HomeMy WebLinkAboutBUSINESS PLAN (3)
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FASTRIP RI9
4901 S. Union AVENUE
310025C
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MONITORING SYSTEM CERTIFICATION
For Use By All Jurisdictions Within the State of California
Authority Cited: Chapter 6. 7, Health and Safety Code; Chapter 16, Division 3, Title 23, California Code of Regulations
This form must be used to document testing and servicing of monitoring equipment. 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: #725 Fastrip #19
Site Address: 4901 South Union Avenue
City: Bakersfield
Bldg. No.:
Zip: 93307
Facility Contact Person: Omero Garcia
MakelModel of Monitoring System: Veeder-Root TLS 350
Contact Phone No.: 661-393-7000
Date of T estinglServicing: 7/2012007
~:c!:e~~~~~t~to~~~r~~~~!~~se~~~ed
Tank ID: 12000 gal. Regular Tank ID: 12000 gal. Super
W In-Tank Gauging Probe. Model: 847390-107 ~ In-Tank Gauging Probe. Model: 84r390-107
~ Annular Space or Vault Probe. Model: 794380-420 [!J Annular Space or Vault Sensor. Model: 794380-420
W Piping Sump / Trench Sensor(s). Model: 794380-208 [!J Piping Sump / Trench Sensor(s). Model: 794380-208
o Fill Sump Sensor(s) Model: ~ Fill Sump Sensor(s). Model:
W Mechanical Line Leak Detector. Model: FX1V (j) Mechanical Line Leak Detector. Model: FXIV
o Electronic Line Leak Detector. Model: 0 Electronic Line Leak Detector. Model:
W Tank Overfill/ High Level Sensor. Model: 847390-107 ~ Tank Overfill/ High Leval Sensor. Model: 847390-107
o Other (specify equip. type and model in Sec. E on Pg. 2) 0 Other (specify equip. type and model in Sec. E on Pg. 2)
Tank ID: 12000 gal. Diesel Tank ID:
W In-Tank Gauging Probe. Model:847390-107 0 In-Tank Gauging Probe. Model:
W Annular Space or Vault Sensor. Model: 794380-420 0 Annular Space or Vault Sensor. Model:
W Piping Sump /Trench Sensor(s). Model: 794380-208 0 Piping Sump / Trench Sensor(s). Model:
[!J Fill Sump Sensors(s). Model: 0 Fill Sump Sensor(s). Model:
[XJ Mechanical Line Leak Decector. Model:FX1V 0 Mechanical Line Leak Detector. Model:
0 Electronic Line Leak Detector. Model: 0 Electronic Line Leak Detector. Model:
~ Tank Overfill/ High Level Sensor. Model:84739O-107 0 Tank Overfill/ High Level Sensor. Model:
0 Other (specify equip. type and model in Sec. Eon Pg. 2) 0 Other (specify equip. typs and model in Sec. Eon Pg. 2)
Dispenser ID: 1&2 Dispenser ID: 3 & 4
[i] Dispenser Containment Sensor(s). Model: 794380-208 [!J Dispenser Containment Sensor(s). Model: 794380-208
[i] Shear Valve(s). ~ Shear Valve(s).
o Dispenser Containment Float(s) and Chain(s). o Dispenser Containment Float(s) and Chain(s)
Dispenser ID: 5&6 Dispenser ID: 7 & 8
[!J Dispenser Containment Sensor(s). Model: 794380-208 [!J Dispenser Containment Sensor(s). Model: 794380-208
~ Shear Valve(s). ~ Shear Valve(s).
o Dispenser Containment Float(s) and Chains(s). o Dispenser Containment Float(s) and Chain(s).
Dispenser ID: Dispenser ID:
o Dispenser Containment Sensor(s). Model: o Dispenser Containment Sensor(s). Model:
o Shear Valve(s). o Shear Valve(s).
o Dispenser Containment Float(s) and Chain(s) o Dispenser Containment Float(s) and Chain(s).
*Ifthe facility contains more tanks or dispensers, ~opy this form. Include information for every tank and dispenser at the facility.
C. Certification - I certify that the equipment identified in this document was inspected/services in accordance with the
manufacturers' guidlines. Attached to this Certification is infonnation (e.g. manufacturers' checklist) necessary to varify that
this infonnation 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) 0 System Set-up ~ Alann history report
TechnicianName(print): KristopherKams Signature: f..('tA.( ff04A~
Certification No: 834106 License No: 804904
Testing Company Name: Confidence UST Services, Inc. Phone No: 800-339-9930
Site Address: 4901 South Union Avenue, Bakersfield, CA 93307 Date of Testing/Servicing: 7/20/2007
'i'
,j
D. Results of Testing/Servicing
Software Version Installed: 327.04
Complete the following checklist:
[iI Yes D No* Is the audible alarm operational?
x Yes r 1 No* Is the Visual alarm operational?
~x Yes I I No* Were all sensors visually inspected, functionally tested, and confirmed operational?
~ Yes DNo* Were all sensors installed at the lowest point of secondary containment and positioned so that other
equipment will not interfere with their proper operation?
DYes @NO* If alarms are relayed to a remote monitoring station, is all communications equipment (e.g. modem)
x N/A operational?
[iI Yes DNo* For pressurized piping systems, does the turbine automatically shut down if the piping secondary
DN/A containment monitoring system detects a leak, fails to operate, or is electrically disconnected? If yes:
which sensors initate positive shut-down? ~ SumpfI'rench SensorsW Dispenser Containment Sensors
Did you confirm positive shut-down due to leaks and sensor failure/disconnected? W Yes; D No;
[!] Yes DNo* For tank systems that utilize the monitoring system as the primary tank overfill warning device (Le. no
DN/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? I 90 1%
D Yes* WNo 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.
[iI Yes* DNo Was liquid found inside any secondary containment systems designed as dry systems?
Tx VP-O;: [iI Product; W Water. If yes, describe causes in Section E, below.
I INo* Was monitoring system set-up reviewed to ensure proper settings? Attach set-up reports, if applicable.
Lx Yes r 1 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: Removed approximatley 0.25 gallon of Diesel/water mixture in Dispenser #11-12
i}he_Regular.& Super Spill OPW Buckets failed-and nee<H<fbe replaced and retested. .
~
F. In-Tank Guaging / SIR Equipment:
W Check this box if tank guaging is used only for inventory control.
o 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:
~ Yes 0 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 0 No* Were all items on the equipment manufacturer's maintenance checklist completed?
* In the Section If, below, describe how and when these deficiencies were or will be corrected.
G. Line Leak Detectors (LLD):
o Check this box ifLLD's are not installed.
c
h Ii II
h k10
omplete t e 0 OWlO cec 1St:
[i] Yes ONo* 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.: 00.1 g.p.h.; 00.2 g.p.h.;
-.. ONo*
~Yes Were all LLD's confirmed operational and accurate within regulatory requirments?
-r:xJ 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?
l- N/A
o Yes L- No* For electronic LLD's, does the turbine automatically shut off if the LLD detects a leak?
[iJ N/A
o Yes WNo* For electronic LLD's, does the turbine automatically shut off if any portion of the monitoring system is
(x] N/A disabled or disconnected?
o Yes DNo* For electronic LLD's, does the turbine automatically shut off if any portion of the monitoring system
~N/A malfunction or fails a test?
o Yes DNo* For electronic LLD's, have all accessible wiring connections been visually inspected?
--.. ~N/A
[iJ Yes No Were all items on the equipment manufacturer's maintenance checklist completed?
* In the section If, below, describe how and when these deficiencies were or will be corrected.
H. Comments:
-- -~~.~~,
Fr';SHJ~ IF; 25
4901 S. Ur.JION
BAKERfW I ELD. CA
6E1 -397-9:3:37
\~ .
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.JUL 20.. 2007 9: 4:3 AI"1
s\'~:nEl"1 EnHTU~; RH'ORT
I SD GROSB FREt; I;.IAF:N
I N",/ENTOR''/ REPORT
T 1: IJNLEADE[J
\JOLUI"IE
ULLAGE
90% ULLAGE=
Te VOLur"lE
HEIGHT
I/JATER VOL
L'JA TER
TH'1P -
T 2 :PRH'II Ut"l
\/OLUI"IE
ULLAGE
'30\~ ULLAGE=
TC VOLur"lE
HEIGHT
LJATER VOL
LJA TER
TEI'1P
725
:3994 GALE;
:3006 GALS
1806 GALS
879'3 GALt;
67.35 I NCHE::::;
o GAL~3
0.00 INCHES
90.9 DEG F
725
7911 (;ALS
4089 GALS
2889 GALS
7748 GALB
60. 1 4 II'ICHE':;
o GALS
0.00 INCHES
89.4 DEG F
T 3:DIESEL 725
VOLUME 5056 GALS
ULLAGE 6944 GALB
90% ULLAGE= 5744 GALS
Te VOLUME 4985 GALS
HE I GHT 42.05 I NCHEB
["JATER '..,IOL 0 C;ALS
WATER 0.00 INCHEB
TEMP 90.6 DEG F
::.:; :-; ~
~ ~
END"'.~
'f
SV8TEI"1 :=::ETUP
JUL 20. 2007 9:48 AM
B'l:=:;T EI"I UN ITB
U.S.
S'IBTE1"1 LANGUAGE
ENGLISH
0::.'''''::'TEI''1 DATE..'T I r"IE FORr"lAT
;:;ij'r~J DD 'Y"NV HH: ["U"1 : BS ;~r'l
FASTRIP 725
4901 S.UNION
BAKERBFIELD.CA
661-397-9387
SHIFT TIt1E 1
BHIFT TIME 2
BHIFT TIl"lE 3
BHIFT TIt"IE 4
TANK PER TBT
[J I BABLE[J
TANK ANN TST
DISABLED
1 2 : 00 AI"I
D I :3ABLED
D I :=:;ABLED
DISABLED
NEEDED I,JRN
NEEDED L,JP.N
LI NE RE-ENABLE l"lETHOD
PASS LINE TE:::::T
LINE PER TST NEEDED l.'JRN
DIBABLED
LINE ANN TST NEEDED WRN
DIBABLED
PR I NT TC VOLUl"lEB
ENABLED
TEr"IF ,:;OluIPENSAT I ON _ _
VALUE (DEG F ): bO . U
BTICK HEIGHT OFFBET
DISABLED
ULLAGE: 90~'<,
H-PRG'TOCOL DATA FORl"lriT
HEIGHT
DA'y'L I GHT BAV I NG T I 1"IE
ENABLED
:=::iTART DATE
APR WEEK BUN
8T ART T II"lE
2:00 AI"l
END DATE
OCT vJEEK to BUN
END TH-1E
2:00 AI1
RE-DIRECT LOCAL PRINTOUT
DISABLED
EURO PROTOCOL PREFIX
S
'3'1STEt"1 SECUR I TV
C'{IE : 000000
l"lA I NTENANCE H I STORy'
DIBABLED
TANK CHART SECURITY
DIBABLED
CUBTOI"l ALARlvJS
DISABLED
1"IASS, DE::: .;31 T\'
DIBABLED
COf"U"'lUN I CAT I ONE :::.fTUP
PORT ~::;ETT I I'JGB :
COMM BOARD : 1 (EDIM
R':::-':'3') SECUF.'ITV
6;)DE :- Iii ~3AE:LELo
cor"lI"1 BOAF:D 2 (R~;-2:32)
BAUD RATE 9600
PAR I 1"'/ NONE
BTOP BIT 1 STOP
DATA LENGTH: 8 DATA
RC>-':"3':' f;ECUF:ITY
(:ODE -= 61 ~;ABLED
COMM BOARD 3 (RS-232)
BAUD RATE 9600
PARITY NONE
STOP BIT 1 STOP
DATA LENGTH: 8 DATA
RB-232 BECUF:ITY
CODE : DISABLED
AUTO TRAN:3l"1I T SETT I No;B :
AUTO LEAK ALARM LIMIT
DISABLED
AUTO HIGH WATER LIMIT
DISABLED
AUTO OVERF I LL LI 1"11 T
DISABLED
AUTO LOW PRODUCT
DISABLED
AUTO THEFT LIMIT
DISABLED
AUTO DELIVERY START
DISABLED
AUTO DELIVERY END
D I E;ABLED
AUTO E><TERNAL 1 NF'UT ON
DISABLED
AUTO E<TERNAL I NPUT OFF
DISABLED
AUTO SENSOR FUEL ALARM
DISABLED
AUTO SENSOR l.,JATER ALARr"!
DISABLED
AUTO SENSOF: OUT ALARr"l
DISABLED
_n__ __ __ .__..
RS-232 END OF 1"IESSAGE
DISABLED
IN-TANK SETUP
T 1: UNLEADED 725
PR()[JUCT CODE
THEF:lv1AL COEFF
TANK D I AI"1ETER
TANK PROFILE
FULL "./OL
1
: . 000700
'36.00
1 PT
12000
FLOAT SIZE:
4.0 IN.
'.JATER WARN I NG
HIGH WATER LIMIT:
["lAX OR UiBEL VOL:
OVERFILL LIMIT :
12000
90~;;
10800
95:}~
11400
1 O~;;
1200
HIGH PRODUCT
DELIVERV LIlvlIT
LO~,J PRODUCT
LEAK ALARM LIMIT:
SUDDEN LOS:;:: L n'l IT :
TANK TI LT
PROBE OFFSET
1200
99
99
0.00
0.00
S I PHON 1"IAN I FOLDED TANKS
Tft: NONE
LINE l"lAN I FOLDED TANKS
TIt: NONE
LEAK MIN PERIODIC:
1%
120
LEAK ("I I N ANNUAL
P;;
120
PERIODIC TEST TYPE
STANDARD
ANNUAL TEST FAIL
ALARI"I D I :::;ABLH'
PERIO[JIC TEST FAIL
ALARt"1 [I I BABLED
ijROSS TEST FAIL
ALARI"I D I :3ABLED
ANN TEST AVERAGING: OFF
PER TEST AVERAGING: OFF
TANK TEE:T NOTI FV: OFF
TNK TST SIPHON BREAK:OFF
DEL I VERY DELAY 1 Ivl I N
PUlvlP THRESHOLD : 1 0 . om;,
2.0
:3.0
';
;
;
T 2: F'REtvll Ulvl 725
PRODUCT CODE
THERr1AL COEFF
TANK DIAr"IETER
TANK PROFILE
FULL \/OL
: . i.)un700
'3E:. .00
1 PT
1 ~"OOO
FLOAT SIZE: 4.0 IN.
WATER WARNING 2.0
HIGH WATER LIMIT: 3.0
MAX OR LABEL VOL:
OVERFILL LItvlIT
HIGH PRODUCT
12000
90~;;
10800
95::~~;
11400
1 0::,:
1200
DELIVERY L n'! IT
LOL-J PRODUCT
LEAK ALARI"1 L I 1"1 IT:
SUDDEN LOSS LIMIT:
TANK TILT
PROBE OFFSET
'" 1200
99
9'3
0.00
0.00
S I PHON 1"IAN I FOLDED TANKf3
Tit: NONE
LI NE IvlAN I FOLDED TANKS
Tft: NONE
LEAK MIN PERIODIC:
1%
120
LEAK /"1 I N ANNUAL 1 %
120
PERIODIC TEST TYPE
STANDARD
ANNUAL TEST FAIL
ALARI'1 DISABLED
PERIODIC TEST FAIL
ALARr"! D I :3ABLED
I:;F:OSS TEST FA I L
ALARI"1 D I :3ABLED
ANN TEST AVERAGING: OFF
PER TEST AVERAGING: OFF
, TANK TEST NOT I FY : OFF
TNK TST BIPHON BREAK:OFF
DEL I VERY DELAY 1 Ivl IN
PUMP THRESHOLD : 10.00%
2
T 3:PIEBEL 725
PRorJIX'T CODE
THERI1AL COEFF
TANK D I Ar"IETER
TANK PROFILE
FULL \lOL
~
. ,000450
'36.00
1 PT
12000
FLOAT SIZE:
4.0 IN.
t',lATER [,JARN I NC 2.0
HIGH l.-,JATER LII''IIT: 3.0
r'IA>< OR LABEL VOL: 1 2000
OVERFILL LIMIT 90%
10800
HIGH PRODUCT
95~"'~
DELI VERY LI 1"1I T
11400
10\,
1200
LOl"J PRODUCT
LEAY. ALARI1 L I 1"1 IT:
SUDDEN LOSB LIlvlIT:
TANK TILT
PROBE OFFSET
1200
99
99
0.00 '
0.00
S I PHON I"IAN I FOLDED TANK::;
Tit: NONE
lINE IvlAN I FOlDErJ TANKS
Tft: NONE
lEAK /11 N r'ERIODIC: p;;
120
LEAK 1'1 I N ANNUAL
1 :%;
120
PERIODIC TEST TYPE
STAND;::;RD
ANNUAL TEST FA~l
AlARr"] D I BABLErJ
PERIODIC TEST FAIL
AlARI"1 D I SABlH'
GRO::;S TEST FAIL
AlARr"] D I BABLED
L ANN TEST AVERAGING: OFF
PER TEST AVERAGING: OFF
TANK TEST NOTIF'!: OFF
TNK TST ~;IPHON BREAK:OFF
DELIVER'! DELAY 1 111 N
PUMP THRESHOLD : 10.00%
LEAK TEST 1"1ETHOD
TEST ON DATE : ALL TANK
FEB 6.. 2007
START T II"!E : D I ~::;ABLED
TEST RATE : CJ . 20 GALHR
DURATION : 2 HOURS
TST EARLY STOP:DISAELED
LEAK TEST REPORT FORr"IAT
NORI'1AL
LIGUID SENSOF: SETUP
L 1: UNL STP
TRI-STATE (SINGLE FLOAT)
CATEGORY : ~:nF' Sur''lP
L 2:UNL ANN
TRI-STATE (SINGLE FLOAT)
CATEGORY : ANNULAR SPACE
L :3: PREl"l sn>
TRI-STATE (SINGLE FLOATi
CATEGORV : STP Bur"1P
L 4: PREt"1 ANN
TRI-BTATE (SINGLE FLOAT)
CATEGOR'',:' : ANNULAR BPACE
L 5:DSL STP
TR I -STATE U::I NGLE FLOATi
CATEGOR'Y : BTP SUI"IP
L 6 :m::L ANN
TRI-STATE (SINGLE FLOAT)
CATEGORY : ANNULAR SPACE
L 7:DISP 9-10
TRI-STATE (SINGLE FLOAT)
CATEGORy : D I SPElt3ER PAN
L 8: Dr :3P 11 -1 2
TRI-STATE (BINGLE FLOAT)
':::ATEGORY : DIEWENBER PAN
L '3 :DISP 1 :3-14
TRI-STATE (SINGLE FLOAT)
CATEGORY : DISPENSER PAN
LI 0: D I SP 15-16
NORr"IALL v CLOBED
CATEGORY : DISPENBER PAN
OUTPUT RELAY BETUP
I R !: UNLEADED
TYIT:
~;T' .'riRD
NOhr"h .Li ,',' CLOBED
TANK Jt:
LIGUID BENSOR ALMS
L I: FUEL ALARr")
L 7: FUEL ALARI"1
L 8: FUEL ALARr"]
L 9: FUEL ALARI'1
LI 0 :FUEL ALARI"1
L 1 :SENSOR OUT ALAR!"1
L 7: SENSOR OUT ALARI"]
L 8 : SENSOR OUT ALAR!"1
L 9: SENSOR OUT ALARI"1
LIO:SENSOR OUT ALARM
L 1 :SHORT ALARI"!
L 7 :SHORT ALARr"l
L 8 : SHORT ALARr"l
L 9: SHORT ALARI'1
L1 0 : SHORT ALARr"l
I :3D SITE ALARr"IS
ISD GROSS PRES FAIL
ISD DEGRD PRES FAIL
ISD VAPOR LEAK FAIL
ISD VP PRES FAIL
ISD VP STATUS FAIL
ISD SETUP FAIL
ISD SENSOR OUT FAIL
I SD HOSE ALARI"IS
ALL:GROSS COLLECT FAIL
ALL:DEGRD COLLECT FAIL
ALL:FLOW COLLECT FAIL
R 2: PRH'I I ur"l
TYPE:
STANDARD
NORMAL LV CLOSED
TANK Jt:
"
.:.
LIOUID BENSOR AU']S
L 3: FUEL ALARI"!
L 7: FUEL ALARI"!
L 8: FUEL ALARI'1
L 9: FUEL ALARI"!
L1 0 :FUEL ALARI"!
L 3:SENSOR OUT ALARM
L 7:SENSOR OUT ALARM
L 8: SENSOR OUT ALARr"1
L 9:SENSOR OUT ALARM
LIO:SENSOR OUT ALARM
L :3 : SHORT ALARI"1
L 7: SHORT ALAR!"!
L 8 : SHORT ALAR!"!
L 9: SHORT ALAR!"!
