HomeMy WebLinkAbout2011 RESULTS FMC MONITORING SYSTEM CERTIFICATION
For Use.By All Jurisdictions Within the State.of California
Authority Cited. Chapter tS.7,Health and Safely Code;Chapter Lb,,Division 3, Title 23; California Code;of Regulations f
This^form.must be.used to document testing and•servicing of:monitorin .equipment. A separate certification or report must beBrepatul for each
monito' gisv rn control panel by the technician,who performs:the work: A copy,of this form must be,prov i ed to the tank:sysoem owner/operator.
The owv r/opetator`must submit a copy of this fo;m'to the local agency regulaiing UST::systems,within.30 days oftest date:.
A.. General Information I lilllll II�II III IIII 23
Facility Name: MOBIL IE Bldg.No.:
Site Address: 2524 OSWELL STREET .City:BAKERSFIELD Zip; 93304
Facility Contact Person: LOUNG CHAO Contact Phone No.: ( )
Make/Model of Ivlonitoring,System: TLS-350 Date of Testing/Servicing: 4/612011
B. Inventory of Equipment Tested/Certified
,Check the 12rogriate boxes to indicate s c e ui. nt i serviced:
Tank.ID: UNL87 Tank`ID: PREM9.1
Kin-Tank.Gauging Ptobc Model: MAG ®In Tank Gauging Probe. Model: MAG.
0.Annular Space or Vauh S6nsw. Model;420 .®Annula;Space or Va dt Sensor_ Model: 420
23 piping Sump/Trench Sensor(s). Model: 208. ®Piping Sump l Trench Sensor(s). Model:!208 '
❑Fill Sump Sensor(s). Model:. ❑Ft11:Sump`Sensor(s). Model:
®Mechanical Line Leak Detector. Model- RED JACKET O'Mechani.calLine Leak Deteaar. Model: RED:JACKET
❑Electronic Line Leak Defector: Model: ❑Fleetmnic=Line Leak Detector. Model:
❑Tunic Overfill/High-i cvel Sensor. Model: ❑Tank Over6tl/High-Level:Sensor. Model:
❑other.{specify equipment type and model ia'Seotion E on Page 3). ❑Other(specify equipment type and model in Section Eon Page 2).
TankID: DIESEL Tank.)V
®.In-Tank C gong_Probe. Modet: MAO 1]In Tack Gauging,Probe_ Model:
®Annular Space or Vann"Sensor;.. Model- 420
❑Agnular Space or Vault Sensor. Model:
®Pipin&Sump/Trench Samor(s). Model: 208 [].Piping Sump/Trench Sensor(s}• Modet:
❑Fill Sump Settsor(s). Model: ❑Fill'Sump Sensor(s), Model:
®'Mechanics!Line:Leak Deterwr Model: RED JACKET ❑Mechanical Line Leak Detector. Model:
❑Electronic Line Leak Detector. Model: ❑.Electronic Line Leak'Detwc . Model:
[].Tank Overfill/High-Level Sensor. Model , ❑Tank Overfill/.High Level Sensor. Model:
,[]Other(specify equ4merntypeend model m Section E on,Page 2). ❑Other(specify egntpment.type and model in Section.Eon Page 2).
Dispenser iV 112 Dispenser:EV 314
Sensor(s). Model:001 - Dis Containment Sensor(s).. Model: '001 '
i�Dispenser Containinerit ®. penser
®Shear Valve(s). ®<Stfear Valve(s):
❑`Dispenser Containment Flod(s),and CbRin(s). Displ cmerGontainment Float(s)and Chain(s).
Iiispensec`ID 51B "Dispenser ID: 718
t �:' `B,spens rer'Co4►ta iiat«rt Sa sar(s):. .Model;-001 - 0134 user containment Sensor(s). Model: 001
®shear Valves}
+-. NJ:Disperjsei Cgnteinm 'Float(s)and Chain(s). ❑'Dispenser ContainmentFloaks)and Chain(s):
�Iiapenser IUD. 9/10 ;Dispenser ID:
®Dispeoser,Contai matt Sens s). Model: 6EAUt1REAU ❑.Dispenser Ponteiaa>eut Sencor(s). Model:
Shear Valves): ❑Shear Valve(s).
Drspenser,Coirtainment Float(s)and.Chain(s), ❑Dispeasei:Containment Float(s)and Chain s).
"If the facility contains more'tanks:of dispensers,copy:this form Include information for every tank and dispenser at th6 facility.
