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HomeMy WebLinkAboutFMC RESULTS 2010 49 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 certification or report must be.gmRgmA for each monitoring system control.Mel 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 Facility Name: HAPPY GAS Bldg.No.:. Site Address: 3221 TAFT HWY City: BAKERSFIELD Zip: Facility Contact Person: AMITA Contact Phone No.: Make/Model of Monitoring System: TLS-M. Date of Testing/Servicing: 9129 12010 B. Inventory of Equipment Tested/Certified Cheek the al2rogriate boxes to indicate ifrc ni ment lns ed/serviced: Tank ID: RED DIESEL Tank ID: UNL87 0,ln-Tank.CTm4 gProbe. Model: MAG ®.InJank.GaugingProbe. Model: MAG: ❑:Annular Spac e.or Vault Sensor. Model: ❑Annular"Space or Vault Sensor. Model: ®.Piping Sump/Trench Sensor(s). Model: 208 Z Piping Sump/Trench Senw6). Model: W 0 Fill Sump Sensor(s). Model: 208 ®Fill Sumpsensor(o. Model: 208 [];Mechanical Line Leak Detector. Model: RED JACKET ®Mechanical.Line Leak Detector. Mod ei: RED JACKET ❑,Electronic Line Leak Detector. Model.: ❑:Electronic Late Leak Detector. Model . .. ®Tank Overfill/.High4.cvcl Sensor. Model: FLAPPER Z Tank Overfill/High-Level Sensor. Model: FLAPPER. ❑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: DIESEL Z In-Tank Gauging Probe. Model. MAG ®In-Tank. Gauging'Probe. Mom.. MAG ❑Amwlar Space or Vault Sensor. Model: ❑Annular:Space or Vault Sensor. Model>. ®'Piping Sump(Trench Sensor(s). Model: 208 ®Piping Sump/Trench Sensor(s). Modell:208 IS Fill Sump Sensor(s). Model: 208 ®;Fill Sump Sensor(s). Model: 08 Z Meedtanical Line Leak Detector. Model: RED JACKET ®Mechanical Line Leak Detector. Model:RED JACKET. ❑Electronic Line Lalt Detector. Model: [�Electronic Line`I'eak Det ctor. Model:. ®Tank Overfill/High-Level Sensor. Model: FLAPPER ®Tank Overfli i/HighbL.evel Sensor. Model: FLAPPER ❑Ot her(specify equipment type:Oil model in Section E on Page 2). ❑Other(specify eguipment;type and model.in Sedibn'E on Page 2). Dispenser ID: 112 Dispenser ID: 314 Z Dispenser Containmerit:Sensor(s). Model: BEAUDREAU. ®Dispenser Containment Sensor(s)'. Model_BEAUDREAU: Z Shear Valve(s). ®Shear Valve(s). ❑Dispenser Conainment Float(s)and Chain(s). {]Dispenser Containment Float(s)and Chain(s): Dispenser m: 5/6 Dispenser lD:.- .718 ®L�ist►en� Contammeat Sensor(s). Model: BEAUDREAU. ®Dispenser Containment Sensor(s). Model:,BEAUDREAU ®Shear Valve(s). Z 3hew-vaive(s): ❑Dispenser Comaimn rnt Float(s)and Chaiii(s). : ❑Dispenser Containment Float(s)and Chain(s).. Dispeaser;lD: 9 Dispenser ID• ®Dispenser:Containment'.Sensor(sj.. Model:.BEAUDREAU ❑Dispensca Containment Scns6i(s)i Model: Z Shear Valve(s). Shear Valves) El Dispenser Co ,Floaks)and Chon(s), Dispenser Containment Float(s)and Chain(s): *If the facilitycontains more tartks'ordispen ser co y t ts`fom 'Include infti ;foc,cv ery tank and di spenser.at;the facility. i . C. Certification-"I