HomeMy WebLinkAboutFMC 2010 45 MONITORING SYSTEM CERTIFICATION P2
S5
IE For Use By All Jurisdictions Within the State of California
Authority Cited: Chapter 6 7, Health and Safety Code; Chapter 16, Division 3, Title 23, California Code of Regulations
This form must be used to document testing and servicing of monitoring equipment. A separate certification or report must be
prepared for each monitoring system control panel by the technician who performs the work. A copy of this form must be provided
to the tank system owner/operator. The owner/operator must submit a copy of this form to the local agency regulating UST systems
within 30 days of this date.
A. General Information
Facility Name: #705 Fastrip#641 Bldg.No.:
Site Address: 1200 Coffee Road City: Bakersfield Zip: 93308
Facility Contact Person: Omero Garcia Contact Phone No.: 661-393-7000
Make/Model of Monitoring System: Veeder-Root TLS 350 Date of Testing/Servicing: 7/12/2010
B. Inventory of Equipment Tested/Certified
Check the appropriate boxes to irate specific equipment inspected/serviced:
Tank iD: 12000 gal.Regular Tank iD: 12000 gal.Super
[X] In-Tank Gauging Probe. Model:847390-107 [x] in-Tank Gauging Probe. Model:847390-107
[x] Annular Space or Vault Probe. Model:794390-420 [X] Annular Space or Vault Sensor. Model:794390-420
[xj Piping Sump/Trench Sensor(s). Model:794380-208 L] Piping Sump/Trench Sensor(s). Model: 794380-208
[X] Fill Sump Sensor(s) Model:794380-208 [x] Fill Sump Sensor(s). Model:794380-208
[J Mechanical Line Leak Detector. Model:FX1V [x] Mechanical Line Leak Detector. Model: FX1V
❑ Electronic Line Leak Detector. Model: ❑ Electronic Line Leak Detector. Model:
U Tank Overfill/High Level Sensor. Model:847390-107 U Tank Overfill/High Leval Sensor. Model: 847390-107
❑ Other(specify equip.type and model in Sec. E on Pg.2) ❑ Other(specify equip.type and model in Sec. E on Pg.2)
Tank iD: 12000 gal. Diesel Tank ID:
[x] in-Tank Gauging Probe. Model:847390-107 ❑ in-Tank Gauging Probe. Model:
[x] Annular Space or Vault Sensor. Model:794390-420 ❑ Annular Space or Vault Sensor. Model:
[x] Piping Sump/Trench Sensor(s). Model:794380-208 ❑ Piping.Sump/Trench Sensor(s). Model:
rx1 Fill Sump Sensors(s). Model:794380-208 ❑ Fill Sump Sensor(s). Model:
[sex Mechanical Line Leak Decector. Model:FX1DV ❑ Mechanical Line Leak Detector. Model:
❑ Electronic Line Leak Detector. Model: ❑ Electronic Line Leak Detector. Model:
rx] Tank Overfill/High Level Sensor. Model:847390407 ❑ Tank Overfill/High Level Sensor.Model:
❑ Other(specify equip.type and model in Sec. E on Pg.2) ❑ Other(specify equip.typs and model in Sec. E on Pg.2)
Dispenser ID: 1 &2 Dispenser ID: 3&4
[7 Dispenser Containment Sensor(s). Model: 794380-208 [X] Dispenser Containment Sensor(s). Model: 794380-208
[X] Shear Valve(s). Shear Valve(s).
❑ Dispenser Containment Float(s)and Chain(s). ❑ Dispenser Containment Float(s)and Chain(s)
Dispenser ID: 5&6 Dispenser ID: 7&8
[x] Dispenser Containment Sensor(s). Model: 794380-208 Dispenser Containment Sensor(s). Model: 794380-208
E Shear Valve(s). [x] Shear Valve(s).
❑ Dispenser Containment Float(s)and Chains(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 -1 certify that the equipment identified in this document was inspected/services in accordance with the
manufacturers'guidlines.Attached to this Certification is information(e.g.manufacturers'checklist)necessary to varify that
this information is correct and a plot plan showing the layout of monitoring equipment.For equipment capable of generating
such reports,i have attached a copy of the report; (check all that apply) x❑System Set-up x 1 history report
Technician Name(print): Krlstopher Karns Signature:
Certification No: B34106 License No:804904
Testing Company Name: Confidence UST Services,Inc. _Phone No: 800-339-9930
Site Address: 1200 Coffee Road,Bakersfield,CA 93308 111 11 III 46 _Date of Testing/Servicing: 711212010
1 E
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 t e V sual alarm operational?
x Yes No* Were all sensors visually inspected,functionally tested,and confirmed operational?
x I Yes ❑ No* Were all sensors installed at the lowest point of secondary containment and positioned so that other
equipment will not interfere with their proper operation?