C. Certification-I certify that,titel equipment identified in this document was,inspected/serviced in accordance with the'manufacturers'
guidelines Attac>,ed to this Certification'is information (e-g. manufacturers' checklists):necessary to verify that this information is
correct and•a Plot Pla>o:showing the layout of monitoring uipment. For any equipment'capable'of generating such reports;I have also'
Wait hed a eopy,of the report;.(ckeecb all Thai wpply).: []System set n EI AI istory report
Technici4'n Name(print);. RICH PHILLIPS Signature:
Certification No.: A29084 1 1 035188,-UT License.No.: 6611.NO 809850.
Testing.Company.Name: RICH ENVIRONMENTAL phone No::(661) 392.8687
Testing Company Address 5643 BROOKS CT;:BAKERSFIEM.CA 93308 Date:of Testing/Servicing: 4/6/2011
Page 1 of 5
LTN A36-1/4 w.ww,unidocs org Rev.01/17M
IIIIIIIIIIIII!IIIIII 24
t � IE
Mon itoring.System Certification LkD
Resplts.of'Test poervic-
Sg#tware Verston.Installed 329.01
..-' 'Co fete the followin checklist:
® Yes ❑ No* Is the audible alarm operational? „
0 Yes ❑ No* Is the.visual alarm operational?
Yes ❑ No* Were all sensors visually Wpectedlfimeflonally tested;and confrmed,operational?
® Yes ❑ No• Were all sensors installed.at lowest point of secondary contaiIhment and,positioned so that other equipment will
not interfere with theit,pzoper::operation?
p 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
❑ 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) ®Sump/Trench Sensors; E.Dispe.nser.Contah went sensors.
Did you confiirapositive.shut-down due to leaks.pd sensor.failureldisconnection? ®Yes ❑No.
❑.Yes: ❑ No* For tank:systems that utilize the:monitoring syilb i as.the primary tank overfill warning device (Le., no
® N/A mechanical overfill„prevention valve is installed), is the_overfill warning alarm visible:and audible at the tank
fill poi* ):and operating:properl . If so,at whet percent of tank capacity does the alarm tt*er2' %
❑ 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'Iiquid found.inside,any seondary containment systems designed as dry systems? '(Check'all that apply)
Q product; ❑Watcr. If yes,Abscribe causes in Section E,below.
L'- Yes `'❑;No* Was'monito'rutg.system set-up reviewed to ensure proper settings?Attach`set.up.reports;if applicable
4---- Yes. ❑,No* . ,is::all monitoring;equipment o„ 'onal,per manufacU='s specifications?
i` C f In.Seoltlod E below,;deseribe how and when these deficiencies were or wW be corrected.
E. ,Comments:
I.0
i
Page 2 of 6
UN-03620 www.nnidon.org Rev.0VI7/08
Monitoring System Certification �`�
F. In-Tank Gaining/SIR Equipment: ® Check this box'if tank`gaugmg is used onlyfor inventory control.
❑ Check this box if no tank gauging or SIR equipment is installed.
Thus.section must be completed if"in-tank gauging equipment is used to perform leak detection monitoring.
Complete the fol3owing"Cl ec�ilist:
113 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?
[p Yes [] No* Was-accuracy of system water level readings tested?
TM
Yes :0 No* Were all probes reinstalled:properly?
- p Yes ;p No* Were.all items on'theequipment,m amufacturer's:mAirt6mnce�cheeklistcompleted?
.In<Section:H,below;describe how and when Ehese deSCierides were or wil.1be corrected.
G: Line.Leak Detectors(LLD): ❑ Checkthis box if LLDs,are nof installed.
Cons lete the folio °'checklist:
® Yes ❑ No* For equipment start-up or annual equipment certification,was a leak simulated to verify LLD performance?
0 N/A (Check all that apply) Simulated leak rate: ❑3,&p-h.; 0 0.1 g.p.b.; :D 02&p h.
® Yes p No* WereallLLDs confirmed operational and.accurare within regulatory requirements?
R Yes ❑ 'No* Was the testing apparatus properly'calibrated?
Yes Q No* For mechanical LLDs,'does the LLD;iestrict product'flow if it:detects a leak?
...... p N/A
❑ Yes { [1 ,W For electronic LLDs;does:the turbine automaticallyshux off:if the LLD detects.A leak?
p•'.Yes ! ;0 No• Forelectronic LLDs,;does the turbine automatically shut offif anypotion of the monitoring system is disabled
®.N/A pt,disconnected?
