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HomeMy WebLinkAbout1125 COFFEE RD 2010 FMC RESULTS (2) MONITORING SYSTEM CERTIFICATION For Use By All Jurisdictions Within the State of Califomia Authority Cited:Chapter 6.7,Health and Safety Code;Chapter 16,Division 3 Title 23, Califomia 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 monitorinq system control panel by the technician who performs the work. A copy of this form must be provided to the tank system owner/operator. The owner/operator must submit a copy of this form to the local agency regulating UST systems within 30 days of test date. A.General Information Facility Name: CHEVRON 203576 City: BAKERSFIELD CA Zip:93308 Site Address: 1125 COFFEE RD. Contact Phone No: 588-9066 Date of Testing/Service: 10/27/2010 Facility Contact Person: PATTY Make/Model of Monitoring System:TLS-350 Work Order Number: 3178455 11I1II111111111111I1 5 B.Inventory of Equipment Tested/Certified IE Check the appropriate boxes to indicate specific equipment inspected/serviced Tank ID: T-1 Tank ID: T-2 PLUS X In-Tank Gauging Probe. Model: MAG PROBE X In-Tank Gauging Probe. Model: MAG PROBE X Annular Space or Vault Sensor. Model: 420 21 Annular Space or Vault Sensor. Model: 420 X Piping Sump/Trench Sensor(s). Model: 208 Piping Sumprrrench Sensor(s). Model: 208 Fill Sump Sensor(s). Model: Fill Sump Sensor(s). Model: Mechanical Line Leak Detector. Model: Mechanical Line Leak Detector. Model: X Electronic Line Leak Detector. Model: PLLD X Electronic Line Leak Detector. Model: PLLD X Tank Overfill/High-Level Sensor. Model: FLAPPER Tank Overfill/High-Level Sensor. Model: FLAPPER Other(specify equipment type and model in Section E on page 2). D Other(specify equipment type and model in Section E on page 2). Tank ID: Tank ID: In-Tank Gauging Probe. Model: MAG PROBE In-Tank Gauging Probe. Model: X Annular Space or Vault Sensor. Model: 420 Annular Space or Vault Sensor. Model: X Piping Sump/Trench Sensor(s). Model: 208 Piping Sump/Trench Sensor(s). Model: Fill Sump Sensor(s). Model: Fill Sump Sensor(s). Model: Mechanical Line Leak Detector. Model: Mechanical Line Leak Detector. Model: X Electronic Line Leak Detector. Model: PLLD Electronic Line Leak Detector. Model: Tank Overfill/High-Level Sensor. Model: FLAPPER Tank OverfiIVHigh-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 : 1-12 Dispenser ID: ®Dispenser Containment Sensor(s) Model: BEI-406 Dispenser Containment Sensor(s) Model: XO Shear Valve(s). Shear Valve(s) ❑Dispenser Containment Float(s)and Chain(s). Dispenser Containment Float(s)and Chain(s). Dispenser ID: Dispenser ID: Fl 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). 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): MX System set-up XO Alarm history report Technician Name(print): FRANCISCO CASTRO Signature: em-W.