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HomeMy WebLinkAbout1030 OAK ST (2) MONITORING SYSTEM CERTIFICATION For Use By All Jurisdictions Within the State of California Authority Cited:Chapter 6.7,Health and Safety Code;Chapter 16,Division 3 Title 23, California Code of Regulations This form must be used to document testing and servicing of monitoring equipment. If more than one monitoring system control panel is installed at the facility,a separate certification or 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 LIST systems within 30 days of test date. A-General Information Facility Name: CIRCLE K#2708606, MKT#2618 City: BAKERSFIELD CA Zip:93304 Site Address: 1030 OAK ST. Contact Phone No: 861-8048 Date of Testing/Service: 01/13/2009 Facility Contact Person: MANAGER-DONNA Make/Model of Monitoring System:TLS-350 Work Order Number: 3164254 IIIIIIIIIIIIIIII IIII 39 B.Inventory of Equipment Tested/Certified Check the appropriate boxes to indicate specific equipment inspected/serviced IE Tank ID: 1-87 Tank ID: 2-89 X In-Tank Gauging Probe. Model: MAG X In-Tank Gauging Probe. Model: MAG X Annular Space or Vault Sensor. Model: VR-409 Annular Space or Vault Sensor. Model: VR-409 X Piping SumplTrench Sensor(s), Model: VR-002 Piping Sump/Trench Sensor(s). Model: VR-002 X Fill Sump Sensor(s). Model: VR-208 VR-208 Fill Sump Sensor(s). Model: �( Mechanical Line Leak Detector. Model: LD-2000 X Mechanical Line Leak Detector. Model: LD-2000 Electronic Line Leak Detector. Model: Electronic Line Leak Detector. Model: X Tank Overfill/High-Level Sensor. Model: ATG/FLAPPER Tank Overfill/High-Level Sensor. Model: ATG/FLAPPER Other(specify equipment type and model in Section E on page 2). Other(specify equipment type and model in Section E on page 2). Tank ID: Tank ID: In-Tank Gauging Probe. Model: MAG In-Tank Gauging Probe. Model: X Annular Space or Vault Sensor. Model: VR-409 Annular Space or Vault Sensor. Model: X Piping Sump/Trench Sensor(s). Model: VR-002 Piping Sumplrrench Sensor(s). Model: X Fill Sump Sensor(s). Model: VR-208 7 Fill Sump Sensor(s). Model: X Mechanical Line Leak Detector. Model: LD-2000 Mechanical Line Leak Detector. Model: Electronic Line Leak Detector. Model: Electronic Line Leak Detector. Model: Tank OverfilUHigh-Level Sensor. Model: ATG/FLAPPER Tank Overfill/High-Level Sensor. Model: Other(specify equipment type and model in Section E on page 2). Other(specify equipment type and model in Section E on page 2). Dispenser : 1/2 Dispenser ID: 3/4 Q Dispenser Containment Sensor(s) Model: Dispenser Containment Sensor(s) Model: RI Shear Valve(s). _Xj Shear Valve(s) IKDispenser Containment Float(s)and Chain(s). X Dispenser Containment Float(s)and Chain(s). Dispenser lD: Dispenser ID: Dispenser Containment Sensor(s) Model: Dispenser Containment Sensor(s). Model: FjShear Valve(s). Shear Valve(s). Dispenser Containment Float(s)and Chain(s). Dispenser Containment Float(s)and Chain(s). Dispenser ID: Dispenser lD: Dispenser Containment Sensor(s) Model: Dispenser Containment Sensor(s). Model: Shear Valve(s). Shear Valve(s). Dispenser Containment Float(s)and Chain(s). Dispenser Containment Float(s)and Chain(s). 'If the facility contains more tanks or dispensers,copy this form. Include information for every tank and dispenser at the facility. C. Certification I certify that the equipment identified in this document was inspected/serviced in accordance with the manufacturers'guidelines. Attached to this certification is information(e.g manufacturers'checklists)necessary to verify that this information is correct. and a Site Plan showing the layout of monitoring equipment. For any equipment capable of generating such reports,I have also attached a copy of the(Check all that apply): ❑X System set-up Alarm history report Technician Name rint: AXEL MEDINA Signature: a (P ) 9 Certification No.: 8014682-ut License. No.: 743160(Class'A'General Enginering Contractor License) Testing Company Name:Tanknology Phone No.: (800)800-4633 Site Address: 8501 N. MoPac Expressway,suite 400,Austin,TX 78759 Date of Testing/Servicing: 01/13/2009 Monitoring System Certification Page 1 of 3 I 40 Based on CA form dated 03/01 IE Monitoring System Certification Site Address 1030 OAK ST. Date of Testing/Service: 01/13/2009 D. Results of Testing/Servicing Software Version Installed: 328.03 Complete the following checklist: El Yes No• Is the audible alarm operational? Q Yes No• Is the visual alarm operational? 