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Home My WebLink AboutUNDERGROUND STORAGE TANK~~~~ NNDERGROUND STORAGE TANKS) FILE # FASTRIP FOOD STORE .- ~ j 2698 OSWELL STREET ~ ~~ ', _ - _ --- - - 090015C ' ~ i ~' • ;.., ~... ._ i ~ ~~ I 4 ~:t ~~ ;,~, „. ., ~,. ,.. ~i ,1~. :,~~~ ~,:~ i~~r r~'~ ~, r~ ~ ' ; ~; ~, r - ~ M an . ~, • '~ ~ . ~`~ ~'' i L ~ ~~ ~ ~ Y E ERTIFI ATION ~' MONITORING S ST M C C For Use By All Jurisdictions Within the State of California Authority Cited: Chapter 6.7, Health and Safety Code; Chapter 16, Division 3, Tine 23, California Code of Regulations This form must be used to document testing and servicing of monitoring equipment. A separate certification or report must be prepared for each monitoring_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 this date. A. General Information Facility Name: #347 1=astrip #26 Bldg. No.: - Site Address: 2698 Oswell Street City: Bakersfield Zip: 93306 Facility Contact Person: Omero Garcia Make/Model of Monitoring System: Gilbarco EMC B. Inventory of uipment TestedUCertified C~ek t~ approprisae 60x0 to spee6t egmpmwt impected/anviad: Date of Testing/Servicing: 8/342007 Tank ID: 12000 gal. Regular 1 [X] In-Tank Gauging Probe. Mode1:847390-107 [x] Annular Space or Vault Probe. Mode1:794390.420 [x] Piping Sump /Trench Sensor(s). Mode1:794380-208 U Fill Sump Sensor(s) Mode1;794380-208 [J Mechanical Line Leak Detector. Model: Fx1v ^ Electronic Line Leak Detector. Model: U Tank Overfill /High Level Sensor. Model: 79x390-107 ^ Other (specify equip. type and model in Sec. E on Pg. 2) Tank ID: 12000 gat. Super [~ In-Tank Gauging Probe. Mode1:847390-107 [x] Annular Space or Vault Sensor. Model:7~~+~ [~ Piping Sump /Trench Sensor(s). Mode1:79a38o-208 [x] Fill Sump Sensors(s). Mode1:794380-208 [x-} Mechanical Line Leak Decector. Model:fxly ^ Electronic Line Leak Detector. Model: L] Tank Overfill /High Level Sensor. Model:&-7390-107 ^ Other (specify equip. type and model in Sec. E on Pg. 2) Dispenser ID: 1 ~ 2 [7 Dispenser Containment Sensor(s). Model: 7-~ [X] Sheaz Valve(s). ^ Dispenser Containment Float(s) and Chain(s). Dispenser ID: 5 8 6 [x] Dispenser Containment Sensor(s). Model: 794380-208 ~x] Shear Valve(s). ^ Dispenser Containment Float(s) and Chains(s). Dispenser ID: ^ Dispenser Containment Sensor(s). Model: ^ Shear Valve(s). ^ Dispenser Containment Float(s) and Chain(s) Tank ID: 12000 gal. Regular 2 [x] In-Tank Gauging Probe. Model: 847390-107 U Annulaz Space or Vault Sensor. Model: 79439020. [X] Piping Sump /Trench Sensor(s). Model: 794380-208 U Fill Sump Sensor(s). Model: 79x380-208 ^ Mechanical Line Leak Detector. Model: ruA ^ Electronic Line Leak Detector. Model: U Tank Overfill /High Leval Sensor. Model: 794390-107 ^ Other (specify equip. type and model in Sec. E on Pg. 2) Tank ID: 12000 gal. Diesel U In-Tank Gauging Probe. Model: X7390-107 [x] Annulaz Space or Vault Sensor. Model: 79x390-420 [x] Piping Sump /Trench Sensor(s). Model: 794380-208 U Fill Sump Sensor(s). Model: 794380-208 [~ Mechanical Line Leak Detector. Model: FX1w ^ Electronic Line Leak Detector. Model: U Tank Overfill /High Level Sensor. Model: 847390-107 ^ Other (specify equip. typs and model in Sec. E on Pg. 2) Dispenser ID: 3 8: 4 (x] Dispenser Containment Sensor(s). Model: 794380-208 [X] Sheaz Valve(s). ^ Dispenser Containment Float(s) and Chain(s) Dispenser ID: 7 8c 8 [~ Dispenser Containment Sensor(s). Model: 79x380-208 [~ Shear Valve(s). ^ Dispenser Containment Float(s) and Chain(s). Dispenser ID• ^ Dispenser Containment Sensor(s). Model: ^ Shear Valve(s). ^ Dispenser Containment Float(s) and Chan more tanks or dispensers, copy this form. Include information for every Contact Phone No.: 661-393-7000 at C. Certification - I certify that the equipment identi5ed in this document was inspectedlservices in accordance with the manufacturers' guidlines. Attached to this Certification is information (eg. manufacturers' checklist) necessary to verify that this information is rnrrert and a plot plan showing the layoat of monitoring equipment For equipm t w able of generating such reports, I have attached a copy of the report; (check al! that apply) x^ System Set- c rm history report Technician Name (print}: Matthew Jennings Signature: Certification No: B3sx4s License No: soa9oa Testing Company Name: Confidence UST Services, Inc. Phone No: 800-339-993 Site Address: 2698 Oswell Street ,Bakersfield, ca 933os Date of Testing/Servicing: s/3t2oo7 D. Results of Testing/Servicing Software Version Installed: 327.04 Complete the following checklist: [~ Yes ^ No* Is the audible alarm operational? x Yes No* Is the Visual alarm operational? x Yes No* Were ail sensors visually inspected, functionally tested, and confirmed operational? x Yes ^ No* Were all sensors installed at the lowest point of secondary containment and positioned so that other equipment will not interfere with their proper operation? Yes No* If alarms are relayed to a remote monitoring station, is all communications equipment (e.g. modem) x N/A operational? x Yes ^ No* For pressurized piping systems, does the turbine automatically shut down if the piping secondary ^ N/A containment monitoring system detects a leak, fails to operate, or is electrically disconnected? If yes: which sensors initate positive shut-down? L] Sump/Trench Sensors[X]Dispenser Containment Sensors Did you confirm positive shut-down due to leaks and sensor failure/disconnected? ^ Yes; ^ No; ^ Yes ^ No* For tank systems that utilize the monitoring system as the primary tank overfill warning device (i.e. no L] N/A mechanical overfill prevernion valve is installed), is the overfill warning alarm visual and audible at the tank fill point(s) and operating properly? If so, at what percent of tank capasity does the alarm trigger? 90 U Yes* ^ No 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. ^ Yes* ^ No Was liquid found inside any secondary containment systems designed as dry systems? ^ Product; Water. If yes, describe causes in Section E, below. x No* Was monitoring system set-up reviewed to ensure proper settings? Attach set-up reports, if applicable. x yeS No* Is all monitoring equipment operational per manufacturer's specifications? * In Section E below, describe how and when theme detiaencies were or wilt be corrected. E. Comments' Replaced 208 sensor in Super STP Sump. F. In-Tank Guaging /SIR Equipment: ^ Check this box if tank guaging is used only for inventory control. ^ Check this box if tank guaging or SIR equipment is installed. This section must be completed if in-tank guaging equipment is used to perform leak detection monitoring. Complete the following checklist: U Yes ^ No*v Has all input wiring been inspected for proper enter and tenmination,including testing for ground faults? x Yes No* Were all tank guaging probes visually inspected for damage and residue buildup? x Yes No* Was accuracy of system product level readings tested? x Yes No* Was accuracy of system water level readings tested? x Yes No* Were all probes reinstalled properly? Lx] Yes ^ No* Were all items on the equipment manufacturer's maintenance checklist completed? * In the Section H, below, describe how and when these deficiencies were or will be corrected. G. Line Leak Detectors (LLD): ^ Check this box if LLD's are not installed. Complete the following checklist: L] Yes ^ No* For equip. start-up or annual equipment certification, was a leak simulated to varify LLD performance? (Check all that apply) Simulated leak rate: