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HomeMy WebLinkAboutUST-REP 12/30/2005~ - - --- NNDERGROiJND STORAGE TANKS? FILE # „ , ~ i STEVE THORNE CHEVRON --- - - - - - - - -- - -- .- __-_--- _-- __ _-- _ . _ _ - 2700 OSWELL STREET - __ .. _ __;~ ... - ~ ~~ ~ ~ ~. ~ ~ ~ ~: . . ~f S~l~ ~~ ~~~, ~~ r uN®ERGI~~uND sTORAGE TANKS ,~f =~ ~.",~. D~E1~SE~ELI) EIRE DEFT'. ~ a ~ ~ ;_ ~ ,.. ry n F;1-ev;~r~~it~n ~~rvices .~t'~°r~ ~~~`r-;~~%~ 9E}0 Tr~uxtun Ave., Ste_ 210 APPLIC~Ti~N ~ "~°'- ~_~s~ B~xersfie~a> cA 93301 TO PERFORh+I ELD I LINE TESTING Tel.: (661 326-3979 / S6989 SECONDARY CONTAINMENT TESTING Fax: (661) 852-2171 !TANK TIGHTNESS TEST AND TO PERFORM FUEL MONITORING GERTIFIGATiON Page 1 of 1 PERMIT NO. ~ ~~ ` ^ ENHANCED LEAK DETECTION ^ LINE TESTING ~ SB-989 SECONDARY CONTAINMENT TESTING ^ TANK TIGHTNESS TEST ^ TO PERFORM FUEL MONITORING CERTIFICATION ~iTE INFOr~iNATiGN _ _ -" FACILITY iN.@ME & PHONE NU~7BER OF CONTACT:" PERSON - ~i a EsSa'10U ~' I d ~~ ,r~~~1..~Qc~ , CA 4 33a1o I OWNERS NAME ~- OPERATORS EdAME PEFdM1T TO OPERATE NO. i ~tJUMBER OF TANKS TO BE TESTED TANK # -- _ F------------ IS PIPING GOING TO BE TESTED? YES ^_ NOa~G VOLUME --_-~- ~ "-,----__-__-- C O N T E N_TS _,_ - ----- I i I i ~ ~ f' I I I i i---- --- -+ ~ I ---- --- ----- ------ --- ---- --- -- --_ _ ..-------- --- ~. i I Ii - - - i I -- __ j -- - -~ I -- -------~ -- - -------- ___ I I - --- -_. - - ~ '~ --- I --'' TANK TESTING COMPANY ' `NAPA OF TESTING COMPANY --- ---- - - - ------ jNAME HONE NUMBE OF CONTACT PERSON MAILING ADD ESS P 0 ~ ~ ISb1 ~a-l~L~.e~s~ G~ `}330 NAME PHONE NU BER OF TESTER OR SPECiA INSPEC OR (CERTIFICATION ~: ~P ~ d~So3~~it~-~ - oSo3S13~- DATE 1ME TEST TO BE CONDUCTED (iCC ;~: EST METHOD I. ~ ~ :0 5a 9a (~- uT ~~ ~IGNATURE OF A IC Tn~~i -~~ ~.~~ (DATE / ~aD.~Q~ li 'APPROVED BY \ ,Jj/~- / //~~//1 /.A~.r (DATE //~/f,/ FD2106 UNDERGROUND STORAGE TANKS w APPLICATION TO PERFORM ELD /LINE TESTING / S8989 SECONDARY CONTAINMENT TESTING /TANK TIGHTNESS TEST AND TO PERFORM FUEL MONITORING CERTIFICATION PERMIT NO. l ~~ O~~ wi~~ ARrr r ~~ BAKERSFIELD FIRE DEPT. Prevention Services 900 Truxtun Ave., Ste. 210 ' Bakersfield, CA 93301 Tel.: (661) 326-3979 Fax: (661) 852-2171 Pie 1 of 1 ^ ENHANCED LEAK DETECTION ^~LIN~E TESTING ^ SB-989 SECONDARY CONTAINMENT TESTING n TANK TIt;HTNFSS TFRT / LSd TO PFRFCIRM Fl1El TARING CERTIFICATION IT INFO MATI N FACILITY ~ ~~\ 1(~ NAME & PHONE NUMBER OF CONTACT PERSON ADDRESS • ~ n ~ ~\ ~ ~~ OWNERS NAME , n ~ U ~J OPERATORS NAME S ~~~.u ~~ PERMIT TO OPERATE NO. NUMBER OF TANKS TO BE TESTED IS PIPING GOING TO BE TESTED? ES ^ NO TANK # V UME CON NTS .i~ = g 2 r~ n t. ~ - ~` , 3 TANK:TESTING COMPANY "~ . '. NAME OF TESTING C~PtAN NAME 8~ PHONE NUM R OF CONTACT PERSON MAILING ADDRESS NAME 8 NE NUMBER OF TESTER OR SPECIAL INSPECTOR RTIFICATION DATE & TIME EST TO BE CONDUCTED ,~~ ICC #: TEST METHOQ SIGNATURE OF APPLICANT ~ DATE ~ ~ J APPROVED BY DATE FD 2095 (Rev. OVA/05) ~3~L_LING & PERMIT STATEMENT ~PERI1~iT NO.: BAKERSFIELD FIRE DEPT. Prevention Services P/Rd 900 Truxtun Avenue, Suite 210 ARTM T Bakersfield, CA 93301 Teti fhhll 32.h-3979 S Fax' fhhll R52-2171 • LOCATION OF PROJECT ~~ ~ ~ >~ ~ ~ ~ PROPER NER ~? STARTING DATE COMPLETION DATE NAME PROJECT NAME ADDRESS PHONE NO. l l Od PROJECT ADDRESS ~ ~ C AT Z1PC DE • •' CONTRACTOR E CA LICENSE NO. . ~ TYPE OF LICENSE. EXPIRATION DATE PHONE N0. ~, R~~, CONTRACTOR CO Y E F/~C NO.~ ' ~ ^ / 1_7` ADDRESS ~ ~' CfrY ZIP ODE • • ~ ^ Alarms -New & Modifications - (Minimum Charge) $262 50 • ~ . 98 Over 20 000 Sq FL FL x 013125 =Permit fee Sq ~ ^ . , . . 98 ^ Sprinklers -New & Modifications - (Minimum Charge) $210 00 ~ . 98 ^ Over 5 000 Sq Ft Ft x 042 =Permit fee Sq ~ , . . . . 98 ^ Minor Sprinkler Modifications (< 10 heads) $ 93.00 [Inspection Only] ~ 98 ^ Commercial Hoods -New & Modifications $ 398 26 ~ . 98 ^ Additional Hoods 00 $ 36 ~ . 98 ^ Spray Booths -New & Modifications $458 00 ~ . 98 ^ Aboveground Storage Tanks (Instal/ation/Insp: 1~` Time) $165.00 82 ^ Additional Tanks $ 26.00 82 ^ Aboveground Storage Tanks (Removal/inspection) $109.00 82 ^ Underground Storage Tanks (installation./Inspection) $878.00 (per tank) 82 ^ Underground Storage Tanks (Modification) $878.00 (per site) 82 ^ Underground Storage Tanks (Minor Modification) $155.00 82 ^ Underground Storage Tanks (Removal) $675.00 (per tank) ~ ^ Oilwell (Installation) $ 72.00 ~ ~: M dated Leak Detection (Testi ) /Fuel Monit. Cert. $ 81.00 (persite) _ 82 Tents $ 93.00 (per tent) ~ ^ After hours inspection fee $122.00 84 ^ Pyrotechnic - (Per event, Plus insp. Fee @ $90 per hour) $ 60.00 + (5 hrs. min. stand -by fee 1lnspedion) _ $510.00 84 ^ RE-INSPECTION(S) /FOLLOW-UP INSPECTION(S) $ 93.00 (per hour) ~ ^ Portable LPG (Propane): NO.OF CAGES? $66.00 ~ ^ Explosive Storage $249.00 ' ~ ^ Copying & File Research (File Research Fee $33.00 per hr) 25¢ per page • ; ~ ^ Miscellaneous : ~ FD 2021 (Rev. 09/05) ~ no~r^_u~ni ~niutTC a.. ~r.d~e..n.i LVFi 1 A5N ffn Fi1u\ 1_PINK r4n Cuatmm~rl E R S F I D F/RF February 2, 2006 ~RrM r Mr. Steve Thorne Steve Thorne Chevron 2700 Oswell Street Bakersfield, CA 93306 Re: Failure to Perform Annual Monitoring Certification RONALD J. FRAZE FIRE CxIEF NOTICE OF VIOLATION Gary Hutton, & SCHEDULE FOR COMPLIANCE Senior Deputy Chief Administration Dear Mr. Jouda: . 