Yes l i D-No*1, For electronic LLDs,�does the turbine automatically shut off if any'portion of the.monitoring system.malfunctions
.®'N/A, or fads a test?.
Yes l 101 No Fo"f,ea ctronic'LLDs,'hOe all accessible wiring connections been visually inspected?
....� ®:N/A
'0®r Yes D No* Were:all`items on the:equipment manufacturer's maintenance checklist completed?
In Section H;below,:describe howand when these deficiencies:were or will 0e:corrected.
H. Comments•
a
r Page 3 of 5
ON-03¢-.3'14 www.unidomar9, Rev.01/17M
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{
Monitoring;System Certification:Form:Addendum for Vacuum/Pressure:Interstitial Sensors �`�
I. Results of Vacuum/Pressum Monitoriing Equipntent`Testing
This-page should be used to .document testing anS servicing of-vacuum and pressure:interstitial.sensors. A copy of
,�..
this form must be included.with the Monitoring System Certification:,Forrri, which must be:provided to the tank-
system owner/operator.The,owiner/operator must submit a copy of_the Monitoring System Certification Form to the
ulocab agency regulating.UST systems wid&30 days of test:date...
Manufacturer:NONE Model: System Type:❑Pressure.. Vacuum
Sensor m
Component(s),Monitoned 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; El Fail
Components)Monitored by,:this;Sensor:
Sensor Functionality Test-Result[❑Pass; ❑ Fail Interstitial Communication Test Result:[]Pass; ❑:Fail.
Component(s)Monitored by this Sensor:
Sensor.FunctionaW Test Result:,❑Pass;
❑ Fail Interstitial.Communication Test.Resultc❑Pass; ❑ Fail
Components)Monitored by this Sensor:
Sensor'fiuictiona' Test'Resulk Pass; .
lity []. . ❑ Fail. InterstitW Communication Test Result:[)Pass; El
,_ Compoaopt(s)Monitored'by this;Sensor:
:Se nsor Functionality Test Result❑Pass; ❑ Fail ,Interstitial Communication Test Result;❑Pass; ❑ Fail
Components)Monitored by this Sensor-
Sensor Functionality Test Result:.[.]Pass; ❑ .Fail Interstitial.Communication Test;Result:❑Pass; ❑ Fail
Compooent(s),,Munitored by/this Sensor:.
Sensor Funedonality Test Result:D Pass; ❑ 'Fair Interstitial Communication Test Result::❑Pass; ❑ Fail
Component(*),Monitored by.this Sensor:
SensorPunctionality Test Result;❑Pass;. F1 Fail Interstitial.Communication Test Result=:,❑Pass;. ❑ Fail
Bow was-interstitial communication:verified?
❑ Leak Introduced at Far End of Interstitial Space,' ❑.Gauge; ❑ Visual 'on; ❑ Other(Describe in Sec..•J, below)
Was vacuum/pressure restored to operating leveli`htall interstitial-sprite's! ❑.Yes ❑No(Ifno, describe in Sea J,below)
J. Comments: NONE,OF THESE''SENSORS ARE PRESENT AT THISSITE.
1
�F
f
Page 4' of 5
If the sensor successfultydetects a simulated:vacuum/pressure.leak introduced in the_iutterstitial space.at the;f uthest point from the
sensor,vacuum/press ,has,been demonstrated to be,communicating throughout xhe interstice.
UN-036A-!In www.unwomon Rev.01n6106
RICH ENVIRONMENTAL
5643.BROOKS CT.BAKERSFjELD,CA.93308
QFFICE(661)392-868.7 FAX(661)392-0621
PRODUCT.LINE LEAK,DETECTOR TEST
WORK SHEET
.FACILITY NAME: "MOBIL
FACILITY ADDRESSi;" 2624 QSWELL STEET,BAKERSFIELD
PRODUCTLINE TYPE: PRESSURE
PRODUCT LEAKDETECTOR TYPE TEST TRIP PASS
BELOW P.S.I. OR
SERIAL NUMBER. 3 G.PI3. FAIL
UNL87 LID TYPE: RED JACKET.
NO 12 FAIL
SERIAL:# MECHANICAL
NICAL
PREM9l 1,/D TYPE: RED JACKET
NO 11 FAM
SERIAL# MECHANICAL
DIESEL LID TYPE: RED JACKET
YES 11 PASS
" - SERIAL,# MECHANICAL
'""-• RE-TEST
L!D TYPE: RED JACKET.
