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FMC 2010
Z L Owl ' 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. 05 Facility A. General Information Facility Name: M & S Enterprises (Arco AM/PM) IE Bldg.No.: Site Address: 4203 Ming Avenue City: Bakersfield zip: 93309 Facility Contact Person: Augustine Contact Phone No.: 661-834-1076 Make/Model of Monitoring System: Veeder-Root TLS-350 Date of Testing/Servicing: 08/26/2010 B. Inventory of Equipment Tested/Certified es Check the appropriate box to indicate epecilk equipment Inspected/serviced: Tank ID: 10000 gal. Regular#1 (South Syphon)) Tank ID: 10000 gal.Regular#2 (Center Master) [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:794380-208 [x] Piping Sump/Trench Sensor(s). Model: 794380-208 [X] Fill Sump Sensor(s) Model:794380-208 Fill Sump Sensor(s). Model:794380-208 U Mechanical Line Leak Detector. Model: ❑ Mechanical Line Leak Detector. Model: ❑ Electronic Line Leak Detector. Model:None U Electronic Line Leak Detector. Model: WPLLD U Tank Overfill/High Level Sensor. Modei:OPW 61-SO U Tank Overfill/High Leval Sensor. Model: DPW 61-SO ❑ 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#3 (North Syphon) 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: 794390-409 [X] Piping Sump/Trench Sensor(s). Model:794380-208 [x] Piping Sump/Trench Sensor(s). Model: 794380-208 [X] Fill Sump Sensors(s). Model:794308-208 [x] Fill Sump Sensor(s). Model: 794380-208 ❑ Mechanical Line Leak Decector. Model: ❑ Mechanical Line Leak Detector. Model: ❑ Electronic Line Leak Detector. Model:None [x] Electronic Line Leak Detector. Model: WPLLD [X] Tank Overfill/High Level Sensor. Model:OPW 61-SO Tank Overfill/High Level Sensor.Model:DPW 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 [xl Dispenser Containment Sensor(s). Model: 794380-208 [x] Dispenser Containment Sensor(s). Model: 794380-208 [X] Shear Valve(s). U Shear Valve(s). U Dispenser Containment Float(s)and Chain(s). ❑ Dispenser Containment Float(s)and Chain(s) Dispenser iD: 5&6 Dispenser ID: 7&8 [x] Dispenser Containment Sensor(s). Model: 794380-208 [X] Dispenser Containment Sensor(s). Model: 794380-208 [x] Shear Valve(s). Shear Valve(s). ❑ Dispenser Containment Float(s)and Chains(s). ❑ Dispenser Containment Float(s)and Chain(s). Dispenser ID: 98,10 Dispenser iD: 11 &12 Lx] Dispenser Containment Sensor(s). Model: 794380-208 [x] Dispenser Containment Sensor(s). Model: 794380-208 [X] Shear Valve(s). [x] 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 varify that this information is correct and a plot plan showing the layout of monitoring equipment.For equi ment capable of generating such reports,I have attached a copy of the report; (check all that apply) ]i 5yst U Alarm histo report Technician Name(print): Douglas M.Young III Signature: Certification No: A32755 License No:804904 Testing Company Name: Confidence UST Services,Inc. Phone No: 800-3 9-9930 Site Address: 4203 Ming Avenue,Bakersfield,CA 93309 I IIIIIII III I II II 06 _Date of Testing/Servicing: 08/26/2010 IE D. Results of Testing/Servicing Software