Loading...
HomeMy WebLinkAboutUST-MONITORING SYS. 11/3/2008 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 Tale 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 UST systems within 30 days of test date. A.General Information Facility Name: CHEVRON 98109 City: BAKERSFIELD CA Zip:93304 Site Address: 1131 OAK ST.X/ST CALIFORIA AVE Contact Phone No: 324-7621 Date of Testing/Service: 11/03/2008 Facility'Contact Person: MANAGER-JALED 111111UII Make/Model of Monitoring System:TLS-350 Work Order Number: 3162952 37 B.Inventory of Equipment Tested/Certified (E Check the appropriate boxes to indicate specific equipment inspected/serviced TanklD: 87 TanklD: 89 X In-Tank Gauging Probe. Model: MAG 1 X In-Tank Gauging Probe. Model: MAG 1 X Annular Space or Vault Sensor. Model: V/R 409 Annular Space or Vault Sensor. Model: V/R 409 X Piping Sump/Trench Sensor(s). Model: V/R 208 Piping Sump/Trench Sensor(s). Model: V/R 208 X Fill Sump Sensor(s). Model: V/R 206 V/R 208 Fill Sump Sensor(s). Model: Mechanical Line Leak Detector. Model: Mechanical Line Leak Detector. Model: 3( Electronic Line Leak Detector. Model: V/R PLLD 11 Electronic Line Leak Detector. Model: V/R PLLD X1 Tank Overfill/High-Level Sensor. Model: ATG 71 Tank Overfill/High-Level Sensor. Model: ATG Other(specify equipment type and model in Section E on page 2). 11 Other(specify equipment type and model in Section E on page 2). TanklD: 91 TanklD: In-Tank Gauging Probe. Model: MAG 1 in In-Tank Gauging Probe. Model: MAG 1 X Annular Space or Vault Sensor. Model: V/R 409 Annular Space or Vault Sensor. Model: V/R 409 X Piping Sump/Trench Sensor(s). Model: V/R 208 X Piping SumplTrench Sensor(s). Model: V/R 208 X Fill Sump Sensor(s). Model: V/R 208 71 Fill Sump Sensor(s). Model: V/R 208 Mechanical Line Leak Detector. Model: Mechanical Line Leak Detector. Model: X Electronic Line Leak Detector. Model: V/R PLLD X Electronic Line Leak Detector. Model: V/R PLLD Tank OverfillfHigh-Level Sensor. Model: ATG Tank Overfill/High-Level Sensor. Model: 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). Dispenser ID: 1-10 Dispenser ID: ®Dispenser Containment Sensor(s) Model:V/R 208 Dispenser Containment Sensor(s) Model: X❑Shear Valve(s). Shear Valve(s) ElDispenser Containment Float(s)and Chain(s). Dispenser Containment Float(s)and Chain(s). Dispenser ID: Dispenser ID: ❑Dispenser Containment Sensor(s) Model: Dispenser Containment Sensor(s). Model: ❑ Shear Valve(s). Shear Valve(s). Dispenser Containment Float(s)and Chain(s). Dispenser Containment Float(s)and Chain(s). Dispenser ID: Dispenser ID: ❑ Dispenser Containment Sensor(s) Model: Dispenser Containment Sensor(s). Model: Shear Valve(s). Shear Valve(s). ❑ Dispenser Containment Float(s)and Chain(s). Dispenser Containment Float(s)and Chain(s). *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): ❑System set-up X❑Alarm history report Technician Name(print): TIMOTHY COULTER Signature: Certification No.: B34132 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: 11/03/2008 IIIIIIIIIIIIIIIIIIII 38 IE Monitoring System Certification Page 1 of 3 Based on CA form dated 03/01 Monitoring System Certification Site Address 1131 OAK ST.X/ST CALIFORIA AVE Date of Testing/Service: 