LI 0 : SHORT ALARr"1
I SD SITE ALAR!"IS
ISD GROSS PRES FAIL
ISD DEGRD PRES FAIL
ISD VAPOR LEAK FAIL
ISD VP PRES FAIL
ISD VP STATUS FAIL
ISD SETUP FAIL
ISD SENSOR OUT FAIL
I SD HOSE ALARr't3
ALL:GROSS COLLECT FAIL
ALL:DEGRD COLLECT FAIL
ALL:FLOW COLLECT FAIL
".~-
R 3:DIESEL
riPE:
STANDARD
NOR!"IALL'i CLOSED
TANK it: 3
LIQUID SENSOR ALMS
L 5 :FUEL HLARI"1
L 8: FUEL ALAR!"!
L1 0 :FUEL ALAR!"1
L 5: SENSOR OUT ALAR!"]
L 8: SENSOR OUT HLARr"l
LIO:SENSOR OUT ALARM
L 5: SHORT ALAR!"1
L 8 :SHORT ALAR!',']
Ll 0 : SHORT ALARI"I
R 4:0VERFILL ALARM
TYPE:
STANDARD
NORMALL'! ()PEN
TANK it: NONE
IN-TANK ALAR/"IS
ALL: OVERF I LL. ,Ci!_ARI"1
ALL:HIGH PRODUCT ALAr:I"!
ALL:MAX PRODUCT ALARM
BMARTSENSOR SETUP
5 I: 'iP 1 1 - 1 2
CATEGORY VAPOR F'r~E:3SURE
5 2: F/1 9-10
CATEGORY A I R FLOt,,] r"IETEF:
5 3:Ft"111-12
CHTEGORV AIR FLm.,J 1"lETER
s 4:Ft"j 13-14
CATEGORV AIF: FLOI;,J ("IETER
5 5:FI"1 15-16
CATEGORV AIR FLOW METER
E\/x/ I SD BET UP
EVR TVPE: \lACUUf"1 ,:;E:S I ST
\/ACUU~,t ASS 1ST T'iPE
HEAL'll VAC
NOZZLE A/L RANGE
MAX: 1.15 MIN: 0.95
VAPOR FROCESBOF: T\'PE
NO VAPOR PROCE3S0R
ANAL VS I S TI r"IES
TII"IE: 1 0: 00 AI"1
DELAV I"ll NUTES :
ACCEPT HIGH OR\lR:
DISABLED
ISD HOSE TABLE
ID FP FL HL AA RR
------------------------
01 09 09 02 01 UU
02 10 10 02 01 UU
0:3 11 11 02 02 UU
04 12 12 02 02 UU
05 17 10 02 0:3 UU
~,
05 18 14 02 0:3 UU
07 19 15 02 04 UU
08 20 16 02 04 UU
I SD A I RFLOI.J 1"1ETER 1"IAP
ID SER I AL NU!'1 LABEL
------------------------
86:39 H'l 9-10
2 8676 HI 11-12
.') 8666 HI 1 :3-14
'.J
4 8625 HI 15-16
I SD FUEL GRADE HOSE r"IAP
1 2 3 4
FP MHH MHH MHH MHH AA
------------------------
09 201 301 '301 U U
10 202 302 902 U U
11 203 30:3 '303 5 U 2
12 204 304 904 5 U 2
17 205 305 905 U U ,-,
,.,)
18 206 306 906 U U 3
19 207 307 907 5 U 4
20 208 308 908 5 U 4
LABEL TABLE
------------------------
1: UNABSIGNED
2: BLEND:]
3: REGULAR
4: r"1 ID GRADE
5: PREM I U("1
6: GOLD
BRONZE
SILVER
BLEND2
BLEND4
.-,.
I.
8:
9:
10:
'----..-
.-.---......---.-
Pf"IC SETUP
f PROCESSOR CONTF:OL LE'v'EL:
NONE
---- ISD HOSE ALARM ----
hi: FP9: BLEND:3
DEGRD COLLECT WARN
JUL 20. 2007 10:02 AM
SOFTWARE REV I E; ION LEVEL
\lERB I ON :327.04
SOFTWARE" 346327-100-E
CREATED - 07.02.06.10.28.
S-MODULEa 330160-004-a
SVSTEM FEATURES:
PERIODIC IN-TANK TESTB
ANNUAL I (.J-TANK TESTS
ISD
H'IC
ALAR!"1 HI STORV REPORT
__h_ SENS()R ALAR!"1 _._h_
L 1 :UNL STP
STP SU~'1P
FUEL ALARr'1
JUL 13. 2007 8:35 AM
FUEL ALARI"1
MAY 25. 2007 9:05 AM
SENSOR OUT ALAR!"1
MAY 25. 2007 9:05 AM
ALARM HISTORY REPORT
SENSOR ALAF:I"1
L 2:UNL ANN
ANNULAR SPACE
SENSOR OUT ALARI'1
I"IAV 25. 2007 9: 04 AI"I
FUEL ALARI"1
FEB 6. 2007 8:35 AM
SETUP DATA L',.IARN I NG
FEE 6. 2007 8: 02 Ar"j
* ~ ~ ~ ~ END ~ ~ ~ ~ ~
ALARl"1 HI E;TORV REPORT
____h SENSOF: ALARI"1
L :3: PREl"1 STP
srp SU["1P
FUEL ALAR!"!
JUL 13. 2007 8:36 AM
FUEL ALAR!"1
! JUL 2. 2007 2:17 PM
FUEL ALAR!"I
JUL 2. 2007 1 :14 PM
~ * ~ ~ ~ END M M ~ ~ ~
ALARI"! H I STORY REPORT
----- SENSOR ALARI"1
L <I: PREt'1 ANN
ANNULAR SPACE
SENSOR OUT ALARM
MAY 25, 2007 9:04 AM
SENSOR OUT ALARM
FEE 6, 2007 8:36 AM
SENSOR OUT ALARM
FEB 6. 2007 8:33 AM
~ ~ ~ * * END * ~ ~ * *
ALARt"! HI S""- ~Y I if: T
----- SEN~
L 5: DSL E
STP sur"!p
FUEL ALARI"
JUL 13, ;-
HI
BENSOR OU1 f ]'-;1-. ,
("1ic:>,V 25. 2(,07 '3 : 04
..3ENSOR au'! ,'LAJ.,"!
'1A'y' 2:::;. 20 ".' 8 : 55 AI"I
,.. "' ~ '"
END M ~ M ;0 ;0;
ALARr"j HIST',:'~' ;. URT
----- SENSOR ALARI"!
L 6:DSL ANN
ANNULAR SPACE
SENSOR OUT ALARM
1"1A''j 2:,. 2007 9: 04 Ar'!
:3ENSOR OUT ALARr'1
FEE 6. 2007 8:35 AM
SETUl-' DATA t~ARNI NG
FEB 6. 2007 8: 02 At'1
M M ~ M MEND M M M M M
ALARt"! H I STORY REPora
----- SENSOF: ALARI'1
L 7:DISP 9-10
DISPENSER PAN
FUEL ALAR~1
JUL 13. 2007 8:42 AM
SENSOR OUT ALARM
["lAY 25. 2007 '3: 04 AI"'1
SEN:30R OUT ALARI"!
MAY 25, 2007 8:55 AM
* M M M M END ~ M M M M
ALARI"! HI :3TORY REHlRT
----- SENSOR ALARM
L 8:DI81> 11-12
DISPENSER PAN
FUEL ALAR/"1
JUL 1 ::L 2007 8: 4:3 At'1
FUEL ALARt1
r1AV 25. 2007 12: 12 pt"!
SETUP DATA [,oJARNI NG
MAY 25, 2007 12:11 PM
M M M ~ MEND ;0 M M M ~
ALAR["1 HI f,;TOR'i REPOF:T
----- SENSOR ALARI1
L 9:DISP 13-14
DISPENSER PAN
FUEL ALARI"!
JUL 13, 2007 8:44 AM
FUEL ALARJ"!
JUN 27. 2007 I :41 PM
FUEL ALARr"!
JUN 27. 2007 I :40 PM
M * M * M END ~ ~ ~ M M
ALARr"! HI :3TORY REPORT
----- SENSOR ALARI"]
L1 0: D I SP 15-16
DISPENSER PAN
FUEL ALARr"!
JUL 13. 2007 8:45 AM
FUEL ALAR!"!
FEB 6. 2007 8:18 AM
SETUP DATA WARNING
rrr.
FASTRIl 725
4901 S.u;\JION
BAKERSF I ELD.. CA
E,E.1-397-9:387
JUL 20. 2007 10:03 AM
SVSTEr"1 E:TATUS REPORT
I SD GROSS PRES t..JAF:N
hI: DEGRD COLLECT ~,JARN
SOFTWARE REVISION LEVEL
VERSION 327.04
SOFTWARE~ 346327-100-E
CREATED - b7.02.05.10.28
S-MODULEU 330160-004-a
SYSTEr"1 FEATUREf.:::
PERIODIC IN-TANK TESTS
ANNUAL IN-TANK TESTS
ISD
PI"IC
---- IN-TANK ALARM
T I:UNLEADED 725
PROBE OUT
.JUl. 20. 2007 10: 09 t:if"l
---- IN-TANK ALARM
T 1: UNLEADErJ 725
LOt^' PRODUI~T ALAR!"1
JUL 20. 2007 10:10 AM
---- I N-TANK ALAR!"!
T 1: UNLEADED 725
DELIVER'y' NEEDED
JUL 20. 2007 10:10 AM
---~-
---- IN-TANK ALARf"1
T 3:DIESEL 725
PROBE OUT
JUL 20. 2007 10:11 AM
---- IN-TANK ALARM
T 1 : UNLEADED 725
O\/ERF 1 LL ALARI"!
JUL 20. 2007 10:11 AM
---- IN-TANK ALARI"l
T 1: UNLEADED 725
PROBE OUT
JUL 20. 2007 10:12 AM
I N-TANK AU~F:I"I'
T -1 : UNLEADED ?2~S . - .
LOI;,J TEI"n:' (.-.JARNLNG _', _._"
JUL 20,' ::-'007 CO: 12 Ai'!
---- IN-TANK ALARM
T 2 :PF:H'lI ur"] 725
O\lEF:F I LL ALARt"!
JUL 20.. 2007 10: 1:3 ;'.,1"1
---- IN-TANK ALARI")
T 2: PREr"1 I U!"! 725
PROBE OUT
JUL 20. 2007 10:13 AM
---- I N-TANK ALAR!"!
T 2 :PREt"!I UI1 725
LOI/,J TEI"IP kJARN I NG
JUL 20. 2007 10:14 AM
---- IN-TANK AU,RI"]
T 3:DIESEL 725
HIGH PRODUCT ALARI"'!
! JUL 20. 2007 10:14 AM
t
--.-- IN-TANK ALAEr"!
T :::::DIE:3EL 725
O'~IERF I LL ALAR!"!
JUL 20. 2007 10:15 AM
---- IN-TANK ALARt'1
T :3 :DIE:3EL 725
F'ROBE OUT
JUL 20. 2007 10:15 AM
---- IN-TANK ALARI"]
T ':0' [if EC'El "':'1')
LOW' TH'lP I.~ARN i NC;
JUL 20. 2007 10:15 AM
'.
T 2 : PREl"l I UI"1 725
I NVENTOR'y' INCREASE
INCREASE START
JUL 20. 2007 10:11 AM
\lOLur"IE
HEIGHT
1....lATER
TEt"!P
1430 GALS
I G. 96 I NCHE:3
8.68 INCHES
88.2 DEG F
INCREASE END
JUL 20. 2007 10:15 AM
'v'OLur"1E
HEIGHT
WATER
TEI"H>
10845 GALS
81 .37 I NCHEE;
1 .03 1 NCHES
90.:3 DEG F
GROSS INCRERSE= 9415
TC NET INCREASE= 9213
----- SENSOR ALARr"1 ----_
L 5:DSL STP
STP SUI"IP
. FUEL ALARI"I
.JUL 20. 2007 10: 1'1 N'r
T 3:DIESEL 725
IN\lENTORY INCREASE
INCREASE STAF:T
JUL 20. 2007 10:14 AM
\lOLUr'1E
HEIGHT
1,-.lATER
THW
9299 GALS
6'3.47 I NCHE:3
o . 00 I NCHE:3
93.3 DEG F
I NCREA~3E END
JUL 20. 2007 10:17 AM
',jOLUI"IE
HEIGHT
1...lATER
TEt"IP
11 6:3G GALS
89.34 INCHES
O. 77 I r"JCHES
93.7 DEG F
GROSS INCREASE= 2337
rc NET INCREASE= 2298
----- SENSOR ALARM -----
L :3: FREr"! STP
SrI> SUt1P
FUEL ALARI"I
JUL 20. 2007 10:18 AM
----- SEI'.J:30R ALARI"l -----
L I :UNL E;TP
STP SUI':'IP
FUEL ALARI"I
JUL 20. 2007 10:18 AM
----- SENSOF: ALARI"!
L 8:DISP 11-12
[JISPENSER PAN
FUEL ALARM
JUL 20. 2007 10:19 AM
FA:3TRIP 725
4901 E;.UNION
BAKER:3F I ELD. CA
661-397-'3387
JUL 20. 2007 10:19 AM
SYSTEM STATUS REPORT
L 8: FUEL ALARI"1
ISD GROSS PRES WARN
h 1 :DEGRD COLLECT l..,JARN
----- SENSOF: ALARr"1
LlO:DISP 15-16
DISPENSER PAN
FUEL ALARI"!
JUL 20. 2007 10: 20 AI"l
------ SENSOR ALARr"l
L 9:DISP 13-14
D I SPEN:3ER PAN
FUEL ALARI"1
JUL 20. 2007 10:20 AM
----- SENSOR ALARM
L 7:DISP 9-10
D I :=:;PENSER PAN
FUEL ALARr"!
.JUL 20,. 2007 1 [I: 21 141"1
----- SErt30F: ALARI"!
L 2:UNL ANN
ANNULAR SPACE
FUEL ALARI"I
'JUL 20. 2007 10:26 AM
:=;!~ ~.~;--j~:-j~- :-;(,LARl'.'1
L,::~:r:.:::L i-i!'H',j
i~f'-jNULr':F. :3F>;i(:E
FUEL ALARI"!,
JUL 20. 2007 1 [I : 28 AI"I
,..j
. "
------- SEN~:OF: ALAF:r"l
L 4: f>RHl ANN
ANNULAR SPACE
FUEL ALARr"j I
JUL 20, 2007 10:30 AM I
I
I
I
I
i
I
!
I
----- SHt30R ALAF:I"l
L B:D1SP 11-12
D I ~3PENSER PAN
FUEL ALARI"!
JUL 20, 2007 10:38 AM
FA:3TR I P 725
4901 E:~. UNlOl1J
BAj':ERSF I ELD. CA
551-397-9387
.JUL 20, 200'7 10: :19 AI'1
SYSTEr"1 STATU:3 REPORT
L 8 :FUEL ALAF:t"j
I ED C~K'~;:~3E:: F'f:EE L...JARN
l.. 1. r-,r.--"-
-- -'- ---~: --"
r ,X;-i.>C.,jX[' ())L:LECT- 1,.,);::\EJ,j,.
INVENTOR\' REPORT
T 1 : UNLEADED '7.-.~
1.:=.-_"_1
VOLUr"lE . 89:38 GAL:3
ULLAGE' :3052 GALE
90% ULLAGE= 1852 GALS
TC VOLUr"lE 8744 GALE
HEIGHT 65.97 I l'le HES
~JATER \lOL 0 GALE
"'lATER 0.00 I NCHEE
TEtvJP 91 .0 DEC~ F
T 2: PREf"lI Ut'l 725
VOLUr"1E 7953 GALS
ULLAGE 4047 GALS
90% ULLAGE= 2847 GALS
TC \IOLUr"lE 7789 GALE
HEIGHT 60.41 II'ICHE:3
L.JATER VOL 39 GALE
L,JATER 1.50 INCHES
TEf''lP 89.4 DEG F
i
I
II T 3:DIESEL 725
to::
VOLUr1E 5063 GALS
- ULLAGE 5937 GALE
90% ULLAGE= 5737 GALS
Te VOLur"lE 4993 GALS
HEIGHT 42.10 I NCHEE:~
L-JATER IJOL 17 GALS
"'lATER 0.86 I NCHEE
TEI"1P '30.6 DEG F
I M M ~ M ~ END ~ ~ * * *
i
------ SEJt,;.:A: iil.Ar:r"l
L B:[J!SF' 11'1:~
DISPENSH: rr:il'j
FUEL ALARI"]
JUL 20, 2007 11 :01 AM
,
i
,
.
1 .
I
I
/
. I ..
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 (if applicable), should be provided to thefacility owner/operator for submittal to the local regulatory agency.
1. FACILITY INFORMATION
Facility Name: #725 Fastrip #19 I Date of Testing: 7/20/2007
Facility Address: 4901 South Union Avenue, Bakersfield, CA 93307
Facility Contact: Omero Garcia I Phone: 661-393-7000
Date Local Agency Was Notified of Testing : 6/18/2007
Name of Local Agency Inspector (ifpresent during testing): None
2. TESTING CONTRACTOR INFORMATION
Company Name: Confidence UST Services, Inc.
Technician Conducting Test: Kristopher Karns
Credentials 1 : X CSLB Contractor X ICC Service Tech. o SWRCB Tank Tester o Other (Specify)
License Number(s): CSLB #804904 ICC #5264406-UT
3. SPILL BUCKET TESTING INFORMATION
Test Method Used: x Hydrostatic J Vacuum L Other
Test Equipment Used: Lake Test Equipment Resolution: 0.0625"
Identify Spill Bucket (By Tank 1 Regular 2 Super 3 Diesel 4 Diesel
Number, Stored Product, etc.)
Bucket Installation Type: o Direct Bury J Direct Bury o Direct Bury o Direct Bury
x Contained in Sump x Contained in Sump x Contained in Sump o Contained in Sump
Bucket Diameter: 12.00" 12.00" 12.00"
Bucket Depth: 14.50" 13.75" 15.00"
Wait time between applying 5 min. 5 min. 5 min.
vacuum/water and start of test:
Test Start Time (T1): 10:00am 1 0:00am 10:00am
Initial Reading (Rl): 12.00" 11.50" 12.00"
Test End Time (TF): 11 :OOam 11 :OOam 11 :OOam
Final Reading (RF): 2.00" 5.50" 12.00"
Test Duration (T F - Tl): 1 hour 1 hour 1 hour
Change in Reading (~- RJ): 10.00" 6.00" 0.00"
PasslFail Threshold or 0.0625" 0.0625" 0.0625"
Criteria:
Test Result: o Pass X Fail o Pass X Fail X Pass o Fail o Pass o Fail
Comments - (include information on repairs made prior to testing, and recommendedfollow-up for failed tests)
Replacement Spill buckets have been ordered for the Regular and Super Fills and will be installed and tested
ASAP, or within 30 days.
CERTIFICATION OF TECHNICIAN 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:
/{~. (7:,//~
Date: 7/20/2007
1 State laws and regulations do not currently require testing to be performed by a qualified contractor. However, local requirements
may be more stringent.
:1. _
fl \ L--
/
i'
Owner Statements of Designated UI\derground Storage Tank (UST) Operator
and Understanding of and Co~pliance with UST Requirements
Facility Name: Fastrip #19 (Exxon) Facility ill #: 3076
Facility Address: 4901 So. Union Avenue, Bakersfield, CA 93307 Reason for Submitting this Form (Check One)
(City) .. X Addition of Designated Operator
Facility Phone #: 661-397-9387 ~ 0 Update Certificate Expiration Date
.~"
Desbroated UST Operator(s) for this Facilitv
AL TERNA TE 3 (0' /)
JTJtlOna
Designated Operator's Name: Jessica L. Meyers Relation to UST Facility (Check One)
Business Name (If different from above): Confidence UST Services, Inc. 0 Owner o Operator o Employee
Designated Operator's Phone #: 800-339-9930 0 Service Technician x Third-Party
International Code Council Certification #: 5313857-UC Expiration Date: June 30, 2009
ALTERNATE4(OVdon~)
Designated Operator's Name: Relation to UST Facility (Check One)
Business Name (If different from above): DOwner 0 Operator o Employee
Designated Operator's Phone #: 0 Service Technician o Third-Party
International Code Council Certification #: Expiration Date:
AL TERNA TE 5 (Opdon~)
Designated Operator's Name: Relation to UST Facility (Check One)
Business Name (If different from above): DOwner 0 Operator o Employee
Designated Operator's Phone #: 0 Service Technician o Third-Party
International Code Council Certification #: Expiration Date:
I certify that, for the facility indicated at the top of this page, the individual( s) listed above will
serve as Designated UST Operator(s). The individual(s) will conduct and document monthly
facility inspections and annual facility employee training, in accordance with California Code of
Regulations, title 23, section 2715(c) - (t).
Furthermore, I understand and am in compliance with the requirements (statutes,
regulations, and local ordinances) applicable to underground storage tanks.
NAME OF TANK OWNER (Please Print):
Jamieson Hill Co.