Version Installed: 326.01 Complete the following checklist: Lx] Yes ❑ No* Is the audible alarm operational? Ix Yes No* Is the Visual alarm operational? x Yes No* Were all sensors visually inspected,functionally tested,and confirmed operational? x 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? ET-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? U Sump/Trench Sensors U Dispenser Containment Sensors Did you confirm positive shut-down due to leaks and sensor failure/disconnected? [x] Yes; ❑ No; ❑ Yes ❑ No* For tank systems that utilize the monitoring system as the primary tank overfill warning device(i.e. no U 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? OPW % ❑ Yes* ❑ 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. ❑ Yes* No Was liquid found inside any secondary containment systems designed as dry systems? ❑ Product; ❑ Water. If yes,describe causes in Section E,below. x EYe No* Was monitoring system set-up reviewed to ensure proper settings?Attach set-up reports, if applicable. No* I Is all monitoring equipment operational per manufacturer's specifications? * In Section E below,discribe how and when these deficiencies were or will be corrected. E. Comments: OPW 61-SO Overfill Prevention Devices are installed in all drop tubes. 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? _Txj Yes No* Were all tank guaging probes visually inspected for damage and residue buildup? Ixi Yes No* Was accuracy of system product level readings tested? x Yes I No* Was accuracy of system water level readings tested? _[xj Yes No* Were all probes reinstalled properly? ❑ 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. G. Line Leak Detectors (LLD): ❑Check this box if LLD's are not installed. Complete the following checklist: Lx] 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: [X]3 g.p.h.: 00.1 g.p.h.; 00.2 g.p.h.; 7x1 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 pro uct flow if it detects a leak? x N/A [x] Yes No* For electronic LLD's,does the turbine automatically shut off if the LLD detects a leak? ❑ N/A ❑ Yes No* For electronic LLD's,does the turbine automatically shut off if any portion of the monitoring system is ❑ N/A disabled or disconnected? Lx] Yes =No* For electronic LLD's,does the turbine automatically shut off if any portion of the monitoring system ❑ N/A malfunction or fails a test? x Yes No* For electronic LLD's,have all accessible wiring connections been visually inspected? ❑ N/A 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. H. Comments: SYSTEM SETUP AUG 26, 2010 8:56 AM 243508 ARCO AM-PM 4203 M I NG AVE BAKERSFIELD CA. SYSTEM UNITS 661-834-1076 U.S. SYSTEM LANGUAGE AUG 26. 2010 8:56 AM' ENGLISH SYSTEM DATE/TIME FORMAT MON DD YYYY HH:MM:SS xM SYSTEM STATUS REPORT 243508 ARCO AM-Pll - - - - - - - - - - - - 4203 MING AVE D 8:DELIVERY REPORT WRN BAKERSFIELD CA. 661-634-1076 INVENTORY REPORT SHIFT TIME l : DISABLED SHIFT TIME 2 DISABLED SHIFT TIME 3 DISABLED T I :UNLEADED 1 SHIFT TIME 4 DISABLED VOLUME = 5542 GALS ULLAGE = 4458 GALS TANK PER TST NEEDED WRN 90% ULLAGE= 3458 GALS DISABLED TC VOLUME = 5449 GALS TANK ANN TST NEEDED WRN HEIGHT = 51 .68 INCHES DISABLED WATER VOL = 0 GALS WATER = 0. 