UNE87 YES 12 PASS
SERIAL# MECHANICAL
I CERTIFY THE ABOVE TESTS WERE CONDUCTED ON THIS DATE ACCORDING TO RED
JACKET PUMPS FIELD TEST APPARATUS;TESTTNG PROCEDURE AND LIMITATIONS..
THE;MECHANICAL�LEAKDETECTOR TEST PASS/FAIL LS DETERME., D BY UMNG.A
LOW FLOW THRESHOLD TRIP RATE OF 3°GALLONS PER.HOUR OR LESS AT 10 P.S.I.I
ACKNOWLEDGE THAT ALL DATA COLLECTED LS:TRUE AND CORRECT TO THE REST
OF MY KNOWLEDGE.
TECHNICIAN: RICH,
SIGNATURE: DATE: 4/6/11
i
RICHENVIRONMENTAL
5643 BROOKS CT;BAKER,SFIEM CA. 93308
OFFICE(66'1)392-8687 FAX(661)392-0621
PRODUCT'LINELEAK DETECTOR TEST
WORKSHEET
FACILITY NAME: MOBIL
FACILITY ADDRESS: 2524 OSWELL>STEET.BAKERSFIELD
PRODUCT L1NETYPEc PRESSURE
PRODUCT LLEAKDETECTORTYPE TEST TRIP PASS
BELOW P.S.I. OR
,SERIAL NUMBER: .3 O.P.E. FAIL
RE.TEST LID TYPE: RED.JACKET
UNL91 YES 12 PASS
SERIAL,#: MECHANICAL.
UJD TYPE:__ 'YES PASS
SERIAL#_ NO FAIL
L/D TYPE:__ YES PASS
SERIAL#_ NO NO
L/D TYPE:_ YES PASS
SERIAL,#- NO NO
1 CERTIFY THE ABOVE:TESPS WERE CONDUCTED.ON TIiMS RATE.ACCORDING TORED
;.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:GAI.LONS PER.HOUR.ORLESS AT 16-P.S.I.I
{ ACKNOWLEDGE THAT ALL DATA COLLECTED IS TRUE AND CORRECT TO TMBEST
OVi4fKNOWI EDGE:
i
« i TECHNICIAN: RICA P is
SIGNATURE: DATE: 4/6/11
0
SWRCB,January 2006
5pUl Bucket Testing Report Form
This form.is intended for use by contractors performing annual testing of LIST spill containment structures:The c,ompletedform and
rintouts om tests(i applicable should be rovided to:the acil
P �' .I' ). . p f ity;q►►'nerIoperator for�submittai to-the local:regulatory:agency.
)E<ACILITY INFORMATION
Facility Name: MOBIL I Date of Testing: 4/6/11
Facility Address: 2524 OSWELL:STREET,BAKERSFIELD
Facility Contacts Phone:
Date Local Agency Was-Notified of,Testing 3111/11
Name of Local Agency Inspector(ifpre,.n,during,testing):
2. TESTING:CONTRACTOR INFORMATION
Company Name: RICRENVIRONMENTAL.
'Technician Conducting Test: RICH PHILLIPS
,w Credentials': ❑CSLB Contractor X ICC Service.Tech. p SWRCB Tank Tester O Other(Specify)'
License Number(s): 1035.169,UT
I BPILL,BU.CICET TESTING INFORMATION
'Pest Method Used X H ostatic 11 Vacuum ❑Other
Test Equipment VSed:VISUAL Equipment Resolution:0.
Identify Spill Bucket_(By Tank 1'REG87'FELL 2. PREM9I,.F.LL 3 DIESEL FILL 4 DIESEL FILL
.Number,,Stored Product, etc
Bucket Installation Type: X Direct Bury X Dkect'Bury X`Direct-Bury: X,Direct Bury
❑Contained in ❑Contained in$um ❑Contained:iin.S ❑Contained>in Sump
Bucket Diameter 12" 121' 12"
Bucket:Depth: 14" 14" 14"
` Wait time.between applying 30 MIN 30 MIN 30 MQd
,.vacuwn/water and start of test:
.Test,Start Time;(T�.. 9:15 9:15 9:15
Initial Reading(Rj):` 14"
Test.-End Time(TF): 1:0:15 1 Oa5 10:15
Final Reading(RF) 14" 14" 14"
'Test=Duratton(TF 10::I-HOUR 1-HOUR 1-HOUR
rChange:iii Reading�=''nx `0 0 0
�`• CPas$/Faff Threshold or"
.... _ +
i Criteria: ;. /-0.00 +/-0.00 +/-0.00
Comments—(include information oii repairs:made prior to testing; and recommended follow=up for foiled•tests)
CERTIFICATION OF TECJdMCL4N RESPONSIBLE TOR:CONDUCTING"THIS TESTING
I hereby cerdfy that all the info ntained tn.tkis report is true,accurate,:and la full conrliance w thdegal requitwnentc.
