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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.