HomeMy WebLinkAbout3601 STOCKDALE HWY (2) MONITORING SYSTEM CERTIFICATION
For Use By All Jurisdictions Within the State of California
Authority Cited:Chapter 6.7,Health and Safety Code;Chapter 16, Division 3 Title 23, California Code of Regulations
This form must be used to document testing and servicing of monitoring equipment. If more than one monitoring system control panel is installed at the facility,a separate
certification or report must be Prepared for each monitoring system control panel by the technician who performs the work. A copy of this form must be provided to the tank
system owner/operator. The owner/operator must submit a copy of this form to the local agency regulating UST systems within 30 days of test date.
A General Information
Facility Name: 7-ELEVEN#17721,MKT 2368 City: BAKERSFIELD CA Zip:93309
Site Address: 3601 STOCKDALE HIGHWAY Contact Phone No: 834-3093
Date of Testing/Service: 02/07/2011
Facility Contact Person: Manager
Make/Model of Monitoring System:TLS350 Work Order Number: 3181091 IIIIIIIIIIIIINIIIII
1 I 53
B.Inventory of Equipment Tested/Certified IE
Check the appropriate boxes to indicate specific equipment inspected/serviced
Tank ID: 87 Tank ID: 87
X In-Tank Gauging Probe. Model: MAG PROBE X In-Tank Gauging Probe. Model: MAG PROBE
Annular Space or Vault Sensor. Model: Annular Space or Vault Sensor. Model:
X Piping Sump/Trench Sensor(s). Model: 208 Piping Sump/Trench Sensor(s). Model: 208
X Fill Sump Sensor(s). Model: 208 208
Fill Sump Sensor(s). Model:
X Mechanical Line Leak Detector. Model: FX1V X Mechanical Line Leak Detector. Model: LD2000
Electronic Line Leak Detector. Model: Electronic Line Leak Detector. Model:
X Tank Overfill/High-Level Sensor. Model: ATG Tank OverfilVHigh-Level Sensor. Model: ATG
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: Tank ID:
In-Tank Gauging Probe. Model: MAG PROBE In-Tank Gauging Probe. Model:
Annular Space or Vault Sensor. Model: Annular Space or Vault Sensor. Model:
X Piping Sump/french Sensor(s). Model: 208 Piping Sump/Trench Sensor(s). Model:
X Fill Sump Sensor(s). Model: 208 Fill Sump Sensor(s). Model:
X Mechanical Line Leak Detector. Model: LD2000 Mechanical Line Leak Detector. Model:
Electronic Line Leak Detector. Model: Electronic Line Leak Detector. Model:
Tank Overfill/High-Level Sensor. Model: ATG Tank Overfill/High-Level Sensor. Model:
Other(specify equipment type and model in Section E on page 2). Others ci
( pe fy equipment type and model in Section E on page 2).
Dispenser : 1/2 Dispenser ID: 3/4
®Dispenser Containment Sensor(s) Model:208 _X-1 Dispenser Containment Sensors) Model: 208
RI Shear Valve(s). X Shear Valve(s)
❑Dispenser Containment Float(s)and Chain(s). 7 Dispenser Containment Float(s)and Chain(s).
Dispenser ID: Dispenser ID:
F]Dispenser Containment Sensor(s) Model: Dispenser Containment Sensor(s). Model:
❑ Shear Valve(s). Shear Valve(s).
Dispenser Containment Float(s)and Chain(s). Dispenser Containment Float(s)and Chain(s).
Dispenser ID: Dispenser ID:
❑ Dispenser Containment Sensor(s) Model: Dispenser Containment Sensor(s). Model:
Shear Valve(s). Shear Valve(s).
Dispenser Containment Float(s)and Chain(s). Dispenser Containment Float(s)and Chain(s).
.If the facility contains more tanks or dispensers,copy this form.Include information for every tank and dispenser at the facility.
C. Certification
I certify that the equipment identified in this document was inspected/serviced in accordance with the manufacturers'guidelines.
Attached to this certification is information(e.g manufacturers'checklists)necessary to verify that this information is correct.
and a Site Plan showing the layout of monitoring equipment.For any equipment capable of generating such reports,I have also attached
a copy of the(Check all that apply): �X System set-up X❑Alarm history report
Technician Name(print): ROBERT ALLEN Signature:
Certification No.: A20125 License.No.: 743160(Class'A'General Enginering Contractor License)
Testing Company Name:Tanknology Phone No.: (800)800-4633
Site Address: 11000 N.MoPac Expressway,suite 500,Austin,TX 78759 Date of Testing/Servicing: 02/07/2011
Monitoring System Certification Page 1 of 3 I IIIIIII VIII III IIII 54 Based on CA form dated 03/08
IE
Monitoring System Certification
Site Address 3601 STOCKDALE HIGHWAY Date of Testing/Service: 02/07/2011
D. Results of Testing/Servicing
Software Version Installed: 329.02
Complete the following checklist:
X Yes No• Is the audible alarm operational?
Q Yes No• Is the visual alarm operational?
0 Yes No• Were all sensors visually inspected,functionally tested,and confirmed operational?
❑ Yes E]No
Were all sensors installed at lowest point of secondary containment and positioned so that other equipment will not
•
interfere with their proper operation?
x Yes No• NIA If alarms are relayed to a remote monitoring station,is all communications equipment(e.g.modem)operational?
For pressurized piping systems,does the turbine automatically shut down if the piping secondary containment
❑ Yes No• ❑N/A monitoring system detects a leak,fails to operate,or is electrically disconnected?If yes:which sensors initiate positive
shut-down?(check all that apply) ❑x Sump/Trench Sensors; ❑x Dispenser Containment Sensors.
Did you confirm positive shut-down due to leaks and sensor failure/disconnection? ❑x Yes Ej No
❑X Yes ❑No• N/A For tank systems that utilize the monitoring system as the primary tank overfill waming device(i.e.:no mechanical
overfill prevention valve is installed),is the overfill warning alarm visible and audible at the tank fill points(s)and operating
properly? If so,at what percent of tank capacity does the alarm trigger?
❑ Yes' ❑x 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.
Mx Yes' ❑No Was liquid found inside any secondary containment systems designed as dry systems?(check all that apply) []Product;
❑x Water. If yes,describe causes in Section E,below.
❑X Yes ❑No• Was monitoring system set-up reviewed to ensure proper settings?Attach set-up reports,if applicable.
❑X Yes ❑No• Is all monitoring equipment operational per manufacturers'specifications?
*In Section E below,describe how and when these defrciences were or will be corrected.
E. Comments:
of water removea from 91 STP sump.
Page 2 of 3 Based on CA form dated 03/08
Monitoring System Certification
Site Address: 3601 STOCKDALE HIGHWAY Date of Testing/Service: 02/07/2011
F. In-Tank Gauging /SIR Equipment
❑ Check this box if tank gauging is used only for inventory control.
❑ Check this box if no tank gauging or SIR equipment is installed.
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:
❑X Yes ❑No' Has all input wiring been inspected for proper entry and termination,including testing for ground faults?
0 Yes ❑No' Were all tank gauging probes visually inspected for damage and residue buildup?
❑X Yes ❑No' Was accuracy of system product level readings tested?
❑X Yes ❑No. Was accuracy of system water level readings tested?
X Yes ❑No' Were all probes reinstalled properly?
QYes ❑No• Were all items on the equipment manufacturers'maintenance checklist completed?