11 INCHES LINE RE-ENABLE METHOD TEMP = 83.9 DEG, F PASS LINE TEST LINE PER TST NEEDED WRN T 2:UNLEADED 2 TURBN DISABLED VOLUME = 5881 GALS LINE ANN TST NEEDED WRN ULLAGE = 4119 GALS DISABLED 90e ULLAGE= 3119 GALS TC VOLUME = 5781 GALS PRINT TC VOLUMES HEIGHT = 54.28 INCHES ENABLED WATER VOL = 0 GALS WATER = 0.00 INCHES TEMP COMPENSATION TEMP = 84.3 DEG F VALUE (DEG F is 60.0 STICK HEIGHT OFFSET DISABLED T 3:UNLEADED 3 VOLUME = 3484 GALS H-PROTOCOL DATA FORMAT ULLAGE = 6516 GALS HEIGHT 90% ULLAGE= 5516 GALS PRECISION TEST DURATION TC. VOLUME = 3428 GALS HOURS: 12 HEIGHT = 36.22 INCHES DAYLIGHT SAVING TIME WATER VOL = 0 GALS ENABLED WATER = 0.00 INCHES START DATE TEMP = 83.0 DEG F APR WEEK 1 SUN START TIME 2:00 AM T 4:PREMIU11I END DATE VOLUME = 2732 GALS OCT WEEK 6 SUN ULLAGE = 7268 GALS END TIME 90% ULLAGE= 6268 GALS 2:00 AM TC VOLUME = 2679 GALS HEIGHT = 30.33 INCHES RE-DIRECT LOCAL PRINTOUT WATER VOL = 0 GALS DISABLED WATER = 0.00 INCHES TEMP = 87.6 DEG F EURO PROTOCOL PREFIX S �c x ri x END ri X x X SYSTEM SECURITY CODE : 000000 CUSTOM ALARM LABELS DISABLED IN—TANK SETUP T I :U 1 T 2:UNLEADED 2 TURBN PRODUCT CT CODE CODE 1 PRODUCT CODE 1 THERMAL : ,090700 THERMAL COEFF : .000700 COMMUNICATIONS CATIONS SETUP TANK: DIAMETER OF I L 96.00 TANK DIAMETER 96.00 — — — _ — _ _ — — _ — — TANK. PROFILE 4 PTS TANK PROFILE 4 PTS FULL VOL 10000 72.0 INCH VOL 5079 FULL VOL 10000 72.0 INCH VOL 8079 PORT SETTINGS: 48.0 INCH VOL 5061 461,0 INCH VOL 5061 24.0 INCH VOL 1973 24,0 INCH VOL 1973 COMM BOARD 3 cS—SAT 7 BAUD RATE 9600 FLOAT SIZE: 4.0 IN. PARIT! NONE FLOAT SIZE: 4.0 IN. STOP BIT 1 STOP WATER WARNING DATA LENGTH: 8 DATA 2.5 WATER WARNING : 2.5 HIGH WATER LIMIT: 3.0 HIGH WATER LIMIT: 3.0 RS-232 SECURIT`! CODE : DISABLED MAX OR LABEL VOL: 10000 DTR NORMAL STATE: HIGH OVERFILL LIMIT : 90% OVE LABEL VOL: 10000 9000 OVERFFI LL LIMIT 90% COMM BOARD 5 (RS-485) HIGH PRODUCT 95% 9000 BAUD RATE 1200 9500 HIGH PRODUCT 95% PARITY : ODD DELIVERY LIMIT 203; 900 STOP BIT I STOP 2000 DELIVER', LIMIT 20% DATA LENGTH: 7 DATA 2000 RS-232 SECURITY LOW PRODUCT 1000 CODE : DISABLED LEAK ALARM LIMIT: 99 LOW PRODUCT : 1000 SUDDEN LOSS LIMIT: 99 LEAK ALARM LIMIT: 99 COMM BOARD 6 (RS-232) 00 SUDDEN LOSS LIMIT: 99 0 TANK TILT TANK TILT 0.00 BAUD RATE 9600 PROBE OFFSET —0.75 PARITY NONE PROBE OFFSET 0.00 STOP BIT 1 STOP DATA LENGTH: 8 DATA SIPHON MANIFOLDED TANKS MANIFOLDED TANKS RS-232 SECURITY T#: NONE IPHON MA CODE : DISABLED LINE MANIFOLDED TANKS T#: NONE T#: NONE LINE MANIFOLDED TANKS T#: NONE AUTO TRANSMIT SETTINGS: ALARM LIMIT 0 0 AUTO LEAK LEAK MIN PERIODIC: 0% LEAK. MIN PERIODIC: 0% DISABLED AUTO HIGH WATER LIMIT LEAK 111 ANNUAL 0i a DISABLED LEAK MIN ANNUAL 0� AUTO OVERFILL LIMIT 0 0 DISABLED AUTO LOW PRODUCT PERIODIC TEST TYPE DISABLED PERIODIC TEST TYPE AUTO THEFT LIMIT STANDARD STANDARD DISABLED ANNUAL TEST FAIL AUTO DELIVERY START ALARM DISABLED ANNUAL TEST FAIL DISABLED ALARM DISABLED AUTO DELIVERY END PERIODIC TEST FAIL DISABLED PERIODIC: TEST