SIGNATURE OF TANK OWNER:
DATE:
AU2Ust 9. 2007
OWNER'S PHONE #: 661-393-7000
NOTE: 1) SUBMIT TIllS COMPLETED FORM TO THE LOCAL AGENCY (NOT THE STATE WATER
RESOURCES CONTROL BOARD) BY JANUARY 1,2005. THE LOCAL AGENCY LIST IS AVAILABLE
AT: www.waterboards.ca.gov/ust/contacts/cupa agys.html.
2) NOTIFY THE LOCAL AGENCY OF ANY CHANGES TO THIS INFORMATION WITHIN 30 DAYS
OF THE CHANGE.
November 2004
:;
7:U/175'
iJ.~...(
~
Owner Statements of Designated Underground Storage Tank (UST) Operator
and Understanding of and Compliance with UST Requirements
Facility Name: Fastrip #19 (Exxon) Facility ill #: 3076
Facility Address: 4901 So. Union Avenue. Bakersfield. CA 93307 Reason for Submitting this Form (Check One)
(City) 0 Change of Designated Operator
Facility Phone #: 661-397-9387 X Update Certificate Expiration Date
DesioatOO UST ODerator(s) for this Facilitv
PRIMARY
Designated Operator's Name: Douglas M Young ill Relation to UST Facility (Check One)
Business Name (If different from above): Confidence UST Services, Inc. o Owner o Operator o Employee
Designated Operator's Phone #: 80()..339-9930 o Service Technician x Third-Party
International Code Coundl Certification #: 0878646-UC Expiration Date: September 22, 2008
ALTERNATE 1 (0Dti01llllJ
Designated Operator's Name: Jennifer Davis Relation to UST Facility (Check One)
Business Name (If different from above): Confidence UST Services. Inc. o Owner o Operator o Employee
Designated Operator's Phone #: 800-339-9930 o Service Technician x Third-Party
International Code Council Certification #: 5252886-UC Expiration Date: March 15, 2009
AL TERNA TE 2 (Optional)
Designated Operator's Name: Edward Mitchell Relation to UST Facility (Check One)
Business Name (If different from above): Co,gidence UST Services. Inc. o Owner o Operator o Employee
Designated Operator's Phone #: 800-339-9930 o Service Technician x Third-Party
International Code CounCIl Certification #: 5258845-UC Expiration Date: May 15, 20<l8
I certify that, for the facility indicated at the top of this page, the individual( s) listed above will
serve as Designated UST Operator(s). The individual(s) will conduct and document monthly
facility inspections and annual facility employee training, in accordance with California Code of
Regulations, title 23, section 2715(c) - (t).
Furthermore, I undentand and am in compliance with the requirements (statutes,
regulations, and local ordinances) applicable to underground storage tanks.
NAME OF TANK OWNER (please Print): _ Jamieson Hill Co.
SIGNATURE OF TANK OWNER:--c:)" dd' ~
DATE: March 23. 2007 OWNER'S PHONE #: 661-393-7000
NOTE: 1) SUBMIT THIS COMPLETED FORM TO THE LOCAL AGENCY (NOT THE STATE WATER
RESOURCES CONTROL BOARD) BY JANUARY 1,2005. THE WCAL AGENCY LIST IS A V AlLABLE
AT: www.waterboards.ca.gov/ust/contacts/cupa agys.html.
2) NOTIFY THE LOCAL AGENCY OF ANY CHANGES TO TIllS INFORMATION WITHIN 30 DAYS
OF THE CHANGE.
November 2004
SWRCB, January 2002
Page ---L- of ~L
Secondary Containment Testing Report Form
This form is intended/or 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 completedform, written test procedures, and
printouts from tests (if applicable), should be provided to the facility owner/operator for submittal to the local regulatory agency.
Facility Name: Chevron~,'7 5 I Date of Testing: '3-o~- o~.
Facility Address: 490 I S. Union A venue, Bakersfield, Ca. 93307
Facility Contact: Jaco Oil I Phone: 1-(;6, - ".o1q"l.q3~7
Date Local Agency Was Notified of Testing : 2..~-oS
Name of Local Agency Inspector (if present during testing):
1. FACILITY INFORMATION
Company Name: Sunset Mechanical
Technician Conducting Test: Ken Brus
Credentials: gj CSLB Licensed Contractor [J SWRCB Licensed Tank Tester
License Type: C-36 C-IO I License Number: '5~q5i 7
<'-': .'-->::'>>:"" "A-'-;~)fi"-'-'-,,=,,~:~ v _,,..~~. ",to: -.~-
Manufacturer Traininl!
Manufacturer Component(s) Date Trainin.g Expires
Incon TS-STS Inspection Equipment 1/12/08
Veeder Root Monitoring System 6/12/06
AOSmith Secondary Piping 6/19/06
ICC Cal. UST Service Tech 12/21/06
2. TESTING CONTRACTOR INFORMATION
Component Pass Fail Not Repairs Component Pass Fail Not Repairs
Tested Made Tested Made
... '" , A Q .,......- -,. .. I fj 0 0 [] ..I"\"'--~i-~ ~ 0 0 [J
" , Ae.. ~04t.~ ... =' ~ 0 0 0 i, '" t' '_ Jt:l. Ii ~ 0 0 []
^h..., L\... ...- - it :I ~ 0 0 0 ;.,,,~ .4tI ~~. ,~ ~ 0 0 0
A..n,,,. ^~ hP"tr..e..dot it ~ 0 0 0 lJf'V ! 1'~ ~ 0 0 0
>"'._. - 0;....., ~i ~ 0 0 0 nt:Q~ ... I ~ 0 0 0
,.....- . i:)i . a' ut '.'} It] 0 0 0 nr.~.<:: "2- ~ 0 0 0
"'.- ~ t?l....' . ~ ~ 0 0 0 -'."''7 ;; 3 t{] 0 0 0
O.n,.. e o-.u...\ .. i+ llJ 0 0 0 i'll:~{) II '1 ~ 0 0 0
--. N'iMC .. , f!] 0 0 C OC:R ... \ @ 0 [] C
-. '.';,"0"0 .. ~ fJ 0 0 0 Dr!"" -- ? tJ 0 0 0
- "',cdV! ~ it- :~ I!tl D 0 0 ('\i:D. ~',?,. @ 0 D D
P'''iN6.~,,-~fIM\ ~ it ~ 0 D D nr-R ... Lt ~ 0 0 n
U
3. SUMMARY OF TEST RESULTS
(fhydrostatic testing was performed, describe what was done with the water after completion of tests:
h,rtrlEp. r:o~ "~~IN~ k/A. s::.. Pu ('^P.EC\ ,tJ-'O An ~Cl'\' {;.'4:lIi.A'..I TAlIU~
~~R. ~~t'1 ,.~ JJ.#Jrinc, Ol~P015A'_
CERTIFICATION OF TECHNICIAN RESPONSIBLE FOR CONDUCTING THIS TESTING
To tlte best of my knowledge, tltefacts stated in tit is document are accurate and in full compliance with legal requirements
Technician's Signature:
':'~3~~
Date:
~ '03 - OS
SWRCB, January 2002
4. TANK ANNULAR TESTING
Test Method Developed By:
[g Tank Manufacturer
D Other (Specify)
o Pressure
o Industry Standard
Test Method Used:
.A'J Vacuum
Is Tank Exempt From Testing?1
Tank Capacity:
Tank Material:
Tank Manufacturer:
Product Stored:
Wait time between applying
pressure/vacuum/water and
startin test:
Test Start Time:
Initial Reading (R,):
Test End Time:
Final Reading (RF):
Test Duration:
Change in Reading (RF-R1):
Pass/Fail Threshold or Criteria:
DYes
Iii1No
DYes
~No
Page~of~
D Professional Engineer
o Hydrostatic
Equipment Resolution: ~~.
DYes
~No
Tank # 3 Tank # i.I
~No
DYes
U Sif'
t 5 "" .~.
i 5 M.IIV .
:20 ~ ~'-
'l!.f~
60 ""'~N.
P5
- l) . 2 "4
.it Pass D Fail
~Yes DNo DNA
_.0.2....G..
Test Result:
Was sensor removed for testing?
Was sensor properly replaced and
verified functional after testin ?
.aJ Pass D Fail
8Yes CNo DNA
MYes DNo DNA
MYes DNo DNA
t 5 iVl.t'\I .
o. ~c AliA
. .
to. t4c'.
j() ," r.' ".--
o.
lit:. .
f{) I.A'N,
~.......
Ie HI"'..\.
Go t-l.rV
,RJ
-. o. z NC.. .
~ Pass D Fail
-$ Yes DNo DNA
.(j Yes DNo DNA
Comments - (include information on repairs made prior to testing, and recommended follow-up for failed tests)
60 &1>4..oV .
-. 0 . 2 .,....
jI Pass D Fail
~Yes DNo DNA
'RI Yes DNo DNA
I 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
Test Method Developed By:
\'I Piping Manufacturer
o Other (Specify)
C Pressure
o Other (Spec{fy)
I.;) TS' ti'l'
o Vacuum
Page -3- of ~
o Industry Standard
o Professional Engineer
Test Method Used:
Piping Run #
Piping Run # 2..
Piping Material:
Piping Manufacturer:
Piping Diameter:
Length of Piping Run:
Product Stored:
Method and location of
i ing-run isolation:
Wait time between applying
pressure/vacuum/water and
startin test:
Test Start Time:
Initial Reading (R,):
Test End Time:
Final Reading (RF):
Test Duration:
Change in Reading (RF-R1):
Pass/Fail Threshold or
Criteria:
Test Result:
t:
, ,.
-rEbr i300T
-;'EST fBoc> T
Go M,J\.1o.
bO 1-4~1v '
q:~S^""\
."
i 5 f'i',N
- -000' '.
-t-. aoo
~ .00'2. -.
~ Pass 0 Fail
-!.. . 002. -.
e Pass 0 Fail
~ Hydrostatic
Equipment Resolution: :!. 002-
Piping Run # "3
Piping Run # t~
.,.
+ Bo'
-rES~ BooT
'f>~
it;::ST8otSZ
Go k,rv.
E.c MIl\..> .
'.
'.
G. ~,..., ',. ",
i5' M ':1\1 .
\ r.; k ,"'-' .
-.000.1 ;;.
:t . 002.. ,-
a Pass 0 Fail
""9' '002
.l{J Pass 0 Fail
Comments - (include information on repairs made prior to testing, and recommended follow-up for failed tests)
5a-DII.1.l:\ARY PiPiNG AlUO unc..s ~:IU.EO .'\/:;"TW AP~. ,,~
6P'u-<"u-.)l!; O~ V\lATt(2...~i\..)O IE:STr;O :1:J.s c.o~:!'<.',f..) C-'TI.O...,.
SWRCB, January 2002
6. PIPING SUMP TESTING
Test Method Developed By:
~. Sump Manufacturer
D Other (SpecifY)
D Pressure
D Other (SpecifY)
Test Equipment Used: '7.Nc.o~ TS. S7S
g Industry Standard
Test Method Used:
D Vacuum
Sump # 2..
Sump Diameter:
Sump Depth:
Sump Material:
Height from Tank Top to Top of
Highest Pi ing Penetration: ,~-,
Height from Tank Top to Lowest
Electrical Penetration:
Condition of sump prior to testing:
Portion of Sump Tested] -T 2.0 -'~
Does turbine shut down when
sump sensor detects liquid (both ji1 Yes D No iJ NA
roduct and water)?'
Turbine shutdown response time j- "30 SiSc...
Is system programmed for fail-safe
shutdown?' ~ Yes [i No [J NA
Was fail-safe verified to be
o erationa\?' ~ Yes D No DNA
Wait time between applying
pressure/vacuum/water and starting ,.
.5 ,,,,,N,
test:
Test Start Time:
gYes DNo DNA
"'!3o "i}6"C .
~Yes ONo DNA
~Yes DNo DNA
,S M.I\,,) .
Initial Reading (R,):
Test End Time:
Final Reading (Rf):
Test Duration:
Change in Reading (Rf-R,):
Pass/Fail Threshold or Criteria:
Test Result:
Was sensor removed for testing?
Was sensor properly replaced and
verified functional after testing?
I t ~ 37 A \.",
G., i 0 "
is M/~.
-.oooG ...
1: '002 ....
~ Pass 0 Fail
~Yes DNo DNA
r.-
Ii:
ie.
5.t:'c>
t5i'-\/N
...
-. ~o('''1 .,
-r. 002- ~
o Pass 0 Fail
DYes 0 No DNA
D Yes 0 No 0 NA
,iilYes DNo DNA
Page q of~
D Professional Engineer
~ Hydrostatic
Sump # '3
Equipment Resolution: ~ .(X)Z, -.
~lliWi'. -, T"..''''''''''"Mtcio/--:_,., g-
-!{.Rti- ? ,: :; -w :^~:
~Yes DNo DNA
'1: 30 3EC..
~Yes ONo DNA
~Yes DNo DNA
i'5M,f..;>> ,
5.
- "-"
Sump # c..f
'..;~ ..,
4"
t:
r!"
.tr'" r::, r.r
16 '. '6 .,
'3 '. .3
+ ;>....0 -. .,. 7...0 .-.
i'5 M..N
- . 0002 'J
+ . 00::> '-.
~ Pass D Fail
I3Yes DNo DNA
RlYes DNo DNA
~~ "
;-3 "
+12.0 ,."
IN yes ONo DNA
1: :30 ofZc..
~Yes DNo DNA
I! Yes DNo DNA
15 MIl'\)
....
.,
-+, 00 J, ;;,
.,. '002 '.
~ Pass 0 Fail
l1!IYes DNo DNA
E'IYes DNo DNA
Comments - (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 ~ of the questions indicated with an
asterisk (*) is "NO" or "NA", the entire sump must be tested. (See SWRCB LG-160)
SWRCB, January 2002
Page~of~
7. UNDER-DISPENSER CONTAINMENT UDC TESTING
Test Method Developed By: ~ UDC Manu'facturer D Industry Standard D Professional Engineer
D Other (Specify)
Test Method Used:
D Pressure
8 Hydrostatic
D Vacuum
D Other (Specify)
Test Equipment Used: :I.Nco~ IS' Srs
UDC Manufacturer:
UDC Material:
U DC Depth:
Height from UDC Bottom to Top
of Hi hest Pi in Penetration:
Height from UDC Bottom to
Lowest Electrical Penetration:
Condition ofUDC prior to
testin :
Portion ofUDC Tested
Does turbine shut down when
UDC sensor detects liquid (both
roduct and water)?'
Turbine shutdown response time
Is system programmed for fail-
safe shutdown?'
Was fail-safe verified to be
o erational?'
Wait time between applying
pressure/vacuum/water and
starting test
Test Start Time:
Initial Reading (R1):
Test End Time:
Final Reading (RF):
Test Duration:
Change in Reading (RF-R1):
Pass/Fail Threshold or Criteria:
Test Result:
Was sensor removed for testing?
Was sensor properly replaced and
verified functional after testin ?
Equipment Resolution: :!:. 002. --
iO -.
~o --
)0
f "
7 '.
7'
-, '.
Gc)
T , . -.
Gco
+ ,'S"
-t-" ~~ ....
~ 00
-+ ~~ -,
OJ
~Yes DNo DNA
+ "30 S....c:. "
~Yes DNo DNA
Xl Yes IJNo DNA
II Yes 0 No DNA
~Yes DNo DNA
18 Yes DNo DNA
+- "" ''::~"
+ 130 Se.<..
~Yes DNo iJNA
tiYes DNo DNA
\!if Yes DNo DNA
5/:'Yes DNo DNA
~Yes DNo DNA
~Yes DNo DNA
Go /lIt.N-
Ge 'NJ~ .
bO MlOU,
b{') 1"'l.iN.
~
0 -to. 0 -.00.
-t . 002 ,. -t . 002 " :!: 'OO:?'" " "!: . 002. n
jI Pass D Fail ~ Pass DFail ~ Pass D Fail g Pass D Fail
~Yes DNo DNA ~Yes DNo DNA I&l:Yes DNo ONA ~Yes DNo DNA
~Yes DNo DNA ~Yes DNo DNA .tJ Yes DNo DNA ~Yes ONo DNA
Comments - (include information on repairs made prior to testing, and recommendedfollow-up for failed tests)
lI.OCc; Ai..t[) SEc-n'.JDAP-.Y PlPilLlf:":' ~':.I u roD rv;TN AP;RX. 800 GI:.ILLr\u;S'
("l~:" NAIE62. th.)D IE~E.O :i:.u ('...rlt.lo;J(.J.~..)CHON
I If the entire depth of the UDC is not tested, specify how much was tested, If the answer to illU:: of the questions indicated with an
asterisk (*) is "NO" or "NA", the entire UDC must be tested. (See SWRCB LG-160)
SWRCB, January 2002
8. FILL RISER CONTAINMENT SUMP TESTING
Facility is Not Equipped With Fill Riser Containment Sumps D
Fill Riser Containment Sumps are Present, but were Not Tested D
Test Method Developed By: ~Sump Manufacturer ~'Industry Standard
D Other (Specify)
TestMethod Used: D Pressure D Vacuum
D Other (Specify)
Sum Diameter:
Sump Depth:
Height from Tank Top to Top of
Hi hest Pi in Penetration:
Height from Tank Top to Lowest
Electrical Penetration:
Condition of sump prior to
testing:
Portion of Sump Tested
Sump Material:
Wait time between applying
pressure/vacuum/water and
start in test:
Test Start Time:
Initial Reading (R)):
Test End Time:
Final Reading (RF):
Test Duration:
Change in Reading (RF-R1):
Pass/Fail Threshold or Criteria:
Test Result:
Is there a sensor in the sump?
Does the sensor alarm when
either product or water is
detected?
Was sensor removed for testing?
Was sensor properly replaced and
verified functional after testing?
. ~-,,'-,'>.J:';::':;.~.;';.(_:-:-:::.';'
Page~of~
D Professional Engineer
J8 Hydrostatic
Equipment Resolution: -:t. Dc:.\
'.
Fill Sump # 2- Fill Sump # '3 Fill Sump # 'f
Lt~ -. 4 <g '. '-18 ,.~
4' 4' 4 '
NIA N/A N;..,
3'" '3 " '3 ,
Ni/l.
3"
,5 /VI n,,-> '
a':) ""IN'
,5' ,... i t.)
. r.'
\;) t4 IN
. : 1-
5.0 ZE>-"
IS M:....
- . 000 i .
-:t. .002 ...
18 Pass D Fail
D Yes ~No
DYes DNo ~NA
DYes DNo ~NA
DYes DNo .iJNA
;2;' 2
G. '
I ")
~ .'7'r3" -,
i'5 fIIl/N .
- . 000 . -
-+'002
JiJ Pass D Fail
D Yes ~No
DYes DNo IiNA
DYes DNo ~NA
DYes DNo ;R)NA
Comments - (include information on repairs made prior to testing, andrecommendedfollow-up for failed tests)
. .(;1
l~ Mllv.
+.0 '?-.
-;- .002 -.
1)1 Pass D Fail
D Yes ~No
~ "
c=-oc.,
G. '"
i'5 ~/~ -
- .0'003 ".
-T .002. h
iil Pass D Fail
DYes ~No
DYes DNo ~NA
DYes CNo ~NA
DYes DNo ~NA
DYes D No iI NA
DYes DNo ~NA
DYes DNo ~NA
9. SPILL/OVERFILL CONTAINMENT BOXES
Facility is Not Equipped With Spill/Overfill Containment Boxes 0
Spill/Overfill Containment Boxes are Present, but were Not Tested 0
Test Method Developed By: ~ Spill Bucket Manufacturer ~ Industry Standard
o Other (Specify)
Test Method Used: 0 Pressure 0 Vacuum
o Other (Specify)
Test Equipment Used: ~c.nt.:) '"''is - STS
~
SWRCB, January 2002
Spill Box #
i 7.. ".
l?_ '.
Spill Box # 2.
i?_' .
.."2, .n
Bucket Diameter:
Bucket Depth:
Wait time between applying
pressure/vacuum/water and
startin test:
Test Start Time:
Initial Reading (R1):
Test End Time:
Final Reading (Rr):
Test Duration:
Change in Reading (RF-R1):
Pass/Fail Threshold or
Criteria:
Test Result:
is M,tv.
1'5M,JIv
12.~g~ p~
4.' ..,
1 2.: "lQ p...,
ll.3Ll ~M
'3-~/q
i 2.; qq p.....
"
3 -a- :t1 , .,
f '5 ~'" , t..) .
- .Oooj ...
''5 Mnv .
-+. 000"2 "
-t -^- M.
-"'-"'-'4
:t 'cn'2., '.
~ Pass 0 Fail
Ar Pass 0 Fail
Pagelof~
o Professional Engineer
~ydrostatic
Equipment Resolution: :t. oo~
Spill Box # 3
17_' .
Spill Box # <-1
I?. .',
i 7. ",
;"2."
I '5 1"1 , I..J
1'5 MIIV ,
i2:3,-+ "
'2. 'C1l.7 J -...
'1_: 50 f'M
~-.Ljz..10 '.
j'[) M,iV
pr
-to . 002 ...