"In the Section H,below,describe how and when these deficiencies were or will be corrected.
G. Line Leak Detectors (LLD) : ❑ Check this box if LLDs are not installed.
Complete the following checklist:
For equipment start-up or annual equipment certification,was a leak simulated to verify LLD performance?
Q Yes E]No' [:j N/A (Check all that apply)Simulated leak rate: X❑ 3 g.p.h ❑0.1 g.p.h ❑0.2 g.p.h
M Yes ❑No• Were all LLDs confirmed operational and accurate within regulatory requirements?
X Yes ❑No' Was the testing apparatus properly calibrated?
❑X
Yes ❑No• ❑N/A For mechanical LLDs,does the LLD restrict product flow if it detects a leak?
❑Yes ❑No• El N/A For electronic LLDs,does the turbine automatically shut off if the LLD detects a leak?
❑Yes ❑No• X❑N/A For electronic LLDs,does the turbine automatically shut off if any portion of the monitoring system is disabled or disconnected?
❑Yes ❑No• ❑X N/A For electronic LLDs,does the turbine automatically shut off if any portion of the monitoring system malfunctions or fails a test?
❑Yes ❑No' Q N/A For electronic LLDs,have all accessible wiring connections been visually inspected?
0 Yes ❑No' Were all items on the equipment manufacturers'maintenance checklist completed?
"In the Section H,below,describe how and when these deficiencies were or will be corrected.
H. Comments:
Page 3 of 3 Based on CA form dated 03/08
SWRCB,January 2002 Page 1.
Secondary Containment Testing Report Form
This form is intended for use by contractors performing periodic testing of UST secondary containment systems. Use the
appropriate pages of this form to report results for all components tested. The completed form, written test procedures, and
printouts from tests(if applicable),should be provided to the facility owner/operator for submittal to the local regulatory agency.
1. FACILITY INFORMATION
Facility Name: 7-ELEVEN #17721, MKT 2368 Date of Testing: 02/07/2011
Facility Address: 3601 STOCKDALE HIGHWAY BAKERSFIELD, CA, 93309
Facility Contact: Manager Phone: (661) 834-3093
Date Local Agency Was Notified of Testing
Name of Local Agency Inspector(if present during testing): Ernie Medina
2. TESTING CONTRACTOR INFORMATION
Company Name: TANKNOLOGY, INC.
Technician Conducting Test: ROBERT ALLEN
Credentials: CSLB Licensed Contractor SWRCB Licensed Tank Tester
License Type: A License Number: 743160
Manufacturer Training
Manufacturer Component(s) Date Training Expires
Incon STS 05/19/2011
3. SUMMARY OF TEST RESULTS
Not Repairs Not Repair
Component Pass Fail Tested Made Component Pass Fail Tested Made
Spill Box 1 REG FILL El ❑ ❑ ❑ ❑ ❑ ❑ ❑
Spill Box 1 REG FILL a ❑ ❑ ❑ El ❑ ❑ ❑
Spill Box 1 REG VAPOR a ❑ ❑ ❑ ❑ ❑ ❑ ❑
Spill Box 1 REG VAPOR Efl ❑ ❑ El ❑ ❑ ❑ ❑
Spill Box 2 REG FILL ❑ ❑ ❑ ❑ ❑ ❑ ❑
Spill Box 2 REG FILL X ❑ ❑ ❑ ❑ ❑ ❑ ❑
Spill Box 2 REG VAPOR FRI ❑ ❑ ❑ ❑ ❑ ❑ ❑
Spill Box 2 REG VAPOR FRI ❑ ❑ ❑ ❑ 0 ❑ ❑
Spill Box 3 PRE FILL a ❑ ❑ ❑ ❑ ❑ ❑ ❑
Spill Box 3 PRE FILL ❑ El ❑ ❑ ❑ ❑ ❑
Spill Box 3 PRE VAPOR X ❑ ❑ ❑ ❑ ❑ ❑
Spill Box 3 PRE VAPOR E ❑ ❑ ❑ ❑ ❑ ❑
If hydrostatic testing was performed,describe what was done with the water after completion of tests:
Test water removed sameday
CERTIFICATION OF TECHNICIAN RESPONSIBLE FOR CONDUCTING THIS TESTING
To the best of my knowledge, the facts stated in this document are accurate and in full compliance with legal requirements
Technician's Signature: Date: 02/07/2011
SWRCB,January 2006
9. Spill Bucket Testing Report Form
This form is intended for use by contractors performing annual testing of UST spill containment structures. The completed form and
printouts from tests(if applicable), should be provided to the facility owner/operator for submittal to the local regulatory agency.
1. FACILITY INFORMATION
Facility Name: 7-ELEVEN #17721, MKT 2368 1 DateofTesting: 02/07/2011
Facility Address: 3601 STOCKDALE HIGHWAY BAKERSFIELD, CA, 93309
Facility Contact: Manager Phone: (661) 834-3093
Date Local Agency Was Notified of Testing:
Name of Local Agency Inspector(if present during testing): Ernie Medina
2. TESTING CONTRACTOR INFORMATION
Company Name: TANKNOLOGY, INC.
Technician Conducting Test: ROBERT ALLEN
Credentials): a CSLB Contractor E ICC Service Tech. ❑SWRCB Tank Tester El Other(Specify)A
License Number: 743160
3. SPILL BUCKET TESTING INFORMATION
Test Method Used: X❑ Hydrostatic ❑ Vacuum ❑ Other
Test Equipment Used, Incon Equipment Resolution: .0020
Identify Spill Bucket(By Tank 1 1 REG FILL Z 1 REG FILL 3 1 REG VAPOR 4 1 REG VAPOR
Number, Stored Product, etc)
Bucket Installation Type: XO Direct Bury XD Direct Bury X❑Direct Bury ❑X Direct Bury
❑Contained in Sump ❑Contained in Sump ❑ Contained in Sump ❑Contained in Sump
Bucket Diameter: 1111 1111 1111 11"
Bucket Depth: 1311 1311 1311 1311
Wait time between applying 15min 15min 15min 15min
vacuum/water and starting test:
Test Start Time(TI ); 11:57am 12:14pm 11:57am 12:14pm
Initial Reading(RI ): 5.1461 5.1466 5.1734 5.1731
Test End Time(TF 12:13pm 12:30pm 12:13pm 12:30pm
Final Reading(RF ): 5.1466 5.1467 5.1732 5.1729
Test Duration: 15min 15min 15min 15min
Change in Reading(R F-R1 ): .0005 .0 0 01 .0002 .0 0 0 2
Pass/Fail Threshold or .0020 .0 0 2 0 .0020 .0 0 2 0
Criteria:
Comments - (include information on repairs made prior to testing, and recommended follow-up for failed tests)
CERTIFICATION OF TECHNICIAN RESPONSIBLE FOR CONDUCTING THIS TESTING
I hereby certify that all the information contained in this report is true,accurate,and in full compliance with legal requirements.
Technician's Signature: Date: 02/07/2011
State laws and regulations do not currently require testing to be performed by a qualified contractor.However,local requirements
SWRCB,January 2006
9. Spill Bucket Testing Report Form
This form is intended for use by contractors performing annual testing of UST spill containment structures. The completed form and
printouts from tests(if applicable),should be provided to the facility owner/operator for submittal to the local regulatory agency.
