HomeMy WebLinkAbout2009 RESULTS II��II�I�I�I�IIII��I 41 MONITORING SYSTEM CERTIFICATION sS
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
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 this date.
A. General Information
Facility Name: California Chevron Bldg.No.:
Site Address: 4100 California Avenue City: Bakersfield Zip: 93309
Facility Contact Person: Sam Jouda Contact Phone No.: 661-333-0000
Make/Model of Monitoring System: Veeder-Root TLS 350 Date of Testing/Servicing: 3/13/2009
B. Inventory of Eipment Tested/Certified
Check the appropriate boxes to Indicate specific equipment innpecte&serviced:
Tank ID: 10000 gal.Regular North Tank ID: 10000 gal.Regular South
[x] In-Tank Gauging Probe. Model:847390-107 [x] In-Tank Gauging Probe. Model:847390-107
[x] Annular Space or Vault Probe. Model:794390-409 [x] Annular Space or Vault Sensor. Model: 794390-409
[x] Piping Sump/Trench Sensor(s). Model:794380-420 [x] Piping Sump/Trench Sensor(s). Model: Ronan
[x] Fill Sump Sensor(s) Model:Ronan U Fill Sump Sensor(s). Model: Ronan
[x) Mechanical Line Leak Detector. Model:FX1v [x] Mechanical Line Leak Detector. Model: FX1y
❑ Electronic Line Leak Detector. Model: ❑ Electronic Line Leak Detector. Model:
[x] Tank Overfill/High Level Sensor. Model:OPW 61-SO U Tank Overfill/High Leval Sensor. Model: 847390-107
❑ Other(specify equip.type and model in Sec. E on Pg.2) ❑ .Other(specify equip.type and model in Sec. E on Pg.2)
Tank ID: 10000 gal. Regular(Siphon) Tank ID: 10000 gal.Super
[x] In-Tank Gauging Probe. Model:847390-107 [x] In-Tank Gauging Probe. Model:847390-107
[x] Annular Space or Vault Sensor. Model:794390-409 [x] Annular Space or Vault Sensor. Model:794380.409
[x] Piping Sump/Trench Sensor(s). Model:Ronan [X] Piping Sump/Trench Sensor(s). Model: Ronan
[x] Fill Sump Sensors(s), Model:Ronan [x] Fill Sump Sensor(s). Model: Ronan
❑ Mechanical Line Leak Detector. Model: Mechanical Line Leak Detector. Model: FX1y
❑ Electronic Line Leak Detector. Model: ❑ Electronic Line Leak Detector. Model:
[x] Tank Overfill/High Level Sensor. Model:OPW 61-SO Tank Overfill/High Level Sensor.Model:OPW 61-SO
❑ Other(specify equip.type and model in Sec. E on Pg.2) ❑ Other(specify equip.typs and model in Sec. E on Pg. 2)
Dispenser ID: 1 &2 Dispenser ID: 3&4
❑ Dispenser Containment Sensor(s). Model: ❑ Dispenser Containment Sensor(s). Model:
[X] Shear Valve(s). U Shear Valve(s).
[x] Dispenser Containment Float(s)and Chain(s). [x] Dispenser Containment Float(s)and Chain(s) .
Dispenser ID: 5&6 Dispenser 1D: 7&8
❑ Dispenser Containment Sensor(s). Model: ❑ Dispenser Containment Sensor(s). Model:
[x] Shear Valve(s). [!] Shear Valve(s).
jx] Dispenser Containment Float(s)and Chains(s). [x] Dispenser Containment Float(s)and Chain(s).
Dispenser ID: 9&10 Dispenser ID: 11 &12
❑ Dispenser Containment Sensor(s). Model: ❑ Dispenser Containment Sensor(s). Model:
U Shear Valve(s). Lx3 Shear Valve(s).
[x] Dispenser Containment Float(s)and Chain(s) [x] 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 -1 certify that the equipment identified in this document was inspected/services in accordance with the
manufacturers'guidlines.Attached to this Certification is information(e.g.manufacturers'checklist)necessary to varify that
this information is correct and a plot plan showing the layout of monitoring equipment.For equipment capable of generating
such reports,I have attached a copy of the report; (check all that apply) x0 System Set-up 7 , Alarm history report
Technician Name(print): Kristopher Karns Signature: ,a _
Certification No: 834106 License No:804904
Testing Company Name: Confidence UST Services,Inc. Phone No: 800-339-9930
Site Address: 4100 California Avenue,Bakersfield,CA 93309 I II _Date of Testing/Servicing: 3/13/2009
illllll lI�II III IIII 42
IE
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. 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 this date.
