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Home My WebLink AboutFMC 2010 MONITORING SYSTEM CERTIFICATION For Use By All Jurisdictions Within the State of California Authority Cited: Chapter 6 7,Health and Safety Code;Chapter 16,Division 3, Title 23, California Code of Regulations This form must be used to document testing.and servicing of monitoring equipment. A separate certification or resort 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 IIIIIIIIIIIIIIIIIIII 25 Facility Name: BASHAAR'S CHEVRON lE Bldg.No.: Site Address: 2301 PANAMA LANE City: BAKERFIELD Zip: 93307 Facility Contact Person: Contact Phone No.: ( ) Make/Model of Monitoring System:.TLS450 Date of Testing/Servicing: 911512010 B. Inventory of Equipment Tested/Certified Check the a ro riate boxes to indicate specific quipment ins ed/serviced: Tank ID: UNL87 Tank ID: PLUS88 ®m-Tank Gauging Probe. Model: MAGI Z In-Tank Gauging Probe. Model: MAGI ❑Annular Space or Vault Sensor. Model: ❑Annular Space or Vault Sensor. Model: ®Piping Sump/Trench Sensor(s). Model: 208 ®Piping Sump/Trench Sensor(s). Model: 208 ❑Fill Sump Sensor(s). - Model: ❑Fill Sump Sensor(s). Model: ®Mechanical Line Leak Detector. Model: RED.JACKET ®Mechanical Line Leak Detector. Model: RED JACKET ❑Electronic Line Leak Detector. Model: . ❑Electronic Line Leak Detector. Model: ❑Tank Overfill/High-Level Sensor. Model: ❑Tank Overfill/High-level Sensor. Model: ❑Other(specify equipment type and model in Section E on Page 2). ❑Other(specify equipment type and model in Section E on Page 2). Tank ID: PREM91 Tank ID: TRANSITION SUMP ®In-Tank Gauging Probe. Model:.MAGI ®In-Tank Gauging Probe. Model: MAGI ❑Annular Space or Vauh Sensor. Model: ❑Annular Space or Vault Sensor. Model: ®Piping Sump/Trench Sensor(s). Model: 208 ®Piping Sump/Trench.Sensor(s). Model: RONAN SENSOR ❑Fill Sump Sensor(s). Model: ❑Fill Sump Sensor(s). Model: ®Mechanical Line Leak Detector. Model: RED JACKET ❑Mechanical Line.Leak Detector. Model: ❑Electronic Line Leak Detector. Model: ❑Electronic Line Leak Detector. Model: ❑Tank Overfill/High-Level Sensor. Model ❑Tank Overfill/High-Level Sensor. Model: ❑Other(specify equipment type and model in Section on.Page 2). ❑Other(specifyequipment type and model in Section E on'Page 2). Dispenser ID: 112 Dispenser ID: 314 ®Dispenser Containment Sensor(s). Model: DIS-01 ®Dispenser Containment Sensor(s). Model: 406 ®Shear Vdve(s). ®Shear Valve(s). ❑Dispenser Containment Float(s)and Chain(s). ❑Dispenser Containment Float(s);and Chain(s). Dispenser ID: 516 Dispenser ID: 718 ®Dispenser Containment Sensor(s). Model: DIS-01 ®Dispenser Containment Sensor(s), Model: DIS-01 ®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 verify that this information is correct and a Plot Plan showing the layout of monitoring equipment. For any equi meat capable erating such reports,I have also attached a copy of the report;(check