326-3650 Our records indicated that you have not completed your annual fuel monitor Deputy Chief Dean Clason certification at the above-referenced location and are in violation of Section 2638 Operations/Training California Code of Regulations Title 23, Division 3, Chapter 16 Underground Tank 326-3652 Regulations: Deputy Chief Kirk Blair "(a) All monitoring equipment used shall be installed, Fire Safety/Prevention Services calibrated, operated, and maintained in accordance with 326-3653 manufacturers instructions and certified every 12 months for operability, proper operating condition, and proper calibration:' 2101 "H" Street (f) A person conducting underground storage tank equipment Bakersfield, CA 93301 certification shall affix atag/sticker on each monitoring equipment OFFICE: (661) 326-3941 component that is being certified, repaired, or replaced. The FAX: (661) 852-2170 tag/sticker shall be placed in a readily visible location and shall include the date the underground storage tank component was certified, repaired, or replaced and the contractors license number." RALPH E. HUEY, DIRECTOR PREVENTION SERVICES To avoid further enforcement action up to and including revocation of your Permit flRE SAFETY SERVICES • ENVIRONMENTAL SERVICES 900 Truxtun Avenue, Suite 210 to Operate, you shall have your fuel monitor certification completed within 30 days Bakersfield, CA 93301 , (March 3, 2006). OFFICE: (661) 326-3979 FAX: (661) 852-2171 Should you have any questions, please feel free to contact me at 661 - 326-3190. David Weirather Sincerely yours, Fire Plans Examiner 326-3706 Ralph E. Huey, Howard H. Wines, III Hazardous Materials Specialist Director of Preve f;on Services 326-3649 ~: l_ C ' • ~ ~`~ By: Steve Underwood, Fire Prevention Officer REH/db _ ~~. =~.=c .~ ~- --~~ MONITURiNG SYSTEM CERTIFICATION ~~~" ° ~ For Use By.411 Jurisdictions Withln the State of California Ruthority Cite& Chapter 6 7, Health and Safety Code; Chapter 16, Division 3, Title 23, California Code o,/Regulations Thi s form must be used to document testing and servicing of monitoring equipment. A se~ar'ate c~ cation or report must ~e prepare for each monitoring_system control venal 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 io the Iocal agency reglulating UST systems within 30 days of test date. A. General Information Facility Name: t7'~ tJ~ T1~fr~,(L.21 1: G I~ ~ nSldg. No.: Site Address: a7~d O~i.~J ~ _ ,~,~ City: Pj,/~~:~ ~/,C~G.~/ Zip: `73 Facility Contact Person: Contact Phone No.: ( ) R'iake/Nfodel of Monitoring System: T~,S ' ~`~~ Date of Testing/Servicing: ~1~s11~ ld, Inventory of Equigment Tested/Certified ('hrrk fhe anmm~rie[e 11(1YBS to IRdIC9tC sneCltlC GOllInn1CB[ 1fl5DCCfCd/SeNECed' 1'aak [B: (~ ~ ~. ~ 7 Taak ID: U `l $1 In-Tani: Gauging Probe. Model: -N_2~'C'2/ la-Tank Gauging Probe. Model: ^ :annular Space or Vault Sensor. Model: ^ Annular Space or Vault Sensor. Model: Piping Sump /Trench Sensor(s). Model: ,Q Piping Sump /Trench Srnsor(s). Model: ~ Fitt Sump Sensor(s). Model: ~ Fill Sump Sensor(s). Model: ^ Mechanical Line Lcak Detector. Model: ^ Mechanical Line Leak Detector. Model Elecronic Line Leak Detector. Model: V )5 - t ~ Electronic Line Leak Detector. Model: (,l"G7tiCG t,11 L Tanis Overfill /High-Level Sensor. Model: ~ Tank Overfill /High-Level Sensor. Model: v" 1 ~(~ / ^ Others i ui mcnt a and model in Section E on P e 2 , ^ Other s i ui meat a and model in Section E on P e 2 . Taut: lU• ~i/1 g Tank ID• In-Tank Gauging Probe: Model: y ^ In-Tack Gauging Probe. Model: ^ annular Space or Vault Sensor. Model: ^ Annular Space or Vault Sensor. Model: ,'~ Piping Stunp /Trench Sensor(s). Model: a-d fC ^ Piping Sump /Trench 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: - 1 ^ Electronic Line Leak Detector. Model: Tank Overfill /High-Level Sensor. Model: ^ Tank Overfill /High-Lave! Sensor. Model: ^ Other (specify equi ment type and model in Section E on Page 2). ^ ther (specify equipment type and model in Section E on P e 2). llispeuser 1D: / "~- Dl:penser ID: .~" ~~ Dispenser Containment Sensor(s). Model: ~'1~ ~ ~ Dispenser Containment Sensor(s). Model: Shear Valve(s). ~ Shear Valve(s). ^ Dis eraser Containment Floa s aced Chains . Dis user Containment Floa s and Chains . Dispenser ID: ~,~~ Dispenser ID: ~ Dispenser Containment Sensor(s), Model: ~t ~ Dispenser Containment Sensor(s). Model: ~ ~ Shear Valves}. Sheaz Valve(s). ^ Dispenser Containment Floats} and Chain(s). ^Dis eraser Containment Floats and Chains . Dispenser 1D: Dispenser iD: ^ Dispenser Containment Sensor(s). Model: ^ Dispenser Containment Sensor(s). Model: ~ ^ Shur Valve(s). ^Di i C Fl i h ^ Shear Valve(s). spenser onta nment oat(s) and C a n(s). ^Dis eraser Containment Floats and Chants . 