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Home My WebLink Aboutfmc result 2010 IIIIIIIIIIIIIIIIIIII 55 MONITORING SYSTEM CERTIFICATIONta�� 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 prenared for each monitoring_system control pane]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-foitii to the.local.agency regulating UST systems within 30 days of test date. } A. General Information Facility Name: JOHNNYS ARCO Bldg:No.: Site Address: 2612 BUCK OWENS.BLVD City:..BAKERSFIELD Zip: Facility Contact Person: JOHNNY -Contact Phone No.:.{ ) Make/Model of Monitoring.System:.TL6450 Date of Testing/Servicing: 11/1/2010 B. Inventory of Equipment TestedlCertifeed Check the aggropriate boxes to indicate s c equlgMt inn serviced: Tank.ID: UNL87 Tank ID UNL:87 SIPHON ®In-Tank.Gaugmg Probe. Model: AAAG' ®In-Tank Oau ing Probe. Model::AAAG ®Annular Space or Vault Sensor. Model: 409 ®Annular Space,or;VaultSo".. Model:;409 ®Piping Sump/Trench.sensWs):. Model'. 206' M Piping.Sump./Trench Sensor(s). Model:;208 ❑Fill S ❑Fill Sump Sensot(s).: Model: ump`Sensor(s). Model: ®Mechanical Line leak Detector. Model RED,JACKET DIA.PFIR/1lAA_. M Mechanical Line,Leak Detector. Model;, ❑Electronic UM'Leak Detector. Model: ❑Electronic Lirie-Leak Detector. Model: ®Tank Overfill/High-Level Sensor: (Model' FLAPPER ®Tank Overfill/High-Level Sensor. .Model: FLAPPER ❑Other(spccify equipment type.and model in Section E on Page 2). [].Other(specify equipment type:and model in Section Eon Page 2). Tank ID: 'REM 91 Tank ID: M,In-Tank Gauging Probe. Model: AAAG ❑In-Tank Gauging Probe: .Model:. MAAnnular Space or Vault Sensor. Model: 409 ❑Annular Space or:VaultiSensor. Model: M Tiping Sump/T 6h Sensor(s). Model: 208 [3.Piping Sump/Trench Sensor(s). Model:, ❑,Fill Sump Sensor(s). Model: []Fill:Sump Sensor(s). Model: ®Mechanical Line Leak Detector. Model: RED'JACKET ❑Mechanical Line.Leak Detector. Model: ❑:Elec tronicLine Leak Detector.. Model:. ❑Electronic:Line leak Detector. Model: ®Tank Overfill f High-level Sensor. Model: FLAPPER ❑Tank Overfill/:High-Level Sensor. Model: ❑ Other(specify equipment type and uwdel in Section E on Page 2). ❑Other(specify equipment type and.mbdel iri:Secti6n.E on.Pagg 2)7 Dispenser ID: 1-2 Dispenser ID: 3-4 .M Dispenser Containmenis sor(s). Model: 406 ®Dispenser.ComaimnentSensor(s). Model: 406 ®Shear Valve(s)., M Shear Valve(s). ❑Dispenser Containment Float(s)and:Chairi(s):, [3 Dispenser Containment Float(s);and Chain(s). Dispenser 1D; 54 Dispenser 11D: 7$ ®Dispenser Containment Sensor(s): Model::40.6 M Dispenser.Containment Sensor(s). .Model 406: M Shear Valge(s). ®Shear Valve(s). ❑DispeaceF Coiliainment'Float(s)andChain(s). ❑Dispenser Containment Floats)and.Chain(s); Dispenser-ID: 'DispenserlD: ❑Dispenser Containment-Sensor(s). Model- []Dispenser