A. General Information
Facility Name: California Chevron Bldg.No.:
Site Address: 4100 California Avenue City: Bakersfield Zip: 93309
Facility Contact Person: Sam Jouda Contact Phone No.: 661-333-0000
Make[Model of Monitoring System: Veeder-Root TLS 350 Date of Testing/Servicing: 3/13/2009
B. Inventory of Equipment Tested/Certified
Check the appropriate boxes to indicate specific equipment inspected/serviced:
Tank ID:_10000 gal.Regular Diesel Tank ID:
[X] In-Tank Gauging Probe. Model:847390-107 ❑ In-Tank Gauging Probe. Model:
Lx] Annular Space or Vault Probe. Model:794390.409 ❑ Annular Space or Vault Sensor. Model:
Lx] Piping Sump/Trench Sensor(s). Model:Ronan ❑ Piping Sump/Trench Sensor(s). Model:
❑ Fill Sump Sensor(s) Model: ❑ Fill Sump Sensor(s). Model:
[J Mechanical Line Leak Detector. Model:FX1DV ❑ Mechanical Line Leak Detector. Model:
❑ Electronic Line Leak Detector. Model: ❑ Electronic Line Leak Detector. Model:
Ex Tank Overfill/High Level Sensor. Model:OPw 61-SO ❑ Tank Overfill/High Leval Sensor. Model:
❑ Other(specify equip.type and model in Sec. E on Pg.2) ❑ Other(specify equip.type and model in Sec. E on Pg.2)
Tank ID: Tank ID:
❑ In-Tank Gauging Probe. Model: ❑ In-Tank Gauging Probe. Model:
❑ Annular Space or Vault Sensor. Model: ❑ Annular Space or Vault Sensor. Model:
❑ Piping Sump/Trench Sensor(s). Model: ❑ Piping Sump/Trench Sensor(s). Model:
❑ Fill Sump Sensors(s). Model: ❑ Fill Sump Sensor(s). Model:
❑ Mechanical Line Leak Detector. Model: ❑ Mechanical Line Leak Detector. Model:
❑ Electronic Line Leak Detector. Model: ❑ Electronic Line Leak Detector. Model:
❑ Tank Overfill/High Level Sensor. Model: ❑ Tank Overfill/High Level Sensor.Model:
❑ Other(specify equip.type and model in Sec. E on Pg.2) ❑ Other(specify equip. typs and model,in Sec. E on Pg.2)
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)
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 Chains(s). ❑ Dispenser Containment Float(s)and Chain(s).
Dispenser ID: Dispenser 1D:
❑ 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/services in accordance with the
manufacturers'guidlines.Attached to this Certification is information(e.g.manufacturers'checklist)necessary to verify that
this information is correct and a plot plan showing the layout of monitoring equipment.For equipment capable of generating
such reports,I have attached a copy of the report; (check all that apply) x❑System Set-up P�x 4�larm history report
Technician Name(print): Kristopher Karns Signature: µi vl/
Certification No: 834106 License No:804904
Testing Company Name: Confidence UST Services,Inc. Phone No: 800-339-9930
Site Address: 4100 California Avenue,Bakersfield,CA 93309 Date of Testing/Servicing: 3113/2009
D. Results of Testing/Servicing
Software Version Installed: 327.04
Complete the following checklist:
[x] Yes ❑ No* Is the audible alarm operational?
x Yes No* Is the Visual alarm operational?
FIx I Yes No* Were all sensors visually inspected,functionally tested,and confirmed operational?
Ix
I Yes ❑ No* Were all sensors installed at the lowest point of secondary containment and positioned so that other
equipment will not interfere with their proper operation?
Yes No* If alarms are relayed to a remote monitoring station, is all communications equipment(e.g.modem)
Hx N/A operational?
x Yes ❑ No* For pressurized piping systems,does the turbine automatically shut down if the piping secondary
❑N/A containment monitoring system detects a leak,fails to operate,or is electrically disconnected? If yes:
which sensors initate positive shut-down? ❑Sump/Trench Sensors F1 Dispenser Containment Sensors
Did you confirm positive shut-down due to leaks and sensor failure/disconnected? U Yes; ❑ No;
❑ Yes ❑ No* For tank systems that utilize the monitoring system as the primary tank overfill warning device(i.e. no
N/A mechanical overfill prevention valve is installed), is the overfill warning alarm visual and audible at
the tank fill point(s)and operating properly? If so,at what percent of tank capasity does the alarm
trigger? %
❑ Yes* U 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.
U Yes* ❑ No Was liquid found inside any secondary containment systems designed as dry systems?
[xj Product; U Water. If yes,describe causes in Section E,below.
x No* Was monitoring system set-up reviewed to ensure proper settings?Attach set-up reports,if applicable.
LxJ Yes I El_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: Removed 1/4 gallon of water and fuel mixture from Diesel STP Sump.
Removed 1 gallon of water from the Super Fill Sump.
F. In-Tank Guaging/SIR Equipment: [X] Check this box if tank guaging is used only for inventory control.
❑ Check this box if tank guaging or SIR equipment is installed.
This section must be completed if in-tank guaging equipment is used to perform leak detection monitoring.
Complete the following checklist:
[X] Yes ❑ No* Has all input wiring been inspected for proper enter and termination,including testing for ground faults?
x Yes No* Were all tank guaging probes visually inspected for damage and residue buildup?