'f If the faaciliry contains more tanks or dispensers, copy this form. Iaclude information for every tank and dispenser at the facility. C. CertifiCatiOri - i certify that the equipment identified in this document was inspectedlserviced 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 Ptot Plan showing the layout of monitoring equipment. For any equipment capable of generating such reports, I have also xttached a copy of the report; (check all that apply): ~ System set-up ~A r history report Technician Name (print): ~1.4'.Q, tJ y/I~~,:,rJ Signature: Cc,-tiiication No.: Q[> j~ - d~~ -- ~ ~}.~~ License. No.: Testing. Company Name: RICH ENVIRONMENTAL Pltone No.: ~ 661 ~,, 92-8687 Site Address: a'7~t7 O,it,J~ (~L {~ 1 ~j.~/,~„QS~'j~[JQ~ ~~U~ Page I of 3 (~ Date of TestinglServicing; ~/~/ !~ 03101 Monitoring System Certification _~} D. Y2esults of Testing/Serv/i1cin/g~ Soft~varz Version Installed: ~U ~ c~ y f'., nlero t6a fnltnwina rharitlict~ I z '7.b-7 ~~. Yes ^ ° Is the audible alarrn o erational? Yes ^ ° [s the visual alarm o rational? ~j Yes ^ ° Were al! sensors visual ins ected, functionall tested, and confin-ned o erational? Yes ^ ° Were all sensors installed at lowest point of secondary containment and positioned so that other equipment will not interfere with their ro er o eratiolt? ^ Yes ^ ° If alarms are relayed to a remote monitoring station, is all communications equipment (e.g. modem) N/A operational? ~j, Yes O ° For pressurized piping systems, does the turbir-e automatically shut down if the piping secondary containment ^ N!A monitoring system detects a leak, fails to operate, or is electrically disconnected? If yes: which sensors initiate positive shut-down? (Check all that apply) .>$ Sump/Trench Sensors; .0t'Dispenser Containment Sensors. Did ou confirm ositive shut-down due to leaks and sensor failure/disconnection? Yes; ^ No. 1'es ^ ° For tank systems thrt utilize the monitoring system as the primary tank overfill warning device (i.e. no ^ NIA mechanical overfill F.evention valve is installed), is the overfill warning alarm visible and audible the ta~ik ~ % ' fill oin s) and o eratin ro erl ?Ifs at what cent of tank ca act does the alarm tri er? ^ es ~ N o . Was any monitoring equipment replaced? if yes, identify specific sensors, probes, or odter equipment replaced and list the manufacr~rer name and model for all re lacement arts in Section E, below. C7 es ~ No Was liquid found insi3e any secondary containment systems desigr-ed as dry systems? (Check all that apply) ^ Product ^ Water. if es describe causes in Section E below. Yes ^ ° Was monitorin s stun set-u reviewed to ensure ro er settin s?Attach set u re orts if Jicable Yes ^ ° Is all monitorimg equipment operational. r manufacturer`s specifi;,ations7 '~ In sect,on 1/ below, describe how and v•,~eo these detietencles were or will be corrected. E. Comments: ,, ., a ~~ Page 2 of 3 03101 ~zz o-l F. In-Tank Ganging 1 SIR Equipment: ~ Check this box if tank gauging is used only for inventory control. O Check this box if no tank gauging or S1R equipment is installed. This section must be completed if in-tank gauging equipment is used to perform leak detection monitoring. !`..... .. L., ~.. r6a F..tlnav:..n nhnntrlicf• ^ Yes ^ o Has all input wiring been inspected for proper entry and termination; including testing for ground faults? ^ Yes ^ o Were all tank gauging probes visually inspected far damage and residue buildup? D Yes ^ o Was accuracy of system product level readings tested? © Yes ^ ° Was accuracy of system water level readings tested? ^ 1'es ^ o Were all probes reinstalled properly? ~ ^ Yes ^ o Were alI items on the equipmer manufa,ctutet's ma;nrPnancB checklist completed? in the 4ti'eCtloU n, below, Ae5CL t1)e hOW x110 wnen cnese t1CIIClehClleS were ifr wilt De cornecceEi. G. Line Leak Detectors (LLD): ^ Check this box if LLDs are not installed. !`......,~,.re •ho fntln.n:.... nhanUl:~-. ~( Yes ~] No' For equipment start-up or annual equipment certifccatioa, was a leak simulated to verify LLD performance? ^ NlA (Check all that apply) Simulated leak rate: ~3 g,p.h., O 0.1 g.p. it , ^ 0,2 g.p.h. Yes [] o Were all LLDs confirmed operational and accurate within regulatory requirements? ~ Yes ^ o Was the testing apparatus properly calibrated? ^ Yes ^ o For mechanical LLDs, does the LLD restrict product flow if it dete :ts a leak? N/A Yes ^ ° For electronic LLDs, does the turbine automatically shut off if the 1.LD detects a leak? C] N/A `~ Yes O o For electronic LLDs, does the turbine automatically shut offif an-,' portion ofthe monitoring system is disabled ^ N/A or disconnected? ~ Yes ^ o For electronic LLDs, does the turbine automatically shut off if any }portion of the monitoring system malfunctions ^ N/A or fails a test? ~, Yes O o For electronic LLDs, have all accessible wiring connections been ~:sually inspected? ^ N/A ,~ Yes ^ o _ Were all items on the equipment manufacturer's maintenance chec:~list completed? 1o me aecnon tl, tleiow, uescr-be how anti when these ueticiencies tver'e or will he corrected. lE~. Comments: Page 3 of 3 03101 onitoring System Certification Site Address: 37GD ~.Scc UST Monitoring Site Plan 1'2' z °~ .