0 Yes No• Were all sensors visually inspected,functionally tested,and confirmed operational? Yes 11 No Were all sensors installed at lowest point of secondary containment and positioned so that other equipment will not ' interfere with their proper operation? Yes n No•ID N/A If alarms are relayed to a remote monitoring station,is all communications equipment(e.g.modem)operational? For pressurized piping systems,does the turbine automatically shut down if the piping secondary containment R Yes 11 No• ❑N/A monitoring system detects a leak,fails to operate,or is electrically disconnected?If yes:which sensors initiate positive shut-down?(check all that apply) ❑x Sump/Trench Sensors; [Z] Dispenser Containment Sensors. Did you confirm positive shut-down due to leaks and sensor failure/disconnection? ❑x Yes No Mx Yes ❑No' E]N/A For tank systems that utilize the monitoring system as the primary tank overfill warning device(.e.:no mechanical overfill prevention valve is installed),is the overfill warning alarm visible and audible at the tank fill points(s)and operating properly? If so,at what percent of tank capacity does the alarm trigger? so Yes• Fx No Was any monitoring equipment replaced?If yes,identify specific sensors,probes,or other equipment replaced and list the FI manufacturer name and model for all replacement parts in Section E,below. ❑ Yes• Ex No Was liquid found inside any secondary containment systems designed as dry systems?(check all that apply) ❑Product; ❑ Water. If yes,describe causes in Section E,below. QX Yes E]No• Was monitoring system set-up reviewed to ensure proper settings?Attach set-up reports,if applicable. �X Yes ❑No• Is all monitoring equipment operational per manufacturers'specifications? 'In Section E below,describe how and when these deficiences were or will be corrected. E. Comments: Page 2 of 3 Based on CA form dated 03/01 Monitoring System Certification Site Address: 1030 OAK ST. Date of Testng/Service: 01/13/2009 F. In-Tank Gauging / SIR Equipment ❑ Check this box if tank gauging is used only for inventory control. ❑ Check this box if no tank gauging or SIR equipment is installed. Check this box if no tank gauging or SIR equipment is installed. This section must be completed if in-tank gauging equipment is used to perform leak detection monitoring. Complete the following checklist: ❑Yes ❑No* Has all input wiring been inspected for proper entry and termination,including testing for ground faults? ❑Yes ❑No' Were all tank gauging probes visually inspected for damage and residue buildup? 0 Yes ❑No' Was accuracy of system product level readings tested? El Yes ❑No' Was accuracy of system water level readings tested? x Yes ❑No• Were all probes reinstalled properly? Q Yes ❑No* Were all items on the equipment manufacturers'maintenance checklist completed? *In the Section H,below,describe how and when these deficiencies were or will be corrected. G. Line Leak Detectors (LLD) ❑ Check this box if LLDs are not installed. Complete the following checklist: For equipment start-up or annual equipment certification,was a leak simulated to verify LLD performance? M Yes ❑No* ❑N/A (Check all that apply)Simulated leak rate: x❑ 3 g.p.h❑0.1 g.p.h E]0.2 g.p.h M Yes ❑No* Were all LLDs confirmed operational and accurate within regulatory requirements? E Yes ❑No• Was the testing apparatus properly calibrated? MX Yes E]No' ❑N/A For mechanical LLDs,does the LLD restrict product flow if it detects a leak? ❑Yes ❑No' ®N/A For electronic LLDs,does the turbine automatically shut off if the LLD detects a leak? ❑Yes ❑No* 0 N/A For electronic LLDs,does the turbine automatically shut off if any portion of the monitoring system is disabled or disconnected? ❑Yes ❑No' M N/A For electronic LLDs,does the turbine automatically shut off if any portion of the monitoring system malfunctions or fails a test? ❑Yes ❑No* Q N/A For electronic LLDs,have all accessible wiring connections been visually inspected? MYes ❑No* Were all items on the equipment manufacturers'maintenance checklist completed? *In the Section H,below,describe how and when these deficiencies were or will be corrected. H. Comments: Page 3 of 3 Based on CA form dated 03/01 SWRCB,January 2002 Page 1. Secondary Containment Testing Report Form This form is intended for use by contractors performing periodic testing of UST secondary containment systems. Use the appropriate pages of this form to report results for all components tested. The completed form, written test procedures, and printouts from tests (if applicable),should be provided to the facility owner/operator for submittal to the local regulatory agency. 