- . oco..3' ;
:t.OO2. "
.8 Pass 0 Fail
~ Pass 0 Fail
Comments - (include information on repairs made prior to testing, and recommendedfoliow-up for failed tests)
~E::'; . ;~+~~:~1~~,):~f'~._~.'.~.'.:,I';...'.".~.~.';...~,.,.:..~,:,:."'.'.~.~.2.:..,,..,'~.-~.\.:,'H.:~~N:'~-:'~::
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[~.j[) -r ~ ~..;::M '~:'-F::-3'7<.t1.~j
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:)~j?03/'2gE15:
S ~- ~)2.~_4:': ,t:H
-..L102.- rt~
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[!\if: nATE:
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[f.~D ~Et)c.L 5-. 9;:-.'35 .~~-r'~
;:~I-;;-:.. ":.:'!;:.'~=:;dOL;':t ~j ~ ~'5~>:
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: '.,."';" "..;: f~F";~~) ~. 2'~-2;~_; ~~'f~
TEST '~:T~~iPTEt) ~:~3,,':~3/.2(n)~~
:::t.~C:; i :'-~ :_~:!.)::.~. L-"~; '~~J49 I i~
..~',~ :::~~21 .2:;<-
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__~l r;~ ~ L'~; r~..:
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:- !'i
TE:::T STf':::PTtt,.-
.-:~-t:?:T :::::-;/~;;-(T~;);--.
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-:;:~D -~.... >1;::-
Et"D f,f;'r::::
. I . ~~;~:..-..20E}t::
:::;'.. f:,~;?:: .I r.~
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t~ ~:. ...._- ~}::' /.;: (1 t!~
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~i;, ~~~:::2t:. T~',~
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.. ~.:?;:::: i:'t.1
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3. ;:~ 1 96 ft"!
'ti'i~l~I::i~:
~.?;. ~:(; ';~':;~
e~~, .-.., ~13...-':2 ~;}~3~5
.4: 4~14;::~- .:Ir..:
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0.- i.)02. .1 ~.~
. ._:.f'f\;;:::E.S~
...,.~_.~-~---..-~_~~--............:.,.-- J--
-'"
SWRCB, January 2002
Page -L of --.:L
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 resultsfor all components tested The completedform, written test procedures, and
printouts from tests (if applicable), should be provided to the facility owner/operator for submittal to the local regulatory agency,
Facility Name: FastripJ:t'12.5 I Date of Testing: 3-<6 -05'
Facility Address: 490 I South Union A venue Bakersfield, Ca. 93307
Facility Contact: Jaco Oil I Phone: 1-('".(.'- 3<.11- 9331
Date Local Agency Was Notified of Testing : 2. - 2~;.' (\ ~;
Name of Local Agency Inspector (ifpresent during testing):
1. FACILITY INFORMATION
2. TESTING CONTRACTOR INFORMATION
Company Name: Sunset Mechanical
Technician Conducting Test: kEI\J 3I:!.u...<;
Credentials: ~ CSLB Licensed Contractor
License Type: C-36 C- I 0
o SWRCB Licensed Tank Tester
License Number: 5895 I 7
Manufacturer
Component Pass Fail Not Repairs Component Pass Fail Not Repairs
Tested Made Tested Made
(\,.)tJ'" 'V" <C'~cJ=. #- I iii 0 0 0 ( U""l"' .. q-lo ~ 0 0 0
c,"I'''' , It t;., C:'C,f',CJ;: -# 2 G3 0 0 0 ; "....r .. II - , ~') ~ 0 0 0
A'..e" ^c.":' '!',C:t:)C~ ~ ~ ~ 0 0 0 111l'v' I?-I" ~ 0 0 0
0 0 0 0 i!nc Ir"-"6 ~ 0 0 0
P'P;Nrr: '2 u.1\J ~ , ~ 0 0 0 0 0 0 0
,..,,~ 10,. .,. Q(,> J..'> #- """ ~ 0 0 0 ?IC:~"'" - -tf- 1 ~ 0 0 0
~
. t:",t I-"t 11..i?~ k~1 U.) i4. ~ ~ 0 0 0 :'\ t:"R!"'" *~ ~ 0 0 0
0 0 0 0 Oi:=R:-:; #-~ &J 0 0 0
P,!-;,,< \,,: ~'J..I!-AP #1 ~ 0 0 0 0 0 0 0
P, (', .tV;~' <~ ej !:.,( j;, \t ;) ~ 0 0 0 ",t:' R. ~ I ~ 0 0 ~
P,Pit.,,? <'<> M'P l:t.~ ~ 0 0 0 tOH';;,c.:; P-2 ~ 0 0 0
0 0 0 [] O(:R .p. 2> Ii(j 0 0 0
3. SUMMARY OF TEST RESULTS
If hydrostatic testing was performed, describe what was done with the water after completion of tests:
VlJR1"'Ef.'L C(lQ ..,.e't~;:il.J('~ &1JAS PUJ.vt.PE:C :tl'J7d .4/.1 'Rr-.o ';;.c.(~,)1<j j,tUJ i<.
c:-:.."'R 1?E(..).~F.: ~N.Di~12 PiS;;:-DS~ I
CERTIFICATION OF TECHNICIAN RESPONSIBLE FOR CONDUCTING THIS TESTING
To the best o/my knowledge, the/acts stated in this document are accurate and in/ull compliance with legal requirements
Technician's Signature:
<- - --"'.-L1.r3.
~
\.
Date: '3 n 15 '3 - Ci :-'i
4. TANK ANNULAR TESTING
IR Tank Manufacturer D Industry Standard
D Other (Specify)
D Pressure iI Vacuum
D Other (Specify)
,t'
SWRCB, January 2002
Test Method Developed By:
Test Method Used:
Test Equipment Used:
G;,~.u.Ge f..Y c.e:eTf;,
~No
Tank # 2-
D Yes ~No
12.,000
Is Tank Exempt From Testing?1
Tank Capacity:
Tank Material:
Tank Manufacturer:
Product Stored:
Wait time between applying
pressure/vacuum/water and
startin test:
Test Start Time:
Initial Reading (Rt):
Test End Time:
Final Reading (RF):
Test Duration:
Change in Reading (RF-R1):
PassIFail Threshold or Criteria:
Test Result:
Was sensor removed for testing?
Was sensor properly replaced and
verified functional after testing?
c
~1:e
15 ,,,,,,au .
i5~~,vv.
I : 30 p.,-",
} 0 ;.(6, .
2.: 30 ;,,'-1
.0 HCi.
I ; 30 po''''
I2.NC"
2; 3D p.~..
,2. "'4.
Go .\I\.N .
be) l".f\, ,...... ..
0.-::> He.
_, O..?- u&;.
)1 Pass D Fail
IBYes DNo DNA
il Pass 0 Fail
alYes DNo DNA
~Yes 0 No DNA
'gJ Yes D No 0 NA
Page ~_ of---=:L.
D Professional Engineer
o Hydrostatic
Equipment Resolution: 0" 30 He>>,.
Tank # 3
DYes jgNo
Tank #
DYes
DNo
t 2, ~')OO
15 ^",6\1 .
, ; ~o p,-'I.
/0-5'''''1:,-
'?: 30 Po''''
10.0:.,"'-1.
G.:..'" M'..... .
- C., ...(~
-6.2*,,4.
~ Pass D Fail
~Yes DNo DNA
D Pass D Fail
DYes DNo DNA
IeIYes DNo DNA
DYes DNo DNA
Comments - (include information on repairs made prior to testing, and recommendedfollow-up for failed tests)
I 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
Page ~ of ---=:L
5. SECONDARY PIPE TESTING
.2 Piping Manufacturer 0 Industry Standard
o Other (Specify)
o Pressure 0 Vacuum
o Other (Specify)
Test Equipment Used: :1J,.)co N "'T~ - ST'f;j
Test Method Developed By:
o Professional Engineer
Test Method Used:
~ Hydrostatic
Equipment Resolution: +. 00 Z. -'''
Piping Run # 2.
Piping Run # 3
Piping Run #
Piping Material:
Piping Manufacturer:
Piping Diameter:
Length of Piping Run:
Product Stored:
Method and location of
i ing-run isolation:
Wait time between applying
pressure/vacuum/water and
startin test:
Test Start Time:
Initial Reading (R1):
Test End Time:
Final Reading (RF):
Test Duration:
Change in Reading (Rf-R1):
PassIFail Threshold or
Criteria:
Test Result:
-H':-:'iT 13~C"T
VI. ~
800T
Go ~....,..v.
6'~ ;'~I IV
60 ;1'/1 ov
~ '.21 f"iV1
?-: ~ 17'...,
4. ~'( 'C,d "
",;.....: . ., r,,,,,
4. r:':3 0
15 M..v,
""! . DCZ ....
,5 ""', N
-+.. ()CO ,
..,.. . Q:l7.. -.
!:. ,002 -.
('5,,,,,,,~,
+. 0007. -.
.Bl Pass 0 Fail
~ Pass 0 Fail
.Qt Pass 0 Fail
o Pass 0 Fail
Comments - (include iriformation on repairs made prior to testing, and recommended follow-up for failed tests)
'5Ec.o:.)(:~f.2..Y PIP,,';". ANn UOCfl !=IUF.1'. A,PR.x 6c.')0 GL:t.J_OtJ'h
('f=W~ ANt; TES7ED :IN CCe;,)~j'i..\.t-)c.. '"'tlON .
SWRCB, January 2002
Test Method Developed By:
Test Method Used:
Test Equipment Used:
Sump Diameter:
Sump Depth:
Sump Material:
Height from Tank Top to Top of
Hi hest Pi ing Penetration:
Height from Tank Top to Lowest
Electrical Penetration:
Condition of sump prior to testing:
Portion of Sump Testedl
Does turbine shut down when
sump sensor detects liquid (both
roduct and water)?'
Turbine shutdown response time
Is system programmed for fail-safe
shutdown?'
Was fail-safe verified to be
o erationa\?'
Wait time between applying
pressure/vacuum/water and starting
test:
Test Start Time:
Initial Reading (Rr):
Test End Time:
Pinal Reading (RF):
Test Duration:
Change in Reading (RF-Rr):
PasslFail Threshold or Criteria:
Test Result:
Was sensor removed for testing?
Was sensor properly replaced and
verified functional after testing?
6. PIPING SUMP TESTING
D Sump Manufacturer ~ Industry Standard
D Other (Specify)
D Pressure D Vacuum
D Other (Specify)
1'5 - STS
Sump # I
qa '.
4<J '.
1=1 EReL ,,",co;-
iG ..
I~ '.
" -', 0 (:,
-t-. '2.0 ,.
.iii Yes D No DNA
.... Eo Sc:C.
iii Yes DNo DNA
fI Yes D No DNA
,6,..",,/\\..1-
3:.~ f'.""
12f'
"1' ,c.')O -z. '..
~ Pass 0 Fail
I)!I Yes D No DNA
@ Yes D No DNA
Sump # ~
"8/'
1(' '.
i7 'i
Page~of~
D Professional Engineer
~ Hydrostatic
Equipment Resolution: 2". 002. >~
Sump # ;)
<~-:
'6' "
+ 2..0 " ~ 2.0'~
Sump #
DYes DNo DNA
DYes DNo DNA
DYes DNo DNA
o Pass 0 Fail
DYes DNo DNA
DYes DNo DNA
Comments - (include information on repairs made prior to testing, and recommended follow-up for failed tests)
Iiil'Yes DNo DNA ~Yes DNo DNA
-+ 3e Sa::. "* "30 ~ec.
gjYes DNo DNA ~Yes DNo DNA
lktYes DNo DNA. ~Yes DNo DNA
.~ "-(.......
3 ,17 ,.1....
7. 'z.. 'iF) n
3 : ....~ P~d"\
'7, '2~:)' I "
t5 '~I6U,
+. .,"\01:) i .~
+ . t'O~ '-
.WI Pass 0 Fail
~Yes DNo DNA
~Yes DNo DNA
HS .'-t. nV,
7, '709"1 '.
iSM.N
:! .ooz."
KI Pass 0 Fail
!JYes DNo DNA
~Yes DNo DNA
I If the entire depth of the sump is not tested, specify how much was tested, If the answer to ill!Y of the questions indicated with an
asterisk (*) is "NO" or "NA", the entire sump must be tested, (See SWRCB LG-I60)
SWRCB, January 2002
Page~of~
7. UNDER-DISPENSER CONTAINMENT DC TESTING
Test Method Developed By: I!f UDC Manufacturer D Industry Standard D Professional Engineer
D Other (Specify)
Test Method Used: D Pressure D Vacuum ~Hydrostatic
D Other (Specify)
UDCManufacturer:
UDC Material:
UDC De th:
Height from UDC Bottom to Top
of Hi hest Pi in Penetration:
Height from UDC Bottom to
Lowest Electrical Penetration:
Condition ofUDC prior to
testin :
Portion ofUDC Tested
Does turbine shut down when
UDC sensor detects liquid (both
roduct and water)?'
Turbine shutdown response time
Is system programmed for fail-
safe shutdown?'
Was fail-safe verified to be
o erationaI?'
Wait time between applying
pressure/vacuum/water and
startin test
Test Start Time:
Initial Reading (R():
Test End Time:
Final Reading (Rr):
Test Duration:
Change in Reading (Rr-R,):
Pass/Fail Threshold or Criteria:
Test Result:
Was sensor removed for testing?
Was sensor properly replaced and
verified functional after testing?
-rs - s-rs
" -,
c ~"
Equipment Resolution: :t, ~& '.
It'"
it
\ I -,
( -,
GcaI:)
+1
ii!I Yes D No D NA
-t < 0 ~CJ..:' .
IX Yes D No DNA
~Yes DNo DNA
60 Mu...,-
~'
-~,
'..... -
,.-.
..... 0 (:~ 0 '2. "
.... .002. 0
~ Pass D Fail
jd Yes D No DNA
~Yes DNo DNA
"7 -,
"7 -.
mYes DNo DNA
-+ ~Cl Sc:.C.
~Yes DNo DNA
jlYes DNo DNA
6,.. ·
U ,,'\,..... __
-t _ OC'?. --
~ Pass D Fail
I3'Yes DNo DNA
WYes DNo DNA
Comments - (include information on repairs made prior to testing, and recommended follow-up for failed tests)
Unc.:,; At..:.[) ~'\~:t\lJr~~.'f2.}' PiC'U\>0. FILl ~D !rUiTW APKx &:'0
G.t::\{...u~J\.)'5-~ OF lv.mE:.f2.. A l;.JO l'e;.Te::..P -:11'.1 en !..k.l'....t...lUc......,. tON.
~Yes DNo DNA
iil-Yes DNo DNA
1- 'e<:.. .
-+
~Yes DNo DNA
~Yes DNo DNA
~Yes DNo DNA
I)lYes DNo DNA
b6 J!,' t '"
60 rl'13.N__
-+-
-+ . Ck1Z -~
.g Pass D Fail
&IYes DNo DNA
81Yes DNo DNA
:!:. . 002. .,
~ Pass D Fail
~Yes DNo DNA
~Yes DNo DNA
, If the entire depth of the UDC is not tested, specify how much was tested, If the answer to ill!Y of the questions indicated with an
asterisk (*) is "NO" or "NA", the entire UDC must be tested, (See SWRCB LG- 160)
SWRCB, January 2002
Page~of~
8. FILL RISER CONTAINMENT SUMP TESTING
Facility is Not Equipped With Fill Riser Containment Sumps D
Fill Riser Containment Sumps are Present, but were Not Tested D
Test Method Developed By: D Sump Manufacturer ~ Industry Standard
D Other (Specify)
Test Method Used: D Pressure D Vacuum
Sum Diameter:
Sump Depth:
Height from Tank Top to Top of
Highest Pi ing Penetration:
Height from Tank Top to Lowest
Electrical Penetration:
Condition of sump prior to
testin :
Portion of Sum Tested
Sump Material:
Wait time between applying
pressure/vacuum/water and
starting test:
Test Start Time:
Initial Reading (R1):
Test End Time:
Final Reading (RF):
Test Duration:
Change in Reading (RF-R,):
PassIFaiI Threshold or Criteria:
Test Result:
Is there a sensor in the sump?
Does the sensor alarm when
either product or water is
detected?
Was sensor removed for testing?
Was sensor properly replaced and
verified functional after testing?
fV /A
'2,'"
G(')On
1=1
is "",IV'
; j P......
4.754'" -
'1:'3:] p,,~
.::, .~<
IS....",I\.' .
+-'.0<.1 4;'/'
-:!. , ~O ~'I
~ Pass D Fail
nYes IilNo
';:.., Yes DNo ~NA
L.. Yes D No A'1NA
:- Yes D No ~NA
Fill Sump # '2..
43 ...
lV/A
2.. ,.
GOOD
o Professional Engineer
~ Hydrostatic
Equipment Resolution: j:, C\02. ,~
Fill Sump #
..
NiA
-2 "
GOOD
I <J ;'vf, tV .
'.
IS .......,.v
- , <:> ('e>' "J
~ .OO~ '.
~' Pass 0 Fail
D Yes ~No
o Pass
DYes
D Fail
DNo
(S po\lW
~
-:!: . (')\"'\ -": "
~ Pass 0 Fail
D Yes ~No
DYes DNo ~NA
DYes DNo ~NA
DYes DNo ~NA
DYes DNofl'NA
DYes DNo DNA
DYes DNo 8NA
DYes DNo .Q!-NA
DYes DNo DNA
DYes DNo DNA
Comments - (include iriformation on repairs made prior to testing, and recommendedfollow-up for failed tests)
SWRCB, January 2002
Page~of~
9. SPILL/OVERFILL CONTAINMENT BOXES
Facility is Not Equipped With S iII/Overfill Containment Boxes 0
SpilVOverfill Containment Boxes are Present, but were Not Tested 0
Test Method Developed By: ~ SpiII Bucket Manufacturer I!1l Industry Standard
o Other (Specify)
Test Method Used: 0 Pressure 0 Vacuum
o Other (Specify)
o Professional Engineer
.ij Hydrostatic
c::
Equipment Resolution:
Bucket Diameter:
Bucket Depth:
Wait time between applying
pressure/vacuum/water and
starting test:
Test Start Time:
Initial Reading (RD:
Test End Time:
Final Reading (Rf):
Test Duration:
Change in Reading (Rf-R,):
Pass/Fail Threshold or
Criteria:
Test Result:
"-
Spill Box # 2-
'2
Spill Box # 3
, 2. "
Spill Box #
1"2. --
'2 .'.
I ~ '.
j S 1/1", I i.'l .
I "i .'...., vv
, S "'J\ I \N
l~,IV.
:.: : ? -r~""
s. '~;sa'-
"2 ..,~.." c__-_
~'~6 ".,
- . Clao i "
':! .C~'2 -,
ar Pass 0 Fail
:! . o~:. '.
+ "
_'O~
a Pass 0 Fail
o Pass 0 Fail
~ Pass 0 Fail
Comments - (include information on repairs made prior to testing, and recommended follow-up for failed tests)
't K~f.\l.P.r.:E:-.DI?eAI&L.PLU.h :r,IJ()vE",?.I=ILL ~O< '* I (UIoJ~r.tED)
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MONITORING SYSTEM CERTIFICATION
1, fr For Use By All Jurisdicti;;ns 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: #725 Fastrip #19
Bldg. No.:
Zip: 93307
Site Address: 4901 South Union Avenue
City: Bakersfield
Facility Contact Person: Omero Garcia
Make/Model of Monitoring System: Veeder-Root TLS 350
Contact Phone No.: 661-393-7000
Date of T estinglServicing: 7/25/2006
~;}t?~~~!r?~ox~~ ~d~~i,f.~c~~~m'E~~,~~~L~~c~fied
Tank ID: 12000 gal. Regular i Tank ill: 12000 gal. Super
[x] In-Tank Gauging Probe. Model: 847390-107 [iJ In-Tank Gauging Probe. Model: 847390-107
[iJ Annular Space or Vault Probe. Model: 794390-420 [!] Annular Space or Vault'Sensor, Model: 794390-420
[iJ Piping Sump / Trench Sensor(s). Model: 794380-208 [iJ Piping Sump / Trench Sensor(s). Model: 794380-208
[iJ Fin Sump Sensor(s) Model: 794380-208 [!] Fin Sump Sensor(s). Model: 794380-208
W Mechanical Line Leak Detector. Model: FX1V 0 Mechanical Line Leak Detector. Model: N/A
o Electronic Line Leak Detector. Model: D Electronic Line Leak Detector, Model:
[xJ Tank Overfin / High Level Sensor. Model: 794390-107 [!] Tank OverfIll/High Leval Sensor. Model: 794390-107
D Other (specify equip. type and model in Sec, Eon Pg, 2) 0 Other (specify equip. type and model in Sec. Eon Pg, 2)
Tank ID: 12000 gal. Diesel Tank ID:
. [x] In-Tank Gauging Probe. Model: 847390-107 0 In- Tank Gauging Probe. Model:
[iJ Annular'Space or Vault Sensor. Model: 847380-420 0 Annular Space or Vault Sensor. Model:
[x] Piping Sump / Trench Sensor(s). Model: 794380-208 D Piping Sump / Trench Sensor(s). Model:
[i] Fin sump Sensors(s). Model: 794308-208 0 Fin Sump Sensor(s). Model:
,
Lxl Mechanical Line Leak Decector. ModeI:FX1V D Mechanical Line Leak Detector. Model: . ,
D Electronic Line Leak Detector. Model: 0 Electronic Line Leak Detector. Model:
[i] Tank Overfill / High Level Sensor. Model: 847390-107 0 Tank Overfin / High Level Sensor. Model:
0 Other (specify equip. type and model in Sec. Eon Pg. 2) 0 Other (specify equip. typs and model in Sec, Eon Pg, 2)
,
Dispenser ID: 1 & 2 Dispenser ID: 3 & 4
[X] Dispenser Containment Sensor(s). Model: 794380-208 [!] Dispenser Containment Sensor(s). Model: 794380-208
[i] Shear Valve(s). [iJ Shear Valve(s).
o DispenserContainment FIoat(s) and Chain(s). o Dispenser Containment FIoat(s) and Chain(s)
Dispenser ID: 5&6 Dispenser ID: 7 & 8
~ Dispenser Containment Sensor(s). Model: 794380-208 [iJ Dispenser Containment Sensor(s). Model: 794380-208
~ Shear VaIve(s). ~ Shear Valve(s).
o Dispenser Containment FIoat(s) and Chains(s). D Dispenser Containment FIoat(s) and Chain(s).