~-~--' ----------------------------- ----------~-- -v'---~--. -- - - - - - - - - - - - - - - - - - - - - - - - - - - - _ _ _ ~ ~ .Q - - ----------------------------- --------- -- -- -- -- ----------------------------- ------------- -------- -- Date map was drawn: ~-/~/~ Lnstructions If' you already have a diagram that shows all required information, you may include it, rather than this page, with your Monitoring System Certification. On your site plan, show the general layout of tanks and piping. Clearly identify locations of the following equipment, if installed: monitoring system control panels; sensors monitoring tank, annular spaces, sumps, dispenser pans, spill containers, or other secondary containment areas; mechanical or electronic line leak detectors; and in-tank liquid level probes (if used for leak detection). In the space provided, note the date this Site Plan was prepared. page ~/ pf ~ os~oo ~ •Z 2. C1'7 ~^-~_ 5643 BROOKS CT BAKBR$FIBLD,CA.93308 OFFICE (661)392-8687 & 9'A3C (661)392-0621 DdSCHANIrn3 LEhR DBTSCTOR '.T88T W/0#k Facility Name:~l~')~/~J'~ Facility Address: ~?l~~ U.5~i11yLL_ ~~/"~~%'~Ci~/ ~~ r-- Product Line Type (Pressure, Suctfon, Gravity) ~~~Ui~i, ''_ PRODIICT LEAK DETECTOR TYPE TIsST TRIP PASS SERIAL N~BSR HFLOW PSI OR L/D TYPE ~LtLTQO1J 1 L S PASS SERIAL # ~~~ ~ v~~ ~ L/D TYPS_ ~L~C,1`2U~111 C . S /~ ASS n L v ~ ~ o~ ~/ / • SERIAL # U1~~_ ~U ~ - l~(X3~' ri ! / ~./ F L/D TYPE S SS ~,~~~ r f 3SRTAL # V ~ N ~ FAIL L/D TYPB Y8S PASS SERIAL # NO FAIL i certify the above tests were conducted on this date according to Red Jacket Pumpe field test apparatus testing procedure an limitations. The Mechanical Leak Detector Teat pass /fail is determined by using a low flow threshold trip rate of 3 gallon per hour or less at 10 PSI. I acknowledge that all data collected is true and correct to the beat of my knowledge. Tech: Signature- Date r -O ~n ::- 1 z'z"-a'7 ~--~.. SCyF"1'WARE 3`?EV I ~:; 1011 LEVEL VLRSIC+IV 'O.G4 SOl=T'WA]dEit 346020-100-E CREr~1'EL""', - 0'~ . 12 .27.05.00 S-{•'tCii?f1LP.u J30I60-1102-A :~Y~TEM FEA'CUkES: PF:F? I ~JD I ~: I PJ-TA IV1; TESTS ANiVUAL I N-TANK: TESTS C:=LD CJ ~11JI L~~~-iJl :'1'UF - - -- - - - FEb '~0. `006 9:51 Ahl ~~YS'1'k;rf uN 1'C S U.:~. S`:S'fEl"1 LANGUAGE ENGLISH ti.l'STE'f"t DI=1TE~ 1' 1 IhE Ft~RMAT t°tON UD YYYY HW:h'tt°I:SS xM C'fiEVl?tilV 700 OSWELL ST HAY.ER:3FIELLi CA 93306 B61-E71-1'200 SHlF"f T1r1E I 5:00 AM `~ H I is T T I I°1E '~ DISABLED UHIFT TIt°lE 3 DISHHLED SHIFT r1rtE a :DISABLED "CAIVh; F'ER T ~T NEEDED WRN DISHBLELi TArlh; ANN 'f5T' NEEDED 4JRN DISABLED LIIV1; RE-EtVAbLE t°IETHOD i/ASS LINE TEST LINE PER T5T NEEDED WRN U I E;ABLED I.I iVE AIVIV TST IVEEDELi WRN Li I SALiLED F'RIIV'I' 1'~' VOLUIhI~S ENABLED TEI~fP tj01°1PENSAT i vN VALUE; (DEG F ): 60.0 STIG'K HEIGHT OFFSET D I :]ABLER H--Pf?C11'OCOL UAT'A FORMAT HEIGHT PREC:1S10N TEST DURATION HOURS : 1 '2 DH .'L I ~3HT SAV I Nt~ TIME EIVAbLED STA}?'f DA'T'E APR WEEI: 1 SUIV STAk'1' TIME •2 : u 0 Arf ENLi DATE OCT WEEK G SUN Ei•1Ti T I h1E '~ :Ulf AIh RE-DIRECT' LOOAL PRINTUUT Dl~N8L6L~ 1N-TANK SETUP T 1:SUPREME 1 PRODUCT CODE THERMAL COEFF. :.000700 COMMUNICATIONS SETUP TANK I3IHMETER 92.00. - - - - - - - - - - - - TANK PR 6 7 4 2 9 FULL VOL 69.0 INCH VOL 7910 PvRT SETTINGS: - 46.0 INCH VOL 4864 816 23.0 INCH VOL : 1 CCiMhI BOARD 1 CRS-232) BAUD RATE 9600 PARITY EVEN FLOAT SIZE: 4.0 IN. STGP BIT 1 STOP DATA LENGTH: 7 DATA WATER WARNING : 1.0 RS-232 SECURITY HIGH WATER LIMIT: 2.0 CODE DISABLED MAX OR LABEL VOL: 9728 COWUH HOARD 2 t F.<MOD ~ 4VERF 1 LL L I M I T 95 BAUD RATE '400.. 9241 50'° PARITI' ODD NIGH PRODUCT 8755 STOP HIT 1 STOP DATA LENGTH: 7 DATA DELIVERY LIMIT RS-232 SECURITY 1167 C?UDE DISABLED 400 DIAL TYPE TONE ' LOW PRODUCT : 99 ANSWEk ON 1 k1NG LEAK ALARM LIMIT: f°IODEM SETUP STRING SUDDEN LOSS LIMIT: 99 00 0 . TANK TILT DIAL PONE INTERVAL: 3~ MAN I FOLDED TAfVKS Tit : NONE AUTO TRANi~h I T SETT I f~S AUTO LEAK FiLARM LIM[T LEAK MIN PERIODIC:: U DISABLED O AUTO HIGH 4JATER LIMIT ' O DISABLED Q LEAK MIIV ANNUAL AUTO OVERFILL LIMIT DISABLED AUTO LOW PRODUCT DISABLED PERIODIC TEST TYPE AUTO THEFT LIMIT STANDARD D I sA>;LED AUTO DELIVERY START FAIL ANNUAL TEST D I SAEcLED . ALARM ENABLED AUTO DELIVERY END DISHHLED PERIODIC TEST FAIL AUTO E`riTERNAL INPUT ON ALARM ENABLED UISAHLELi AUTO E:;TERNAL INPUT OFF GROSS TEST FAIL DISABLED ALARI.9 ENABLED AUTO SENSOR FUEL ALARM DISABLED ! ANN TEST HVERAGING: OFF AUTO SENSOR WATEk ALARM PER TEST AVERAGING: OFF DISABLED AUTO SENSOR OUT ALARM TANK TEST NOTIFY: OFF DISABLED TNK TST SIPHON BREAKOFF UEL I VERY U6LAY 5 , WI I IV 1 ZZ 07 '1' ~~ ;1''LUS b'RGSDUi:'1' iyUDE 2 TH)rRNIAL. C:OEFF :.000700 T'Al+lp: D 1 AI°IETER 92.00 TAhlh: Y:'TUF I LE 4 PTS FULL '+'uL 9728 6y . 0 I IVc_:H VOL 7910 4u.0 INCH VOL 4804 '2:~ . 0 I N~:H VOL 1818 T 3 : kEi3ULAR PRODUCT CODE 3 THERMAL COEFF :.0007U0 TANK DIAMETER 92.00 TANK PROFILE 4 PTE FULL VOL 9728 69.0 I IVCH VOL 791 U 46.0 INCH VOL 4864 23.0 INCH VOL 181a LEAK TI~ST METHOD TEST %SLD ALL TANk Pd 99% CLIMATE FACTOR:MODERATE TST EARLY STOP:DISABLED LEAK TEST REPORT FORMAT ENHANCED l=LC;n'1' ~: I L'E : 4.0 ! IV . FL+~AT SIZE: 4.0 IN. IJh 1 l•:I; WA12N I iVG 1 .0 Hl~:ti 6JA`fER LIhIIT: 2.0 WATER WARNIIVG ! .0 HIGH WATER LIMIT: 2.0 I°IA:`< C1I~ Lri13El. VOL : 97'28 OV>rRF i LL. L I f9 I T 95% MA.