-V, _� A&w Certification No.: B37663 License.No.: 743160(Class'A'General Enginering Contractor License) Testing Company Name:Tanknology Phone No.: (800)800-4633 Site Address: 11000 N.MoPac Expressway,suite 500,Austin,TX 78759 Date of Testing/Servicing: 10/27/2010 Monitoring System Certification Page 1 of 3 11111111111111111111 52 Based on CA form dated 03/08 IE Monitoring System Certification Site Address 1125 COFFEE RD. Date of Testing/Service: 10/27/2010 D. Results of Testing/Servicing Software Version Installed: 327.04 Complete the following checklist: X Yes No' Is the audible alarm operational? Q Yes No• Is the visual alarm operational? Q Yes No' Were all sensors visually inspected,functionally tested,and confirmed operational? FE Yes ❑No' Were all sensors installed at lowest point of secondary containment and positioned so that other equipment will not interfere with their proper operation? X Yes No' 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 Q Yes ❑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 SumpfTrench Sensors; ❑ Dispenser Containment Sensors. Did you confirm positive shut-down due to leaks and sensor failure/disconnection? ❑x Yes 0 No ❑ Yes ❑No' ❑x N/A For tank systems that utilize the monitoring system as the primary tank overfill warning device(i.e.:no mechanical overfill prevention valve is installed),is the overfill warning alarm visible and audible at the tank fill points(s)and operating properly? If so,at what percent of tank capacity does the alarm trigger? 0 Yes* ❑No Was any monitoring equipment replaced?If yes,identify specific sensors,probes,or other equipment replaced and list the manufacturer name and model for all replacement parts in Section E,below. ❑x Yes' ❑No Was liquid found inside any secondary containment systems designed as dry systems?(check all that apply) ❑Product; ❑x Water. If yes,describe causes in Section E,below. ❑x Yes ❑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: Replaced a annular sensor for Tank#1 (87 grade)like for like with a sensor. he Dispenser sensors tor Uisp#1 thru 12 are stand alone sensors. (3)water was Mund in the I OR#3(9 1 grade)annular space. Page 2 of 3 Based on CA form dated 03/08 Monitoring System Certification Site Address: 1125 COFFEE RD. Date of Testing/Service: 10/27/2010 F. In-Tank Gauging /SIR Equipment ❑X 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: 0 Yes ❑No• Has all input wiring been inspected for proper entry and termination,including testing for ground faults? Q Yes ❑No• Were all tank gauging probes visually inspected for damage and residue buildup? ❑Yes ❑No• Was accuracy of system product level readings tested? ❑Yes ❑No• Was accuracy of system water level readings tested? X YeS No• Were all probes reinstalled property? ❑Yes t6[:]Ni 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? 0 Yes ❑No• ❑N/A (Check all that apply)Simulated leak rate: Q 3 g.p.h❑0.1 g.p.h ❑0.2 g.p.h x Yes ❑No• Were all LLDs confirmed operational and accurate within regulatory requirements? X Yes ❑No• Was the testing apparatus properly calibrated? ❑Yes F-1 No• ❑X N/A For mechanical LLDs,does the LLD restrict product flow if it detects a leak? M Yes ❑No• ❑N/A For electronic LLDs,does the turbine automatically shut off if the LLD detects a leak? E]Yes ❑No• ❑NIA For electronic LLDs,does the turbine automatically shut off if any portion of the monitoring system is disabled or disconnected? E Yes []No• ❑N/A For electronic LLDs,does the turbine automatically shut off if any portion of the monitoring system malfunctions or fails a test? MYes ❑No• ❑N/A For electronic LLDs,have all accessible wiring connections been visually inspected? nYes ❑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 03/08 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: CHEVRON 203576 Date of Testing: 10/27/2010 Facility Address: 1125 COFFEE RD. , BAKERSFIELD, CA, 93308 Facility Contact: PATTY Phone: (6 61) 588-9066 Date Local Agency Was Notified of Testing : 10/14/2010 Name of Local Agency Inspector(if present during testing): Ernie Medina 2. TESTING CONTRACTOR INFORMATION Company Name: TANKNOLOGY, INC. Technician Conducting Test: FRANCISCO CASTRO Credentials: Ifl CSLB Licensed Contractor SWRCB Licensed Tank Tester License Type: A / UT License Number: 743160 / 8026747 Manufacturer Training Manufacturer Component(s) Date Training Expires PHILTITE SPILL BUCKETS 08/02/2012 3. SUMMARY OF TEST RESULTS Not Repairs Not Repair Component Pass Fail Tested Made Component Pass Fail Tested Made Spill Box 3 REG FILL El ❑ ❑ ❑ ❑ ❑ ❑ ❑ Spill Box 3 REG VAPOR X ❑ ❑ ❑ ❑ ❑ ❑ ❑ Spill Box 2 PLU FILL E ❑ ❑ El ❑ ❑ ❑ ❑ Spill Box 2 PLU VAPOR El ❑ El ❑ ❑ ❑ ❑ ❑ Spill Box 1 SUP FILL ❑ ❑ ❑ ❑ ❑ ❑ ❑ Spill Box 1 SUP VAPOR x ❑ ❑ ❑ 1:1 ❑ ❑ E El El El El El E El El El 7 El El El El El El El E El I El I El El El El F] El El F-1 El El 0 El E] If hydrostatic testing was performed,describe what was.done with the water after completion of tests: Water was left in the sites 55 gallon waste water drum. CERTIFICATION OF TECIINICIAN 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: ,l="o L 1 « Date: 10/27/2010 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: CHEVRON 203576 Date of Testing: 10/27/2010 Facility Address: 1125 COFFEE RD. , BAKERSFIELD, CA, 93308 Facility Contact: PATTY Phone: (6 61) 588-9066 Date Local Agency Was Notified of Testing: 10/14/2010 Name of Local Agency Inspector(if present during testing): Ernie Medina 2. TESTING CONTRACTOR INFORMATION Company Name: TANKNOLOGY, INC. Technician Conducting Test: FRANCISCO CASTRO Credentials CSLB Contractor E ICC Service Tech. 0 SWRCB Tank Tester ❑X Other(Specify)A / UT License Number: 743160 / 8026747 3. SPILL BUCKET TESTING INFORMATION Test Method Used: XD Hydrostatic El Vacuum Other Test Equipment Used:Measuring Tape Equipment Resolution:Visual Identify Spill Bucket(By Tank 3 REG FILL Z 3 REG VAPOR 3 2 PLU FILL 4 2 PLU VAPOR Number, Stored Product, etc.) Bucket Installation Type: Q Direct Bury X❑Direct Bury O Direct Bury X-1 Direct Bury ❑Contained in Sump ❑ Contained in Sump ❑Contained in Sump ❑ Contained in Sump Bucket Diameter: 1111 111, l l" 11" Bucket Depth: 1211 1211 1211 1211 Wait time between applying 5MIN 5MIN 5MIN 5MIN vacuum/water and starting test: Test Start Time(TI ): 09:45 0 9:45 09:4 5 0 9:45 Initial Reading(RI ): 911 loll 9" 101, Test End Time(TF ): 10:45 10 :45 10:45 10 :45 Final Reading(RF ): 9" lo" 9" 10" Test Duration: 1HOUR 1HOUR 1HOUR lHOUR Change in Reading(R F-RI ): 0 0 0 0 Pass/Fail Threshold or 0 0 0 0 Criteria: Ties. esul�; ��s ass ail ass FE ail Pass ® ail © Pass Comments - (include information on repairs made prior to testing, and recommended follow-up for failed tests) Inspector Ernie Medina approved the Direct Bury spill buckets to be tested without the INCON system, all buckets passed a one hour test, The Inspector also wanted the Fill and Vapor buckets to be tested. CERTIFICATION OF TECIINICLAN 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: k/— � //, 05,- Date: 10/27/2010 State laws and regulations do not currently require testing to be performed by a qualified contractor.However,local requirements 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(f applicable), should be provided to the facility owner/operator for submittal to the local regulatory agency. 