Technician's.Signature: Date: 4/611.1
State laws and regulations do not currently require testing to be.performed by a:qualified contractor.However;-local requirements
may be more stringent.
• xG-11tt{Jr1:1 LVl=ru. rntitii�ut
DISABLED
SOFTWARE REVISJON LEVEL 'EURO PROTOCOL PREFIX. j
"JERSION 330,01 S
SOFTWARE# 346330,.100-8
CREATED, = 1.0.'b7. 317,25
RS-232 END OF MESSAGE
S.-MODULEO. 330160-064-6 SYSTEM SECURITY :DISABLED
SYSTEM FEATURFyS.: CODE 000000
' RIODIC :LN=TANK TESfS
NNUAL. .IN-:TA►,�{ TESTS MAINTENANCE HISTORY
D18AHI ED
PLLD D ..
0.2,0 AUTO'
0.20 :REPETITIV
1JPLLD TANK CHART SECURITY
0.10 AUTO? DISABLED
0.20 REPETITIV
CUSTOM ALARMS
DISABLED IN=TANK SETUP
SERVICE NOTICE T .I:UNL-87
DISABLED PRODUCT CODE I
THERMAL COEFF x.000700
IRO 3166 COUNTRY TANK DIAMETER 113,75
TANK PROFILE. 1 PT`
wYSTEM SETUP CODE: FULL VOL 1.5023
APR b. 20.11 8:44 AM - MASS DENSITY FLOAT SIZE: 4.0 IN.
DISABLED
WATER WARNING. 2.0
SYSTEM UNITS HIGH WATER LIMIT: 3.0
U.S.
SY,, EM.LANGUAGE
OVERFILL LIMIT 90�a
ENGLISH.
SYSTEM DATEiT,IME FORI°IAT 13520
HIGH PRODUCT 950
MON DD YYYY HH:PxM 14271
DELIVERY LIMIT to%
2524 IELE b 1 502
':.
,.. 3AKERR'PJEL.D GA 9330E LOW PRODUCT 600
COMMUNICATIONS SETUP LEAK ALARM LIMIT: 99
SHIFT TIME 1. DISABLED - - - - - - - - - - SUDDEN LOSS LIMIT: 99
iHI .T TbML,.2 ; D;ISABLED TANK TILT 0.00
iHIFT•TIME 3° : DISABLED PROBE OFFSET 0.00
;H I FT• T I ME,,:4.. : DISABLED PART SI~'TT I NGS
'ANK 'PER TST NEEDED:WRN COMM BOARD : 1 (EDIM l SIPHON MANIFOL.DED TANKS
ISABLED RS-232 SECURITY T#: NONE
ANK ANN TST NEEDED WRN CODE DISABLED IINE.MANIFOLDEP. TANKS
ISABLED `COMM BOARD 2 (RS-232) T#: NONE
INE RE-ENABLE METHOD MUD :PATE � 1200
ASS LdNE TEST �hEAI{: MIN PERIODIC: 0%
APT PT".- .BIT I STOP'
INE PER TST NEEDED WRN fA LENGTH: 7 DATA
SABLED �tS-232 SEC.11RITY LEAK MIN ANNUAL 01
SE AND NN TST NEEDED WRN CODE : :DISABLED 0
'INT TC VOLUME,. AUTO TRANSMIT SETTINGS: P$RIOBIC TEST TYPE
AHLED STANDARD
AUTO IEAK :ALARM LIMIT
MP-,COMPENSATION DISABLED ANNUAL TEST FAIL
LUE :(D1:G F 7.:: 60.0 AUTO HIGH WATER LIMIT ALARM DISABLEn
I"JHEIGHT OFFSET AISABI:ED
3ABLED AUTO OVERFILL LIMIT PERIODIC TEST. FAIL
.AGlrt .iyy DISABLED ALARM DISABLED
AUTO LOW PRODUCT
'ROTOC.OL DATPi FQ DISABLED GROSS TEST FAIL