certify that the egWpment'identified:in this:document was inspected/serviced In accordance with the manufacturers' guidelines. Athched:to.this,Certification=is loformation (eg. mannfacfbrers• checklists) necessary to verify that this:information is correct and a Plot Plan showing the layout,ofmonitoring equipment. For any equi menteapable of ttg such,reports,.I.have also attached a copy ofthe report;,(c1-i ale rhat aM(y: ❑System set-up Alarm h e't: Technician.Name.:(print): RICH PHILLIPS Signature:,_ Certification No. 1035168-UT License.,No.' G61/DO 809850: Testing Company Name;: RICH ENVIRONMENTAL Phone No (661) 326-$402 Testing Company.Address.3305`BRMAN RD. BAKERSFIELD,CA:93308 Date:of Testing/Servicittg:'9129/2010 Page 1 of 5 UN4M—.1/4 www.unidomorB I IIIIIII it l!III IIII 50 Rev.01n7M IE Monitoring System:Certification � D. Results of Testing/Serviciug Software Version.Installed: 14: 1_ Complete the followin checklist:.. . Yes ❑ No's Is the audible alarm 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;tiiat other equipment will not.interfere.with:their,orcoer operation? ❑ Yes ® No* If alarms are relayed to: a remote monitoring station, is all communications equipment (e.g:, -modem). ❑ NIA operational? ® Yes D No' mo to s tempdetects a leak,fails operate,;, r is a ictnly shut down if the piping secondary containment: ❑. N/A rmg Sys 'cally disconneeted7 1fyes:which sensors initiate positive shut-down? (Check all that apply) ®Sump/Trench;Sensors ❑Dispenser Containmmnt:Sensors. Did you confirm;positive shut-down due to leaks. ,sensor failure/disconnection? ;®Yes; p No. '❑ Yes ❑ No* For,tank systems that utilize the monitoring system as :the primary,tank overfill warning device, (.e., no ® N/A mechanical over M prevention valve is installed), i,s ie overfill warning alarm visible and audible at the tank fill.point(:)and operating properly? If so,.at what percentof.tank capacity does:the slarai trigger? ® Yes* ❑ No Was Any monitoring equipment replaced? -If.yes'!identify specific sensors;probesvor other equipment replaced and list the.manufac w;r name,andmodel for all replacement;parts.in Section:E,glow. ❑ Yes* ®: No Was1iqui&found inside.any secondary containment systems designed as dry systems? (Check.alliharapply) ❑'Product;: p Water: If yes,descn causes in Section.E,-below. ® Yes ❑ No* Was monitoring.syateam;set-up.reviewed.to ensure proper,settings?Attach set up reports,if.applicable 0 Yes ❑`No* Is all monitoring equipment,pperational per manufacturer's.specifications? *In Section E:below,describe how and.