11/03/2008 D. Results of Testing/Servicing Software Version Installed: 327.04 Complete the following checklist: x Yes No' Is the audible alarm operational? ❑x Yes No Is the visual alarm operational? ❑x Yes No• Were all sensors visually inspected,functionally tested,and confirmed operational? Were all sensors installed at lowest point of secondary containment and positioned so that other equipment will not ❑ Yes ❑No' interfere with their proper operation? x Yes I D 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 [F] Yes ❑No• ❑NIA 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; ❑x Dispenser Containment Sensors. Did you confirm positive shut-down due to leaks and sensor failure/disconnection? ❑x Yes No ❑ x Yes ❑No• ❑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? so Yes' ❑No Was any monitoring equipment replaced?If yes,identify specific sensors,probes,or other equipment replaced and list the manufacturer name and model for all replacement parts in Section E,below. ❑ Yes' ❑x 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. ❑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 89 ANNULAR SENSOR(V/R 409) Page 2 of 3 Based on CA form dated 03/01 Monitoring System Certification Site Address: 1131 OAK ST.X/ST CALIFORIA AVE Date of Testing/Service: 11/03/2008 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: El 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? 0 Yes ❑No' Was accuracy of system product level readings tested? QYes ❑No• Was accuracy of system water level readings tested? X Yes ❑No• Were all probes reinstalled properly? ❑x Yes E]No*I 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* E]NIA (Check all that apply)Simulated leak rate: Q 3 g.p.h❑0.1 g.p.h []0.2 g.p.h r7j Yes ❑No• Were all LLDs confirmed operational and accurate within regulatory requirements? X Yes ❑No' Was the testing apparatus properly calibrated? ❑Yes ❑No' ®N/A For mechanical LLDs,does the LLD restrict product flow if it detects a leak? 0 Yes ❑No• ❑NIA For electronic LLDs,does the turbine automatically shut off if the LLD detects a leak? Q Yes ❑No• ❑NSA For electronic LLDs,does the turbine automatically shut off if any portion of the monitoring system is disabled or disconnected? 0 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? M Yes ❑No• ❑NIA For electronic LLDs,have all accessible wiring connections been visually inspected? LJ 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. 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: CHEVRON 98109 Date of Testing: 11/03/2008 Facility Address: 1131 OAK ST. X/ST CALIFORIA AVE , BAKERSFIELD, CA, 93304 Facility Contact: MANAGER - JALED Phone: (6 61) 3 2 4-7 62 1 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: TIMOTHY COULTER Credentials: CSLB Licensed Contractor SWRCB Licensed Tank Tester License Type: SERVICE TECHNICIAN License Number: 5295244UT 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 3 REG FILL M ❑ ❑ ❑ ❑ ❑ ❑ ❑ Spill Box 2 PLU FILL X 0 ❑ 0 0 0 0 0 Spill Box 1 SUP FILL X ❑ ❑ ❑ ❑ ❑ ❑ ❑ Spill Box 4 DIE FILL 0 ❑ 0 0 0 0 0 0 0 0 El- 101 l ❑ I ❑ 0 ❑ I ❑ 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 M- 10101 0 I ❑ 1 0 0 ❑ 0 0 0 0 0 0 0 0 If hydrostatic testing was performed,describe