1. FACILITY INFORMATION Facility Name: CIRCLE K#2708606, MKT #2618 Date of Testing: 01/13/2009 Facility Address: 1030 OAK ST. , BAKERSFIELD, CA, 93304 Facility Contact: MANAGER - DONNA Phone: (6 61) 861-8048 Date Local Agency Was Notified of Testing : Name of Local Agency Inspector(if present during testing): Ernie Medina 2. TESTING CONTRACTOR INFORMATION Company Name: TANKNOLOGY, INC. Technician Conducting Test: AXEL MEDINA Credentials: CSLB Licensed Contractor SWRCB Licensed Tank Tester License Type: icc I License Number: 8014682-ut Manufacturer Training Manufacturer Component(s) Date Training Expires 3. SUMMARY OF TEST RESULTS Not Repairs Not Repair Component Pass Fail Tested Made Component Pass Fail Tested Made Spill Box 2 PLU FILL El ❑ ❑ ❑ ❑ ❑ ❑ ❑ Spill Box 3 SUP FILL E ❑ ❑ ❑ ❑ ❑ ❑ ❑ Spill Box 1 REG FILL ❑ ❑ ❑ ❑ ❑ ❑ ❑ D 1-1 1:1 El 1:1 El 0 F-1 El 1:1 El F-1 El E El F1 El E] Efl 01 E 1:1 El F El El El 1:1 El El El El D 0 El El 0 El E:11 El 1 01 If hydrostatic testing was performed,describe what was done with the water after completion of tests: water left in on site barrel. CERTIFICATION OF TECHNICIAN RESPONSIBLE FOR CONDUCTING THIS TESTING To the best of my knowledge, the facts stated in this document are accurate and in full compliance with legal requirements Technician's Signature: Date: 01/13/2009 SWRCB,January 2006 9. 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. 1. FACILITY INFORMATION Facility Name: CIRCLE K#2708606, MKT #2618 DateofTesting: 01/13/2009 Facility Address: 1030 OAK ST. , BAKERSFIELD, CA, 93304 Facility Contact: MANAGER - DONNA Phone: (6 61) 861-8048 Date Local Agency Was Notified of Testing: Name of Local Agency Inspector(if present during testing): Ernie Medina 2. TESTING CONTRACTOR INFORMATION Company Name: TANKNOLOGY, INC. Technician Conducting Test: AXEL MEDINA Credentials I:❑CSLB Contractor E ICC Service Tech. 1:1 SWRCB Tank Tester E Other(Specify) icc License Number: 8 014 6 8 2-u t 3. SPILL BUCKET TESTING INFORMATION Test Method Used: x❑ Hydrostatic Vacuum El Other Test Equipment Used:visual Equipment Resolution: Identify Spill Bucket(By Tank 2 PLU FILL 2 3 SUP FILL 3 1 REG FILL 4 Number, Stored Product, etc) Bucket Installation Type: Direct Bury F-�Direct Bury Ej Direct Bury E]Direct Bury XQ Contained in Sump X❑Contained in Sump ❑Contained in Sump ❑ Contained in Sump Bucket Diameter: 12 12 12 Bucket Depth: 13 13 13 Wait time between applying 0 0 0 vacuum/water and starting test: Test Start Time(TI ): 1135 1135 1135 Initial Reading(RI ): 1011 1011 1011 Test End Time(TF ): 1235 1235 1235 Final Reading(R F ): loll 10" 1011 Test Duration: 1 hr. 1 hr. 1 hr. Change in Reading(R F-RI ): 0 0 0 Pass/Fail Threshold or 0 0 0 Criteria: T esult: ass ail ® ass ® ail as ail �� ass a ail Comments - (include information on repairs made prior to testing, and recommended follow-up for failed tests) CERTIFICATION OF TECHNICIAN RESPONSIBLE FOR CONDUCTING THIS TESTING I hereby certify that all the information contained in this report is true, accurate,and in full compliance with legal requirements. Technician's Signature: ,r Date: 01/13/2009 I State laws and regulations do not currently require testing to be performed by a qualified contractor.However,local requirements ►TbnkrK* y 8501 N MOPAC EXPRESSWAY,SUITE 400 AUSTIN,TEXAS 78759 (512)451-6334 FAX(512)459-1459 TEST DATE:01/13/09 WORK ORDER NUMBER3164254 CLIENT:CIRCLE R STORES SITE:CIRCLE K#2708606, MKT #2618 COMMENTS Witness Monitor Certification Inspection Testing with Inspector Ernie from City of Bakersfield Fire, All tests passed, Maintanance needs to restring all annular sensors. PARTS REPLACED UANTI DESC-RIPTION HELIUM PINPOINT TEST RESULTS (IF APPLICABLE) 11MEMSMESME, HE UM PINPOINT L TEST RESU TS Printed 01/21/2009 08:42 ACRAMER SITE DIAGRAM w Tin 8501 N MOPAC EXPRESSWAY,SUITE 400 AUSTIN,TEXAS 78759 (512)451-6334 FAX(512)459-1459 TEST DATE: 01/13/09 WORK ORDER NUMBER3 16 4 2 5 4 CLIENT:CIRCLE K STORES SITE: CIRCLE K#2708606, MKT #2618 PROPANE breakers ESO TLS Circle K #2708606 N S 000 ENTS cas #3 C 0/O �o #2 #1 s 'o,� 0 s 'or- AIR/ H2O s Printed 01/2112009 08:42 ACRAMER Work Order: 3164254 (ESO)&.(ESV)Testing Form-Version 1-G25R007 Emergency Shut Off (ESO) & Dispenser Emergency Shutoff Valve (ESV) ANNUAL TEST RECORD LOCATIONS AND TEST DATA Testing Company: ©l Y Date: — �( Location Name: Cikf 61e Store#: �S6C'+� Stag m#: Address: © Oak City: 1:-C„`e 1 State: C�9 Emergency Shut Off(ESO) Testing Results OnOi—/3.01 in accordance with"ESO Vendor Letter(3-21-05).doc",from Valero's Retail Compliance Department,as a part of annual compliance testing,this representative tested the Emergency Shut Off O switches indicated on this sketch.Findings listed below: Emergency Shut Off(ESO) If No,Provide Operational? 