*hen.these deficiencies:were.or wilt be corrected. E. Comments: Page 2 of 5 UN-036—214 w".601do6.org Rev.01117/08 'Monitoring System Certification 3 � F. In-Tank Gauging L SIM Equipment: ® Check this'.box if.tank gauging:is usedonlyfor inventory control. Check this box Mao tank,gaugin"r:SMR equipment is installed. This section must be.completed if.in-tank:gauging.equipment is'used to perform leak detection monitoring. Complete the following,checklist: p Yes CO] No' Has all inputwiring been inspected for proper entry and termination,including testing,for ground faults? [3 Yes [] No* Were all tank gauging pmbes visually inspected for damage and::residue buildup? ❑ Yes ❑ No* Was accuracy of system,product level.readings'tested? ❑ Yes ❑ No* Was accuracy of systemwater:.levet readings tested? D Yes .o No* Were ail probes reinstalled properly? .❑ Yes ❑ No* Were all items on tide egdiptr ent.manufacturer's maintenance checklist completed? In Section IL below,describe'how and when these:deficiencies were:or'wiil be corrected, G. Line Leak'Detectors.'(LLD); p Check this box if LLDs are:not installed. Complete the f(hill 'ng checklist- .9 Yes ❑ No* For equipment start-up or annual..e'quipment certification, was a.leak simulated:`to:verify LLD performance?" p N/A (Cheek ail thaw apply).Simulated leak'rate: 103 g:pI.; .0 0.1 g.p.h; D.0.2 g.p.h. ® Yes D No* Were all LLDs confirmed operational and.amnate within.regulatory.requirements? 1:19 Yes ❑, No* Was the testing apparatus properly"calibrated? ® Yes ❑ No* for mechanical:LLDs,does the LLD restri ct productflow:if it detects a4eak? ❑ N/A ❑ Yes O No* For electronic LLDs,does the turbine automatically shut offifi6eItEl shut detects a leak? ® N/A D 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, p No's For electronic LLDs;does:the turbine automatically shut off if any portion<ofthe monitoring system malfunctions .0 N/A or fails a test?' ❑ Yes ❑ No* For electronic LLDs,°have alf accessible,,wiring connections been visuallyinspected? ® N/A ® Yes ❑ No* Were all items on;the_equipment manufacturer's: . maintenance checklist completed?' *J Section K below,describe howand when these deftciencies.were.-or will be corrected. H. Comments: Page. 3 of 5 VN4%-3/4 www.anidocs drg xev.otn�ios Monitorin S stem Certifcation Form:Addendum"for Vacuum/Pressure Interstitial Sensors � �� g: y L 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 ownerloperator.must submit a:copy of:the Monitoring System Certification Form to the local agency regulating UST systems Within 30 days of test date. Manufacturer:N/A Model: System Type;,❑Pressure;❑Vacuum Sensor ID Component(s)Monitored by this.Sensom Sensor Functionality Test Result:,❑Pass; ❑ Fail Interstitial Communication Test Result.. Pass; E] Fail Component(s)Monitored.by this Sensor: Sensor Functionality Test Result:❑Pass;. ❑ Fail Interstitial CommunicationTest Result:'❑-Pass; ❑ Fail. Component(s)Monitored by this Sensor: Sensor Functionali ty Test Result,[ .Pass- ❑ Fail Interstitial Communication Test'Result:❑:Pass; ❑ Fail Components)Monitored bythis Sensor. SensorFunctionalityTestResult ❑Pass; ❑ Fail. Interstitial Communication Test'Result.:E]Pass; ❑ Fail Component(s)Monitored by this Sensor- Sensor Functionality Test Result-,[3 