what was done with the water after completion of tests: 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: G �- - Date: 11/03/2008 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 98109 Date of Testing: 11/03/2008 Facility Address: 1131 OAK ST. X/ST CALIFORIA AVE , BAKERSFIELD, CA, 93304 Facility Contact: MANAGER - JALED Phone: (661) 324-7621 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: TIMOTHY COULTER Credentials): ❑CSLB Contractor ❑ICC Service Tech. ❑SWRCB Tank Tester ❑Other(Specify) SERVICE License Number: 5295244UT 3. SPILL BUCKET TESTING INFORMATION Test Method Used: Hydrostatic ❑ Vacuum ❑ Other Test Equipment Used:VISUAL Equipment Resolution: Identify Spill Bucke0y Tank 1 3 REG FILL Z 2 PLU FILL 3 1 SUP FILL 4 4 DIE FILL Number, Stored Product, etc.) ❑ Bucket Installation Type: Direct Bury F-1 Direct Bury ❑Direct Bury F-1 Direct Bury ❑X Contained in Sump X❑ Contained in Sump ❑X Contained in Sump X❑Contained in Sump Bucket Diameter: 10 10 10 10 Bucket Depth: 10 10 10 10 Wait time between applying 10 MINS 10 MINS 10 MINS 10 MINS vacuum/water and starting test: Test Start Time(TI ): 1015 1015 1015 1015 Initial Reading(RI ): 9 9 9 9 Test End Time(TF ): 1115 1115 1115 1115 Final Reading(RF ): 9 9 9 9 Test Duration: 1 HR 1 HR 1 HR 1 HR Change in Reading(R F-RI ): 0 0 0 0 Pass/Fail Threshold or 0 0 0 0 Criteria: es esult: ass ® ail ® ass ® R®Pass ® ail ®Pass ® 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: Date: 11/03/2008 I State laws and regulations do not currently require testing to be performed by a qualified contractor.However,local requirements 0p Mmknology 8501 N MOPAC EXPRESSWAY,SUITE 400 AUSTIN,TEXAS 78759 (512)451-6334 FAX(512)459-1459 TEST DATE:11/03/08 WORK ORDER NUMBER3162952 CLIENT:CHEVRON PRODUCTS COMPANY SITE:CHEVRON 98109 COMMENTS Conducting Annual Monitor certification with City of Bakersfield. Replaced (1) VR 409 Annular sensor, (2) Hours labor for partsd replacement and Troubleshooting. PARTS REPLACED QU TITY ESGRI TION 1 INTERSTITIAL SENSORS FOR FIBERGLASS TANKS-10',10'6",11',12' HELIUM PINPOINT TEST RESULTS (IF APPLICABLE) . ITEMS TESTED HEL U PINPOI T TEST RESULTS Printed 11107/2008 14:11 KOHLMEYER SITE DIAGRAM i Tar*rwfogy 8501 N MOPAC EXPRESSWAY,SUITE 400 AUSTIN,TEXAS 78759 (512)451-6334 FAX(512)459-1459 TEST DATE:11/03/08 WORK ORDER NUMBER3162952 CLIENT:CHEVRON PRODUCTS COMPANY SITE: CHEVRON 98109 E Chevron#98109 DSL L10 TNM 1131 Oak St. FL—�� Oj#1 Bakersfield, CA 1 10K L O 93304 =tlOKSUP A L( 1 UL #1 STP A n 99 • # #5 # 3 10K L8 L PLU STP 10K S . _ L cas VENT Printed 11/07/2008 14:11 KOHLMEYER Work Order: 3162952 (M)k(ESV)Tegieg Form-Venioa 1-67SMW Emergency Shut Off(ESO) & Dispenser Emergency Shutoff Valve (ESV) ANNUAL TEST RECORD LOCATIONS AND TEST DATA Testing -0, 4' Company: // /f D,yLt D� mw q1/j— 3 —0 Sr Location Name: C /E V�'�'"V -,r Store k: [r/ Stet:m m. Address: 11131 oxff /. City: .tff1 s,a�: ew. Emergency Shut Off(ESO)Testing Results On 1/-3 1 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 Emer cy Shut Off SO switches indicated on this sketch:Findings listed below: Emergency Shut Off(ESO) "o,Provide Operational? N Maintenance Log# Date Called Dispenser Emergency Shutoff Valve (ESV) Testing Results