Yes No* If alarms are relayed to a remote monitoring station, is all communications equipment(e.g.modem)
Hx N/A operational?
x Yes ❑ No* For pressurized piping systems,does the turbine automatically shut down if the piping secondary
❑N/A containment monitoring system detects a leak, fails to operate,or is electrically disconnected? If yes:
which sensors initate positive shut-down? E Sump/Trench Sensors[x]Dispenser Containment Sensors
Did you confirm positive shut-down due to leaks and sensor failure/disconnected? [x] Yes; ❑ No;
[X] Yes ❑ No* For tank systems that utilize the monitoring system as the primary tank overfill warning device(i.e. no
N/A mechanical overfill prevention valve is installed), is the overfill warning alarm visual and audible at
the tank fill point(s)and operating properly?If so,at what percent of tank capasity does the alarm
trigger? 90 %
❑ Yes* [X] 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* [�] No Was liquid found inside any secondary containment systems designed as dry systems?
❑ Product; F] Water. If yes,describe causes in Section E, below.
x N * Was monitoring system set-up reviewed to ensure proper settings?Attach set-up reports, if applicable.
LxJ Yes No* I Is all monitoring equipment operational per manufacturer's specifications?
*In Section E below,discribe how and when these deficiencies were or will be corrected.
E. Comments:
F. In-Tank Guaging/SIR Equipment: [X] Check this box if tank guaging is used only for inventory control.
❑ Check this box if tank guaging or SIR equipment is installed.
This section must be completed if in-tank guaging equipment is used to perform leak detection monitoring.
Complete the following checklist:
U Yes ❑ No* Has all input wiring been inspected for proper enter and termination,including testing for ground faults?
x Yes No* Were all tank guaging probes visually inspected for damage and residue buildup?
x Yes No* Was accuracy of system product level readings tested?
x Yes No* Was accuracy of system water level readings tested?
x Yes No* Were all probes reinstalled properly?
U Yes ❑ No*I Were all items on the equipment manufacturer's maintenance checklist completed?
*In the Section H,below,describe how and when these deficiencies were or will be corrected.
G. Line Leak Detectors (LLD): ❑Check this box if LLD's are not installed.
Complete the following checklist:
Lx] Yes ❑ No* For equip. start-up or annual equipment certification,was a leak simulated to varify LLD performance?
(Check all that apply) Simulated leak rate: E3 g.p.h.: ❑0.1 g.p.h.; ❑0.2 g.p.h.;
Lx Yes No* Were all LLD's confirmed operational and accurate within regulatory requirments?
x Yes F1 No Was the testing apparatus properly calibrated?
❑ Yes For mac amca LLD's,does the LLD restrict product ow if it detects a leak?
A❑ Yes #jN
No* For electronic LLD's,does the turbine automatically shut off if the LLD detects a leak?
[x] N/A
❑ Yes No* For electronic LLD's,does the turbine automatically shut off if any portion of the monitoring system is
[x] N/A disabled or disconnected?