Dispenser ID: Dispenser ID:
o Dispenser Containment Sensor(s). Model: o Dispenser Containment Sensor(s). Model:
o Shear Valve(s), o Shear Valve(s).
o Dispenser Containment FIoat(s) and Chain(s) o Dispenser Containment Float(s) and Chain(s).
. .
*If the facIhty contams more tanks or dispensers, copy this form, Include informatlon for every tank and dISpenser at the facility.
C. Certification. 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 varlfy 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 aU that apply) 0 Sys Set-u x Alarm history report
Technician Name (print): Joseph Stroope Signature:
Certification No: A31226 Licens 0: 804904
Testing Company Name: Confidence UST Services, Inc. Phone No: 800-339-9930
Site Address: 4901 South Union Avenue. Bakersfield, CA 93307 Date of Testing/Servicing: 7t25t2006
D. Results of Testing/Servicing
I' q
Software Version InstaIIed: 16.02
Complete the foUowing checklist:
[i] Yes D No* Is the audible alarm operational?
x Yes r 1 No* Is the Visual alarm operational?
x Yes I I No* Were all sensors visually inspected, functionally tested, and confirmed operational?
x Yes DNo* Were all sensors installed at the lowest point of secondary containment and positioned so that other
'-- equipment wiII not interfere with their proper operation?
UYes bd No* If alarms are relayed to a remote monitoring station, is all communications equipment (e.g. modem)
x N/A operational?
I [i] Yes DNo* For pressurized piping systems, does the turbine automatically shut down if the piping secondary
DN/A containment monitoring system detects a leak, fails to operate, or is electricaIIy disconnected? If yes:
which sensors initate positive shut-down? ~ SumpfTrench Sensors WDispenser Containment Sensors
Did you confIrm positive shut-down due to leaks and sensor failure/disconnected? [i] Yes; D No;
WYes DNo* For tank systems that utilize the monitoring system as the primary tank overfiII warning device (i.e. no
DN/A mechanical overfiII prevention valve is installed), is the overfill warning alarm visual and audible at
the tank fIII point( s) and operating properly? If so, at what percent of tank capasity does the alarm
trigger? l 90 J%
D Yes* WNo 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.
D Yes* [i] No Was liquid found inside any secondary containment systems designed as dry systems?
Txl Yes!. D Product; D Water. If yes, describe causes in Section E, below,
I INo* Was monitoring system set-up reviewed to ensure proper settings? Attach set-up reports, if applicable.
Lx Yes r 1 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:
t
F. It.-Tank Guaging I SIR Equipment:
[x] Check this box if tank guaging is used only for inventory control.
o 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:
~ Yes 0 No. Has all input wiring been inspected for proper enter and termination,including testing for ground faults?
-i 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?
- 0 Were all items on the equipment manufacturer's maintenance checklist completed?
~ Yes No.
.. In the Section H, below, describe how and when these deficiencies were or will be corrected.
G. Line Leak Detectors (LLD):
C thfill hkli
o Check this box if LLD's are not installed.
omplete eoowm !!:c ec st:
~Yes o 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.: 00,1 g.p.h.; 00.2 g.p,h,;
...... DNo.
~Yes Were all LLD's confirmed operational and accurate within regulatory requirments?
llxJ 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?
i0==- N/A
DYes '-- No. F or electronic LLD's, does the turbine automatically shut off if the LLD detects a leak?
[iI N/ A
DYes DNo. For electronic LLD's, does the turbine automatically shut off if any portion of the monitoring system is
[x] N/A disabled or disconnected?
DYes WNo. For electronic LLD's, does the turbine automatically shut off if any portion of the monitoring system
~N/A malfunction or fails a test?
DYes DNo* For electronic LLD's, have all accessible wiring connections been visually inspected?
--;= ~N/A
[i] 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:
t
.i
FAstRIPi9 .
4901 S. UNION AVE.
BKFLD. CA. 93307
661-397-9387
JUL25.20068:58AI1
. -- .
. - .,-.---.- --- ---". . '. - '.- .--.-_.
":-:.->::.--._--.-.---:.---.:-.: - --.--...-:.---.:--:---.
. . ".--" - - -. --.",..":."--.-: -.:.- ".-.-. -:-.:_--."-: .
SYSTEM STATUS REPORT
- - - - - - - - - - - -
..ALLFUNCTIONS NOR/'1AL
INVENTORY REPORT
T 1 :UNL. 1 775
VOLUME. .' 7387 GALS
ULLAGE = 4645 GALS
90~~ULLAGE= 3441 nGALS
TCVOLUME 5690 GAtS
HEIGHT 56. 64/INCHES
WATER VOL o GALS
llJATER 0.00 INCHES
TEr"1P92 . 8 DEGF
T2:0Nl.:'/2S!PHON .'775 ....
VOLUl"lE> ..", . 7808 GALS
ULLAGE> = 4224 GALS
90%iULLAGE= 3020 GALS
TCVOLUME = . '7633 GALS
HEIGHT = 59.34 INCHES
t...JATER VOL =' o GALS
WATER = 0.00 INCHES
........TEI"1P.. .= 91.9DEG.F
. .---- - .-.-.-.- ..
. - - - - - .-. -- - - - - - .
L 3:PREhi.l.Jf~L .n775
VOLU/"lE> -1686GALS
ULLAGE........' >'?'.l0346 GALS
90%ULLAGE;" 9142GALS
TC VOLUr"lE1636i<GALS
HEIGHT.. ...18;9:9INCHES
L\IATER ..VOL ..,...OGALS
WATER' '0:00 INCHES
'TEI"lP>- ...102;2..DEG.F
Ti4:r,1~fu..)775...ii..'....'..'.."'.'..'......,.
VOLUME-4457GALS
ULLAGE . ". = ... '7575< GALS
90% ULLAGE=' 63'71 GALS
. TCVOLUI"IE = ..4392HGALS
HEIGHT . -38 .16 INCHES
WATER VOL 0 GALS
WATER 0.00 INCHES
TEMP 92.4 DEG F
T 5:UNL.725
\lOLUNE 4192 GALS
ULLAGE ..... ... =7808 GALS
90~~ULLAGE= 6608GALS
TC VOLU/"lE . 4100 GALS
HEIGHT - 36. 53 INCHES
WATER VOL o GALS
>WdTER '. 0.00 INCHES
TEMP 91.1 DEGF<
T6:PREr-1. UNL. 725
VOLUI'1E- . 4492 . GALS
ULLAGE 7508 GALS
90~~ULLAGE= .<6308 GALS
TC VOLUME = 4400GALS>
HEIGHT 38.46' I NCHES<
L.JATERVOL - . 20 GALS
WATER 0.97 INCHES
TEI'1P' 89.2 DEG F
T 7:DIESEL 725
VOLUME 8130 GALS
ULLAGE .'. ..' 3870 GALS
90%.ULLAGE;" 2670GALS
TC . VOLUME 8003GALS.
HEl GHT. = 61. 56 INCHES
WATER voL = <tIGALS
WATER 0.00 INCHES
TEMP 94,4 DEG F
:!of * :.< ioi * END*:.< lIE lIE. *
........._-.-~- -
S'iSTEt"lSETUP
JUL 25;2006 8:58 AM
SYSTEfol UNITB
U.S. ."
SySTEM LANGUAGE
ENGLI SH
FASTRIF 19 ..,...
4901 S. .UNIONAVE~
BKFLD . CA. 93307>>
661-397~9387
SH I FT TINE!
SHIFT TIl"lE 2
SHIFT TIl"lE 3
SHIFT TIME 4
DISABLED
DISABLED
DISABLED
DISABLED'
PERlODICTEST WARNINGS
DISABLED'. .>...
ANNUAL TESTJ.JARNINGS
DI SABLED .
"-. . - -.
.. ...... .........
. . .
". "-.- --"
. "-- ..
SYSTU1. SECURITY
C:ODE:.OOODOO." .,'
CQt'II"IUNICATIONS SETUP
PORT SETTINGS:
COMM BOARD 1 <RS-232)
BAUD RATE 9600
PARITY NONE
STOP BIT : 1 STOP
DATA LE~;TH: 8 DATA
AUTO TRANSMIT SETTINGS:
AUTO LEAK ALARM LIMIT
DISABLED
AUTO>HIGHWATERLIt1IT
DISABLED....>........
AUTOOVERF I LL LI !"lIT
DISABLED .
AUTO LOW>PRODUCT
DISABLED' .
AUTO THEFT LIMIT
"'DISABLED
AUTODELIVERYfiTf-'RT
DISABLED>
AUTO DELIVERY END ... '.
DISABLED.'. .' .... .... ..>
AUTO EXTERNAL 1 NPUTON
DISABLED> ...... '. ........ .> ..........
AUTO EXTERNAL HINPUT . OFF .
DISABLED . .... .,... .. ..'
AUTO SENSOR FUEL ALARl"l
DISABLED ............ H'.H> .., ...
. AUTOSENSORt~tATER ALARr"l
DISABLED.. ........ .. ..
AUTOSENSOROUTALARI'1
DISABLED .
RS-2::l2SEC:URITY .......
CODE :<000000 .
RS--232 END OF /"lESSAGE
Dr SABLED
;1
r,
!.N=TANK SETUP
TI :UNL. 1 775
PRODUCT CODE
T~ERf"lAL COEFF
TriNK DIAMETER
TANK PROFIl.E
FULL VOL
. 1
: .007000
: 96.00
1 PT
12032
FLOAT SIZE:
4.0 INCHES
L\fATERWARNI NG .
HIGH WATERLI M IT :
P1AA OR LAHEL VOL:
OVERFILLLIMIT :
HIGH PRODUCT
DELlVERYI..IMIT
12032
90%
10828
95%
11430
1O~~
1203
. - .0_--__ ."
LOWPRODlICT ......500
. . LEAK ALARM LIMIT: 99
SUDDEN LOSS LIMIT: .99
'. rANK TILT :
7.30
"'IAN I FOLDEIi. TANKS
Tit: NONE< ....
"--.- - - .
LEAKf'lIN.'ANNUAL..:. 1203
PERIODIC TEST TYPE. .
STANDARD"
ANNUAL TESTFAIL<( . .'..
.... .'. ALARP1DISABLED
PER I ODIqiiTESTFAIL ......... 'i<}
........ ..ALARP1DlSABLED
'.GROSSTEST FAIL...
. .. ALARP1)JI SABLED
~NNTESTAVERAblNG: . OFF
FER TEST AVERAGING: OFF
TANK TEST f.JOT I F'f : (}FF .....
'. TNK'fSTSIl'H?N
.DELIVERYDEtA'{<
2.0
3.0
------....----"
T 2:UNL.2S1PHON.775 2
PRODUGTCODE:On0'700
THERt1ALGOEFF....U -' -
TANK DIAMETER 9b.OU
TANK . PR~ELtE VOL 1 ~o~~
fLOAT SIZE: 4.0 1 NGHES
WATER,^IARNING .: <-3-':8
HIGH vJATER~lMlT:
l'-'lA~< OR LABEL/VOL:
OVERFILL LIMIT :
HIGH PRODUCT
DELI VERY LII"1l T
12032
90%
10828
95%
1 1430
10%
1203
1000
99
99
9.88
LOv.lF'ROD\JCT,<. .:
'LEAKALARI'-1LI 1"11)"...
SUDDEN<LOSS LIMl~.
TANK TILT . .
MANIFOLDED TANKS
T~:NONE
LEAKfvn N ANNUAL :
P'ER I OD IC TEST TYpE. '
::iTANDARD
~'.'.NU.'L TEC:TFAIL
H.N H ~'ALARl"l DISABLED
. .-.--.--- - ..
..iiP.......E. R.IODIC T~ST.Ff\[ILI:..,;.B L'E.D..
>c...,... ..... HLf~Rl"l I tiA ....
".. -.- --- ..
~-: -:" - - " : -:_": - : ---; . - --" : " - - - "- - - -- _:_"; --"
....... ............'.riRbs~...TEST AL~~~ .DI~~13l.~D.......
ANl'lfESTA\iERAG I N~ : g~~....'......,.
PERTESTAVERAGINb. ... ....... .....
TANK.. TEST,.N0TIFY:,.........,....'..OFF<
TNK TSTSIPHOt'lBREA}{:0FF .
DELl\JER'l DELAV: 15 MIN
--..-~----"
----.,-
T 3:PREM.UNL.
PRODUCT CODE
THERI'1ALCQEFF .
TANK DIAMETER ..
TANK PROFILE
FULL VOL
: 3
: .000'700
: %.00
. 1 PT
12032
FLOATSIZE:i 'A~O INCHES
. - : -: -('>>~::_;-:~c::~-~-X=-:::/: ~ - .
LEAK.fiINANNlJAI../: 1203
PER I OD! CTEST TYPE .<
STANDARD <
ANNUAL.TESTFAIL ..... ......"
. ALARM DISABLED
PERIODIC TEST FAIL .i
ALAR!'-1 DISABLED ........
GROSS TEST FAIL .....'... ....
........ . . ALARM DISABLED
t.JATER t.JARN I NG :
HIGH WATER Ln-IIT:
1'1A7~ OR LABEL VOL:
OVERFILL LIMIT
HIGHPRODUGT
DELI VER'l L 1M IT
LOt,liPRODUCT :
LEAKALARN LIl"lIT:
. SUDDEN LOSSLIMTT :
TANK TILT :
.- ----- .-. -.
.-. - .
......:.................. .' ....... .-.
NAN I FOLDEI)iTANKS . .
nt: NONE . . .
.__ .___n_-_ _ -.
:_:<.:.:._,;__..:__:_.- - - - - - .n-_-_--.
ANN TEb1' AVERAGING:.
PER TEST..AVERAG I NG:
TANK TEST NbTIFY :
.2,0 .
3.0
12032
90%
10828
95%
11430
10%
1203'
1000
99
99 ..'
2.67
OFF
.------ -.
.-.--'---... .
--- .
.-- --.. .
. - - .
TNK TST S I PHON13REAK:bFF
DELlVERYDELAY : 15 I"IIN
T 4:DIESEL '775
PRODUCT CODE
THERMAL COEFF
TANK DIAl"lETER
TANK PROFILE
FULL VOL
: 4
: . 000450
96 . 00
1 PT
12032
FLOAT SIZE:
4.0 INCHES
WATER \,JARN I NG :
HIGH WATER LIMIT:
f~lAXOR LABEL voL:
OVERFILL LIl"lIT
HIGH PRODUCT
DELI VERY LI M IT
2.0
3.0
'.12032
90%
10828
95%
11430
10%
1203
LEAK .. MINANNUAL: 1203 ..
PERIODIC TEST TYPE
STANDARD
.- - . .-... - -. - .
.. --.-. --.' --.
ANNUAL TEST..FAILii.....i
.' ALARHDlSABL~"
PERIODIC TEST.FAII..dd .... '.
. .. ALARI''lDISABLED
GROSS TESTFATL>.< ... 'i..
. .... ...ALARMDISAl3I.ED ....
ANN.. TEST....AVERAGING:. OFFi
PER TEST AVERAGING: OFF
.' - - -. -.. - - - .
. - -- - -- . -- .
'TANK~EST NOTIFY: ,.......... ,OFF
'TrilKTsTSIPHON BREAK: OFF....'
. . .
DEL I VERYDELJW : 1 5 I"ll N .
T 5:UNL.725
PRODUCT CODE
THERMAL COEFF
TANK DIAMETER
TANK PROFI LE
FULL VOL
. 5
:.000700
96.00
1 PT
12000
4.0 INCHES
FLOAT SIZE:
WATER WARNING :
H lGH v.JATER Lll'lI T :
MAX OR LABEL VOL:
OVERFILL LIMIT :
HIGH PRODUCT
DELI VERY Ll f'l1 T
4.0
4.0
12000
90%
10800
95%
11 400
10%
1200
500
99
99
0.00
LOt,l PRODUCT ..... ... : ...
LEAV ALARM LIMIT.
SUDDEN LOSS LII''II T:
TANK TILT :
'lotANIFOLDED TANKS
pT#:. NO\'!7
"LEAKI'1INAI'l\'lUAL :
PERl6DI C. TESTT'i~E,'..............,....'. .............
. ".'. ""Tr'NI'^RD.. .
._c_. .<:::__-:_:~--.n -R':'1 ..:0.-.
._'...... -..'- .,.::.......................................................'.-_:-.--::-............................---'-.....
. - n_C_--n__.
.-- ---- --. -.
)NNUAL TEST FAII..W....../...
11/.,... . ALARMDIS~~LED<
..PERIO...D.............I.....'.".-'.... ..T..ES..T.F. ....A............[lL.I_.' B.L'E. .D....... ....
..................ALARM J l:.iA ' ..
-: ::--'::--:--.::,- ::: -- -.-:- --- -" - -:- :---: - ~ :---.::.:_<--: ~- ~ > -- .- -:::;.
'-'R(i(:'S; .TE$TFAli..i. .. "
b .. .,,~ . .ALAJ<l"IiF'It;ABLED
ANN.' TEST. AVERAGING:.'...'.,... OFF............ ........
PERTEb""'<AVf~AGl~q:OFF ...... '.'
. . -nNOTIF~J.. >-/</OFF~-:::.-.~-:-.:.'...
..~~~:~it~~$~~")~~;:..
DELIVERY .....pELAY:.151'11N.."
T 6:PREM.UNL. 725
PRODUCT CODE
THERl"tAL .COEFF
TANK DIAMETER
TANK PROFILE
FULL VOL
T7:DIESEL 725
PRODUCT.CODE
THERf"lAL COEFF
. TANK DIAMETER
TANK PROFILE
FULL VOL
'"7
:i 000450 .
: 96 .00
1 PT
. >12000
6
: .000700
: 96.00
IPT
12000
FLOAT SIZE:
4~0 INCHES
FLOAT SIZE: 4.0
I.vATERWARNINf' .
HIGH I.vATERLl'MIT~
t'lAX OR LABEL voL'
O\lERF I LL L IrolI T~
HIGH PRODUCT
DELI VERY LI M IT
2.0
3.0
12000
90%
10800
"95J.
11400
10% .'
1200
INCHES
lAJATER l,oJARN I NG :
HIGH WATER LIMIT:
MAX OR LABEL VOL:
OVERFILL LIMIT :
HIGH PRODUCT
DELl VERY Ll MIT
2.0
3.0
12000
90%
10800
95%
11400
10%
1200
LOI;J PRODUCT : 1000. LOI,JPRODUCT. . ... .
LEAKALARl'fLI"'tIT: ......,.... .99.. . 'kEAKALARMLlM IT ~
SUDDEN LOSS LlMIT:\ '.'<99,' l::5UD~EN'.LOSSLII"11T:
TANK TILT :. 'O~[jO TANK TILT\:
1'-1ANIFOLDED TANKS t1ANIFOLDED TANKS"
Tit: NONE Tit: NONE ' . ..,
LEAK 1"11 NANNUAL.. : 1200" LEAK 1''1INANNUAL: 1200
PER 1 aDl ~...::tiC'Nt~ANDARD PER' ~I>l~"r.sr;'j'~";NDi\Rj)'
ANNlJAt'''EiIT'EAJ4.;;.,AN''lJAL TE:#I'~h. '.
ALARM..DISABLED' .....'..\>...... ..iALARr"lDISABLED'
. '.PERIODlC'TEST FAI L'.;'~~lODJC'1"EotFAl L'
.;.e\'~.. D ISABLED;> ....fi~~[H""NEb .' f.