Lx]3 g.p.h.: ^0.1 g.p.h.; ^0.2 g.p.h.; [~ Yes No* Were all LLD's confirmed operational and accurate within regulatory requirments? x Yes No* Was the testing apparatus properly calibrated? Yes No* For machanical LLD's, does the LLD restrict product flow if it detects a leak? N/A ^ Yes No* For electronic LLD's, does the turbine automatically shut off if the LLD detects a leak? L] N/A ^ Yes No* For electronic LLD's, does the turbine automatically shut off if any portion of the monitoring system is [x] N/A disabled or disconnected? ^ Yes No* For electronic LLD's, does the turbine automatically shut off if any portion of the monitoring system [~ N/A malfunction or fails a test? ^ Yes [] No* For electronic LLD's, have all accessible wiring connections been visually inspected? ^ N/A L] Yes No Were all items on the equipment manufacturer's maintenance checklist completed? * In the section H, below, describe bow and when these deficiencies were or will 6e corrected. H. Comments: S'1STEM SEGURITY GODS 000000 MAINTENANCE HISTORY DISABLED FASTRIP 347 2698 OSWELL ST. BAKERSFIELD CA.93306 661-872-8?81 SYSTEth-SETUP - - - - - - AUG 3. 2007 9:17 AM TANK CHART SEGURITY DISABLED CUSTOM ALARMS DISABLED AUG 3. 2007 9:16 AM SYSTEM STATUS REPORT ISD GROSS PRES WARN INVENTORY REPORT T 1:UNL 1 VOLUf°lE = 5491 GALS ULLAGE = 6509 GALS 90% ULLAGE= 5309 GALS TC VOLUME = 5376 GALS HEIGHT = 44.80 INCHES WATER VOL = 14 GALS WATER = 0.77 INCHES TEMP = 89.8 DEG F T 2:DIESEL VOLUME = 3348 r,ALS ULLAGE = 8652 GALS 90% ULLAGE= 7452 GALS TC VOLUME = 3296 GALS HEIGHT = 30.97 INCHES WATER VOL = 0 GALS WATER = 0.00 INCHES TEMP 94.0 DEG F T 3:PNL VOLUME = 4056 GALS ULLAGE = 7944 GALS 90% ULLAGE= 6744 GALS TC VOLUME = 3974 GALS HEIGHT = 35.64 I tVCHES WATER VOL = 0 GALS WATER = 0.00 INCHES TEMP = 88.6 DEG F T 4:UNL 2 VOLUME = 4441 GALS ULLAGE = 7559 GALS 90% ULLAGE= 6359 GALS TC VOLUME = 4351 GALS HEIGHT = 38.13 INCHES WATER VOL = 19 GALS WATER = 0.93 INCHES TEMP = 88.6 DEG F MANIFOLUED TANKS INVENTORY TOTALS T 1:UNL 1 T 4 : U1VL 2 VOLUME = 9932 GALS TC 11GLUME = 9727 rALS SYSTEM UtV I TS U.S. SYSTEM LANGUAGE ENGLISH S`fSTEM DATEiTIME FORMAT MON DD YYYY HH:Mh1:SS xM FASTRIP 347 2698 4SWELL ST. BAKERSFIELD CA.93306 661-872-8781 SHIFT TIME 1 DISABLED SHIFT TIME 2 DISABLED SHIFT TIME 3 DISABLED SHIFT TIh1E 4 DISABLED TANK PER TST tVEEDED WR(V DISABLED TANK ANN TST NEEDED WRN DISABLED LINE RE-ENABLE METHOD PASS LINE TEST LINE PEk TST NEEDED WRN DISABLED LINE ANN TST NEEDED WRN DISABLED PRINT TC VOLUMES ENABLED TEMP COMPENSATION VALUE {DEG F ): 60.0 STICK HEIGHT OFFSET DISABLED ULLAGE: 90% H-PR{}TOGOL DATA FORh1AT" HEIGHT DAYLIGHT SAVING TIME ENABLED START DATE APR WEEK. 1 SUN START TIME 2:00 AM END DATE OCT WEEK 6 SUN END TIME 2:00 AM RE-DIRECT LOCAL PRINTOUT DISABLED EURO PROTOCOL PREFIX S MASS,~DEfVS I TY DISABLED * END * ~ ~ * n COMt°IUPJ I CAT I ONS SETUP PORT SETT I tVGS COMM BOARD 1 (EDIM ) RS-232 SECURITY CODE DISABLED COMM BOARD : 2 (RS-232) BAUD RATE 9600 PARITY NONE STOP BIT i STOP DATA LENGTH: 8 DATA RS-232 SECURITY CODE DISABLED COMM BOARD 3 (RS-232? BAUD RATE 9600 PARITY : NONE STOP BIT 1 STOP DATA LENGTH: 8 DATA RS-232 SECURITY CODE : DISABLED AUTO TRANSiNIT SETTINGS: AUTO LEAK ALARNI LIMIT , DISABLED AUTO HIGH WATER LIMIT DISABLED AUTO OVERFILL LIMIT DISABLED AUTO LOW PRODUCT DISABLED AUTO THEFT LIMIT DISABLED AUTO DELIVERY START DISABLED AUTO DELIVERY END DISABLED AUTO EXTERNAL I tVPUT ON DISABLED AUTO EXTERNAL INPUT OFF DISABLED AUTO SENSOR FUEL ALARM DISABLED AUTO SENSOR WATER ALARM DISABLED AUTO SENSOR OUT ALARM DISABLED I tV-TANK SETUP T 1:UNL PRODUCT CODE 1 THERMAL COEFF :.000700 TANK DIAMETER 96.00 TANK PROFILE 1 PT FULL VOL 12000 FLOAT S I 2E : ~_ = ~-4.0 I N . WATER WARNING 2.0 HIGH WATER LIMIT: 3.0 MAX OR LABEL VOL: 12000 OVERFILL LIMIT 90% . 10800 HIGH PRODUCT 95~ . 11400 DELIVERY LIMIT 15i . 1800 LOW PRODUCT 500 LEAK ALARM LIMIT: 99 SUDDEN LOSS LIMIT: 99 TANK TILT 0.00 PROBE OFFSET 0.00 SIPHON MANIFOLDED TANKS T#: 04 LINE MANIFOLDED TANKS T#: NONE LEAK MIN PERIODIC: li 120 PERIODIC TEST TYFE STANDARD PERIODIC TEST FAIL ALARM DISABLED GROSS TEST FAIL ALARM DISABLED PER TEST AVERAGING: OFF TANK TEST NOTIFY: OFF TNK TST SIPHON BREAK:OFF DELIVERY DELAY 1 MIN PUMP THRESHOLD 10.000 T 2:DIESEL PRODUCT CODE 2 THERMAL COEFF :.000450 TANK DIAMETER 96.00 TANK PROFILE 1 FT FULL VOL 12000 FLOAT SIZE: 4.0 ItV. WATER WARNING '?.0 HIGH WATER LIMIT: 3.0 MAX OR LAHEL VOL: 12000 OVERFILL LIMIT 90% 10800 HIGH PRODUCT 95% 11400 DELIVERY LIMIT 15~ 1800 LOW PRODUCT 500 LEAK ALARM LIMIT: 99 SUDDEN LOSS LIMIT: 99 TANK TILT 0.00 PROHE OFFSET 0.00 SIPHON MANIFOLDED TANKS T#: NONE LINE MANIFOLDED TANKS T#: NONE LEAK MIN PERIODIC: 1% 120 PERIODIC TEST TYPE STANDARD PERIODIC TEST FAIL ALARM DISABLED GROSS TEST FAIL ALARM DISABLED PER TEST AVERAGING: OFF TANK TEST NOTIFY: OFF TNK TST SIFHON BREAK:OFF DELIVERY DELAY 1 MItV PUMP THRESHOLD 10.000 C 3:PNL ?RODUCT CODE 3 THERMAL COEFF :.000700 TANK DIAMETER 96.00 TANK PROFILE 1 PT FULL VOL 12000 =COAT SIZE: a.0 IN. MATER WARNING 2.0 -1IGH WATER LIMIT: 3.0 hAX Ok LABEL VOL: 12000 JVERFILL LIMIT 90% 10800 HIGH PRODUCT 95~ 11a00 DELIVERY LIMIT 15i 1800 LOW PRODUCT 500 LEAK ALARM LIMIT: 99 SUDDEN LOSS LIMIT: 99 TANK TILT 0.00 PROBE OFFSET 0.00 SIPHON MANIFOLDED TANKS T#: NONE LINE MANIFOLDED TANKS T#: NONE LEAK MIN PERIODIC: 1% 120 PERIODIC TEST TYFE STANDARD PERIODIC TEST FAIL ALARM DISABLED GROSS TEST FAIL ALARM DISABLED PER TEST AVERAGING: OFF TANK TEST NOTIFY: OFF TNK TST SIPHON HREAK:OFF DELIVERY DELAY' 1 ~°1 I N PUMP THRESHOLD IO.OOi T 4:UNL 2 PRODUCT CODE a THERMAL GOEFF :.000700 TANK DIAMETER 96.00 TANK PROFILE 1 PT FULL VOL 12000 FLOAT SIZE: 4.0 IN. WATER WARNING 2.0 HIGH WATER LIMIT: 3.0 MA?{ OR LABEL VOL: 12000 OVERFILL LIMIT 90i 10800 HIGH FRODUCT 95i llaoo DELIVERY LIMIT 15i . 1800 LOW PRODUCT 500 LEAK ALARM LIMIT: 99 SUDDEN LOSS LIMIT: 99 TANK TILT 0.00 PROBE OFFSET 0.00 SIPHON MANIFOLDED TANKS T#: O1 LINE MANIFOLDED TANKS T#: NONE LEAK MIN FERIODIC: li 120 PERIODIC TEST TYPE STANDARD PERIODIC TEST FAIL ALARM DISABLED GROSS TEST FA I L ALARM DISABLED FER TEST AVERAGING: OFF TANK TEST NOTIFY: OFF TNK TST SIPHON BREAK:OFF DELIVERY~DELAY 1 MIN PUMP THRESHOLD 10.00% LEAK TEST METHOD TEST ON DATE : ALL TANK FEB 6. 2007 START TIME DISABLED TEST RATE :0.20 GALiHR DURATION 2 HOURS TST EARLY STOP:DISABLED LEAK TEST REPORT FORMAT NORMAL LIGUID SENSOR SETUF L 1:UNL 1 STP TRI-STATE (SINGLE FLOAT) CATEGORY STP SUMP L 2 :UNL 1 A(VN TRI-STATE {SINGLE FLOAT) CATEGORY ANNULAR SPACE L 3:DIESEL STF TRI-STATE (SINGLE FLOAT) CATEGORY STP SUMP L 4:DIESEL ANN TRI-STATE {SINGLE FLOAT) CATEGORY ANNULAR SPACE L b:PNL ANN TRI-STATE {SINGLE FLOAT} CATEGORY ANNULAR SPACE L 7:UNL 2 STF TRI-STATE {SINGLE FLOAT) CATEGORY STP SUMP L 8 : UtVL 2 ANN TRI-STATE (SINGLE FLOAT} CATEGORY ANNULAR SPACE L 9:DISP 1-2 TRI-STATE (SINGLE FLOAT).. CATEGORY DISPENSER PAN L10:DISP 3-4 TRI-STATE (SINGLE FLOAT) CATEGORY DISPENSER PAN L11:UISP 5-6 TRI-STATE {SINGLE FLOAT) CATEGORY DISPENSER PAN L12:DISP 7-8 TRI-STATE (SINGLE FLOAT) CATEGORY DISPENSER PAN PUt°tP SENSOR SETUP S I:UNL i TANK #: 1 DISPENSE MODE: STANDARD S 2:PNL TAtVK # : 3 DISPENSE MODE: STANDARD OUTPUT RELAY SETUP k ] :UNL 1 TYPE: PUMP CONTROL OUTPUT TANK #: 1 L I QU I D SENSOR ALt°iS L 1:FUEL ALARM L 7:FUEL ALARM L 9:FUEL ALARM L10:FUEL ALARNI L11:FUEL ALARM L12:FUEL ALARM L 1:SENSOR OUT ALARM L 7:SENSOR OUT ALARM L 9:SENSOR OUT ALARNI L10:SENSOR OUT ALARM L11:SENSOR OUT ALARM L12:SENSOR OUT ALARM L I:SHORT HLARM L 7:SHORT ALARM L 9:SHORT