Pass.;, ❑ Fail. Interstitial Communicaoon Test Result:[]'Pass; ❑ Fail Component(s)'Monitored by this Sensor: SensorEunctionality Test Result:❑.Pass; ❑ Fail Interstitial.Commimication Test Result;❑Pass; ❑ Fail Component(s)Monitored by this Sensor- Sensor Functionality Test Result:Q Pass; ❑ Fail 'Interstitial Conunu ication TestResult:❑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; El Fail . Interstitial Communication Test Result-❑Pass; ❑ Fail Component(s)Monitored,by,this Sensor: Sensor Functionality.Test:Result:,❑'bass;.❑ Fail Interstitial:Communication:Test Result:❑:Pass; ❑ Fail' How was interstitial communication verified? ❑ I:ealc Introduced at Far End of Interstitial S ' ❑ Gauge; ❑' Visual Inspecti on; El Other(Describe in:Sec.:J;'below) Was vacuum/pressure restored to operating'levels in;all interstitial spaces? ❑Yes [:]No(Ifno:describe ire Sec...l, below)` J. Comments: NONE OF THEStSENSORS ARE PRESENT AT THIS SITE. -Page 4" Hof & ' If the sensor,successfullydetects a simulated vacuum/pressure leak;introduced in the.interstitial space at the fiuthest-point,'from the sensor;vacuum/pressure has.been demonstrated to be communicating!throughout the interstice. UN-06A-14 w.ww.Ugw0C4Arg. Rev.oink Monitoring System Certification UST Moniton g Sit&Plan Site Address: :� 1 -rAF-t - - - - - - - - - - - _- - - - - - - - r - - - - - - - - - - - - - - - r . . -.. - . ♦ .. . r. r . . . - . . . w - • - • - . • w. • - • - r w .. - - r - • w - - "r -. • :` . .. . . r . . . r r w r • . • . . w • • - - - . . r • •. `.. w • w r. - r - - - - - r _ r • r - - • • .. . - r • r - s •. • r • r r. .. . .. `r .. r' r. - 'r.�. - M r r. w,:• . .r r • r .. - r • • - r • w - r - - - - - - vw r • - - ' r r r • -. . -. _ ... w r ,_ _ r. r" w, r .r - _ r - r - - _ .w - - - . . r r • - - - - - - - - - - - - • • • - - - _. - -- - - - - - - - 1-.s - - - - - - - •. .- - .. w . . .. . . . . . . r r • - - • _ - . • r r - - - r w • w - •. r r w _. w •. - - w -. _ r - r r r W - - - r - - r r _ r . - • s r w • w • - . - • - r - . - r r - - - - - � .4 - • r r - - • - - - - - - - • - • - • r r - - - - - - - - - - - - - - - _ • • ♦ • . • r ,� - w w w • _ - 4 Y w r -. r r w w Y � _ - ....... .wrr� _ _t� - w r r • -. Date mV wu dtffl�VIl � If you already have a,diagram.that shdiws,all.requiredjnfoimation,you may include it,rattler than this page,,with your Monitoring System Certification.Oa your site:pin,show the;general Iaydnit of tanks and piping.Clearly 1 Identify locations of the following equipment, if installed:monitoring system con titol anels,:sensors:monft',* g tank annular P spaces,'-sun n,dispenser Pans,spill containers,or other,secondarq C46atainnment areas;mechanical or electronic:fine leak detectors;and in-tank Lquid level probes(if used for leak detection).In the'space provided,note the date this Site PIan was. repaned. Page of 05100 RICHE) VIROAV1VIEAVTAL 3305 BRITTAN ST.BAKERSFIELD,CA. 