[x7 Yes No* Was accuracy of system product level readings tested?
rxj Yes No* Was accuracy of system water level readings tested?
x Yes No* Were all probes reinstalled properly?
[x] Yes ❑ No*I Were all items on the equipment manufacturer's 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 LLD's are not installed.
Coin fete the following checklist:
[x] Yes ❑ No* For equip. start-up or annual equipment certification,was a leak simulated to varify LLD performance?
(Check all that apply) Simulated leak rate: E13 g.p.h.: ❑0.1 g.p.h.; ❑0.2 g.p.h.;
x Yes No* Were all LLD's confirmed operational and accurate within regulatory requirments?
x Yes No Was the testing apparatus properly calibrated?
❑ Yes No For mac amca LLD's, does the LLD restrict product flow if it detects a leak?
N/A
❑ Yes No* For electronic LLD's,does the turbine automatically shut off if the LLD detects a leak?
[x] N/A
❑ Yes 7 No* For electronic LLD's, does the turbine automatically shut off if any portion of the monitoring system is
[x] N/A disabled or disconnected?
❑ Yes No* For electronic LLD's,does the turbine automatically shut off if any portion of the monitoring system
Lx] N/A malfunction or fails a test?
❑ Yes No* For electronic LLD's,have all accessible wiring connections been visually inspected?
[X] N/A
x Yes No Were all items on the equipment manufacturer's maintenance checklist completed?
*In the section H,below,describe how and when these deficiencies were or will be corrected.
H. Comments:
-- —- SYSTEM SETUP -`-------— ---- —
- IN-TANK SETUP
CALIFORNIA CHEVON MAR 13. 2009 11 :09 AM - - - - - - - - - - - -
4100 CALIFORNIA AVE
BKRSFLD CA 93309 T 1:UNL£ADED NORTH
661-336-0263 PRODUCT CODE 1
MAR 13. 2009 11 :09 AM SUSS. UNITS TANK DIAMETER 096?00
SYSTEM LANGUAGE TANK PROFILE 1 PT
ENGLISH FULL VOL 10000
SYSTEM STATUS REPORT SYSTEM DATE/TIME FORMAT
MON DD YYYY HH:MM:SS xM
_ _ _
FLOAT SIZE: 4.0 IN.
ALL FUNCTIONS NORMAL
CALIFORNIA CHEVON
INVENTORY REPORT 4100 CALIFORNIA AVE WATER WARNING 2.0
BKRSFLD CA 93309 HIGH WATER LIMIT: 3.0
661-336-0263
T I :UNLEADED NORTH MAX OR LABEL VOL' 10000
VOLUME 3988 GALS SHIFT TIME 1 DISABLED OVERFILL LIMIT 9000
SHIFT TIME 2 DISABLED
ULLAGE = 6912 GALS SHIFT TIME 3 DISABLED HIGH PRODUCT 95%
90% ULLAGE 5912 GALS SHIFT TIME 4 DISABLED 9500
TC VOLUME = 3067 GALS DELIVERY LIMIT 5%
HEIGHT = 33.36 INCHES 500
WATER VOL = 0 GALS TANK PER TST NEEDED WRN
DISABLED
WATER = 0.00 INCHES TANK ANN TST NEEDED WRN LOW PRODUCT 500
TEMP = 69.5 DEG F DISABLED LEAK ALARM LIMIT: 99
SUDDEN LOSS LIMIT: 4.70
T 2:SUPREME LINE RE-ENABLE METHOD TANK TILT
PASS LINE TEST PROBE OFFSET 0.00
VOLUME a 2818 GALS
ULLAGE = 7182 GALS LINE PER TST NEEDED WRN
90% ULLAGE- 6182 GALS DISABLED SIPHON MANIFOLDED TANKS
TC VOLUME a 2803 GALS LINE ANN TST NEEDED WRN TO: 03.04
HEIGHT - 31 .20 INCHES DISABLED LINE MANIFOLDED TANKS