ALARM L10:SHORT ALARM L11:SHORT ALARM L12:SHORT ALARM ISD SITE ALARMS ISD GROSS PRES FAIL ISD DEGRD PRES FAIL ISD VAPOR LEAK FAIL ISD UP PRES FAIL ISD UP STATUS FAIL ISD HOSE ALARMS ALL:GROSS COLLECT FAIL ALL:DEGRD COLLECT FAIL ALL:FLOW COLLECT FAIL L15:PNL STP TRI-STATE (SINGLE FLOAT) CATEGORY STP SUMP R 2:PNL TYPE: ' PUMP CONTROL OUTPUT TANK #: 3 LIQUID SENSOR ALMS L 9:FUEL ALARM L10:FUEL ALARM LII:FUEL ALARM L12:FUEL ALARM L15:FUEL ALARM L 9:SENSOR OUT ALARM L10:SENSOR OUT ALARM LIi:SENSOR OUT ALARM L12:SENSOR OUT ALARM L15:SENSOR OUT ALARM L 9:SHORT ALARM L10:SHORT ALARM L11:SHORT ALARM L12:SHORT ALARM L15:SHORT ALARM ISD SITE ALARMS ISD GROSS PRES FAIL ISD DEGRD PRES FAIL ISD VAPOR LEAK FAIL ISD VP PRES FAIL ISD VP STATUS FAIL ISD HOSE ALARMS ALL:GROSS COLLECT FAIL ALL:DEGRD COLLECT FAIL ALL:FLOW COLLECT FAIL R 3:DIESEL T`~lPE STANDARD NORMALLY CLOSED TANK #: 2 LIQUID SENSOR ALMS L 3:FUEL ALARM L 9:FUEL ALARM L.11:FUEL ALARM L 3:SENSOR OUT ALARM _ L 9:SENSOR OUT ALARPi L11 :SE(VSOR OUT ALARM L 3:SHORT ALARM L 9:SHORT ALARM L11:SHORT ALARM R 5 : Ol1ERF I LL ALARM TYFE: STANDARD NORMALLY OPEN TANK #: NONE IN-TANY. ALARMS ALL:OVERFILL ALARM ALL:HIGH PRODUCT ALARM ALL:MAX PRODUCT ALARM SMARTSENSOR SETUP- - - - s 1:P.SEtVSOR 3-4 CATEGORY VAPOR PRESSURE s 2:F .M. DISP 1-2 CATEGORY AIR FLOW METER s 3:F .M DISP 3-4 CATEGORY AIR FLOW METER s 4:F .M DISP 5-6 CATEGORY AIR FLOW METER s 5:F .M DISP 7-8 CATEGORY AIR FLOW METER EVk•ISD SETUP EVR TYPE: VACUUM HSSIST VACUUM ASSIST T~'PE HEALY VAC NOZZLE AiL RANGE MAX: 1.15 MIN: 0.95 VAPOR PROCESSOR TYPE tV0 VAPOR PROCESSOR APIALYSIS TIMES TIME: 10:00 AM DELAY M I tVUTES ACCEPT. HIGH ORVR: DISABLED ISD HOSE TABLE ID --- FP ----- FL --- HL --- AA ---- RR --- O1 O1 O1 - 02 O1 UU 02 02 02 02 O1 UU 03 03 03 02 02 UU 04 04 04 02 02 UU 05 05 05 02 03 UU 06 06 06 02 03 UU 07 07 07 02 04 UU 08 08 08 02 04 UU ISD AIRFLOW METER MAF ID -- SERIAL ------- NUM LABEL ------------ - - 1 8424 - F.hl. DISF 2 7358 F.M DISP 3 . 3 8425 F.M DISP 5 4 8313 F.N1 DISP 7 ISD FUEL GRADE HOSE MAP 1 2 3 4 FP MHH MHH MHH MHH AA ------------------------ O1 201 301 901 5 U 1 02 202 302 902 5 U 1 D3 203 303 903 U U 2 04 204 304 904 U U 2 05 205 305 905 5 U 3 06 206 306 906 5 U 3 07 207 307 907 U U 4 08 208 308 908 U U 4 LABEL TABLE 1: UNASSIGNED 2: BLEND3 3: REGULAR 4: MID u^RADE 5: PREMIUM ' 6: GOLD 7: BRONZE 8: SILVER 9: BLEND'2 10: BLEND4 PN1C SETUP FASTR I P 347 PROCESSdR CONTROL LEVEL: 2698 OSWELL ST. Nd(VE BAKERSFIELD CA.93306 661-872-8781 AUG 3. 2007 9:35 AM SYSTEM STATUS REPORT ISD GRdSS PRES WARN ----- SENSOR ALARM ----- L 3:DIESEL STP STP SUMP FUEL ALARM AUG 3. 2007 9:33 AM ----- SENSOR ALARM ----- L15:PNL STP STP SUNiP ----- SENSOR ALARM ----- FUEL ALARM L I:UNL I STP AUG 3. 2007 9:37 AM STP SUMP FUEL ALARM AUG 3. 2007 9:34 AM ----- SENSOR ALARM ----- L10:DISP 3-4 DISPENSER PAN ----- SENSOR ALARM ----- FUEL ALARM L 7:UNL 2 STP AUG 3. 2007 9:38 AP~1 STP SUMP FUEL ALARM AUG 3. 2007 9:35 AM ----- SENSOR ALARM ----- L12:DISP 7-8 DISPENSER PAN FUEL ALARM AUG 3. 2007 9:39 AM SENSOR ALARM L11:DISP 5-6 DISPENSER PAN FUEL ALARM HUG 3. 2007 9:42 Ah1 ----- SENSOR ALARM ----- L 9:DISP 1-2 DISPENSER PAN FUEL ALARM HUG 3. 2007 9:44 AM -- SENSOR ALARM ----- L 6:PNL ANN ANNULAR SPACE FUEL ALARM AUG 3. 2007 9:46 AM -- SENSOR ALARM ----- L 4:DIESEL ANN ANNULAR SPAGE FUEL ALARM AUG 3. 2007 9:46 AM -- SENSOR ALARNI ----- L 2:UNL 1 ANN ANNULAR SPACE FUEL ALARM AUG 3. 2007 9:47 AM -- SENSOR ALARM ----- L 8:UNL 2 ANN ANNULAR SPACE FUEL ALARM AUG 3, 2007 9:47 AM ---- IN-TANK ALARM ----- T I:UNL 1 HIGH PRODUCT ALARM AUG 3. 2007 3:14 PM ---- IN-TANK ALARM ----- T 1:UNL 1 HIGH PRODUCT ALARM AUG 3. 2007 3:15 PNt ---- I N-TANK ALARt°1 ----- T 2:DIESEL HIGH PRODUCT ALARM AUG 3. 2007 3:16 FM ---- IN-TANK ALARM ----- T 3:PNL HIGH PRODUCT ALARM AUG 3. 2007 3:17 FM ---- IN-TANK ALARM ----- T 4:UNL 2 HIGH PRODUCT ALARM AUG 3. 2007 3:17 PM SWRCB, January 2006 Spill Bucket Testing Report Form This form is intended for use by contractors performing annual testing of LIST spill containment structures. The completed form and printouts from tests (f applicable), should be provided to the facility owner/operator for submittal to the local regulatory agency. 1. FACILITY INFORMATION Facility Name: #347 Fastrip #26 Date of Testing: 8/3/2007 Facility Address: 2698 Oswell Street ,Bakersfield, CA 93306 Facility Contact: Omero Gazcia Phone: 661-393-7000 Date Local Agency Was Notified of Testing : 7/23/2007 Name of Local Agency Inspector (if present duri~ testing): None 2. TESTING CONTRACTOR INFORMATION Company Name: Confidence UST Services, Inc. Technician Conducting Test: Matthew Jennings Credentialsl: X CSLB Contractor X ICC Service Tech. ^ SWRCB Tank Tester ^ Other (Specify) License Number(s): CSLB #804904 ICC #5302760-UT 3. SPII.L BUCKET TESTING INFORMATION Test Method Used: x Hydrostatic ^ Vacuum ^ Other Test Equipment Used: Lake Test Equipment Resolution: 0.0625" Identify Spill Bucket (By Tank Number, Stored Product, etc.) 1 Regular 1 2 Regular 2 3 Super 4 Diesel Bucket Installation Type: ^ ~~ Bury x Contained in Sump ^ Direct Bury x Contained in Sum ^ Direct Bury x Contained in Sum ^ Direct Bury x Contained in Sump Bucket Diameter. 11.75" 11.50" 11.75" 11.75" Bucket Depth: 12.00" 12.00" 11.75" 11.75" Wait time between applying vacuum/water and start of test: 5 min. 5 min. 5 min. 5 min. Test Start Time (TI): 9:30am 9:30am 9:30am 9:30am Initial Reading (RI): 11.75" 11.75" 11.50" 11.50" Test End Time (TF): 10:30am 10:30am 10:30am 10:30am Final Reading (RF): 11.75" 11.75" 11.50" 11.50" Test Duration (TF - TI): 1 hour 1 hour 1 hour 1 hour Change in Reading (RF - RI): 0.00" 0.00" 0.00" 0.00" Pass/Fail Threshold or Criteria: 0.0625" 0.0625" 0.0625" 0.0625" Test Result: X Pass ^ Fail X Pass ^ Fail X Pass ^ Fail X Pass ^ Fail COmmerits - (include information on repairs made prior to testing, and recommended follow-up for failed tests) CERTIFICATION OF TECHNICIAN RESPONSIBLE FOR CONDUCTING THIS TESTING I hereby certify that all the information contain in this report is true, accurate, and in full compliance with legal requirements. Technician's Signature: Date: 8/3/2007 State laws and regulations do not currently require testing to be performed by a qualified contractor. However, local requirements may be more stringent. UNDERGROUND STORAGE TANKS e'~c~,>`~ BAKERSFIELD FIRE DEPT. . _r.,.._.__ $ B x s P' D Prevention Services AI~TM T 900 Truxtun Ave., Ste. 210 APPLICATION ~- Bakersfield, CA 93301 TO PERFORM ELD /LINE TESTING - . Tel.: (661) 326-3979 / S6989 SECONDARY CONTAINMENT TESTING FaR: (661) 852-2171 /TANK TIGHTNESS TEST AND TO PERFORM FUEL MONITORING CERTIFICATION page 1 of 1 PERMIT NO. ~` ~ ,ES ENHANCED LEA ~ ECTION .ES LINE TESTING ,ES SB-989 SECONDARY CONTAINMENT TESTING -J.- .ES TANK TIGHTNESS TEST .eS TO PERFORM FUEL MONITORING CERTIFICATION _ SITE INFORMATION FACILITY NAME 8 PHONE NUMBER OF CONTACT ERSON ~~~ ADDRESS - - S ~- ~-~ IA 9330 OWNERS NAME C ~~ / OPERATURS-NAINE=~^- ° -:--- - - PERMIT TO OPERATE NO. --- ~ - - ----~ - - NUMBER OF TANKS TO BE TESTED IS PIPING GOING TO BE TESTED? ~ YES es NO TANK # VOLUME CONTENTS ~. - TANK TESTING COMPANY N ME OF TESTING COMPANY - NAME 8 PHONE NUI9IBER OF CONTAC PERSON 1 MAILING ADDRESS ~ ~ i NAME & PHONE N,~ABER OF TESTER OR SP IAL INSPECTOR - Z CERTIFICATION #: DATE 8 TIME TEST TO BE CON CTED//'' ~ - _I~ / ICC #: TEST METHOD SIGN TURE OF A PLICANT DATE 23 O~ T S'APPLI 10N COMES A PERMIT HEN APRRC?VED APPROVED BY ~c~1 DATE ~ .L / 7 . FD 2095 (Rev. 09/05) Nfi~ ~~~, ,~ Q ~.