93308 OFFICE:(661)326-8402 FAX(661)326-8934 PRODUCT LINE LEAKDETECTOR TEST WORK SHEET W/O#: FACILITY NAME: HAPPY GAS .. FACILITY ADDRESS: 3221 TAFT-HWY.BAIERSFIELD PRODUCT LINE TYPE: PRESSURE PRODUCT LEAK DETECTOR TYPE TEST TRIP PASS BELOW P.S.I. OR SERIAL:NUMBER 3 G.P.H. FAIL UNL87 L/DXYPE:RED JACKET. YES 12 PASS SERIAL#MECHANICAL PREM91 LID TYPE:RED JACKET. YES 12 PASS SERIAL# MECHANICAL L%D TYPE:RED JACKET YES .DIESEL 12 ;PASS SERIAL it MECHANICAL ICED LID TYPE:RED JACKET YES 12 PASS DIESEL SERIAL:#ME CAL I.CERTIFY THE ABOVE,TESTS WERE CONDUCTED ON THIS DATE ACCORDING'TORED JACKET PUMPS FIELD TEST,APPARATUS TESTING PROCEDURE AND LIMITATIONS: M THE ECHANICAL LEAK DETECTOR TEST PASS/'FAIL LS.DETERMINED BY USINGA 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• RICH PHIL SIGNATURE: DATE: 9129/10... SWRCB,January.2006 Spill Bucket Testing Report Form This form is'intended for use.by contractors performing anhual:testi ig of UST spill containment:structures. The:completed form and prtntouts from tests(if applicable);should be:provided to the facility;owner/operator for submittal to the:local regulatory agency. 1. FACILITY INFORMATION . Facility Name: HAPPY GAS Date.of Testing: 9!29/10 Facility Address: 3221 TAFT HWY,BAKERSFIELD Facility Contact: AMITA. Phone:: Date Local Agency Was Notified of Testing. Name of Local Agency Inspector(rfpresent during testing): 2. TESTING CONTRACTOR INFORMATION Company Name: RICH ENVIRONMENTAL Technician Conducting Test: RICH PHILLIPS Credentials': 0 CSLB Contractor X ICC Service Tech. 0 SWRCB.Tank Tester ❑Other(Spec) License Nuirmben(t): 1035169-UT 3. _SPILL BUCKET TESTING INFORMATION Test Method Used: X Hydrostatic D'Vacuum a Other Test Equipment Used:VISUAL Equipment Resolution:'.0 Identify Spill Bucket(By rank 1 2 X 4. Number;Stored Producx etc: REG-87-FILL. PREM-91-FILL DIESEL RED DIESEL i X'Bucket Installation Type: ' '. u' ❑Direct ❑Direct;B ❑,D.fiW B ❑Direct X Contained in Sum X'Contained in Sump X Contained in S. `Contained in Sum Bucket Diameter: 12" 12". l2" 12" Bucket Depth: 14" 14" 14" 14" Wait;time between:applying 30 MIN 30 MIN M N41N 30 MIN vacuum/wawand start of test: Test.:Start Time ffI : 9.00AM 9:OOAIVI 9:OOAM 9MAM InitialReading(Ri) 9" 9" 9" 9" Test End Time(TF)' 10:00:AM 10:00AM 10 OOAM 1 O:OOAM Final Reading(RF); 95i. 9" 9" 9" Test Duration(TF.—Tj): 'I-HOUR 1-HOUR 1-HOUR 1-HOUR Change.in Reading(RF-R): 0 0 0 0 Pass/Fail Threshold or +/--0.00 +/-0.0() +/_0.00 4-/-0.00 Criteria: a Comments—{iieclude information.on repairs made prior.to testing:and recommended follow=upfor.'failed tests): CERTIFICATION OF TECHNI MRESPONSIBLE FORCONDUCTING'THIS TESTING I har*cerl y thatall the information co ed in This report is bue,accurate,;and in full compliance wlth legal requirements. Technician's Signature: Date: 9/29/10 0. State laws and regulations.do not currently require:testing to be performed by:a qualified contractor.However,,local'requirements may more:stringent: t PUMKIN CENTER SYSTEM. SETUP 3221TAFT :HWY _ _ _ _ _ _ 1 9AK CA.9311:3 $EP :29. 