all.that.apply): ®System-set-up Alarm report Technician Name(print):. RICH PHILLIPS Signature: Certification No.: A29084/1036169-UT License.N C611 D40 809850 Testing Company Name: RICH ENVIRONMENTAL Phone No.:(661) 392-8687 Testing Company Address: 5643 BROOKS CT. BAKERSFIELD,CA 93308 Date.of Testing/Servicing: 9/15/2010 Page 1 of 5 UN-036—1/4 www.unidomorg I IIIIIII IIIII III IIII 26 Rev.01117/08. IE Monitoring System Certification �� y A Results of Testing/Servicing Software Version Installed: 8.05 Complete the following checklist: • Yes ❑ No* Is the audible alann.operational? • Yes ❑ No* Is the visual alarm operational? • Yes ❑ No* Were all sensors visually inspected,functionally tested,and confirmed operational) ® 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? ❑ Yes ❑ No* If alarms are relayed to a remote monitoring station, is all communications equipment (e.g., modem) ® N/A operational? ® Yes ❑ No* For pressurized piping systems, does the turbine automatically shut down if the piping secondary containment ❑ 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) ®'Sump/Trench.Sensors; ❑Dispenser Containment Sensors. Did you confirm positive shut-down due to leaks.and sensor:fkdure/disconnection? ®Yes; ❑No. ❑ 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 visible and audible at the tank fill point(s)and operating properly? If so,at what percent of tank capacity does the alarm trigger? % ❑ 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* ® 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. ® Yes ❑ No Was monitoring system set=up reviewed to ensure proper settings?Attach set up reports,if applicable ® Yes ❑ No* Is all monitoring equipment operational.per manufacturer's specifications? *In,Section E below,describe how and when these deficiencies were or will be corrected. E. Comments: Page 2 of 5 UN-036—2/4 wwwxitidomorg Rev.01/17/08 Monitoring System Certification 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, This section must be completed if in-tank gauging equipment.is used to perform leak detection monitoring. Complete the following checklist: • Yes ❑ No* Has all input wiring been inspected for proper entry and termination,:including testing for ground faults? • Yes ❑ No* Were all tank gauging probes visually inspected for damage and residue buildup? • Yes ❑ No* Was accuracy of system product level readings tested? • Yes ❑ No* Was accuracy of system water level.readings tested? • Yes ❑ No* Were all probes reinstalled properly? • Yes ❑ No* Were all items on the equipment manufacturer's maintenance checklist completed? *In 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.. Com lete the folio win checklist: ® Yes ❑ No* For equipment start-up or annual.equipment certification, was a leak simulated to verify LLD performance? ❑ N/A (Check all that apply) Simulated leak rate: ®3.g,p.h.; ❑0.l g.p.h; ❑0.2 g.p.h. • Yes ❑ No* Were all