1 N Maintenance Log# Date Called: Disaenser Emergency Shutoff Valve (ESV) Testing Results On0/-8-09 in.accordance with NFPA 30A this representative tested the automatic-closing feature of the Dispenser Emergency Shutoff VALVE(S)(ESV)located in the supply lines at the base of each individual island type dispenser indicated on the diagram below. Each device(#) G in all, would automatically close.Findings listed below: Disp.Emergency Shut Off If No,Provide Valve(ESV)Operational? N I Maintenance Log# Date Called: Site Map Of Location and Placement of Devices Tested: tp a ,/25 �Q d 0 m0 Cgs' Sionature Of Re resentative: Tanknology Inc. 8501 N.MoPac Expressway,Suite 400,Austin,Texas 78759 ATG Information Work Order# 3164254 110100 JAN 13,2009 5:10 PM CIRCLE K 1030 OAK ST 661-861-8048 BAKERSFIELD CA,93304 SYSTEM STATUS REPORT ALL FUNCTIONS NORMAL 130100 JAN 13,2009 5:10 PM CIRCLE K 1030 OAK ST 661-861-8048 BAKERSFIELD CA,93304 LIQUID STATUS REPORT SENSOR LOCATION STATUS 1 87 ANNULAR SENSOR NORMAL 2 91 ANNULAR SENSOR NORMAL 3 89 ANNULAR SENSOR NORMAL 7 87 FILL SENSOR NORMAL 8 91 FILL SENSOR NORMAL 9 89 ANNULAR SENSOR NORMAL 131500 JAN 13,2009 5:10 PM CIRCLE K 1030 OAK ST 661-861-8048 BAKERSFIELD CA,93304 SMART SENSOR STATUS REPORT SENSOR LOCATION STATUS 1 87 TURBINE SENSOR NORMAL 2 91 TURBINE SENSOR NORMAL 3 89 TURBINE SENSOR NORMAL 9 UDC 3-4 SENSOR NORMAL 10 UDC 1-2 SENSOR NORMAL 11 UDC 1-2 PRESS SENSOR SENSOR NORMAL 131900 JAN 13,2009 5:10 PM 150301 JAN 13,2009 5:11 PM #1:CIRCLE K 0 150302 JAN 13,2009 5:11 PM #2:1030 OAK ST 0 150303 JAN 13,2009 5:11 PM #3:661-861-8048 ❑ D 3164254 ATG Information Work Order# 3164254 150304 JAN 13,2009 5:11 PM #4:BAKERSFIELD CA,93304 ❑ 151700 JAN 13,2009 5:11 PM SYSTEM TYPE AND LANGUAGE FLAG SYSTEM UNITS U.S. SYSTEM LANGUAGE ENGLISH SYSTEM DATEMME FORMAT MON DD YYYY HH:MM:SS xM D 0 I50F00 JAN 13,2009 5:11 PM MON DD YYYY HH:MM:SS xM D 110200 JAN 13,2009 5:11 PM CIRCLE K 1030 OAK ST 661-861-8048 BAKERSFIELD CA,93304 SYSTEM CONFIGURATION SLOT BOARD TYPE POWER ON RESET CURRENT 1 4 PROBE/G.T. 164990 163416 2 INTERSTITIAL BD 202354 201425 3 INTERSTITIAL BD 201942 201160 4 BSMARTSENSOR BD 39348 39263 5 8SMARTSENSOR BD 39621 39498 6 UNUSED 9680934 9533583 7 UNUSED 9642233 9517958 8 UNUSED 9640649 9521239 9 UNUSED 9637256 9521499 10 RELAY BOARD 1495e 14943 11 UNUSED 9642630 9524230 12 UNUSED 9634423 9514576 13 UNUSED 9631527 9522282 14 UNUSED 9631611 9524950 15 UNUSED 9630444 9524294 16 UNUSED 9630382 9521330 COMM 1 ELEC DISP INT. 100627 100383 COMM 2 RS232 SERIAL BD 14937 14922 COMM 3 RS232 SERIAL BD 15000 14966 COMM 4 UNUSED 9640838 9527809 COMM 5 UNUSED 9630115 9517709 COMM 6 UNUSED 9628215 9517709 0 160100 JAN 13,2009 5:11 PM TANK CONFIGURATION DEVICE LABEL CONFIGURED 1 UNL-REG ON 2 UNL-PREM ON 3 UNL-MID ON 4 OFF 0 3164254 ATG Information Work Order# 3164254 Cl 160200 JAN 13,2009 5:11 PM TANK PRODUCT LABEL TANK PRODUCT LABEL 1 UNL-REG 2 UNL-PREM 3 UNL-MID 4 160300 JAN 13,2009 5:11 PM TANK PRODUCT CODE TANK PRODUCT LABEL 1 UNL-REG A 2 UNL-PREM C 3 UNL-MID B 4 4 160400 JAN 13,2009 5:11 PM TANK FULL VOLUME TANK PRODUCT LABEL GALLONS 1 UNL-REG 9816 2 UNL-PREM 9816 3 UNL-MID 9816 4 0 160700 JAN 13,2009 5:11 PM TANK DIAMETER TANK PRODUCT LABEL INCHES 1 UNL-REG 92.00 2 UNL-PREM 92.00 3 UNL-MID 92.00 4 0.00 160900 JAN 13,2009 5:11 PM TANK THERMAL COEFFICIENT TANK PRODUCT LABEL 1 UNL-REG 0.000700 2 UNL-PREM 0.000700 3 UNL-MID 0.000700 4 D.DaDDOD 0 161200 JAN 13,2009 5:11 PM TANK MANIFOLDED PARTNERS TANK PRODUCT LABEL SIPHON MANIFOLDED TANKS LINE MANIFOLDED TANKS 1 UNL-REG NONE NONE 2 UNL-PREM NONE NONE 3 UNL-MID NONE NONE 4 NONE NONE 0 162100 JAN 13,2009 5:12 PM TANK LOW PRODUCT LIMIT TANK PRODUCT LABEL GALLONS 3164254 ATG Information Work Order# 3164254 1 UNL-REG 1000 2 UNL-PREM 1000 3 UNL-MID 490 4 0 162200 JAN 13,2009 5:12 PM TANK HIGH PRODUCT LIMIT TANK PRODUCT LABEL GALLONS 1 UNL-REG 9325 2 UNL-PREM 9325 3 UNL-MID 9325 4 0 162300 JAN 13,2009 5:12 PM TANK OVERFILL LEVEL LIMIT TANK PRODUCT LABEL GALLONS 1 UNL-REG 8834 2 UNL-PREM 8834 3 UNL-MID BB34 4 0 O 162400 JAN 13,2009 5:12 PM TANK HIGH WATER LEVEL LIMIT TANK PRODUCT LABEL INCHES 1 UNL-REG 3.0 2 UNL-PREM 3.0 3 UNL-MID 3.0 162800 JAN 13,2009 5:12 PM TANK MAXIMUM VOLUME LIMIT TANK