~< OR LAHEL VGL : 9728 . 9241 OVERFILL LIMIT 95~ I-iIC7H !'RiiDUC`l' L10%o 924! 8755 HIGH PRODUCT 901, DEL I VEk'•. L 1 Ih I T 12~ 8755 1167 DELIVER`, L I1'1I T 12°r 1167 I,U6J I-'ROLiIh'!' 40G LEAP ALHRI.4 L I Nl I 7' : 99 LOW PRODUCT - 400 SUDD~;fV LOSS LIh1IT: 99 LEAK ALARM LIMIT: 99 TAt~!};. TILT 0.00 SUDDEN LOSS LIINIT: 99 TANK T I LT 0.00 Nli;N I f OLIiEU 'fAPlKS '1' # : tJi?NE MAIV i FOLDED TANKS T#: NONE LEAP; hl l h! F'Eh: I OD I C : 0~: • 0 LEA}; h1 I N PER I OU I C: 0°ro 0 LEnl~: I°1I tV ANNUAL 0°% 0 LEAI; MIN ANNUFII. 0~ 0 PERIODIC TEST T,'PE STA NDARD PERIODIC TEST TYPE ' STANDARD HI•dIVUF;L '1ES't FAIL ALARM EIVAHLED ANIVUAL TEST FA I L ALARM ENABLED PER I ~i~ I C 'TEST FA I L ALARhI EtVABLED PERIODIC TEST FAIL ALARM ENABLED u!?C;S;, TEST FA 1 L ALARM ENABLED ~ROS~ TEST FAIL ALARM ENABLED ,~iIVN "fE:; I' AVERAi~ I NG : OFF PER TEST AVERAGING: OFF AIVN TEST AVERAGING: OFF ' ' ' " PER TEST AV$RAG I NG : OFF fAN3•: I ES'f NU f I F`f : OFF TA IV1: TEST NOT I'FY : OFF 'f IVi<; TST S I P HUN BREA },'.: UFF " ' TNK TST S I PHON BREA K :OFF IEL I VERY L ~ELA:~ L 5 hl I N DELIVERY DELAY 5 MIN PRESSURE LINE LEAK SETUP to 1:REGULAR TYP:2.0~3.OIN FIBERGLFiSS 2.OIN DIA LEN:l05 FEET 3.OIN DIA LEN:115 FEET SHUTDOWN RATE: 3.0 GPH LOW PRESSURE SHUTOFF:NO LOW PRESSURE 0 FSI TANK: NONE SENSOR: NON-VENTED PRESSURE OFFSET: O.OPSI G 2:SUPREME TYP:2.Oi3.0IN FIBERGLASS 2.OIN DIA LEN:105 FEET 3.OIN DIA LEN:115 FEET SHUTDOWN RATE: 3.0 GPH LOW PRESSURE SHUTOFF:NO LOW PRESSURE 0 PSI TANK: NONE SENSOR: NON-VENTED PRESSURE OFFSET: O.OpSI G 3:PLUS 'fYP:2.0.~3.0IN FIBERGLASS 2.OIN DIA LEN:l05 FEET 3.OIN DIA LEN:l15 FEET . SHUTDOWN RATE: 3.0 GPH LOW PRESSURE SHUTOFF`: NO LOW PRESSURE : 0' PS I TANK : NONTr SENSOR : t~ON-UENTEp PREBBURE OFFSET: O.OPSI i -~-~~ -~ I_11'JL LErK LOCKOUT SETUP PLLU LINE DISABLE GETUP - - - - - - - - - - - - LOCKGU'1' F~CHEDULE - OUTPUT RELAY SETUP ~ Q 1 :REGULAR S1'AF:T 'f I W1E : TJ ISAHLED I Id-TANK ALARr4S :3'fOF~ Tii°IE DIuABLED k 1: OktERF I LL ALARM T 3: H 1 GH WATER ALARIh TYPE: T 3:LOW PRODUCT ALARM; STANDARD ~ NORMALLY OPEN LiGUIII SEN50R ALMS L I:FUEL ALARM ' L 7:FUEL ALARM IIV-TANK ALARMS L B:FUEL ALARM ALL:OVERFILL ALARI'1 L 9:FUEL HLARM ALL:HIGH PRODUCT ALARM LIO:FUEL ALARM L 1 : SENSOR OUT ALARM ; L 2:SENSOR OUT ALARhI L 7:SENSOR OUT ALARM • L S:SENSOR OUT ALARM LI~:~UID SENSOk SETUP L 9:SENSOR OUT ALARr'i - - - ~- - - - - - - - --- - - -. .. LIO:SENSOR OUT HLARM L I:SNORT ALARM I._ 1 : ftLu-- ~'fP " L 2 :SHORT ALARM TM . I -~;TATE (S I N~aLE: FLOAT) L 7 : SHORT ALARM C:r"~ifrG:vRY S'tP SUt°IP L B:SHORT ALARM L 9:SHORT ALARM L1U:SHORT ALARM L ~:REG-FILL T R I--NTHTE t S I P~IGLE FLOAT) d ~ :SUPREME C:HTE~ ~OR~' P I P I I~ SUMP IN-TANK ALARMS T 1:HIGH WATER ALARM L ':SUP-STF' ' T 1:LOW PRODUCT ALARN~ 1 k I -E:TATE (S I IVGLE FLOAT ) r. a7'EGuR`l STP SUMP L I CCU I D SENSOR ALMS L 3:FUEL ALARM L ~I:SUP-FILL ` L 7:FUEL HLARM L B:FUEL ALARM f3+ I -:,TATS { S I IVi;LE FLOAT) L 9 : FUEL HLARM CATEGORY : PIPIIVG SUMP L10:FUEL ALARM L 3:SI;NSOR OUT ALARM i. ti:PLU>3-STP L 4:SENSOR OUT ALARM` L 7:RENSOR OUT ALARM TF.I-STt~TE (F~INr~LE FLOAT) . ~ L e:SEN80R OUT ALARM CHfEGORY STF' SUMP L 9:SENSOR OUT ALARM L10:SENSOR OUT ALARM L i5 : F'LU -FILL ~ L 3:SHORT HLARM L 4 : SHORT ALARM Tk l -5I'r17'E C S I NGLE FLO1=1T) L 7 : SHORT ALARM uATEGORY PIPINu SUMP L B:SHORT ALARM L 9:SHORT ALARM. L 7:L"LISP 7-8 • L10:SHORT ALARM 'Tk1-STATE (SINGLE FLOAT! Q 3:FLUS CATEGORY DISPENSER PAN IN-TANK ALARMS T 2:HIGH WATER.ALARNI L 8:LISP 5-b T 2:LOW PRODUCT ALARM 'I'II i -STATE (51(NGLE FLOAT) ' LIQUID SENSOR ALMS C:A fEGOR`f DISPENSER pAN L 5: FUEL ALARM ' . L 7:FUEL ALARM: . L B:FUEL ALARM; L S:DISP 1-2 ' L 9:FUEL ALARM TRI-STATE {SINGLE FLOAT) CH'TEuORY : DISPENSER PAN L10:FUEL ALARM L 5:SENSOR OUT.; ALARM L 6:SENSOR OUT ALARNI° . L 7:SENSOR OUT: ALARM. L B:SENSOR OUT ALARM 1_ l U : L" I SF° 3-4 L 9 : SENSOR OUT ~ ALARM 'fRi-STATE {SiIVGLB FLOAT) L10:SENSOR OUT ALARM L 5:SHORT ALARM ~.ATEGORY DISPENSER F'Ald L b:SHORT ALARM L 7:SHORT ALARM . • L fl:SHORT ALARM ' L 9:SHORT ALARM L10:^aHORT ALARM - - -- _ i~20'( .~~. Fi!_r,khl hi l:~'1`OR1` kEF'ORT F'r;Pl;R OU'f F'EI3 7. '2000 5:34 Ahl I-']~:IIVT'jtiR EkROR FEB 7. '20Ue 5:34 i~M 13A7`1'!vk';' I S OFF :lHld 1. 199b 8:00 AI°1 « :~ x ~ * EP4D x * ~ ii HLr;F:t°l H I F3TCiRY REPORT ---- I N-TANK ALARh1 ----- '1' l : 5 U!'REr1E H I Ghl 6JHTER ALARIh Dk:C23, 2003 11 :55 HM Cs\rERF 1 LL ALARM llEr` ~3. 2003 11:48 AM L04.1 pRODl1CT ALARM D~~' '23. 2003 1 1 : a'2 AM HIGH PRODUi'T ALARhI UEC '3, 2003 11 :46 fiM 1Nlr'HLIL FUEL LEVEL DEC~3. 2003 11:42 HP1 PR~~EE OUT I°1H`,! 3. '005 8:58 AM MAY 3. 2005 8:34 AM DL"-c~ •?:j. 2005 12:01 PM NIUH WATER WARNING DEG 23, 2003 11:55 r`aM LEL I VEkY PJEEDED FE)3 26. '004 6:28 Phl F'EE; r;, 2004 1:11 PM FEB 3, 2004 10:28 PM hIAX PR017UCT ALAkhI DEi: '?3, 200; 11 :46 AM ALARr1 HISTORY REPORT ---- IN-TANK ALARM ----- 'f ~:FLUS HIGH WATER ALARM DEC 23, 2003 12:00 PM LOI,! PRODUu^T ALARrI DEC' 23. 2003 11:43 HM HIr~H PRODUCT ALARM HUG 29. 2004 8:33 Ah'I LEG 23. 2003 11:45 AM 1 tVVHL I D FUEL LEVEL DEC 23. 