Containment Sensor(s). Model: ❑'Shear`Valve(s). ❑Shear Valve(s). ❑Dispenser Containment Float(s)and Chaih(s). ❑Dispenser Containment Floats)and Chain(s). *If the facility.;contains.more tanks or:dispensprs,copythis4bnn. Include information for every tank and dispenser;at;th.facility. C. .Certlfcatloltl-.1 cerlify•that the equipment identified'ie this ducutpegt was iospected/serviced in accordance with the manufacturers idelines. Attached to this Certification is information e. ' gu ( g.'manutacturers checklists) necessary to verify that this information is correct and a Plot-Plan show'tug the layout of monitoring a quipment. Romany equipment capable of generating such reports,l have also f attached.a copy,of,the report;(check all Mw apply): { System set-up Z Alarm history report Technician:Name(print): BRANDON MASON Signature ...�' Certification.No.: 834335 11284980-UT License..No.: C61/1340 809850, .. Testing-Company-Name RICH ENVIRONMENTAL Phone No.:(661) 3924687 .. . Testing.CompanyAddress:.5643-,BROOKS-CT.BAKERSFIELD,.:CA.93308 Date of Testing/gervicing: 1111/20.10 Page 1 of 6 U"36-1/4 www.unldocaorg I1IIIIIIIIIIIIIIIII 56 Rev.01/17/08 IE Monitoring System Certification ) D. Results of Testing/Servicing. Software Version Installed:. 330:01 Complete the following checklist:, ® Yes ❑ NOk Is.the Audible alarm operational? ® Yes ❑ No* Is the visualAlarm operational? ® Yes ❑ Not Were all sensors visually:.inspected„f m6tionally 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 0 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,bvis.electrically disconnected? If yes:which sensors initiate positive strut-down? :(Cheek all that apply) ®Sump/Trench Sensors; ❑Dispenser Containment Sensors. Did.yon confirm, positrve.shut=down,due to leaks pd,sensor failure/disconnection? ®Yes; ❑No. • Yes ❑ No* For.tank systems that utilize the Monitoring system as the pririiary tank overfill waiving device (i.e., no. ® N%A medliardeal overfill prevention valve U installed), is the overfill warning alarm visible and audible at the tank fill point(s).and operating_properbO If so,_at what.percenrof.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-0M—214 wwwa Addomorg Rev.01/17108 Monitoring System Certification F... In-Tank Gauging/SIR Equipment: ® Check this box-if tank gauging as 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.wiiing been inspected for proper entry and'termination,including testing:for ground faults? • Yes p No* Were all.tank gangiing,probes visually inspected for damage and residuebuildup? • Yes ❑ No* Was accuracy:of system product Ievel readings tested?. • Yes ❑ No* Was accuracy of system water level readings tested`? ® 'Yes ❑ No* Were all.probes kinstalled"properly? ® Yes ❑:.No' Were all items on the equipment manufacturer's.maintenance