�Ghf� ►T AUTO .THEFT LIMIT ALARM DISABLED
w .SAVI D I SABILED NG TIME UTO.DEL
VESTAT:j13 ANN,TEST AVERAGING: OFF
:RT 'DiATE' ' D:ISAHL£D PER TEST AVERAGING: OFF
WEEK 2 SUN AUTO DELIVERY END
RT, TIME DISABLED TANK TEST NOTIFY: OFF
pp'AMj AUTO EXTERNAL. INPUT ON
-DATE.. DISABLED TNK TST SIPHON BREAK:OFF
TIME I SUN AUTO -EXTERNAL INPUT OFF
DISABLED .. . DELIVERY .DELAY 15 MIN
JO ,AM. AUTO SENSOR FUEL ALARM PUMP THRESHOLD : 10.00%
DISABLED
AUTO'SENSOR WATER ALARM
DISABLED -
;AUTO SENSOR OUT ALARM
DISABLED
2 PREM-91 _ _
'ROD,UCT CODE 2 LIrdU1D' SENSOR SETUP_
'HERMAL COEFF : .000700 —
'ANK DIAMETER 90::00 T 3 AiESEL
'ANK PROFILE I PT PRODUCT CODE 3. L I_:B7 STP c 11If,LE FLOAT?
FULL VOL : 11550 THERMAL COEFF 000450 TRI-STATE t TF ,Sump
TANK DIAMETER 90.-00 C,ATE�RY
TANK PROFILE 1 PT
7LOAT SIZE: 4.0 IN. FULL VOL 11550 87. ANIJULAI? .
LATER' WARNING 1:.0 TRT�STATE (SINGLE �pAL'E
IIGH WATER LIMIT: 3.0 FLOAT. SIZE:' 4.0 1N:.. CATEGORY A.
1AX OR LABEL VOL: 11550 WATER WARNING 2:0
?VERFILL LIMIT 905., HIGH WATER .LIMIT: 3.:0 PROBE SUMP..
L s: (6INGLE .FLOAT)
1.0395, 91
II:GM PRODUCT 95% MAX OR LABEL VOL: 11550 pF1-STATE PIPING BUMP
10972 OVERFILL LIMIT 9.0%: CATEGORY
)ELIVERY LIMIT 10% 10395
1.155 HIGH .PRODUCT 95%
10972 L 4. 91 STY. BLOAT)
.OW PRODUCT 500 AELLVERY LIMIT ox TRI S'fATE.CSd.�SUMP
EAK ALARM LIMIT': 9,9. 1.155 CATEGORY
STP
iiJllDEN '1OSS `LIMIT: 99
`ANK TILT 0.00 LOW PRODUCT 500
.. 'RO_ 3E OFFSET 0.00 LEAK ALARM I I M I:T: 99 L, 5:91 ANN�S RNGLE FLOAT)
SUDDEN .LOSS LIMIT: 99 TRI-STATE. fl ;NULAR SPACE
TANK TILT_ 0.;00 CATEGORY
5IPAON MAN.1FOLDED TANKS PROBE'OFFSET 0.00
u NONE ���,,�p
INE'. MAN IFOLDED TANKS pROtE SLAV
.# NNE
SIPHON NOlVE NIFOLIIED TANKS TRI_sTE�TE :`S1NGLF U )
LINE MANIFOLDED TANKS CATEGORY1 PIPING
.ERIC M_IN PERIODIC: 0 ox T#: NONE.
L 7:DIESEL( INGLEFLOAT)-
EAK M IN ANNUAL LEAK M I.N PERIODIC: OX TRI`STATE. 5T',-Sly' ,
b 0 CATEGORY '
LEAK MIN ANNUAL 01%. L ANNULAR
'ER (
°IODIC TEST TYPE 0 L B:D,I•ESE. 1NGLE FLOAT).
STANDARD TRI.-S'fATE.. ANNl1IAR:SPACT�
.. CATEGORY .
tNNUAL TEST FAIL. PERIODIC TEST TYPE.
ALARM DISABLED STANDARD
'E12,TC?D.IC TEST FAIL ANNUAL TEST FAIL.
ALARM DISABLED ALARM DISABLED
:ROSS TEST FAIL PERLODI,C TEST FAIL.
