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Home My WebLink About2010 RESULTS RETEST 1 IIIIIII VIII III IIII 71 MONITORING SYSTEM CERTIFICATION 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 certifcation or rep rt.mu ..he prepared f)r each monitoring system control panel by the technician who performs the work. A copy of this form must be,.rovided to the tank system owner/q rat& 'The owner/operator must submit a copy of this form to the local agency regulating UST systems within 3p days of test date. A. General Information j I Facility Name: ARCO:#1960 Bldg,No.: Site Address: 1701 BRUNDAGE LANE City: BAKERSFIE4D Zip: 93304"� Facility Contact Person: RICH GOSSETT Contact Pho4 No.: (714)6,70-3958 Make/Model of Monitoring System: VEEDER-ROOT TLS-350 Datd of Testing/Servicing: 10/20/1b B. Inventory of Equipment Tested/Certified i l ChecM the a ro riatc boaes'to indicates etitie.e:"ni ntentius RS ctedAerviced_: Tank ID:, Tank ID: . ❑In-Tank Gauging Probe. Model` ❑In-Tank Gauging Probe. 1 Model: ❑Annular Space or Vault Sensor. Model: ❑Annular Space or Vault Sensor: Model: 1 ❑Piping Sump/Trench Sensor(s). Model: ❑Piping Sump/Trench Sen4o). Model: _ t ❑Fill Sump Sensor(s): Model: ❑Fill Sump Sensor(s). ! Model: ❑Mechanical Line Leak Detector. Model: ❑Mechanical Line Leak Dete tor. Model: ❑Electronic Line Leak Detector, Model: ❑Electronic Line Leak Defeo tr. Model: j ❑Tank Overfill/High-Level Sensor: Model`. ❑Tank Overfill/High-Level Sensor. Model: f ❑Other(specify equipment type and model in Section E on Page 2). ❑Other(specify equipment t lie,and model in Section E on Page 2): ( l 41 Tank ID: Tank.ID: J { I r ❑In-Tank Gauging Probe,' Model: ❑In-Tank ank Gauging Probe.;. Model: I _ E I ❑Annular Space or Vault Sensor. Model: ❑Annular Space'or Vault Sensor. Model: j (l A ❑Piping Sump/Trench Sensor(s). Model: ❑Piping Sump/;Trench Sensbr(s). Model: l ; �'- ❑Fill Sump Sensor(s). I Model. ❑Fill Sump Sensor(s). tvlodel: I ❑Mechanical Line Leak Detector. Model: ❑Mechanical Line Leak Det ctor: ModeJ,- $ ❑Electronic Line Leak Detector. Model: ❑Electronic Line Leak'Detegtor. Model: I 1' ❑Tank Overfill/High-Level Sensor,_ Model: ❑Tank Overfill/,High-LeveljSensor: Model: ( j ❑Other(specify equipment type and'model in Section E on Page 2). El Other(specify equipment t).pe and model in Section E onPage _ Dispenser ID: Dispenser ID: i I g i El Dispenser Containment Sensor(s). Model: ❑Dispenser Containment S. ' rtr(s). Model: ? I ❑Shear Valve(s).:. ❑Shear Valve(s). j ❑Dispenser Containment j loat(s)and Chain(s). ❑Dispenser Containment FIQat(s)and Chain(s). _ a. ..,- Dispenser ID: Dispenser ID: t' ❑Dispenser Containment,Sensor(s). Model: ❑Dispenser Containment3is8r(s):- Model: j ❑Shear Valve(s).. El Shear Valve(s)= i , ❑Dispenser Containmentfloat(s)and Chain(s), ❑Dispenser Containment l t )and Chain(s),_j Dispenser ID:. Dispenser ID: ❑Dispenser ContainmertV ensor(s). Model:_ ❑Dispenser Containment Sehtsor(s)_ Model I �� ❑Shear Valve(s). ❑Shear Valve(s). I i ❑ Dispenser Containment Floats and Chain(s.- pe O ) El Dispenser Containment Eloat(s)and Chains) *If the facility contains tnore tanks or dispensers,copy this form. Include information Por every tan k'a#d'dispenser:ac(ne fa801 ' )` C. Certification - I certify that the equipment identified in this document was inspected/setviced in accordance with the.manu acturers'.