS PASS Pump type: PRESSURE PRESSURE PRESSURE PRESSURE Pump make: RED JACKET RED JACKET RED JACKET RED JACKET COMMENTS Impact Valves Operational: YES Printed 07/28/2004 07:26 .. INDIVIDUAL TANK INFORMATION AND TEST RESULTS t-. DJnknoIogy 8900 SHOAL CREEK, BUILDING 200 AUSTIN, TEXAS 78757 (512) 451-6334 TEST DATE: 07 /13/04 CLlENT:VALERO Tank 10: 20k 7 Product: DIESEL Capacity in gallons: 20,000 Diameter in inches: 129.00 Length in inches: 357 Material: DW STEEL WORK ORDER NUMBER3135565 SITE:ULTRAMAR 074 bi;iI(tmfi~W:8MAjJi ~fi!;; Tank manifolded: NO Vent manifolded: NO Vapor recovery manifolded: NO Overfill protection: YES Overspíll protection: YES Installed: ATG CP installed on: / / Bottom to top fill in inches: Bottom to grade in inches: Fill pipe length in inches: Fill pipe diameter in inches: Stage I vapor recovery: Stage II vapor recovery: 193.0 201. 0 64.0 4.0 NONE NONE COMMENTS this tank does not exist. it is put in only to be able to show all of the satellite lines for the diesel tank. åík~~IT'ªRgm. "lWlriill··· ;1"".A!;!ä "+h.,,§g., . .,.: Dipped Water Level: Dipped Product Level: Probe Water Level: Ingress Detected: Water Test time: Inclinometer reading: VacuTect Test Type: VacuTect Probe Entry Point: Pressure Set Point: Tank water level in inches: Water table depth in inches: Determined by (method): Result: COMMENTS Bubble Ullage New/passed Failed/replaced New/passed Failed/replaced L.D. #1 L.D. #1 L.D. #2 L.D. #2 Make: Model: SIN: Open time in see: Holding psi: Resiliency cc: Test leak rate ml/m: Metering psi: Calib. leak in gph: Results: COMMENTS RED JACKET FX2-DV 4120 .744 4.00 14 480 1.89.0 44 3.00 PASS NOT TESTED NOT TESTED Material: Diameter (in): Length (ft}: Test psi: Bleedback cc: Test time (min): Start time: End time: Final gph: Result: Pump type: Pump make: COMMENTS DW FIBERG 3.0 20.0 o NOT 0 TESTM>:OO 00:00 0.000 PRESSURE RED JACKET DW FIBERG 3.0 20.0 50 o 50 09:36 10:26 0.003 PASS PRESSURE RED JACKET Impact Valves Operational: YES 50 o 30 10:32 11:02 0.014 PASS NOT TESTED Printed 07/28/2004 07:26 I .'; \ . . i .. t" , " 07/'8/2004 04:20 PM e e T.nknolo4~ 9088784081 1/2 TANKNOlOGV-SO. CALIFORNIA PH. (909) 308-1210 27576 COMMERCE CTR. DR. STE:. 1G9 TEMECUIA, CA 92590 3416 15-2'¡4~J pm 61'--- 0 (& L( . WellsFargoBank.NA Calirornia www.WeB.rð,gO-con, . .' , ' NOT NEGOrrABLE 111003" ~ bill I. L 2 2000 21. 1':0 12 bO 2502 bill FACILITY ()LfrLA ~/t'YL .!t:. Ü7¿~ ADDRESS .~ 2-7-5 r"&OLk,., Ol.l)8t,) ') PERMIT TO OPERA IE # V l-llZi OPERATORS NAME._l OWNERS NAME :--¡UMßER OF TANKS TO BE TESTED TANK # VOLUME A ~ ,.,~ L b (:)(;r(; ~ 7c) <:"::'(.1'6 IS PIPING GOING TO BE TESTED X' CONTENTS (1~; ((¿l:'~L') ß1s.(' M/()") :"Píf:~~, -- T ANI< TESTfNG COMPANY . ,'-Ì\1-J WÙ1.-ù h. ~, 4....rL, MAILfNG ADDRESS Lrc? f) c; r;0fBUJ (¿'C;f,: Lj fLkl,C;: ~}~c;r if ··Ttj42Ú..JL, ~~.-. , NAME & PHONE NUMBER OF CONTACT PERSON I )-;,µ (_.1\:-µ1· ft(.lLk{,: ?J7~ TEST METHOD '-IlJ ) _.' , NAME OF TESTER l0uÁ/ rløáOL--"; CERTIFlCATION # 03 .-. ll.t,4·-1 DATE & TIME TEST IS TO BE CONDUCTED 711~ I 61-' ~) (~~CC I{-n·~ ~ DATE /'/ . S~E,' APPROVED BY jC' MONITE~ç:J~~§o!l£~ t~~~Jc~t!~TION Authority Cited: Chapter 6.7, Health and Safety Code; Chapter 16, Division 3 Title 2;'.mia Code of Regulations " This form must be used to document testing and servicing of monitoring equipment. If more than one monitoring system control panel is installed at the facility, a separate certification or reDQrt must be prepared for each monitorino. system control panel by the technician who performs the work. A copy of this form must be provided to the tank system owner/operator. The owner/operator must submit a copy of this form to the local agency regulating UST systems within 30 days of test date. A. General Information Facility Name: UL TRAMAR 074 Site Address: 3225 BUCK OWENS BLVD. HWY 99/HWY 58 City: BAKERSFIELD Contact Phone No: 324-9481 Date of Testing/Service: 07/13/2004 CA Zip: 93301 Facility Contact Person: Manager Make/Model of Monitoring System:GILBARCO EMC Work Order Number: 3135565 B. Inventory of Equipment Tested/Certified Check the appropriate boxes to indicate specific equipment inspected/serviced Tank ID: 87 Tank ID: 89 X In-Tank Gauging Probe. Model: 730 xl