1. FACILITY INFORMATION Facility Name: CHEVRON 203576 Date of Testing: 10/27/2010 Facility Address: 1125 COFFEE RD. , BAKERSFIELD, CA, 93308 Facility Contact: PATTY Phone: (6 61) 588-9066 Date Local Agency Was Notified of Testing: 10/14/2010 Name of Local Agency Inspector(if present during testing): Ernie Medina 2. TESTING CONTRACTOR INFORMATION Company Name: TANKNOLOGY, INC. Technician Conducting Test: FRANCISCO CASTRO Credentials I; ❑X CSLB Contractor El ICC Service Tech. ❑SWRCB Tank Tester F]Other(Specify)A / UT License Number: 743160 / 8026747 3. SPILL BUCKET TESTING INFORMATION Test Method Used: a Hydrostatic ❑ Vacuum ❑ Other Test Equipment Used:Measuring Tape Equipment Resolution:Visual Identify Spill Bucket(By Tank I 1 SUP FILL 2 1 SUP VAPOR 3 4 Number, Stored Product, etc.) Bucket Installation Type: ❑Direct Bury X❑Direct Bury ❑Direct Bury E]Direct Bury ❑Contained in Sump ❑Contained in Sump ❑Contained in Sump ❑Contained in Sump Bucket Diameter: Bucket Depth: 1211 1211 Wait time between applying 5MIN 5MIN vacuum/water and starting test: Test Start Time(TI ): 09:45 09:45 Initial Reading(RI ): 9" lo" Test End Time(TF ): 10:45 10:45 Final Reading(RF ): 9" 10" Test Duration: 1HOUR 1HOUR Change in Reading(R F-RI ): 0 0 Pass/Fail Threshold or 0 0 Criteria: M es X ass a' ass ail s ass D ail Comments - (include information on repairs made prior to testing, and recommended follow-up for failed tests) Inspector Ernie Medina approved the Direct Bury spill buckets to be tested without the INCON system, all buckets passed a one hour test, The Inspector also wanted the Fill and Vapor buckets to be tested. 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: kl—,,0,e $ A,Y Date: 10/27/2010 I State laws and regulations do not currently require testing to be performed by a qualified contractor.However,local requirements top Mmknology 8501 N MOPAC EXPRESSWAY,SUITE 400 AUSTIN,TEXAS 78759 (512)451-6334 FAX(512)459-1459 TEST DATE:10/27/10 WORK ORDER NUMBER3178455 CLIENT:CHEVRON PRODUCTS COMPANY SITE:CHEVRON 203576 COMMENTS Conduct ATG, LD, SB, IV, E-Stop. Site contacted 10/18/10, confirmed with "LASSIE". Technician check in and out with 2NDSITE PTO# 101027-032 was issued. Found water in Tank# 3 (91 grade) annular space, the inspector Ernie Medina would like to be present when water is removed from the annular space. The Inspector approved the direct bury spill buckets to be tested without the INCON system. Replaced (1) VR-420 sensor for the 87 grade tank, (1 1/2) hour labor for parts replaced and troubleshooting the 87 grade drain valve since it was leaking. All tests passed. PARTS REPLACED QUAN TY DESCRIPTION 1 INTERSTITIAL SENSOR FOR STEEL TANKS (4' TO 12' TANK I.D.) HELIUM PINPOINT TEST RESULTS (IF APPLICABLE) ITEMS TE D HELIUM PINPOINT WEAMMES T RESU TS Printed 11/0512010 08:26 ACRAMER SITE DIAGRAM p,Tar*rmlogy 8501 N MOPAC EXPRESSWAY,SUITE 400 AUSTIN,TEXAS 78759 (512)451-6334 FAX(512)459-1459 TEST DATE:10/27/10 WORK ORDER NUMBER3 17 8 4 5 5 CLIENT:CHEVRON PRODUCTS COMPANY SITE: CHEVRON 203576 m L STP 89 OA OI OV