GROSS TESt.l~I.f;'Dj~;;EBY "'''''''S TEEir=iii~;j
'~~&~if~~~1'6~;'.(i.i~.i;E~...~~g1m;.gW'
TAI'lP5\'f$T..;..~9}"lri:;'\i9FFi.{" .......T~m(,'>'I"ESTN()TIPI::' i........ OFF
rNK TST' Sjj>HOl':jffi~~fl;,":'~:('I'>iB'~~~;~\'~J.tG~~REA1i : Of"
:..........f13<.'".1..I_..........,I...'.~.............'......................,....,..'........ .' . '.' ,DE. L. .'.1. \J...... rE'. ... ..... R..........Y......'.......,....:......'..D....,.....E........L."...'A'/
to I :.. 15.111111
. - - --.
. -- - -.
. -- - '.
.--._--- --- - - -.
.- -. --.-. - .
'- -..-.-.-- -....
.... - :.:.-.-:-...-.--:.:--.--:'-:;'
. - --.' -.
.- .-.--- ---- -.
. - - - . - - - - - - .
. - ----------.--:
. .d_--::-____-_-_._-_:-----_.
. .,:- -- -.-. -.-: - ~ - - : - -: : - .: : -- - - -- .-.
. --- ---.----..
. .____d_- ..---.'
. .--- - -'
. . '- -- ..-'
. --- - '--- '. .._---:.---_. -. .
. - -.
... .-'.--' .'
.-- - ..- - .
.---:-,-"---. -"
. ---:..--.---' - .
. ,:--,,--'-:-:':':---'-- -' .'
'. --:.-..-:------ - - . - .
'- ----. - - .
.'r~lfil'~yi,ig:~s...
'TESTTR~+~~.' :b~69tif:d'1.........
DURATWN ': 2H~~~fIl<
LIQUID SENSOR SETUP
- - - - - -
L 1: L1NL .SIJ~1P 775
TRI-STATE(SINGLE FLOAT)
CATEGORY :STP SUr"lP
L 2:L1NL.ANN 775
TRI-STATE (SINGLE FLOAT)
CATEGORY : ANNULAR SPACE
L3: UNL.2 .SUI'1P775
TRI~STATE(Sl~~LE FLOAT)
CATEGORV : STP SUt1P.
L 4: L1NL. 2. . . ANN '175 .... .......
TR I-:"STATE . tSlNGliEFLOATJ .........
CATEGORY : · PiNI-lULAR .Sp:ACE
._.,::..,-___-__- . ___-.--_--:-----:-:--.-..:-n---- ..___n.: . -- .
.. ..d'i' ........ .........>d.,...'...i ........................ .....
._._-_:_-_-_-:-__'-_- .' .' __ _'_ __.'_'_ n_ __-- -'--'
:L>€, : PREt'1.0~I...At~MH'75i.d< ............ ..
'/TRI_BTATE..rS1NGLEFLOAT>............... .
..' CATEGOR'I:.ANNULARSPACE>.... . .
- _.n_-- -_ --' - -'
'. '::',:-_;:-:::::,~ :-_ ::_:.:'i:~ -~:.;-: ~ ::-;<_/::.--:-;-: :-:' : -. .:
. :.-- : .-- .__:;--_.-_-:_<,>---.;.:~:--~-:-_:;:.::::::;-:-.
. -. :.- -- .'. ------.----- .--:---.-----::-:-::- ------:. :-.
.' .'. .D7~ItlES~tSLli'1r:..d'7.5.,..............
,.TR15STAl'~......(SlNGLE....FL.OAT.)
'CAT~G9~'l:,gr;g,ppi"W."" ..'
>......... .,...".....,..;..)'...... ...................... ..i;.........; .,.. . ....... ......
L 8: D I ESEl.l-'tNtJ,..175\.....J."..... ......
.TBI-STATE (SINGLE FLOAT)
.GATEGORY: NINULARSPACE
.'- -.---------.-----.- '.
. --- .:-:- -:-;--.--::-----------:--:-.----:--.:.---.- --- --:
. - .'- -"- - ." - -'
. ._._-_-.n.-.--.------:--:-..------'.:--:--- :.----- -:--- -.
. . .... __ ____ __-------.--..-. - __-_on .- -'
". . ............ .......ii.
. - - - __n _ -- ------.
._ __._____. ._.__-____ ___.--'_ _._--.:.-----.-:::-.-.c.-.:.-:-.:--.-.--:.---.-.-------:------..---,.
......Liq:UNL..Sut.ffi>.725...>.....>... ..,
....TRi....STATE(SlNGLEiFLOAT}'. .
'CATEGORY:Sl'PSIJl"lf' ..... . .
. . _._:__:_____--:-_:-- __ _- __'_-_: __ _:_-__, '_--:-'-:--- _C--.-. d' -....
- - . - - - - - - - n .
. . -' -' - -- - - ---- --. - -- -' - --'
..... .'..'ill{(J:LJ\IlJj.ANN.h~~.iL.\ .... ..' ...."...
"TRl..:,STATE( SlNGLEFLOAT)i.
.. CATEGORY:ANNIJLARSPACE
c~---..---..--.~~---~'--
Li1 :PREM.HNL.SUl"lP 725
TRI-STATE <SINGLE FLOAT)
CATEGORY : STP SUMP
L12WREM .UNL . ANN 725'
TRI-STATEtSINGLE FLOAT)
CATEGORY : ANNULAR SPACE
L13:DTESEL SUI'1P725.'
TRI-STATE <SINGLE FLOAT>
CATEGORY : 'STP SUl'1P
L14 :DIESELANN 725 ..
TRI -STATE {SINGLE. FLOAT}.
CATEGORY: ANNULARSPACE.
L15:I:nSP9-1 2
. NORMALLY CLOSED. . .
'CATEGORY:DlSPENSER PAN
. - .'
"L16,:DISP 13':"16..
'NOR1'1M:LLY CLOSED
'CATEGORV>: DISpENSER PAN
'. I'
L17:DISP 1~2i<> ... ................,...
TRI -STATE {SINGLE FLOAT>
GATEGORV:DlSPENSER PAN
L18:DISP3-4 .' ... ......
TRI~STATE(SlNGLE FLOAT>'
CATEGORY : DlSPENSERPAN .....
Ll9:DTSf' 5-.-6 ..... ........ ...........,...,......
TRI.o..STATE;.{ SINGLEFLOATl/.'
CATEGORy.....:. . DISPENSER PAN;
. ._-..
L20:N. CENTER PAN ....,.......,................... .....
TRI-STATE (SINGLEFLOATl
CATEGORY :DISPENSERPAflJ
L21: DlSP7:-S
TR I-'-STATE"'( S I NGLEFLOATJ
CATEGORV : DISPENSER PAN'
.. .
.. . - --.
. --. p- - -
Rif: UIIJl.;]PREM.L1NI.. /725,
TYPE:, < .
. STANDARD
NORl"lALLY CLOSED
I N-TANKALARl"1S ....
T5 : LEAK/ALARM .'
. IE. : LEAK/ALARM .'
:----.-:-:----,-,---.:,-.-----::_-_:-------::------:_-.-":::,:----_::-:::-:._--::....-:::.---...
.-_- _-_.. ,_ ----0-- --.. . -- --_ - -. :..:.-..-- ----.
.-- - - - -- - - - ---.
. LIQUIb SENSoR ALHs
L9:FUELALARf"l
Ll1 :FUEL ALARM
Ll5:FUEL ALARM
L16:FUELALARM.
. .
.'..,.IN-TANK....ALARf.1S
. 'T7:LEAKALARI'1
.. __-_., ... d__.--:-_.._:-- _-_ .
. - --- .--- - .
L I(;lutbA:;ENSOR .. ALHs ... .
..<i L13:FUEL ..ALAR\"l
.' ..' . L15:FUELALARI''l
. . .L16:FUELALARt'1
. (IN...tANRALARt-1l3> . '.. .....>
'. "'ALL: OVERFILL/ALARl"l.......' ..... '. ...i
ALL:HIGHPRODUCTALAE'M .
ALL:l"lA~-< PRODUCT ALARM..'
R 5: UNL. 775
TYPE:
. S'TANDARD
NORMALLV.CLOSED
. -. .
I N-.-TANKALARMS
T 1 : LEAK ALARM
L1 QU ID SENSOR ALMS
L 1 :FUEL ALARf.l
L 2: FUEL ALARt1
L 3:FUEL ALARM
L 4: FUEL ALARt"!
L 5: FUELALARl"l
L 6:FUELALARM
L1 7 : FUEL ALARM
L18:FUEL ALARM
L19:FUEL ALARM
L21 : FUEL ALARM
R6:UNL.. PREM 775
. TY~fAI'Jr)~kri/'//.,.,.>."..... '.
NORl'"IALL'f CLOSED .....
IN-.-TANK ALARt'lS
T2:LEAK ALARt'!
. --- - .
. . - - ---- - .
._._c__._- __ ._.- .__._ . - d___;
L I()UIDSEfIJOOR....'ALl"lS....
.Ll:FLlEkALARl"l
L.....2:FUELALARfvl
. .L3:F:UELALARM.
.... .....'.......<L4:gUEL...ALARM,...d
".,L!5:EUELALARt,1'.. .'.
~.....fL6:EUEL.ALAR\'1......
. ZHL'l?:FUEL.ALARI"l....,.i. .
':<LIB.:FUELi.ALARM,>.' .
'.'L19:FUELALARM. .
L21 :FUEL ALARM
LIQUID SENSOR ALf"lSz'
L?:FUELALARl"l
L8: FUEL ALARM
Ll7:fUELALARM
L 18:FUELALARI"1
L 19:FUELALARM
L21 :FUEL ALARM
SOFTiAIAREREVIl?ION LEVEL
VERSION9iOO ' ,
SOFTWARE~346009-1 OO':';A ,,'
CREATED - 95,08.28.11.25
S-I"IODULEtt 330160':';002-A
SYSTEM FEATURES: ,
PERIODIC IN-TANK TESTS
ANNUAL IN-TANK TESTS
CSLD
ALARM HISTORY REPORT
----- SENSOR ALARM --.:.;~-
L 3:UNL. 2 SUMP 775
STP SUI"IP . '
FUEL ALARM' '
JUL 18. 20061 :20 Pt1
FUEL ALARI"1
JUN 11. 2006 2:23 PM
FUEL ALARM
JUN 2. 2006 11:11AI"1
ALARM HISTORY REPORT
----'- SENSOR ALARM --.---
L 7:DIESEL SUMP 775
STP SUMP
FUEL ALARM
JUL 18. 2006 1:34 PM
FUEL ALAR!"1
APR 5. 20066: 37 PI"I
FUEL ALARM "
JUL 25,. 2005 8 : 46 AM
HISTORY REPORT
3 : 02 P!"l
HISTORY REPORT
FUEl. ALAR!"l
JUL 18. 2006 2: 59 PI"I
FUEL ALAR/1
JUL 25. 2005 9:57 AM
----- SENSORALARM~~---
L 6 ~PREM .HNL.ANN 775
ANNULAR SPACE
FUELALARt"1
JUL 25. 2006 9:20 AM
ALARM HISTORY REPORT
----- SENSOR ALARM
L24:
OTHER SENSORS,
ALARM HISTORY REPORT
----- SENSOR ALARM
Lt9 :DISP 5-6
DISPENSER PAN
'FUEL' ALARM
JUL 18.2006 1: 40 Pt"1
FUIALARM
, JUL 18. 2006 1 :38 PM
FUEL ALAR!"1
JUL 25. 2005 8:50 AM
..__.__.____. __0"_____"
::.:.i2.i2..SEt~SORALARM
L21 :DISP7"-8 .,
DISPENSER PAN
FUEL ALARM
,JUL 25. 2006
ALAR!"l. H I STORY REPORT
-":"":""--SENSOR ALARM
L .1.:UNL.SUNP 775
STPSUt1P
FUEL'ALARN
JUL 25,. 2005 8: 43 AM
FUEL ALARM
JUL 18.2005 9: 47 AM
FUELALARN
JUL 18. 2005 9:16AM
ALAR!1 HISTORY REPORT
--:--:- SENSOR ALARM ---"--
L20:N;CENTER.PAN
DISPENSER PAN. '
SENSOR OUT ALARi'1 ...'
AUG 29. 2004 6:46PM
SENSOR~6UTALARM
AUGIEl.2004 10: 35 Af"l
FUEL.ALARi"l< < .'
AUG18,. 2004.JO: :32f:\M
---~- SENS()R ALARM
L '2:UNL.ANN775 '
ANNULAR SF>ACE
FUEL ALAR!"I
JUL 25. 20069 :21
---'-"- SENOORALARM
Vi,: LlNL.SUJC1P775
S'TR8UI'1P ,
FLlELALARt'I.'
JUL'25.20P6
,. ,
". ".
. -0. . ."
. - .----.-.
ALARr"rHrST0RYREP0RT'
-..- :..;..:.....SENS0RALAR!"1
(2-2-:::-:-:- .--.-..: ~::
0THERSENS0RS. ,
. ... ."
, '
".- -. - - - . . --..
. ". -- ". -.
"-"--" -----" - - - -.
'-~'-'-___...SENSO.R.,.',ALARM>i__:..2J.'-.<..
L 'l:DIESEL.SlIl"1P 775<<
STPSUMP', .. ...'.
FUEt.--::ALA-RM _". .: .--.---_--:-.-",":-::-.-:.::--. ---.--...
JUL 25~200E,9:19Ar1
ALARM HI STORYREPOF:T
----..:.-SENSORALARM -----
.-', '-~---~~----
'.
----- SENSOR ALARM
L 9: lINL . sur"IP 725
STP SUMP
FUEL ' ALARM
JUL 25. 2006 10:06 AM
----,..",SENSOR ALARI'1'
Ll3:DIESEL SUMP 725
STP SUMP , ,
FUEL ALAR!"I '.... "
JUL 25. 200610: 07 AI"I
FASTRIP 19
4901 S. UNION AVE.
BKFLD.CA. 93307
661-397-9387
JUL 25. 2006 10:20 AM
SYSTEt1 STATUS REPORT
- - ~ - - - - - - - - -
ALL FUNCTIONS NORf"lAL
INVENTORY REPORT
----- SENSOR ALARM
L10:UNL.ANN ,'725
ANNULAR SPACE '
FUEL ALARM
JUL 25. 2006 10:06AI'1
;. --".-;-.
'.
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 (if applicable), should be provided to the facility owner/operator for submittal to the local regulatory agency.
Facility Name: #725 Fastrip #19 I Date of Testing: 7/25/2006
Facility Address: 4901 South Union Avenue, Bakersfield, CA 93307
Facility Contact: Omero Garcia I Phone: 661-393-7000
Date Local Agency Was Notified of Testing : 6/19/2006
Name of Local Agency Inspector (ifpresent during testing): None
1. FACILITY INFORMATION
Company Name: Confidence UST Services, Inc,
Technician Conducting Test: Joseph Stroope
Credentials I: X CSLB Contractor X ICC Service Tech. X SWRCB Tank Tester o Other (Specify)
License Number(s): CSLB #804904 ICC #5258844-UT Tester Lic. #061720
2. TESTING CONTRACTOR INFORMATION
Test Method Used: x Hydrostatic o Vacuum o Other
Test Equipment Used: Lake Test Equipment Resolution: 0.0625"
IldentHy SpHl Bucket (By Tank II Regula, , I
12 Super 13 Diesel 14 Diesel I
Number, Stored Product, etc.)
Bucket Installation Type: o Direct Bury o Direct Bury o Direct Bury o Direct Bury
x Contained in Sump x Contained in Sump x Contained in Sump o Contained in Sump
Bucket Diameter: 12.00" 12.00" 12.00"
Bucket Depth: 11.95" 12.50" 12.45"
Wait time between applying 30 min. 30 min, 30 min.
vacuum/water and start of test:
Test Start Time (Tj): 11 :45am 11 :45am 11 :45am
Initial Reading (Rj): 11.50" 12.25" 12.35"
Test End Time (TF): 12:45pm 12:45pm 12:45pm
Final Reading (RF): 11.50" 12.25" 12.35"
Test Duration (T F - Tj): 1 hour 1 hour 1 hour
Change in Reading (RF - Rj): 0.00" 0.00" 0.00"
PassIFail Threshold or 0.0625" 0.0625" 0.0625"
Criteria:
Test Result: X Pass o Fail X Pass o Fail X Pass o Fail o Pass o Fail
3. SPILL BUCKET TESTING INFORMATION
Comments - (include iriformation 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 contained in this report is true, accurate, and in full compliance with legal requirements.
TeCbniciau'SSignature~ ?~-________ Date: 7/25I2JJO.
1 State laws and regulations do not currently require testing to be performed by a qualified contractor. However, local requirements
MONITORING SYSTEM CERTIFICATION
For Use By All Jurisdictions Within the State of California
Authority Cited: Chapter 6. 7, Health and Safety Code; Chapter 16, Division 3, Title 23, California Code of Regulations
~
Tl)is 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
i,vithin 30 days of this date. '
A. General Information
Faci~ity Name: #775 Fastrip #19 (Chevron)
Site Address: 4901 South Union Avenue
City: Bakersfield
Bldg. No,:
Zip: 93307
Facility Contact Person: Omero Garcia
Make/Model of Monitoring System: Veeder-Root TLS 350
Contact Phone No,: 661-393-7000
Date of Testing/Servicing: 7/25/2006
!:}~~~?!r?~ox?~ ~d~~isf.~~~~!~~,~~~~~rv~c~fied
Tank ill: 12000 gal. Regular 1 Tank ill: 12000 gal. Regular 2
[x] In-Tank Gauging Probe, Model: 847390-107 ~ In-Tank Gauging Probe, Model: 847390-107
~ Annular Space or Vault Probe, Model: 794390-420 ~ Annular Space or Vault Sensor. Model: 794390-420
~ Piping Sump / Trench Sensor(s). Model: 794380-208 ~ Piping Sump / Trench Sensor(s). Model: 794380-208
~ Fill Sump Sensor(s) Model: 794380-208 ~ Fill Sump Sensor(s). Model: 794380-208
W Mechanical Line Leak Detector. Model: FX1V D Mechanical Line Leak Detector. Model: NtA
o Electronic Line Leak Detector. Model: 0 Electronic Line Leak Detector. Model:
[x] Tank Overfill / High Level Sensor. Model: 794390-107 ~ Tank Overfill / High Leval Sensor, Model: 794390-107
D Other (specify equip. type and model in Sec. Eon Pg, 2) D Other (specify equip, type and model in Sec. Eon Pg'. 2)
Tank ill: 12000 gal. Super Tank ill: 12000 gal. Diesel
[x] In-Tank Gauging Probe. Model: 847390-107 ~ In-Tank Gauging Probe. Model: 847390-107
~ Annular Space or Vault Sensor. Model: 847380-420 [iI Annular Space or Vault Sensor. Model: 847380-420
[x] Piping Sump / Trench Sensor(s). Model: 794380-208 ~ Piping Sump / Trench Sensor(s). Model: 794380-208
~ Fill Sump Sensors(s). Model: 794308-208 ~ Fill Sump Sensor(s). Model: 794380-208
Lxl Mechanical Line Leak Decector. Model: FX1V ~ Mechanical Line Leak Detector. Model: FX1DV
0 Electronic Line Leak Detector, Model: 0 Electronic Line Leak Detector. Model:
~ Tank OverfIll / High Level Sensor. Model: 847390-107 ~ Tank Overfill / High Level Sensor, Model: 847390-107
0 Other (specify equip, type and model in Sec, Eon Pg, 2) 0 Other (specify equip. typs and model in Sec. E on Pg, 2)
Dispenser ill: 9 & 10 Dispenser ill: 11 & 12
[X] Dispenser Containment Sensor(s), Model: 794380-208 ~ Dispenser Containment Sensor(s), Model: 794380-208
[i] Shear Valve(s). ~ Shear Valve(s),
D Dispenser Containment Float(s) and Chain(s). D Dispenser Containment FIoat(s) and Chain(s)
Dispenser ill: 13 & 14 Dispenser ill: 16 & 16
~ Dispenser Containment Sensor(s). Model: 794380-208 ~ Dispenser Containment Sensor(s). Model: 794380-208
~ Shear VaIve(s). ~ Shear Valve(s),
o Dispenser Containment FIoat(s) and Chains(s), o Dispenser Containment FIoat(s) and Chain(s).
Dispenser ill: Dispenser ill:
o Dispenser Containment Sensor(s). Model: o Dispenser Containment Sensor(s). Model:
o Shear Valve(s). o Shear Valve(s),
o Dispenser Containment FIoat(s) and Chain(s) D Dispenser Containment FIoat(s) and Chain(s),
. ,
*If the faCIlIty contams more tanks or dISpenserS, copy this form. Include informa1:J.on for every tank and dispenser at the facility,
C. Certification. I certiJy 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 variJy that
this information is correct and a plot plan showing the layout of monitoring equipment. For equipment capable of generating
s~c~ reports, I ~ve attached a copy of the report; (check all that app~) 0~~~t-up) ~larm history report
TechniClan Name (pnnt): Joseph Stroope SIgnature: r ~ ~ ~.--/
Certification No: A31226 License ~04904
Testing Company Name: Confidence UST Services, Inc. Phone No: 800-339-9930
Site Address: 4901 South Union Avenue, Bakersfield, CA 93307 Date of Testing/Servicing: 7t25t2006
"
,
D. Results of Testing/Servicing
Software VersionlnstaIIed: 16.02
Complete the following checklist:
W Yes o No* Is the audible alarm operational?
x Yes r 1 No* Is the Visual alarm operational?