WATER VOL a 0 GALS TO: 03.04
WATER = 0.00 INCHES PRINT TC VOLUMES
TEMP a 67.6 DEG F ENABLED
LEAK MIN PERIODIC: 1%
T 3:UNLEADED SIPHON TEMP COMPENSATION 100
VOLUME = 3902 GALS VALUE (DEG F ) : 60.0 STICK IG
ULLAGE . = 6098 GALS DISABLED 100
OFFSET LEAK MIN ANNUAL 100
90% ULLAGE 5098 GALS ULLAGE: 90°/<
TC VOLUME = 3883 GALS DAYLIGHT SAVING TIME
HEIGHT a 39.68 INCHES ENABLED PERIODIC TEST TYPE
WATER VOL = 0 GALS START DATE STANDARD
WATER = 0.00 INCHES APR WEEK 1 SUN
TEMP = 66,8 DEG F START TIME ANNUAL TEST FAIL
2:00 AM ALARM DISABLED
T 4:UNLEADED SOUTH END DATE
VOLUME 3928 GALS OCT WEEK 6 SUN PERIODIC TEST FAIL
ULLAGE = 6972 GALS END TIME ALARM DISABLED
90%b ULLAGE- 5072 GALS 2.00 AM
GROSS TEST
TC VOLUME = 3906 GALS RE-DIRECT LOCAL PRINTOUT ALARM DISABLED
HEIGHT = 39.88 INCHES DISABLED
WATER VOL = 0 GALS ANN TEST AVERAGING: OFF
WATER = 0.00 INCHES PER TEST AVERAGING: OFF
TEMP = 67.8 DEG F
SYSTEM SECURITY TANK TEST NOTIFY: OFF
CODE 000000
T 5:DIESEL TNK TST SIPHON BREAK:OFF
VOLUME v 1968 GALS MA'I-NTENANCE HISTORY
ULLAGE = 8132 GALS DISABLED DELIVERY DELAY 1 MIN
90% ULLAGE= 7132 GALS PUMP THRESHOLD 10.00%
TC VOLUME m 1854 GALS
HEIGHT = 23.24 INCHES TANK CHART SECURITY
WATER VOL = 0 GALS DISABLED
WATER = 0.00 INCHES
TEMP = 69.6 DEG F
CUSTOM ALARMS
MANIFOLDED TANKS DISABLED '
INVENTORY TOTALS
T 1 :UNLEADED NORTH MASS/DENSITY
T 3:UNLEADED SIPHON DISABLED
T 4:UNLEADED SOUTH
VOLUME = 10918 GALS
TC VOLUME = 10856 GALS
x x x x x END x x x w x
T 2:SUPREME T 3:UNLEADED SIPHON
PRODUCT CODE 2 PRODUCT CODE 3 T 4:UNLEADED SOUTH
THERMAL COEFF : .000700 THERMAL COEFF : .000700 PRODUCT CODE 1 4
TANK DIAMETER 96.00 TANK DIAMETER 96.00 THERMAL COEFF : .000700
TANK PROFILE I PT s TANK PROFILE 1 PT TANK DIAMETER 96.00
FULL VOL : 10000 FULL VOL 10000 TANK PROFILE 1 PT
FULL VOL 10000
FLOAT SIZE: 4.0 IN. FLOAT SIZE: 4.0 IN.
FLOAT SIZE: 4.0 IN.
WATER WARNING 2.0 WATER WARNING 2.0
HIGH WATER LIMIT: 3.0 HIGH WATER LIMIT: 3.0 WATER WARNING 2.0
HIGH WATER LIMIT: 3.0
MAX OR LABEL VOL: 10000 MAX OR LABEL VOL: 10000
OVERFILL LIMIT 901/0 OVERFILL LIMIT 90% MAX OR LABEL VOL: 10000
9000 9000 OVERFILL LIMIT 90%
HIGH PRODUCT 95iA HIGH PRODUCT 95% 9000
9500 9500 HIGH PRODUCT 95%
DELIVERY LIMIT 5% DELIVERY LIMIT 5% 9500
500 i 500 DELIVERY LIMIT 5%
500
LOW PRODUCT : 500 LOW PRODUCT : 500
LEAK ALARM LIMIT: 99 LEAK ALARM LIMIT: 99 LOW PRODUCT 500
SUDDEN LOSS LIMIT: 99 SUDDEN LOSS LIMIT: 99 LEAK ALARM. LIMIT: 99
TANK TILT 4.70 TANK TILT 4.70 SUDDEN LOSS LIMIT: 99
PROBE OFFSET 0.00 PROBE OFFSET 0.00 TANK TILT 4.70
PROBE OFFSET 0.00
SIPHON MANIFOLDED TANKS SIPHON MANIFOLDED TANKS
T#: NONE Tat: 01.04 SIPHON MANIFOLDED TANKS
LINE MANIFOLDED TANKS LINE MANIFOLDED TANKS Tit: 01.03
Ttt: NONE T#: 01.04 LINE MANIFOLDED TANKS
Ttt: 01.03
LEAK MIN PERIODIC: 1% LEAK MIN PERIODIC: 1%
100 100 LEAK MIN PERIODIC: Iko
100
LEAK MIN ANNUAL 1% LEAK MIN ANNUAL 1�
100 100 LEAK MIN ANNUAL 10/0
100
PERIODIC TEST TYPE PERIODIC TEST TYPE
STANDARD STANDARD PERIODIC TEST TYPE
STANDARD
ANNUAL TEST FAIL ANNUAL TEST FAIL
ALARM DISABLED ALARM DISABLED ANNUAL TEST FAIL
ALARM DISABLED
PERIODIC TEST FAIL PERIODIC TEST FAIL
ALARM DISABLED ALARM DISABLED PERIODIC TEST FAIL
ALARM DISABLED
GROSS TEST FAIL GROSS TEST FAIL
ALARM DISABLED ALARM DISABLED GROSS TEST FAIL
ALARM DISABLED
ANN TEST AVERAGING: OFF ANN TEST AVERAGING: OFF
PER TEST AVERAGING: OFF PER TEST AVERAGING: OFF ANN TEST AVERAGING: OFF
PER TEST AVERAGING: OFF
TANK TEST NOTIFY: OFF TANK TEST NOTIFY: OFF
TANK TEST NOTIFY: OFF
TNK TST SIPHON BREAK:OFF TNK TST SIPHON BREAK:OFF
TNK TST SIPHON BREAK:OFF
DELIVERY DELAY • 1 MIN DELIVERY DELAY I MIN
PUMP THRESHOLD 10.00% PUMP THRESHOLD 10.00: DELIVERY DELAY 1 MIN
PUMP THRESHOLD 10.00%
ESEL LEAK TEST METHOD
PRODUCT CODE 5 - - - - - COMMUN TI SETUP `
THERMAL COEFF : .000700 TEST ON DATE : ALL TANK
TANK DIAMETER 96.00 FEB 6, 2007 PORT
TANK PROFILE I PT START TIME : DISABLED SETTINGS:
FULL VOL 10000 TEST RATE :0.20 GAL/HR
DURATION 2 HOURS COMM BOARD : 3 (EDIM
FLOAT SIZE: 4.0 IN. TST EARLY STOP:DISABLED CODE : DISggLED
WATER WARNING 2.0 LEAK TEST REPORT FORMAT
HIGH WATER LIMIT: 3.0 NORMAL
MAX OR LABEL VOL: 10000 RS-232 END OF
OVERFILL LIMIT : 90% DISABLED MESSAGE
HIGH PRODUCT 995°
DELIVERY LIMIT . 955°
t
500
LOW PRODUCT 500
LEAK ALARM LIMIT: 99
SUDDEN LOSS LIMIT: 99 LIQUID SENSOR SETUP
TANK TILT 4.70 - - - - - - - - - -
PROBE OFFSET 0.00
L I :UNLEADED NORTH
NORMALLY CLOSED
SIPHON MANIFOLDED TANKS CATEGORY : OTHER SENSORS
T#: NONE
LINE MANIFOLDED TANKS
T#: NONE
L 2:SUPREME
NORMALLY CLOSED
LEAK MIN PERIODIC: 1% CATEGORY : OTHER SENSORS
100
LEAK MIN ANNUAL : 1%
• 100 L 3:UNLEADED SIPHON
NORMALLY CLOSED
CATEGORY : OTHER SENSORS
PERIODIC TEST TYPE
STANDARD
ANNUAL TEST FAIL L 4:UNLEADED SOUTH
ALARM DISABLED NORMALLY CLOSED
CATEGORY : OTHER SENSORS
PERIODIC TEST FAIL
ALARM DISABLED
GROSS TEST FAIL L 5:DIESEL
ALARM DISABLED NORMALLY CLOSED
ANN TEST AVERAGING: OFF CATEGORY : OTHER SENSORS
PER TEST AVERAGING: OFF
TANK TEST NOTIFY: OFF L 6:CASPER
TRI-STATE (SINGLE FLOAT)
TNK TST SIPHON BREAK:OFF CATEGORY OTHER SENSORS
DELIVERY DELAY 1 MIN
PUMP_ THRESHOLD 10.00%
L 7:GHOST
TRI-STATE (SINGLE FLOAT)
CATEGORY OTHER SENSORS
L 9:GHOST
TRI-STATE (SINGLE FLOAT)
CATEGORY OTHER SENSORS
PUMP SENSOR SETUP _ _ _ _-_ __. - SMARTSENSOR SETUP
R 2:UNLEADED NORTH - - - - - _ - _ _ _
TYPE: - -
STANDARD s I :PS 7-8
NORMALLY CLOSED CATEGORY VAPOR PRESSURE
TANK #: 1 s 2:FM 1-2
CATEGORY AIR FLOW METER
LIQUID SENSOR ALMS s 3:,FM 3-4
ALL:FUEL ALARM CATEGORY AIR FLOW METER
ALL:SENSOR OUT ALARM
OUTPUT RELAY SETUP ALL:SHORT ALARM s 4:FM 5-6
CATEGORY AIR FLOW METER
- - - - - - - - ` - - - ISD SITE ALARMS
R 1 :POSITIVE-SHUT OFF ISD GROSS PRES FAIL s 5:FM 7-8
ISD DEGRD PRES FA-IL CATEGORY AIR FLOW METER