~~~ n. ' MONITORING SYSTEM CERTIFICATION '~'C'IN ~ 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. A separate certification or report must be prepared for each monitoring 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 this date. A. General Information Facility Name: #347 Fastrip #26 Bldg. No.: Site Address: 2698 Oswell Street City: Bakersfield Zip: 93306 Facility Contact Person: Omero Garcia Contact Phone No.: 661-393-7000 Make/Model oflVloriitoring System: Gilbarco EMC B. Inventory of Equipment Tested/Certified Cock the soorooriate boos [o in cafe specific egaiP~t inspected/serviced: Tank ID: 12000 gal. Regular 1 [X] In-Tank Gauging Probe. Mode1:847390-707 [x] Annular Space or Vault Probe. Model:79439o1t20 [x] Piping Sump /Trench Sensor(s). Mode1:794380-208 ^ Fill Sump Sensor(s) Model: [J Mechanical Line Leak Detector. Model: FX7V ^ Electronic Line Leak Detector. Model: U Tank Overfill /High Level Sensor. Model: 794390-707 ^ Other (specify equip. type and model in Sec. E on Pg. 2) Tank ID: 12000 gal. Super [x] In-Tank Gauging Probe. Mode1:847390-707 [x] Annular Space or Vault Sensor. Mode1:847380-420 [X] Piping Sump /Trench Sensor(s). Mode1:794380-208 ^ Fill Sump Sensors(s). Model: [x ~ Mechanical Line Leak Detector. Mode1:FX1y ^ Electronic Line Leak Detector. Model: [~ Tank Overfill /High Level Sensor. Model:847390-107 ^ Other. (specify equip. type and model in Sec. E on Pg. 2) Dispenser ID: 1 & 2 [x-] Dispenser Containment Sensor(s). Model: 79x380-208 [X] Shear Valve(s). ^ Dispenser Containment Float(s) and Chain(s). Dispenser ID: 5 & 6 [x] Dispenser Containment Sensor(s). Model: 794380-208 [x] Shear Valve(s). ^ Dispenser Containment Float(s) and Chains(s). Tank ID: 12000 gal. Regular 2 L] In-Tank Gauging Probe. Model: 847390-107 [X] Annular Space or Vault Sensor. Model: 794390.420 [X] Piping Sump /Trench Sensor(s). Model: 794380-208 ^ Fill Sump Sensor(s). Model: ^ Mechanical Line Leak Detector. Model: NSA ^ Electronic Line Leak Detector. Model: U Tank Overfill /High Leval Sensor. Model: 794390-107 ^ Other (specify equip. type and model in Sec. E on Pg. 2) Tank ID: 12000 gal. Diesel ~x] In-Tank Gauging Probe. Model: 847390-707 [x] Annular Space or Vault Sensor. Model: 84738020 U Piping Sump /Trench Sensor(s). Model: 794380-208 ^ Fill Sump Sensor(s). Model: [~ Mechanical Line Leak Detector. Model: FX7DV ^ Electronic Line Leak Detector. Model: (~ Tank Overfill /High Level Sensor. Model: 847390-707 ^ Other (specify equip. typs and model in Sec. E on Pg. 2) Dispenser ID• 3 & 4 [X] Dispenser Containment Sensor(s). Model: 794380-208 [~ Shear Valve(s). ^ Dispenser Containment Float(s) and Chain(s) Dispenser ID: 7 $ 8 [X] Dispenser Containment Sensor(s). Model: 794380-208 U Shear Valve(s). ^ Dispenser Containment Float(s) and Chain(s). Dispenser ID: Dispenser ID: ^ Dispenser Containment Sensor(s). Model: ^ Dispenser Containment Sensor(s). Model: ^ Shear Valve(s). ^ Shear Valve(s). ^ Dispenser Containment Float(s) and Chain(s) ^ Dispenser Containment Float(s) and Chain(s). contains more tanks or dispensers, copy every at C. CertifiCatlon - I certify that the equipment identified in this document was inspected/services in accordance with the manufacturers' guidlines. Attached to this Certification is information (e.g. manufacturers' checklist) necessary to varify that this information is correct and a plot plan showing the layout of monitoring equipment. For equipment capable of generating such reports, I have attached a copy of the report; (check all that apply) x^ S Set-u ry-report Technician Name (print): Joseph Stroope Signature: Certification No: A3722s License o: s049oa Testing Company Name: Confidence usT Services, Inc. Phone No: 800-339-9930 Site Address: 2698 Oswell Street ,Bakersfield, CA 93306 Date of Testing/Serviclrig: 08/3/2006 Date of Testing/Servicing: 08/3/2006 D. Results of Testing/Servicing Software Version Installed: 8.05 Complete the following checklist: [~ Yes ^ No* Is the audible alarm operational? x Yes No* Is the Visual alarm operational? x Yes No* Were all sensors visually inspected, functionally tested, and confirmed operational? x Yes ^ No* Were all sensors installed at the lowest point of secondary containment and positioned so that other equipment will not interfere with their proper operation? Yes No* If alarms are relayed to a remote monitoring station, is all communications equipment (e.g. modem) x N/A operational? x Yes ^ No* For pressurized piping systems, does the turbine automatically shut down if the piping secondary ^ N/A containment monitoring system detects a leak, fails to operate, or is electrically disconnected? If yes: which sensors initate positive shut-down? ~ Sump/Trench SensorsCx] Dispenser Containment Sensors Did you confum positive shut-down due to leaks and sensor failure/disconnected? ~ Yes; ^ No; Yes ^ No* For tank systems that utilize the monitoring system as the primary tank overfill warning device (i.e. no C] N/A mechanical overfill prevention valve is installed), is the overfill warning alarm visual and audible at the tank fill point(s) and operating properly? If so, at what percent of tank capasity does the alarm trigger? 90 ^ Yes* ~ No 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. ^ Yes* ~ No Was liquid found inside any secondary containment systems designed as dry systems? ^ Product; ^ Water. If yes, describe causes in Section E, below. x No* Was monitoring system set-up reviewed to ensure proper settings? Attach set-up reports, if applicable. x yeS No* Is all monitoring equipment operational per manufacturer's specifications? * In Section E below, discribe how and when these deficiencies were or will be corrected. E. Comments; F. In-Tank Guaging /SIR Equipment: U Check this box if tank guaging is used only for inventory control. ^ Check this box if tank guaging or SIR equipment is installed. This section must be completed if in-tank guaging equipment is used to perform leak detection monitoring. Complete the following checklist: [X] Yes ^ No* Has all input wiring been inspected for proper enter and termination,including testing for ground faults? x Yes No* Were all tank guaging probes visually inspected for damage and residue buildup? x Yes No* Was accuracy of system product level readings tested? x Yes No* Was accuracy of system water level readings tested? x Yes No* Were all probes reinstalled properly? ^ Yes ^ No* Were all items on the equipment manufacturer's maintenance checklist completed? * In the Section H, below, describe how and when these deficiencies were or will be corrected. G. Line Leak Detectors (LLD): ^ Check this box if LLD's are not installed. Complete the following checklist: [x] Yes ^ No* For equip. start-up or annual equipment certification, was a leak simulated to varify LLD performance? (Check all that apply) Simulated leak rate: ^3 g.p.h.: ^0.1 g.p.h.; ^0.2 g.p.h.; ^ Yes ^ No* Were all LLD's confirmed operational and accurate within regulatory requirments? x Yes No* Was the testing apparatus properly calibrated? ^ Yes No* For machanical LLD's, does the LLD restrict product flow if it detects a leak? N/A ^ Yes No* For electronic LLD's, does the turbine automatically shut off if the LLD detects a leak? [~ N/A ^ Yes No* For electronic LLD's, does the turbine automatically shut off if any portion of the monitoring system is [x] N/A disabled or disconnected? ^ Yes No* For electronic LLD's, does the turbine automatically shut off if any portion of the monitoring system [~ N/A malfunction or fails a test? ^ Yes [] No* For electronic LLD's, have all accessible wiring connections been visually inspected? (X] N/A x Yes No Were all items on the equipment manufacturer's maintenance checklist completed? * In the section H, below, describe how and when these deficiencies were or will be corrected. H. Comments: I N-TFiNK SETUP a S'fSTEM SETUP AUG 3. 