O #3 #4 # #6 #11 12 � 12K m z ;u U) C L3 87 L6 CANOPY Z � e 12KO O O O D cz z 0 #1 11 1>#2 #7 #8 # 10 n D L4 91 L5 cA STP m 12K lO OV OF s ESO DUMP- STER C-STORE [O- $ AIR/ breakers TLS ICE v H2O CAR WASH Printed 11/05/2010 08:26 ACRAMER Work Order: 3178455 (ESO)&t(ESV)Testing Form-Version 1-6125/2007 Emergency Shut O (ESO) & Dispenser Emergency Shu off Valve (ESV) ANNUAL TEST RECORD LOCATI S AND TEST DATA Testing /O/2 � Com o : nKh / te: Location Name: _,� �l� jA LZ. i57 6 tore#: State[D H• Address: /l 5' .(T1e ej �ity: y'k,6 of State: Emereency Shut Off ESO Testin Result On in accordance with"ESO Vendor Letter( 21-05).doc", from Valero's Retail Compliance Department,as a part of annual compliance testing,this representative tested the Emergency Shut Off ESO switches indicated on this sketc Findings listed below: Emergency Shut Off(ESO) of No,Provide Operational? Y N Maintenance Log# Date Called Dis enser Emeruncy Shutoff Valve (ESV, T Results On in accordance with NFPA 30A this Tepresen ive tested the automatic-closing feature of the Dispenser Emergency Shutoff VALVES)(ESV) loce I ed in the supply lines at the base of each individual island type dispenser indicated on the diagram be w.Each device in all, would automaticall • close. Findings listed below: Disp.Emergency Shut Oft If No,Provide Valve(ESV)Operational? N Maintenance Log 7_4 Date Called Site Map Of Location and Piacemcnt of Devices Tested: (9V 0 <jP � a 5'r p Q r� (d D D �1 p--50 Signature Of Representative: Tanknology Inc. 11000N.MoPac Expressway, Suite 500,Austin,Texas 78759 Work Order: 3178455 1 ALARP'I H 1 STOR'i REPORT ALARM H I STUR':' REPORT LARM H 1 STOR'1 REPORT ---- IN-TANK: ALARM ----- ---- IN-TANK ALARM ----- --- IN-TANK ALARM ----- T i :SUPREME T 2:PLUS 3:REGULF;R HIGH Wo1 TEF ALARM HIGH 14ATEP ALARM I GH [JATEP ALARM OCT 27. 2010 1i :00 r�M GOT 27, 20110 10:58 All 1CT 27. 2610 10:59 %dl NOV 6. 20109 10:20 All NOV 6, 21:109 10:14 All VOV 6. 2009 10:13 AM NOV 17. 2008 11 :00 *1 NOV I?. 2.1106 11 :09 AM 140V 17. 2008 10:47 AM OvERF I LL r1friRM OVERF I LL r1ARll 1VERF 1 LL F►LARM ,3CT 27. 2010 11 :16 AM OCT 27, 2010 11 :24 AM OCT 27, 2010 11 :19 AM NOV 6. 2009 10:58 Atli NOV 6, 2009 10:56 All NOV 29, 2009 9:28 AM NOV 17.. 2008 10:45 Ahl NOV 17. 2008 10:50 AM NOV 6. 2(109 10:54 AM SUDDEN LOSS ALARPI LOW PRODUCT ALARM SUDDEN L(1E;S ALARM ')GT 27, 2010 10:56 All NOV 6. 2009 10:10 AM OCT 27. 2010 10:55 AM NOV 6. 2[109 10:07 AM OCT 1, 2010 10:16 AM NOV 17, 21106 11 :03 All HIGH PRuDLJCT ALARM NOV E, 2009 10:09 Atli OCT 27, 2010 11 :24 AM HIGH PRODUCT ALARM NOV 6, 2009 10:56 AM HIGH PRODUCT ALARM OCT 27. 21110 11 :16 AM NOV 17, 2008 10:56 AM OCT 27. 2010 11 :19 AM NOV 6, 2009 10:58 Al' NOV 6, 2009 10:54 AM NOV 17, 21108 10:56 AM INVALID FUEL LEVEL NOV 17, 2(108 10:50 AM OCT 27. 2010 10:55 All I NVHL I I) FUEL LEVEL N�3V 6. 21109 10:57 All INVALID FL1EL LEVEL CH:T 27. 2010 11 '.17 till NOV 6, 2009 10:09 AM OCT 27.. 2010 10:56 AM OCT 27, 2010 11 :14 Arl JUL 20. 2010 6:14 PM NOV 6. 20109 10:59 41 PROBE OUT NOV 6, 2[109 10:55 AM OCT 27, 20110 11 :25 All PROBE OUT OCT 27. 2010 10:54 AM PROBE OUT OCT 27. 21:110 11 :18 %+1'l NOV 6, 21:109 11 :04 AM OCT 27, 2010 11 :21 AM OCT 27, 21:110 11 : 17 AM OCT 27, 2010 10:55 AM OCT 27, 2010 10:57 Arl H I1;H WATER WARN 1 NG NOV 6. 