On //-3—o 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(#) in all, would automatically close.Findings listed below: Disp.Emergency Shut Off IfNo,Provide Valve(ESV)Operational? p Maintenance Log# _ Date Called Site Map Of location and Placmcm of Dorieas Testod: Sit_nature Of Representative: I Tanknology Inc. 8501 N.MoPac Expressway,Suite 400,Austin,Texas 78759 Work Order: 3162952 T 1:SUPREME T 3:PEGULAR - --SENSOR ALARM ----- HIGH WATER ALARM O 2:PLUS -NOV 3, 2003 10:31 AM HIGH WATER ALARM PLLD SHUTDOWN ALARM NOV 3, 2008 10:30 AM NOV 3. 2008 12:15 PM LOW PRODUCT ALARM OVERFILL ALARM NOV 3. 2008 10:34 AM NOV 3, 2008 10:44 AM PLLD SHUTDOWN ALARM AUG 30, 2008 6:55 AM NOV 3. 2008 12:13 PM SUDDEN LOSS ALARM AUG 27. 2008 7:58 AM NOV 3, 2008 10:34 AM o NOV 3, 2008 10:2'' AM LOW PRODUCT ALARM PLLD SHUTDOWN ALARM 2 NOV 3. 2008 10:34 AM NOV 3, 2006 12:03 PH HIGH PkO00 ALARM 24, 2008 5:34 Ptl NOV 3, 2008 10:37 H SEP 28, 2006 1:22 PM INVALID FUEL LEVEL PLLD,SHUTr<Am-ALARM SUDDEN LOSS ALARM NOV 3, 2008 10:34 AM NOV 3. 2008 11:47 AM NOV 3. 2008 10:23 AM NOV 3, 2008 10:34 AM NOV 3. 2008 10:21 AM PROBE OUT PLLD SHUTDOWN ALARM HIGH PRODUCT ALARM NOV 3. 2006 11:46 F11 NOV 3. 2008 10:39 AM NOV 3. 2008 10:41 AM NOV 3, 2008 10:22 AM INVALID FUEL LEVEL F'LLD SHUTDOWN ALARM HIGH WATER. WARNING NOV 3. 2008 10:34 AM NOV 3. 2008 11:43 AM NOV 3. 2008 10:31 AM PROBE OUT NOV 3, 2008 10:44 AM PLLD SHUTDOWN ALARM DELIVERY NEEDED NOV 3. 2008 10:21 AM NOV 3. 2008 11:23 AM NOV 3. 2006 10:34 AM OCT 18, 2000 6:19 PM HIGH WATER WARNING MAX PRODUCT ALARM NOV 3. 2008 10:30 AM GROSS LINE FAIL NOV 3, 2008 10:37 AM NOV 3. 2008 11:23 AM DELIVERY NEEDED NOV 3. 2008 10:34 AM PLLD SHUTDOWN ALARM LOW TEMP WARNING OCT 24. 2008 4:17 PM NOV 3. 2006 10:34 AM NOV 3, 2008 10:40 AM OCT 23. 2008 3:53 PM T 2:FLUS MAX PRODUCT ALARM PLLD SHUTDOWN ALARM NOV 3. 2006 10:41 AM NOV 3, 2008 10:24 AM HIGH WATER, ALARM _ _ - - _ NOV 3. 2008 10:24 hV1 ----- SENSOR ALARM ----- - ----- SENSOR ALARM ----- OVERFILL ALARM G 1:6UPREME L I:SUPREME ANNULAR PLLD SHUTDOWN ALARM ANNULAR SPACE NOV 3. 2008 10:48 AM NOV 3. 2006 11:27 AM SENOR OUT ALARM NOV 3. 2008 lo:DI AM LOW PRODUCT ALARM NOV 3. 2008 10:34 AM GROSS LINE FAIL FUEL ALARM SUDDEN LOSS ALARM NOV 3, 2008 11:27 AM NOV 3, 2008 9:51 AM NOV 3. 2008 10:20 AM FUEL ALARM PLLD SHUTDOWN ALARM NOV 3. 2008 9:49 AM HIGH PRODUCT ALARM NOV 3. 2008 10:34 AM NOV 3. 2008 10:46 At9 ----- SENSOR ALARM ----- INVALID FUEL LEVEL, PLLD SHUTDOWN ALARM L 2:SUPREME FILL SUMP NOV 3. 2008 10:34 AM NOV 3, 2008 10:31 AM PIPING SUMP SENSOR OUT ALARM PROBE OUT NOV 3. 2008 10:01 AM NOV 3, 2008 10:48 AM PLLD SHUTDOWN ALARM NOV 3. 2008 10:20 AM NOV 3. 2008 10'01 AM NOEL ,ALA 2006 8:47 AM HIGH WATER WARNING NOV 3. 2008 10:24 API PLLD SHUTDOWN ALARM ------SENSOR ALARM ----- NOV 3. 2008 9:59 AM L 3:SUPREME TURBINE SUMP DELIVERY NEEDED STP SUMP. NOV 3. 2008 10:34 AM PI1D SHUTDOWN ALARM SENSOR OUT ALARM } OCT 25. 2008 6:24 PM NOV 3, 2008 9:56 AM NOV 3. _008 10:0 AM SEP 14, 2008 4:13 FM FUEL ALARM MAX PRODUCT ALARM PLLD SHUTDOWN ALARM NOV, 3, 2008 8:48 AM NOV 3. 2008 10:46 AM NOV 3, 2008 9:57 AM PLLD SHUTDOWN ALARM NOV 3. 2008 9:56 Ali PLLD SHUTDOWN ALARM NOV 3. 