1. FACILITY INFORMATION
Facility Name: 7-ELEVEN #17721, MKT 2368 Date of Testing: 02/07/2011
Facility Address: 3601 STOCKDALE HIGHWAY BAKERSFIELD, CA, 93309
Facility Contact: Manager Phone: (6 61) 8 3 4-3 0 9 3
Date Local Agency Was Notified of Testing:
Name of Local Agency Inspector(if present during testing): Ernie Medina
2. TESTING CONTRACTOR INFORMATION
Company Name: TANKNOLOGY, INC.
Technician Conducting Test: ROBERT ALLEN
Credentials X❑CSLB Contractor ❑x ICC Service Tech. ❑SWRCB Tank Tester E Other(Specify)A
License Number: 743160
3. SPILL BUCKET TESTING INFORMATION
Test Method Used: ❑x Hydrostatic ❑ Vacuum ❑ Other
Test Equipment Used: Incon Equipment Resolution: .0020
Identify Spill Bucket(By Tank 2 REG FILL Z 2 REG FILL 3 2 REG VAPOR 4 2 REG VAPOR
Number, Stored Product, etc)
X❑
Bucket Installation Type: Direct Bury X❑Direct Bury X❑Direct Bury ❑X Direct Bury
❑Contained in Sump ❑Contained in Sump ❑Contained in Sump ❑ Contained in Sump
Bucket Diameter: 1111 1111 1111 1111
Bucket Depth: 1311 1311 1311 1311
Wait time between applying 15min 15min 15min 15min
vacuum/water and starting test:
Test Start Time(TI ): 11:57am 12:14pm 11:57am 12 :14pm
Initial Reading(RI ): 4.6701 4 .6694 4.1260 4.1259
Test End Time TF ): 12:13pm 12:30pm 12 :13pm 12:30pm
Final Reading(R F ): 4.6695 4.6 6 9 3 4.1260 4.1260
Test Duration: 15min 15min 15min 15min
Change in Reading(R F-R I .0006 .0 0 01 0 .0001
Pass/Fail Threshold or 0020 .0020 .0020 .0020
Criteria:
t ai ® a ai
Comments - (include information on repairs made prior to testing, and recommended follow-up for jailed tests)
CERTIFICATION OF TECHNICIAN RESPONSIBLE FOR CONDUCTING THIS TESTING
I hereby certify that all the information contained in this report is true,accurate,and in full compliance with legal requirements.
Technician's Signature: Date: 02/07/2011
I State laws and regulations do not currently require testing to be performed by a qualified contractor.However,local requirements
SWRCB,January 2006
9. Spill Bucket Testing Report Form
This form is intended for use by contractors performing annual testing of UST spill containment structures. The completed form and
printouts from tests(if applicable),should be provided to the facility owner/operator for submittal to the local regulatory agency.
1. FACILITY INFORMATION
Facility Name: 7-ELEVEN ##17721, MKT 2368 Date of Testing: 02/07/2011
Facility Address: 3601 STOCKDALE HIGHWAY BAKERSFIELD, CA, 93309
Facility Contact: Manager Phone: (661) 834-3093
Date Local Agency Was Notified of Testing:
Name of Local Agency Inspector(if present during testing): Ernie Medina
2. TESTING CONTRACTOR INFORMATION
Company Name: TANKNOLOGY, INC.
Technician Conducting Test: ROBERT ALLEN
Credentials): CSLB Contractor [�]ICC Service Tech. ❑SWRCB Tank Tester Other(Specify)A
License Number: 7 4 316 0
3. SPILL BUCKET TESTING INFORMATION
Test Method Used: a Hydrostatic ❑ Vacuum ❑ Other
Test Equipment Used: Incon Equipment Resolution: .0020
Identify Spill Bucket(By Tank 3 PRE FILL 2 3 PRE FILL 3 3 PRE VAPOR 4 3 PRE VAPOR
Number, Stored Product, etc)
Bucket Installation Type: ❑Direct Bury ❑Direct Bury ]Direct Bury 0 Direct Bury
❑Contained in Sump ❑Contained in Sump ❑Contained in Sump ❑Contained in Sump
Bucket Diameter: 11" 11" 1111 1111
Bucket Depth: 1311 1311 1311 1311
Wait time between applying 15min 15min 15min 15min
vacuum/water and starting test:
Test Start Time(TI ): 12:50pm 1:0 5p 12 :50pm 1:0 5p
Initial Reading(RI ): 4.0135 4.0133 4.9967 4.9970
Test End'Time(TF ): 1:0 5pm 1:2 Opm 1:05pm 1:2 Opm
Final Reading(RF ): 4.0131 4.0130 4.9971 4.9969
Test Duration: 15min 15min 15min 15min
Change in Reading(R F-RI ): .0004 .0003 .0004 .0001
Pass/Fail Threshold or .0020 .0 0 2 0 .0020 .0 0 2 0
Criteria:
C3U •. ® SS a >w ® a N
Comments- (include information on repairs made prior to testing, and recommended follow-up for failed tests)
CERTIFICATION OF TECffi0CI4,N RESPONSIBLE FOR CONDUCTING THIS TESTING
I hereby certify that all the information contained in this report is true,accurate,and in full compliance with legal requirements.
Technician's Signature: Date: 02/07/2011
I State laws and regulations do not currently require testing to be performed by a qualified contractor.However,local requirements
SITE DIAGRAM
TanknokWy
8501 N MOPAC EXPRESSWAY,SUITE 400
AUSTIN,TEXAS 78759
(512)451-6334
FAX(512)459-1459
TEST DATE:02/07/11 WORK ORDER NUMBER3181091
CLIENT:7-ELEVEN, INC. SITE: 7-ELEVEN #17721, MKT 2368
So. REAL RD
Direct Bury FiliNapor Buckets Nis
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4 3601 Stockdale Hwy
L2 REG REG Bakersfield, CA 93309
STP L4 STP L3 661.834.3093
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L1 T3
STP ) OO PREM Overfill TLS
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BREAKERS
Printed 02123/2011 08:04 ACRAMER
Work Order: 3181091
Oy(y)&6NY)TT'AgEbea-Veda 1-6252M
Emergency Shut Off(ESO) &
Dispenser Emergency Shutoff Valve (ESV)
ANNUAL'TBST RECORD IACATTONS AND TEST DATA
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Tanknology Inc. 11000N.MoPac Expressway, Suite 500,Austin,Texas 78759
Work Order: 3181091
ALARM HISTORY REPORT
---- IN-TANK ALARM{ ---..-
T I :REGULAR UL TANK 1
HIGH WATER ALARM
FEB 7. 2011 9:40 AM
OVERFILL ALARM
FEB 7, 2011 9:5'"3 AM
235067 7-11 17721 LOLL PRODUCT ALARM
3601 STOCKDALE: HWY FEB 7, 2011 9:37 Am
BAKERSFIELD,CA.