In-Tank Gauging Probe. Model: 730 ::;:;: 420 rxr Annular Space or Vault Sensor. X Annular Space or Vault Sensor. Model: Model: 420 X Piping SumpfTrench Sensor(s). Model: 208 rvl Piping SumpfTrench Sensor(s). Model: 208 = - Fill Sump Sensor(s). Model: = Fill Sump Sensor(s), Model: ~ Mechanical Line Leak Detector. Model: FX1DV y Mechanical Line Leak Detector. Model: FX1V = Electronic Line Leak Detector. Model: - = = Electronic Line Leak Detector. Model: Tank OverfilVHigh-Level Sensor. Model: Tank OverfilVHigh-Level Sensor. Model: = Other (specify equipment type and model in Section E on page 2). Other (specify equipment type and model in Section E on page 2). - Tank ID: JIESEL Tank ID: X In-Tank Gauging Probe. Model: 730 ...- In-Tank Gauging Probe. Model: == Annular Space or Vault Sensor. Model: 420 Annular Space or Vault Sensor, X Model: ~ Piping SumpfTrench Sensor(s).. Model: 208 Piping SumplTrench Sensor(s), Model: := Fill Sump Sensor(s). Model: ~ Fill Sump Sensor(s). Model: Mechanical Line Leak Detector. Model: FX2DV (2) - Mechanical Line Leak Detector. Model: := Electronic Line Leak Detector, Model: = Þ= Electronic Line Leak Detector. Model: Tank OverfilVHigh-Level Sensor. Model: = ~ Tank Overfill/High-Level Sensor. Model: Other (specify equipment type and model in Section E on page 2), - Other (specify equipment type and model in Section E on page 2), '-- - ulspenser IU: 1/2 Dispenser ID: 3/4 D Dispenser Containment Sensor(s) Model: r-- Dispenser Containment Sensor(s) Model: [K] Shear Valve(s). 'X Shear Valve(s) o Dispenser Containment Float(s) and Chain(s). :== Dispenser Containment Float(s) and Chain(s). Dispenser ID: 5/6 Dispenser ID: 7/8 D Dispenser Containment Sensor(s) Model: ì Dispenser Containment Sensor(s). Model: [8] ShearValve(s). ~ Shear Valve(s). n Dispenser Containment Float(s) and Chain(s). -, Dispenser Containment Float(s) and Chain(s). Dispenser ID: DSL 1 Dispenser ID: DSL2 D Dispenser Containment Sensor(s) Model: o Dispenser Containment Sensor(s). Model: [K] Shear Valve(s). o Shear Valve(s). D Dispenser Containment Float(s) and Chain(s). D Dispenser Containment Float(s) and Chain(s). · If the facility contains more tanks or dispensers, copy this form. Include information for every tank and dispenser at the facility. C. Certification I certify that the equipment identified in this document was inspected/serviced in accordance with the manufacturers' guidelines. Attached to this certification is information (e.g manufacturers' checklists) necessary to verify that this information is correct. and a Site Plan showing the layout of monitoring equipment. For any equipment capable of generating such reports, I have also attached a copy of the (Check all that apply): 0 System set-up ~ Alarm history report Technician Name (print): WILLIAM ROGERS Certification No.: 8520 Testing Company Name: Tanknology Site Address: 8900 Shoal Creek, Bldg. 200 Austin, TX 78757 p//5'~/ Signature: License. No.: Phone No.: (800) 800-4633 Date of Testing/Servicing: 07/13/2004 Monitoring System Certification Page 1 of 3 Based on CA form dated 03/01 , , , . ï;; ,eitoring System Certification - Site Address: 3225 BUCK OWENS BLVD. HWY 99/HWY 58 Date of Testing/Service: 07/13/2004 D. Results of Testing/Servicing Software Version Installed: 7.03 Complete the following checklist: IX1 Yes nNo· Is the audible alarm operational? o Yes rJ No . Is the visual alarm operational? o Yes [J No . Were all sensors visually inspected, functionally tested, and confirmed operational? o Yes ONO' Were all sensors installed at lowest point of secondary containment and positioned so that other equipment will not interfere with their proper operation? DYes ONO· [XlN/A If alarms are relayed to a remote monitoring station, is all communications equipment (e.g. modem) operational? DYes 0NO· ON/A For pressurized piping systems, does the turbine automatically shut down if the piping secondary containment monitoring system detects a leak, fails to operate, or is electrically disconnected? If yes: which sensors initiate positive shut-down? (check all that apply) D SumpfTrench Sensors; D Dispenser Containment Sensors. Did you confirm positive shut-down due to leaks and sensor failure/disconnection? DYes DNo o Yes ONo· DN/A For tank systems that utilize the monitoring system as the primary tank overfill warning device (i.e.: no mechanical overfill prevention valve is installed), is the overfill warning alarm visible and audible at the tank fill pOints(s) and operating properly? If so, at what percent of tank capacity does the alarm trigger? 