LLDs confirmed operational and accurate within regulatory requirements? • Yes ❑ No* Was the testing apparatus.properiycalibrated? ® Yes ❑ No* For mechanical LLDs,does the LLD restrict product flow if it.detects a leak? ❑ N/A • Yes ❑ No* For electronic.LLDs,does the turbine automatically shut off if the LLD detects a leak? ® N/A • Yes ❑ No* For electronic.LLDs, does the.turbine automatically shut off if any portion of the monitoring system is disabled ® N/A or disconnected? • Yes ❑ No* For electronic LLDs,does the turbine automatically shut off if any portion of.the monitoring system malfunctions ® N/A or fails a test? • Yes ❑ No* For electronic LLDs,have all accessible wiring connections been visually inspected? ® N/A ® Yes ❑ No* Were all items on the equipment manufacturer's maintenance checklist completed? *In Section H,below,describe how and when these deficiencies were or will'be corrected. H. Comments: Page 3 of 5 UN-036—3/4 www.unidoc5.org Rev.01/17/08 ::$1`-1 Monitoring System Certificafion UST Monitoring Site Plan 232-0 72 - : - - - - - - . - - - . - - . - - - - . . . . . . . . . . . . . . - - - - - - . _ .. -a . - - - - . - • - - - - . . .. . . . w . . . . . . . . . . . . .. - • w. . ! r ,. _ �1}- _ _ • _ w • - - - • - - - - - - - - - - - - - - - r w . . . . . . . • . . . . . . • [[• - ! - r • _ _ _ r _ _ _ _ _ _ . _ • _ _ . • . • _ _ w _ • . . • • • _ _ _ _ r ., s • - - - - . - r - - - - - - - - r - - - - - - - - . . - - - - - - - - _ . r r . . • . . . . . •. . . . . . . . . . . ... _ _. . . r r r - - - - - - - - - - - - - ! . . . .. . . . . . . . . . . . • . . . . . _ • • .. _ .. _ • . • . . - - - - - _ . . • r .. . . . . . . . . ! . r • • Y. ... _ . • . . _. r - • . . . . . • - -- - - - - - - - -- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - I (� . . . . . . . . . . r - - - - - - - - - - - - - - - - - • . . _ . . - . . _ - • r . - ..� �. .. • . • • r • r r . . _ ! - . r ! . . . . ! - - - - - - - - - . L. - - - - _ . / . _ _ • . . _ w_ • - - . - _ - - - - - - - - - - - - - r - - - - - _. . r . . . . . . .. . . . . . . . . r . -. . . . . . . . . . . -. r ._ . • - . -. _ r . . _ _ _ -Y . . • . _ _ - - -- - - - - - - - - - - - - _ w . . . . _ .. r _w r r _ _ - - . _ _ - i _ - - ' - - - - - - - - - - - - - • - - - . . . .- - - - - - - - - - - - _ • . . • • _ _ - r .. . . . -- - - - - - - - - - - - - - . w - • . - • . . . • _ . - Date map was drawn:. . . Ing,-uctions Wyou already have a diagram that shows all required information,you may include it,rather than this page,with your Monitoring System C.eatificatiom On your site plan,show the general IayoW of tanks and pipimg.Clearly ideatiify locations of the following equipment, if installed:monitoring system control panels;sensflra monitoring tank annular spaces,sumps,dispenser pans,spill containers,or other secondary containment areas;mechanical or electronic line leak detectors,and in-tank liquid