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
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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. _ .