90 % o Yes· ONO Was any monitoring equipment replaced? If yes, identify specific sensors, probes, or other equipment replaced and list the manufacturer name and model for all replacement parts in Section E, below. DYes' Œ]No Was liquid found inside any secondary containment systems designed as dry systems? (check all that apply) D Product; o Water. If yes, describe causes in Section E, below. o Yes DNo· Was monitoring system set-up reviewed to ensure proper settings? Attach set-up reports, if applicable. Œ] Yes DNo· Is all monitoring equipment operational per manufacturers' specifications? * In Section E below, describe how and when these deficiences were or will be corrected. E. Comments: THERE WAS AN ADDITIONAL SUMP CALLED A FILTER SUMP- SENSOR (208) REPLACED 1 FX1DV LEAK DETECTOR IN THE 87 LINE. Page 2 of 3 Based on CA form dated 03/01 ,. .A' ,it nnlitoring System Certification e Site Address: 3225 BUCK OWENS BLVD. HWY 99/HWY 58 Date otTesting/Service: 07/13/2004 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 leak detection monitoring. Complete the following checklist: 0ves DNo' Has all input wiring been inspected for proper entry and termination, including testing for ground faults? 0Ves DNo' Were all tank gauging probes visually inspected for damage and residue buildup? o Yes DNo' Was accuracy of system product level readings tested? 0ves DNo' Was accuracy of system water level readings tested? 0Ves DNo' Were all probes reinstalled properfy? o Yes DNo' Were all items on the equipment manufacturers' maintenance checklist completed? . In the Section H, below, describe how and when these deficiencies were or will be corrected. G. Line Leak Detectors (LLD) : D Check this box if LLDs are not installed. Complete the following checklist: 0ves DNo' DN/A For equipment start-up or annual equipment certification, was a leak simulated to verify LLD performance? (Check all that apply) Simulated leak rate: 0 3 g.p.h 0 0.1 g.p.h 00.2 g.p.h 10ves DNo' Were all LLDs confirmed operational and accurate within regulatory requirements? 1M Ves DNo' Was the testing apparatus properly calibrated? Œ]ves DNo' DN/A For mechanical LLDs, does the LLD restrict product flow if it detects a leak? DVes DNo' 0N/A For electronic LLDs, does the turbine automatically shut off if the LLD detects a leak? DVes DNo' 0N/A For electronic LLDs, does the turbine automatically shut off if any portion of the monitoring system is disabled or disconnected? DVes DNo' 0N/A For electronic LLDs, does the turbine automatically shut off if any portion of the monitoring system malfunctions or fails a test? DVes DNo' 0N/A For electronic LLDs, have all accessible wiring connections been visually inspected? 0ves DNo' Were all items on the equipment manufacturers' maintenance checklist completed? · In the Section H, below, describe how and when these deficiencies were or will be corrected. H. Comments: Page 3 of 3 Based on CA form dated 03/01 MONITE~Ç?J~~§!I£~ tf~~Jc~~~~TION Authority Cited: Chapter 6.7, Health and Safety Code; Chapter 16, Division 3 Title 23~¡.mia Code of Regulations This fOI1T1 must be used to document testing and servicing of monitoring equipment. If more than one monitoring system control panel is installed at the facility, a separate certification or repOrt must be orepared for each monitorinQ svstem control panel by the technician who perfOI1T1S the work. A copy of this fOI1T1 must be provided to the tank system owner/operator. The owner/operator must submit a copy of this fOI1T1 to the local agency regulating UST systems within 30 days of test date. A. General Information Facility Name: ULTRAMAR 074 Site Address: 3225 BUCK OWENS BLVD. HWY 99/HWY 58 City: BAKERSFIELD Contact Phone No: 324-9481 Date of Testing/Service: 07/13/2004 CA Zip: 93301 Facility Contact Person: Manager Make/Model of Monitoring System: Work Order