PRODUCT LABEL GALLONS 1 UNL-REG 9616 2 UNL-PREM 9816 3 UNL-MID 9816 4 0 ❑ 162900 JAN 13,2009 5:12 PM TANK DELIVERY REQUIRED LIMIT TANK PRODUCT LABEL GALLONS 1 UNL-REG 490 2 UNL-PREM 490 3 UNL-MID 490 4 0 170300 JAN 13,2009 5:12 PM LIQUID TYPE SENSOR LOCATION TYPE 1 87 ANNULAR TRI-STATE(SINGLE FLOAT) 2 91 ANNULAR TRI-STATE(SINGLE FLOAT) 3 89 ANNULAR TRI-STATE(SINGLE FLOAT) 4 TRI-STATE(SINGLE FLOAT) 5 TRI-STATE(SINGLE FLOAT) 6 TRI-STATE(SINGLE FLOAT) 7 87 FILL TRI-STATE(SINGLE FLOAT) 3164254 ATG Information Work Order# 3164254 8 91 FILL TRI-STATE(SINGLE FLOAT) 9 89 ANNULAR TRI-STATE(SINGLE FLOAT) 10 TRI-STATE(SINGLE FLOAT) 11 TRI-STATE(SINGLE FLOAT) 12 TRI-STATE(SINGLE FLOAT) 13 TRI-STATE(SINGLE FLOAT) 14 TRI-STATE(SINGLE FLOAT) 15 TRI-STATE(SINGLE FLOAT) 16 TRI-STATE(SINGLE FLOAT) El 172100 JAN 13,2009 5:12 PM SMART SENSOR CONFIGURATION DEVICE LABEL CONFIGURED 1 87 TURBINE ON 2 91 TURBINE ON 3 89 TURBINE ON 4 OFF 5 OFF 6 OFF 7 OFF 8 OFF 9 UDC 3-4 ON 10 UDC 1-2 ON 11 UDC 1-2 PRESS SENSOR ON 12 OFF 13 OFF 14 OFF 15 OFF 16 OFF cl cl 172200 JAN 13,2009 5:12 PM SMART SENSOR LABEL DEVICE LABEL 1 87 TURBINE 2 91 TURBINE 3 89 TURBINE 4 5 6 7 8 9 UDC 3-4 10 UDC 1-2 11 UDC 1-2 PRESS SENSOR 12 13 14 15 16 190200 JAN 13,2009 5:13 PM SOFTWARE REVISION LEVEL VERSION 328.03 SOFTWARE#346328.100-D CREATED-08.06.06.17.21 S-MODULE#330160-004-a SYSTEM FEATURES: PERIODIC IN-TANK TESTS ANNUAL IN-TANK TESTS ISD 111100 3164254 ATG Information Work Order# 3164254 JAN 13,2009 5:13 PM CIRCLE K 1030 OAK ST 661-861-8048 BAKERSFIELD CA,93304 PRIORITY ALARM HISTORY ID CATEGORY DESCRIPTION ALARM TYPE STATE DATE TIME T 1 TANK UNL-REG HIGH WATER ALARM CLEAR 1-13-09 3:03PM T 1 TANK UNL-REG LOW PRODUCT ALARM CLEAR 1.13-09 3:03PM T 1 TANK UNL-REG PROBE OUT CLEAR 1-13.09 3:03PM T 1 TANK UNL-REG PROBE OUT ALARM 1-13-09 3:03PM T 1 TANK UNL-REG HIGH WATER ALARM ALARM 1-13.09 2:47PM T 1 TANK UNL-REG LOW PRODUCT ALARM ALARM 1-13-09 2:44PM T 1 TANK UNL-REG OVERFILL ALARM CLEAR 1-13-09 2:44PM T 3 TANK UNL-MID LOW PRODUCT ALARM CLEAR 1-13-09 2:42PM T 3 TANK UNL-MID PROBE OUT CLEAR 1-13.09 2:42PM T 3 TANK UNL-MID PROBE OUT ALARM 1-13-09 2:42PM T 3 TANK UNL-MID LOW PRODUCT ALARM ALARM 1-13.09 2:40PM T 3 TANK UNL-MID HIGH WATER ALARM CLEAR 1-13.09 2:40PM T 1 TANK UNL-REG MAX PRODUCT ALARM CLEAR 1-13-09 2:40PM T 1 TANK UNL-REG MAX PRODUCT ALARM ALARM 1-13-09 2:3BPM T 2 TANK UNL-PREM HIGH WATERALARM CLEAR 1-13-09 2:37PM T 2 TANK UNL-PREM LOW PRODUCT ALARM CLEAR 1-13-09 2:37PM T 2 TANK UNL-PREM PROBE OUT CLEAR 1-13-09 2:37PM T 3 TANK UNL-MID HIGH WATER ALARM ALARM 1.13.09 2:37PM T 1 TANK UNL-REG OVERFILL ALARM ALARM 1-13-09 2:37PM T 2 TANK UNL-PREM PROBE OUT ALARM 1-13-09 2:37PM T 3 TANK UNL-MID OVERFILL ALARM CLEAR 1-13-09 2:34PM T 3 TANK UNL-MID MAX PRODUCT ALARM CLEAR 1-13-09 2:33PM T 1 TANK UNL-REG PROBE OUT CLEAR 1-13-09 2:33PM T 2 TANK UNL-PREM HIGH WATER ALARM ALARM 1-13-09 2:33PM T 1 TANK UNL-REG PROBE OUT ALARM 1-13-09 2:32PM s 1 OTHER 87 TURBINE INSTALL ALARM CLEAR 1.13-09 2:32PM s 1 OTHER 87 TURBINE INSTALL ALARM ALARM 1-13-09 2:32PM T 3 TANK UNL-MID MAX PRODUCT ALARM ALARM 1-13-09 2:31 PM T 3 TANK UNL-MID OVERFILL ALARM ALARM 1-13-09 2:30PM T 2 TANK UNL-PREM LOW PRODUCT ALARM ALARM 1-13-09 2:30PM T 2 TANK UNL-PREM OVERFILL ALARM CLEAR 1-13.09 2:30PM T 2 TANK UNL-PREM MAX PRODUCT ALARM CLEAR 1-13-09 2:29PM T 3 TANK UNL-MID PROBE OUT CLEAR 1-13-09 2:29PM T 3 TANK UNL-MID PROBE OUT ALARM 1-13-09 2:29PM T 2 TANK UNL-PREM MAX PRODUCT ALARM ALARM 1-13-09 2:27PM T2TANK UNL-PREM OVERFILL ALARM ALARM 1-13-09 2:26PM T 2 TANK UNL-PREM PROBE OUT CLEAR 1-13-09 2:25PM T 2 TANK UNL-PREM PROBE OUT ALARM 1-13-09 225PM s 1 OTHER 87 TURBINE INSTALL ALARM CLEAR 1-13-09 1:55PM s 1 OTHER 87 TURBINE INSTALL ALARM ALARM 1-13-09 1:53PM L 7 OTHER 87 FILL SENSOR OUT ALARM CLEAR 1-13-09 12:53PM L 8 OTHER 91 FILL SENSOR OUT ALARM CLEAR 1-13-0912:53PM L 9 OTHER 89 ANNULAR SENSOR OUT ALARM CLEAR 1-13-09 12:53PM L 8 OTHER 91 FILL SENSOR OUT ALARM ALARM 1-13-09 12:53PM L2 ANNULAR 91 ANNULAR SENSOR OUT ALARM CLEAR 1-13-09 12:53PM L 8 OTHER 91 FILL SENSOR OUT ALARM CLEAR 1-13-09 12:53PM L 3 ANNULAR 89 ANNULAR SENSOR OUT ALARM CLEAR 1-13-09 12:53PM L 1 ANNULAR 87 ANNULAR SENSOR OUT ALARM CLEAR 1-13-09 12:53PM L 3 ANNULAR 89 ANNULAR SENSOR OUT ALARM ALARM 1-13-09 12:53PM L2 ANNULAR 91 ANNULAR SENSOR OUT ALARM ALARM 1-13-09 12:53PM 111200 JAN 13,2009 5:13 PM CIRCLE K 1030 OAK ST 661-861-8048 BAKERSFIELD CA,93304 NON-PRIORITY ALARM HISTORY ID CATEGORY DESCRIPTION ALARM TYPE STATE DATE TIME T 1 TANK UNL-REG LOW TEMP WARNING