❑ Yes No* For electronic LLD's,does the turbine automatically shut off if any portion of the monitoring system
L] N/A malfunction or fails a test?
❑ Yes No* For electronic LLD's,have all accessible wiring connections been visually inspected?
[X] N/A
x Yes Lj No I Were all items on the equipment manufacturer's maintenance checklist completed?
* In the section H,below,describe how and when these deficiencies were or will be corrected.
H. Comments:
COMMUNICATIONS SETUP
FASTkIP 705 SYSTEM-SETUP - - - - - - - -- - - -
1200 COFFEE RD. JUL 12, 2010 9:13 AM
BAKERSFIELD CB 93308
PORT SETTINGS:
661-589-6305
JUL 12, 2010 5:13 AM COMM BOARD S-232)
SYSTEM UNITS BAUD RATE 96 O
U.S. PARITY NONE
SYSTEM LANGUAGE STOP BIT 1 STOP
SYSTEM STATUS REPORT ENGLISH DATA LENGTH: 8 DATA
_ _ _ _ SYSTEM DATE/TIME FORMAT RS-232 SECURITY
T 2:SUDDEN LOSS ALARM MON DD YYYY HH:MM:SS xM CODE : DISABLED
FASTRIP 705 COMM BOARD : 2 (EDIM l
INVENTORY REPORT 1200 COFFEE RD. RS-232 SECURITY
BAKERSFIELD CB 93308 CODE : DISABLED
661-589-6305
T 1 :UPILEADED COMM BOARD 3 (RS-232)
VOLUME 8934 GALS SHIFT TIME 1 11 :00 PM BAUD RATE 9600
ULLAGE - 3098 GALS SHIFT TIME 2 .t DISABLED PARITY NONE
901 ULLAGE= 1894 GALS SHIFT TIME 3 DISABLED STOP, BIT 1 STOP
8791 GALS SHIFT TIME 4 DISABLED DATA LENGTH: B DATA
TC VOLUME =
HEIGHT = 78791 INCHES RS-232 SECURITY
WATER VOL = 13 GALS TANK PER TST 'NEEDED WRN CODE : DISABLED
DISABLED
WATER = 0.84 INCHES TANK ANN TST NEEDED WRN
TEMP = 82.8 DEG F DISABLED AUTO TRANSMIT SETTINGS:
T 2:PREMIUM LINE RE-ENABLE METHOD AUTO LEAK ALARM LIMIT
VOLUME = 9393 GALS PASS LINE TEST DISABLED
ULLAGE = 2639 GALS AUTO HIGH WATER LIMIT
90% ULLAGE- 1435 GALS LINE PER TST NEEDED� WRN DISABLED
TC VOLUME 9238 GALS DISABLED AUTO OVERFILL LIMIT
HEIGHT = 89238 INCHES LINE ANN TST NEEDED WRN DISABLED
WATER VOL = 0 GALS DISABLED AUTO LOW PRODUCT
DISABLED
WATER = 0.00 INCHES
TEMP = 83.5 DEG F PRINT TC VOLUMES AUTO THEFT LIMIT
ENABLED DISABLED
AUTO DELIVERY START
T 3:DIESEL TEMP COMPENSATION DISABLED
VOLUME = 9035 GALS VALUE (DEG F ) : 60.0 AUTO DELIVERY END
ULLAGE 2997 GALS STICK HEIGHT OFFSET DISABLED
ULLAGE
ULLAGE 1793 GALS DISABLED AUTO EXTERNAL INPUT ON
ULLAGE: 90% DISABLED
TC VOLUME = 8913 GALS AUTO EXTERNAL INPUT OFF
HEIGHT = 78.01 INCHES H-PROTOCOL DATA FORMAT DISABLED
WATER VOL = 11 GALS, HEIGHT AUTO SENSOR FUEL ALARM
WATER = 0.77 INCHES DAYLIGHT SAVING TIME DISABLED
TEMP = 90.0 DEG F ENABLED AUTO SENSOR WATER ALARM
START DATE DISABLED
* * END * MAR WEEK 2 SUN AUTO SENSOR OUT ALARM
START TIME DISABLED
2:00 AM i
END DATE
OCT• :WEEK-6 " "SUN
END TIME
2:00 AM
RE-DIRECT LOCAL PRINTOUT
DISABLED'
RS-232 END OF MESSAGE
EURO PROTOCOL PREFIX DISABLED
S
t
4
SYSTEM SECURITY
CODE: 000000
MAINTENANCE HISTORY
DISABLED
TANK CHART SECURITY
DISABLED
t
CUSTOM ALARMS
DISABLED j
MASS/DENSITY
DISABLED
T 3:DIESEL
IN—TANK SETUP' PRODUCT CODE 3
— — — — — — — — — — — — T 2:PREMIUM THERMAL COEFF : .000450
PRODUCT CODE 2 TANK DIAMETER 111 .00
T 1 :UNLEADED THERMAL COEFF : .000700 TANK PROFILE 1 PT
PRODUCT CODE 1 TANK DIAMETER 111 .00 FULL VOL 12032
THERMAL COEFF : .000700 TANK PROFILE 1 PT
TANK DIAMETER 111 .00 FULL VOL 12032
TANK PROFILE 1 PT FLOAT SIZE: 4.0 IN.