2009 11 :01 AN1 OCT 27, 2010 10:59 AM HIGH WATER WARNING NOV 6. 2009 10:14 AM HIGH l4ATER WARNING OCT 27. 2010 11 '.00 NM NOV 17, 2008 11 :09 All OCT 27, 2010 10:59 Ali NOV 6. 2009 10:20 All NOV 6, 2009 10:13 AM NOV 17, 2008 11 ;00 All NOV 17.- 2008 10:46 AM DEL I VER'1 NEEDED OCT 27. 2[110 10:55 Ali DELIVERY NEEDED SEP 20, 20110 5:25 PM DELIVERY NEEDED OCT 27, *2010 11 :218 AH AUG 21 . 2010 2:43 PM OCT 27, 2010 10:56 NM OCT 19, 2010 6:42 PM JUL 20, 2010 3:58 P11 'JC:T 5, 2010 4:37 R(l MW, PRODUCT ALARM DEG 9, 2009 4:42 Prl OC'T 27. 2010 1 1 :_'5 At'I MAX PRODUC:T ALARM NOV 61 2004 10:56 AM MAX PRODUCT ALARM NOV 6. 2009 10:58 W1 NOV 1 7. 2,00B 11 :00 AM OCT 27, 2('110 1 1 '21 AM NOV 17, 2006 10:56 AP1 NOV 6. 2009 10:54 Ali NOV 17, 2008 10:56 AM ALARM HISTORY REPORT �+LHRI°1 H 1 S'I'OP.`1 REPORT 1' - SErt;OR ALARM - ----- SENC;OR ALARM ----- ALARM HISTORY REPORT L 1 :6UPREHE TURBINE SullP L 3:REG TURBINE ,BUMF --- SENE;OR ALARM ----- STP SUIT STP SUlIP L 5:PLUS TURBI NE SUMP FUEL ALAPH FUEL ALARI1 STP SUMP OCT '27, 2010 10:2'2 All OCT 27, 2010 113:16 AM FUEL ALARM AM SENSOR OU1' ALARM SENSOR 01-171* ALARM OCT 27, :'011 U 9 54 OCT 27. 2010 9:49 AM OC-r 27, 2010 9:49 AM SENSOR OUT ALA l SENSOR OUT ALARM SEWsOR OUT ALARM OCT 27. 2010 9:49 {ill NOV E., 2009 9'55 kl NOV 6, 2009 9:55 At'i SENSOR OUT ALARM NOV 6. 2009 9:55 All ALARM HIS1'�iR'•i REPORT I~LAPM HISTORY REPGRT - f ALARM HISTORY REPORT ----- SEIf:Ok ALARM ---- - SENE;OR ALARM ----- L 4:FL119 ANNULAR ` ----- SENSOR ALARM ----- L-2 :SUPR£PI£ ANNULAR ANNULAR SPACE L 6:REGULr;R ANNULAR ANNULAR SPACE FUEL ALARM ANNULAR SPACE FUEL ALARM OCT 27. 2010 9:574 All FUEL ALARH OCT 27, 21110 10:37 All OCT 27, 2[110 10:12 All SENSOR OUT ALARM FUEL ALARM 9h 7 27, 21:310 9:49 AM SENSOR OUT ALARM OCT 27, 2710 10:21 All OCT 27, 2010 10:08 AM FUEL ALARM 1 FUEL nLARPI O1'.'C l8, ,'Cjlo 9:46 AM i FUEL ALARM OCT 27. '2[110 10:20 Hh^ i OCT 27, 21110 9:5B AM 1 I� Tanknology Inc. 11000 N.MoPac Expressway, Suite 500,Austin,Texas 78759 Work Order: 3178455 i ALtiRt1 H 12TOk;l REPORT ALARM H I STORY REPORT ---- SENWR t;LAP.M ----- ----- SEN�.;OR ALARM ----- I ALARM HISTORY REPORT G I :SUPREME G 2:PLUS PLLD SHUTDOWN F;LNP,M F'LLD SHUTDOWN ALARM I ----- SEWOR ALARM ----- OCT ,`7. 2010 10:51 Ht' OCT 27, 2f.'110 10:40 N1 O 3:REGULAR PLLD SHUTDOWN ALARM X;T 27, 2010 10:44 AM GROSS LINE: FAIL GROSS LINK FRIL OCT 27. 2010 10:51 NFI OCT 27. '1110 10:40 Pki GROSS LINE! FA I L OCT 27. 2010 10:44 AM PLLD SHUTDOWN r,LHRrl PLLD SHUTDOWN AD4?ll OCT 27. �)U10 10:37 At, OCT 27, 20:0 9:54 AM PLLD SHUTI>06JN ALARM PLLD SHUTLOwN ALARM PLLIt SHUTIuAal,l ALARM OCT 27, 2010 10-18 AM OCT 27, 21110 10:22 t:41 OCT 27. 21110 9:54 AM PLLD SHUTDOWN ALARM 00T 27. 2010 10:12 AM PLLD SHUTDOWN ALARM PLLD SHUTDOWN ALARM 01:7 27, 2010 10:21 At'. OCT 27. 221110 9:49 HM t I I f e i I I i t f i I i I C t t i I i i t S I i s s Tanknology Inc. 11000 N.MoPac Expressway, Suite 500,Austin,Texas 78759 ► Tanknolo Fay� �Y 11000 N. MoPac Expressway,Suite 500 Austin,Texas 78759 Phone: (512)451-6334 Fax: (512)459-1459 Date Printed and Mailed: 11/05/2010 BAKERSFIELD FIRE DEPARTMENT OFFICE OF ENVIRONMENTAL SERVICES INSPECTOR CRAIG PERKINS 1501 TRUXTUN AVE. BAKERSFIELD, CA. 93301 Test Date: 10/27/2010 Order Number: 3178455 Dear Regulator, Enclosed are the results of recent testing