2010; 8:2:1 RR-232 SECURITY SEP 29, 2010, 8:21 CODE SYSTEM UNITS U,:S. SYSTEM STATUS REPORT SYSTEa1 LANGUAGE _ ENGLISH T f :DELIVERY NEEDED SYSTEM DATE/TIME,FORMAT RS-232 .END OF ;MESSAGE MON: DD YM HH:MM:SS ENABLED T 3:DELIVERY NEEDED PUMKIN. CENTER T 4:DELIVERY NEEDED 3221TAFT` RWY BAK CA:.93313 INVENTORY REPORT SH,IFT'TIME 1 4:35 AM SHIFT TIME 2 : DISABLED T 1 :D I'ESEL RED ;SH 1 FT TIME 3 :: D I SABLED VOLUME a 1666 GALS SHIFT TIME 4 :: Ot ABLED ULLAGE a 10197 .GALB PERIODIC TEST WARNINGS 9015.ULLAGE- 9018 GALS DISABLED, TC VOLUME m 1.565 GALS ANNUAL TEST WARNINGS HEIGHT m 18.27 1NCHES IN-TANK SETUP WATER VOL 0 GALE DISABLED - WATER 0.-00 INCHES pRI"NT TC VOLUMES TEMP 86::6 DEG .F ENABLED T I:DIESEL• ;RED 0 PRODUCT CODE ,000470 THERtiAL COEFF; `�1'PT T 2:REG UNLEADED 8,7 .. TEMP.COMPENSATI:ON TAN1{ DIAMETER VOLUME = 22.10 GALS VALUE: (,DEG F 1: : 60.0 TANK PROFILE . ULLAGE 9573 GALS FULL VOL 1.1.783 90% ULLAGE- 8394 GALS H,-PROTOCOL DATA.FORMAT TO VOLUME m 2166 GALS HEIGHT HEIGHT 23.06 INCHES RE-DIRECT LOCAL PRINTOUT FLOAT .SIZE: 4.0 IN. 849.6 n r canr.rD WATER VOL 0 GALS : 2.0 WATER 0.00 INCHES WATER WARNING 4.0 TEMP 87:9 DEG F HIGH:.WATER LIMIT: 'COMMUNICATIONS SETUP OR LAKES- I : 11783 _ VE>�FILL L,IM1T 97N, T 3�:SOPER UNL 92 - - - - - - 1.1429 VOLUME _ $?3 GALS 95% ULLAGE 111'_0 GALS HIGH: PRODUCT 111,93 90% ULLAGE-. .99 1 GALE PORT 'SETT I NGS: 171G TC VOLUME a 659 GALS DELIVERY .LIMIT 2003. HEIGHT 10:13 .INCHES COMM BOARD 1 (RS-2320, .WATER VOL - 0 GALS: BAUD RATE 1600 330 WATER 0.00 INCHES. PARITY LOW PRODUCT TEMP 88.9' DEG F STOP :BIT, : I STOP LEAK pLARM. L'1MIT� . 99 DATA: LENGTH:: 7 DATA SUDDEN LOSS 'LIMIT: 0_.00 TANK TILT T 4*iSEL 2 AUTO• TRANSMTT SETTINGS`>t MANI:FOLDEDgNKS VOLkiME" m 1900 GALS ULLAGE a 9863. GALS Tit': NONE 90X ULLAGE- 8704 GALS AUTO LEAK, ALARM LIMIT TO VOLUME + 1873 GA136 D I'SABLED LEAK MIN, PER I OD I C HEIGHT - 20.73 INC4{ES AUTO HIGH. WATER LIMT'T WATER VOL o 0 GALS DISABLED WATER a 0.00 INCHES AUTO OVERFJLL LIMIT � TEMP + 89.8 DEG F DISABLED LEAK MIN ANNUAL: ? 0 AUTO LOW PRODUCT DISABLEb' • ' N :0� END * * AUTO THEFT LIMIT DISABLED PERIODIC TEST TYPE. STANDARD AUTO :DELIVERY START DTSAHLED AUTO DELIVERY END ANNUAL TESTA FAIL DfSABLED AIBABLED AUTO .EXTERNAL INPUT .ON pEgIODIC TEST•:FAIL. DISABLED ALARM DISABLED AUTO EXTERNAL INPUT .OFF DISABLED AUTO. SENSOR FUEL ALARM GROSS, TAT FALPR DISABLED DISABLED AUTO SENSOR WATER ALARM AVERAGING:: OFF DISABLED ANN TEST OFF AUTO.SENBOR OUT ALARM PER TEST AVERAGII+JG; D;I SAHL£D TANK TEST MOTIF`!: OFF TNK TST SIPHON .BREAK:.OFF ` 1390'"" UNL 52 — T 2:REG_ UNLEADED 97" - PRODUCT T 4:DIESEL 2— PRODUCT CODE : THERMAL • 6 PRODUCT CODE � 3 COEFF :.000700 THERMAL. COEFF 000700 TAW DIAMETER THERMAL COEFF .000470: 95";00' TAW. D,IAMETER 95.00: TANK DIAMETER 95.00 TANK PROFILE TANK PROFILE 1 PT FULL VOL ;. l P.T TANK PROF.I LE I. PT FULL VOL !: 11 78.3.. 