CLEAR 1-13.09 3:03PM T 1 TANK UNL-REG LOW TEMP WARNING ALARM 1-13-09 3:03PM T 1 TANK UNL-REG HIGH WATER WARNING CLEAR 1.13-09 3:03PM T 1 TANK UNL-REG INVALID FUEL LEVEL CLEAR 1-13-09 3:03PM 3164254 ATG Information Work Order# 3164254 T 1 TANK UNL-REG HIGH WATER WARNING ALARM 1-13-09 2:47PM T 3 TANK UNL-MID DELIVERY NEEDED CLEAR 1-13-09 2:42PM T 3 TANK UNL-MID INVALID FUEL LEVEL CLEAR 1-13-09 2:42PM T 1 TANK UNL-REG INVALID FUEL LEVEL ALARM 1-13-09 2:40PM T 3 TANK UNL-MID HIGH WATER WARNING CLEAR 1-13-09 2:40PM T 3 TANK UNL-MID DELIVERY NEEDED ALARM 1-13-09 2:40PM T i TANK UNL-REG HIGH PRODUCT ALARM CLEAR 1.13.09 2:40PM T 1 TANK UNL-REG HIGH PRODUCT ALARM ALARM 1-13-09 2:38PM T 2 TANK UNL-PREM HIGH WATER WARNING CLEAR 1-13-09 2:37PM T 2 TANK UNL-PREM INVALID FUEL LEVEL CLEAR 1-13-09 2:37PM T 3 TANK UNL-MID HIGH WATER WARNING ALARM 1-13-09 2:37PM T 3 TANK UNL-MID INVALID FUEL LEVEL ALARM 1-13.09 2:34PM T3TANK UNL-MID HIGH PRODUCT ALARM CLEAR 1-13-092:33PM T 2 TANK UNL-PREM HIGH WATER WARNING ALARM 1.13.09 2:33PM T 3 TANK UNL-MID HIGH PRODUCT ALARM ALARM 1-13-09 2:31PM T 2 TANK UNL-PREM INVALID FUEL LEVEL ALARM 1-13-09 2:30PM T 3 TANK UNL-MID INVALID FUEL LEVEL CLEAR 1-13-09 2:30PM T 2 TANK UNL-PREM HIGH PRODUCT ALARM CLEAR 1-13-09 2:29PM T 3 TANK UNL-MID INVALID FUEL LEVEL ALARM 1-13-09 2:29PM T 2 TANK UNL-PREM HIGH PRODUCT ALARM ALARM 1-13-09 227PM s3OTHER 89 TURBINE WATER WARNING CLEAR 1-13-0912:48PM s 3 OTHER 89 TURBINE WATER WARNING ALARM 1-13-09 12:48PM s 2 OTHER 91 TURBINE WATER WARNING CLEAR 1-13-0912:47PM s 2 OTHER 91 TURBINE WATER WARNING ALARM 1-13-0912:47PM s 2 OTHER 91 TURBINE WATER WARNING CLEAR 1-13-09 12:38PM s 2 OTHER 91 TURBINE WATER WARNING ALARM 1-13-09 12:36PM s3OTHER 89TURBINE WATERWARNING CLEAR 1-13-0912:36PM s 3 OTHER 89 TURBINE WATER WARNING ALARM 1-13-09 12:35PM s 3 OTHER 89 TURBINE WATER WARNING CLEAR 1-13-0912:26PM s3OTHER 89 TURBINE WATER WARNING ALARM 1-13-0912:25PM s 2 OTHER 91 TURBINE WATER WARNING CLEAR 1-13-09 12:23PM s 2 OTHER 91 TURBINE WATER WARNING ALARM 1-13-09 12:23PM s 3 OTHER 89 TURBINE WATER WARNING CLEAR 1-13-0911:55AM s 3 OTHER 89 TURBINE WATER WARNING ALARM 1-13-09 11:54AM s 1 OTHER 87 TURBINE WATER WARNING CLEAR 1-13-09 11:54AM s 1 OTHER 87 TURBINE WATER WARNING ALARM 1-13-0911:53AM s 1 OTHER 87 TURBINE WATER WARNING CLEAR 1-13-09 11:53AM s 1 OTHER 87 TURBINE WATER WARNING ALARM 1-13.09 11:52AM s 3 OTHER 89 TURBINE WATER WARNING CLEAR 1-13-09 11:49AM s 3 OTHER 89 TURBINE WATER WARNING ALARM 1-13-0911:48AM s3OTHER 89TURBINE WATER WARNING CLEAR 1-13-0911:39AM s 3 OTHER 69 TURBINE WATER WARNING ALARM 1-13-09 11:35AM s 3 OTHER 89 TURBINE WATER WARNING CLEAR 1-13.09 11:25AM s 3 OTHER 89 TURBINE WATER WARNING ALARM 1-13.09 11:24AM s 3 OTHER 89 TURBINE WATER WARNING CLEAR 1-13-0911:22AM s 3 OTHER 89 TURBINE WATER WARNING ALARM 1-13-0911:21AM 120600 JAN 13,2009 5:14 PM CIRCLE K 1030 OAK ST 661.861-8048 BAKERSFIELD CA,93304 TANK ALARM HISTORY TANK 1 UNL-REG HIGH WATER ALARM JAN 13,2009 2:47 PM OVERFILL ALARM JAN 13,2009 2:37 PM DEC 15,2008 3:01 PM LOW PRODUCT ALARM JAN 13,2009 2:44 PM DEC 19,2008 9:26 PM HIGH PRODUCT ALARM JAN 13,2009 2:38 PM INVALID FUEL LEVEL JAN 13,2009 2:40 PM PROBE OUT JAN 13,2009 3:03 PM JAN 13,2009 2:32 PM HIGH WATER WARNING JAN 13,2009 2:47 PM MAX PRODUCT ALARM JAN 13,2009 2:38 PM 3164254 ATG Information Work Order# 3164254 LOW TEMP WARNING JAN 13,2009 3:03 PM TANK 2 UNL-PREM HIGH WATER ALARM JAN 13,2009 2:33 PM OVERFILL ALARM JAN 13,2009 2:26 PM LOW PRODUCT ALARM JAN 13,2009 2:30 PM HIGH PRODUCT ALARM JAN 13,2009 2:27 PM INVALID FUEL LEVEL JAN 13,2009 2:30 PM PROBE OUT JAN 13,2009 2:37 PM JAN 13,2009 2:25 PM HIGH WATER WARNING JAN 13,2009 2:33 PM MAX PRODUCT ALARM JAN 13,2009 2:27 PM TANK 3 UNL-MID HIGH WATER ALARM JAN 13,2009 2:37 PM OVERFILL ALARM JAN 13,2009 2:30 PM LOW PRODUCT ALARM JAN 13,2009 2:40 PM HIGH PRODUCT ALARM JAN 13,2009 2:31 PM INVALID FUEL LEVEL JAN 13,2009 2:34 PM JAN 13,2009 2:29 PM PROBE OUT JAN 13,2009 2:42 PM JAN 13,2009 2:29 PM HIGH WATER WARNING JAN 13,2009 2:37 PM DELIVERY NEEDED JAN 13,2009 2:40 PM MAX PRODUCT ALARM JAN 13,2009 2:31 PM 130200 JAN 13,2009 5:15 PM CIRCLE K 1030 OAK ST 661-861-8048 BAKERSFIELD CA,93304 LIQUID ALARM HISTORY REPORT SENSOR LOCATION 1 87 ANNULAR JAN 13,2009 12:53 PM SENSOR OUT ALARM JAN 13,2009 12:00 PM FUEL ALARM JAN 13,2009 11:59 AM FUEL ALARM 2 91 ANNULAR JAN 13,2009 12:53 PM SENSOR OUT ALARM JAN 13,2009 11:16 AM FUEL ALARM OCT 30,2006 7:42 AM SENSOR OUT ALARM 3 89 ANNULAR JAN 13,2009 12:53 PM SENSOR OUT ALARM JAN 13,2009 