performed at the following facility: CHEVRON 203576 1125 COFFEE RD. BAKERSFIELD, CA. 93308 Testing performed: Impact Valve Leak detector tests Monitor Certification Secondary Containment-Spill Container Sincerely, Dawn Kohlmeyer Manager, Field Reporting Sip Tankirmilogy 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: 10/27/10 WORK ORDER NUMBER: 3178455 CUSTOMER PO: 15055724 CLIENT: CHEVRON PRODUCTS COMPANY SITE:CHEVRON 203576 145 S.STATE COLLEGE BLVD 1125 COFFEE RD. SUITE 400 BAKERSFIELD,CA 93308 BREA,CA 92821 TINA SCOLARO PATTY (714)671-3356 (661)588-9066 TEST TYPE: TLD-1 Product Pipe Ti htness Test Results IMPACT IMMEM, LINE DE E ST RE UL N RAC h) VALVE TERIAL TAE A B C U B C D FUNCTIO 12k 1 SUPREME DW FIBERG PRESSURE Y 12k 2 PLUS DW FIBERG PRESSURE Y 12k 3 REGULAR DW FIBERG PRESSURE Y Existinci Line Leak Detector Test M@ML EXI8�NG�LEAK�UE3TiE.CiriQR EXIStF1NGjLEAK�U- CuORL LINE I, MAN UF �TURER MODE # ERIAL# R SUL MANUFACTU R MODEL# SERIAL# RESULT 12k 1 VEEDERROOT ELECTRONI 011505 P 12k 2 VEEDERROOT ELECTRONI 013652 P 12k 3 VEEDERROOT ELECTRONI 013649 P New Replacement Line Leak Detector Test r 1F ' 1 +Ti ..i. I# .M' lLI '' 4 , Di LINE M UFACTU R MODEL# E AL# ESUL MANUFACTU MO�E SERIAL RESUL . ID For owner detailed report information,visit www.tanknotogy.com and select On-Line Reports-WRAP,or contact your local Tanknology office. Tester Name:FRANCISCO CASTRO Technician Certification Number:6753 w Printed 11/05/2010 08:26 ACRAMER INDIVIDUAL TANK INFORMATION AND TEST RESULTS FTEST :10/27/10 8501 N MOPAC EXPRESSWAY,SUITE 400 WORK ORDER NUMBER3178455 CLIENT:CHEVRON PRODUCTS AUSTIN,TEXAS 78759(512)451-6334 SITE:CHEVRON 203576 Ti41V1C INFORNIAR.ION Tank ID: 12k 1 Tank manifolded: No Bottom to top fill in inches: 165.0 Product: SUPREME Vent manifolded: YES Bottom to grade in inches: 170.0 Capacity in gallons: 12,068 Vapor recovery manifolded: YES Fill pipe length in inches: 54.0 Diameter in inches: 111.00 Overfill protection: YES Fill pipe diameter in inches: 4.0 Length in inches: 292 Overspill protection: YES Stage I vapor recovery: DUAL Material: DW STEEL Installed: ATG Stage II vapor recovery: ASSIST CP installed on: COMMENTS TANK TEST RESULTS Test Method:VacuTeet LEAK DETECTOR TEST RESULTS es method: FTA Start(in) End(in) Dipped Water Level: New/passed Failed/replaced New/passed Failed/replaced Dipped Product Level: L.D.#1 L.D.#1 L.D.#2 L.D.#2 Probe Water Level: Make: VEEDERROOT Ingress Detected: Water Bubble Ullage Model: ELECTRONIC Test time: S/N: 011505 Inclinometer reading: Open time in sec: VacuTect Test Type: NOT Holding psi: NOT VacuTect Probe Entry Point: TESTED Resiliency cc: Test leak rate ml/m: 189.0 TESTED Pressure Set Point: Metering psi: Tank water level in inches: Calib. leak in gph: 3.00 Water table depth in inches: Results: PASS Determined by(method): Result: COMMENTS COMMENTS LINE TEST REND 'T S tYP LINE A B C D Material: DW FIBERG Diameter(in): 2.0 Length(ft): 225.0 Test psi: Bleedback cc: Test time (min): NOT NOT NOT NOT Start time: TESTED TESTED TESTED TESTED End time: Final gph: Result: Pump type: PRESSURE Pump make: FE PETRO COMMENTS Impact Valves Operational: YES Printed 11/05/2010 08:26 INDIVIDUAL TANK INFORMATION AND TEST RESULTS Zp Tankwiogy FTEST :10/27/1,0 8501 N MOPAC EXPRESSWAY,SUITE 400 WORK ORDER