TYPE: ISD VAPOR LEAK FAIL
STANDARD ISD VP PRES.FAIL s 6:FM 9-10
NORMALLY CLOSED ISD VP STATUS FAIL CATEGORY AIR FLOW METER
TANK 0: NONE ISD HOSE ALARMS s 7:FM 11-12
ALL:GROSS COLLECT FAIL CATEGORY AIR FLOW METER
IN-TANK ALARMS ALL:DEGRD COLLECT FAIL
ALL:LEAK ALARM ALL:FLOW COLLECT FAIL
ALL:HIGH WATER ALARM R 3:UNLEADED SOUTH
LIQUID SENSOR ALMS TYPE
STANDARD
L 1 :FUEL ALARM
L 2:FUEL ALARM NORMALLY CLOSED
L 3:FUEL ALARM TANK 0: 4
L 4:FUEL ALARM
L 5:FUEL ALARM
L 1 :SENSOR OUT ALARM LIQUID SENSOR ALMS
L 2:SENSOR OUT ALARM ALL:FUEL ALARM
L 3:SENSOR OUT ALARM ALL:SENSOR OUT ALARM
L 4:SENSOR OUT ALARM ALL:SHORT ALARM
L 5:SENSOR OUT ALARM
L 1 :SHORT ALARM ISD SITE ALARMS
L 2:SHORT ALARM ISD GROSS PRES FAIL
L 3:SHORT ALARM ISD DEGRD PRES FAIL
L 4:SHORT ALARM ISD VAPOR LEAK FAIL
L 5:SHORT ALARM ISD VP PRES FAIL
ISD SITE ALARMS .. ISD VP STATUS FAIL
ISD GROSS PRES ,:FAIL ISD HOSE ALARMS
ISD DEGRD PRES FAIL ALL:GROSS COLLECT FAIL
ISD VAPOR LEAK FAIL ALL:DEGRD COLLECT FAIL
ISD VP PRES FAIL ALL:FLOW COLLECT FAIL
ISD VP STATUS FAIL
ISD HOSE ALARMS
ALL:GROSS COLLECT FAIL
ALL:DEGRD COLLECT FAIL
ALL:FLOW COLLECT FAIL
EVR/ISD SETUP ISD FUEL GRADE HOSE MAP ALARM HISTORY REPORT
1 2 3 4
FP MHH MHH MHH MHH AA ----- SENSOR ALARM.;-----
EVR TYPE: VACUUM ASSIST ------------------------ L I:UNLEADED NORT-M
VACUUM ASSIST TYPE 00 2041304 5 U 904 2 OTHER, SEl�
HEALY VAC 01 9 U 3 U U U U U 0
021 U 2 U 9 U 3 U 0
NOZZLE A/L RANGE 03 1 U 2 U 9 U 3 U 0
MAX: 1 .15 MIN: 0.95 04 1 U 2 U 9 U 3 U 0
051 U2U9000 0
VAPOR PROCESSOR TYPE 06 1 U 2 U 9 0 0 0 0
NO VAPOR PROCESSOR 07 1 U 2 U 9 0 0 0 0
081 U2U9000 0
091 U2U9000 0
ANALYSIS TIMES 10 207 307 907 U U 4 * x x END
TIME: 10:00 AM i 11 208 308 908 U U 4
DELAY MINUTES: 1 12 210 310 910 U U 5
13 206 906 306.0 U 3
14 212 912 312 U U 6
ACCEPT HIGH ORVR: 15 209 309 909 U U 5
ENABLED 161 U 2 U 9 U U U 0
17 1 U 2 U 9 0 0 0 0
.ISD HOSE TABLE 18 1 U 2 U 9 0 0 0 0
ID FP FL HL AA RR 19 211 311 911 U U 6
------------------------ 20 205 305 905 U U 3
01 33 01 02 01 UU 322000UUUU 0
02 34 02 02 01 UU 33 201 301 5 U 901 1 ALARM HISTORY REPORT
03 35 03 02 02 UU 34 202 902 302 5 U 1
04 00 04 02 02 UU 35 203 903 5 U 303 2 ----- SENSOR ALARM -----
05 20 05 02 03 UU L 2:SUPREME
06 13 06 02 03 UU OTHER SENSORS
07 10 07 02 04 UU LABEL TABLE FUEL ALARM
08 11 08 02 04 UU -1 : UNASSIGNED - DEC 15, 2008. 5:09 AM
09 15 09. 02 05 UU 2: BLEND3
10 12.,.-4 Q__, ..02 05 UU 3: REGULAR
11 19 11 02 06 UU 4: MID GRADE
12 14 12 02 OE.; UU 5: PREMIUM
6: GOLD
ISD AIRFLOW METER MAP 7' BRONZE
ID SERIAL.NUM LABEL . 8: SILVER
_
---------------- -
------ 9: BLEND2
1 18422 FM 1-2 10: HLEND4
218424 FM 3-4 * * * X *. END * x * * *
3 18415 FM 56
4 12370 FM 7-8
5 18433 FM 9-10
6 12396 FM 11-12
PMC SETUP
PROCESSOR CONTROL LEVEL: ALARM IBIS ORY REPORT
NONE
6Sj&R gLARM ---
.UNLER4? g7P1Ok1 .�=�� ,:�,.
OTHER BENS S.