checklistcompleted? ln:Section H,below,describe how and wben.these deficiencies were or wilkbe corrected. G. Line Leak Detectors(LLD): ❑ Check this box if LEDs are not installed. Com lete.the followin checklist- ® Yes ❑.No* For.equipment start-up or annual equipment�cettification; was a leak simulated to verify LLD performance? ❑ N/A (Check all that apply) Simulated leak rate: ®3"g p:h:; [10.1 g.p.h; ❑Or2 g p;h. 0 Yes ❑ No* Were"all LLDs confirmed operational and accurate within regulatory requirements? .0 Yes D.No* Was.the te.stuig apparatus properly calibrated? ® Yes. ❑ No* For mechanical:LLDs,;.does the LLD restrict product flow if it detects a leak? ❑ N/A. ❑ Yes ❑ No* For electronic I:L•Ds;does the turbine automatically shut off if.the LLD detects a leak? ® N/A ❑ 'Yes ❑ No* For electronic..LLDs,.does the,turbirie automatically shut off if any portion of the:monitoring system is disabled ® N/A or disconnected?' ❑ Yes p No* For electronic LLDs,does the turbine automatically shut off if any portion of the monitoring system malfimetions IS N/A or fails a est? Yes ❑ No* For eleet=o e.LLDs,bave',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—314 www.ua(domorg Rev.9111.7/08 a 1' yr t i- Ull u �p M+e1s.Qr0.ilv�t± l O.l r o If yciuf► yr`bc t�tliatta ►>arahq tyk .cam rttcea, t In a sxdc# ' ,: t �fia� this On !!k. Ufa p'srffi rink �k�o+a t{ke gs�irrierliruub�FYritcx u�s� ��tlar'"tdU;y ii�gcu�s ci the foliaw� �t � �' s»t�?i�.atf{ i>��►+�#tiking,�y�am•tuhis`e� a?a't�ts• sr� r �;:.+fit.� ��1' � 't�s st(r4tps� +'�spenser �a�si spilF: t c�at�+m�ts csr +rs s eiind qc 6,rtakhst Fsrt ices,i�r+ �C 1a!a `aFC 4mc 1 anf jo nk Eq ie►sl R�tie�(If"Se .- Ret.gl.�l'3Ha1 Monitoring System Certification.Form;Addendum for Vacuam/Pressure"Interstitial Sensors 1,`�� I. 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 owner/operator.The owner/operator must submit a copy of the:Monitoring System.Certif cation Form.to the local agency regulating-UST`systems.within 30 days of test"date. Manufacturer: NONE Model: System Type:.❑`.Pressure;0 Vacuum Sensor ID MEMO TM, Component(s)Monitored by this Sensor: Sensor Functionality Test Result;,❑Pass; ❑ Fail Interstitial Communication Test Result: ❑Pass; "❑ Fail Components)Monitored by,this Sensor: Sensor Functionality Test,Result: [],Pass-. ❑ Fail Iriterstitial:Communication Test:Result;❑Pass; ❑ Fail Component(s):Monitored by this-Sensor: SensorTunctionality 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 thb Sensor: Sensor Functionality Test Result:❑;Pass; ❑ .Fail Interstitial:Communication Test Result:El Pass; ❑. Fait Component(s)Monitored bythis Sensor: Sensor Functionality Test Result:,❑:Pass;.. ❑ Fail interstitial Communication Test Result: ❑Pass; ❑ Fail Components)Monitored by this.Sensor.: Sensor Functionality Test Result: El