FAIL AUTO EXTERNAL INPUT ON ALARM DISABLED ALARM DISABLED DISABLED GROSS TEST FAIL AUTO EXTERNAL INPUT OFF ALARM DISABLED GROSS TEST FAIL DISABLED ALARM DISABLED AUTO SENSOR FUEL ALARM ANN TEST AVERAGING: OFF ANN TEST AVERAGING: OFF DISABLED PER TEST AVERAGING: OFF PER TEST AVERAGING: OFF AUTO SENSOR ldATER ALARM DISABLED TANK: TEST NOTIFY: OFF TANK TEST NOTIFY: OFF AUTO SENSOR OUT ALARM DISABLED TNK TST SIPHON BREAK:OFF TNK TST SIPHON BREAK:OFF DELIVERY DELAY 2 MIN DELIVERY DELAY 2 MIN PUMP THRESHOLD 10.00°fa PUMP THRESHOLD 10.001 RECEIVER SETUP: NONE x T 3:UNLEADED 3 T 4:PREMIUM PRODUCT CODE i PRODUCT CODE 2 LEAP, TEST METHOD THERMAL COEFF : .000700 THERMAL COEFF : .000700 TEST ON DATE : ALL TANK— TANK DIAMETER 96.00 TANK DIAMETER 96.00 NOV 10. 2003 TANK PROFILE 4 PTS TANK PROFILE 4 PTS FULL VOL 10000 FULL VOL 10000 START TIME : DISABLED 72.0 INCH VOL 8079 72.0 INCH VOL 8079 TEST RATE :0.20 OURS DURATION 2 HOURS 48.0 INCH VOL : 5061 48.0 INCH VOL 5061 24.0 INCH VOL 1973 24.0 INCH VOL 1973 TST EARLY STOP:DISABLEU FLOAT SIZE: 4.0 IN. FLOAT SIZE: 4.0 1N. LEAK TEST REPORT FORMAT NORMAL WATER WARNING 2.5 WATER WARNING 2.5 HIGH WATER LIMIT: 3.0 HIGH WATER LIMIT: 3.0 MAX OR LABEL VOL: 10000 MAX OR LABEL VOL: 10000 OVERFILL LIMIT 90% OVERFILL LIMIT 90% 9000 9000 HIGH PRODUCT 95% HIGH PRODUCT 95% 9500 9500 DELIVERY LIMIT 20% DELIVERY LIMIT 20% 2000 2000 • LOW PRODUCT 1000 LOW PRODUCT 1000 PRESSURE LINE LEAK SETUP LEAK, ALARM LIMIT: 99 LEAK ALARM LIMIT: 99 — — — — — — — — — SUDDEN LOSS LIMIT: 99 SUDDEN LOSS LIMIT: 99 TANK TILT 0.00 TANK TILT 0.00 G 1 :87 kEG UNL PROBE OFFSET 0.00 PROBE OFFSET 0.00 TYP:2.0i3.0IN FIBERGLASS SIPHON MANIFOLDED TANKS SIPHON MANIFOLDED TANKS 2.01N DIA LEN:500 FEET Tit: NONE Tit: NONE 3.01N DIA LEN: 0 FEET LINE MANIFOLDED TANKS LINE MANIFOLDED TANKS SHUTDOWN RATE: 3.0 GPH Tit: NONE LOW PRESSURE SHUTOFF:NO TO: t'JOIVE LOW PRESSURE 0 PSI LEAK MIN PERIODIC: 0% LEAK MIN PERIODIC: 011; TANK: NONE 0 0 SENSOR: NON—VENTED PRESSURE OFFSET: O.OPSI LEAK MIN ANNUAL : 0% LEAK MIN ANNUAL 01% 0 0 PERIODIC TEST TYPE PERIODIC TEST TYPE STANDARD STANDARD ANNUAL TEST FAIL ANNUAL TEST FAIL ALARM DISABLED ALARM DISABLED PERIODIC TEST FAIL PERIODIC TEST FAIL ALARM DISABLED ALARM DISABLED 0 2:92 PREM UNL GROSS TEST FAIL GROSS TEST FAIL ALARM DISABLED ALARM DISABLED TYP:2.0r'3.OIN FIBERGLASS 2.0IN DIA LEN:450 FEET ANN TEST AVERAGING: OFF ANN TEST AVERAGING: OFF 3.OIN DIA LEN: 0 FEET PER TEST AVERAGING: OFF PER TEST AVERAGING: OFF SHUTDOWN RATE: 3.0 GPH LOW PRESSURE SHUTOFF:NO TANK. TEST NOTIFY: OFF TANK TEST NOTIFY: OFF LOW PRESSURE 0 PSI TNK TST SIPHON BREAK:OFF TNK TST SIPHON BREAK:OFF TANK: NONE SENSOR: NON—VENTED DELIVERY DELAY 2 MIN DELIVERY DELAY 2 MIN PRESSURE OFFSET: O.OPSI PUMP THRESHOLD 10.00% PUMP THRESHOLD 10.00% s LIQUID SENSOR SETUP L12:92 PREM UNL FILL - - _ - - - - - - - - - TRI-STATE (SINGLE FLOAT) CATEGOR`! : PIPING SUMP L 1 :87 REG UNL ANNULAR TRI-STATE (SINGLE FLOAT) L13:DIRP 1 CATEGORY ANNULAR SPACE TRI-STATE (SINGLE FLOAT) CATEGORY : DISPENSER PAN PLLD LINE DISABLE SETUP L 2:87 REG UI-,11 STP - - - - - - - - _ _ _ _ TRI-STATE (SINGLE FLOAT) L14:DISP 3-4 CATEGORY STP SUMP TRI-STATE (SINGLE FLOAT) G 1 :87 REG UNL CATEGORY : DISPENSER PAN LIQUID SENSOR ALMS L 3:87 REG UNL FILL S ALL:FUEL ALARM TRI-STATE (SINGLE FLOAT) ALL:SENSOR OUT ALARM CATEGORY : PIPING SUMP L15:DISP 5-6 ALL:SHORT ALARM TRI-STATE (SINGLE FLOAT) PRESSURE LINE LEAK L 4:87 REG UNL 2 ANNULAR CATEGORY : DISPENSER PAN ALL:PLLD OPEN ALARM TRI-STATE (SINGLE FLOAT) CATEGORY : ANNULAR SPACE Q 2:92 PREM UNL L16:DISP 7-8 LIQUID SENSOR ALMS TRI-STATE (SINGLE FLOAT) ALL:FUEL ALARM L 5:87 REG UNL 2 SYPHON CATEGORY DISPENSER PAN ALL:SENSOR OUT ALARM TRI-STATE (SINGLE FLOAT) ALL:SHORT ALARM CATEGORY : STP SUMP L17:DISP 9-10 PRESSURE LINE LEAK L 6:87 REG UNL M FILL TRI-STATE (SINGLE FLOAT) ALL:PLLD OPEN ALARM CATEGORY : DISPENSER PAN TRI-.,TATS (SINGLE FLOAT) CATEGORY : PIPING SUMP L 7:87 REG UNL 3 ANNULAR L18:DISP 11-12 TRI-STATE (SINGLE FLOAT) CATEGORY ANNULAR SPACE STATE (SINGLE FLOAT) CATEGORY : DISPENSER PAN CA L 8:87 REG UNL 3 SYPHON TRI-STATE (SINGLE FLOAT) CATEGORY : PIPING SUMP L 9:87 REG UNL N FILL TRI-STATE (SINGLE FLOAT) CATEGORY : PIPING SUMP L10:92 PREM UNL ANNULAR OUTPUT RELAY SETUP TRI-STATE (SINGLE FLOAT) - - - - -- - - - - - - - CATEGORY : ANNULAR SPACE R 3:ALARM TYPE: STANDARD 1-11 :92 PEM UNL STP NORMALLY OPEN TRI-STATE (SINGLE FLOAT) CATEGORY STP SUMP I N-TANK ALARM; ALL:OVERFILL ALARM ALL:HIGH PRODUCT ALARM ALL:IMAX PRODUCT ALARM ALARM HISTORY REPORT ALARM H I'STUk4' REPORT ----- SENSOR ALARM ----- ALARM HISTORY REPORT L 1 :87 REG UNL ANNULAR ----- SENSOR ALARM ----- ANNULAR SPACE L 3:87 REG UNL FILL S ----- SENSOR ALARM ----- SENSOR OUT ALARM PIPING SUMP L 5:87 REG UNL 2 SYPHON JUL 7, 2008 11 :41 AM SETUP DATA WARNING STP SUMP FEB 8, 2010 8:48 AM SENSOR OUT ALARM FUEL ALARM JUL 7. 2008 11 :41 AM JUL 7. 2008 11 :28 AM SETUP DATA WARNING FEB 8. 2010 6:06 All FUEL ALARM FUEL ALARM JUL 7, 2008 11 :33 AM JUN 19. 2007 9: 10 AM FUEL ALARM FEB B. 2010 1 :59 AM FUEL ALARM .JUN 19. 2007 9:06 AM n ?� END END * ?� END ALARM HISTORY REPORT ALARM HISTORY REPORT ----- SENSOR ALARM ----- ALARM HISTORY REPORT L 2:87 REG UNL STP ----- SENSOR ALARM ----- STP SUMP L 4:87 REG UNL 2 ANNULAR ----- SENOR ALARM ----- SENSOR OUT ALARM ANNULAR SPACE L 6:87 REG UNL M FILL JUL 7, 2008 11 :41 AM SENSOR OUT ALARM PIPING SUMP JUL 7, 2008 11 :41 All SETUP DATA WARNING FUEL ALARM JAN 22, 2010 7:29 AM JUL 7, 2008 11 :27 AM FUEL ALARM JUL 7, 2008 11 :33 AM SETUP DATA WARNING FUEL ALARM JAN 22, 2010 6:54 AM JUN 19, 2007 9:07 AM FUEL ALARM JUN 19. 2007 9:28 AM FUEL ALARM JAN 22. 2010 6:49 AM �€ ri END ri n END x ,� :rt * END n ALARM HISTORY REPORT -- SENSOR ALARM -- ALARM HISTORY REPORT ALARM H I STORY REPORT L 7:87 REG UNL 3 ANNULAR ANNULAR SPACE SENSOR OUT ALARM ----- SENSOR ALARM ----- ----- SENSOR ALARM ----- SEN 7.OUT A RM AM L 9:87 REG UNL N FILL 1-11 :92 PEN UNL STP PIPING SUMP STP SUMP FUEL ALARM FUEL ALARM SENSOR OUT ALARM JUL 7. 2006 11 :37 All JUL 7, 2008 12: 11 PM JUL 7, 2008 11 :41 All FUEL ALARM FUEL ALARM FUEL ALARM .JUN 19. 2007 9:30 AM JUL 7, 2008 12: 10 PM JUL 7. 