2006 $ : 31 At~i S`fSTEM UNITS U.S. SYSTEM LANGUAi;E ENGLISH FASTRIP 2698 OSWELL ST. BAKERSFIELD.CA 93306 661-872-87$1 ' SHIFT TIME 1 DISABLED SHIFT TIME 2 : DISABLED SHIFT TIME 3 riISABLED SHIFT TIME 4 : DISABLED PERIODIC. TEST WARNINGS DISABLED ANNUAL TEST WARNItGS DISABLED SYSTEM SECURITYf CODE 000000 PRINT TC VOLUMES ENABLED TEMP COMPENSATION VALUE (LrEG F }: 60.0 COMNIUNICATI0NS SETUP - - FART SETTINGS: COMM BOARD 1_(RS-232) BAUD RATE N~t~E PARITY STOP BIT : 1 STOP DATA LENGTH: 8 DATA AUTO TRANSMIT SETTINGS: AUTO LEA}; ALARM LIMIT DISABLED AUTO HIGH WATER LIMIT DISABLED AUTO OVERFILL L I t°1 I T DISABLED AUTO LOW PRODUCT DISABLED AUTO THEFT LIMIT DISABLED AUTO DELIVERI! START A I SABLED AUTO DELIVERY END DISABLED AUTO E~;TERNAL INPUT ON DISABLED AUTO ETERNAL INPUT 4FF DISABLED AUTO SENSOR FUEL ALARM DISABLED AUTO SENSOR WATER ALARM DISABLED AUTO SENSOR OUT ALARM DISABLED RS-23'~ SECURITY CODE 000000 RS-232 END OF MESSAGE DISABLED T 1 : UtVLEADED 1 PRODUCT u^ODE 1 THERMAL COEFF :.000700 TANK D I Ah'tETER 96.00 TANK PROFILE 1 FT FULL VOL 12000 FLOAT SIDE: 4.0 INCHES WATER WARNING 2.0 HIGH WATER LIMIT: 3.0 MA,~; OR LABEL VOL : 12000 OVERFILL LIMIT 90b l~soo HIGH PRODUCT 95i 11400 DELIVERYf LIMIT li 120 LOW PRODUCT 1000 LEAY•. ALARM LIMIT: 99 SUDDEN LOSS LIMIT: 99 TAtVK T I LT 0.00 MANIFOLDED TANKS Tit : t+JONE PEkIODIC TEST T,'PE STANDARD PERIODIC` TEST FAIL ALARNI DISABLED GROSS TEST FAIL ALARM DISABLED FER T)~.ST AVERAGING: OFF TANK T?EST tVOT I FY : OFF TNK TST' SIPHON BREAK:OFF DEL 1 VER''f DELAY 15 th I N T 2:DIESI=:L PRODUCT CODE 2 THERMAL ~:OEFF :.000450 TANK DIA~~IETER 96.00 TANK PROF" I LE 1 PT FULL VOL 12000 FLOAT SI2.E: 4.0 INCHES WATER WAF~~.N I NG 2.0 HIGH WATER LI1°tIT: 3.0 h1F1:~; OR LF3BEL VOL : 12000 OVERFILL `LIMIT 90% • 10800 HIGH PRODUCT 95% 11400 DELIIIER`f `.LIMIT 1% . 120 LOW PRODU't.T 1000 LEAK ALARi~1 L I M I T: 99 SUDDEN LOSS LIMIT: 99 TANK TILT 0.00 MAfV I FCiLDED TAPJK.S T#: NONE PERIODIC TEST TYPE STANDARD F'ERIODIG TEST FAIL ALARM DISABLED GROSS TEST FAIL ALARh1 DISABLED PER TEST AVERAG I Nt:; : OFF TANK TEST NOTIF;": OFF TNK TST SIPHON HREAK:OFF DEL I VER'f DELAY 15 M I tV T 3:PREMIUM PRODUCT GODS ;~ THERMAL C.'OEFF :.000700 TANK DIAMETER 96.00 TANK PROFILE I PT FULL VOL 12000 FLOAT SIZE: 4.0-INCHES WATER WARN I fVG '? . 0 HIGH WATER LIh1IT: 3.0 MA:; OR LABEL VOL: 12DOD OVERFILL L I hl I T 90 4 1080D HIGH F'RODUGT 95 a 1140D DELIVERY LIMIT to . 120 LOW PRODUCT 1000 LEAK ALARM LIMIT: 99 ~ SUDDEN LOSS LIh1IT: 99 TANK TILT 0.00 MANIFOLDED TANKS T# : NONE PERIODIC TEST TYPE STANDARD PERIODIC TEST FAIL ALARM DISABLED GROSS TEST FAIL ALARM DISABLED PER TEST AVERAG I fVG : OFF TANK~TEST NOTIFY: OFF TNK TST SIPHON BREAK:OFF DELIVER'! DELAY 15 MIN T 4:UNLEAUED 2 SIPHON Z?RODUGT CODE 4 THERMAL COEFF :.000750 TANK DIAMETER 96.00 TANK PRFULLEVOL : 12000 FLOAT SIDE: 4.0 INCHES WATER trJARNI NG : 2.0 0 3 HIGH WATER LIMIT: . MA?: OR LABEL VOL : 12000 OVERFILL LIMIT 10800 HIGH PRODUCT 95a 11400 DELIVERY LIMIT 120 LOW PROpUGT 1000 99 LEAK ALARM LIh1IT: SUDDEN LOSS LIMIT: TANK TILT 0.00 MANIFOLDED TANKS T#: 01 PERIODICs TEST TY~TANDARD PERIODIC TALARNIADI SABLED GROSS TE~TALARM DI SABLED PER TEST AVERAGING: OFF TAtVK TEST NOTIFY : OFF TNK TST SIPHON BREAK:OFF DELIVERY DELA1" : 15 MIN LEAK TEST METHOD TEST MONTHL:" ALL TANk: WEEK 1 MON START TIME : DISABLED TEST kATE :0.20H~UkSHR DURATION : 2 LI~dUIU SENSOR SETUP L 1 : UtVL I STP TRI-STATE {SINGLE FLOAT} CATEGORY STF SUMP L 2 :UNL 1 A1VN TRI-STATE {SINGLE FLOAT} CATEGOR'f ANNULAR SPACE L 3:UIESEL STP TRI-STATE {SINGLE FLOAT) CATEGORY STP SUMP L 4:UIESEL ANN TRI-STATE {SINGLE FLOAT} CATEGORY ANNULAR SPACE L 6:PREM ANN TRI-STATE {SINGLE FLOAT} CATEGORY : ANNULAR SPACE L 7:UNL 2 STP TRI -STATE { S I N~>>LE FLt~AT } CATEGORY STP SUMP L S:UNL 2 ANN TRI-STATE tSINGLE FLOAT} CATEGORY ANNULAR SPACE L 9:DISP 1-2 TRI-STATE (SINGLE FLOAT} CATEGORY DISFENSER FA1V L10:UISF 3-4 TRI-STATE {SItVGLE FLOAT} CATEGORY : D J SPEtVSER PAN L11:UISF 5-6 TRI-STATE {SINGLE FLOAT} CATEGORY : DISPENSER PAN L13:DISP 9-10 TRI-STATE (SINGLE FLOAT} CATEGORY DISPENSER PAN L15:FREhi STP SUMP TRI-STATE {SINGLE FLOAT} CATEGORY STP SUMP ` -wry OUTPUT RELAY SETUP R 1:UNL TYPE: STANDARD tVORMALLY CLOSED IN-TANK ALARMS T 1 :LEAK ALARt°1 T 3:LEAK ALARNI T 4:LEAK ALARM LI~dUID SENSOR ALMS L 1:FUEL ALARM L 2:FUEL ALARM L 5:FUEL ALARM L 6:FUEL ALARNI L ?:FUEL ALARM L B:FUEL ALARM L '3:FUEL ALARM L10:FUEL ALARM L11:FUEL ALARM L12:FUEL ALARM L13:FUEL ALARM L 1:SENSOR OUT ALARM L 2:,SENSOR OUT ALARNI L 7:SEIVSOR OUT ALARM L B:SENSOR OUT ALARM L :SENSOR OUT ALARM L10:SEtVSOR OUT ALARM L11:SEtVSOR OUT ALARM L13:SENSflR OUT ALARM L15:SEtVSOR OUT ALARM L 1:SHORT ALARM L 2:SHORT ALARM L 5:SHORT ALARM L S:SHORT ALARM L 7:SHORT ALARNI L B:SHORT ALARNI L 9:SHORT ALARM L 1 Q :SHORT ALARNI Lit:SHORT ALARM L 12 : SHORT ALARM L13:SHORT ALARM R 2:PREMIUM TYPE: r~ STANDARD NORMALLY CLOSED R 5:OVERFILL ALARM ALARM HISTORY REPORT IN-TANK ALARMS TYPE: STANDARD ~ ----- SENSOR ALARM ----- T 1:LEAK ALARM NORMALLY OPEtV L 2:UNL 1 ANN T 3:LEAK ALARM ANNULAR SPACE T 4:LEAK ALARM FUEL ALARM ItV-TANK ALARMS JUL 2B. 2006 12:5? PM LIQUID SENSOR ALN1S ALL:OVERFILL ALARM ALL:HIGH PRODUCT ALARM FUEL ALF-tRi°i L 1:FUEL ALARM ALL:MA~ PRODUCT ALARM AUG 11. 20D5 6:49 AM L 2:FUEL ALARM L S:FUEL ALARhi FUEL ALARM L 6:FUEL ALARM RUG 3r 2005 7:19 AM L 7:FUEL ALARhi L 9:FUEL ALARM - L10:FUEL ALARM L11:FUEL ALARM L12:FUEL ALARM L13:FUEL ALARM L15:FUEL ALARM L 6:SENSOR OUT ALARM ' L 9:SE(VSOR OUT ALARhi L10:SENSOR OUT ALARM L11:SENSOR OUT ALARM SOFTWARE REVISION LEVEL ALARM HISTORY REPORT L 13 : SEiVSOR OUT ALARM UERS I O(V B . 05 L15:SENSOR OUT ALARM SOFTWAREit 349500-DOB-F ----- SENSOR ALARM ----- L 1:SHORT ALARM GREATER - 95.07.D6.D8.33 L 3:DIESEL STP L 2:SHORT ALARM STP SUMP L S:SHORT ALARM NO SOFTWARE MODULE FUEL ALARM L 6:SHORT ALARM SYSTEM FEATURES: JUL 28. 2D06 12:4D PM L 7:SHORT ALARM PERIODIC IN-TANK TESTS L S:SHORT ALARM ANNUAL ItV-TANK TESTS FUEL ALARM L 9:SHORT ALARM AUG 11. 20D5 6:53 AM L10:SHORT ALARM LII:SHORT ALARM FUEL ALARM L12:SHORT ALARM AUG 3. 2005 7:09 AM L13:SHORT ALARM R 3:DIESEL TYP ALARM H I STOR`.~ REPORT TAtVDARD NORMALLY CLOSED _____ SENSOR ALARhh ----- L 1:UNL 1 STP STP SUMP ALARM HISTORY REPORT ItV-TAN}: ALARMS FUEL ALARM T 2:LEAK ALARM ry JUL ~8. DD6 12:38 PM --- --- -- SENSOR ALARM -- L 4:DIESEL ANN FUEL ALARM ANNULAR SPACE LIQUID SEtVSOR ALMS ~ AUG 11r 2D05 6:52 AM ALARM FUEL L 3:FUEL ALARhi ~ JUL LB. 2006 12:56 PM L 4:FUEL ALARM FUEL ALARM L 9:FUEL ALARM AUG 3. 2005 7:10 AM FUEL ALARM Li0:FUEL ALARM AUG 11. 20D5 6:48 Ah1 L11:FUEL ALARM L12:FUEL ALARhi FUEL ALARM L13:FUEL ALARM - AUG 3. 2005 7:22 AM L 3 :SHORT ALARM L 4:SHORT ALARM ___ _ - _ -" L 9:SHORT ALARM L10:SHORT ALARM L 1 1 : SNORT ALARM _ - ~ -' - -"-~ L12:SHORT ALARM - L13:SHORT ALARM _ _ ~~-~ ~r ALARM HISTOR`f REPORT ALARM HISTORY 4 REPORT ~ ALARM HISTORY REPORT ----- SENSOR ALARM ----- ----- SENSOR ALARM ----- _-_-- SENSOR ALARM ----- L 5:PREM STP L B:UNL 2 AfVN L11:DISP 5-E STF SUMP ANNULAR SPACE DISPENSER PAN SETUP DATA WARNING FUEL ALARM FUEL ALARM FEB 10._2DOE 10:42 AM JUL 28. 