Pass; ❑ Fail Interstitial Communication.Test Result:❑Pass; ❑' Fait; Components)Monitored by this:Sensor: Sensor Functionality Test Result:D'Pass; ❑ Fail Interstitial Communication Test Result:❑Pass; ❑ Fail component(s)Monitored bythis Sensor: Sensor Functionality Test Result:❑Pass; ❑ Fail Interstitial" Communication Test Result:E]Pass, El Fail Component(s).Monitored by this Sensor: Senso i Test t ❑ .Fail Interstitial Comsnuiucat�on.Test Result: Pass; Fail: r Functionality, Resin�❑Pass; ❑ ❑ 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 xestored4o.operating levels in"sU interstitial spaces? ❑Yes ❑No(If no, describe in Sec.J,,.below)- J. Comments: NONE OF THESE SENSORS ARE.PRESENT AT TEAS SITE, Page. 4 of 5 i 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-WA-1/1 www.unido.moig Rev.01/26/06 RICH ENVIRONMENTAL .5643 BROOKS CT. BAKERSFIELD,.CA. 93308 OFFICE(661)3,92-8687 FAX(661`)392-0621. PRODUCT LINE LEAD DETECTOR TEST WORK SHEET W/o#.i FACILITY NAME: JOHNNY'S ARCO. FACILITY ADDRESS: 2612 BUCK OWENS BLVD,HAKERSFIELD,CA PRODUCT LINE TYPE: PRESSURE PRODUCT LEAK DETECTOR TYPE TEST TRIP PASS BELOW P.S.I. OR SERIAL NUMBER BELOW G.P.H. FAIL UNL87 LID TYPE RED JACKET 12 PASS YES SERIAL:#MECHANICAL PREM91 L/D TYPE RED JACKET 12 PASS YES SERIAL#'MECHANICAL L/D TYPE,: PASS YES SERIAL,# FAIL L/D TYPE,: PASS YES SERIAL#' FAIL I CERTIFY THE ABOVE TESTS'WERE CONDUCTED ON THIS DATE ACCORDING TO RED JACKET PUMPS FIELD TEST APPARATUS'TESTINGTROCEDURE AND LIMITATIONS. THE MECHANICALLEAK DETECTOR TEST PASS/FAIL IS DETERMINED BY USING A LOW FLOW THRESHOLD.:TRIP RATE OF 3'GALLONS PER HOUR OR LESS.AT`1Q P S.I..I ACKNOWLEDGE THAT,ALL DATA COLLECTED IS TRUE AND CORRECT TO THE BEST OF MY KNOWLEDGE. TECHNICIAN:. BRANDON MASON SIGNATURE:. DATE: 114-10 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 lie provided;to"the facllity owner19perator..for:submittal to the local regulatory agency. 1. FACILITY INFORMATION Facility Name: JOHNNYS'SARCO Date of Testuig 11-1-10 Facility Address: 2612 BUCK OWENS BLVD,BAKERSFIEL',CA Facility Contact: JOHNNY Phone: Date Local Agency Was Notified of Testing Name of Local Age.ncy Inspector tifpresent during testing); ERNIEW EDINA I. TESTING CONTRACTOR INFORMATION Company Name: RICH ENVIRONMENTAL Technician Conducting Test: BRANDON MASON Credentials`: Q CSLB Contractor X ICC Service Tech; ❑SWRCB Tank Tester ❑Other(Specify) License Number(s): 5284980-;UT 3. SPILL UCKET TESTING INFORMATION Test.Method Used: X Hydrostatic ❑Vacuum ❑Other Test Eguipinent Used:VISUAL Equipment-Resolution:..0 Identify Spill Bucket(By Tank 1 2 Un 87-SIPH0N- 3 PREMIIUM 91- 4 Number,Stored.Product,etc. REGULAR.87=FILL FILL FILL Bucket Installation Type: X DuectBury X Direct B4N, X Direct.:Bury 0 Direct Bury ❑Contained in Sum ❑Contamed in Sum p ❑Contained-in Sum 0 