2008 11 :39 All SENSOR OUT ALARM SENSOR OUT ALARM JUL 7, 2008 11 :41 AM FEB 5, 2008 3: 18 PM END x END END ALARM HISTORY REPORT ----- SENSOR ALARM ----- ALARM HISTORY REPORT ALARM HISTORY REPORT L 8:87 REG UNL 3 SYPHON PIPING SUMP ----- SENSOR ALARM ----- ----- SENSOR ALARM ----- SENSOR OUT ALARM 1,10:92 PREM UNL ANNULAR 1-12:92 PREM UNL FILL JUL 7, 2006 11 :41 All ANNULAR SPACE PIPING SUMP FUEL ALARM SENSOR OUT ALARM FUEL ALARM JUL 7, 2008 11 :35 AM JUL 7, 2008 11 :41 All AUG 24, 2008 9:49 PM FUEL ALARM FUEL ALARM SENSOR OUT ALARM JUN 19. 2007 8:53 AM JUL 7. 2006 11 :38 AM JUL 7, 2008 11 :41 Ali FUEL ALARM FUEL ALARM JUN 19. 2007 9:31 AM .JUL 7. 2008 11 :39 All x END END * * x * 3e x * x END X * * A x ALARM HISTS>RY REPORT ALARM HISTORY REPORT ----- SENSOR ALARM ----- ----- SENSOR ALARM ----- L13:DIRP 1-2 L15:D1SP 5-6 ALARM HISTORY REPORT DISPENSER PAN DISPENSER PAN SENSOR OUT ALARM SETUP DATA WARNING ----- SENSOR ALARM ----- FEB 3, 2010 11 :38 AM NOV 4, 2008 1 :47 P1°1 L17:DISP 9-10 DISPENSER PAN SENSOR OUT ALARM SETUP DATA WARNING SENSOR OUT ALARM FEB 2, 2010 10: 17 PM NOV 4, 2008 12: 14 PM NOV 4, 2008 2:24 PM SENSOR OUT ALARM SETUP DATA WARNING SETUP DATA WARNING DEC 29, 2009 6:09 PM OCT 28. 2008 5: 13 PM NOV 4, 2008 12: 14 PM SETUP DATA WARNING OCT 28. 2008 5: 13 PM x END * * x X x * END * x n END ALARM HISTORY REPORT ALARM HISTORY REPORT ----- SENSOR ALARM ----- ----- SENSOR ALARM ----- L14:DISP 3-4 L16:DISP 7-8 ALARM HISTORY REPORT DISPENSER PAN DISPENSER PAN SETUP DATA WARNING SETUP DATA WARNING - SENSOR ALARM ----- NOV 4, 2008 1 :35 PM NOV 4, 2008 1 :45 PM L18:DISP 11-12 DISPENSER PAN SETUP DATA WARNING SETUP DATA WARNING SETUP DATA WARNING NOV 4, 2008 12:14 PM NOV 4, 2008 12: 14 PM NOV 4, 2008 12: 14 PM FUEL ALARM SETUP DATA WARNING SETUP DATA WARNING OCT 30, 2008 5:46 PM OCT 28. 2008 5: 13 PM OCT 28, 2008 5:13 PM SENSOR OUT ALARM JUL 7, 2008 11 :41 AM END * x * * * * END * �€ END �€ c - . ----- 6EmSnn ALARM ---�- 1-11 :92 PEM UNL � S7P SUMP SENSrO R, qUT.ALARM 243508 HRCD HM-PM �AUG —` 6 AM — ----- SENSOR ALARM ----- 4203 MlNG AVE ` ` ���� � L17:Dl6P 9-10 BAKEgSFlELD O#. DISPENSER PAN 661-834-1076 SENSOR OUT ALARM AUG 26, 2010 9:56 AM AUG 26. 2010 10:02 AM ' SYSTEM STATUS REPORT - - - - - - - - - - - - ----- SENSOR ALARM ----- D 8:DELlVERY REPORT WRN L12:92 yRB1 UNL FILL PIPING BUMP � ``G2N8OR'OU7 ALARM INVENTORY REPORT AUG 26, 2010 9:56 AM ----- SENSOR ALARM ----- L18:DlSP 11-12 DISPENSER PAN T 1 :UNLB+D2D 1 .._ - 8SNS0R OUT ALARM ~ VOLUME 5352 GALS AUG 26, 2010 9:56 AM ULl.AGE ~ 4648 GALS 90% ULLAC,2= 3648 GALS ' TO VOLUME = 5262 GALS HEIGHT ~ 50.23 INCHES - WATER VOL ~ O GALS WATER ~ 0. 11 INCHES ----- SENSOR ALARM ----- TEMP ~ 83.9 DEG F L13:DIRP 1-2 DISPENSER PAN SENSOR OUT ALARM 7 2:UNLEADED 2 7URBN AUG 26, 2010 9:56 AM 243508 HRCO AM-PM VOLUME ~ 5721 GALS 4203 MlNG AVE ULLA8E ~ 4279 GALS 8AX2R8FlELD CA. 90� ULLAGE= 3279 GALS 661-834-10?6 T0 VOLUME = 5623 GALS HEIGHT ~ 53.05 INCHES AUG 26. 