ALARM DISABLED ALARM, D:I.SABLED
tNN TEST AVERAGING: OFF GROSS TEST FAIL
ER rT `T,:AVERAG I'NG: OFF `t.�,;,ALARM D.I SABLED
1 11''
AMC iTEST NQT3I FY OFF FINN TEST AVERAGING: OFF
PER. TEST ,AVERAGI:NG: OFF
BREAK:OFF
TANK TEST .NOTIFY: OFF
iEL I VERY.. DELAY 15 MIN
:UM .THRESHOLD : 1D.QP% TNK` TST SIPHON BREAK:OFF
DELIVERY DELAY c 15 MIN
PUMP THRESHOLD: .
LEAK TEST .METHOD.
TEST ON DATE ALL TAW
JAN...29...2009 .
START 'TIME° ': `DISABLED.
TEST RATE '0.20 GAL/HR
DURATION : 2" HOURS
TST .EARLY STOP:DISABLED
LEAK TEST REPORT FORMAT
t' NORMAL
I -- — UP VD,
OUTPUT RELAY SETUP ACCEPT
H1GH ORVR:
ENABLED
ISD
R 1:*B7 STP :HOSE TABLE
TYPE: ID, FP FI:-- L- _RR--
$TANDARD ..
NORMALLY CLOSED 01 01 02 p2 02 02
02 OL 02 01 02
TANK 9 1 03 03 03
-- SMARTSENSOR SETUP 04 04 04 02 Oi 02
03 02
- - - - - - 05. UU 05 02 03 02.
LIQUID SENSOR ALMS p6 06 06 04 02
L I :FUEL ALARM s 1 -CARBON,CANISTER 07 07 07 02 04 02
CATEGORY VAPOR 'VALVE 08 GG 0$ 02 05 02
L I :SEN$OR OUT ALARPI 09 09 09 02
ISD SITE ALARMS s 2::?RESSURE SENSOR 1,0 16 10 02 05 02
ISD GROSS PRES FAIL CATEGORY VAPOR PRESSURE
ISD DiEGRD PRES FAIL s 3:.DISP 3-4 ISD AIRFLOW METER MAP
ISD VAPOR LEAK FAIL CATEGORY AIR FLM METER ID SERIAL NUM LABEI:,
ISD VP PRES FAIL -------DISP 3-4--
ISD VP STATUS FAIL 4D.ISF 1-2. I-41517 Isp 1-2
ISD h0SE ALARMS CATEGORY AIR FLOW METER 2 41519 SP 5-6
ALL:FLOW COLLECT FAIL 3 3 DI
6136 D1SP 7-6
s 5':DISP -5=6 . 4 34956
R 2:91 STP CA'T'EGORY AIR FLOW METER 5 35621 DISP 9-10
TYPE: s 6::DISP 7-8
STANDARD CATEGORY AIR FLOW METER ISD FUEL. GRADE HOSE MAP
.NORMALLY CLOSED 1 2 3 4
TANK #: 2 3 7:DISP 9-10 FP MHH MHH MHH MHH AA
CATEGORY: AIR: FLOW HEM -�
O,l 101 201 9:01 U U: .
LIQUID SENSOR ALMS. s 8:ATM 02 102 202 g02 U U. 2
L 3--FUEL ALARM CATEGORY ATM P :SENSOR p3 103 .203 .903 U U 1
L 4:FUEL ALARM 04 104 .204 904 U U 1
L, 3;SENSOR OUT ALARM 06 906. 106 ;206. U, U 3
4-�,4!SEENSOR OUT ALARM p7 207 907 3:,U 107 4
:a I; 08 208 908 ;3; U: 108 4
I$II�i �ITE �IIrARM$_ 09 109 209 909 .3 U 5
I;SD;GROSS. PRES .FA II; 16 110 210 9.10 3 U 5
�- I,,§bi�DEGRD ;P.RES FAIL
�^- ISD VAPOR LEAK FAIL:
I;SD VP PRES FALL L
ISA,,VP STATUS ABEL TABLE -
_ FAIL, -- ----`-----
i : I . UNASSIGNED
ISIJ, HOSF. -ALARMS 2 BLEND3,
ALL:FI;OW COLLECT FAIL 3; REGULAR
R 3::DIF.SEL STP EVR ISD SETUP 4: MID.GRADE
TYPE: 0 PREMIUM
STANDARD 6: GOLD
NORMALLY CLOSED 7: BRONZE.