level probes(1f used for Ieak detection).In the space provided,note the date this Site Plan was prepared. Page of__, vstoo Monitbring System Certification.Form:Addendum for Vacuum/Pressure Interstitial Sensors Y. Results of Vacuum/Pressure Monitoring Equipment Testing This page should be used to document testing and,servicing of vacuum and pressure interstitial sensors. A copy of this form must be included with the Monitoring System Certification Form,. which must be provided to the tank system ownerloperator. The owner/operator must submit a copy of the Monitoring System Certification Form to the local agency regulating UST systems within 3d days of test date. Manufacturer: Model: System Type:.❑Pressure;❑Vacuum Sensor ID Component(s)Monitored by this Sensor: Sensor Functionality Test Result: ❑Pass; ❑ Fail Interstitial Communication Test.Result: ❑Pass; ❑ Fail Component(s)Monitored by this Sensor: Sensor Functionality Test Result: ❑Pass; 11 Fail Interstitial Communication Test Result:❑Pass; ❑ Fail Component(s)Monitored bythis Sensor:. Sensor Functionality Test.Result: []Pass; ❑ Fail Interstitial Communication Test.Result:❑Pass; ❑ Fail Component(s)Monitored by this Sensor: Sensor Functionality Test Result: ❑Pass; ❑ Fail Interstitial Communication Test Result:0 Pass; ❑ Fail Component(s)Monitored by this Sensor: Sensor Functionality Test Result:❑Pass; ❑ Fail. Interstitial Communication Test.Result:❑Pass; ❑ Fail Component(s)Monitored by this Sensor: Sensor Functionality Test Result:[-]'Pass; ❑. Fail Interstitial Communication Test Result:❑Pass; ❑ Fail Component(s)Monitored.by this Sensor: Sensor Functionality Test.Result:❑.Pass; ❑ Fail Interstitial Communication Test Result:❑Pass; ❑ Fail Component(s)Monitored by this Sensor: Sensor Functionality Test Result:❑Pass; ❑ Fail Interstitial Communication Test.Result:❑Pass; ❑ Fail Component(s)Monitored by tbis Sensor: Sensor Functionality Test Result:❑Pass; ❑ Fail Interstitial Communication Test Result:❑Pass; ❑ Fail Component(s)Monitored by this Sensor: Sensor Functionality Test Result:❑Pass; ❑ Fail Interstitial Communication Test Result:❑Pass; ❑ Fail How was interstitial communication verified? ❑ Leak Introduced at Far End of Interstitial:Space;' ❑ Gauge; ❑ Visual Inspection; ❑ Other(Describe in Sec.J, below) Was vacuum/pressure restored to operating levels.;in all interstitial spaces? ED Yes El No(Ifno, describe in Sec.J, below) J. Comments: NIA Page 4 of 5 ' If the sensor successfully detects:a.simulated vacuum/pressure leak introduced in the interstitial space at the furthest point from the sensor,vacuum/pressure has been demonstrated to be communicating throughout the interstice. UN-036A-1/1 www.unidomorg Rev.01@6/06 993 RICH ENVIRONMENTAL 5643 BROOKS CT. BAKERSFIELD, CA. 93308 OFFICE(661)392-8687 FAX(661)392=0621 PRODUCT LINE LEAK DETECTOR TEST WORK SHEET W/0#: FACILITY NAME:. BASHAA.R'S CHEVRON FACILITY ADDRESS: 