SOFTWARE REVISION LEVEL
VERSION 327.04 r
SOFTWARE# 346327-100-E
CREATED - 07.02.06,10.28 END x * x
S-MODULEO 330160-004-a
SYSTEM FEATURES:
PERIODIC IN-TANK TESTS
ANNUAL IN-TANK TESTS
ISD
PMC
ALARM HISTORY REPORT
ALARM HISTORY REPORT ----- SENSOR ALARM -----
----- SENSOR ALARM ----- L 8:GHOST
ALARM HISTORY REPORT L 6:CASPER OTHER SENSORS
OTHER SENSORS FUEL ALARM
-- SENSOR ALARM ----- FUEL ALARM OCT 15, 2008 9:44 AM
L 4:UNLEADED SOUTH OCT 15. 2008 9:44 AM SETUP DATA WARNING
OTHER SENSORS OCT 15. 2008 9:23 AM
SETUP DATA WARNING SETUP DATA WARNING
FEB 17, 2009 12:07 PM OCT 15, 2008 9:23 AM
FUEL ALARM
SETUP DATA WARNING FUEL ALARM OCT 15. 2008 9:23 AM
FEB 17, 2009 7:27 AM OCT 15. 2008 9:23 AM
SETUP DATA WARNING
FEB 17, 2009 6:00 AM
END
END
x * x ENDxx �t �t
I ;
I * * * END *
----- SENSOR ALARM -----
ALARM HISTORY REPORT L 5:DIESEL
OTHER SENSORS
-- SENSOR ALARM ----- FUEL ALARM
ALARM HISTORY REPORT L 7:GHOST MAR 13. 2009 12:16 PM
OTHER SENSORS
-- SENSOR ALARM ----- FUEL ALARM
L 5:DIESEL OCT 15, 2008 9:44 AM
OTHER SENORS
FUEL ALARM SETUP DATA WARNING
FEB 23. 2009 5:29 '1* OCT 15, 2006 9:23 AM
SETUP DATA WARNING FUEL ALARM
FEB 17, 2009 11 :39 AM OCT 15, 2008 9:23 AM
----- SENSOR ALARM -----
SETUP DATA WARNING L 4:UNLEADED,SOUTH
FEB. 13. 2009 9:01 PM OTHER SEN9ORS
FUEL ALARM
MAR 13. 2009 12:18 PM
* * * END * * * ----- SENSOR ALARM -=---
L 3:UNLEADED SIPHON
OTHER SENSORS
FUEL ALARM
MAR 13. 2009 12:22 PM .
----- SENSOR ALARM -----
----- SENSOR ALARM ----- L B:GHOST
----- SENSOR ALARM ----- L 2:SUPREME OTHER SENSORS
L 2:SUPREME OTHER SENSORS SENSOR OUT ALARM
OTHER SENSORS FUEL ALARM MAR 13, 2009 12:34 PM
FUEL ALARM MAR 13, 2009 12:34 PM
MAR 13, 2009 12:24 PM
----- SENSOR F -
----- SENSOR ALARM -----
----- SENSOR ALARM ----- L 3:UNLEADED SIPHON OTHER NSENSORSI�
L 1 :UNLEADED NORTH OTHER SENSORS FUEL ALARM
OTHER SENSORS FUEL ALARM MAR 13, 2009 12:38 PM
FUEL ALARM MAR 13. 2009 12:34 PM
MAR 13, 2009 12:25 PM
----- SENSOR ALARM _____ ----- SENSOR ALARM -----
L 4:UNLEADED SOUTH L HER SENSORS
'��"CAL'I FORN I A Chi�GOTV � OTHER SENSORS OTHER SENSORS
4100 CALIFORNIA AVE FUEL ALARM
BKRSFLD CA .93309 FUEL ALARM MAR 13, 2009 12:39 PM
661-336-0263 MAR 13. 2009 12:34 PM
MAR 13.2009 12:31 PM
SYSTEM STATUS REPORT
ALL FUNCTIONS NORMAL
----- SENSOR ALARM ----- ----- SENSOR ALARM -----
L 6:CASPER L 3:UNLEADED SIPHON
OTHER SENSORS OTHER SENSORS
FUEL ALARM
SENSOR OUT ALARM
MAR 13. 2009 12:34 PM MAR 13. 2009 12:40 PM
----- SENSOR ALARM -----
L 1 :UNLEADED NORTH
OTHER SENSORS
FUEL ALARM
MAR 13, 2009 12:34 PM
----- SENSOR ALARM -----
----- SENSOR ALARM -----
L 4:UNLEADED SOUTH
OTHERHSENSORS OTHER SENSORS
SENSOR OUT ALARM FUEL ALARM
MAR 13, 2009 12:34 PM MAR 13. 2009 12:41 PM
----- SENSOR ALARM -----
L 5:DIESEL
OTHER SENSORS
FUEL ALARM
MAR 13. 2009 12:34 PM
----- SENSOR ALARM -----
L 1 :UNLEADED NORTH
OTHER SENSORS
FUEL ALARM
MAR 13, 2009 12:44 PM
----- SENSOR ALARM --_—
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 (f applicable), should be provided to the facility owner/operator for submittal to the local regulatory agency.