FULL VOL 12032
FLOAT SIZE: 4.0 IN. WATER WARNING 2.0
FLOAT SIZE: 4.0 IN. WATER WARNING 2,0 HIGH WATER LIMIT: 3.0
HIGH WATER LIMIT: 3.0 MAX OR LABEL VOL: 12032
WATER WARNING 2.0 OVERFILL LIMIT 90%
HIGH WATER LIMIT: 3.0 MAX OR LABEL VOL: 12032 10828
OVERFILL LIMIT 95% HIGH PRODUCT 95%
MAX OR LABEL VOL: 12032 11430 11430
OVERFILL LIMIT 95% HIGH PRODUCT 95% DELIVERY LIMIT 15%
11430 11430 1804
HIGH PRODUCT 95% DELIVERY LIMIT 15%
11430 1804 LOW PRODUCT 500
DELIVERY LIMIT 15% LEAK ALARM LIMIT: 99
1804 LOW PRODUCT 500 SUDDEN LOSS LIMIT: 99
LEAK ALARM LIMIT: 99 TANK TILT 1 .00
LOW PRODUCT 500 SUDDEN LOSS LIMIT: 99 PROBE OFFSET 0.00
LEAK ALARM LIMIT: 99 TANK TILT 5.00
SUDDEN LOSS LIMIT: 99 PROBE OFFSET 0.00
TANK TILT 5.40 SIPHON MANIFOLDED TANKS
PROBE OFFSET 0.00 TO: NONE
SIPHON MANIFOLDED TANKS LINE MANIFOLDED TANKS
TO: NONE TO: NONE
SIPHON MANIFOLDED TANKS LINE MANIFOLDED TANKS
TO: NONE TO: NONE
LINE MANIFOLDED TANKS LEAK MIN PERIODIC: • 1%
TO: NONE LEAK MIN PERIODIC: 1% 120
120 LEAK MIN ANNUAL I%
LEAK MIN PERIODIC: 1% 120
120 LEAK MIN ANNUAL 1%
120
LEAK MIN ANNUAL 1% PERIODIC TEST TYPE
120 STANDARD
PERIODIC TEST T'sf PE '
STANDARD ANNUAL TEST FAIL
PERIODIC TEST TYPE ALARM DISABLED
STANDARD ANNUAL TEST FAIL
ALARM DISABLED ' PERIODIC TEST FAIL
ANNUAL TEST FAIL ALARM DISABLED
ALARM DISABLED PERIODIC TEST FAIL
ALARM DISABLED GROSS TEST FAIL
PERIODIC TEST FAIL GROSS TEST FAIL ALARM DISABLED
ALARM DISABLED
ALARM DISABLED ANN TEST AVERAGING: OFF
GROSS TEST FAIL PER TEST AVERAGING: OFF
ALARM DISABLED ANN TEST'AVERAGING: OFF
PER TEST AVERAGING: OFF TANK TEST NOTIFY: OFF
ANN TEST AVERAGING: OFF
PER TEST AVERAGING: OFF TANK TEST NOTIFY: OFF TNK TST SIPHON BREAK:OFF
TANK TEST NOTIFY: OFF TNK TST SIPHON BREAK:OFF DELIVERY DELAY 1 MIN
TNK TST SIPHON BREAK:OFF DELIVER`; DELAY 1 MIN PUMP THRESHOLD 10.00%
PUMP THRESHOLD 10.00%
DELIVERY DELAY 1 MIN
PUMP THRESHOLD 10.00%
LEAK TEST METHOD
TEST ON DATE ALL TANK
JAN 15, 2008
START TIME : 2:00 AM
TEST RATE :0.20 GAL/HR
DURATION : 2 HOURS
TST EARLY STOP:DISABLED
LEAK TEST REPORT FORMAT
NORMAL
LIQUID SENSOR SETUP
- - - - - _ _ PUMP SENSOR SETUP _---
- - - - - - - - - - - - R 2:PREM I UM
L I :UNL STP TYPE:
TRI-STATE (SINGLE FLOAT) S ! :UNLEADED PUMP CONTROL OUTPUT
CATEGORY : STP SUMP TANK fit: 1 TANK 0: 2
DISPENSE MODE:
STANDARD
L '2:UNL ANN LIQUID SENSOR ALMS
TRI-STATE (SINGLE FLOAT) S 2:PREMIUM L 4:FUEL ALARM
CATEGORY : ANNULAR SPACE TANK 0: 2 L10:FUEL ALARM
DISPENSE MODE; ALARM
STANDARD L12:FUEL ALARM
L13:FUEL ALARM
L 3:UNL FILL L 4:SENSOR OUT ALARM
TRI-STATE (SINGLE FLOAT) L10:SENSOR OUT ALARM
CATEGORY : OTHER SENSORS L11 :SENSOR OUT ALARM
L12:SENSOR OUT ALARM
L13:SENSOR OUT ALARM
L 4:SHORT ALARM
L 4:PREM STP L10:SHORT ALARM
TRI-STATE (SINGLE FLOAT) L11 :SHORT ALARM
CATEGORY : STP SUMP L12:SHORT ALARM
L13:SHORT ALARM
OUTPUT RELAY SETUP
L 5:PREM ANN - - - - - - - - - - - ISD SITE ALARMS
TRI-STATE (SINGLE FLOAT) ISD GROSS PRES FAIL
CATEGORY : ANNULAR SPACE R ! :UNLEADED ISD D£GRD PRES FAIL
TYPE: ISD VAPOR LEAK FAIL
PUMP CONTROL OUTPUT ISD VP PRES FAIL
TANK tt: 1 ISD VP STATUS FAIL
L 6:PREM FILL ISD SETUP FAIL
TRI-STATE (SINGLE FLOAT) ISD SENSOR OUT FAIL