80749954505001 HIGH PRODUCT ALARM
FEB 7. 2011 11 :53 AM FED 7. 2011 9:53 AM
INVALID FUEL LEVEL
FEB 7. 2011 9:37 AM
SYSTEM STATUS REPORT PROBE OUT
- - - - FEB 7, 2011 9:54 Ail
SERVICE NOTICE FEB 7. 2011 9:37 AM
P 5:HLARMI CLEAR WARNING HIGH WATER WARNING
FEB 7. 2011 9:40 AM
ALARM HISTORY RFPORT
DELIVERY NEEDED ---- IN-TANK ALARM --
FEB 7, 2011 9:37 AM ---
T 3:PREMIUM
LOW TEMP WARNING HIGH WATER ALARM
FEB 7. 2011 9:54 AM FEB 7, 2011 9:41 k,
FEB 7. 2011 9:37 AM
235067 7-11 17721 OVERFILL ALARM
3601 STOC:KDALE HWY FEB 7, 2011 9:57 AM
BAY.ERSFIELDXA. LOW PRODUCT ALARM
807499545050UI FED 7, 2011 9:38 AM
FEB 7. 2011 I1 :53 AM ALARM HISTOR:' REPORT
HIGH PRODUt'T ALARM
----- IN-TANK ALARM ----- FEB 7, 2011 9:58 N1
SYSTEM STATUS REPORT T 2:REGULER UL TANK. 2 INVALID FUEL LEVEL
- - - - - - - - - - - - FEB 7, 2011 9:38 AM
SERV 1 CE NOT I CE HIGH WATER ALARMI PROBE OUT
FEB 7. 2011 9:37 AMI
D 5:ALARM CLEAR WARNING, FEB 7, 2021 9:59 AMI
OVERFILL. ALARM FEB 7. 2011 9:38 All
FEB 9
7, 2011 9: AM
HIGH WATER WARNING
AUG flUG 29, 010 3:339 AM
FEB 7, 2011 9:41 Ai
LOW PRODUCT ALARM
FEB 7, 2011 9:34 AM DELIVERY NEEDED
HIGH PRODUCT ALARM FEB 7, 2011 9:38 AM
FEB 7. 2011 9:51 AM JAN 28, 2011 5:43 PM
INVALID FUEL LEVEL
ALARM HI$TOP.Y kEP<-)FT
FEB 7. 2011 9:34 All
PROBE OUT
-- SYSTEM ALARMI ----- FEB 7. 2011 9:52 AM
PAPER OUT FEB 7. 2011 9:34 AM
JAN 21 , 2011 8:36 AM
PRINTER ERROR HIGH WATER WARNING
JAN 21, 2011 6::36 AM FEB 7. 2011 9:37 AM
CLOSE SHIFT PE�NDIN,
-FEB 2, 2011 7:00 AM
CLOSE DAIL1 PENDING DELIVERY NEEDED
FEB 7, 2011 6:00 AM FEB 7, 2011 9:34 AM
SERVICE NOTICE
FEB 7, 2011 8:55 AM
LOW TEMP WARNING
FEB 7. 2011 9:52 AM
Tanknology Inc. 11000N.MoPac Expressway,Suite 500,Austin,Texas 78759
Work Order: 3181091
ALARM HISTORY REPORT
----- SENSOR ALARM -----
L 1 :DISP PAN 1-2
DISPENSER PAN
SENSOR OUT ALARM
FEB 7. 2011 10:12 AIM
FUEL ALARM
FEB 7. 2011 10:09 AM
FUEL ALARM
AUG 2. 2010 9:09 AM
ALARM HISTORY REPORT
----- SENSOR ALARM -----
L 4:RUL 2 TURBINE
xxxXx END xx * x x SO
SENSOR OUT ALARM
FEB 7. 2011 10:12 AM
FUEL ALARM
FEB 7. 2011 10:10 AN
FUEL ALARM
AUG 2, 2010 9:07 41
ALARM HISTORY REPORT
----- SENSOR ALARM -----
L 2:DISP PAN 3-4
DISPENSER PAN
SENSOR OUT ALARM
FEB 7, 2011 10:12 AM * x x * x END x x x x
FUEL ALARM
FEB 7. 2011 10:09 AM
FUEL ALARM
AUG 2, 2010 9:09 AM
ALARM HISTORY REPORT
----- SENOR ALARM -----
L 5:PUL TURBINE
STP SUMP
�± x A x END « x x x -i SENSOR OUT ALARM
FEB 7. 2011 10:12 AM
FUEL ALARM
FEB 7, 2011 10:11 AM
FUEL ALAR11
FEB 7, 2011 10:11 AM
ALARM HISTORY REPORT
----- SENSOR ALARM -----
L 3:RUL 1 TURBINE
STP SUMP
SENSOR OUT ALARM
FEB 7. 2011 10:12' AM
FUEL ALARM
FEB 7, 2011 10:10 AM
FUEL ALARM
AUG 2. 2010 9:9B AM
Tanknology Inc. 11000 N.MoPac Expressway,Suite 500,Austin,Texas 78759
Work Order: 3181091
SYSTEM SETUP
FEB 7, 2011 8:55 Am
SYSTEM UN ITS
U.S.
SYSTEM LANGUAGE
ENtiLISH
235067 7-11 17721 SYSTEM DATE.-TIME Fr-RMAT
3601 STOCKDALE HWY MON DD YYYY HH:1111:SS w:M
BAKERSF171D,CA.
60749954505001 235067 7-11 17721 RE-DIRECT LOCAL PRINTOUT
3601 STOCKDALE HWY DISABLED
FEB 7, 2011 8:53 AM 60744954505001 EURO PROTOCOL PREFIX
S
SHIFT TIME 1 : 7:00 AM
SYSTEM STATUS REPORT SHIFT TIME 2 DISABLED
- SHIFT TIME 3 D I;CABLED SYSTEM SECURITY
TY
ALL FUNCTIO14S 14ORMAL SHIFT TIME 4 DISABLED CODE : SECURI
SHIFT BIR PRINTOUTS
ENABLED
DAILY BIR PRINTOUTS TANK CHART SE4,URITY
ENABLED DISABLED
TICKETED DELIVERY
DISABLED
TANK PER TST NEEDED LJRN CUSTOM ALARMS
DISABLED DISABLED
----- SYSTEM ALARM ----- TANK ANN TST NEEDED WRN
SERVICE NOTICE DISABLED
FEB 7, 2011 8:55 AM SERVICE NOTICE
LINE RE-ENABLE METHOD ENABLED
PASS LINE TEST DELIVERY OVERRIDE
DISABLED
LINE PER T ST NEEDED WRN
DISABLED
ISO 3166 COUNTRY
ANN TST NEEDED WRN CODE:
DISABLED
PRINT TC VOLUMES
SOFTWARE REVISION LEVEL ENABLED Mi"2S,'DENS I TY
VERSION 329.02 DISABLED
SOFTWARE# 346329-100-C TEMP COMPENSATION
CREATED - 09.07.01 .16.29 VALUE (DEG F is 60.0
STICK HEIGHT OFFSET
S-MODULEO 330160-162-A ENABLED
SYSTEM FEATURES: ULLAGE: 90%
PERIODIC IN-TANK. TESTS
ANNUAL IN-TANK TESTS H-PROTOCOL DATA FORMAT
CSLD HEIGHT
BIR DAYLIGHT SAVING TIME
PLLD ENABLED
0.10 AUTO START DATE
0.20 REPETITIV MAR WEEK 3 SUN
WPLLD START TIME
0.10 AUTO 2:00 AM
0.20 REPETITIV END DATE
NOV WEEK 2 SUN
END TIME
2:00 AM
Tanknology Inc. 11000 N.MoPac Expressway,Suite 500,Austin,Texas 78759
Work Order: 3181091
COMMUNICATIONS SETUP
PORT SETT I NCB:
COMM BOARD : I (EDIM )
RS-232 SECURITY
CODE : DISABLED
00i'IM BOARD : 2 (ED I M
RS-232 SECURITY
CODE : D I S-4--BLED
COh1M BOARD : 3 (S-SAT ) AUTO DIAL TIME SETUP:
BAUD RATE : 9600
PARITY : NONE D 5:FQ FMS
STOP BIT : 2 STOP DIAL ON DATE
DATA LEW.;TH: a DATA SEP 26, 2008
RS-232 SECURITY DIAL TIME : DISABLED
CODE : DISABLED RECEIVER REPORTS:
DTR NORMAL STATE: HIGH
COMM LARD 5 (RS-4a5) ALL:DELIVY DENSITY WARN
BAUD RATE 2400
PARITY : EVEN LIQUID SENSOR ALMS
STOP HIT : 1 STOP ALL:FUEL ALARM
DATA LENGTH: 7 DATA ALL:SENSOR OUT ALARM
R9-232 SECURITY ALL:SHORT ALARM
CODE : DISABLED ALL:WATER ALARM
COMM 230ARD 6 (IHTCOhIM) ALL:WATER OUT ALARM
RATE 1200 ALL:HIGH LIQUID ALARM
BAUD ODD ALL:LOW LIQUID ALARM
PARITY
WARNING
STOP BIT I STOP ALL:LIrdUILi
DATA LENGTH: 7 DATA RS-232 END OF MESSAGE RECEIVER ALARMS
RS-232 SECURITY DISABLED SERVICE REPORT WARN
CODE : DISABLED ALARM CLEAR WARNING
AUTO DIAL ALARM SETUP DELIVERY REPORT WRN
AUTO TRANSMIT SETTINGS: - COMM SIDE DIM ALM
AUTO LEAP: ALARM LIMIT D 5:FQ FMS ALL:DISABLED DIM ALARM
ALL:COMMUNICATION ALARM
DISABLED IN-TANK ALARNIS ALL:TRANSACTION ALARM
AUTO HIGH WATER LIMIT ALL:LEAK ALARM
DISABLED ALL:HIGH WATER ALARM RECONCILIATION ALM
AUTO OVERFILL LIMIT ALL:OVERFILL ALARM ALL:PROD THRESHOLD ALM
DISABLED ALL:LOW PRODUCT ALARM ALL:CLOSE SHIFT WARNING
AUTO LOW PRODUCT AL.:SUDDEN LOSS ALARM ALL:CLOSE DAILY WARNING
DISABLED ALL:HIGH PRODUCT ALARM
AUTO THEFT LIMIT ALL:INVALID FUEL LEVEL PMC ALARMS
DISABLED ALL:PROBE OUT VP EMISSIONS WARN
AUTO DELIVERY START ALL:HIGH WATER WARNING VP EMISSIONS FAIL
DISABLED ALL:DELIVERY NEEDED VP PRESSURE WARN
AUTO DELIVERY END ALL:MHX PRODUCT AL,*M VP PRESSURE FAIL
DISABLED VP DUTY CYCLE WARN
AUTO EXTERNAL INPUT ON ALL:GROSS TEST FAIL
DISABLED AC.I..:P>rk I OD]C• TEST FAIL VP DUTY CYCLE FAIL
AUTO EXTERNAL INPUT OFF ALL:ANNUAL TEST FAIL PMC SETUP FAIL
ALL:PER TST NEEDED WRN PMC SENSOR FAULT
DISABLED
AUTO LESOk FUEL ALARM ALL:ANN TST NEEDED WRN
ALL:PER TST NEEDED ALM
DISABLED
AUTO SENSOR WATER ALARM ALL:ANN TST NEEDED ALM
ALL:TANK TEST ikvTIVE
DISABLED
AUTO SENOR OUT ALARM ALL:NO CSLD IDLE TIME
DISABLED ALL:TANK SIPHON BREAK
ALL:CSLD ]NCR RATE WARN
ALL:ACCU_CHART CAL WARN
ALL:RECON WARNING
ALL:RECON ALARM
ALL:LOW TEMP WARNING
RECEIVER SETUP: ALL:MISSING TICKET WARN
ALL:GROSS FAIL LINE TNK
D 5:FG FMS
C10.90,3.96'3001
RCVR TYPE: COMPUTER
PORT NO: 3
RETRY NO: 5
RETRY DELAY: 5
CONFIRMATION REPORT: OFF
Tanknology Inc. 11000 N.MoPac Expressway,Suite 500,Austin,Texas 78759
Work Order: 3181091
T 2:REGULAR UL Ti=1NK 2
PRODUCT CODE 2
THERMAL COEFF : .000700
TANK DIAMETER 94.00
TANK PROFILE 20 PTS
FULL VOL 10028
89,3 INCH VOL 9818
84.6 INCH VOL 9475
79.9 INCH VOL 9050
75.2 INCH VOL 8563
70.5 INCH VOL : 8028
65.8 INCH VOL 7459
61 .1 INCH VOL 6863
56.4 INCH VOL : 6247
51 .7 INCH VOL 5618
47.0 INCH VOL 4984
42.3 INCH VOL 4346
IN-TANK SETUP 37.6 INCH VOL 3722
32.9 INCH VOL 3107
- - - - - - - - - - - - 28.2 INCH VOL 2514
T 1 :REGULAR UL TAN}: 1 23.5 INCH VOL 1947
PRODUCT CODE 1 14.8 INCH VOL 1418
THERMAL COEFF : .000700 14.1 INCH VOL 937
TANK DIAMETER 94.00 .4 INCH VOL 494
SIPHON MANIFOLDED TAPIKS 4 4.7 INCH VOL 1B7
TANK PROFILE 20 PTS
FULL VOL 10028 TO: METER DATA : YES
89.3 INCH VOL 9818 LINE MANIFOLDED TANKS END FACTOR: NONE
84.6 INCH VOL 9475 T4: NONE CAL UPDATE: NEVER
79.9 INCH VOL 9050
75.2 INCH VOL 8563 LEAK MIN PERIODIC: 244 FLOAT SIZE: 4.0 IN.
70.5 INCH VOL : 13028 2505
65.B INCH VOL 7459 WATER WARNING 1 .0
61 .1 INCH VOL : 6863 LEAK MIN ANNUAL 49'i HIGH WATER LIMIT: 1 .5
56.4 1NCH VOL : 6247 5010
51 .7 INCH VOL 5618 MAX OR LABEL VOL: 10020
47.0 INCH VOL 4984 OVERFILL LIMIT 90%
42.3 INCH VOL : 4:346 PERIODIC TEST T`VPE 9018
37.6 INCH VOL 3722 STANDARD HIGH PRODUCT 95%
32.9 INCH VOL 3107 9519
28.2 INCH VOL : 2514 ANNUAL TEST FAIL DELIVERY LIMIT 14%
23.5 INCH VOL 1947 nLARM DISABLED 1503
1B.8 INCH VOL 1418
14.1 INCH VOL : 937 PERIODIC TEST FAIL LOW PRODUCT 900
9.4 INCH VOL 494 A ALA IT: 15
4.7 INCH VOL 187 ALARM ENABLED LEAK ALARM LIMIT:
METER DATA : YES SUDDEN LOSS LIMIT: 40
GROSS TEST
END FACTOR: NONE FAIL TANK TILT 0.32
END UPDATE: NEVER ALARM ENABLED PROBE OFFSET 0.00
ANN TEST AVERAGING: OFF
FLOAT SIZE: 4.0 IN. PER TEST AVERAGING: OFF SIPHON MANIFOLDED TANKS
TO: NONE
WATER WARNING 1 .0 TANK TEST NOT1F':': OFF LINE MANIFOLDED TANKS
HIGH WATER LIMIT; 1 .5 TO: NONE
TNK TST SIPHON 6FE/=t}C:OFF