2010 iO:OO HM WATER VOL ~ O GALS WATER ~ 0.00 INCHES TEMP ~ 84.4 DEC P SYSTEM STATUS REPORT . ----- SENSOR ALARM ----- - - - - - - - - - - - - � T 3:UNLEADED 3 L14:DlSP 3-4 D 8:DELlVERY REPORT WRN � VOLUME ~ 3485 GALS DISPENSER PAN ULLA�2 6515 �A�8 SENSOR OUT ALARM � ~ � 90* ULLAGS= 5515 GALS AUG 26, 2010 9:56 AM TO VOLUME ~ 3428 GALS HEIGHT ~ 36.22 INCHES WATER VOL ~ D GALS WATER ~ 0.00 INCHES � TEMP ~ 83.0 DEG F T A:PRSMlUM VOLUME = 2711 GALS 243508 ARCO m"I-PM ULLAQ£ = 7289 GALS ----- SENSOR ALARM ----- 4203 Ml N0 AVE 90% ULLA8E= 6289 GALS L15:Dl8P 5-6 BAKERSFl2LD CA. TC VOLUME = 2658 GALS ` DISPENSER PAN 661-834-1076 � HEIGHT = 30.16 lNOH£S SENSOR OUT ALARM � WATER VOL ~ O GALS AUG 26. 2010 9:56 AM AUG 26^ 2010 \O:OO AM WATER ~ 0.00 INCHES TEMP ~ 87'7 DEG, F SYSTEM STATUS REPORT END - - - - - - - - - - - - D 8:DELlVERY REPORT WRN ----- SENSOR ALARM ----- L16:DlSP 7-8 DISPENSER PAN , SENSOR OUT ALARM AUG 26, 2010 9:56 AM . . r----�` `-`.-_.-- PRESSURE LINE LEAK ALARM PB�� " 24D5O8 *RCO A 2'92 UM� �n-mn ' 4203 MlNG AVE PLLD SHUTDOWN ALARM AUG 26, 2010 9:48 HM 8AK2RSFlELD CH' 661-834-1076 PRESSURE LINE LEAK ALARM AUG 26. 2010 9'55 AM Q 2:92 PREm UNL PLLD SHUTDOWN ALARM AUG 26, 2010 9:50 AM BY87B1 STt�TUFJ REPORT - _ _ - - - - _ - - - - � D 8:DELlV28Y REPORT WRN ----- SENSOR ALARM ----- L 9:87 B£G UNL N FILL PIPING SUMP FUEL ALARM AUG 26. 2010 9:48 AM ----- SENSOR ALARM ----- L 3:87 RBG UNL FILL S | � P[PlNG SUMP FUEL ALARM � AUG 26, 2010 9:50 AM / PRESSURE LINE LEAK ALARM 0 1 :87 RBG UNL ^ PLLD SHUTDOWN ALARM PRESSURE LINE LEAK ALARM AUG 26. 2O\O 9:56 HM A 1 :87 RBg UNL PLLD SHUTDOWN ALARM AUG 26, 2010 9:49 AM PRESSURE LlHS LEAK ALARM 8 1 :87 R2G UNL PLLD SHUTDOWN ALARM � AUG 26, 2010 9:51 AM � PRESSURE LINE LEAK ALARM � Q 1�1:92 PRBM UNL PLLD SHUTDOWN ALARM AUG 216, 2O}U 9�56 An PRESSURE LINE LEHX ALARM W 2:92 PR21 UNL PLLD SHUTDOWN ALARM AUG 26, 2010 9:49 AM PRESSURE LINE LEAK ALARM 0 2:92 PR2M UNL yLLD SHUTDOWN ALARM AWG 26. 2 01 9.5i AM ----- SENSOR ALARM ----- L 9:87 REG UNL N FILL PIPING SUMP �GNSOR OUT ALARM ----- SENSOR ALARM ----- AUG 26' 2010 9:56 AM L 6:87 REG UNL M FILL PIPING SUMP FUEL ALARM AUG '26. 2010 9:49 AM ----- SENSOR ALARM ----- L 1 :87 REG UNL ANNULAR ANNULAR SPACE FUEL ALARM AUG 26, 2010 9:51 HM ----- SENSOR ALARM ----- ' L10:92 PBB1 UNL ANNULAR ANNULAR SPACE SENSOR OUT *Lexn PRESSURE LINE LEAK ALARM AUG 26' 2010 9:56 AM Q 1 :87 REG UNL PLLD SHUTDOWN ALARM AUG 26, 2010 9:50 *M ' SENSOR ALARM ----- PRESSURE LINE LEAK ALARM ----- S L14:DIS 3-4 G 2:92 PREM UNL ----- SENSOR ALARM ----- PLLD SHUTDOWN ALARM DISPENSER PAN FUEL ALARI°1 FUEL 7-8 AUG 26, 2010 9:47 AM AUG 26, 2010 9:44 All DISPENSER PAN FUEL ALARM AUG 26. 2010 9:46 AM ----- SENSOR ALARM ----- PIN PREM UNL FILL PRESSURE LINE LEAK ALARM PIPING SUMP G 1 :87 REG UNL PRESSURE LINE LEAK ALARM FUEL ALARM PLLD SHUTDOWN ALARM G 1 :87 REG UNL AUG 26. 