Number: 3135565 B. Inventory of Equipment Tested/Certified Check the appropriate boxes to indicate specific equipment inspected/serviced Tank ID: Tank 10: = In-Tank Gauging Probe. Model: In-Tank Gauging Probe. Model: Annular Space or Vault Sensor. Model: ~ Annular Space or Vault Sensor. Model: = Piping SumplTrench Sensor(s}. Model: Piping SumpfTrench Sensor(s). Model: = Fill Sump Sensor(s). Model: r- := Fill Sump Sensor(s). Model: = Mechanical Line Leak Detector. Model: = ¡;;;;; Mechanical Line Leak Detector. Model: Electronic Line Leak Detector. Model: Electronic Line Leak Detector. Model: = Tank OverfilVHigh-Level Sensor. Model: r= = Tank OverfilVHigh-Level Sensor. Model: Other (specify equipment type and model in Section E on page 2). "- Other (specify equipment type and model in Section E on page 2), TanklD: Tank ID: In-Tank Gauging Probe. Model: r- = In-Tank Gauging Probe. Model: Annular Space or Vault Sensor. Model: Annular Space or Vault Sensor. Model: i= Piping SumpfTrench Sensor(s). Model: Piping SumpfTrench Sensor(s). Model: := Fill Sump Sensor(s). Model: r- Þ= Fill Sump Sensor(s). Model: Mechanical Line Leak Detector. Model: r- Mechanical Line Leak Detector. Model: := Electronic Line Leak Detector. Model: r- := Electronic Line Leak Detector. Model: Tank OverfilVHigh-Level Sensor. Model: r- := Tank Overfill/High-Level Sensor. Model: Other (specify equipment type and model in Section E on page 2). r- Other (specify equipment type and model in Section E on page 2). -- '- u¡spenser IU: DSL3 Dispenser ID: DSL 4 o Dispenser Containment Sensor(s) Model: r-- Dispenser Containment Sensor(s) Model: ø Shear Valve(s). 'X Shear Valve(s) D Dispenser Containment Float(s) and Chain(s). ~ Dispenser Containment Float(s) and Chain(s). Dispenser lD: DSL5 Dispenser ID: o Dispenser Containment Sensor(s) Model: n Dispenser Containment Sensor(s). Model: [8J Shear Valve(s). D ShearValve(s). n Dispenser Containment Float(s) and Chain(s). o Dispenser Containment Float(s) and Chain(s). Dispenser ID: Dispenser ID: o Dispenser Containment Sensor(s) Model: n Dispenser Containment Sensor(s). Model: ......... D Shear Valve(s). D ShearValve(s). o Dispenser Containment Float(s) and Chain(s). D Dispenser Containment Float(s) and Chain(s). . If the facility contains more tanks or dispensers, copy this form. Include information for every tank and dispenser at the facility. C. Certification I certify that the equipment identified in this document was inspected/serviced in accordance with the manufacturers' guidelines. Attached to this certification is information (e.g manufacturers' checklists) necessary to verify that this information is correct. and a Site Plan showing the layout of monitoring equipment. For any equipment capable of generating such reports, I have also attached a copy of the (Check all that apply): 0 System set-up DAlarm history report Technician Name (print): WILLIAM ROGERS Certification No.: Testing Company Name: Tanknology Site Address: 8900 Shoal Creek, Bldg. 200 Austin, TX 78757 /A//5'I-/ Signature: License. No.: Phone No.: (800) 800-4633 Date otTesting/Servicing: 07/13/2004 Monitoring System Certification Page 1 of 3 Based on CA form dated 03/01 e e "i' .. SITE DIAGRAM ~~ Dlnknology 8900 SHOAL CREEK, BUILDING 200 AUSTIN, TEXAS 78757 (512) 451-6334 FAX (512) 459-1459 TEST DATE: 07/13/04 CLIENT: VALERO WORK ORDER NUMBER3135565 SITE: ULTRAMAR 074 o sump ~ ~ ~ ~ ~ ~ ð ~ ~ C-STORE OJ ~. ~ c: 8 0 " 0 ENT ::E CD 0 VENTS :J en 0) ~#~ ~~ @ Ultramar #51-4 UL 3225 Buck Owens Blvd. lô~~ Bakersfield, CA CD CAR WASH DSL Printed 07/28/2004 07:26 SBOWERS Work· Order: 31.35565 '~M~~,__U~ - - SEN~:;OR "LARf" L "1: F lLTER :3Uf'1P P! P J J'¡'~ .'3U1'1F' f L.iEL t\I,AE:'! JUt. 13, 2004 8:33 AM n__ IN-TRNJ< HLAPr'l _u__ T I: [II LSEL2 HIGH PRODUCT ALARr"1 JUt. 13. 2004 8:37 AM BEACON 3014 322", 81).::1< (YvlENS BI\J<ERSF!ELD.CR 93308 661 32>1-9481 ,JUL 1:J. 2004 8:37 {\f'1 SYßTE~1 ¡nATUS REPORT ____._'A - - - - 1; 1 ~ tl, 1C-H ',~"R<JIiLJCT f,\~_HPf1 e ALARM ALARM 8:37 Al'1 e ALARM 2:15 Pt'1 AlÁRM--~-- ALARM 8: 38 f\l'1 'h_ IN-THNK ALARM --_h :DIESEL '2 IVERI( NEEDED 13. 2004 8:38 AM T 1 lOW JUt. A~1 SENSOR ALARI'1 l J:UNL ANIJL ANNuLAR 8PA\:'E FUEL ALARM JUL 13. 