2003 11:43 HM PRONE OUT W1AY 3, 2005 3:22 PM DEC 23. 2003 12:02 PI'1 DEC 23, 2003 11:45 AM HIGH WATER.WARNING DEC 23. 2003.12:00 PM DELIVERY NEEDEU AUG 11. 2005 10:18 AM JUN 14, 2004 8:55 Phl DEC 25, 2003 3:09 PM rla~x PRODUCT ALARM DEC 23. 2003 11:45 AM ~:ix;f~ENU*~*~i~ ALAF.ri H 1 STORY REPORT ---- IN-TAPIK ALARM ----- T 3:REGULAR HIGH WATER ALARI°1 DEC 23, 2003 11:58 Af°I j OVERFILL ALARM JUL 29, 2005 3:56 AM JUL 16, 2005 9:02 AM JUL 16, 2005 8:30 AM LGW PRODUGT ALARM APR 22. 2004 11 :45 PI'1 MAR 20, 2004 2:56 PM ! DEC 23. 2003 11 :42 AIN ' HIGH PRODUCT ALARM FEE 8. 2006 9:09 API FEB 2. 2006 10:28 AP1 JAIV 28. 2006 8:10 AM INVALID FUEL LEVEL APR 22. 2004 11:32 PM MAR 20. 2004 2:53 PM AEC 23. 2003 11:41 AM PROBE OUT MAY 3, 2005 12:00 FM. DEC 23. 2003 12:01 PM' DEC 23. 2003 11:41 AM HIGH WATER WARNING AEC 23, 2003 11:58 AP1 DELIVERY NEEDED AUG 27, 2005 5:17 Prl P1AY 1. 2004 7:10 PM AFR 22. 2004 9:00 PM r1AX PRODUCT ALARM DEG 23. 2003 11:48 AM ii~~~*END~iE;~ Pik :.~ « :« x EIVG ~ ~ ~ x x F I z-z-o-T ~L.;;I;I°i H I STORY REF•ORT HISTORY REPORT ALARM --- S)rNSC>R L i:kk~-STP i~LARNI ----- HLHRM HISTURI` REPURT -- -- SENSOR ALARM --- -- S'1'I' SUI°fl' =SENSUR ALARM -- --- ' I, 5:PLU+S'STP FUEL HLHRI°i L 3:SUP--STP STP SUMP FEZ; 20, 2006 x+:05 AM STP SUMP FUEL ALARM 2006 9:09 AM FUEL ALARM FEg 20. 1='U1:I. r1LARt°I FEB 20. 2005 9:05 AM FfrB '?, '3005 1 :37 PM FUEL ALARM 2005 1 ;40 PC•1 FUEL ALARM FEB 2, r'UEI. ALHRI°I FEH 2. 2005 ! :42 PM L~EC '43. '3uu3 1'3:10 PNl FUEL ALARM 2003 12:06 PM FUF•L HLARM DEC 23• DEC 23. 2003 12:06 PM ;: n .. x EIVt, ~ * ~ ~ x ~ ~ ~,~ * END ~ ~ ~ ~ ~ i ~ +~ ~ ~ * END x AL~+klh H15~I'UR~ REPURT HISTORY REPORT ALARM SE(aSUR L -? : REi;-FIL ALARM -- --- ALARM HISTORY REPURT ~~ ----- Ei4SOR flI,A L PIPING SUhIP ----- SENSOR ALARh1 ----- __-- :; L 6:PLl1S-FILL FUEL ALHRh'I ~ L 4:SUP-FILL PIPING SUMP FEB F0. '3006 5:06 A(M PIPING SUMP FUEL ALARM 2006 g:10 AM ~ FUEL ALARM FEB 20. FUEL HLHRI°1 FES 20. 2006 9:10 AM D1aC' '3~t, 2005 11 :10 AM FUEL ~-A2005 3:1U PM FUEL ALt~RM AEC 31 FUET. r~LARf`1 FEH 2. 2005 1 :43 PM D1;C 2. 2005 5:'?6 AM FUEL ALH2O 1:49 FM FUEL ALARM 05 ~ MAR ~~ FEB 1B. 2004 3:10 FM x END ~ ~ ~ ~ * ~ ~ ~ ~ ~ ENn ~ * is x n * ~ * END ~e ... --- - % 1 [ `2 "~ `~( r`~LHA`;I"1 HISTORY klF'ORT 1. '7:UlSP 7-t3 LiISi'E1~15Eh F'AIV FUL".L Fi1.f=1T;h1 F'EI3 ~u . 2DOt ~ : ~~~ hM FU1rI. HI.AJ',i°I FEB .?, 3D05 1:53 PM t=IJI:L. r~LHktN LJr~' '~U, cU113 1'?:31 PPI x ~ ~ -. EJVll x ~ ~ HLaRhI HISTORY REPORT -- SENSOR ALARM -_ _ LISF'ENSERIPAN FUEL ALARM FEB 20. 20D6 9:1y ~ FUEL ALARM. FEB 2. 2D05 1:49 PM FUEL ALARhI DEC 23, 2003 1$; 27 F'M ALARM HISTORY REPORT ----- SENSOR ALHRM ----- ~ 1:REGULAR PLLD SHUTDOWN ALARM FEH 2G. 2006 9:36 Ahl GRASS LIME FAIL FEH 20, '?006 9:36 AI"1 ~ PLLD SHUTDOWN ALARhI FEH 20. 2006 9:23 AM PLLD SHUTDOWN ALARM F£I3 2U. 2006 9:21 AhJ ~ PLLD SHUTDOWN ALARM FEB 2G, 2006 9:19 Hht PLLD SHUTDOWN ALARM ~ FEB 20. 2006 9:17 AI'1 ~ PLLD SHUTDOWN ALARM: FEH 20. 2006 9:05 AM PLLD SHUTDOWN ALARI°i AUG 22. 2045 4:32 PN1 GROSS LINE FAIL AUG 22. 2QD5 4:32 PM PLLD SHUTDOWN ALARM AUG 14. 20D5 12:U9 pM x~*~~cEND~~e~~:~ r+L:HI?hl H I 5T~?)<''1' REF'0J2T ALHR1°1 HISTORY REPORT ------ '~EPJSOR ALHP.M ----- L10:L~ISp~~a Af.ARJN ----- L Ei:D151'' 5-6 ' DISPENSER PAN DI~F EIVSEJ PAtd FUEL ALARM FUEL ALAkhI FEB 20, 2006 9:21 API FEH 20, 200b 9:17 AM FUEL aLARI°1 FEBL ALARM 2005 FEB ?. :?Oi15 2:01 Phi 1:46 PM FUEL riLAkt"1 ' FUEL ALARhf DES^. 23, 20p3 L;Et_. ~?3, 20U3 12:28 PM 12:25 PM x END x x ri ~ ~ **~~t~>rND~c~t~*~ ~ 3~ # x ~4 END it # x ~ x F ~_~'~ ALARhI H I STORY k!~F'ORT ----- SEIU`~OR ALARhI ----- ~~ '~ :SUPREME PLLD SHUTDOWN ALARM FEB '0. 2006 9:41 Ail GROSS L1NE FAIL FEB 20. 200b 9:41 AM F~LLD SHUTDOWN ALARM FEii '~0. 2006 3:23 AIH PLLD SHUTDOWN ALARM FEb '10, 2006 9:?i Af°1 .` PLLD SHUTDOWN ALARM FED 20. 2006 9:19 AM PLLij SHUTDOWN ALARf°I FEB 20. 4006 9:17 Hi~l F'LLD SHUTDOWN ALARM FEB 20. 2006 9:09 AIN F'L.LD SHUTDOWN ALARfh FEb ~, 2005 2:01 PM F'LLD SHUTDOWN ALARM FEB 2. 2005 1:53 PM FLLU SHUTDOWN ALARhf FEB 2, 2005 l:49 PM x END x x ALARM HISTORY REPORT ---_- SENSOR ALARM ----- 0 3:PLU8 PLLD SHUTDOWN ALARIW FEB 20, 2006 9:38 AM GR059 LINE FAIL FEB 20. 2006 9:38 AI°1 PLLD SHUTDOWN ALARM FEH 20. 2006 9:23 ANI PLLD SHUTDOWN ALARM FEB 20. 2006 9:21 AM PLLD SHUTDOWN ALARIN FEB 20. 2006 9:19 AM PLLD SHUTDOWN ALARM FEB 20, 2006 9:17 AM PLLD SHUTDOWN ALARhI FEB 20. 2006 9:08 AM PLLD SHUTDOWN ALARM FEB 2. 2005 .2:01 Phl PLLD SHUTDOWN ALARM FEB 2. 2005 1:53 1=M PLLD SHUTDOWN ALARM FE8 2. 2005 1:49 PM 2Z-b7 MQNITUR CERT. FAILURE REPORT SITE NAME: G~!/~G'~-~ DA'f(`E: ~' - ~' ~(o_ THE FbLLOWING COMPONENTS WERE REPLACED/REP TO TESTING. REPAIRS: LABOR: ~~~ PARTS IN'I'ALLED: NAME: TITLE• SIGNATURE: THE ABOVE NAMED PERSON TAKES FULL RESPONSIBILITY OF NOTIFYING THE APPROPRIATE PARTY TO HAVE CORRECTIVE ACTION TAKEN TO REPAIR THE ABOVE LISTED PROBLEMS AND NOTIFYING RICH ENVIRONMANTAL FOR ANY NEEDED RETESTING. THIS ALSO RELEASES RICH .ENVIRONMENTAL OF ANY FINES OR PENALTIES OCCURING FROM NON-COMPLIANCE. A COPY OF THIS DOCUMENT HAS BEEN LEFT ON-SITE FOR YOUR CONVIENENCE. - - ~~. S ~V RC t3, .1 ua u;ny 2002 Pagc of Secondary Containment Testing Report Form Th;s form is intended jor use by contractors performing pertodiF ttsting of UST secondary containment systems. Usa the npDropriate pages of this form to report results far alt components tested The compEeted form, written testprocedures, and prinrouts front tests (if applicableJ, should be provided to tht facility owner/aperat,~r for submittal to the local regulatory agency. 