2006 1'z :58 PM JUL 28. 2006 12:52 PM SENSOR OUT ALARM FUEL ALARM FUEL ALARM FEB 10. 2006 6:21 AM AUG 11. 2005 6.50 AM AUG 11. 2005 6:45 AM SENSOR OUT ALARM FUEL ALARM FUEL ALARM FEB 10. X006 6:10 AM _ AUG 3. 2005 7:24 AM AUG 3. 2005 7:05 AM ALARM HISTORY REPORT ALARM HISTORY REPORT ALARM HISTORY REPORT ----- SENSOR ALARM ----- ----- SENSOR ALARM ----- ----- SENSOR ALARM ----- L b:PREM ANN L 9:DISP 1-2 L12:DISP 7-8 ANNULAR SPACE DISFENSER PAN DISPENSEk PAN FUEL ALARM FUEL ALARM SENSOR OUT ALARM JUL 28. 2006 12:55 PM JUL 28. 2006 12:50 PM NOV 30. 2004 9:57 AM SENSOR OUT ALARM FUEL ALARM FUEL ALARM FEB 17. '?006 5:~7 AM AUG 11. 2005 6:43 AM AUG 10. 2004 3:36 FM SENSOR OUT ALARM FUEL ALARM FEH 17. 2006 2:25 AM AUG 3. 2005 7:00 AM ALARM HISTORY REPORT ALARM HISTORY REPORT ALARM HISTORY REPORT -- SENSOR ALARM ----- L13:DISP 9-10 -- SENSOR ALARh1 -- ----- SENSOR ALARM ----- DISPENSER PAN FUEL ALARM L 7:UNL 2 STP STP SUMP L1D:DISP 3-4 DISPENSER FAN JUL 2B. 2006 12:53 FM FUEL ALARM FUEL ALARM FUEL ALARM ` JUL 28. 2006 12:35 PM JUL 2B. 2006 12:48 PM AUG 11. 2005 6:46 AM SENSOR OUT ALARM FUEL ALARM FUEL ALARM JUL 21. 200E B:~~E PM AUG I1. 2005 6:44 AM AUG 3. 2005 7:06 Ahl SENSOR OUT ALARM FUEL ALARM JUL 21. 200E 5:12 PM AUG 3. 2005 7:03 AM _ _~,.<r_. .. ,+ r -~ ___ ~~-• e,,-._,_._.~ ALARM HISTORY REPORT ----- SENSOR ALARM ----- L14 OTHER SENSORS ----- SENSOR ALARM ----- L 7 : UIVL 2 STP STP SUMP FUEL ALARM AUG 3. 2006 8:41 AN1 SENSOR ALARM L 6:FREM ANN ANNULAR SPADE FUEL ALARM AUG 3. 2006 8:51 AM ALARM HISTORY REPORT -- SENSOR ALARM ----- L15:PREM STP SUMP STP SUMP FUEL ALARM JUL 28. 2006 12:42 PM SETUP I'iATA WARNING FEH 10. 2006 2:05 PM SEIVSOR ALARh1 L 1:UNL 1 STP STP SUMP FUEL ALARM AUG 3. 2006 B:48 AM SENSOR ALARM ALARM HISTORY REPORT -- SENSOR ALARM ----- L16: OTHER SENSORS L 3:DIESEL STP STP SUMP FUEL ALARM AUG 3. 2006 8:4'3 AN1 SENSOR ALARM ALARM HISTORY kEPORT L 15 : F'REM STP SUMP STP SUMP FUEL ALARM AUG 3, 2006 8:50 AM ----- SEtVSOR ALARM ----- L 1:UNL 1 STP STP SUMP FUEL ALARM JUL 28. 2006 12:38 PM FUEL ALARM AUG I1. 2005 6:52 Ahl FUEL ALARtH AUG 3. 2005 7:10 ANi SENSOR ALARM L 4 :DIESEL F11VN ANtVULAR SPACE FUEL ALARM AUG 3. 2006 8:51 AM SENSOR ALARNi L 2:UNL 1 ANN ANNULAR SFACE FUEL ALARM AUG 3. 2006 8:51 AM SENSOR ALARM L 4:DIESEL ANN AIVNULAR SPACE FUEL ALARM AUG 3. 2006 8:52 Ahl SENSOR ALARM L B:UNL 2 ANN ANNULAR SPACE FUEL ALARM AUG 3. 2006 8:52 Ah1 :. _ ` ,~ L13:DISPN9~kp LARD"1 ----- DISPENSER PAN FUEL ALARM AUG 3, 2006 8:54 AM ----- SENSOR ALARM ----- L 9:DISP 1-2 DISPENSER PAN FUEL ALARM HUG 3, 2006 9:05 AM -- SEtVSOR ALARM -- L11:UISP 5-6 D I SFEfVSER PAN FUEL ALARM AUG 3, 2006 8:55 ANl ----- SENSOR ALARM -- L10:DISF 3-4 --- DISPENSER FAN FUEL ALARt°i AUG 3. 2006 8:55 AM ----- SENSOR ALARM -- L 9:DISF 1-2 --- DISPENSER FAN FUEL ALARM AUG 3, 2006 8:56 AP"1 ----- SENSOR ALARM ----- L 9:DISP 1-2 DISPENSER PAN FUEL ALARt`7 AUG 3, 2006 9:D0 AM -- SENSOR ALARf°1 ----- L 9:DISP 1-2 DISPENSER FAN FUEL ALARf°1 AUG 3, 2006 9:11 AN1 ----- SENSOR ALARfH ----- L 9:DISP 1-2 DISPENSER FAtV FUEL ALARM AUG 3, 2006 9:18 AM FASTRIP 2698 OSWELL ST. BAKERSFIELD,CA 93306 661-872-8781 AUG 3. 2006 9:31 AM - SYSTEM STATUS REPORT ALL FUNCTIONS NORMAL INVENTORI' REPORT T I:UNLEADED VOLUME = 3761 GALS ULLAGE = 8239 GALS 90%b ULLAGE= 7039 GALS TC: VOLUME = 3672 GALS HEIGHT = 33.72 INCHES WATER VOL = 14 GALS WATER = 0.75 INCHES TEN1P = 93.6 DEG F T 2:DIESEL VOLUME = 2012 GALS ULLAGE = 9988 GALS 90°~ ULLAGE= 8788 GALS TC VOLUME = 1982 GALS HEIGHT = 21.53 INCHES WATER VOL = 0 GALS WATER = 0.00 I tVCHES TEMP = 92.7 DEG F T 3:FREMIUM VOLUME = 2138 GALS ULLAGE = 9862 GALS 90o ULLAGE= 8662 GALS TC VOLUME = 2094 GALS HEIGHT = '2.47 INCHES WATER VOL = 0 GALS WATER = 0.00 INCHES TEMP = 89.4 DEG F T 4:UNLEADED 2 SIPHON VOLUME = 4032' GALS ULLAGE = 7968 GALS 90~ ULLAGE= 6768 GALS TC VOLUME = 3941 GALS HEIGHT = 35.49 INCHES WATER VOL = 21 GALS WATER = 0.99 INCHES TEMP = 89.8 DEG F MANIFOLDED TAN};S - INVENTOR'! TOTALS T (:UNLEADED 1 VOLUME = 3761 GALS TC VOLUME = 3672 GALS T 1:UNLEAUED 1 T 4:UNLEADED 2 SIPHON VOLUME = 7793 GALS ' TC VOLUME _ ?613 GALS ~ ~ ~ ~ EN D ~ ~ * * ~ e SWRCB, January 2006 ';. ~;.,,, Spill Bucket Testing Report Form This form is intended for use by contractors performing annual testing of UST spill containment structures. The completed form and printouts from tests (f applicable), should be provided to the facility owner/operator for submittal to the local regulatory agency. 1. FACILITY INFORMATION Facility Name: #347 Fastrip #26 Date of Testing: 8/3/2006 Facility Address: 2698 Oswell Street ,Bakersfield, CA 93306 Facility Contact: Omero Garcia Phone: 661-393-7000 Date Local Agency Was Notified of Testing : 7/10/06 Name of Local Agency Inspector (if present during testing: 2. TESTING CONTRACTOR INFORMATION Company Name: Confidence UST Services, Inc. Technician Conducting Test: Joseph Stroope Credentialst: X CSLB Contractor X ICC Service Tech. X SWRCB Tank Tester ^ Other (Sped) License Number(s): CSLB #804904 ICC #5258844-UT Tester # 061720 3. SPII.L BUCKET TESTING INFORMATION Test Method Used: x Hydrostatic ^ Vacuum ^ Other Test Equipment Used: Lake Test Equipment Resolution: 0.0625" Identify Spill Bucket (By Tank Number, Stored Product, etc. 1 Regular 1 2 Regular 2 3 Super 4 Diesel Bucket Installation Type: ^ Direct Bury x Contained in Sum ^ Direct Bury x Contained in Sum ^ Direct Bury x Contained in Sum ^ Direct Bury x Contained in Sum Bucket Diameter: 12.00" 12.00" 12.00" 12.00" Bucket Depth: 12.25" 12.15" 12.50" 12.45" Wait time between applying vacuum/water and start of test: 30 min. 30 min. 30 min. 30 min. Test Start Time (TI): 8:OOam 8:OOam 8:OOam 8:OOam Initial Reading (RI): 12.05" 12.00" 12.25" 12.30" Test End Time (TF): 9:OOam 9:OOam 9:OOam 9:OOam Final Reading (RF): 12.05" 12.00" 12.25" 12.30" Test Duration (TF - T,): 1 hour 1 hour 1 hour 1 hour Change in Reading (RF - RI): 0.00" 0.00" 0.00" 0.00" Pass/Fail Threshold or Criteria: 0.0625" 0.0625" 0.0625" 0.0625" Test Result: X Pass ^ Fail X Pass ^ Fail X Pass ^ Fail X Pass ^ Fail Comments - (include information on repairs made prior to testing, and recommended follow-up for failed tests) CERTIFICATION OF TECIINICIAN RESPONSIBLE FOR CONDUCTING THIS TESTING I hereby certify that all the information contained in this report is true, accurate, and in full compliance with legal requirements. Technician's Signature: Date: 8/3/2006 ' State laws and regulations do not currently require testing to be performed by a qualified contractor. However, local requirements may be more stringent. UNDERGROUND STORAGE TANKS APPLICATION a TO PERFORM ELD /LINE TESTING / SB989 SECONDARY CONTAINMENT TESTING (TANK TIGHTNESS TEST AND TO PERFORM FUEL MONITORING CERTIFICATION _ ~ ,~-~ --- •`~ E F 5 P I E `L D B A L BAKERSFIELD FIRE DEPT. _ ,_ _;r,_ _ F~R~~ prevention Services Di AR1M S11T Ste. 210 900 Truxtun Ave., Bakersfield, CA 93301 Tel.: (661) 326-3979 Fax: (661) 852-2171 Page 1 of 1 /-~T- [~ PERMR NO. ~ ` '` 1 ! ENHANCED LEAK DETECTION LWE TESTING SB-989 SECONDARY CONTAINMENT TESTING TANK TIGHTNESS TEST .2S TO PERFORM FUEL MONRORING CERTIFICATION SITE INFORMATION FACILITY_ ~ ~ NAC7E $ PHORfE NUC~BER OF CONTACT PERSON ~ c 3 3 -~ 0 ~ ADDRESS q ~; S+ -~ ~ ~ G33o OWNERS NAME ^ 1 (~`.v~ OPERATORS NAME PER~,71T TO OPERATE P10. NUMBER OF TANKS TO BE TESTED IS PIPING GOING TO BE TESTED? .es YES es NO TANK # VOLUME CONTENTS TANK TESTING COMPANY NAME OF TESTING COMPANY ~ ~ P~ACaE 8 PHORIE NUCaBER OF CORIYACT PERSORI 0 1 MAILING ADDRESS l Mc ~k ~ kav Q NAME $ PHONE NU BER OF TESTER O SPEhhCIAL INSPECTOR L ERTIFICATION #: ~ 2 DATE $ TI TEST TO BE C NDUCTED -~ B:Ut~a.m. ICC #: - - TEST METHOD SIGNA E OF APPUCA ~ DATE '7 1 O - M -• 1 t0 ED ESA ~ il' HE R RAYED APPROVED BY DATE ~ FD 2095 (Rev. 09!05) S WRCB, January 2002 Page J- of ~_ Secondary Containment Testing Report Form This form is intended for use by contractors performing periodic testing of UST secondary containment systems. Use the appropriate pages of this form to report results for all components tested. The completed form, written test procedures, and printouts from tests (rf applicable), should be provided to the facility owner/operator for submittal to the local regulatory agency. 