2004 2: 16 Pt"1 SENSOR ALARM L 1 :PLUS SUMP STP SUt'1P FUEL ALARt1 JUL 13. 2004 2:17 PM - SENSOR ALARM L <I : PLUS ANUL ANNULAR S¡>ACE FUEL ALARM JUt. 13. 2004 2:17 PM ---- IN-TAMK ALARM ----- T :J:UNLEADED PRQBE OUT JUL 13. 2004 2:18 PM ---- IN-TANK ALARM T :3: UNLEf\DED INVALID FUEL LEVEL JUt 13. 2004 2:18 PM ALAR~1 2: ¡ Pt1 :. _h !ti-TAN}; ALARM í 1 :OIESEl 2 Ii I CiH lJATER ALflRH JUL 13. 2004 8:48 AM ---- IN-TANK ALARM ----- T 1 :DIESEL 2 HI (;H ~JHTER WHRN t NCi JUL I:], 2004 8:48 ~1 ~M Tanknology-NDE 8900 Shoal Creek, Building 200 Austin, Texas 78757 o ::. ~ b . . W òrK Order: j 31.35565 "W~'~"~",",'-"""""''''''_''''''''n^''''~__ f'M -- -- [N - TI,H/( ALhR!1 - _u_ "T '): UNLEADED HIGH WATER WARNING Jut 13. 2004 2:19 PM n__ iN-TnNK ALnPJ1 ---- T :3:UNLEADED HIGH PRODU'::'T f~LARM ,Jut 13. 2004 2: 20 PM 1 N-TANK ALAF:i T J:UNLEhDED OVERF I LL ALARt'1 JUL 13. 2004 2:21 PM ---- !N-TANK ALARM ----- T : UNLEADED I'vERY NEEDED 13. 2004 2:22 PM ALARM ----- ALARt1 2:22 Pf"l e e @ >"tARl! n_ - - FM ---- IN-TANK ALARM T 4 : PLUS OVERFILL ALARM Jut 13. 2004 2:25 PM ---- IN-TANK ALARM ----- T 4 : PLUS HIGH WATER ALARM JUL 13. 2004 2:33 PtJ l!i-TIINK ALARI'1 ---.,- T 3: UNL&ìDED HIGH PRODUCT ALARM Jut 13. 2004 2:25 PM ---- IN-TANK ALARM ----- T 4:PLUB H \i.:;H WATER WARN I NG Jut 13. 2004 2:33 PM ---- IN-TAl'll: ALARM T 4 :PUJS ["Ifi>< PRODUCT ALARM JUL 13. 2004 2:25 YM ..--- IN-TANK ALARM ----- T :J:UNLEADED MAX PROD~:T ALAkfl JUL 13. 2004 2:26 PM "--- IN-TANK ALARM T 4:PLUS PRODlM'.:T 13, 2004 PM :27 FM Tanknology-NDE &900 Shoal Creek, Building 200 Austin, Texas 78757 ,v ~¡\,..-. e e ) ; ~k V\LERO 7~ ENERGY CORPORATION Post Office Box 696000· San Antonio, Texas 78269-6000 April 27, 2004 City of Bakersfield Office of Emergency Services 1715 Chester Ave., Ste 300 Bakersfield, CA 93301 Dear Sirs: Re: Financial Responsibility - Fiscal Year 2003 - UST Facilities Enclosed are the documents for Valero Energy Corporation demonstrating financial assurance for Underground Storage Tank (UST) facilities owned by specific subsidiaries of Valero. These documents, listed below, have been updated to include Valero Energy Corporation's financial data for fiscal year 2003. Please forward to the appropriate personnel within your agency. · ~etter from CFO specifying the successful completion of the financial test of self- msurance Guarantee by Valero Energy Corporation on behalf of the specific Valero subsidiary(s) owning the USTs. An addendum (list) that specifies the locations and tanks at each facility covered by these financial assurance mechanisms. · · Should you have any questions, please contact me at (210) 592-4235 or e-mail: i ohn. wi llrodt@valero.com. :\ trul~ yours, J~~t~ Retail Compliance JW/ss Enclosures V8159.p65 1 4/26/2004 FACILITY ID # .' .-;! ., T:\CONSTRUC\O&EADMIN\REPORT -1 \01 CACTNY.RPT Valero Energy Corporation Fiscal Year 2003 Financial Assurance - Retail UST STATE COUNTY 00719 00719 00719 PRODUCT D p U CAPACITY 20068 10140 14130 KERN CA CITY BAKERSFIELD ADDRESS 3225 BUCK OWENS BLVD ZONE 352 STATUS o STORE # 3074 i ! e - , 1. e .- . ~k V\LERO 71f ENERGY CORPORATION April 19, 2004 Certified Mail - Return Receipt Requested State of California State Water Resources Control Board Division of Clean Water Programs P. O. Box 944212 Sacramento, California 94244-2120 Attn: Scott Bacon RE: UST Financial Responsibility - Fiscal Year 2003 Dear Mr. Bacon: e Michael S. Ciskowski Executive Vice President and Chief Financial Officer I am the Chief Financial Officer of Valero Energy Corporation (Valero) located at P. O. Box 500, San Antonio, Texas 78292-0500. This letter is in support of the use of the financial test of self- insurance and guarantee to demonstrate financial responsibility for taking corrective action and/or compensating third parties for bodily injury and property damage caused by sudden accidental releases and/or non-sudden accidental releases in the amount of at least $1,000,000 per occurrence and $2,000,000 annual aggregate arising from operating underground storage tanks. Underground storage tanks at the following facilities are assured by this financial test or a financial test under an authorized State program by this guarantor (see attached addendum). A financial test and guarantee are also used by this guarantor to demonstrate evidence of financial responsibility in the following amounts under other EP A regulations or state programs authorized by EPA under 40 CFR parts 271 and 145: EP A Regulation Closure (§§ 264.143 and 265.143) ...................... Post-Closure Care (§§ 264.145 and 265.145)...... Liability Coverage (§§ 264.147 and 265.147)..... Corrective Action (§ 264.1 01 (b)) ........................ Plugging and Abandomnent (§ 144.63)............... Authorized State Programs Closure . .... ............................ ....... ............... ...... Post-C]osure Care ............................................. Liabi]ity Coverage ............................................ Corrective Action ............................................. Plugging and Abandonment ............................. Tota] .... ......... .................... ......... ....... $ 7,440,302 $ 12,025,805 $ 10,000,000 $ 25,356,397 $ 979,940 $ 547,583 $ 312,489 $ 1,000,000 N/A N/A $ 57,662,5]6 One Valero Place· San Antonio, Texas 78212 Post Office Box 500· San Antonio, Texas 78292-0500· Telephone (210) 370-2146 · Facsimile (210) 370-2497 Mike.Ciskowski @valero.com ¡' UST Financial Responsibility e April 19, 2004 Page 2 of3 e Valero has not received an adverse opmIOn, a disclaimer of opinion, or a "going concern" qualification from an independent auditor on its financial statements for the latest completed fiscal year. 1. 2. 3. 4. 5. 6. 7. ALTERNATIVE II Amount of annual UST aggregate coverage being assured by a test, and/or guarantee................................................................................................................... . Amount of corrective action, closure and post-closure care costs, liability coverage, and plugging and abandonment costs covered by a financial test, and/or guarantee. Sum of lines 1 and 2................................................................................................... Total tangibles assets .................. ......................................... ........ ........ ........ .............. Total liabilities (if any of the amount reported on line 3 is included in total liabilities, you may deduct that amount from this line and add that amount to line 6)................................................................................................................................ Tangible net worth (subtract line 5 rrom line 4) ........................................................ Total assets in the U.S. (required only ifless than 90 percent of assets are located in the U.S.) ...... .......... ............ ........... .............. ..... ............ .............. ......... ........... ....... ...... 8. Is line 6 at least $10 million? ..................................................................................... 9. Is line 6 at least 6 times line 3? .................................................................................. 10. Are at least 90 percent of assets located in the U.S.? (If "No," complete line 1] .).... 11. Is line 7 at least 6 times line 3? .................................................................................. Fill in either Lines 12-15 or Lines 16-18: 12. Current assets............................................................................................................. 13. Current liabilities ............. ........ ....... ........... ....... ....... ................ ............ ............... ....... 14. Net working capital (subtract line 13 from 12) .......................................................... 15. Is line 14 at least 6 times line 3? ................................................................................ 16. ClUTent bond rating of most recent bond issue.......................................................... 17. Name of rating service ................................................................................. .............. 18. Date of maturity of bond.......... ..... .......................................... ...... .................. ........... 