2301 PANAMA LANE,BAKERSFIELD PRODUCT LINE TYPE: PRESSURE PRODUCT LEAK DETECTOR TYPE TEST TRIP PASS BELOW P.S.I. OR SERIAL.NUMBER .3 G.P.H. FAIL UNL87 LID TYPE.i MECHANICAL YES .10 PASS SERIAL#RED JACKET PLUS 89 LID TYPE:MECHANICAL YES PASS SERIAL# RED JACKET 9 PREM91 LID TYPE:MECHANICAL YES 10 PASS SERIAL#RED JACKET L/D TYPE: YES PASS SERIAL# NO FAEL I CERTIFY THE ABOVE:TESTS WERE CONDUCTED ON THIS DATE ACCORDING TO RED JACKET PUMPS FIELD TEST APPARATUS TESTING PROCEDURE AND LIMITATIONS. THE MECHANICAL LEAK DETECTOR TEST PASS/FAIL IS DETERMINED BY USING A. LOW FLOW THRESHOLD TRIP RATE OF 3 GALLONS-PERMOUR OR LESS AT 10 P.S.I.I ACKNOWLEDGE THAT ALL DATA COLLECTED IS TRUE AND CORRECT TO:THE.BEST OF MY KNOWLEDGE. TECHNICIAN RICA PHI SIGNATURE: DATE: 9115/10 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: BASHAAR'S CHEVRON Date of Testing: 9/15/10 Facility Address: 2301 PANAMA LANE.BAKERSFIELD Facility Contact: Phone: Date Local Agency Was Notified of Testing 811-1/10 Name of Local Agency Inspector(if present during testing): 2. TESTING CONTRACTOR INFORMATION Company Name: RICH ENVIRONMENTAL Technician Conducting Test: RICH PHILLIPS Credentials': ❑CSLB Contractor X ICC Service Tech. 0 SWRCB Tank Tester ❑.Other(Spec) License Number(s): 1035169-UT 3. SPILL BUCKET TESTING.INFORMATION Test Method Used: X Hydrostatic ❑Vacuum 0 Other Test Equipment Used:VISUAL Equipment Resolution:0 Identify Spill Bucket(By"Tank j Z 3 4 UAVM PLUS89 DREW Number,Stored Product, etc.) Bucket Installation Type: X Direct Bury X Direct Bury X Direct Bury 11 Direct Bury ❑Contained in Sump d Contained in Sump ❑Contained in Sump ❑Contained in Sum Bucket Diameter: '12" 12" 12" Bucket Depth: 16" 16" 16" Wait time between applying 30 MIN 30 MIN 30 MIN vacuum/water and start of test: Test Start Time(TI): 9:AM 9:AM 9:AM Initial Reading 12 13" 12" Test End Time(TF): 1Q:AM 10:AM 1O:AM Final Reading(RF): 12" 9 12" Test Duration(Tr—Tj): 1-HOUR 1'-HOUR 1-HOUR Change in Reading(RF-RD. 0 4" 0 Pass/Fait Threshold or +/_0.00 +/=0.00 +/-0.00 Criteria: sac. s q i,� .C' !ii I i .L !1' �! t I , ,.t,• r 'ii' ie'�'� Comments—(include information.on repairs made prior to testing, and recomrn_ended follow-up for failed tests) 89 BUCKET CRACKED CERTIFICATION OF TEC RESPONSIBLE FOR CONDUCTING THIS TESTING 1 hereby certify that all the lnformado ' ed in this report,is:true,"accurate,and in full compliance with legal requirements. Technician's Signature: Date 9/15/10 1 State-laws and regulations.do not currently require testing to be performed by a qualified contractor.However,local.requirements may be more stringent. SYSTEM SETUP IN-TANK SETUP- _ _ _ _ _ COMMUNICATIONS SETUP SEP 15, 2010 8:40 AM- _ T 1 :SUPER 1 PORT SETTINGS'. SYSTEM UNITS PRODUCT COD E 000700 U.S. THERMAL COEFF '3 .00 COMM BOARD 5 (RS-�485} AMETER S5'STENI LANGUAGE TANK DI BAUD PATE 2400 ENGLISH TANK PROFILFVOL 99sU PARITY : .EVEN SYSTEM DATE;•TIME