11783 FULL VOL : 11783 FLOAT SIZE: 4.0 IN. 8496 FLOAT SIZE:" 4.0 IN. 9496; FLOAT SIZE': 4.01 IN. :8496 WATER.WARNING WATER ;WARNING . : 2 0 4.0 HIGH. WATER LIMIT: 4.0 NIGH WATER LIMIT: 2.0 WATER WARNING : 2,0 H. IGH WATERL11MIT: 4.0 . MAX.OR LABEL VOL' 11793 " : ; MAX OR LABEL. VOL: 11.793 OVERFILL LIMIT MAX.ORLABELVL: 11783 OVERFILLLIMIT 97% .97% OVERF I LL L IM I T 97N HIGH PROD UCT 11429 11429 11429 95% H IGH PRODUCT ; 95% HIGH PRODUCT 95% I 1 193 1.1193 : 1'1'a 93 DELIVERY LIMIT 17 DELIVERY LIMIT : 17% • 2003 DELIVERY LIMIT ? 20073 2003 LOW PRODUCT LOW PRODUCT 330 LEAK 330 LOW PRODUCT ': 330 ALARM LIMIT: 99 LEAK. ALARM LIMIT 99. LEAK ALARM LIMIT: 99 SUDDEN L689 LIMIT: 99 SUDDEN LOSS LIMIT.: 99 SUDDEN TOSS LI.M;IT: .9.9 TANK TILT 0_x:00 TANK TILT 0.00 TANK TILT . 0:.00 MAN.IFOLDED" TANKS MANIFOLDED TANKS Tit: NONE MANIFQLDED TANKS Tit,: NON T#; NONE LEAK MIN PETi'I ODIC: OX LEAK. MIN PERIODIC' ox LEAK M I;N; PER I OD.I C ox" • 0 0 0 LEAK MIN ANNUAL 0� LEAK MIN ANNUAL.. 0 LEAK..MI;N ANNUAL •. 0 0 PERIODIC TEST TYPE: PERIODIC. TEST :TYPE ,PERIODIC TEST TYPE STANDARD STANDARD STANDARD. ANNUAL TEST FAIL ANNUAL TEST FAIL ALARM DISABLED` ANNUAL TEST FAIL ALARM DISABLED ALARM DISABLED PERIODIC TEST FAIL PERIODIC TEST.FAIL" ALARM DISABLED PERIODIC TEST FAIL ALARM DISABLED ALARIN.D.I SAHLED. GROSS TEST FAIL GROSS TEST FAIL ALARM D ALARM DISABLED" GROSS TEST FAIL.,..IS, "ABLED ALARM A'ISABLED ANN TESTA VERAGING: OFF AN TEST.AVERAG;I.NG: OFF ANN TEST AVERAGING': OFF PER TEST AVERAGING: OFF PER TEST AVERAG1fVG:: OFF PER TEST AVERAGING: OFF TANK TEST .NOTIFY, OFF TANK TEST NOTIFY: OFF TANK TEST NOTIFY: OFF TNK TST SIPHON EREAK:OFF TNK TST SIPHON BREA}C"'OFF TNK TST ;SIPHON ;BREAK:OFF DELIVERY DELAY : 3 MIN DELIVERY DELAY 3 MIN DELIVERY DELAY 3.: MIN LIQUID SENSOR SETUP 'OUTPUT RELAY`SETUP R a;SUPER UNLEADED v `� ,3TANDY CLOSED L_-1'.F ILL. RED DSL R. 1 :RED DSL 1gORN�ALL TRI-STATE (SINGLE FLOAT) TYPE. CATEGORY : OTHER SENSORS STANDARD, TANK ALAS NORMALLY CLOSED 13:L0L1 pRODU ALARM L 2:STP: RED DSL I`N-TANK ALARMS L,I tdU I'D BEAR ALARM T J :LEAK ALARM L r''F�" ALARM TRI-STATE (STNGLE 'FLOAT) L 6;MN$OR OUT CATEGORY OTHER SENSORS L 5.BHORT ALA. LIQUID SENSOR. ALMS L 6;SHORT ALARM L 2,:FUEL ALARM L 2:SENSOR OUT ALARM L .3:REG F I LL 'L 1':SHORT' AT:ARM 4,D I `3EI. 2 TRI-STATE (SINGLE:.FLOAT) L 2:SHORT ALARM R. CATEGORY : OTHER SENSORS TYPE: STANDARD R 2:REG UNLEADED NORMALLY CLOSED TYPE: L 4:STP REG UNL STANDARD TRI-STATE (SI.NGLE FLOAT) NORMALITY CLOSED IT-a�L W PRODUCT ALARM CATEGORY : OTHER SENSORS IN-TANK ALARMS, LIiaUID SENSO RPM T, 2:LOW. PRODUCT ALARM L 8 StN ROUT ALARM L Ti to L 5:F I LL SUPER UNL ALL:HIGH PRODUCT ALARNt L 8:SENSOR. OUT, 9-ARM TRI-STATE (SINGLE FLOAT) Z" 2':I LAVAL i.D FUEL LEVEL L 7:s}{OR'f ALA, CATEGORY OTHER SENSORS' L S:SHORT ALAI LIQUID SENSOR ALMS L 3:FUEL ALARM