12:09 PM FUEL ALARM OCT 30,2008 7:40 AM SENSOR OUT ALARM 7 87 FILL JAN 13,2009 12:53 PM SENSOR OUT ALARM JAN 13,2009 11:56 AM FUEL ALARM 8 91 FILL JAN 13,2009 12:53 PM SENSOR OUT ALARM JAN 13,2009 12:53 PM SENSOR OUT ALARM JAN 13,2009 11:15 AM FUEL ALARM 9 89 ANNULAR JAN 13,2009 12:53 PM SENSOR OUT ALARM JAN 13,2009 12:04 PM FUEL ALARM 0 131600 3164254 ATG Information Work Order# 3164254 JAN 13,2009 5:15 PM CIRCLE K 1030 OAK ST 661-861-8048 BAKERSFIELD CA,93304 SMART SENSOR ALARM HISTORY REPORT SENSOR LOCATION 1 87 TURBINE JAN 13,2009 2:32 PM INSTALL ALARM JAN 13,2009 1:53 PM INSTALL ALARM JAN 13,2009 12:48 PM WATER ALARM 2 91 TURBINE JAN 13,2009 12:47 PM WATER ALARM JAN 13,2009 12:47 PM WATER WARNING JAN 13,200912:47 PM FUEL ALARM 3 89 TURBINE JAN 13,2009 12:48 PM WATER WARNING JAN 13,2009 12:48 PM FUEL ALARM JAN 13,2009 12:35 PM WATER WARNING 9 UDC 3-4 OCT 29,2008 4:09 PM COMMUNICATION ALARM 10 UDC 1-2 OCT 29,2008 4:09 PM COMMUNICATION ALARM 11 UDC 1.2 PRESS SENSOR DEC 3,2008 12:48 PM COMMUNICATION ALARM OCT 29,2008 4:09 PM COMMUNICATION ALARM 0 3164254 r Ts anknology 77- ° s 73 8501 N. MoPac Expressway,Suite 400 Austin,Texas 78759 Phone: (512)451-6334 Fax: (512)459-1459 Date Printed and Mailed: 01/21/2009 BAKERSFIELD FIRE DEPARTMENT OFFICE OF ENVIRONMENTAL SERVICES INSPECTOR STEVE UNDERWOOD 1501 TRUXTUN AVE. BAKERSFIELD, CA. 93301 Test Date: 01/13/2009 Order Number: 3164254 Dear Regulator, Enclosed are the results of recent testing performed at the following facility: CIRCLE K#2708606, MKT#2618 1030 OAK ST. BAKERSFIELD, CA. 93304 Testing performed: Leak detector tests Monitor Certification Secondary Containment-Spill Container Sincerely, ,/ Dawn Kohlmeyer Manager, Field Reporting t top�n TANKNOLOGY CERTIFICATE OF TESTING 8501 N MOPAC EXPRESSWAY,SUITE 400 AUSTIN,TEXAS 78759 TELEPHONE(512)451-6334 FAX(512)459-1459 PURPOSE: COMPLIANCE TEST RESULT SUMMARY REPORT TEST DATE: 01/13/09 WORK ORDER NUMBER: 3164254 CUSTOMER PO: Rich Gosset CLIENT: CIRCLE K STORES SITE:CIRCLE K#2708606,MKT#2618 495 E.RINCON,STE.150 1030 OAK ST. CORONA,CA 92879 BAKERSFIELD,CA 93304 RICH GOSSETT MANAGER-DONNA (951)270-5193 (661)861-8048 Product Pipe Ti htness Test Results IMP'A'CT LIN LINE LINE DE NERY TEST RES FINAL LEAK RATE (gph) VAL E ID PRODU TERU►l. TYPE rA B C D A B U F N O 10k 1 REG UNLEAD DW FIBERG PRESSURE Y 10k 2 PLUS DW FIBERG PRESSURE Y 10k 3 SUPER DW FIBERG PRESSURE Y Existina Line Leak Detector Test EXISTIN L!EAKIUETC R#1 @XIS if N LEA DET. TOR#2 LINE MANUFAC RER MODEL# ERIAL# RESULT MAN FA RER MODEL# SERIAL# RESULT ID 10k 1 VAPORLESS LD2000 16476 P 10k 2 VAPORLESS LD2000 07111268 P 10k 3 VAPORLESS LD2000 16478 P New Replacement Line Leak Detector Test 1� !' i �i tip (� .�" l� !' �D �i �i• LINE MANUFACTURER MODEL# SERIAL# RESULT MANUFACTURER Y MODEL# SERIAL# RESUL K For owner detailed report information,visit www.tanknology.com and select On-Line Reports-WRAP,or contact your local Tanknology office. Tester Name:AXEL MEDINA Technician Certification Number: Printed 01/21/2009 08:42 ACRAMER INDIVIDUAL TANK INFORMATION AND TEST RESULTS MW TEST DATE: 01/13/09 8501 N MOPAC EXPRESSWAY,SUITE 400 WORK ORDER NUMBER: 3164254 AUSTIN,TEXAS 78759(512)451-6334 CLIENT: CIRCLE K STORES SITE: CIRCLli K#2708606, MKT TPiN1C INFORIiAi4nON Tank ID: 10k i Tank manifolded: NO Bottom to top fill in inches: Product: REG UNLEAD Vent manifolded: YES Bottom to grade in inches: Capacity in gallons: 9,816 Vapor recovery manifolded: YES Fill pipe length in inches: Diameter in inches: 92.00 Overfill protection: YES Fill pipe diameter in inches: 4.0 Length in inches: 353 Overspill protection: YES Stage I vapor recovery: DUAL Material: DW FIBERG Installed: ATG Stage II vapor recovery: ASSIST CP installed on: COMMENTS TANK TEST RESULTS Tes Method: LEAK DETECTOR TEST RESULTS Test method: PSI at tank bottom: New/passed Failed/replaced New/passed Failed/replaced Fluid level in inches: L.D.#1 L.D.#1 L.D.#2 L.D.