CATEGORY OTHER SENSORS LIQUID SENSOR ALMS ,
L i :FUEL ALARM ISD HOSE ALARMS
L1O:FUEL ALARM ALL:GROSS COLLECT FAIL
L1I :FUEL ALARM ALL:DEGRD COLLECT FAIL
L ?:DIESEL STP L12:FUEL ALARM ALL:FLOW COLLECT'FAIL
TRI-STATE (SINGLE FLOAT) L13:FUEL ALARM
CATEGORY : STP SUMP L ! :SENSOR OUT ALARM R 3:DIESEL
LIO:SENSOR OUT' ALARM TYPE:
L11 :SENSOR OUT ALARM STANDARD
L 6:DIESEL ANN L12:SENSOR OUT ALARM NORMALLY CLOSED
TRI-STATE (SINGLE FLOAT) L13:SENSOR OUT ALARM
CATEGORY ANNULAR SPACE L 1 :SHORT ALARM TANK #: 3
L10:SHORT ALARM
L11 :SHORT ALARM
LL2::SH0RT:ALARM. . LIQUID SENSOR ALMS
L 9:DIESEL FILL L13:SHORT ALARM L 7:FU£L AI:ARM
TRI-STATE (SINGLE FLOAT) L10:FUEL ALARM
CATEGORY : OTHER SENSORS ISD SITE ALARMS L11 :FUEL ALARM
ISD GROSS PRES FAIL L12:FUEL ALARM
ISD DEGRD PRES FAIL L13:FUEL ALARM
ISD VAPOR LEAK FAIL L 7:SENSOR OUT ALARM
L10:DISP 1-2 ISD VP PRES FAIL L10:SENSOR OUT ALARM
TRI-STATE (SINGLE FLOAT) ISD VP STATUS FAIL Lll :SENSOR OUT ALARM
CATEGORY : DISPENSER PAN ISD SETUP FAIL L12:SENSOR OUT ALARM
ISD SENSOR OUT FAIL L13:SENSOR OUT ALARM
L 7:SHORT ALARM
ISD HOSE ALARMS L10:SHORT ALARM
L11 :DISP 3-4 ALL:GROSS COLLECT FAIL L11 :SHORT ALARM
TRI-STATE (SINGLE FLOAT) ALL:DEGRD COLLECT FAIL L12:SHORT ALARM
CATEGORY : DISPENSER PAN ALL:FLOW COLLECT FAIL L13:SHORT ALARM
R 4:OVERFILL ALARM
TYPE:
L12:DISP 5-6 STANDARD
TRI-STATE (SINGLE FLOAT) NORMALLY OPEN
CATEGORY : DISPENSER PAN TANK 0: NONE
L13:DISP 7-8 IN-TANK ALARMS
TRI-STATE (SINGLE FLOAT) ALL:OVERFILL'ALARM'
CATEGORY : DISPENSER PAN ALL:HIGH PRODUCT ALARM
ALL:MAX PRODUCT ALARM
EVR/I SD SETUP
SMARTSENSOR SETUP
- - - - - - - - - - - - PMC SETUP
s I :P.S.DISP 3-4 EVR TYPE: VACUUM ASSIST PROCESSOR CONTROL LEVEL:
CATEGORY VAPOR PRESSURE VACUUM ASSIST TYPE NONE
s 2:F.M. DISP 1-2 HEALY VAC
CATEGORY AIR FLOW METER NOZZLE A/L RANGE
MAX: 1 .15 MIN: 0.95
s 3:F.M. DISP 3-4
CATEGORY AIR FLOW METER VAPOR PROCESSOR TYPE
NO VAPOR PROCESSOR
s 4:F.M. DISP 5-6
CATEGORY AIR FLOW METER
ANALYSIS TIMES SOFTWARE REVISION LEVEL
s 5:F.M. DISP 7-8 TIME: 10:00 AM VERSION 327.04
CATEGORY AIR FLOW METER DELAY MINUTES: 1 SOFTWARE# 346327-100-E
CREATED - 07.02.06.10.28
ACCEPT HIGH ORVR: S-MODULE# 330160-004-a
DISABLED SYSTEM FEATURES:
PERIODIC IN-TANK TESTS
ISD HOSE TABLE ANNUAL IN-TANK TESTS
ID FP FL HL AA RR ISD
------------------------ PMC
01 01 01 02 01 UU
02 02 02 02 01 UU
03 03 03 02 04 UU
04 04 04 .02 04 UU
05 05 05 02 03 UU
06 06 06 02 03 UU
07 07 07 02 02 UU
08 08 08 02 02 UU
ISD AIRFLOW METER MAP ALARM HISTORY REPORT
ID SERIAL NUM LABEL
------------------------ ----- SENSOR ALARM -----
1 8273 F.M. DISP L 1 :UNL STP
2 .8308 F.M. DISP STP SUMP
3 6894 F.M. DISP FUEL ALARM
4 13213 F.M. DISP JUL -29, 2009 1011 AM
FUEL ALARM
ISD FUEL GRADE HOSE MAP JUL 29, 2009 9:41 AM
1 2 3 4
FP MHH MHH MHH MHH AA ( FUEL ALARM
------------------------- JUL 15, 2008 9:31 AM
01 201 301 901 5 U 1
02 202 302 902 5 U 1
03 203 303 903 U U 4
04 204 304 904 U U 4
05 .205 305 905 5_U 3
06 206 306 906 5 U 3
07 207 307 907 U U 2
06 208 308 908 U U 2
LABEL TABLE x x x x END x x x x x
1 : UNASSIGNED
2: BLEND3
3: REGULAR
4: MID GRADE
5: PREMIUM
6: GOLD