1. FACILITY INFORMATION Facility Name: Fastrip #347 Date of Testing: ?, - L~; - c~ ,~ Facility Address: 2698 Oswell Bakersfield, CA. 93306 Facility Contact: Jaco Oil Phone: ~- fie. ~ _ '~ i L .;~? <- ; Date Local Agency Was Notified of Testing : ^ .. ~ y _. «~ Name of Local Agency Inspector (f present during testing: 2. TESTING CONTRACTOR INFORMATION Company Name: Sunset Mechanical Technician Conducting Test: kE~ t'~k'^u.s; Credentials: &1 CSLB Licensed Contractor ^ SWRCB Licensed Tank Tester License Type: C-36 C-10 License Number: 589517 Manufacturer Manufacturer Trainine Com onent(s) Date Trainin Ex Tres T_<'. ~ ~ ^G. c.. _ ~ 1 ~ ~ 1.' ~~3? s vt "i ... ~ `e ~~..-- "i ~ -.~ 3. SUMMARY OF TEST RESULTS Component Pass Fail Not Tested Repairs Made Component Pass Fail Not Tested Repairs Made ._, c :l: c ~ iii +~ ® ^ ^ ^ ~, s+l. r . -r ® ^ ^ ^ #:., ~~: > 9A- ~ ® ^ ^ ^ M., c' Fes- '.~ ~' ^ ^ ^ If hydrostatic testing was performed, describe what was done with the water after completion of tests: V\ !~~ ~ ~'' l~ F9 T' 'C E 4 i f L`3 ~ i^J ~' ~ I~°~.:~.CJE ¢"`'~ .1 AS" C5 +~ by r'3 C`(`+ £: ~' C,LC~ PJ t !' FJ iC CERTIFICATION OF TECHNICIAN RESPONSIBLE FOR CONDUCTING THIS TESTING To the best of my knowledge, t/:e facts stated in tl:is document are accurate and in full compliance with legal requirements Technician's Signature: ~-'-'~'~~,~"~----- Date: ~' ~'-•~- t~ SWRCB, January 2002 4. TANK ANNULAR TESTING Page ~ of "t Test Method Developed By: ~ Tank Manufacturer ^ Industry Standard ^ Professional Engineer ^ Other (Sped) Test Method Used: ^ Pressure ®Vacuum ^ Hydrostatic ^ Other (Sped) -, mac. Test Equipment Used: ~ ~.~~t~i%n ~1 ~ t~~-, '/1 ~~s~~~~_ Equipment Resolution: ~ -. ~,~ - _ __ _._ ~-- _ _- ----- I~ ~ Tank # ~ Tank # '~. Tank # ~ Tank # y Is Tank Exempt From Testing?~ ^ Yes ~' No ^ Yes ®-No ^ Yes ~'No ^ Yes ~ No Tank Capacity: ti •7~rr- i C. .~ n ~ - 2 *k^?t1 !: ? ~C''=' Tank Material: Tank Manufacturer: ~ _ „ ,f . Product Stored: ~ ., ~:,,. ,~ 4~~, .,~ ,~,~ - Wait time between applying pressure/vacuum/water and starting test: ~S• ~,,~ ~~ iS :,~ ~„~, ~ ~ "` "~' t ~ ~ ~ ~ Test Start Time: ~ ° f-~ -, ~ ~ 1 ~ ~° ~-~ ~ n +•- : ~': - ~~, ~~ Initial Reading (R,): 1 9 H ~. ~ ~ ~~`~ ~ r h ~;; . j ~ H<ti . Test End Time: n ~_~ ~: i3 ~' r ;:,, ~; 1 -~ .~ ~` a1 1~:'La~ ~ ~ ~-~ ~' : ~. Final Reading (RF): ~ ! ~+c_• I O '~'~`~ . ) i M`` • t'C N`. . Test Duration: f.; c~ ,^~„ ,e-, &-i ~°i ;,.~ „" . ~; ,~ w,, ,.c,, ~ ~ ,~, , Change in Reading (RF-R~): Pass/Fail Threshold or Criteria: _. ~, .~ Nc . _ ~• , ..~ -- ~• -, tip... .-- ~,~, ire; • Test Result: 5~ Pass ^ Fail ~ Pass ^ Fail i~ Pass ^ Fail ~' Pass ^ Fail Was sensor removed for testing? f$' Yes ^ No ^ NA C~,Yes ^ No ^ NA C~? Yes ^ No ^ NA .~] Yes ^ No ^ NA Was sensor properly replaced and verified functional after testin ? ~ Yes ^ No ^ NA ~ Yes ^ No ^ NA ~ Yes ^ No ^ NA ~' Yes ^ No ^ NA Comments - (include information on repairs made prior to testing, and recommended follow-up for failed tests) ~ Secondary containment systems where the continuous monitoring automatically monitors both the primary and secondary containment, such as systems that are hydrostatically monitored or under constant vacuum, are exempt from periodic containment testing. {California Code of Regulations, Title 23, Section 2637(a)(6)} SWRCB, January 2002 5. SECONDARY PIPE TESTING Page ~_ of ~ Test Method Developed By: 1~ Piping Manufacturer ^ Industry Standard ^ Professional Engineer ^ Other (Sped) Test Method Used: ^ Pressure ^ Vacuum ,.Hydrostatic ^ Other (Spec) Test Equipment Used: ~;,~~~ e~ ;S _ a7 ~ ~ Equipment Resolution: f' . ~~:Y~ ~• --- i~ Piping Run # it ~ ---- - - Piping Run # ~ --- Piping Run # j - Piping Run # Piping Material: - ~• t ~, . ~- ~ `,. c ~ t~ r Piping Manufacturer: C, .-~~' • ~.,, ~ `.y . - Piping Diameter: ~ -- ~ ~ • •.- Length of Piping Run: .~. ~,~ •~ ~ 3~ -*- ~~ -r `~r+, • Product Stored: , ., , ~, - s „ ~ , Method and location of i in -run isolation: -f~~; ~-~-,-r ~ ;~ ~y P ~~~; ~~e~ c- a.~ ~ ice'; ~c°~,cs-'' a ..- "'i'~~s'*' ~n~-+1- ~-, Wait time between applying pressure/vacuum/water and startin test: ~•• 'C7 a~. !~I ~+V ~; ~ , r~ ~ ~, ~ ~-, ry,,q , ,,~, <-c ;; 5,,,` ,,o, , Test Start Time: ; ~~ A ~=~ ~ ` f, r, ~~ ~ , ~l n :w ~- r+ :~, Initial Reading (R,): ~ ~ t ~;~.i .. ,;,r r... -j, ~ ~~ -.. ~ . l~~ r ~, Test End Time: - ~, ~ ' rw c a :e. c... • ,-~; ~, ,,,~ Final Reading (RF): G, . ~ ! f; ~ '' S ?~ °' 7. ~-it ~' E> `' '7. 1 `~% ~' • Test Duration: j ; ;;~ ,n,, y l5 rw. y ~ r S sn. Change in Reading (RF-Ri): -i- . ~~ ~'^sry ~ ~ . .. ...~, _ ~''s - . C~r~.~ - Pass/Fail Threshold or Criteria: ~ : ot~2 -_ t ~~~r-, =' -± - ~"-?~' •. -'_` ,c'1z-•r~ Test Result: -g Pass ^ Fail ~ Pass ^ Fail ®Pass ^ Fail ($ Pass ^ Fail Comments - (include information on repairs made prior to testing, and recommended follow-up for failed tests) ~i~~.X`i'>:e: ~ tG.~'.~1~ ~r 1'ti Ai•'-• .G~ / . "~ (A ~C`, f` ~ C'1 LL L"'l'• L ~ 'fN per. 4` ~ ~' ~ ~°1 L"ti ~`eS' Gam' nX/ :^s` '~ iv~L^~ ~~ ' ~ ~'~'a'~r,.~ ~A_i C'~'V b`ir:1.Nr"T(~5;~ SWRCB, January 2002 6. PIPING SUMP TESTING Page ~ of _~ Test Method Developed By: ®Sump Manufacturer .fl Industry Standard ^ Professional Engineer ^ Other (Spec) Test Method Used: ^ Pressure ^ Vacuum !~ Hydrostatic ^ Other (Sped) Test Equipment Used: ~N,•~n ~ -?•~ _ •;~ ; ~ Equipment Resolution: -r- . ~~-~ •• ~j li Sump # ! Sump # ~. Sump # ~ Sump # _- f Sump Diameter: ,~ t,1 y ~ ~. „ <~ -- Sump Depth: ~ «-' ~ ~ ~ - Sump Material: ~ i _ , ~. ~~;, ~ , .~, ~-, t- _ ~ , , Height from Tank Top to Top of Hi hest Pi ing Penetration: i ~ `~ 12 "" !? '• i'~ ' ' Height from Tank Top to Lowest Electrical Penetration: ~.~ '' 1..~ Z~:~ "' • ~.. ~ • ~~ Condition of sump prior to testing: ~z^s~~, ~cti~~ ~,`yn ~, r ~•.~; Portion of Sump Tested -t- Z k - + °~ - -~ '~~ ~"" -f L ' - Does turbine shut down when sump sensor detects 1 iquid (both roduct and water)?{ ~ Yes ^ No ^ NA l~~Yes ^ No ^ NA ~~Yes ^ No ^ NA C~'Yes ^ No ^ NA Turbine shutdown res onse time 't ~ • ?` ~-, # < ~ ~.• ~:, n '; r- Is system programmed for fail-safe shutdown?+ Q" Yes ^ No ^ NA 1~ Yes ^ No ^ NA ®Yes ^ No ^ NA ~ Yes ^ No ^ NA Was fail-safe verified to be o erational?~ g~ yes ^ No ^ NA ~ Yes ^ No ^ NA ~ Yes ^ No ^ NA 1~ Yes ^ No ^ NA Wait time between applying pressure/vacuum/water and starting test: _.,, --~ ~r .~,.~ , ,~, .. Test Start Time: ' ~ ' ~ 7 '`~ ah j ~ • ~ ~ ~ ~ i L1 ' ~ `7 '` es,, t n • ~ ,.r =? 6 •. Initial Reading (R,): :r3. iii :~l;; -. ~i. ~~ *'t r '' '~. ~' <:r '• ~ <~ ,~ --' Test End Time: j ~ ~ a a•~ 14 : '' s. ~~„ 1 ~ • ~.°-? ~: ~~ V r~ ~ t~ ' ~ w Final Reading (RF): dry ~; ~~ c •~. ~ - ~` . ~ ~ .-,.,; . Test Duration: j ~ ~ , ,~;, v,~ ~ ~ t , :,~ , xv , Change in Reading (RF-R,): ~. ~ ~, ~c,~ •- _. ~ _- . ~y~~ - ~ ~ • ~,,~,., i • . Pass/Fail Threshold or Criteria: -~• . ter,-, • • ~ , r,~-~ -- -~• . ~,, ~ -~- , ,•-,~~ •- Test Result: ~ Pass ^ Fail ®Pass ^ Fail !