L a.F.UEL ALARM R 5:COUMR LIGHT L 6*TP SUPER SUMP L 2:SENS09 OUT ALARM TRb-STATE (SINGLE FLOAT), L 4:SENSOR OUT ALARM pE: CATEGORIC : OTHER SENSORS. L, 3:SHORT ALARM N STANDARD 7 j, OPEN L A:SHORT ALARM IN TANK A L 7:FILL SUMP DSL. 2 ALL` LE" ALAS ALARM TRI-STATE (SINGLE FLOAT) ALL:LOW P pDF� L IEL CATEGORY :OTHER SENSORS p,LL:IN'�AL ALL:PROBE,0 NEEDED AI.I::DELI.IIERY L B:STP DSL 2 R ,X-1e TRI-STATE (S:I NGLE FLOAT) LIQUID-,F EL ALARM CATEGORY : OTHER SENSORS ALL-,FUEL p "OUT ALL;;8EN84R .OUT ALARM per,:ENTER AL ALL.� LEAK TEST ,METHOD TEST WEEKLY ALL TANK SUN START TIME 1:00 .AM .TEST RATE ;0.,20 GAL/HR DURATION 2 HOURS LEAK TEST REPORT FORMAT ENHANCED ALARM HISTORY REPORT: ALARM 'HI6T'ORY REPOR�) / A =- SENSOR;`ALAiRM ----- L -- SENSOR ALARM ----- ALARM HISTORY REPORT -'- L 7:FIIL. 96MP DSL 2 L H:.R S REG UNL OTHER,SENSORS " --_-- SENSOR ALARM --- OTHER SENSORS SENSOR OUT ALARM L 1 :FILL RED .DEL SENSOR OUT. ALARM SEP. 29. 2010 4-:2% OTHER SENSORS SEP 29. 2010 9:29 SENSOR OUT ALARM FUEL ALARM SEP 29. 2010 9:29 FUEL: ALARM SEP 29. 2010 9:"14 SEP 2.9. 20,0 8::55 FUEL ALARM FUEL.,ALARM .SEP 29. 2010` 9:04 FUEL ALARM,. MAY 23. 2010 6:5! DEC 10.- 2009 18:56 SENSOR OUT ALARM. NOV 9; 2009 10:.53 ALARM. HISTORY REPORT ALARM HISTORY REPORT ALARM HISTORY REPORT -'-`- SENSOR ALARM ----= L_8� S DeLR2f1i.ARM ----- L :5:FILL SUPER..UNL OTHER..SENSORS ----- SENSOR ALARM --_._ OTHER OUT ALARM SENSORS: SENSOR OUT ALARM' , L 2:ST'P. RED SENSOR' SEP 29. 2010.. -9:29' OTHER SENSORS SEP 29,.: 2010 9:29 SENSOR OUT ALARM, FUEL. ALARM_ SEP 29. 2010 ,9.29 FUEL. ALARM. SEP. 29. 2010 8:51 SEP. 24."`201.0 :9:11 FUEL ALARM FUEL, ALARM SEP 29. 2010 5:02 FUEL ALARM JAN 19.. 201.0 12:55 APR 20. 2010 17:32 SENSOR OUT ALARM.. NOV 9: .2009 "1.0:53 ALARM H I STORY REPORT SOFTWARE REU I S J ON L:£1yEL VERSION 14,61 -- SENSOR ALARM ----_ SOFTWARE# 346014. 100-B ALARM HISTORY REPORT L 6:8TP SUPER SUMP CREATED - 97.031.12,20-:41 OTHER SENSORS. _- -_ SENSOR ALARM ----- NO SOFTWARE: MODULE L 3:REG FILL SENSOR OUT ALARM, SYSTEM FErgr�IREB.: OTHERSENSORS SEP 29.. 2010 . 9:29. PERIODIC IN-TANK TESTS SENSOR:OUT ALARM " ANNUAL. IN-TANX TESTS_ SEP 29. 2010 3:29 FUEL ALARM SEP 29, 2010, 8:53 FUEL ALARM SENSOR OUT ALARM SEP 29, 2010 9:.:07 NOV 9. 2009 10:53 FUEL ALARM VOV 9, 2009 17:413, MONITOR,CERT., FAILURE REPORT SITE NAME HAPPY GAS; DATE : 9/29/10 ADDRESS 3221.TAFT HWY TE CLAN RI S CM: BAKERSFIELD SIGNATURE: THE FOLLOWING COMPONENTS WERE REPLACED/REPAIRED TO COMPLETE TESTING. r- REPAIRS: LABOR: ` r PARTS INSTALLED : NAME : TITLE SIGNATURE THE ABOVE NAMED PERSON TAKES FULL RESPONSIBILITY OF NOTIFYING. THE APPROPRIATE PARTY TO HAVE CORRECTPVE ACTION TAKEN TO REPAIR THE ABOVE LISTED PROBLEMS AND,NOTHWING RICH.ENVIRONMANTAL'FOR ANY NEEDED RETESTING.THIS;ALSO RELEASES RICH ENVIRONMENTAL OF ANY FINES ORPENALTIES`OCCURING FROM NON-COMPLIANCE. A COPY OF.THIS DOCUMENT HAS BEEN LEFT. ON-SITE.FOR YOUR CONVIENENCE. _ .