2008 9:55 AM Tanknology Inc. 8501 N.MoPac Expressway,Suite 400,Austin,Texas 78759 Work Order: 3162952 -- SENSOR ALARM - - ----- SENSOR. ALARM ---- L 4:PLU8 ANNULAR Lll:DIESEL FILL SLHP ANNULAR SPACE PIPING SUMP FUEL ALARM SENSOR OUT ALARM NOV 3, 2008 12:15 PM NOV 3. 2008 10:02 AM FUEL ALARM FUEL ALARM NOV 3. 2008 12:13 PM NOV 3. 2008 8:37 AM SENSOR OUT ALARM - _ _ NOV 3. 2008 12:03 PM SENSOR ALARM -- L12:DIESEL TURBINE SLIMP _ - STP SUMP -- SENSOR ALARM -- -- SENSOR OUT ALARM L 5:PLUS FILL SLAP NOV 3. 2008 10:02 AM PIPING SUMP SENSOR OUT ALARM FUEL ALARM NOV 3, 2008 10:01 AM NOV 3, 2008 8:34 AM FUEL ALARM NOV 3, 2008 9:42 AM _ --- SENSOR ALARM --- - ----- SENSOk ALARM L13:DISPENSER 1-2 DISPENSER PAN L 6:PLUS TURBINE SUMP FUEL ALARM 5'TF' SUIlF' NOV 3. 2008 9:56 AM A Pm ENSOR O2008LA AM NOV FUEL ALARM - - SENSOR ALARM --- NOV 3, 2008 9:43 AM L14:DISPENSER 3-4 _. - - DISPENSER PAN - -- SENSOR ALARM FUEL ALARM L7:REGULAk ANNULAR NOV 3. 2008 9:55 AM ANNULAR SPACE SENSOR OUT ALARM NOV 3, 2008 10:02 Aht ----- SENSOR ALHRPI ----- L15:DISPENSER 5-6 FUEL ALARM DISPENSER PAN NOV 3, 2008 9:03 AM FUEL ALARM FUEL ALARM NOV. 3, 2008 9:57 AM NOV 3, 2008 6:51 AM -- SENSOR ALARM ----- ----- SENSOR ALARM ----- L 8:REGULAR FILL SUMP L16:DISPENSER 7-8 PIPING SUMP DISPENSER PAN SENSOR OUT ALARM FUEL ALARM NOV 3. 2008 10:01 All NOV 3. 2008 9:58 AM FUEL ALARM NOV 3. 2008 8:50 AM ------ SENSOR ALARM - _ L17:UISPENSER 9-10 - SENSOR. ALARM - -- DISPENSER PAN SENSOR OUT ALARM L 9:REGULAR TURBINE SUMP NOV 3, 2008 10:02 AM STP SUMP SENOR OUT ALARM FUEL ALARM NOV 3. 2008 10:02 AM NOV 3. 2008 9:59 AM FUEL ALARM NOV 3. 2008 8:49 41 -- ----- SENSOR. ALARM ----- CHEVRON C.S.I. 1920 1131 OAK ST. LIO:DIESEL ANNULAR BAKERSFIELD.CA. ANNULAR SPACE 9-8109PH661-324-7621 SENSOR OUT ALARM NOV 3, 2008 10:02 AM NOV 3, 2008 1:15 PM FUEL ALARM NOV 3. 2008 8:40 AM SYSTEM STATUS REPORT h l 4:DEGRLr COLLECT WARN Tanknology Inc. 8501 N.MoPac Expressway, Suite 400,Austin,Texas 78759 JFPP Tanknology 8501 N. MoPac Expressway, Suite 400 Austin,Texas 78759 Phone: (512)451-6334 Fax: (512)459-1459 Date Printed and Mailed: 11/07/2008 BAKERSFIELD FIRE DEPARTMENT OFFICE OF ENVIRONMENTAL SERVICES INSPECTOR STEVE UNDERWOOD 1501 TRUXTUN AVE. .BAKERSFIELD, CA. 93301 Test Date: 11/03/2008 Order Number: 3162952 Dear Regulator, Enclosed are the results of recent testing performed at the following facility: CHEVRON 98109 1131 OAK ST. X/ST CAL IFORIA AVE BAKERSFIELD, CA. 93304 Testing performed: Leak detector tests Monitor Certification Secondary Containment-Spill Container Sincerely, o KAY Dawn Kohlmeyer Manager, Field Reporting 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: 11103/08 WORK ORDER NUMBER: 3162952 CUSTOMER PO: 4691008 CLIENT: CHEVRON PRODUCTS COMPANY SITE:CHEVRON 98109 145 S.STATE COLLEGE BLVD 1131 OAK ST.X/ST CALIFORIA AVE SUITE 400 BAKERSFIELD,CA 93304 BREA,CA 92821 TINA SCOLARO MANAGER-JAILED (714)671-3356 (661)324-7621 Product Pi a Ti htness Test Results LIN LINE LIN mg�B IMPACT ID ROD CT MATERIAL TE T RESULT FINAL L �RA� (gph) VALVE D A B C D FUNGT►O 1 1 SUPREME DW FIBERG PRESSURE Y 2 2 PLUS DW FIBERG PRESSURE Y 3 3 REGULAR DW FIBERG PRESSURE Y 4 4 DIESEL DW FIBERG PRESSURE Y Existing Line Leak Detector Test IS1 NG LEAKED_.T,ECTOR#z1 EXISTIN_G EAK�ETETSOR�#Z