MAX OR LABEL VOL: 10020 DELIVERY DELAY 3 MIN LEAK MIN PERIODIC: 24%
OVERFILL LIMIT 90`r, STICK OFFSET 0.00 2505
9018 PUMP THRE-HC!LD 10.00°%.
HIGH PRODUCT 953s LEAK MIN ANNUAL : 493;
9519 5010
DELIVERY LIMIT 14%
1503
LOW PRODUCT 900 PERIODIC TEST TYPE
LEAK ALARM LIMIT: 15 STANDARD
SUDDEN LOSS LIMIT: 40 ANNUAL TEST FAIL
TANK TILT 0.99 ALARM DISABLED
PROBE OFFSET 0.00
PERIODIC TEST FAIL
ALARM ENABLED
GROSS TEST FAIL
ALARM ENABLED
ANN TEST AVERAGING: OFF
PER TEST AVERAGING: OFF
TANK TEST NOTIFY: OFF
TNK TST SIPHON BREAK:OFF
DELIVERY DELAY 3 MIN
RT T(`X OFFSET n nn
Tanknology Inc. 11000 N.MoPac Expressway,Suite 500,Austin,Texas 78759
Work Order: 3181091
T 3:PREMIU01 OUTPUT RELAY SETUP
PRODUCT CODE 3 - - - - - - - - - - - -
THERMAL C:OEFF : .000700
TANK DIAMETER 92.00 R ( :OVERFILL
TANK PROFILE 1 PT TYPE:
FULL VOL 10020 LEAK TEST METHOD STANDARD
METER DATA YES - - - - - _ _ NORMALLY OPEN
END FACTOR: NONE TEST C:SLD ALL TANK
CAL UPDATE: NEVER Pd a 99y
CLIMATE FACTOR:MODERATE IN-TANK ALARMS
ALL:OVERF[LL ALARM
FLOAT SIZE: 4.0 IN. REPORT ONLY: ALL:HIGH PRODUCT ALARM
WATER WARNING 1 .0
DISABLED ALL:MAX PRODUCT ALARM
HIGH WATER LIMIT: 1 .5 TST EARLY ST;)P:DISABLED TYPE: 1
MAX OR LABEL VOL: 10020 LEAK TEST REPORT FORMAT STANDARD
OVERFILL LIMIT 90%G ENHANCED NORMALLY CLOSED
9018
HIGH PRODUCT 95:
9519 LIQUID SENSOR ALMS
DELIVERY LIMIT 15%. L ! :FUEL ALARM
1503 L 2:FUEL ALARM
L 3:FUEL ALARM
LOW PRODUCT 900 L I :SENSOR OUT ALARM
LEAK ALARM LIMIT: 15 L 2:SENSOR OUT ALARM
SUDDEN LOSS LIMIT: 40 L 3:SENSOR OUT ALARM
TANK TILT 0.17 L ! :SHORT ALARM
PROBE OFFSET 0.00 L 2:SHORT ALARM
LIQUID SENSOR SETUP L 3:SHORT ALARM
SIPHON MANIFOLDED TANKS - R 3:RUL 2
TA: NONE L I :DISP PAN 1-2 TYPE:
LINE MANIFOLDED TANKS TRI-STATE (SINGLE FLOAT) STANDARD
T#: NONE CATEGORY : DISPENSER PAN NORMALLY CLOSED
LEAK MIN PERIODIC: 25% LIQUID SENSOR ALMS
2505 L 2:DISP PAN 3-4 L ! :FUEL ALARM
TRI-STATE (SINGLE FLOAT) L 2'FUEL ALARM
LEAK. MIN ANNUAL 50% CATEGORY : DISPENSER PAN L 4:FUEL ALARM
5010 L 1 :SENSOR OUT ALARM
L 2:SENSOR OUT ALARM
L 4:SENSOR OUT ALARM
PERIODIC TEST TYPE L 3:RUL I TURBINE L ! :SHORT ALARM
STANDARD TRI-STATE %SINGLE FLOAT) L 2:SHORT ALARM
CATEGORY STP SUMP L 4:SHORT ALARM
ANNUM.. TEST FAIL
ALARM DISABLED R 4:PUL
L 4:RUL 2 TURBINE TYPE:
PERIODIC TEST FAIL TRI-STATE (SINGLE FLOAT) STANDARD
ALARM ENABLED CATEGORY STP SUMP NORMALLY CLOSED
GROSS TEST FAIL
ALARM ENABLED L 5:PUL TURBINE LIQUID SENSOR ALMS
TRI-STATE (SINGLE FLOAT) L ! :FUEL ALARM
L 2:FUEL ALARM
ANN TEST AVERAGING: OFF CATEGORY STP SUMP
PER TEST AVERAGING: OFF L 5: SEENSOALARM ALARM
TANK TEST NOTIFY: OFF L 2:SENSOR OUT ALARM
L 5:SENSOR OUT ALARM
TNK TST SIPHON BREAK:OFF L 2:SHORT ALARM
DELIVERY DELAY 3 MIN L 5:SHORT ALARM
STICK OFFSET 0.00
PUMP THRESHOLD 10.00%
Tanknology Inc. 11000 N.MoPac Expressway, Suite 500,Austin,Texas 78759
Work Order: 3181091
i
RECONCILIATION SETUP
EDIM 1 :
ED 111 2:
AUTOMATIC DAILY (,LOS I N(;
TIME: 6:00 AM
AUTO SHIFT 01 CLOSING
TIME: DISABLED
AUTO SHIFT #2 CLOSING
TIME: DISABLED
AUTO SHIFT 03 CLOSING
TIME: DISABLED
AUTO SHIFT 04 CLOSING
TIME: 7:00 AM
PERIODIC RECONCILIATION
MODE: MONTHLY
ALARM: ENABLED
ALARM THRESHOLD: 1.00
ALARM OFFSET: 130
TEMP COMPENSATION
STANDARD
METER CALIBRATION
OFFSET: 0.000%
BUS SLOT FUEL METER TANY
-
3 2 1 2 1
3 2 1 3 3
3 2 2 2 1
3 2 2 3 3
3 2 3 2 2
3 2 3 3 3
3 2 4 2 2
3 2 4 3 3
PIlC SETUP
PMC VERSION; 01 .02
VAPOR PROCESSOR TYPE
NONE
PROCESSOR CONTROL LEVEL:
NONE
Tanknology Inc. 11000 N.MoPac Expressway,Suite 500,Austin,Texas 78759
Work Order: 3181091
7-11 17721
3601 STOCKDALE HWY 7-11 17721
BAKERSFIELD 3601 STOCKDALE HWY
CALIFORNIA BAKERSFIELD
3181091 CALIFORNIA
3181091
02/07/2011 12:13 PM
02/07/2011 12:30 PM
SUMP LEAK TEST REPORT
SUMP LEAK TEST REPORT
87FIH
87FILL
TEST STARTED 11:57 AM
TEST STARTED 02/07/2011 TEST STARTED 12:14 PM
BEGIN LEVEL 5,1461 IN TEST STARTED 02/07/2011
END TIME 12:13 PM BEGIN LEVEL 5,1466 IN
END DATE 02/07/2011 END TIME 12:30 PM
END LEVEL 5,1466 IN END DATE 02/07/2011