Contained:in Sum Bucket Diameter: 12IN 121N 12IN Bucket Depth: 14IN 141N 141N Wait time between applying 30 MIN 30 MIN 30.NIIN vacuum/water and stmt of test: Test Start Time(T�: 9:30AM 9 3:0AM 90 6aOAM Initial Reading(R,): 91N 9IN 91N .Test End Time(TF): 10:30AM IO:UOAM 10:30AM Final Reading(RF): 9IN 9W 9IN Test Durafion:(TF—Tt) -HOUR _1-HOUR 1-HOUR Change in:Reading(RF-R j): 01N OIN OIN Pass/Fail`-Threshold or +L-0.00 /-0:00 +/-0:00. Criteria: Comments-(include information on,repairs madeprior to testing; andrecommended follow-up for failed tests) CERTIFICATION OF TECHNICIAN RESPONSIBLE FOR CONDUCTING THIS TESTING I hereby certify 1Matall the information conudned in thk report is true,accurate,and in full compliance with legal requirements. Technician's;Signature: Date: 1.1-1-10. State laws and regulations do not currently require testing to be:performed.by 4 qualified contractor.However;local requirements may be more stringent. iDvrlwmmz RLV3w7l UIY. LL5lLL. vv�.n i�,��l.tiyy 1.1 VI1G] of l'UY IN-TANK; Shl'UF VERSION 330.01 - - - - - � SOFTWARE0 3,46330-I00-B CREATED - 10.07.23.17.25 T 1 ;UNLEADED R 'ITT I NGS"- I S-MODULEO 330.160-004-`a PRODUCT CODE THERMAL COEFF : .0007fl0 SYSTEM FEATURES: COMM BOARD 1 {1 .IM ) TANK DIAMETER 92.00 PERIODIC IN-TANK TESTS RS-232 SECURIT 4 PTS Y TANK PROFILE ANNUAL IN-TANK TESTS CODE : DISABLED FULL VOL 11627 ISD 69.0 ?NCH VOL: ,: 9438 06MM BOARD 2 (RS' 2W) 46.0 INCH VOL : 5614 BAUD RATE 1200 23:.0 INCH VOL 2.190 PARITY ODD STOP BIT.. I STOP DATA LENGTH': 7' DATA FLOAT: I ZE: 3.0 IN. PS-232 SECURITY CODE DISABLED WATER ,WARNING 2.0 HIGH WATER LIMIT. 3.0 AUTO TRANSMIT SETTINGS: MAX OR' LABEL VOL: 11627 SYSTEM SETUP OVERFILL. LIMIT. 9010 - - - - - _ - - - - - - AUTO LEAK ALARM LIMIT 10464 NOV 1, 2010 11 :04 AM DISABLED HIGH PRODUCT 95% AUTO HIGH WATER LIMIT 11045 DISABLED DELIVERI' LIMIT 10% AUTO OVERFILL LIMIT . 1,162 SYSTEM -UNITS DISABLED U,.S,. AUTO LOW PRODUCT L +W PRODUCT 500 SYSTEM LANGUAGE DISABLED LEAK ALARM LIMIT: 99 ENGLISH. i AUTO .THEFT LIMIT SUDDEN LOSS LIMIT 50 SYSTEM:OATVTIME FORMAT DISABLED` TANK TILT, MON DD YYYY HH,.*MM:SS ,xM. AUTO DELIVERY, START PROBE OFFSET fl;.00 DISABLED ARCO FACILITY AUTO DELIVERY END 2:512 BUCK OWENS BLVD DISABLED SIPHON MANIFOLDED TANKS BAKERSFI!ELD CA 93008. AUTO-EXTERNAL INPUT ON TO: NONE 661-326-1309 DISABLED LINE ;MANIFOLDED TANKS AUTO EXTERNAL INPUT OFF Tit: NONE SHIFT TIME I. : 10:00 PM DISABLED SHIFT TIME 2 : DISABLED AUTO' SENSOR FUEL ALARM SHIFT TIME 3 DISABLED DISABLED LEAK MIN PER.IODIG: SHIFT TIME 4 : .DISABLED AUTO,SENSOR WATER; ALARM . 