~ Pass ^ Fail ~ Pass ^ Fail Was sensor removed for testing? td' Yes ^ No ^ NA ~ Yes ^ No ^ NA ~] Yes ^ No ^ NA ~] Yes ^ No ^ NA Was sensor properly replaced and verified functional after testin ? ~~ Yes ^ No ^ NA ~ Yes ^ No ^ NA Cd Yes ^ No ^ NA ®Yes ^ No ^ NA COmmerits - (include information on repairs made prior to testing, and recommended follow-up for failed tests) ' If the entire depth of the sump is not tested, specify how much was tested. If the answer to a~ of the questions indicated with an asterisk (*) is "NO" or "NA", the entire sump must be tested. (See SWRCB LG-160) SWRCB, January 2002 7. UNDER-DISPENSER CONTAINMENT (UDC) TESTING Page ~ of Test Method Developed By: @ UDC Manufacturer ~ Industry Standard ^ Professional Engineer ^ Other (Spec) Test Method Used: ^ Pressure ^ Vacuum ~ Hydrostatic ^ Other (Sped) Test Equipment Used: ~,•,;,_~.,~ -~ - ~~'S Equipment Resolution: t- -.~~1-7_ •• - - --- - - I` ~I -- .U # t - ? -- UDC # UDC # _ UDC # '~., r' UDC Manufacturer: 'T~ ~~ -~ -. -T ~ ~ •, .- -•~ ~• r. ^-•- UDC Material: ~ ~ c~~ ~ ~ -o ~ c~> L i `~• Ef?, ' ::a ~ ,.. ,~ ' r,.•f UDC Depth: ;~~ - ~~ '•~ .~ -- •~, Height from UDC Bottom to Top of Hi hest Pi in Penetration: t': ' ' t 2. 1 'Z.. " ' _ _ ~ Z Height from UDC Bottom to Lowest Electrical Penetration: d ~ ~ ~ 1 ~ I ~ _ I Condition of UDC prior to Portion of UDC Tested {- : ~ --~ ~ ~ - •~-- t ~' - ••~• 1 S -- Does turbine shut down when UDC sensor detects liquid (both roduct and water)?{ fr} Yes ^ No ^ NA ~ Yes ^ No ^ NA C~ Yes ^ No ^ NA E~ Yes ^ No ^ NA Turbine shutdown response time -~' ~,~ <:~: •~ ± ~~~ _:':<~ . -~~ ;`~~~ ~;~c -~' ~ ~~ c;.4'~.. Is system programmed for fail- safe shutdown?* ~ Yes ^ No ^ NA ®Yes ^ No ^ NA f~ Yes ^ No ^ NA ~' Yes ^ No ^ NA Was fail-safe verified to be o erational?~ ~" Yes ^ No ^ NA l~ Yes ^ No ^ NA •~ Yes ^ No ^ NA ~ Yes ^ No ^ NA Wait time between applying pressurelvacuum/water and startin test C C3 r~a . ,~ ~ ~~ ,~.a r :., ~~ C'S ;~,~ , ~, E:., c'~ ~ ~ ~, .. Test Start Time: ; ,,t `S ,~ <<... ~ :~~-, { .a rya y~• ~ r.., Initial Reading (R,): ~• . 6 t'~ - • ~_ ~~ <:.r ~ -• -, _ -a, l ~3c~ Test End Time: ~,~- ~~ :•.~ IU • ~ <- r F~ -~ ~- ~rt~~ i r7 n e:~ ''~r-~ Final Reading (Rr)~ ~ r ! ~ E:f •' cti ;~,,.~ ; , . 7 . Z -~ •_ 'Z . <<• ~'~ Test Duration: / <; sk , ~., •• ! 5 aH , +v .. ^H „rv '~ Change in Reading (Rr-R~)~ -i-, t'~c~ ra<:.., -a-. ;S __ Rr - . ~e~e5 ' Pass/Fail Threshold or Criteria: ~ . cx'~ y, •. -+ ~,~ • • ~ • Cb~rn~~, •• ~ . ~^>e~ ? °- Test Result: ~ Pass ^ Fail ~ Pass ^ Fail l;<7 Pass ^ Fail B Pass ^ Fail Was sensor removed for testing? ~ Yes ^ No ^ NA .l~ Yes ^ No ^ NA Yes ^ No ^ NA ~ Yes ^ No ^ NA Was sensor properly replaced and verified functional after testing? ~ yes ^ No ^ NA •~•Yes ^ No ^ NA ~Ed Yes ^ No ^ NA -~TYes ^ No ^ NA Comments - (include information on repairs made prior to testing, and recommended follow-up for failed tests) ,~,.rtl'~i'_~ r~~.-<'1'l ter.'-.L~fu 3:~`'~~~f^r~"s f~SE' Lf~L~Y>r-t E?F'.'~'x '7'~~"`+ F~1 F~t,La;t, l ~ Z'` ~~.1~'• 1 t'CF i..~~~ •r~y !'..P1~.3~i 't /\)C~ ~ Cl" 1 ' If the entire depth of the UDC is not tested, specify how much was tested. If the answer to a~ of the questions indicated with an asterisk (*) is "NO" or "NA", the entire UDC must be tested. (See SWRCB LG-160) SWRCB, January 2002 R_ FTT.i. Ri~F.R ('nNTATNMENT SUMP TESTING Page E of • ~ Facility is Not Equipped With Fill Riser Containment Sumps ^ Fill Riser Containment Sumps are Present, but were Not Tested ^ Test Method Developed By: E~ Sump Manufacturer E~ Industry Standard ^ Professional Engineer ^ Other (Specify) Test Method Used: ^ Pressure ^ Vacuum .®. Hydrostatic ^ Other (Sped) Test Equipment Used: 1l..~~.nYV ~;~ , ~;c Equipment Resolution: ~ :r~7t'X~ ' " ~ Fill Sump # / Fill Sump # Fill Sump # 3 Fill Sump # :~ Sump Diameter: ~;:^ y~ '- 4{ ~ '- ~ ~ '- Sump Depth: ~ - y ~ y ~ y Height from Tank Top to Top of Hi hest Pi in Penetration: It/~,a P.I/~ ~'~~~ 1~1~` Height from Tank Top to Lowest Electrical Penetration: ~ '" ~ :~ Condition of sump prior to testin ~.~~r, ~='ic~~, C•~'SC`t`, C~:->~" Portion of Sump Tested -} ..~ •- -t- ~, -- -r :~ Q --• --~-~ ~ ~- Sump Material ~ ~ , ,~cr : ~_~, ;~ ,;• .F>c,.~;~;r f-; ~ . <c Wait time between applying pressure/vacuum/water and startin test: ~J i+•t a la.- : 1 ~ l~.r i !~ t ~ s'el W Iw L ~ :M a -v . Test Start Time: a: c~ ~ rx ~ • ~; ~ ~ .~~ 9 C} ' °:i,-~ n: r., : r..~ ,~, p a~ Initial Reading (R,): ~= :.~- _. - , .. ~. o `:i ' ~ .~~,`a`--> -. Test End Time: r n,r.ti 9 ~ ; .~n~. I1 : / ~= r•+ ci ~. <t Final Reading ~RF)~ ~ ~ '' cS . ` , ~,,a ~ . •~ ~_ ~ . ~.,,` , Test Duration: ,:,, ~ s..r. i ~ ;•, ,x. t ~ ~1~,~ a . Change in Reading (RF-R,): -} . ~~, "h ~ ~ -~- , ~ • - k'~' -r . ~, r•, ~., Pass/Fail Threshold or Criteria: i~ ° ,~sr~-, '~ •~- . !~, -~ ~ ~' ,~1r_> ~ ~• ~' . ~~~.-, Test Result: L~J Pass ^ Fail ~ Pass ^ Fail ~ Pass ^ Fail ~ Pass ^ Fait Is there a sensor in the sump? ^ Yes 1~ No ^ Yes ~ No ^ Yes F3.No ^ Yes ~ No Does the sensor alarm when either product or water is detected? ^ Yes ^ No l~ NA ^ Yes ^ No ®.NA ^ Yes ^ No •{~ NA ^ Yes ^ No •~ NA Was sensor removed for testing? ^ Yes ^ No NA ^ Yes ^ No NA ^ Yes ^ No (~ NA ^ Yes ^ No ~7 NA Was sensor properly replaced and verified functional after testing? ^ Yes ^ No 1~ NA ^ Yes ^ No ktl NA ^ Yes ^ No l~ NA ^ Yes ^ No -~ NA COmmerits - (include information on repairs made prior to testing, and recommended follow-up for failed tests) SWRCB, January 2002 9. SPILL/OVERFILL CONTAINMENT BOXES Page ~ of ~ Facility is Not Equipped With Spill/Overfill Containment Boxes ^ Spill/Overfill Containment Boxes are Present, but were Not Tested ^ Test Method Developed By: R Spill Bucket Manufacturer (~ [ndustry Standard ^ Professional Engineer ^ Other (Sped) Test Method Used: ^ Pressure ^ Vacuum ~J Hydrostatic ^ Other (Sped) Test Equipment Used: ~~;~,~ -; _ ~~, N -- - - - -_ __ __ ~~ Spill Box # 1 Spill Box # •Z Equipment Resolution: -* , ~~ •• - _ - _ ___ - - - Spill Box # ~ Spill Box # ~ Bucket Diameter. [ ~ -- t ~, ~- ~ ~- !~ ~- Bucket Depth: i ~ '• t 7, ~- Z ~- ~ ~ '• Wait time between applying pressure/vacuum/water and startin test: ~ _ t ' ~~ "" f c r•, , ti l S :~ ~ ~ti l ~ rw ~ ~ - Test Start Time: 1 1 : ~ i ~ R'~ f i ~ ? ! ~~' ~"'- l t . Zl '`~ ``" 1i ; ~ f ~~ Initial Reading (Ri)~ ~ .'`,F:•~:~ l J • 4 ~~ -~ , c;J.. ,3- r--~ <.° ..,, ., Test End Time: t 1 ::;(; F:.a... 1 i . ~'{ ~ r'^ i ).' ' e: f'~^ I t . ~<~4 r. r.., Final Reading (RF): L.j `it; r,,:... Sl. c ~~ ' f°° ~1. ~ .a.`~ Lj . i 3 i ,., Test Duration: 1,~ r,~, ,N . 15 ~, N ~ ~ r~ , -~~ 1 ~ .-~, ~+~ Change in Reading (RF-R~): -r . ~ ~-,r, ,; - .~. ~-, y ~ ~~ ~ - - _ , ~ ~j -- PassfFail Threshold or Criteria: Test Result: ,ip Pass ^ Fail ~F] Pass ^ Fail -~ Pass ^ Fail ~ Pass ^ Fail Comments - (include information on repairs made prior to testing, and recommended follow-up for failed tests) ..emu. 1 f. .. i \ ~. \ ~ ' ~" i~ n ar `fly '~ r-- ~ 1 1 ~ ~ it ~t~W~ :. :.. . ~ ' .i'1 ~ 1r1h - t ~ nor .; ~ i .fib !'}.~ '-vi i~. r. ~ 'pi ~ i ~ ~ ..el.-j-,r . --.~s.._'-41hrw .. _..-41r.hp ~ ~ _ --r+~~. ; ~:. , %:Er OFT i] ='~-;- ~ _ 'iR~:: i J .. t'i: Gi• i~r~ ~I TE ~T ~TlliS i t'~7 ~ :J ~Ji'GI~G~~I ~ ~ + T _^ `. T~"I ISTGC! ~i.}''L~~i~L~~~k~~l I '~~.iliti ,,t._~ . ~•~fiN~ LI~ __ yw -yr` - :dab. ;ly I F~(j "'ih1~ _ 'r.: Ah". 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