3.. FACII,TTY INFORMATION Facility Name: 2J Date of Testin ~. -1.Ci - d FaciliryAddress: '7 O Jw L ~ Ql U Facility Contact: Phone.: Date Local Agency Vi/as Notified of Testing : ' Name of Local AQencv Inspector (if present during testing): ~ ~~ 4 /~ 2. TF.STINCt' C[1NTRACT(lR 7NP'(IRMATI~N Coat any Name: RICH ENVIRONMEN;BAL Tecluucian Conducting Test: (~, (/~ ~ Credentials: ~ CSLB Licensed Contractor D SWRCB Licensed Tank Tester License Type. C611D40 i.icenseNumber: 609850 Manufacturer pfacturer Trai~aing one s Date Trainor Ex Tres INCON IMCQN TS-STS S ~U 3. SUMMARY OF TEST RESULTS Component Pass Fail Not Tested •Repair~ Made Component Pass Fail Not Tested Repairs Made a ~ ^ ^ ~^ o .^ o ^ Pl,v 5 Fig ~ ^ o ^ ^ ^ a o 9 - ~ ~ ,~r ^ ^ ^ ^ ^ a o 0 ^ 0 0 ^ ^ 0 ^ ^ 0 0 ^ D ^ D ^ ^ ^ o ^ ^ ^ o a ^ ^ ^ ^ ^ ^ ^ ^ ^ ^ o ^ ^ ^ ^ ^ ^ ^ o ^ o ^ 0 0 ^ ^ ^ ^ ^ ^ a a if hydrostatic testing was perfgtmed, describe wha# was done with the water after completion of tests: ~, RECYCLE AND FUSEE? .. CERTIFICATION OF TECHNICIAN RE9PONSiBLE FOR CONDUC'T'ING THIS TESTING . '1'o the best of my knowledge, the facts stared itt thls docutteettt are accurate attd tit fuU compllartce with legal rtrltrlrsmrnts Technician's Signature: j Date: ~ 'dZ/ `~l ~ S W RCH, January 2002 - - - - ._ - - Page ~ of - O 077.7 JllVii:72777T.I. rnnrrsit~iMF.NT R~x~cS Facility is Not Egtrip~ed With 5pilUOyerfill Contsinmemt Bmces ^ Spill/Overftll Comainmaat Boxes are Present, but were Not Fasted ^ Test Method Developed By: d Spilt Bucket Manut~daer ^ Industry Sta.:dard ^ Professiartat Bngineer I D Otfier (Sped) est ivlethod Used: ^ Pressure 0 Vacuum ~ Hydrostatic a Other (S ecify Test Equipment Used: Equ~pmeat Resolution: .; Spill Box # Spill Box # Spill Boi # °j/ , Spill Box # Bucket Diameter: / '' )~. ` ` (~ ~~ Bucket Depth: J " ~i f - c Wait time between applying pressurelvacuum/water and startin test: WI f ~ s~ .1,~ 3Q ~ t 'T'est Start Time: ~ 1 / :31?„••, 1 ~ 9 j ~ `Ie•~ Initial Reading (R~): ~ `f ~~ • / .~.~ ~ v • S' Test 8nd Time: ) %,~ f 11: • '' : U g Final Reading (RF): zJ ~ ~ tt~ • J Yi.' S`S(,t-v a Test Duration: ! "-H ~ ~.! I w.~ ~v "'..~ ~ •~ wa r..I irvl "t1 N1 t ^J Change in Reading (R~Rr): • CjQ N f ~ ti7 • DCJ •e> JrtJ ~ I}ass/Fail Threshold or Criteria: . ~ ~ -Q? .v -Gtr ~,~ . dd~,-,~ _ • O~j ,.~ •ad~• ~I Test Resait: Pass . D Fail ~ Pass ^ Fail ,~ Pass Ll Fail D Pass D Fail Comments - {iieclude injorrrratlan on repairs made prior to testing; mtd reeommende~',~olJrnwup jor failed tests) 1.`5r:, RRLf9 AVti GJi'I_C.i1 .:;=1 LIRA k: ~ 1396 PALM fiUE ~ :.: ~'~!9!~;?Litii=. i • . ,; 1 • i Ahi 4JR~::Cu l:R . ;I.;f9;=' _:=i7K T'tc;7 iik:.t'LiRT :'Lk1~'200u '11:10 RM '~ ~~ U11P LEAK TEST REPORT z;<% : ,~"'' ,~. -~ ;~- .,,.t,E,T`-r+ 1.1.: lc. nt9 ~ ~ .t1P LEAK TEST KtPO~'T .ST :37nP,TE-Cs 0~/241r20~i6 GIN ! -t~E?_ 0.y81i Its ST ~+TRRTEU 1x:54 RM IC+ TIMC. ii:?1 AM 47 STARTED 02/Z0/2006 j'~n `?HT`- ~~~~?0/2005 .CAIN !_E4~El. 0.5505 IN T STHRTt.D 10:39 AM .iti[~ ± El?F i_ 4j.92. IN `'D TISrIE 11:10 rtht ;T STARTED 0220/2086 .i~ii!•; T'-iR1~;=;H~_lLD R.k1ki2 IN {t HATE t32/'L0/Z?F6 SIN t_EUEL Et. 557.4 IN ~E:?T RE_,ULT PAS_~ED .D LEl1EL 0.5563 TN :TIME la: S4 AMI 1}; THRESHOLD 0.002 IN ' DHTE 02/2x/2006 ;T RESULT PASSED '+ LEVEL 0.5507 IN dC THRESHOLU 0.002 IN ~ T RESULT pRSS~D -¢~ ( ~ STARTED 10:54 RPti ,,,_ ...... .. '$ Q~J-'; ;r :TARTFP 9'?./20/2006 'sIN LEVEL i. 1689 IN 3T STRAYED i0: 39 RFt ') TIME 11: 10 flM ` STARTED ~32/20~2066 ;.:T;Y,-Lt !~ ~.' DATE 02/20/006 :N LEVEL 1.1701 IN 1~=,E. PRLr~ RUE ~ !_E~:1E!. 1.1686 IN TIME 10:54 RM • JR.`_;r_;p ~•;~ :~ 7HRESHQLU 0.002 TN DATE 02/26~20xb F:T ~:F.SlN._T PASSED !FUEL 1.1590 IN .:_:••:i].f2i.5i_ir 11:=i' Riy THRESHOLD 0.082 IN T RESULT PASSED ~_,, i ItF;P~;RT ~~ f: ~~ ~. iT~t!~Tr .i ' 1:-51 riM _ LyT =~ Cr'iR l E.i? Et~IiEL~2lJ~Jk~ k i;IN LF ~.1r"_L 0, 4H~~E• IN NC+ Tit'it: ii:a7 At4 ' ~.~~!'' GA}t. :1'7f^20fLb06 :ND LEIaE'L 0.9,.41? IN 'ARK 7R~G~E~;NCiLL? 6,fJ02 IN 'Evil RE°,UI_ T PA:~SED 1~Z. er ~7 SB989 TESTING FAILURE REPORT SITE NAME: C~ !/QG'~I DATE: d-' ~ `Ut0 ennurcc. ~7l>/> /~ t /.~,~;~ . ( ~ruxrriAN~ ~~/.¢t/ Y°i1~,Sli'J THE FOLLOWING COMPONENTS WERE REPLACEDIRE~'A;~RED TO TESTING. ~/ RF.PAIRS• ~ LABOR: PARTS INTALLED: ~~~~ NAME; TITLE: SIGNATURE- THE ABOVE•NAMED PERSON TAKES FULL RESPONSIBILITY OF NOTIFYING THE APPROPRIATE PARTY TO HAVE CORRECTIVE ACTION TAKEN TO REPAIR THE ABOVE LISTED PROBLEMS AND NOTIFYING RICH ENVIRONMANTAL FOR ANY NEEDED RETESTING. THIS ALSO RELEASES RICH'.ENVIItONMENTAL OF ANY FINES OR PENALTIES OCCURING FROM NON-COMPLIANCE. A COPY OF THIS DOCUMENT HAS BEEN LEFT ON-SITE FOR YOUR CONVIENENCE. __ _ '~ .' ¢i:.