LINE MANUFACTURER MODEL# SERIAL RESULT MANUFACTURER MODE # SERIi4L# RESULT ID 1 1 VEEDERROOT ELECTRONI 4690 P 2 2 VEEDERROOT ELECTRONI 001106 P 3 3 VEEDERROOT ELECTRONI 001095 P 4 4 VEEDERROOT ELECTRONI 001107 P New Replacement Line Leak Detector Test ,:. I urlE '�*��� -' ID M U R6R MOD L# S RIAL RESU MANUP-A =URE MODEL# SERIAL# RESUL For owner detailed report information,visit www.tanknology.com and select On-Line Reports-WRAP,or contact your local Tanknology office. Tester Name:TIMOTHY COULTER Technician Certification Number:5295244-UT Printed 11/07/2008 14:11 KOHLMEYER INDIVIDUAL TANK INFORMATION AND TEST RESULTS TEST DATE: 11/03/08 8501 N MOPAC EXPRESSWAY,SUITE 400 WORK ORDER NUMBER: 3162952 AUSTIN,TEXAS 78759(512)451-6334 CLIENT: CHEVRON PRODUCTS SITE: CHEVRON 98109 Tr ANKjINFQRMi4llON Tank ID: 1 1 Tank manifolded: No Bottom to top fill in inches: 156.0 Product: SUPREME Vent manifolded: YES Bottom to grade in inches: 161.0 Capacity in gallons: 9,842 Vapor recovery manifolded: YES Fill pipe length in inches: 56.0 Diameter in inches: 91.00 Overfill protection: YES Fill pipe diameter in inches: 4.0 Length in inches: 354 Overspill protection: YES Stage I vapor recovery: DUAL Material: Dw FIBERG Installed: ATG Stage II vapor recovery: ASSIST CID installed on: COMMENTS MAN TEST RESULTS Test Method: LEAK l)ETECTbR TEST RE TrA SULTS est 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: VEEDERROOT Fluid volume in gallons: Model: ELECTRONIC Tank water level in inches: S/N: 4690 Test time: NOT Open time in sec: Number of thermisters: TESTED Holding psi: NOT Specific gravity: Resiliency cc: TESTED Water table depth in inches: Test leak rate ml/m: Determined by(method): Metering psi: Leak rate in gph: Calib. leak in gph: 3.00 Result: Results: PASS COMMENTS COMMENTS ULLAG TEST RES LTSTest Meth d: LINE TEST RESULT, Tes pe: Test time: Material: Dw FIBERG Ullage volume: Diameter(in): 3.0 Ullage pressure: Length (ft): 250.0 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 11/07/2008 14:11 KOHLMEYER INDIVIDUAL TANK INFORMATION AND TEST RESULTS i'TWlaK )gy TEST DATE: 11/03/08 8501 N MOPAC EXPRESSWAY,SUITE 400 WORK ORDER NUMBER: 3162952 AUSTIN,TEXAS 78759(512)451-6334 CLIENT: CHEVRON PRODUCTS SITE: CHEVRON 98109 TANKiINFQRMATIQ_ Tank ID: 2 2 Tank manifolded: NO Bottom to top fill in inches: 155.0 Product: PLUS Vent manifolded: YES Bottom to grade in inches: 160.0 Capacity in gallons: 9,842 Vapor recovery manifolded: YES Fill pipe length in inches: 55.5 Diameter in inches: 91.00 Overfill protection: YES Fill pipe diameter in inches: 4.0 Length in inches: 354 Overspill protection: YES Stage I vapor recovery: DUAL Material: DW FIBERG Installed: ATG Stage II vapor recovery: ASSIST CP installed on: COMMENTS TAN- TEST RESUL Test MethodT DEl ECTO `LEST RESULTS T st 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 LIFT/OFT: Make: VEEDERROOT Fluid volume in gallons: Model: ELECTRONIC Tank water level in inches: S/N: 001106 Test time: NOT Open time in sec: Number of thermisters: TESTED Holding psi: NOT Specific gravity: Resiliency cc: TESTED Water table depth in inches: Test leak rate ml/m: Determined by(method): Metering psi: Leak rate in gph: Calib. leak in gph: 3.00 Result: Results: PASS COMMENTS COMMENTS ULLAGE TEST RESULTS Test Method: 'LINE TEST RESULTS est type: Test time: Material: Dw FIBERG Ullage volume: Diameter(in): 3.0 Ullage pressure: Length (ft): 250.0 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 IL COMMENTS Impact Valves Operational: YES Printed 11/07/2008 14:11 KOHLMEYER INDIVIDUAL TANK INFORMATION AND TEST RESULTS pp M 8501 N MOPAC EXPRESSWAY,SUITE 400 TEST DATE: 11/03/08 AUSTIN,TEXAS 78759(512)451-6334 WORK ORDER NUMBER: 3162952 CLIENT: CHEVRON PRODUCTS SITE: CHEVRON 98109 T00-NIF.ORMATI61 Tank ID: 3 3 Tank manifolded: No Bottom to top fill in inches: 155.0 Product: REGULAR Vent manifolded: YES Bottom to grade in inches: 160.0 Capacity in gallons: 9,842 Vapor recovery manifolded: YES Fill pipe length in inches: 55.5 Diameter in inches: 91.00 Overfill protection: YES Fill pipe diameter in inches: 4.0 Length in inches: 354 Overspill protection: YES Stage I vapor recovery: DUAL Material: Dw FIBERG Installed: ATG Stage II vapor recovery: ASSIST CP installed on: COMMENTS STANK T,ESiTWRESUL S est lethod: LEAK DETECTOR 7ESTIRESU TS_ T st?imetho 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: VEEDERROOT Fluid volume in gallons: Model: ELECTRONIC Tank water level in inches: S/N: 001095 Test time: NOT Open time in sec: Number of thermisters: TESTED Holding psi: NOT Specific gravity: Resiliency cc: TESTED Water table depth in inches: est leak rate ml/m: Determined by(method): Metering psi: Leak rate in gph: Calib. leak in gph: 3.00 Result: Results: PASS COMMENTS COMMENTS ULLAGE TEST RESULTS est Method' LINEm SU Test Test time: Material: Dw FIBERG Ullage volume: Diameter(in): 3.0 Ullage pressure: Length (ft): 250.0 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 11/07/2008 14:11 KOHLMEYER INDIVIDUAL TANK INFORMATION AND TEST RESULTS Mr Tin TEST DATE: 11/03/08 8501 N MOPAC EXPRESSWAY,SUITE 400 WORK ORDER NUMBER: 3162952 AUSTIN,TEXAS 78759(512)451-6334 CLIENT: CHEVRON PRODUCTS SITE: CHEVRON 98109 TANiZ41NFQRM'ATION Tank ID: 4 4 Tank manifolded: NO Bottom to top fill in inches: 155.5 Product: DIESEL Vent manifolded: NO Bottom to grade in inches: 160.5 Capacity in gallons: 9,842 Vapor recovery manifolded: NO Fill pipe length in inches: 57.0 Diameter in inches: 91.00 Overfill protection: YES Fill pipe diameter in inches: 4.0 Length in inches: 354 Overspill protection: YES Stage I vapor recovery: _ NONE Material: Dw FIBERG Installed: ATG Stage II vapor recovery: NONE CP installed on: COMMENTS ANK�TEST>fRESULTS Test Metho BLEAK DETEC:OR TES RESU T$ est 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: VEEDERROOT Fluid volume in gallons: Model: ELECTRONIC Tank water level in inches: S/N: 001107 Test time: NOT Open time in sec: Number of thermisters: TESTED Holding psi: NOT Specific gravity: Resiliency cc: TESTED Water table depth in inches: Test leak rate ml/m: Determined by(method): Metering psi: Leak rate in gph: Calib. leak in gph: 3.00 Result: Results: PASS COMMENTS COMMENTS ULLAG WT EST RESULTSTest ethod: ELINE TEST RESULTS Tes type: Test time: Material: Dw FIBERG Ullage volume: Diameter(in): 3.0 Ullage pressure: Length ffi): 250.0 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 11/07/2008 14:11 KOHLMEYER