.x Yes r 1 No* Were all sensors visually inspected, fnnctionally tested, and confIrmed operational?
.?E... Yes DNo* Were all sensors installed at the lowest point of secondary containment and positioned so that other
equipment will not interfere with their proper operation?
DYes ~NO* If alarms are relayed to a remote monitoring station, is all communications equipment (e.g. modem)
x N/A operational?
I [i] Yes DNo* For pressurized piping systems, does the turbine automatically shut down if the piping secondary
DN/A containment monitoring system detects a leak, fails to operate, or is eIectricaIIy disconnected? If yes:
which sensors initate positive shut-down? ~ SumpfIrench Sensors [i]Dispenser Containment Sensors
Did you confirm positive shut-down due to leaks and sensor failure/disconnected? W Yes; 0 No;
WYes DNo* For tank systems that utilize the monitoring system as the primary tank overfiII warning device (i.e, no
DN/A mechanical overfiII prevention valve is instaIIed), is the overfiII warning alarm visual and audible at
the tank fIII point( s) and operating properly? If so, at what percent of tank capasity does the alarm
trigger? I 90 1%
D Yes* WNo 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.
D Yes* ~No Was liquid fonnd inside any secondary containment systems designed as dry systems?
Tx VP<:. D Product; D Water, If yes, describe causes in Section E, below.
r 1 No* Was monitoring system set-up reviewed to ensure proper settings? Attach set-up reports, if applicable.
Ix Yes r 1 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:
[x] Check this box if tank guaging is used only for inventory control.
o Check this box if tank guaging or SIR equipment is instaIled,
This section must be completed if in-tank guaging equipment is used to perform leak detection monitoring.
Complete the following checklist:
~ Yes 0 No* Has all input wiring been inspected for proper enter and termination,incIuding testing for ground faults?
f- 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 0 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):
C thtill hkli
o Check this box if LLD's are not instaIled.
ompl ete eoowm 2C ec st:
~Yes ONo* 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,: 00.1 g.p,h.; 00.2 g,p,h.;
~ ONo*
~Yes Were all LLD's confirmed operational and accurate within regulatory requirments?
ix] 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
DYes '-- No* F or electronic LLD's, does the turbine automaticaIly shut off if the LLD detects a leak?
~N/A
DYes DNo* For electronic LLD's, does the turbine automatically shut off if any portion of the monitoring system is
[x] N/A disabled or disconnected?
DYes DNo* For electronic LLD's, does the turbine automatically shut off if any portion of the monitoring system
~N/A malfunction or fails a test?
DYes DNo* For electronic LLD's, have all accessible wiring connections been visually inspected?
!---.= ~N/A
~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:
.,'
FASTRIP 19
4901 S. UNION AVE.
BKFLD. CA. 93307
661-397-9387
JUL 25. 2006 8:58 AM
SYSTEM STATUS REPORT
ALL FUNCTIONS NORl"lAL
INVENTORY REPORT
T 1: UNL. 1 775
VOLUME 7387 GALS
ULLAGE 4645 GALS
90% ULLAGE= 3441 GALS
TC VOLUME 5690 GALS
HEIGHT 56.64 INCHES
WATER VOL 0 GALS
WATER' 0.00 INCHES
~ TEl"lP 92.8 DEG F
SIPHON 775
7808 GALS
4224 GALS
3020 GALS
7633 GALS
59.34 INCHES
o GALS
0.00 INCHES
91.9 DEG F
T 2: UNL. 2
\/OLUt"lE
ULLAGE =
90% ULLAGE=
TC VOLUME =
HEIGHT
WATER VOL
WATER
TEl'1P
T 3:PREM.UNL. 775
VOLUME 1686 GALS
ULLAGE 10346 GALS
90% ULLAGE= 9142 GALS
TC VOLUME 1636 GALS
HEIGHT 18.99 INCHES
WATER VOL 0 GALS
WATER 0.00 INCHES
TEMP 1 02 . 2 DEG F
T 4:DIESEL 775
VOLUME 4457 GALS
ULLAGE 7575 GALS
90% ULLAGE= 6371 GALS
TC VOLUME 4392 GALS
HEIGHT 38.16 INCHES
WATER VOL 0 GALS
WATER 0.00 INCHES
TEMP 92.4 DEG F
T 5: UNL. 725
\lOLUl"lE 4192 GALS
ULLAGE 7808 GALS
90% ULLAGE= 6608 GALS
TC VOLUME 4100 GALS
HEIGHT 36.53 INCHES
l~IATER \/OL 0 GALS
WHTER 0.00 INCHES
TEMP 91 . 1 DEG F
T 6:PREM.UNL. 725
VOLUME 4492 GALS
ULLAGE 7508 GALS
90% ULLAGE= 6308 GALS
TC VOLUME 4400 GALS
HEIGHT 38.46 INCHES
WATER VOL 20 GALS
WATER 0.97 INCHES
TEMP 89.2 DEG F
T 7:DIESEL 725
VOLUME 8130 GALS
ULLAGE 3870 GALS
90% ULLAGE= 2670 GALS
TC VOLUME 8003 GALS
HEIGHT 61.56 INCHES
WATER VOL 0 GALS
WATER 0.00 INCHES
TEMP 94.4 DEG F
* * ~ ~ * END ~ * * ~ ~
~---------
-----.-- ~
SYSTEI1 SET UP
JUL 25~ 2006 8:58 AM
SYSTEr"l UN I TS
U.S.
SYSTEM LANGUAC::E
ENGLl SH
FASTRIP 19
4901 S. UNION AVE.
BKFLD. CA. 93307
661-3'37-9387
SHIFT TIl"lE
SHIFT TIl"lE 2
SHIFT TIME 3
SHIFT TIl"lE 4
DISABLED
DISABLED
DISABLED
DISABLED
PERIODIC TEST WARNINGS
DISABLED
ANNU(ltL TEST WARN I NGS
DISABLED
SYSTEl1 SECUR ITY
CODE : 000000
PRINT TC VOLUMES
Ei'lABLED
TEl"lP COl"lPENSATION
VALUE (DEG F): 60.0
----'------""""""---....... ..--...........------.
cOt'll"lUNICATIONS SETUP
PORT SETTI NGS:
cor"11'1 BOARD
BAUD RATE
PARITY
STOP BIT :
DATA LENGTH:
1 (RS-232)
9600
NONE
1 STOP
8 DATA
AUTO TRANSl"l IT SETT I NGS :
AUTO LEAK ALARM 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 INPUT ON
DISABLED
AUTO EXTERNAL INPUT OFF
DISABLED
AUTO SENSOR FUEL ALARM
DISABLED
AUTO SENSOR WATER ALARM
DISABLED
AUTO SENSOR OUT ALARM
DISABLED
RS-232 SECURITY'
CODE : 000000
RS-232 END OF MESSAGE
DISABLED
i~ ,5
/~ '
,---'----~-' ---..--......--------
IN-TANK SETUP
- - -
T 1: UNL. 1 775
PRODUCT CODE
THERf"lAL COEFF
TANK DIAMETER
TANK PROFILE
FULL VOL
1
: .007000
: 96.00
1 PT
12032
FLOAT SIZE: 4
.0 INCHES
WATER WARNING .
HIGH WATER LIMIT:
riA>< OR LABEL VOL'
OVERFILL LIMIT I :
HIGH PRODUCT
DELI VERY LI M IT
LOW PRODUCT .
LEAK ALARM LIMIT:
SUDDEN LOSS LIMIT'
TANK TILT :'
f'lAN I FOLDED TANKS
Tit: NONE ~
2.0
3.0
12032
90%
10828
95%
11430
1 O~~
1203
500
99
99
7.30
LEAK MIN ANNUAL:
PERIODIC TEST TVPE
STANDARD
ANNUAL TEST FAIL
ALARf"l DISABLED
PERIODIC TEST FAIL
ALARf1 DISABLED
GROSS TEST FAIL
ALARf"1 DISABLED
ANN TEST AVERA~INC' OFF
PER TEST AVERAGING: OFF
TANK TEST NOTIFV: OFF
INK IST SIPHON BREAK:OFF
DELIVERV DELAV : 15 MIN
1203
~~
----------,----~ -------
T ?:UNL.2 SIPHON 775
PRODUCT CODE : ~ 2
THERMAL COEFF ..oogloo
TANK DIAMETER 9b.00
TANK PROFILE 1210P3~
FULL VOL -
4.0 INCHES
FLOAT SIZE:
WATER WARNING . :
HIGH WATER LIMIT:
MAX OR LABEL VOL:
OVERF I LL Lllvll T :
HIGH PRODUCT
DEll VERY Ll f"llT
2.0
3.0
12032
90%
10828
95~~
11430
10%
1203
1000
99
99
9.88
LOW PRODUCT :
LEAK ALAR!"l L I 1"11 T :
SUDDEN LOSS LIMI~:
TANK TILT .
MANIFOLDED TANKS
Tit: NONE
LEAK Ivl1 N ANNUAL :
PERIODIC TEST TYPE
STANDARD
1203
ANNUAL TES~L~~~LDISABLED
PERIODIC TEST FAIL
ALARf"l DISABLED
GROSS TESTA[~k~ DISABLED
ANN TEST AVERAGING: OFF
PER TEST AVERAGING: OFF
TANK TEST NOTIFY: OFF
TNK TST SIPHON BREAK:OFF I
DELIVERY DELAY : 15 MIN
'.\
..-r-- -....~---..
~. ---~-----
,~------------~ ../"""-
T 3:PREM.UNL. 775
PRODUCT CODE : 3
THERMAL COEFF :.000700
TANK DIAt"lETER' : 96.00
TANK PROFILE 1 PT
FULL VOL 12032
FLOAT SIZE:' 4.0 INCHES
WATER WARNING :
HIGH WATER LIMIT: '
, I .
MAX OR LABEL VOL:
OVERFILL Llt"lIT
HIGH )"RODUCT
DELIVERY' LIMIT
2.0
3.0
LOW PRODUCT :
LEAK ALARM LIMIT:
SUDDEN LOSS LIMIT:
TANK TILT :
MANIFOLDED TANKS
Ht: NONE
12032
90%
10828
95r. '
11430
10%
1203
1000
99
99
2.67
LEAK MIN ANNUAL: 1203
PERIODIC TEST TYPE
STANDARD
ANNUAL TEST FAIL
ALARM DISABLED
PERIODIC TEST FAIL
ALARt"l DISABLED
GROSS TEST FAIL
ALARt"l DISABLED
ANN TEST AVERAGING: OFF
PER TEST AVERAGING: OFF
TANK TEST NOTIFY: OFF
TNK TST SIPHON BREAK:OFF
DELIVERY DELAY : 15 MIN
-~.
"'"'--, -'~ - --- ---.,..-----.:"~~~.,-: ~
T 4:DIESEL 775
PRODUCT CODE
THERt1AL COEFF
TANK D I Ar.U::TER
TANK PROFILE
FULL VOL
FLOAT SIZE:
WATER WARNING :
HIGH WATER LIMIT:
MAX OR LABEL VOL:
OVERF ILL LI t"11 T
HIGH PRODUCT
DELIVERV Llt"lIT
LOW PRODUCT :
LEAK ALARM LIMIT:
SUDDEN LOSS LIMIT:
TANK TI LT
t"lAN I FOLDED TANKS
Tll: NONE
LEAK MIN ANNUAL :
: 4
: .000450
%.00
1 PT
12032
4.0 INCHES
2.0
3.0
12032
90r.
10828
95~i
11430
10%
1203
1000
99
99
3.75
1203
PERIODIC TEST TYPE
STANDARD
ANNUAL TEST FAIL
ALARt"l DISABLED
PERIODIC TEST FAIL
ALARM DISABLED
GROSS TE:::;T FA I L
ALARt"l DISABLED
ANN TEST AVERAGING: OFF
PER TEST AVERAGING: OFF
TANK TEST NOTIFY: OFF
TNK TST SIPHON BREAK:OFF
DELIVERY DELAY : 15 MIN
~
~-'--''';-.'''''~----~-..
-------
T 5:UNL.725
PRODUCT CODE
THERMAL COEFF
TANK DIAt"lETER
TANK PROFILE -
FULL VOL
: 5
: .000700
96.00
1 PT
12000
4.0 INCHES
FLOAT SIZE:
WATER WARNING :
HIGH WATER LIMIT:
MAX OR LABEL VOL:
OVERFILL Llt"lIT :
HIGH PRODUCT
DELIVERY Llt.,IT
4.0
4.0 ,
12000
90%
10800
95%
11400
10%
1200
500
99
99
0.00
LOW PRODUCT :
LEAK ALARM LIMIT:
RUDDEN LOSS LIMIT:
TANK TILT :
MANIFOLDED TANKS
T;I: NONE
LEAK MIN ANNUAL :
PERIODIC TEST TYPE
STANDARD
1200
ANNUAL TESlL~~~,L DISABLED
PERIODIC TEST FAIL
ALARt"l DISABLED
GROSS TEST FAIL
ALARt"l DISABLED
ANN TEST AVERAG I NG : OFF
PER TEST AVERAGING: OFF
TANK TEST N9TIFY: OFF
TNK TST SIPHON BREAK:OFF
DELIVERY DELAY 15 MIN
..---
~~_.--"--'"
T 6:PREM.UNL. 725
PRODUCT CODE
THERMAL COEFF
TANK DIAMETER
TANK PROFILE
FULL VOL
: 6
: .000700
: 96.00
1 PT
12000
FLOAT SIZE:
4.0 INCHES
WATER WARNING :
HIGH WATER LIMIT:
MAX OR LABEL VOL:
OVERFl LL Ll M IT
H lGH PRODUCT
DEll VER\' Ll M IT
2.0
3.0
12000
90%
10800
95%
11400
10%
1200
1000
99
99
0.00
,:'-; LOI,,} PRODUCT :
'; LEAK ALARM LlI"1l T :
" SUDDEN LOSS Ll!"llT:
TANK TILT :
!"lAN 1 FOLDED TANKS
Tit: NONE
LEAK 1"11 N ANNUAL: 1200,
PERIODIC TEST T\'PE
STANDARD
ANNUAL TEST FAIL
ALAR~'l DISABLED
PERIODIC TEST FAIL
ALAR!"l DISABLED
GROSS TEST FAIL
ALAR!"l DISABLED
ANN TEST AVERAGING: OFF
PER TEST AVERAGING: OFF
TANK TEST NOT 1 F\' : OFF
~ -
TNK TST S 1 PHQt) BREAK :vr'F>"""
~- '
DELIVERY DELA\'
- f5-1~1l N
-------
T 7:DIESEL 7?~
PRODUCT CODE--
THERr"lAL COEFF
TANK DIAMETER
TANK PROFILE
FULL VOL
?
: .000450
: %.00
1 PT
12000
FLOAT SIZE: 4 0 It"CH
. .' ES
WATER WARNING .
HIGH WATER LIMIT:
t'lAX OR LABEL VOL'
O\.lERF 1 LL Ll t'1 IT :
HIGH PRODUCT
DEll VER\' Ll t'1 IT
2.0
3.0
12000
90%
10800
g50'
11400
10%
1200
1000
99
99
0.00
LOW PRODUCT .
kEAK ALARM LIMIT:
~UDDEN LOSS LIMIT'
TANK TILT :'
t'lAN I FOLDED TAW"S
Tit: NONE ['.
LEAK MIN ANNUAL:
PERIODIC TEST TYPE
STANDARD
ANNUAL TEST FAIL
ALARt'1 DISABLED
PERIODIC TEST FAIL
ALARM DISABLED
GROSS TEST FAIL
ALARM DISABLED
ANN TEST AVERAGING: OFF
PER TEST AVERAGING: OFF
TANK TEST NOTIFY: OFF
TNK 18T SIPHON BREAK:OFF
DELIVERY DELAY : 15 MIN
1200
~E~K_T~S~ METHOD
TEST ON - - - - - -
JAN 1, ~ATE : ALL TANK
START ,,-000
TEST R~IME: 2:00 At'l
DURATIO~E ;0;20 GAL/HR
. ~ HOURS
LEAK TEST REPORT FORMAT
NORMAL
LIQUID SENSOR SETUP
- - - - - -
L 1: L1NL . SLlt'lP 775
TRI-STATE (SINGLE FLOAT)
CATEGOR\' : STP SUMP
L 2: UNL. ANN 775
TRI-STATE (SINGLE FLOAT)
CATEGOR\' : ANNULAR SPACE
L 3: L1NL . -2 SLlI1P 775
TRI-STATE '(SINGLE FLOAT)
CATEGOR\' : STP SU~1P
L 4:UNL. 2 ANN 775
TRI-STATE (SINGLE FLOAT)
CATEGORY : ANNULAR SPACE
L 5:PREM. L1NL.SUMP 775
TRI-STATE (SINGLE FLOAT)
CATEGOR\' : STP SUMP
L 6:PREM.UNL.ANN 775
TRI-STATE (SINGLE FLOAT)
CATEGOR\' : ANNULAR SPACE
L 7:DIESEL SUMP 775
TRI-STATE (SINGLE FLOAT)
CATEGOR\' : STP SUMP
L S:DIESEL ANN 775
TRI-STATE (SINGLE FLOAT)
CATEGOR\' : ANNULAR SPACE
L 9: UNL . SUt'lP 725
TRI-STATE (SINGLE FLOAT)
CATEGOR\' : STP SU!"lP
UO:UNL.ANN 725
TRI-STATE (SINGLE FLOAT)
CATEGOR\' : ANNULAR SPACE
--...~-------- :_-~....~---.
Lll :PREM.UNL.SLlMP 725
TRI-STATE (SINGLE FLOAT)
CATEGORY : STP SUMP
LI2:PREM.UNL. ANN 725
TRI-STATE (SINGLE FLOAT)
CATEGORY : ANNULAR SPACE
LI3:DIESEL SUMP 725
TRI-STATE (SINGLE FLOAT)
CATEGORY : STP SUMP
LI4:DIESEL ANN 725 v'
TRI-STATE (SINGLE FLOAT)
CATEGORY : ANNULAR SPACE
Ll5:DISP 9-12
NORMALLY CLOSED
CATEGORY : DISPENSER PAN
LlE. :DISP 13-16
NORI'1ALL Y CLOSED
CATEGORY : DISPENSER PAN
,
Ll7:DISP 1-2
TRI-STATE (SINGLE FLOAT)
CATEGORY : DISPENSER PAN
Ll8 :DISP 3-4
TRI-STATE (SINGLE FLOAT)
CATEGORY : DISPENSER PAN
Ll9 :DISP 5-6
TRI-STATE (SINGLE FLOAT)
CATEGORY : DISPENSER PAN
L20:N. CENTER PAN
TRI-STATE (SINGLE FLOAT)
CATEGORY : DISPENSER PAN
L21 :DISP 7-8
TRI-STATE (SINGLE FLOAT)
CATEGORY : DISPENSER PAN
--"---..... '----
'--..".r. ____
------........ -~-
I'
"
"=,,,:>-.. .
OUTPUT R~LAY SETUP
R 1 :UNL-PREM.UNL. 725
TYPE: '
STANDARD
NORi"lALL V CLOSED
IN-TANK ALARMS
T 5:LEAK ALARM
T 6: LEAK ALARI1
,-
LIQUID SENSOR ALMS -
L '3: FUEL ALARi"1
Lll :FUEL ALARM
L15 : FUEL ALAR!'1
L1E. : FUEL ALAR!'1
R 2: DIESEL 72 5
TYPE:
STANDARD
NOR~'lALLY CLOSED
IN-TANK ALARr"lS
T 7:LEAK ALARM
LIQUID SENSOR ALt"lS
L13 :FUEL ALARi"1
L 15: FUEL ALARr1
L 1 6 : FUEL ALARt"1
R 3:0VERFILL ALARM
TYPE:
STANDARD
NORMALLY OPEN
IN-TANK ALARr"1S
ALL:OVERFILL ALARM
ALL:HIGH PRODUCT ALARM
ALL:MAX PRODUCT ALARM
_...r----'---r-- --'8_____~_.".~--........
~~/
R 5:UNL. 775
TYPE:
STANDARD
NOR!'1ALL Y CLOSED
IN-TANK ALARMS
T 1: LEAK ALARM
LIQUID SENSOR ALMS
L 1 :FUEL ALARM
L 2: FUEL ALAR!"1
L 3 :FUEL ALARi"1
L 4 :FUEL ALARi"1
L 5:FUEL ALARM
L 6:FUEL ALARM
L1 7 : FUEL ALARM
L1 8 : FUEL ALAR!'1
LI9:FUEL ALARM
L21 :FUEL ALARM
~ ,R 6: UNL. PREi"1 775
TVPE:
STANDARD
NORt"1ALL'l Cr:.OSED'~
....-.....:..-..0_
IN-TANK ALAF:i"1S
T 2:LEAK ALARM
LI QU ID SENSOR ALI"lS
L 1: FUEL ALARi"!