1162 DISABLED TANK PER TST. NEEDED WRN AUTO,.SENSOR. OUT :ALARM LEAK HI:N ANNUAL DISABLED DISABLED 1162. TANK ANN TST NEEDED WRN DISABLED PERIODIC TEST TYPE LINE RE-ENABLE METHOD STANDARD PASS LI:N£ TEST LINE PER TST .NEEDED WRN ANNUAL TES A LAR L ..DISABLED. i�ARM DISABLED LINE ANN TST NEEDED WRN PERIODIC TEST FAIL Di SA'BLEPP a: ALARM DISABLED PRINT TC VOLUMES GROSS TEST FAIL ENABLED AL ARM .DISABLED TEMP COMPENSATION ANN TEST AVERAGING: OFF VALUZ (DEG :F f: 60,0 PER 'PEST AVERAGING; OFF STICK' HEtGHT OFFSET DISABD TANK TEST NOTIFY OFF ULLAGE ll 9M H-PROTaCOL. DATA FORMAT TNK TST SIPHON BREAK:OFF HEIGHT DELIVERY DELAY DAYLIGHT .SAVING TIME .1.5 MIN DISABLED PUMP THRESHOLD 10.0010 RE-DIRECT LOCAL PRINTOUT DISABLED EURO PROTOCOL PREFIX S T 2:UNLEADED R T .3:UL. PREM I UM ��✓�\�}- K TEST METwOb PRODUCT CODE. 1 PRODUCT .CODE 3 •THERMAL .COEFF : .000700 THERMAL COEFF : .;000700 JAN 29N DATE TANK DIAMETER 92.00 TANK .DIAMETER 92,00 20D9 TANK PROFILE 4 PTS TANK PROFILE 4 PTS TEST TIME DISABL FULL VOL 11627. 69.0 I1+ H VOL. OL : 19438 RATE ;0,20 GA 69..0 INCH VOL 9438 DURATION 2 FiOUJ 46.0 INCH VOL 5814' 46.0 LNCH VOLT 581`4 23.0 INCH VOL ; 21:.90 23,.0 INCH VOL s 1170 TsT EARLY STOP:DI6AE LEAK TEST REPORT FOR FLOAT SIZE: 3.0 IN. FLOAT SIZE: 3.0 I'N NORM WATER WARNING 2.0 WATER WARNING 2.0 HIGH WATER LIMIT: 3.0 HIGH WATER, LIMIT. 3.0 MAX OR LABEL VOL: 11627 MAX. OR LABEL VOL: 11.627 OVERFILL LIMIT 9 1 ON OVERFILL LIMIT : 90yo 10464 1:0464 HIGH PRODUCT 9% HIGH PRODUCT 95 11045 11045 DELIVERY LIMIT : 1.0`/l DELIVERY LIMIT '1'0o 11.62 1162 LIQUID SE NS OR SETUP LOW PRODUCT 500 LOW. PRODUCT 500 , LEAK .ALARM. LIMIT,: 99. LEAK ALARM LIMIT. 99 L 1 :87 ; _ SUDDEN LOSS LIMIT: 50 SUDDEN LOSS LIMIT: 50 TRI- $TP '1 TANK TILT . 4•.50. TANK TILT : . 3,50. STATE !SINGLE FLOA: PROBE OFFSET 0:.00 PROBE OFFSET 0.00 CATEGORY SIP SUMP L 2;: SIPHON AIANIFOLDED TANKS SIPHON MAN�IFOLDED TANKS 87 STp 2 T# NONE TRI-STATE {SINGLE FLOAT T NONE LINE MAN I FOLDED TANKS CATEGORY l.Jr?P LINE MANIFOLDED TANKS LINE 'NMAN STP S TO NONE L 3:91 STP LEAK MIN PERIODIC: 10%. TRI-STATE (SINGLE FLOAT) LEAK MIN PERIODIC. 1162 1162 CATEGORY STP StIMp LEAK MIN ANNUAL 10.0 LEAK M[N ANNUAL 1I� L 4:87 ANN 1 1162 T-91-STATE CF1TIi0ok ISTNGLE FLOAT). Y PERIODIC TEST TYPE PERIODIC TEST TYPE ANNULAR SPACE. STANDARD STANDARD ANNUAL TEST FAIL L 5'87 ANN 2 ANNUAL TEST FAIL ALARM DISABLED TRI STATE '(SINGLE FLOAT) ALARM D I SAI3LED CATEGORY ANNULAR SRAC PERIODIC TEST FAIL. PERIODIC .TEST FAIL E ALARM DISABLED ALARM blSABLED GROSS TEST FAIL L 6:91. ANN GROSS TEST FAIL ALARM DISABLED TRI'STATE {SINGIE .FLOAT) ALARM' D ISABLED CATEGORY ANNULAR SPACE ANN TEST AVERAGING: OFF ANN TEST AVERAGING: OFF PER TEST AVERAGING: OFF PER TEST AVERAGING: OFF TANK"TEST NOTIFY: OFF TANK TEST: NOTIFY: OFF TNk TST SIPHON BREAK':OFF TNK: 'TST SIPHON.BREAK:OFF DELIVERY DELAY 15 MIN DELIVERY DELAY 15 MIN PUMP THRESHOLD 10.00% PUMP THRESHOLD t o.book - - -- - - MLnm-i rr l o l vxy KLY.UJ+f l R 1 :87 STP __-- I,N-TANK ALARM ----- TYPE: T 1,;UNLEADED R. STANDARD NORMALLY CLOSED OVERFILL ALARM TANK 0: 1 OCT 9. 