NUMBER3178455 CLIENT:CHEVRON PRODUCTS AUSTIN,TEXAS 78759(512)451-6334 SITE:CHEVRON 203576 T%AFIK INFOF21iAA110N Tank ID: 12k 2 Tank manifolded: NO Bottom to top fill in inches: 166.0 Product: PLUS Vent manifolded: YES Bottom to grade in inches: 171.0 Capacity in gallons: 12,068 Vapor recovery manifolded: YES Fill pipe length in inches: 55.0 Diameter in inches: 111.00 Overfill protection: YES Fill pipe diameter in inches: 4.0 Length in inches: 292 Overspill protection: YES Stage I vapor recovery: DUAL Material: DW STEEL Installed: ATG Stage II vapor recovery: ASSIST CP installed on: COMMENTS 1111TANKAME9JURE SULTS Test Method:VacuTect LEAK D TECTOR TEST RESUL Tes method. FTA Dipped Water Level: Start(in) End(in) New/passed Failed/replaced New/passed Failed/replaced Dipped Product Level: L.D.#1 L.D.#1 L.D.#2 L.D.#2 Probe Water Level: Make: VEEDERROOT Ingress Detected: Water Bubble Ullage Model: ELECTRONIC Test time: S/N: 013652 Inclinometer reading: Open time in sec: : VacuTect Test Type: NOT Resiliency Holding psi: NOT VacuTect Probe Entry Point: TESTED Test leak rate ml/m: 189.0 TESTED Pressure Set Point: Metering psi: Tank water level in inches: Calib. leak in gph: 3.00 Water table depth in inches: Results: PASS Determined by(method): Result: COMMENTS COMMENTS LIN $T RESU TS T t ty TLD L ,E B Material: Dw FIBERG Diameter(in): 2.0 Length(ft): 225.0 Test psi: Bleedback cc: Test time(min): NOT NOT NOT NOT Start time: TESTED TESTED TESTED TESTED End time: Final gph: Result: Pump type: PRESSURE Pump make: FE PETRO COMMENTS Impact Valves Operational: YES Printed 11/05/2010 08:26 INDIVIDUAL TANK INFORMATION AND TEST RESULTS i Mmknology TEST DATE:10/27/10 8501 N MOPAC EXPRESSWAY,SUITE 400 WORK ORDER NUMBER3178455 CL►ENT:CHEVRON PRODUCTS AUSTIN,TEXAS 78759(512)451-6334 SITE:CHEVRON 203576 1%ANK INFO. �A�T1QN Tank ID: 12k 3 Tank manifolded: No Bottom to top fill in inches: 165.0 Product: REGULAR Vent manifolded: YES Bottom to grade in inches: 170.0 Capacity in gallons: 12,068 Vapor recovery manifolded: YES Fill pipe length in inches: 54.0 Diameter in inches: 111.00 Overfill protection: YES Fill pipe diameter in inches: 4.0 Length in inches: 292 Overspill protection: YES Stage I vapor recovery: DUAL Material: Dw STEEL Installed: ATG Stage II vapor recovery: ASSIST •CP installed on: COMMENTS TANK TEST RESUL T Mettlod u e DE CTO TES RESUL metho• FTA Start(in) End(in) Dipped Water Level: New/passed Failed/replaced New/passed Failed/replaced Dipped Product Level: L.D.#1 L.D.#1 L.D.#2 L.D.#2 Probe Water Level: Make: VEEDERROOT Ingress Detected: Water Bubble Ullage Model: ELECTRONIC Test time: SIN' 0136" Open time in sec: Inclinometer reading: : VacuTect Test Type: NOT Resiliency c Holding psis NOT VacuTect Probe Entry Point: TESTED Test leak rate ml/m: 189.D TESTED Pressure Set Point: Metering psi: Tank water level in inches: Calib. leak in gph: 3.00 Water table depth in inches: Results: PASS Determined by(method): Result: COMMENTS COMMENTS LINEl. ES RESULTS Tes type: LLNE A B C D Material: Dw FIBERG Diameter(in): 2.0 Length(ft): 225.0 Test psi: Bleedback cc: Test time (min): NOT NOT NOT NOT Start time: TESTED TESTED TESTED TESTED End time: Final gph: Result: Pump type: PRESSURE Pump make: FE PETRO COMMENTS Impact Valves Operational: YES Printed 11/0512010 08:26