7: BRONZE
8: SILVER
9: BLEND2
10: BLEND4
ALARM HISTORY REPORT
----� SENSOR ALARM ----- ALARM HISTORY REPORT ALARM HISTORY REPORT
L 1 :UNL STP
STP SUMP ----- SENSOR ALARM ----- ----- SENSOR ALARM -----
FUEL ALARM L 3:UNL FILL L 6:PREM FILL
JUL 29. 2009 10:11 AM OTHER SENSORS OTHER SENSORS
FUEL ALARM FUEL ALARM
FUEL ALARM FED 27, 2010 3:11 AM APR 21 � 2010 9:43 PM
JUL 29. 2009 9:41 AM
FUEL ALARM FUEL ALARM
FUEL ALARM FEB 9, 2010 12:26 PM APR 20, 2010 12:11 PM
JUL 15, 2008 9:31 ANi
FUEL ALARM FUEL ALARM
JAN 30. 2010 . 1 :36 AM MAR 8, 2010 8:04 PM
END
* * * END * * * * END x
ALARM HISTORY REPORT
----- SENSOR ALARM ----- ALARM HISTORY REPORT ALARM HISTORY REPORT
L 2:UNL ANN
ANNULAR SPACE ----- SENSOR ALARM ----- ----- SENSOR ALARM -----
FUEL ALARM L 5:PREM ANN L 7:DIESEL STP
JUL 29, 2009 9:52 AM ANNULAR SPACE STP SUMP
FUEL ALARM FUEL ALARM
FUEL ALARM JUL 29.. 2009 10: 11 AM MAY 26, 2010 7:34 AM
JUL 15, 2008 9:33 AM
FUEL ALARM FUEL ALARM
SENSOR OUT ALARM `` JUL 29, 2009 9:55 AM JUL 29, 2009 10:09 AM
JUL 9. 2006 11 :43 AM
FUEL ALARM SENSOR OUT ALARM
JUL 15, 2008 9:34 AM JUL 29, 2009 10:03 AM
* END * x
* * x END * * * * END
ALARM HISTORY REPORT ALARM HISTORY REPORT
ALARM HISTORY REPORT
----- SENOR ALARM ----- ----- SENSOR ALARM -----
,SFOQIOR. pLAW ----- L10:DISP 1-2 L11 :DISP 3-4
L 8:DIESEL ANN DISPENSER PAN DISPENSER PAN
ANNULAR SPACE SENSOR OUT ALARM SENSOR OUT ALARM
SENSOR OUT ALARM JUL 29, 2009 10:10. AM JUL 29. 2009 10:10 AM
JUL 29, 2009 10: 11 AM FUEL ALARM
i FUEL ALARM
FUEL ALARM JUL 29. 2009 9:47 AM JUL 29, 2009 9:49 AM
JUL 15. 2008 9:35 AM FUEL ALARM FUEL ALARM
f FUEL ALARM JUL 15.' 2008 9:41 AM JUL 16. 2008 9:44 AM
i JUL 9, 2008 10:38 AM
i
* * * END * x END �cx *
x END
ALARM HISTORY REPORT ALARM HISTORY REPORT
ALARM HISTORY REPORT SENSOR ALARM ----- — SENSOR ALARM -----
----- — ---
-- SENSOR ALARM ----- Li1 :DISP 3-4 L12:DISP 5-6
L 9:DIESEL FILL DISPENSER PAN DISPENSER PAN
OTHER SENSORS SENSOR OUT ALARM SENSOR OUT ALARM
FUEL ALARM JUL 29. 2009 10:10 AM JUL 29, 2009 10:10 AM
FEB 27, 2010 1 :16 AM FUEL ALARM FUEL ALARM
FUEL ALARM JUL 29, 2009 9:49 AM JUL 29, 2009 9:50 AM
JAN 21. 2010 1 :49-rPM FUEL ALARM
FUEL ALARM JUL 15, 2008 9:48 AM
SENSOR OUT ALARM JUL 15. 2008 9:44 AM
JUL 29, 2009 10:10 AM
* END * * END x
w * END
ALARM HISTORY REPORT
----- SENSOR ALARM ----- —'--- SENSOR ALARM -----
L13:DISP 7-8 L11 :DIS 3-4
----- SENSOR ALARM -----
DISPENSER PAN DISPENSER R PAA N L 3:UNL FILL
SENSOR OUT ALARM FUEL ALARM OTHER SENSORS
JUL 29.. 2009 10:10 AM JUL 12, 2010 9:28 AM FUEL ALARM
JUL 12, 2010 9:35 AM
FUEL ALARM
JUL 29, 2009 9:51 AM
FUEL ALARM
JUL 15, 2008 9:46 AM
----- SENSOR ALARM -----
L10:DISP 1-2 ----- SENSOR ALARM -----
DISPENSER PAN L 6:PREM FILL
FUEL ALARM OTHER SENSORS
JUL 12, 2010 9:29 AM FUEL ALARM
JUL 12, 2010 9:36 AM
* e END
---_— SENSOR ALARM -----
L12:DISP 5-6 ----- SENSOR ALARM -----
DISPENSER PAN L 9:DIESEL FILL
FUEL ALARM OTHER SENSORS
JUL 12, 2010 9:30 AM FUEL ALARM
----- SENSOR ALARM ----- JUL 12. 2010 9:37 AM
L I :UNL STP
STP SUMP
FUEL ALARM
JUL 12, 2010 9:24 AM
----- SENSOR ALARM -----
L13:DISP 7-8 FASTRIP 705
DISPENSER PAN 1200 COFFEE RD.