LEAK THRESHOLD 0.002 IN END LEVEL 5,1467 IN
TEST RESULT PASSED LEAK THRESHOLD 0,002 IN
TEST RESULT PASSED
87VWM
87VAPOR
TEST STARTED 11:57 AM
TEST STARTED 02/07/2011 TEST STARTED 12:14 PM
BEGIN LEVEL 5,1734 IN TEST STARTED 02/07/2011
END TIME 12:13 PM BEGIN LEVEL 5,1731 IN
END DATE 02/07/2011 END TIME 12:30 PM
END LEVEL 5.1732 IN END DATE 02/07/2011
LEAK THRESHOLD 0.002 IN END LEVEL 5.1729 Its
TEST RESULT PASSED LEAK THRESHOLD 0,002 IN
TEST RESULT PASSED
87FILL
87FILL
TEST STARTED 11:57 AM
TEST STARTED 02/07/2011 TEST STARTED 12:14 PM
BEGIN LEVEL 4,6701 IN TEST STARTED 02/07/2011
END TIME 12:13 PM BEGIN LEVEL 4.6694 IN
END DATE 02/07/2011 END TIME 12:30 PM
END LEVEL 4.6695 IN END DATE 02/07/2011
LEAK THRESHOLD 0.002 IN END LEVEL 4,8693 IN
TEST RESULT PASSED LEAK THRESHOLD 0,002 IN
TEST RESULT PASSED
87VAPOR
87VAPOR
TEST STARTED 11:57 AM
TEST STARTED 02/07/2011 TEST STARTED 12:14 PM
BEGIN LEVEL 4,1260 IN TEST STARTED 02/07/2011
END TIME 12:13 PM BEGIN LEVEL 4.1259 IN
END DATE 02/07/2011 END TIME 12:30 PM
END LEVEL 4,1260 IN END DATE 02/07/2011
LEAK THRESHOLD 0,002 IN END LEVEL 4,1260 IN
TEST RESULT PASSED LEAK THRESHOLD 0.002 IH
TEST RESULT PASSED
Tanknology Inc. 11000N.MoPac Expressway,Suite 500,Austin,Texas 78759
Work Order: 3181091
r
7-11 17721 7-11 17721
3601 STOCKDALE HWY 3601 MCKDALE HWY
BAKERSFIELD BAKERSFIELD
CALIFORNIA CALIFORNIA
3181091 3181091
02/07/2011 1:21 PM 02/07/2011 1:05 PM
SUMP LEAK TEST REPORT SUMP LEAK TEST REPORT
91FILL 91FILL
TEST STARTED 1:05 PM TEST STARTED 12:50 PM
TEST STARTED 02/07/2011 TEST STARTED 02/07/2011
BEGIN LEVEL &,0133 IN BEGIN LEVEL 4,0135 IN
END TIME 1:20 PM END TIME 1:05 PM
END DATE 02/07/2011 END DATE 02/07/2011
END LEVEL 4,0130 IN END LEVEL 410131 IN
LEAK THRESHOLD 0,002 IN LEAK THRESHOLD 0,002 IN
TEST RESULT PASSED TEST RESULT PASSED
91VAPOR 91VAPOR
TEST STARTED 1:05 PM TEST STARTED 12:50 PM
TEST STARTED 02/07/2011 TEST STARTED 02/07/2011
BEGIN LEVEL 4,9970 IN BEGIN LEVEL 4,9967 IN
END TIME 1:20 PM END TIME 1:05 PM
END DATE 02107/2011 END DATE 02/07/2011
END LEVEL 4,9969 IN END LEVEL 4.9971 IN
LEAK TAF&40LD 0,002 IN LEAK THRESHOLD 0,002 IN
TEST RESULT PASSED TEST RESULT PASSED
Tanknology Inc. 11000 N.MoPac Expressway,Suite 500,Austin,Texas 78759
_JL
; T` anknology
11000 N. MoPac Expressway,Suite 500
Austin,Texas 78759
Phone: (512)451-6334
Fax: (512)459-1459 Date Printed and Mailed: 02/23/2011
BAKERSFIELD FIRE DEPARTMENT
OFFICE OF ENVIRONMENTAL SERVICES
INSPECTOR CRAIG PERKINS
1501 TRUXTUN AVE.
BAKERSFIELD, CA. 93301
Test Date: 02/07/2011
Order Number: 3181091
Dear Regulator,
Enclosed are the results of recent testing performed at the following facility:
7-ELEVEN #17721, MKT 2368
3601 STOCKDALE HIGHWAY
BAKERSFIELD, CA. 93309
Testing performed:
Impact Valve
Leak detector tests
Monitor Certification
Secondary Containment-Spill Container
Sincerely,
21b amyr �
Dawn Kohlmeyer
Manager, Field Reporting
X17 TANKNOLOGY CERTIFICATE OF TESTING
8501 N MOPAC EXPRESSWAY,SUITE 400 AUSTIN,TEXAS 78759
TELEPHONE(512)451-6334 FAX(512)459-1459
PURPOSE: COMPLIANCE TEST RESULT SUMMARY REPORT
TEST DATE: 02/07/11 WORK ORDER NUMBER: 3181091
CUSTOMER PO:
CLIENT: 7-ELEVEN,INC. SITE:7-ELEVEN#17721,MKT 2368
P.O.BOX 711 3601 STOCKDALE HIGHWAY
DALLAS,TX 75221 BAKERSFIELD,CA 93309
Manager
(972)828-7908 (661)834-3093
TEST TYPE: TLD-1
Product Pipe Ti htness Test Results
LIN LINE LIN N IMP'AC
D RODUCT TYPE TEST
MATE L FIN RATE gph V YE
B D A B D F NCTiO
SOUTH UL 1 REGULAR DW.FLEX PRESSURE Y
NORTH UL 2 REGULAR DIN FLEX PRESSURE Y
T3 PREM 3 PREMIUM DW FLEX PRESSURE Y
Existina Line Leak Detector Test
%TLNG LEAK DE1TEi,CT�_ EXIS N 1L CTOR
Ip UFACTUR R MODEL# SEF! ULT MANUFACTURE MODE SE=R
SOUTH UL 1 VAPORLESS MLD Unreadable P
NORTH UL 2 RED JACKET FX1V 1899 P
T3 PREM 3 VAPORLESS LD2000 0404422 P
New Replacement Line Leak Detector Test
UFA R MOp # UL M ACTOR MADE I SE RES
For owner detailed report information,visit www.tanlrnology.com and select On-Line Reports-WRAP,or contact your local Tanknology office.