FORMAT STOP BIT ESTOP MON DD YYYY HH:MM:SS xM DATA LENGTH: 7 DATA FLOAT SIZE: 4.0 IN. RS-232 SECURITY PASHAARS CHEVRON CODE : DISABLED WATER WARNING : 2.0 WATER L.lM IT: 3.0 COMM BOARD : 6 (k:'-2:32) 661-632-4551, HIGH BAUD RATE 1201 rgAX. OR LABEL VOL' 5980 PARITY :.. O LT, SHIFT TI-111E 1 : 11 :00. PM OVERFILL L1h1IT 95% STOP BIT 1 i:,E' SHIFT. TIME 2 : 7:00 AM 5481 DATA LENGFH: 7 DHiCA SHIFT TIME 3 : DISABLED 99%, RS-232 SECURITY SHIFT TIME 4 : DISABLED HIGH PRODUCT 9880 CODE, : DISABLED 4% TANK PER TST NEEDED WRN DELIVERY LIMIT 399 DISABLED AUTO TRANSMIT SETTINGS: TANK. ANN TST. NEEDED WRN LOW PRODUCT 399 DISABLED LEAK ALARM L I ICI T: 50 AUTO LEAK ALARM LIMIT hi I T SUDDEN LOSS LIMIT: 3,:50 DISABLED LINE RE-ENABLE METHOD TANK TILT AUTO HIGH WATER LIMIT PASS LINE TEST TANK OFFSET 0.00 DISABLED AUTO OVERFILL LIMIT LINE PER TST NEEDED WRN DISABLED DISABLED SIPHON MANIFOLDED TANKS AUTO LOW. PRODUCT LINE .ANN TST NEEDED WRN T : NONE DISABLED DISABLED LINF MANIFOLDED TANKS AUTO THEFT LIMIT LIt: NONE DISABLED PRINT TC VOLUMES AUTO DELIVER': START ENABLED ° DISABLED LEAK MIN PERIODIC: 1/ AUTO DELIVERY END TEMP COMPENSATION 99 DISABLED VALUE (DEC. F ) : 60.0 AUTO EXTERNAL INPUT ON STICK HEIGHT OFFSET LEAK MIN ANNUAL 99 DISABLED BLEXTERNAL INPUT OFF DISABLED 90%. DISABLED. .AUTO SENSOR FUEL ALARM H-PROTOCOL DATA FORMAT PERIODIC TEST 1 STANDARD AUTOBSENSOR WATER ALARM DAYIGHT SAVING TIME DISABLEDr DISABLED ANNUAL TEST FAIL AUTO SENSOR OUT'ALARM REDIRECT LOCAL PRINTOUT ALARM DISABLED DISABLED DISABLED PERIODIC TEST FAIL EURO PROTOCOL PREFIX ALARM DISABLED GgOSB TEST AI AR 1 UISABLED f. SYSTEM SECURITY ANN TEST AVERAGING: OFF CODE 000000 PER TEST AVERAGING. OFF RS-232 END OF MESSAGE )ISABLEI? MAINTENANCE HISTORY TANK TEST NOTIFY: OFF DISABLED TNK TST SIPHON BREAK:OFF TANK CHART SECURITY DELIVERY DELAY 15 MIN DISABLED pUMP THRESHOLD 10.008: CUSTOM ALARMS DISABLED SERVICE NOTICE DISABLED ISO 3166 COUNTRY CODE: LEAK TEST METHOD MASS/DENSITY TEST WEEKLY ALL TANK DISABLED MONnT T IMP 2:00 ALARM HISTORY REPORT �� ---- IN-TANK ALARM --- PMC.•SfiTUP T 2:PLUS PW-' VERSION:, 01 .02 HIGH WATER ALARM VAPOR PROCESSOR TYPE MAY 8, 2009 3:30 PM VEEDER-ROOT POLISHER MAY 5, 2009 12:57 PM ANALYSIS TIMES LIQUID SENSOR SETUP TJ OVERFILL ALARM TIME: 11 :TI ES - - - - - - - - - - - NOV 30, 2009 1 :1.8 PM DELAY MINUTES: MAY 9, 2009 7:32 AM 1 L 1 :SUPER . TRI-STATE (SINGLE FLOAT) LOW PRODUCT ALARM CATEGORY : STP SUMP MAY 9. 2009 7:35 AM MAY 9, 2009 7:26 AM MAY 5. 2009 12:59 PM L 2:PLUS TRI=STATE. (SINGLE FLOAT) SUDDEN LOSS ALARM CATEGORY : STP SUMP NOV 30, 2009 3:04 All HIGH PRODUCT ALARM ALARM H18TORY REPORT L .3:UNLEADED NOV 30, 2009 ::1 q AM PM - IN-TANK ALARM - --_ CATEGORYE:(STP SUMP INVALID FLOAT)MAY 9. 2009 ?:32 ' "- INVALID FUEL LEVEL T I :SUPER MAY 5. 2009 12:59 PM SETUP DATA WARNING NORMALLY MAY 5. 2009 12:03 PM CLOSED JAN 29, 2009 1 :59 PM CATEGORY PIPING SUMP PROBE OUT SUDDEN LOSS 'ALARM MAY 9, 2009 7:35 AM JUL 19, 2 MAY 9. 