� guidelines. Attached to this Certification is information (e.g. manufacturers' checklists) 6ecessary to verify that this i9foi mation is� correct and a Plof Plan showing the layout of monitoring equipment. For any equipment�ppable of generating such repor)s;I have also attached a copy of the report;(check all that apply); ❑System set-up ❑Alarm'history report I. j Technician Name(print): MIKE BA1SA Signature: E Certification No.: 835655 License.No.: 803705 i Testing Company Name: TANK-TEK ENVIRONMENTAL CORPORATION Phona;No.:(951)699-8050 1 Testing Company Address: 31828 CERCLE CHAMBERTIN, TEMECULA, CA 92591 Dote of Testing/Servicing: 10/20/14 ` F I Page 1 of 2 UN-036— www.unidoes.org 0111.7/08 IIIlllllllllllllllll 72 I j r Monitoring System Certification i t f D. Results of Testing/Servicing I Software Version Installed: 328.03 i Complete the folio win checklist: ® Yes ❑ No* Is the audible alarm operational? , s ® Yes ❑ No* Is the visual alarm operational? j ® Yes ❑ No* Were all sensors visually inspected,.functionally tested,and eonfirrned�Qgperational? ® Yes ❑ No* Were all sensors installed at lowest point of secondary containment and positioned so that other equiprn nt will not interfere with their proper operation? �i ( ❑ Yes ❑ No* If alarms are relayed to a remote monitoring station, is all communications equipment (e.g., tjodem) ] ❑ N/A operational? I ❑ Yes [I No* For pressurized piping systems, does the turbine automatically shut dgwn if the piping secondary conWnment El N/A monitoring system detects a leak, fails to operate,or is electrically disc,'onnected? if yes:which sensorsFinitiate ,i positive shut-down? (Check all that apply) ❑Sump/Trench Sensors; �Dispenser Containment Sens&s. Did you confirm positive shut-down due to leaks and sensor failure/disdonneetion? ❑Yes; ❑No. ❑ Yes C] No* For tank systems that utilize the monitoring system as the primmy tank overfill_ Warning device no !� El N/A mechanical overfill prevention valve is installed), is the overfill warning alarm visibly and audible at i1he tank fill point(s)and operating properly? if so,at what percent of tank c4pkity does the alarm trigger? % 1I ❑ Yes* ❑ No Was any monitoring equipment replaced? If yes, identify specrft'c'sensors,probes,'or other equipment�r placed 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? (Check all that a p40i ❑Product. ❑Water. If..yes,_describe causes in Section E,below: ❑ Yes ❑ No* Was monitoring system set-up reviewed to ensure proper settings?Attach setup reports, if applicable; I; ❑ Yes El No* Is all monitoring equipment operational per manufacturer's,specif icatrcns? ' ? 1 *In Section E belovr,describe how and when these deficiencies were or will be ecirre0e (: I 1 E. Comments: VERIFIED 87(S)ANNULAR WAS MOUNTED AND:FUNGTjO4ING PROPERLY f f Page 2 of 2 UN-036— www.unidoes.org R`v:01l17i08 i f-9iYi 2 �rtit 'ql Ulu Wiz. P, ."xo *0- �: ,►yo- N � � I I �� Ii i 4 J, - - � t� � i � ti � ' ��,�) ' l"1 P $ �:�'•Hitt �t "� r bp BP West Coast Products LLC P.O.Box 6038 Artesia, CA 90702-6038 Phone:(714)670-3958 Fax:(866)530-0912 Email:richard.gossett @bp.com November 3,2010 FedEx Tracking#: 794078668702 Bakersfield Fire Department 900 Truxtun Ave Ste 210 Bakersfield,CA 93301 Attention: Prevention Services RE: ANNUAL MONITOR CERTIFICATION AND LEAK DETECTOR TEST RESULTS ARCO Facility No.: 1960 Facility Address: 1701 Brundage Ln Bakersfield,CA 93304 Test Date: October 20,2010 This letter is to notify you that at the above facilities the ANNUAL MONITOR CERTIFICATION and LEAK DETECTORS passed the systems tests as noted in the attached results. Please note that any failed components are in the process of being permitted for repairs. ARCO is committed to the compliance of all environmental laws that govern the safe operations of our facilities. Feel free to call me at(714)670-3958. Sincerely, Richard Gossett Environmental Compliance Specialist BP US Fuels Value Chain RG:sr Attachments