L 2: FUEL ALAR!"1
L '3: FUEL ALARt"1.
L 4 :FUEL ALAR!"1
,L.i5 :FUEL ALARr1
;;',' 'L 6 :FUEL ALARM
I' ~l' L1 7 : FUELALARi"1
I \~LI8:FUEL ALARM,
" -L 1 9 : FUEL ALAR!"l
: L21 :FUEL ALAR!"l
~< ~
R 7:DIESEL 775
TiPE:
STANDARD
NORr"lALLY CLOSED
I N-TANK ALAR~'lS
T 3: LEAK ALARi"1
LIQUID SENSOR ALMS
l 7 :FUEL ALAR!"1
L 8:FUEL ALARM
Ll7 :FUEL ALARM
L1 8 : FUEL ALARM
L1 '3 : F L1EL ALARr1
L21 :FUEL ALARM
,-'
/'
-.----'
. ___~v~--~ .
~.-----
SOFTWARE REVISION LEVEL
VERSION 9.00
SOFTWARE~ 346009-100-A
CREATED - 95.08.28.11.25
S-MODULE~ 330160-002-A
SYSTEM FEATURES:
PERIODIC iN-TANK TESTS
ANNUAL IN-TANK TESTS
CSLD
ALARt'" H I STORY REPORT
----- SENSOR ALARM
L 1: UNL.SUMP 775
STP SUt1P
FUEL ALARf"l
JUL 25. 2005 8:43 AM
FUEL ALARtvl
JUL 18. 2005 9:47 AM
FUEL ALARr1
JUL 18. 2005 9:16 AM
ALARM HISTORY REPORT
----- SENSOR ALARM
L 2: UNL.ANN 775
ANNULAR SPACE
FUEL ALARf"l
JUL 18. 2006 1:09 PM
FUEL ALARM
JUL 2? 2005 8:41 AM
FUEL ALARi"!
JUL 18. 2005 9:08 AM
'\,
"
ALARM HISTORY REPORT
SENSOR ALARM -----
L 3:UNL. 2 SUMP 775
STP SUMP
FUEL ALARM'
JUL 18. 2006 1:20 PM
FUEL ALARM
JUN 11. 2006 2:23 PM
FUEL ALARM
JUN 2. 2006 11:11 AM
""',
.....
\
ALARM HISTORY REPORT
-----, 'SENSOR ALARf"1 -----
L ~:UNL. 2 ANN 775
AN~JULAR SPACE
FUEL 'ALARr1
JUL~18. 2006 1:09 PM
,-
FUEL ALARI'1
JUL 25. 2005 8:40 A~
FUEL ALARM
JUL 18. 2005 9:07 AM
ALARM HISTORY REPORT
----- SENSOR ALARf"l
L 5:PREM. UNL.SUMP 775
STP SUi"lP
FUEL ALARI'-!
JUL 18. 2006 1 :23 PM
FUEL ALAR!"]
JUL 25. 2005 8:45 AM
FUEL ALARi"1
JUL ~8. 2005 9:13 AM
ALAR!"! H I STORY '"'REPORT
----- SENSOR ALARM -----
L 6 :PREf"l.lJNL.ANN 775
ANNULAR SPACE
FUEL ALARM
JUL 18. 2006 1:11 PM
FUEL ALAR!"1
JUL 25. 2005 8:39 AM
FUEL ALARM
JUL 25. 2005 8:37 AM
~
~.,..~~---;:;,,-
..-/
--~-
- ALARI'1 HISTORY REPORT
----- SENSOR ALAR~ -----
L 7:DIESEL SUMP 7.5
STP SUMP
FUEL ALARM
JUL 18. 2006 1:34 PM
FUEL ALARM b~:37 PM
APR 5. 2006
FUEL ALARM
JUL 25. 2005 8:46 AM
/
,
,.
/
"
ALARI"! HI STOR'l REPORT
----- SENSOR ALARM -----
L 8:DIESEL ANN 775
ANNULAR SPACE
FUEL ALARM
JUL 18. 2006 1:09 PM
FUEL ALARM Q:~6 AM
JUL 25. 2005 u ~
FUEL ALARM g_:04 AM
JUL 18. 2005
ALARM HISTORY REPORT
---\,- SENSOR'ALARM -----
L 9:bNL.SUMP 725
STP St!l"!P
FUEL AlARM 2:53 PM
JUL 18. 2006 -
FUEL ALARf"l "', : 20 Pt'1
!"1AR 3 " 2006-
FUEL ALARf1
_ DEC 2. 2005 4 : 50 PM
-.....---
, ,
,
ALARM HISTORV REPORT
----- SENSOR ALARM ______1
LI 0: UNL. ANN 725
ANNULAR SPACE
FUEL ALARM
JUL 18. 2006' 3:11 PM
FUEL ALARM
JAN 3. 2006 11 :23 AM
FUEL ALARM
DEC 2. 2005 4:51 PM
ALARM HISTORV REPORT
SENSOR ALARM ~----
Lll:PREM.UNL.SUMP 7~5
STP SUMP
FUEL ALAR!"1
JUL 18. 2006 2:52 PM
SETUP DATA WARNING
, JUN 14. 2006 8:35 AM
FUEL ALARr"!
JUN 14. 2006 7:24 AM
ALARM HISTORY REPORT
----- SENSOR ALARM -----
LI2:PREM.UNL. ANN 725
ANNULAR SPACE
FUEL ALARM
JUL 18. 2006 3:13 PM
SENSOR OUT ALARM
JAN 4. 2006 12:26 PM
, SENSOR OUT ALARM
JAN 4. 2006 12:23 PM
~----------~------......-- -" -_.----~-....~~
ALARM HISTORY REPORT
----- SENSOR ALARM -----
L13:DIESEL SUMP 725
STP SU!"lP
FUEL ALARM
JUL 18. 2006 2:51 PM
FUEL ALARM
JUL 25. 2005 9:49 AM
FUEL ALARI'1
JUL 18. 2005 11: 11 AM
ALARr"! H I STORY REPORT
-----SENSOR ALARM
L14:DIESEL ANN 725
ANNULAR SPACE
FUEL ALAR!"1
JUL 18. 2006 3:14 PM
FUEL ALAR!"1
DEC 2. 2005 4:49 P!"l
FUEL ALARI1
DEC " 2005 5:27 A!"1
.::....
ALARM HISTORY REPORT
----- SENSOR ALARM
Ll5:DISP 9-12
DISPENSER PAN
FUEL ALAR!"1
JUL 18. 2006 3:22 PM
FUEL ALAR!"1
JUL 18. 2006 3:06 PM
FUEL ALAR!"1
JUL 18. 2006 3:04 PM
--...-.-,- ..."",,-
....---.....---- ~
- -----.-.
--
\
ALAR!"! H I STORY REPORT
----- SENSOR ALARM
L16:DISP 13-16 '
DISPENSER PAN
FUEL ALAR!"!
JUL 18. 2006 3:02 PM
FUEL ALAR!"l
JUL 18. 2006 2:59 PM
FUEL ALARM
JUL 25. 2005 9:57 AM
"
ALARM HISTORY REPORT
----- SENSOR ALARM
Ll7 :DISP 1-2
DISPENSER PAN
FUEL ALARM
JUL 18. 2006 i :37 PM
FUEL ALAR!"I
JUL 25. 2005 8:49 AM
FUEL ALARf"1
JUL 18. 2005 9:18 AM
ALARM HISTORY REPORT
----- SENSOR ALARM
Ll8 :DISP 3-4
DISPENSER PAN
FUEL ALARM
JUL 18. 2006 1 :36 PM
FUEL ALARr"l
JUL 25. 2005 8:48 AM
FUEL ALAR~1
JUL 18. 2005 9:17 AM
'<"~~"-c;o-....-- ___~,.....__. ~ ~-
SENSOR ALARM
L 6:PREM.UNL.ANN 775
ANNULAR SPACE
FUEL ALARM
JUL 25. 2006 9:20 AM
----- SENSOR ALARM
L21 :DISP 7-8
DISPENSER PAN
FUEL ALARl"
JUL 25. 2006 9:21 AM
----- SENSOR ALARt1
L 2:UNL.ANN 775
ANNULAR SPACE
FUEL ALAR!"l
JUL 25. 2006 9:21 AM
SENSOR ALARM
Ll9 :DISP 5-6
DISPENSER PAN
FUEL ALAR!"l
JUL 25. 2006 9:21 AM
ALAR!"! HISTOR\' REPORT
----- SENSOR ALARM
L24:
OTHER SENSORS
ALAR!"I H I STORY' REPORT
--~-- SENSOR ALARM
L 1: UNL.SU!"lP 775
STP SUMP
FUEL ALARM
JUL 25. 2005 8:43 AM
FUEL ALARM
JUL 18. 2005 9:47 AM
FUEL ALARM
JUL 18. 2005 9:16 AM
----- SENSOR ALARM
L 1: UNL. SU!"lP 775
STP SUMP
FUEL ALAR!"!
JUL 25. 20n6 9:13 AM
,--r___
--=-~ SENSOR ALARM -----
L J:UNL. 2 SUMP 775
STP SUMP -
FUEL ALAR!"1
JUL25. 2006 9:15 AM
----- SENSOR ALARM
L 5:PREM. UNL.SUMP 77~
STP SUMP -
FUEL ALARM
JUL 25. 2006 9;18 AM
---,-- SENSOR ALARt1 -----
L 7:DIESEL SUMP 775
STP SUI"lP
FUEL ALAR!"!
JUL 25. 2006 9:19 AM
ALARM HISTORY REPORT
_____ SENSOR ALARM
Ll9 :DISP 5-6
DISPENSER PAN
. FUEL ALARM
JUL 18. 2006 1:40 PM
Fur ALARM
JUL 18. 2006 1:38 PM
FUEL ALAR!"1
JUL 25. 2005 8:50 AM
'-
ALARM HISTORY REPORT
SENSOR ALARM
L20:N.CENTER PAN
DISPENSER PAN
SENSOR OUT ALARM
AUG 29. 2004 6:46 PM
SENSOR OUT ALARM
AUG 18. 2004 10:35 AM
FUEL ALAR!"1
AUG 18. 2004 iO:32 AM
ALARM HISTORY' REPORT
_____ SENSOR ALARM
L21 :DISP 7-8
DISPENSER PAN
FUEL ALARM
JUL 18. 2006 1:42 PM
FUEL ALARt'1
JUL 25. 2005 8:52 AM
FUEL ALARM
JUL 18. 2005 9:20 AM
ALARl"1 H I STORY REPORT
SENSOR ALAR!"1
L?'::>:
OTHER SENSORS
ALARM HISTORY REPORT
SENSOR ALARM -----
~~.._-.--
~---.....-----
~~~----,-- --'--""'o._'_~---_ '__~'~'"
\.
'\-
"
ALAR!"! H I STORY REPORT
----~ SENSOR ALARM
L 1 :UNL.SUMP 775
STP S U!"1P
FUEL ALAR!"l
JUL 25, 2006 9:13 AM
SENSOR, ALARI"1
Li8:DISP :3-4'
DISPENSER PAN
FUEL ALARr"l
JUL 25, 2006 9:22 AM
FUEL ALARt'l
JUL 25, 2005 8:43 AM
FUEL ALAR!"l
JUL 18, 2005 9:47 AM
FASTRIP 19
4901 S. UNION AVE.
BKFLD. CA. 93307
661-397-9387
JUL 25, 2006 9:22 AM
----- SENSOR ALARM -----
L 4:UNL. 2 ANN 775
ANNULAR SPACE
FUEL ALARM
JUL 25, 2006 9:20 AM
SYSTEM STATUS REPORT
----- SENSOR ALARM -----
L 8:DIESEL ANN 775
ANNULAR SPACE
FUEL ALARM
JUL 25, 2006 9:20 AM
L 2 :FUEL ALARI"j
L 3 :FUEL ALAR!"1
L 4: FUEL ALAR!"I
L 5: FUEL ALARI"!
L 6: FUEL ALAR!"!
L 7 :FUEL ALAR!"!
L B:FUEL ALARM
L17 :FUEL ALf~Rl"l
LIB :FUEL ALAR!"l
L 1 9 : FUEL ALAR!"I
L21 : FUEL ALAR!"l
-----
,-/ ~,
------'
-. ........._--_.~ ----
-,.-.:- SENSOR ALAR!"l
L17 :DISP 1-2
DISPENSER PAN
FUEL ALARM
JUL 25, 2006 9:22 AM
FASTRIP 19
4901 S. UNION AVE.
BKFLD. CA. 93307
661-397-9387
JUL 25, 2006 9:22 AM
SYSTEM STATUS REPORT
- - - - - - - - - - - -
L 2:FUEL ALARM
L 3: FUEL ALAR!"!
L 4:FUEL ALARM
L 5:FUEL ALAR!"!
L 6 : FUEL ALARI'1
L 7:FUEL ALARM
L 8 :FUEL ALAR!"1
LI 7: FUEL ALARM
L 1 9 : FUEL ALARI'1
L21 :FUEL ALARI"!
, r- ""-.~'~_~~,_____________
;.~, '. ~
----- SENSOR ALARM
L 9: UNL.SUMP 725
STP SUMP
FUEL ALARM '
JUL 25. 2006 10:06 AM
SENSOR ALARM
L1 0 : UNL. ANN 725
ANNULAR SPPiCE
FUEL ALAR~1
JUL 25. 2006 10:06 AM
----- SENSOR ALARM -----
Lll :PREM.UNL.SUMP 725
STP SUMP
FUEL ALAR~'1
JUL 25. 2006 10:07 AM
----- SENSOR ALARM -----
LI2:PREM.UNL. ANN 725
ANNULAR SPACE
FUEL ALAR!'1
JUL 25. ')nn6 11-" ,-,~ C>fv1 (
/.....-- '
-.j~<..,..-".
.J'
, .r
---..-...,;..--- ~ --------
;,..
_. i
; J /~
t, ::'
l.?"'-' .
'~i.
FASTRIP 19
4901 S. UNION AVE.
BKFLD. CA. 93307
661-397-9387
----- SENSOR ALARM' -----
LI3:DIESEL SUMP 725
STP SUMP
FUEL ALAR!"!
JUL 25. 2006 10:07 AM
JUL 25. 2006 10:20 AM
SVSTEt"1 STATUS REPORT
ALL FUNCTIONS NORMAL
INVENTORV REPORT
/'
i
T 1: UNL. 1 7'15
VOLUME
ULLAGE
9mi ULLAGE=
TC VOLU!"lE =
HEIGHT =
WATER VOL =
WATER
TEI"IP
7339 GALS'
4693 GALS'
3489 GALS
5654 GALS
56.3:3 INCHES
o GALS
0.00 INCHES
92.8 DEG F
SENSOR ALAR!'1
LI4:DIESEL ANN 725
ANNULAR SPACE
FUEL ALARM
..:rUL 25. 2006 I [I: 07 Ah
----- SENSOR ALARI"!
L16:DISP 13-16
DISPENSER PAN
fUEL ALAR!"!
.JUL 25" 2006 10:08 AM
T 2 :-UNL . 2' S f PHoi~'775
VOLUME 7754 GALS
ULLAGE ,= _ 4278 GALS
90% ULLAGE= . 3014 GALS
TC VOLU~1E 7580' ';P-lLS
HEIGHT 58.99 rNCHES
WATER VOL 0 GALS
tJATER 0 00 INCHES
TEMP 91.8 DEG F
T 3:PREM,UNL. 775
VOLUr"1E 1682 GALS
ULLAGE 1 0350 GALS
90% ULLAGE= 9146 GALS
Te VOLUME 1633 GALS
HEIGHT 18.96 INCHES
WATER VOL 0 GALS
WATER 0.00 INCHER
TEI"IP 1 0 I . 9 DEG F-
T 4:DIESEL 775
VOLUME 4457 GALS
ULLAGE 7575 GALS
90% ULLAGE= 6371 GALP
TC \/OLU!"!E 4392 GALS
HEIGHT 38.16 INCHES
WATER VOL [I GALS
WATER 0.00 INCHES
TEMP 92.4 DEG F
SENSOR ALAR!"1
L15 :DISP 9-12
DISPENSER PAN
FUEL ALARr"!
JUL 25. 2006 10:09 AM
T 5:UNL.725
VOLU!'lE
ULLAGE '
90% ULLAGE=
TC VOLU!'lE
HEIGHT
tJATER VOL
l.-JATER'
TE!"lP
4029 GALS
7971 GALS
6771 GALS
3940 GALS
35.47 INCHES
o GALS
0.00 INCHES
91.1 DEG F
T'6:PREM.UNL. 725
VOLUME 4478 GALS
ULLAGE = 7522 GALS
90% ULLAGE= 6322 GALS
TC VOLUME = 4386 GALS
HEIGHT 38.37 INCHES
WATER VOL 20 GALS
WATER 0.98 INCHES
TEMP 89.2 DEG F
T 7 :DIESEL 725
VOLUME = 8126 GALS
ULLAGE , = 3874 GALS
90% ULLAGE= 2674 GALS
TC VOLUME. = 8000 GALS
HEIGHT = 61.54 INCHES
WATER VOL 0 GALS
WATER 0.00 INCHES
TEMP 94.4 DEG F
~--
~.--
.;", "..
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 (if applicable), should be provided to the facility owner/operator for submittal to the local regulatory agency.
Facility Name: #775 Fastrip #19 (Chevron) I Date of Testing: 7/25/2006
Facility Address: 4901 South Union Avenue, Bakersfield, CA 93307
Facility Contact: Omero Garcia I Phone: 661-393-7000
Date Local Agency Was Notified of Testing : 6/19/2006
Name of Local Agency Inspector (if present during testing): None
1. FACILITY INFORMATION
Company Name: Confidence UST Services, Inc.
Technician Conducting Test: Joseph Stroope
Credentials 1: X CSLB Contractor X ICC Service Tech. X SWRCB Tank Tester o Other (SpecifY)
License Number(s): CSLB #804904 ICC #5258844-UT Tester Lic. 061720
2. TESTING CONTRACTOR INFORMATION
Test Method Used: x Hydrostatic o Vacuum o Other
Test Equipment Used: Lake Test Equipment Resolution: 0,0625"
I I
Identify Spill Bucket (By Tank 11 Regular 1 12 Regular 2 13 Super /4 Diesel I
Number, Stored Product, etc,)
Bucket Installation Type: o Direct Bury o Direct Bury o Direct Bury o Direct Bury
x Contained in Sump x Contained in Sump x Contained in Sump x Contained in Sump
Bucket Diameter: 12.00" 12.00" 12.00" 12,00"
Bucket Depth: 13.75" 12.95" 12.80" 13.05"
Wait time between applying 30 min. 30 min. 30 min. 30 min.
vacuum/water and start of test:
Test Start Time (T,): 8:30am 8:30am 8:30am 8:30am
Initial Reading (R,): 13.50" 12.75" 12.50" 12.90"
Test End Time (TF): 9:30am 9:30am 9:30am 9:30am
Final Reading (RF): 13 .50" 12.75" 12.50" 12,90"
Test Duration (T F - T,): 1 hour 1 hour 1 hour 1 hour
Change in Reading (RF - R,): 0.00" 0,00" 0,00" 0.00"
PassIFail Threshold or 0.0625" 0.0625" 0.0625" 0,0625"
Criteria:
Test Result: X Pass o Fail X Pass o Fail X Pass o Fail , X Pass o Fail
3. SPILL BUCKET TESTING INFORMATION
Comments - (include iriformation on repairs made prior to testing, and recommendedfollow-up for failed tests)
CERTIFICATION OF TECHNICIAN 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 s~ ~ Date: 7(15(1006
, State laws and regulations do not currently require testing to be performed by a qualified contractor. However, local requirements
APPLICATION
TO PERFORM ELD I UNE TESnNG
I SB989 SECONDARY CONTAINMENT TESnNG
/TANK nGHTNESS TEST AND TO PERFORM
FUEL MONITORING CERTIFICATION
BAKERSFIELD FIRE DEPT.
Prevention Services
900 Truxtun Ave., Ste. 210
Bakersfield, CA 93301
Tel.: (661) 326-3979
Fax: (661) 852-2171
UNDERGROUND STORAGE TANKS
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PERMrrNO. J ,--r- ~'C;O I
ENHANCED lEAK DETECTION
TANK TIGHTNESS TEST
UNE TESTING
, 58-989 SECONDARY CONTAINMENT TESTING
2S
PERMIT TO OPERATE NO.
NUMBER OF TANKS TO BE TESTED
TANK 1#
IS PIPING GOING TO BE TESTED?
VOLUME
LS YES
LS NO
CONTENTS
TANK TESnNG COMPANY
NAmE lL PHONE NU;';lBER OF CONTACT PERSON
. 0 <., \
APPROVED BY
FD 2095 (Rev. 09t05)