2009 7:27 AM 010 3:18 AM MAY 8, 2009 2:52 PJH INVALID FUEL LEVEL HIGH WATER WARNING SEP 13, 2010 12;10 PM MAY S. 2009 3:30 PM SEP ' 6: 201.0 2:13 PM MAY 5, 2009 12:58 PM AUG 26. 2010 7:28 PM DELIVER`! NEEDED DELIVERY NEEDED MAY 9. 2009 7:35 AM JAN 29. 2009 1 :59 PM MAY 9, 2009 7:26 AM OUTPUT RELAY SETUP MAY 5, 2009 12:.59 PM - - - - - - - - - R 1 :SHUTDOWN TYPE: STANDARD NORMALLY CLOSED LIQUID SENSOR ALMS * * * * ALL:FUEL ALARM 3� * ENDS: SMARTSENSOR SETUP ALARM HISTORY REPORT s 1 :PRESSURE SENSOR CATEGORY VAPOR PRESSURE ---- IN-TANK ALARM ----- T 3:UNLEADED CATEGORY VAPORHVALVE INVALID FUEL LEVEL s. 8:.ATM AUG 16. 2009 7:37 PM CATEGORY ATM P SENSOR AUG 12, 2009 3:28 PM AUG 2, 2009 2:14 PM PROBE OUT MAY 5. 2009 1 :41 PM MAY 5. 2009 1 :36 PM MAY 5. 2009 12:52 PIH HIGH WATER. WARNING MAY 5. 2005 1 :27 PM ----- SENSOR ALARM ---- L 1 :SUPER STP SUMP FUEL ALARM SEP 15. 2010 9:04 AM -- SENSOR ALARM =-- - L 2:PLUS BASHAF;RS CHEVRON STP SUMP SENSOR OUT ALARMr 661-$32-4551 SEP 15.- 2010 9:36 AM SEP 15, 2010 9:15 At-1 ----- SENSOR ALARM ----- L 3:UNLEADED SYSTEM STATUS REPORT STP SUMP - - _ _ FUEL ALARM L 2:FUEL ALARM SEP 15. 2010 9:05 AM ----- SENSOR ALARM ----- L 3:UNLEADED STP SUMP SENSOR OUT ALARM SEP 15, 2010 9:36 AM ----- SENSOR ALARM ----- L 2:PLUS =- SENSOR. ALARM ----- STP SUMP L 4:PIPING SUMP FUEL ALARM PIPING SUMP 'SEP 15. 2010 9:05 AM FUEL ALARM l3ASHAARS CHEVRON SEP 15, 2010. 9:24 AM 661-832-4551 SEP 15, 2010 9:36 AM ----- SENSOR ALARM ----- SYSTEM STATUS REPORT L 2:PLUS - - -- SENSOR ALARM -- - STP SUMP ALL FUNCTIONS NORMAL L 4_'.PIPING SUMP FUEL ALARM PIPING SUMP SEP 15. 2010 9:.06 AM FUEL ALARM SEP I5. 201.01 5.:36 AM SOFTWARE REVISION LEVEL VERSION 329.01 -- -- SENSOR ALARM ----- SOFTWARE# 346329=100-9 L 2:PLUS CREATED - 09.01 ..29.15.44 ----- SENSOR ALARM ----_ STP SUMP L 1 :SUPER FUEL ALARM NO SOFTWARE MODULE STP SUMP SEP 15, 201-0 9:08 AM .SYSTEM FEATURES: SENSOR OUT ALARM PERIODIC IN-TANK TESTS' SEP 15, 2010 9:36 AM ANNUAL IN-TANK TESTS OUTPUT RELAY SETUP - - - - - - - - -- - - R I :SHUTDOWN TYPE: STANDARD NORMALLY CLOSED LIQUID SENSOR ALMS ALL:FUEL ALARM MONITOR CERT. FAELURE REPORT SITE NAME : BASHAAR'S CHEVRON DATE : 9/15/10 ADDRESS 2301 PANAMA LANE TECHNICIAN: RICH PHILLIPS CITY : BAKERSFIELD.. SIGNATURE: THE FOLLOWING COMPONENTS WERE.REPLACED/REPAIRED TO COMPLETE TESTING. REPAIRS; 89 BUCKET HAS A CRACK-NEEDS TO BE REPLACED lv-iZJ� c-A 4-L- 1*,-,q EP' A&6 6 S 4&Aw"'gv) LABOR: NONE PARTS INSTALLED • NONE NAME : TITLE : SIGNATURE THE ABOVE NAMED PERSON TAKES FULL RESPONSIBILITY OF NOTIFYING THE APPROPRIATE PARTY TO HAVE CORRECTIVE ACTION TAKEN TO REPAIR THE ABOVE LISTED PROBLEMS AND NOTIFYING RICH ENVZRONNL NTAI:FOR ANY NEEDED RETESTING.THIS ALSO RELEASES RICH ENVIRONMENT_ AL OF ANY FINES'ORTENALTIES OCCURING FROM NON-COMPLIANCE. A COPY OF THIS DOCUMENT HAS BEEN LEFT ON-SITE FOR YOUR. CONVIENENCE.