2016.„ 9:02 AM OCT 9, 2010 9:40 AM LIQUID SENSOR ALMS HIGH ALARM L 1 :FUEL .ALARM OCT `91, 2010 9:03 AM L 2:FUEL ALARM L I :SENSOR 'OUT ALARM L 2-SENSOR OUT ALARM ISD SITE ALARMS ISD GROSS .PRES FAIL LSD DEGRD- PRES FAIL ISD VAPOR .LEAK FAIL ISD VP PRES FAIL ISD VP STATUS FAIL ISD HOSE ALARMS ALL:FLOW. COLLEGT FAIL. .R 2:91 STP TYPE: STANDARD NORMALLY CLOSED TANK 0.: 3 LIQUID SENSOR ALMS L 3:FUEL ALARM ALARM HISTORY REPORT L 3:SENSOR 'OUT ALARM ---- .IN-TANK ALARM `- -- ISD SITE,ALARMS T 2;:UNLEADED .R ISD GROSS PRES FAIL ISD DEG FD PRES FAIL OVERFILL ALARM , LSD VAPOR LEAK FAIL OCT 9, 2,010 8::'38 AM ISD VP PRES, FAIL IBD VP STATUS FAIL HIGH PRODUCT ALARM ISD HOSE ALARMS OCT 9. 2010 8:49 AM ALL.:FLOW COLLECT FAIL :END € * . SMARTSENSOR SETUP s 1,:VAPOR PRESSURE CATEGORY VAPOR PRESSURE s 2:CANISTER CATEGORY VAPOR VALVE s 34DISP 1-2 CATEGORY AIR FLOW METER ALARM HISTORY REPORT s 4:D1SP 3-4 ---- !N:-TANK ALARM -_--- CATEGORY AIR FLOW METER s 5:DI;$P 5-6 T 3.:UL PREMI'I UM CATEGORY AIR FLOW METER s 6:DISP 7=8 CATEGORY AIR FLOW METER s S:ATM CATEGORY ATM P SENSOR + ALARM HISTORY REPORT . ALARM HISTORY-REPORT a� -- SENSOR ALARM' ----- ---- SENSOR ALARM. ----- L 1::$7 STP 1 L 4:87 ANN 1. sTp Sump ANNULAR SP.,ACE SENSOR OUT ALARM FUEL ALARM. , 146V 1. 2010 10:08''AM: NOV 1, 201'0 1:0::56 AM FUEL ALARM SENSOR OUT ALARM NOV 1.201;0 9:110 AM NOV 1 . 2010 10:08 AM FUEL ALARM NOV 1, 2010 9;4?;55 AM X * X x * END x x .* x * END *: ALARW HI STORY REPORT' ----- SENSOR ALARM ----- L 2:87 STP 2 ALARM HISTORY REPORT SEN SUMP - sErvsOR OUT - SENSOR ALARM ----- NOV 1 , 2010 10:.06 AM L 5:87 ANN 2.ANNULAR SPACE FUEL. ALARM, FUEL. ALARM NOV 1 , 201 p 9:31 AM NOV 1 , 2010 10:58 AM FUEL ALARM NOV. 1 201-0 10:58 AM SENSOR OUT ALARM NOV 1, 2010. 10:09 AM X END ' xxx x END ALARM Hi STORY REPORT ----- SENSOR ALARM ----- L..3:c;91_ STP STP Sump SENSOR OUT ALARM ALARM HISTORY REPORT NOV 1, 2010: 10:08 AM' FUEL ALARM. ---- SENSOR ALARM! ----- NOV 1. 2010 9:31 AM L 6:91 ANN ANNULAR .SPACE SENSOR OUT ALARM I!10V 1 , 2010 1,0:09 AM. FUEL ALARM NOV 1 2010 9:44 AM FUEL ALARM.. NOV 1. 2010 9:42 AM MONITOR CERT. :FAILURE REPORT SITE NAME : JOHNNY'S ARCO DATE 11110 ADDRESS : 2612 BUCK OWENS BLVD TECHNICIAN: BRANDON MASON. CITY: BAKERSFIELD SIGNATURE s �� THE FOLLOWING COMPONENTS WERE.REPLACED/REP-A1RED TO COMPLETE TESTING. REPAIRS : NONE LABOR: NONE PARTS INTALLED : .NONE NAM: TITLE : SIGNATURE.: THE ABOVE NAMED PERSON TAKES FULL RESPONSIBILITY OF NOTIFYING THE APPROPRIATE PARTY TO HAVE CORRECTIVE ACTION TAKEN TO REPAIR. THE ABOVE LISTED PROBLEM&AND NOTIFYING RICH ENVIRONMENTAL FOR ANY NEEDED RETESTING.11M ALSO RELEASES RICH ENVIRONMENTAL:OF ANY FINES OR PENALTIES OCCURINGFROM NON-COMPLIANCE. .A COPY OF THIS DOCUMENT HAS BEEN LEFT ON—SITE FOR YOUR CONVIENENCE.