1. FACILITY INFORMATION
Facility Name: California Chevron I Date of Testing: 3/13/2009
Facility Address: 4100 California Avenue, Bakersfield,CA 93309
Facility Contact: Sam Jouda I Phone: 661-333-0000
Date Local Agency Was Notified of Testing: 3/9/2009
Name of Local Agency Inspector(f present during testing): Ernie Medina
2. TESTING CONTRACTOR INFORMATION
Company Name: Confidence UST Services, Inc.
Technician Conducting Test: Kristopher Karns
Credentials': X CSLB Contractor X ICC Service Tech. ❑ SWRCB Tank Tester ❑Other(Spec)
License Number(s): 804904 5264406-UT
3. SPILL BUCKET TESTING INFORMATION
Test Method Used: X Hydrostatic ❑Vacuum ❑Other
Test Equipment Used: Lake Test Equipment Resolution:0.0625"
Identify Spill Bucket(By Tank 1 Regular(North) 2 Regular Siphon 3 Regular(South) 4 Super
Number, Stored Product, etc.
Bucket Installation Type: ❑ Direct Bury ❑ Direct Bury ❑Direct Bury ❑Direct Bury
X Contained in Sump X Contained in Sump X Contained in Sump X Contained in Sum
Bucket Diameter: 12.00" 12.00" 12.00" 12.00"
Bucket Depth: 13.00" 13.00" 13.50" 13.00"
Wait time between applying 5 min. 5 min. 5 min. 5 min.
vacuum/water and start of test:
Test Start Time(Tj): 1:15 PM 1:15 PM 1:15 PM 1:15 PM
Initial Reading(Ri): 12.00" 11.50" 11.00" 11.25"
Test End Time(TO: 2:15 PM 2:15 PM 2:15 PM 2:15 PM
Final Reading(RF): 12.00" 11.50" 11.00" 11.25"
Test Duration(TF—Tj): 1 hour 1 hour 1 hour 1 hour
Change in Reading(RF-Rj): 0.0" 0.0" 0.0" 0.0"
Pass/Fail Threshold or 0.0625"
Criteria: 0.0625 0.0625„ 0.0625
Test Result: X Pass ❑Fail X Pass ❑Fail X Pass ❑Fail X Pass ❑Fail
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.
x
Technician's Signature: ,KZM 4tl— Date: 3/13/2009
' State laws and regulations do not currently require testing to be performed by a qualified contractor. However, local requirements
may be more stringent.
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 be provided to the facility owner/operator for submittal to the local regulatory agency.
1. FACILITY INFORMATION
Facility Name: California Chevron Date of Testing: 3/13/2009
Facility Address: 4100 California Avenue, Bakersfield,CA 93309
Facility Contact: Sam Jouda I Phone: 661-333-0000
Date Local Agency Was Notified of Testing: 3/9/2009
Name of Local Agency Inspector(if present during testing): Ernie Medina
2. TESTING CONTRACTOR INFORMATION
Company Name: Confidence UST Services,Inc.
Technician Conducting Test: Kristopher Karns
Credentials: X CSLB Contractor X ICC Service Tech. SWRCB Tank Tester Other(Specify)
License Number(s): 804904 5264406-UT
3. SPILL BUCKET TESTING INFORMATION
Test Method Used: X Hydrostatic Vacuum Other
Test Equipment Used: Lake Test Equipment Resolution:0.0625"
Identify Spill Bucket(By Tank 1 Diesel 2 3 4
Number, Stored Product, etc.
Bucket Installation Type: ❑ Direct Bury ❑ Direct Bury Direct Bury Direct Bury
X Contained in Sump ❑Contained in Sump ❑Contained in Sump ❑Contained in Sum
Bucket Diameter: 12.00"
Bucket Depth: 14.50"
Wait time between applying 5 Minutes
vacuum/water and start of test:
Test Start Time(Ti): 1:15 PM
Initial Reading(Ri): 12.00"
Test End Time(TF): 2:15 PM
Final Reading(RF): 12.00"
Test Duration(TF—T& 1 Hour
Change in Reading(RF-Rj): 0.00"
Pass/Fail Threshold or 0.0625
Criteria:
Test Result: X Pass Fail Pass Fail Pass Fail Pass Fail
Comments— (include information on repairs made prior to testing, and recommended follow-up for failed tests)
CERTIFICATION OF TECHNICIAN RESPONSIBLE FOR CONDUCTING THIS TESTING
/hereby certify that all the information contained in this report is true, accurate, and in full compliance with legal requirements.
Technician's Signature: I, • I(C4 Date: 3/13/2009
State laws and regulations do not currently require testing to be performed by a qualified contractor. However,local requirements
may be more stringent.