#2 UFT/OFT: Make: VAPORLESS Fluid volume in gallons: Model: LD2000 Tank water level in inches: S/N: 16476 Test time: NOT Open time in sec: 3.00 Number of thermisters: TESTED Holding psi: 28 NOT Specific gravity: Resiliency cc: 90 TESTED Water table depth in inches: est leak rate ml/m: 189.0 Determined by(method): Metering psi: 17 Leak rate in gph: Calib. leak in gph: 3.00 Result: Results: PASS COMMENTS COMMENTS �E�JN ST RESIULLAG , T RESULTSTte Metho N, Test type' Test time: Material: Dw FIBERG Ullage volume: Diameter(in): 2.0 Ullage pressure: Length (ft): 120.0 Results: Test psi: Bleedback cc: DATA FOR UTS-4T ONLY: Test time(min): Test 1:Start time: Time of test 1: Finish psi: NOT NOT NOT NOT Temperature: NOT Vol change cc: TESTED TESTED TESTED TESTED Test 2:Start time: Flow rate(cfh): TESTED Finish psi: Time of test 2: Vol change cc: Test 3:Start time: Temperature: Finish psi: Flow rate(cfh): Vol change cc: Time of test 3: Final gph: Temperature: Result: Flow rate(cfh): Pump type: PRESSURE COMMENTS Pump make: FE PETRO COMMENTS Impact Valves Operational: YES Printed 01121/2009 08:42 ACRAMER INDIVIDUAL TANK INFORMATION AND TEST RESULTS r Tanknology TEST DATE: 01/13/09 8501 N MOPAC EXPRESSWAY,SUITE 400 WORK ORDER NUMBER: 3164254 AUSTIN,TEXAS 78759(512)451-6334 CLIENT: CIRCLE R STORES SITE: CIRCLE R#2708606, MKT T%AN !Q00MATI(? Tank ID: 10k 2 Tank manifolded: No Bottom to top fill in inches: Product: PLUS Vent manifolded: YES Bottom to grade in inches: Capacity in gallons: 9,816 Vapor recovery manifolded: YES Fill pipe length in inches: Diameter in inches: 92.00 Overfill protection: YES Fill pipe diameter in inches: 4.0 Length in inches: 345 Overspill protection: YES Stage I vapor recovery: DUAL Material: DW FIBERG Installed: ATG Stage II vapor recovery: ASSIST CP installed on: COMMENTS TAN TEST RESULTS Test Method: LEAK DETECTOR RESULTS Tes ethod. PSI at tank bottom: New/passed Failed/replaced New/passed Failed/replaced Fluid level in inches: L.D.#1 L.D.#1 L.D.#2 L.D.#2 LIFT/OFT: Make: VAPORLESS Fluid volume in gallons: Model: LD2000 Tank water level in inches: S/N: 07111268 Test time: NOT Open time in sec: 2.00 Number of thermisters: TESTED Holding psi: 28 NOT Speck gravity: Resiliency cc: 90 TESTED Water table depth in inches: Test leak rate ml/m: 189.0 Determined by(method): Metering psi: 18 Leak rate in gph: Calib. leak in gph: 3.00 Result: Results: PASS COMMENTS COMMENTS ULLAGE TEST RESUL Test Method: LIN TEST RESULTS T st type: Test time: Material: Dw FIBERG Ullage volume: Diameter(in): 2.0 Ullage pressure: Length (ft): 120.0 Results: Test psi: Bleedback cc: DATA FOR UTS-4T ONLY: Test time (min): Test 1:Start time: Time of test 1: Finish psi: NOT NOT NOT NOT Temperature: NOT Vol change cc: Test 2:Start time: TESTED TESTED TESTED TESTED Flow rate(Cftl): TESTED Finish psi: Time of test 2: Vol change cc: Test 3:Start time: Temperature: Finish psi: Flow rate(cfh): Vol change cc: Time of test 3: Final gph: Temperature: Result: Flow rate(cfh): Pump type: PRESSURE COMMENTS Pump make: FE PETRO COMMENTS Impact Valves Operational: YES Printed 01/21/2009 08:42 ACRAMER INDIVIDUAL TANK INFORMATION AND TEST RESULTS r T3mknoilogy TEST DATE: 01/13/09 8501 N MOPAC EXPRESSWAY,SUITE 400 WORK ORDER NUMBER: 3164254 AUSTIN,TEXAS 78759(512)451-6334 CLIENT: CIRCLE R STORES SITE: CIRCLE K#2708606, MKT TAIV INFURt1Ai4gT1"ON Tank ID: 10k 3 Tank manifolded: NO Bottom to top fill in inches: Product: SUPER Vent manifolded: YES Bottom to grade in inches: Capacity in gallons: 9,816 Vapor recovery manifolded: YES Fill pipe length in inches: Diameter in inches: 92.00 Overfill protection: YES Fill pipe diameter in inches: 4.0 Length in inches: 345 Overspill protection: YES Stage I vapor recovery: DUAL Material: Dw FIBERG Installed: ATG Stage II vapor recovery: ASSIST CP installed on: COMMENTS TANK TEST RESULTS Test Method: DETECTOR TES RESULTS Te5 od PSI at tank bottom: New/passed Failed/replaced New/passed Failed/replaced Fluid level in inches: L.D.#1 L.D.#1 L.D.#2 L.D.#2 UFT/OFT: Make: VAPORLESS Fluid volume in gallons: Model: LD2000 Tank water level in inches: S/N: 16478 Test time: NOT Open time in sec: 3.00 Number of thermisters: TESTED Holding psi: 20 NOT Specific gravity: Resiliency cc: 110 TESTED Water table depth in inches: Test leak rate ml/m: 189.0 Determined by(method): Metering psi: 17 Leak rate in gph: Calib. leak in gph: 3.00 Result: Results: PASS COMMENTS COMMENTS LAGE TEST RESU TSTes Metho LEST R SULtiTS T' type. Test time: Material: DW FIBERG Ullage volume: Diameter(in): 2.0 Ullage pressure: Length (ft): 120.0 Results: Test psi: Bleedback cc: DATA FOR UTS-4T ONLY: Test time(min): Test 1:Start time: Time of test 1: Finish psi: NOT NOT NOT NOT Temperature: NOT Vol change cc: Test 2:Start time: TESTED TESTED TESTED TESTED Flow rate(cfh): TESTED Finish psi: Time of test 2: Vol change cc: Test 3:Start time: Temperature: Finish psi: Flow rate(cfh): Vol change cc: Time of test 3: Final gph: Temperature: Result: Flow rate(cfh): Pump type: PRESSURE COMMENTS Pump make: FE PETRO COMMENTS Impact Valves Operational: YES Printed 01121/2009 08:42 ACRAMER