irVR TYPE-:: BALANCE 6: SILVER
TAN K 3 ::,; g: BLEND2
#:
BALANCE NOZ?LE 'TYPE i0: BLEND4
VST
I:IQUID SENSOR ALMS VAPOR PROCESSOR.TYPE:
L 7':FUEL EL ALA
L 6:F ALARM VEEDER-ROOT POLISHER
RM
L 6:SENSOR.OUT ALARM
L 7zSENSOR OUT ALARM ANALY TIMES
SIS
R ;4.;,iREMO I'E ALARM TIME. I O 00.AM
TYPE.: DELAY MINUTES: I
STANDARD ` F SETUP
NORMALLY CLOSED
TANK al: NONE PMC'VER�3'I0 R: O1 .0,3
NO ALARM :ASBIGNAtN' 'i-
VAPOR PROCESSOR. TYPE
VEEDER-ROOT' POLISHER
16o l i
ftil
.r-
LW
ALARM HISTORY REPORT ms
ALARM HISTORY REPORT
S NSOR.ALARM =----
-- SENSOR ALARM. ----- L 5:91 �NNULAR
L 1 :87 STP ANNULAR SPACE
STP SUMP, SENSOR OUT ALARM
SENSOR OUT ALARM APR 6, 2011 9:.43 AM
APR 6, 2011. 9:43 AM FUEL:ALARM
FUEL ALARM APR '6; 201.1 9 .29 AM
' APR 6. 2011 9:31 AM
ALARM HISTORY REPORT ALARM HISTORY REPORT
-- SENSOR .ALARM --= ----- SENSOR ALARM -----
L12:87 ANNULAR L .6'DIESEL PROBE SUMP
ANNULAR SPACE PIPING SUMP
SENSOR OUT. ALARM SENSOR OUT ALARM
APR 6. 2011 9:431AM APR 6, 2011'. 9-43 AM
'FUEL ALARM FUEL ALARM
APR: 6. 2011. 9-:30 'AM APR 6•. 2011 9:29 AM.
FUEL:ALAR.M.
OR 6, 2011 9:.19,AM;
ALARM HISTORY REPORT
ALARM HISTORY REPORT SENSOR ALARM -----
L-7:DIESEL 'STP
=- 'SENSc?R ALARM --- STP SUMP
L 3:91 SENSOR OUT ALARM
PRONE SUMP
PIPING SUMP APR 6. 2011 9,:431 AM
SENSOR OUT'ALARM FUEL ALARM
APR 6. 2011 9:43 AM APR 6 20111 9:28 AM
FUEL ALARM
APR 6, 2011 91:30 AM
ALARM HISTORY REPORT
ALARM, H I,STORY REPORT ----,-_SENSOR,ALARM''-_---
^a
4 SENSOR;ALi4RM ---- �&; B DIESEL ANNULAR:
L41:'91 STPi. ANNULAR. SPACE:
a�TP :SUMP SENSOR OUT ALARM
SE OR, OUT ,ALARM APR 6.. 2011 9'::43 AM
9:43::AM' FUEL ALARM
F.UFL�ALARM APR ' 6. 2011 9::27 AM
AP P, '6::.2Qi'1 9.:29'AM
`.I[T t
4.015
MONITOR CERT. FAILURE REPORT
SITE NAME t MOBIL DATE c 416/11.
ADDRE S: 2524 OSWELL STREET TECHNICIAN: RI LIPS
CITY: BAKERSFIELD SIGNATURE:
THE FOLLOWING COMPONENTS"WERE REPLACED/REPAIRED TO COMPLETE
TESTING.
REPAIRS:. UNL87 AND UNL91 LEAK DETECTORS FAILED
LABOR:
40 -
PARTS INSTALLED.: REPLACED 2-RED JACKET FXIV AND TESTED
.NAME: TITLE :
SIGNATURE
THE.ABOVE NAMED`PERSON'TAKES FULL RESPONSIBILITY OF NOTIFYING
THE APP120PRIATE PARTY TO-HAVE:CORRECTIVE ACTIONTAKEN.TO REPAIR
THE ABOVE LISTED PROBLEMS; NOTIFYING RICH ENVIRONMANTAL FOR
NY
A NEEDED RETESTING.THIS ALSO RELEASES.:RICH ENVIRONMENTAL OF
ANY FINES OR PENALTIES,OCCURING FROM.NON::COMPLIANCE.
�_--- A COPY OF THIS DOCUMENT HAS BEEN LEFT ON-SITE FOR YOUR
CONVIENENCE.