~ .. ~kr'' t~°,`~', <' Si~#)Nt7~r~Y~TEMi CERT~BiCATION FORM ~k : ; DATE I a3 -~ cp `' . ,a.:~=•, FAt~.ITY 7D • ,ST-P~i~-`t~- C~~ +.YV ,' Yo ~'1 FACiiiTY ADDS:` tic`-. ~ o ~_ ~„rE~ _ 5T $~K~sc~~b, ~v4 ~9a3a~ Vii;'' : •' ,~2Y4 i (r r7-u ~ ~4 . ~: UST Aarca~lar Spare - ~ ~v: ' ~ ~ ~V ~n.7 ~ ~2S _ , . .. ~:~p a 3`~k 1. ~ : ''Teak Z Tsak 3 T-~k 4 i ~~: .' ,• nom- ~a~-~- t ~~ '~ • 5~an~ P[piAg ~ ~ ` j ~~s::•~ y.,, '~~i ~=~ae:T.: ~v+~~~'F~'T =Line a ~nc.P-~ ~ Lint3 -9 `:,Xa~x.4 ' -, Mart T',nar j •O.: cso.,~., h~ S eo q. ~,.~ 1 D : co f}-,.~,, ,. Y Pura ~P ~~~` • ~ '~ 5 ~ 5. ~ aaPs ~ ~~ . ~ ~ Find 'rime ) { ;.o b ~•r ~ :' (I . ~ ~ ~~A-~'+1 l ! . ~ ~ ~A-~t (~:, F~ Pr~surd .S~r ~ t.F' S ~s l s- ? S ~ "' ~ ss ;t `~. ~~. Ce~rtit~-tioa p~r9-SS;°,~: - ~ piss r ts~) : ~;~~ , `y, :~z;_ , {rte' i '''Z4? ', . - . ~. .. .. ~~' ~~.. ~ 1 Qf ~,; ', - I .~, ±, .~,•. ~ 1 ,. ~. j b. 3 :c. ~Iln+~ ~~, {P ~. SECO~~E SYSTEM CF.RTI~'ICATIUN R4RM f t• ~~-TE '~ ~. '' ; FACILITY.II)_,~.~rr~ ~v..~srovl ;~ FACII;ITYAD1~ItFS$ ~1oD °S~c. ST $~Kr~f,~,~ q.33~(0 ~;~. -. '~ . ,~~~~ ~ T Sumps ~:... ~. ~`~~.~ `Y ~~ . ,~ . . ,;. ~~~ .. ;; ~; .. ,, . t .- . J' ~~ :;. :~~. ~~~ n: ;:, . '~ ,,, ~.., 5itutp. ~ u n ~ ~ Sump 2 ~~-s-1 Sump 3 '~ 1 S+~ap 4 Start Tune I 1 ~ o~ l ~A-+Ni 10 : ~ S -~ -n~ [ D ~ l S ~q wi Idtid HN~ht of Water ` ~l •q ~3 k~, (~ . oq o i~ ~ , I °11 r a . Thee 11'• 3Cp Aa.•~. to :S1 A-+~ 10 :3/ A-r•~ Water Height y , ~ q 3, ~ ~,, 4~;. 09 ~ r ,~ ~I • ~ 9 S i a ,. ~'ime t t `. s a i4!%M ~ ~ o : q~ ~A.w~ 10 : U~ A-rn vv~,te~ I~ht ;~ • 5 93`:`:f,a to . o°f t t~ ~f • / 9 y 1~ Gertiticatlon 4 airs) 4'''t''~S ~ ~ ~~ ~ :: ~ s S Fj sS Uvettlii Bacicets " . ~ . 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D~3PEN9=~• • ;DI3~ 2 DLSPF.NSER 3 . , .DISPENSER 4 STARTTIME 1= 34' P ~ ;.: • ~, at P ~ a: ~ 3 pm . 2; 23 P•n INITIAL NEtGtIT Off' WATER y • I;l C7 1.vt~ `oZ . ~} lor? r rJ ~ . (~ y ~ a l • ld p S f rJ TzME t =~ 53 ~.:-,n~ : 1 : ace. p-~ 2 : 3 ~' p~- a; ~ 8' r..-a WATER HEIGHT . ~t • ~ ~• ~ 'Irv a - ~} (orl r .~ o~ • I g !a l ~J I . to D $ i.tl " i :at ~n~: ~ i~8~~ a;yoP~ a;tioP~ ~caT `~~ . r ~la,,a;. a, . g ~7 t ~ a . J q '7 , ~, ~ (- l008' l~/ ~FATIFICATION ~ ~ S .~4 S S rtS 5 (SYGNATURL~ . A~^~.::° DISPR~A f . DTSPENSBR 7 Dr~NSER 8 START TIIYiE ~ . .INITIAL HEIGItT OF • WATER • TIME WATER • HBIGFI'f . x'IM$ ~1-ATER ~IS[GHT • C~TiFIG-'fION Page 3 cf 1Zii~ i r. . SB9$9 TESTING FAILURE REPORT SITE NAME: ~'" ~^~ DATE : f '~'a-6 ,'z-pct f ADDRESS: o~~c~o C9~~~ h~ TECHNICIAN: .ft~ '""'~ CITY : ~•4I~~RS F l ~i~. ~ ~ 3~~ SIGNATURE SITE CONTACT: THE FOLLOWING COMPONENTS WERE REPLACED/REPAIRED TO COMPLETE THE SB989 TESTING. LIST OF PARTS REPLACED/REPAIRED: REPAIRS: /-/E~ACD ~~'7 LABOR : ~~~ PARTS INSTALLED: N6-yi~- 01/20/2006 10:05 6618363177 dINQERGROUNb STpRAGE TAPlKS APPL9~eATIU~V 70 flERKOR~q ELD 1 LINE TESTING lS$s89 SECONbAriYCON7AINMEN77ESiyN1G !TANK TiGHTNC55 TEST AND TO Pi<r~FCIFM FUEL iV10AiITGP.iNG CERTiFICATiGN PEAAdfT NO. REDWINE TESTING SVCS PAGE 01 A. ._.. 9 P D SY~Ei~~i'E19rJM1'~.~ ~',7~ 1~1~-Eel ~~19P ~` 90A'I1uYhin.?~ye.. Ste. 210 Sakersfie;d, C~4 ~33U1 TeL: {661} X26-3979 Fax: {FiFil} $52-2171. ?age ? ~t 1 SIHAN~;ED LEAit DETEL'TION J LINE TESTIN3 ~I ^08.989 SE(.ONDARI' CONTAINMENT t ESTINtd © I AN!<TIGHTNESS T'ES'T ~ 70 PER3=0R'~l ~UEI_ MUU170RINta ::~,7TIFlCA?IpN ~: • ., .. ... i ... ~.-~-~". .. :.. ; ~': •. •. 51TF'3NFCYRMATION.~..' - - !FACIL!• ! ~.L .......... ~.,. ......_.,..___...._., 6Nd9lIE a. t.HO~:c NU!~igEr~".,; CON-r,C~ 'rEF50"k '• •y4DDRESu ~. ~._ o~'1bU O,~Q ~Qp~~ CA ~~3a1~ ___..._......,....___ ~1WNEgS NAGIE i ~F_-^.A30F~ NAI~1K -- -`-~. -.. • ~--` ._..f~EC!AA?"i TO O?'rfin.-r ~J~:- - ------ -`-~. i • UMf.?F_F OF TANK. TO BE 7E:TED __.__.......~1~' f IPi~I~_G91NC~Q~~ Tf.`~i.T~R? _.._._ . _.._._... YEti! _.._.......-. A N.~7 .......... _..._. _~S~.Y14~ ~._' j ~_.. ..........TF,~JK ~._.._....._... .....t!OSUME._.._._--------.._._._._._~....._ __ .___._CiONTENi_S.-_..._...------'---i ~ 1 i ~ 1• _ I I i I I'' HAMS Dp STING COIAPaNy q ~ ~ ~'"- MATE IRfE TEST TO '31GNATURE OF A .I~ ER OFTESTPa oR 3PE k,ar`~, 1., f .1 _ 4PPROVED B~ a:N!s?9e',_ r,F'~;01~tTAC1'-'EN.n! ''++ /" "~ iVY~.- ~,uvhq~,~ ~Dlo~ '~~`C'~O~Q~ ~ ,. ,, DPJ s: ._._ .~ ~ Sod TEST Anr;7'~OD ~, ~.~~-.u-s~ _ Imo, : y __ ~ ; _._.._..~~s~GB~~Q6_gE~.a ?~E~1~~TL_~~4~.,~PI~P;EA1~E~_ .. I ATE ..__._ . , FD25D6 .,~j f ~ /e ,• ,., REDWINE TESTING SVCS PAGE 02/02 01/20/2006 10:05 6618363177 SakersHeld Flee Dept. Bi~,I.ING ~ PERMIT $-TA4EMENT PREVENT[ONSERVrC~9 Fire Sattrty Services • Ettviroinmental Services 9Q07'n~xtun Ave., Suite 210 Beicersficld, CA 93301 v 7`e!: (bbl) 326-3979 aATE -l ~ UST/ T PERMIT, TANK TESTING ~~ ~ ~ ~" B2 STATE $VRCWIRGE BB TENT, r.Po, FIRE4Y~R;KS. POIAI~RlQ1't1ER PEpMITS 94 COPfE:SIREPOFiT9 e9 FCiLLOw.UP INSPECTION M13PECTOti: pA~ saENr CNARQES: CHARpE3 REASON •ne [l41'E FOR INSPECT~d+: LOCATpN ttSPECTION: r?'v1-a.a..R... ~ ti:.J'C~'.7..,.1"~Q.7 .` ~~...k~,`~..l~.L."1_ ~;1.. T1s1E-FIONE NU~MjBENr(y5),; . (.l J ~ •~ ~j ~ 1 ~ ''~ ~ "r.rl{..,,.Y~Q,~t,~+ BILL O: PAY BY.(~~y~ ~_~ ~`' ~-•~•~ ~ ~~ C.:-' '~- NOTES: Yr._ ~.. GUST~OI/ER SIGNATURE: INSP£G70F~REGENFJt81GF1)ITUAg`` dMOM1Al WHIf~ FWANI~ GusrOMEq; PINK OFFI(~ YELLOW FDf 734 (rev.12l0~)