19. Have financial statements for the latest fiscal year been filed with the SEC, the Energy lnfonnation Administration, or the Rural Electrification Administration? ... $2,000,000 $57,662,516 $59,662,516 $12,942,300,000 $9,929,000,000 $3,013,300,000 $13,459,500,000 Yes Yes No Yes No Yes N/A N/A N/A N/A BBB Standard & Poor's 4-1·2014 Yes UST Financial Responsibility _ April 19, 2004 .. Page 3 of3 e I hereby certify that the wording of this letter is identical to the wording specified in 40 CFR part 280.95 (d) as such regulations were constituted on the date shown immediately below. '- ~~.~~ Michael S. Ciskowski Executive Vice President and Chief Financial Officer tf, (9 r 0 ~ Date e e Guarantee Guarantee made this April 19, 2004 by Valero Energy Corporation, a business entity organized under the laws of the State of Delaware, herein referred to as guarantor, to the California State Water Resources Control Board (SWRCB) and to any and al1 third parties, and obligees, on behalf of Ultramar Inc. (UI), Valero Refining Co. - CA (VRC), Valero Refining & Marketing of CA (VRMC) and Valero Marketing & Supply Co. (VMSC) of P.O. Box 696000, San Antonio, Texas 78269-6000. Recitals (1) Guarantor meets or exceeds the financial test criteria of 40 CFR 280.95 (b) or (c) and (d) and agrees to comply with the requirements for guarantors as specified in 40 CFR 280.96(b). (2) VI, VRC, VRMC and VMSC own or operate the fol1owing underground storage tank(s) covered by this guarantee: See addendum to this guarantee. This guarantee satisfies 40 CFR part 280, subpart H requirements for assuring funding for taking corrective action and for compensating third parties for bodily injury and property damage caused by either sudden accidental releases or non-sudden accidental releases or accidental releases, arising rrom operating the above-identified underground storage tank(s) in the amount of $1,000,000 per occurrence and $2,000,000 annual aggregate. (3) On behalf of our subsidiary, guarantor guarantees to SWRCB and to any and all third parties that: In the event that VI, VRC, VRMC and VMSC fail to provide alternative coverage within 60 days after receipt of a notice of cancel1ation of this guarantee and the Director of the SWRCB has determined or suspects that a release has occurred at an underground storage tank covered by this guarantee, the guarantor, upon instructions from the Director, shall fund a standby trust fund in accordance with the provisions of 40 CFR 280.108, in an amount not to exceed the coverage limits specified above. In the event that the Director determines that VI, VRC, VRMC and VMSC have failed to perfonn corrective action for releases arising out of the operation of the above-identified tank(s) in accordance with 40 CFR part 280, subpart F, the guarantor upon written instructions rrom the Director shaH fund a standby trust in accordance with the provisions of 40 CFR 280.108, in an amount not to exceed the coverage limits specified above. If VI, VRC, VRMC and VMSC fail to satisfy a judgment or award based on a determination of liability for bodily injury or property damage to third parties caused by sudden and/or non-sudden accidental reJeases arising rrom the operation of the above-identified tank(s), or fails to pay an amount agreed to in settlement of a claim arising rrom or al1eged to arise from such injury or damage, the guarantor, upon WTitten instructions from the Director, shall fund a standby trust in accordance with the provisions of 40 CFR 280.108 to satisfy such judgment(s), award(s), or settlement agreement(s) up to the limits of coverage specified above. (4) Guarantor agrees that if, at the end of any fiscal year before cancel1ation of this guarantee, the guarantor fails to meet the financial test criteria of 40 CFR 280.95 (b) or (c) and (d), guarantor shall send within 120 days of such failure, by certified mail, notice to VI, VRC, VRMC and VMSC. The guarantee wi11 terminate 120 days from the date of receipt of the notice by UI, VRC, VRMC and VMSC, as evidenced by the return receipt. - 1 - e e (5) Guarantor agrees to notify UI, VRC, VRMC and VMSC by certified mail of a voluntary or involuntary proceeding under Title 11 (Bankruptcy), U.s. Code naming guarantor as debtor, within 10 days after commencement of the proceeding. (6) Guarantor agrees