Tester Name:ROBERT ALLEN Technician Certification Number:3637843760
Printed 02/23/201108:04 ACRAMER
INDIVIDUAL TANK INFORMATION AND TEST RESULTS
Mr Tian
TEST DATE: 02/07/11 8501 N MOPAC EXPRESSWAY,SUITE 400 WORK ORDER NUMBER: 3181091
AUSTIN,TEXAS 78759(512)451-6334
CLIENT: 7-ELEVEN, INC. SITE: 7-ELEVEN #17721, MKT 2368
INNOtAN II�FGR A O T
Tank ID: SOUTH UL 1 Tank manifolded: NO Bottom to top fill in inches: 128.0
Product: REGULAR Vent manifolded: YES Bottom to grade in inches: 134.0
Capacity in gallons: 10,020 Vapor recovery manifolded: YES Fill pipe length in inches: 32.0
Diameter in inches: 92.00 Overfill protection: YES Fill pipe diameter in inches: 4.0
Length in inches: 353 Overspill protection: YES Stage I vapor recovery: DUAL
Material: STEEL Installed: ATG and CP Stage II vapor recovery: ASSIST
CP installed on:
COMMENTS
TEST ESULTS es Met 029e eth
PSI at tank bottom: New/passed Failed/replaced New/passed Failed/replaced
Fluid level in inches: L.D.#1 L.D.#1 L.D.#2 L.D.#2
UFT/OFT: Make: VAPORLESS
Fluid volume in gallons: Model: KLD
Tank water level in inches: S/N: U=eadable
Test time: NOT Open time in sec: 4.00
Number of thermisters: TESTED Holding psi: 23 NOT
Specific gravity: Resiliency cc: 80 TESTED
Water table depth in inches: Test leak rate ml/m: 189.0
Determined by(method): Metering psi: 9
Leak rate in gph: Calib. leak in gph: 3.00
Result: Results: PASS
COMMENTS COMMENTS
G TE T RE3 B :NONB LI ST RESU ty -
Test time:
Ullage volume: Material: Dw FLEX
Ullage pressure: Diameter(in): 1.5
Results: Length(ft): 50.0
Test psi:
DATA FOR UTS-4T ONLY: Bleedback cc:
Time of test 1: Test time(min):
Temperature: NOT Start time: NOT NOT NOT NOT
Flow rate(cfh): TESTED End time: TESTED TESTED TESTED TESTED
Time of test 2: Final gph:
Temperature: Result:
Flow rate(cfh): Pump type: PRESSURE
Time of test 3: Pump make: RED JACKET
Temperature:
Flow rate(cfh): Impact Valves Operational: YES
COMMENTS COMMENTS
Printed 02/23/2011 08:04 ACRAMER
I
INDIVIDUAL TANK INFORMATION AND TEST RESULTS
`r Tar*rwlogy
TEST DATE: 02/07/11 8501 N MOPAC EXPRESSWAY,SUITE 400 WORK ORDER NUMBER: 3181091
AUSTIN,TEXAS 78759(512)451-6334
CLIENT: 7-ELEVEN, INC. SITE: 7-ELEVEN #17721, MKT 2368
�f$INFORMAtION
Tank ID: NORTH DL 2 Tank manifolded: NO Bottom to top fill in inches: 126.0
Product: REGULAR Vent manifolded: YES Bottom to grade in inches: 132.0
Capacity in gallons: 10,020 Vapor recovery manifolded: YES Fill pipe length in inches: 30.0
Diameter in inches: 92.00 Overfill protection: YES Fill pipe diameter in inches: 4.0
Length in inches: 353 Overspill protection: YES Stage I vapor recovery: DUAL
Material: STEEL Installed: ATG and CP Stage II vapor recovery: ASSIST
CP installed on:
COMMENTS
T R S L T e d: NE ETE S SU e m od
PSI at tank bottom: New/passed Failed/replaced New/passed Failed/replaced
Fluid level in inches: L.D.#1 L.D.#1 L.D.#2 L.D.#2
UFT/OFT: Make: RED JACKET
Fluid volume in gallons: Model: Pxiv
Tank water level in inches: S/N: 1899
Test time: NOT Open time in sec: 2.00
Number of thermisters: TESTED Holding psi: 24 NOT
Specific gravity: Resiliency cc: 40 TESTED
Water table depth in inches: Test leak rate ml/m: 189.0
Determined by(method): Metering psi: is
Leak rate in gph: Calib. leak in gph: 3.00
Result: Results: PASS
COMMENTS COMMENTS
U GE TES RESU TS 161 0 O L1W ST RESU type:
Test time:
Ullage volume: Material: DW FLEX
Ullage pressure: Diameter(in): 1.5
Results: Length(ft): 50.0
Test psi:
DATA FOR UTS-4T ONLY: Bleedback cc:
Time of test 1: Test time(min):
Temperature: NOT Start time: NOT NOT NOT NOT
Flow rate(cfh): TESTED End time: TESTED TESTED TESTED TESTED
Time of test 2: Final gph:
Temperature: Result:
Flow rate(cfh): Pump type: PRESSURE
Time of test 3: Pump make: RED JACKET
Temperature:
Flow rate(cfh): Impact Valves Operational: YES
COMMENTS COMMENTS
Printed 02/23/2011 08:04 ACRAMER
INDIVIDUAL TANK INFORMATION AND TEST RESULTS
i Ta
TEST DATE: 02/07/11 8501 N MOPAC EXPRESSWAY,SUITE 400 WORK ORDER NUMBER: 3181091
AUSTIN,TEXAS 78759(512)451-6334
CLIENT: 7-ELEVEN, INC. SITE: 7-ELEVEN #17721, MKT 2368
AN INF•.RICA-1
Tank ID: T3 PREM 3 Tank manifolded: No Bottom to top fill in inches: 126.0
Product: PREMIUM Vent manifolded: YES Bottom to grade in inches: 132.0
Capacity in gallons: 10,020 Vapor recovery manifolded: YES Fill pipe length in inches: 30.0
Diameter in inches: 92.00 Overfill protection: YES Fill pipe diameter in inches: 4.0
Length in inches: 323 Overspill protection: YES Stage I vapor recovery: DUAL
Material: LINED Installed: ATC and CP Stage II vapor recovery: ASSIST
CP installed on:
COMMENTS
OAR WTIBIJRCSUjTS e O O 4 Tit SU etho
PSI at tank bottom: New/passed Failed/replaced New/passed Failed/replaced
Fluid level in inches: L.D.#1 L.D.#1 L.D.#2 L.D.#2
LIFT/OFT: Make: VAPORLESS
Fluid volume in gallons: Model: LD2000
Tank water level in inches: S/N; 0404*22
Test time: NOT Open time in sec: 5.50
Number of thermisters: TESTED Holding psi: 21 NOT
Specific gravity: Resiliency cc: 70 TESTED
Water table depth in inches: Test leak rate ml/m: 189.0
Determined by(method): Metering psi: 15
Leak rate in gph: Calib. leak in gph: 3.00
Result: Results: PASS
COMMENTS COMMENTS
UL 8 •d NONE LIN TEST RESC] T3 T
Test time:
Ullage volume: Material: DW FLEX FLEX
Ullage pressure: Diameter(in): 2.0 2.0
Results: Length(ft): 25.0 35.0
Test psi:
DATA FOR UTS-4T ONLY: Bleedback cc:
Time of test 1: Test time(min):
Temperature: NOT Start time: NOT NOT NOT NOT
Flow rate(cfh): TESTED End time: TESTED TESTED TESTED TESTED
Time of test 2: Final gph:
Temperature: Result:
Flow rate(cfh): Pump type: PRESSURE
Time of test 3: Pump make: RED JACKET
Temperature:
Flow rate(cfh): Impact Valves Operational: YES
COMMENTS COMMENTS
LI I -- [1
Printed 02/23/2011 08:04 ACRAMER