FUEL ALARM BAKERSFIELD CB 93308
JUL 12, 2010 9:31 AM 661-589-6305
-- SENSOR ALARM -----
L 4:PREM STP JUL 12, 2010 9:39 AM
STP SUMP
FUEL ALARM
JUL 12, 2010 9:25 AM
SYSTEM STATUS REPORT
ALL FUNCTIONS NORMAL
----- SENSOR ALARM -----
L 2:UNL ANN
ANNULAR SPACE
FUEL ALARM
JUL 12, 2010 9:31 AM
----- SENSOR ALARM -----
L 7:DIESEL STP
STP SUMP
FUEL ALARM ----- SENSOR ALARM -----
JUL 12. 2010 9:25 AM L 8:DIESEL ANN
ANNULAR SPACE
FUEL ALARM
JUL 12, 2010 9:40 AM
----- SENSOR ALARM -----
L 5:PREM ANN
ANNULAR SPACE
FUEL ALARM
JUL 12, 2010 9:33 AM
----- SENSOR ALARM -----
FASTRIP 705 L 4:PREM STP ----= SENSOR ALARM -----
1200 COFFEE RD. STP SUMP L10:DISP 1-2
BAKERSFIELD CB 93308 SENSOR OUT ALARM DISPENSER PAN
661-589-6305 JUL 12. 2010 9:43 AM SENSOR OUT ALARM
JUL 12, 2010 9:44 AM
JUL 12, 2010 9:42 AM
SYSTEM STATUS REPORT
ALL FUNCTIONS NORMAL
----- SENSOR ALARM -----
L 9:DIESEL FILL ----- SENSOR ALARM -----
OTHER SENSORS Li1 :DISP 3-4
SENSOR OUT ALARM DISPENSER PAN
JUL 12. 2010 9:43 AM SENSOR OUT ALARM
JUL 12, 2010 9:44 AM
----- SENSOR ALARM -----
L 1 :UNL STP
STP SUMP
SENSOR OUT ALARM
JUL 12, 2010 9:43 AM
----- SENSOR ALARM -----
L 6:PREM FILL ----- SENSOR ALARM -----
OTHER SENSORS L12:DISP 5-6
SENSOR OUT ALARM DISPENSER PAN
JUL 12. 2010 9:43 AM' i SENSOR OUT ALARM
JUL 12, 2010 9:44 AM
----- SENSOR ALARM -----
L 5:PREM ANN
ANNULAR SPACE
SENSOR OUT ALARM
JUL 12, 2010 9:43 AM
---- SENSOR ALARM -----
L13:DISP 7-8 ---- IN-TANK ALARM -----
DISPENSER PAN T 1 :UNLEADED
SENSOR OUT ALARM HIGH PRODUCT ALARM
JUL 12, 2010 9:43 AM JUL 12, 2010 9:47 AM
----- SENSOR ALARM -----
L 2:UNL ANN
ANNULAR SPACE
SENSOR OUT ALARM
JUL 12. 2010 9:43 AM
----- SENSOR ALARM ----- ---- IN-TANK ALARM -----
L 7:.i)I ESEL STP T 1 :UNLEADED
STP SUMP MAX PRODUCT ALARM
SENSOR OUT ALARM JUL .12. 2010 9:47 AM
JUL 12, 2010 9:43 AM
----- SENSOR ALARM -----
L 3:UNL FILL
OTHER SENSORS
SENSOR OUT ALARM
JUL 12. 2010 9:43 AM ---- IN-TANK ALARM -----
----- SENSOR ALARM ----- T 1 :UNLEADED
L 8:DIESEL ANN PROBE OUT
ANNULAR SPACE JUL 12, 2010 9:47 AM
SENSOR OUT ALARM
JUL 12, 2010 9:43 AM
---- IN-TANK ALARM -----
T 2:PREMIUM -=-- IN-TANK ALARM ----- ----- SENSOR ALARM -----
HIGH PRODUCT ALARM T 3:DIESEL L 4:PREM STP
JUL 12, 2010 9:49 AM PROBE OUT STP SUMP
JUL 12, 2010 9:51` AM SENSOR OUT ALARM
JUL 12, 2010 ,10:33 AM
---- IN-TANK ALARM -----
T 2:PREMIUM ---- IN-TANK ALARM -----
MAX PRODUCT ALARM T 3:DIESEL ----- SENSOR ALARM -----
JUL 12. 2010 9:49 AM LOW TEMP WARNING L 4:PREM STP
JUL 12. 2010 9:51 AM STP SUMP
FUEL ALARM
JUL 12. 2010 10:33 AM
---- IN-TANK ALARM ----- ----- SENSOR ALARM -----
T 2:PREMIUM
PROBE OUT L 4:PREM STP
JUL 12. 2010 9:49 AM STP SUMP