to remain bound under this guarantee notwithstanding any modification or alteration of any obligation of VI, VRC, VRMC and VMSC pursuant to 40 CFR part 280. (7) Guarantor agrees to remain bound under this guarantee for so long as VI, VRC, VRMC and VMSC must comply with the applicable financial responsibility requirements of 40 CFR part 280, subpart H for the above-identified tank(s), except that guarantor may cancel this guarantee by sending notice by certified mail to UI, VRC, VRMC and VMSC, such cancellation to become effective no earlier than 120 days after receipt of such notice by UI, VRC, VRMC and VMSC, as evidenced by the return receipt. (8) The guarantor's obligation does not apply to any of the following: (a) Any obligation of VI, VRC, VRMC and VMSC under a workers' compensation, disability benefits, or unemployment compensation law or other similar law; (b) Bodily injury to an employee of UI, VRC, VRMC and VMSC arising from, and in the course of, employment by UI, VRC, VRMC and VMSC; (c) Bodily injury or property damage arising from the ownership, maintenance, use, or entrustment to others of any aircraft, motor vehicle, or watercraft; (d) Property damage to any property owned, rented, loaded to, in the care, custody, or control of, or occupied by VI, VRC, VRMC and VMSC that is not the direct result of a release from a petroleum underground storage tank; (e) Bodily damage or property damage for which VI, VRC, VRMC and VMSC are obligated to pay damages by reason of the assumption of liability in a contract or agreement other than a contract or agreement entered into to meet the requirements of 40 CFR 280.93. (9) Guarantor expressly waives notice of acceptance of this guarantee by SWRCB, by any or all third parties, or by UI, VRC, VRMC and VMSC. I hereby certify that the wording of this guarantee is identical to the wording specified in 40 CFR 280.96(c) as such regulations were constituted on the effective date shown immediately below. Effective date: .1/--/9 -tJ ~ Valero Energy Corporation ... ¡At)~ 1. (;).fr)- ' Michael S. Ciskowski Executive Vice President and Chief Financial Officer Signature of witness or notary: ~ ø~ - 2 - e e -. , -; State of California State of Water Resources Control Board Division of Clean Water Programs P.O. Box 944212 Sacramento, CA 94244-2120 Onstructions on reverse side) CERTIFICATION OF FINANCIAL RESPONSIBiliTY FOR UNDERGROUND STORAGE TANKS CONT AJNING PETROLEUM A. CCR: I am required to demonstrate Financia1 Responsibility in the Required amounts as specified in Section 2807, Chapter 18, Div. 3, Title 23, o o or I miBion dollars per occurrence AND o ~ I miBion dollars annua1 aggregate or 2 mi1lion dol1ars annua1 aggregate 500,000 dollars per occurrence B. Valero Energy Corporation hereby certifies that it is in compliance with the requirements of Section 2807, (Name of Tank Owner or Operator) Article 3, Chapter 18, Division 3, Title 23, Califomia Code of Regulations. The mechanisms used to demonstrate financial responsibility as required by Section 2807 are as follows: State UST Fund State UST Cleanup Fund P.O. Box 944212 Sacramento, CA 94244-2120 NJA $995,000 per Continuous occurrence and annual aggregate Yes Yes Chief Financial Officer Letter Valero Energy Corporation P.O. Box 500 San Antono, TX 78292-0500 NJA $1,000,000 per Annual occurence and $2,000,000 annual aggregate Yes Yes Guarantee Valero Energy Corporation P.O. Box 500 San Antono, TX 78292-0500 N/A $1,000,000 per Annual occurence and $2,000,000 annual aggregate Yes Yes Note: If you are using the State Fund as any part of your demonstration of financial responsibility, your execution and submission of this certification also certifies that you are in compliance with all conditions for participation in the Fund. D. Facility Name See attached list. Facility Address Facility Name Facility Address Facility Name Facility Address E. Signature of Tank Owner or Operator ~ J, cJ~~' Slgnture of Witness or Notary Date Name and Title of Tank Owner or Operator Michael S. Ciskowski - Executive Vice President and Chief Financial Officer Name of Witness or Notary If/i1!D'f Date ~ /t1 /()¥ CFR (Revised 04/95) FILE: Orlglnal- Local Agency Copie5 - FacilitylSite(5)