FUEL ALARM
JUL 12, 2010 10:31 AM
T 1 :UNLEADED
INVENTORY INCREASE -- SENSOR ALARM -----
INCREASE START L 4:PREM STP
JUL 12. 2010 9:47 AM STP SUMP
SENSOR OUT ALARM
VOLUME - 8934 Gfpj�S JUL 12, 2010 10:32 AM
HEIGHT - 77.21 IlgCHES
WATER - 0.84 INCHES
TEMP - 64.7 DEG F
INCREASE END
JUL 12. 2010 9:50 AM
VOLUME = 11334 GALS
HEIGHT = 99.05 INCHES ----- SENSOR ALARM -----
WATER - 0.96 INCHES L 4:PREM STP
TEMP - 84.7 DEG F STP SUMP
FUEL ALARM
JUL 12, 2010 10:32 AM
GROSS INCREASE= 2400
TC NET INCREASE- 2358
---- IN-TANK ALARM -=---
T 3:DIESEL
HIGH PRODUCT ALARM
JUL 12, 2010 9:51 AM
' SWRCB,January 2006
Spill Bucket Testing Report Form
This form is intended for use by contractors performing annual testing of UST spill containment structures. The completed form and
printouts from tests(if applicable), should be provided to the facility owner/operator for submittal to the local regulatory agency.
1. FACILITY INFORMATION
Facility Name: #705 Fastrip#641 Date of Testing: 7/12/2010
Facility Address: 1200 Coffee Road,Bakersfield, CA 93308
Facility Contact: Omero Garcia Phone: 661-393-7000
Date Local Agency Was Notified of Testing: 6/23/2010
Name of Local Agency Inspector(f present during testing): Ernie Medina
2. TESTING CONTRACTOR INFORMATION
Company Name: Confidence UST Services, Inc.
Technician Conducting Test: Kristopher Karns
Credentials: X CSLB Contractor X ICC Service Tech. ❑ SWRCB Tank Tester ❑Other(Spec)
License Number(s): CSLB 4804904 ICC 95264406-UT
3. SPILL BUCKET TESTING INFORMATION
Test Method Used: x Hydrostatic ❑Vacuum ❑Other
Test Equipment Used: Lake Test Equipment Resolution: 0.0625"
Identify Spill Bucket(By Tank 1 Regular w 2 Super 3 Diesel 4
Number, Stored Product, etc.
Bucket Installation Type: ❑ Direct Bury ❑Direct Bury ❑Direct Bury ❑Direct Bury
x Contained in Sump x Contained in Sump x Contained in Sump ❑Contained in Sum
Bucket Diameter: 12.00" 12.00" 12.00"
Bucket Depth: 13.50" 14.00" 14.15"
Wait time between applying
5 min. 5 min. 5 min.
vacuum/water and start of test:
Test Start Time(Ti): 9:00am 9:00am 9:00am
Initial Reading(Rj): 9.00" 9.50" 9.75"
Test End Time(TF): 10:00am 10:00am 10:00am
Final Reading(RF): 9.00" 9.50" 9.75"
Test Duration(TF—Tj): 1 hour 1 hour I hour
Change in Reading(RF-Rj): 0.00" 0.00" 0.00"
Pass/Fail Threshold or 0.0625" 0.0625" 0.0625"
Criteria:
Test Result: X Pass ❑Fail X Pass ❑Fail X Pass ❑Fail ❑ Pass 0 Fail
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.
t
Technician's Signature: ,r,� Date: 7/12/2010
State laws and regulations do not currently require testing to be performed by a qualified contractor. However, local requirements
may be more stringent.