2010 9:47 AM AUG 26, 2010 9:45 AM PLLD SHUTDOWN ALARPI AUG 26, 2010 9:46 AM PRESSURE LIP1E LEA}: ALARM PRESSURE LINE LEAK ALARM G 1 :67 REG UNL ' G 2:92 PREh9 UNL PRESSURE LINE LEAK ALARM PLLD SHUTDOWN ALARM PLLD SHUTDOWN ALARM G 2:92 PREM UNL AUG 26, ' AUG 26, 2010 9:45 All - X010 9:48 AM SHUTDOWN ALARM AUG 26, 2010 9:46 AM ----- SENSOR ALARM ----- PRESSURE LINE LEAK ALARM G 2:92 PREM UNL L15:DISP 5-6 ----- SENSOR ALARM ----- PLLD SHUTDOWN ALARM DISPENSER PAN L10:92 PREM UNL ANNULAR AUG 26, 2010 9:48 AM FUEL ALARM ANNULAR SPACE AUG 26, 2010 9:45 AM FUEL ALARM AUG 26, 2010 9:46 All ----- SENSOR ALARM ----- PRESSURE LINE LEAK ALARM L 7:87 REG UNL 3 ANNULAR ANNULAR SPACE G 1 :87 REG UNL PRESSURE LINE LEAK ALARM FUEL ALARM PLLD SHUTDOWN ALARM G 1 :87 REG UNL AUG 26. 2010 9:48 All AUG 26, 2010 9:46 AM PLLD SHUTDOWN ALARM AUG 26, 2010 9:47 All PRESSURE LINE LEAK ALAkI�M PRESSURE LINE LEAK ALARM G 1 :87 REG UNL G 2:92 PREM UNL PLLD SHUTDOWN ALARM PLLD ALARM AUG 26, 2010 9:46 AM AUG 26, 2010 9:48 All ----- SENSOR ALARM ----- ----- SENSOR ALARM ----- L 2:87 REG UNL STP L18:DISP 11-12 STP SUMP DISPENSER PAN FUEL ALARM FUEL ALARM PRESSURE LINE LEAK ALARM AUG 26, 2010 9:41 AM AUG 26, 2010 9:43 AM G 1 :87 REG UNL PLLD SHUTDOWN ALARM AUG 26, 2010 9:40 AM PRESSURE LINE LEAK ALARM PRESSURE LINE LEAK ALARM G 1 :87 REG UNL Q 1 :87 REG UNL PLLD SHUTDOWN ALARM PLLD SHUTDOWN ALARM PRESSURE LINE LEAK ALARM AUG 26, 2010 9:42 AM AUG 26, 2010 9:43 All G 2:92 PREM UNL PLLD SHUTDOWN ALARM AUG 26, 2010 9:40 All PRESSURE LINE LEAK ALARM PRESSURE LINE LEAK ALARM G 2:92 PREM UNL G 2:92 PREM UNL PLLD SHUTDOWN ALARM PLLD SHUTDOWN ALARM SENSOR ALARM ----- AUG 26, 2010 9:42 AM AUG 26. 2010 9:43 AM L 5:87 RED:; UNL 2 SYPHON STP SUMP FUEL ALARM AUG 26, 2010 9:40 AM ----- SENSOR ALARM ----- ----- SENSOR ALARM ----- L17:DISP 9-10 L13:DIRP 1-2 DISPENSER PAN DISPENSER PAN FUEL ALARM FUEL ALARM PRESSURE LINE LEAK ALARM AUG 26, 2010 9:42 AM AUG 26, 2010 9:43 AM G 1 :87 REG UNL PLLD SHUTDOWN ALARM AUG 26. 2010 9:41 AM PRESSURE LINE LEAK ALARM PRESSURE LINE LEAK ALARM G 1 :87 REG UNL 0 1 :87 REG UNL PLLD SHUTDOWN ALARM PLLD SHUTDOWN ALARM PRESSURE LINE LEAK ALARM AUG 26, 2010 9:43 All AUG 26. 2010 9:44 AM G 2:92 PREM UNL PLLD SHUTDOWN ALARM AUG 26, 2010 9:41 AM PRESSURE LINE LEAK ALARM PRESSURE LINE LEAK ALARM G 2:9 PREM UNL G :92 PREM UNL PLLD SHUTDOWN ALARM PLLD SHUTDOWN ALARM AUG 26. 2010 9:43 AM AUG 26, 2010 9:44 AM r' 243508 ARCO Atl-PM 4203 M I NG�•AVE PRESSURE LINE LEAK ALARM BAKERSFIELD CA, Q 1 :87 REG UNL 661-834-1076 PLLD SHUTDOWN ALARM PRESSURE LINE LEAK ALARM AUG 26. 2010 9:39 All 1 .�r . AUG 26, 2010 10:20 AM :87 REG UNL PLLD SHUTDOWN.. ALARM AUG 26, 2010' 101416 AM SYSTEM STATUS REPORT D 8:DELIVERY REPORT WRN SURE LINE LEAK ALARM INVENTORY REPORT � o G 2:92 PREM UNL PLLD SHUTDOWN ALARM PRESSURE LINE LEAK ALARM T 1 :UPILEADED 1 AUG 26, 2010 9:39 AM G 2:92 PREM UNL VOLUME = 5355 GALS PLLD SHUTDOWN ALARM ULLAGE = 4645 GALS AUG 26, 2010 10: 18 AM 90 ULLAGE= 3645 GALS TC VOLUME = 5265 GALS HEIGHT = 50.25 INCHES WATER VOL = 0 GALS WATER = 0. 11 INCHES TEMP = 84.0 DEG F ----- SENSOR ALARM ----- T 2:UNLEADED 2 TURBN L11 :92 PEM UIVL STP VOLU(°lE = 5726 GALS STP SUMP - SENSOR ALARM - ULLAGE = 4274 GALS FUEL ALARM - L 4:87 REG UNL 2 ANNULAR 90% ULLAGE= 3274 GALS AUG 26, 2010 9:39 All ANNULAR SPACE TC VOLUME = 5628 GALS FUEL ALARM HEIGHT = 53.09 INCHES AUG 26. 2010 10:18 AM WATER VOL = 0 GALS WATER = 0.00 INCHES TEMP = 84.4 DEG F T 3:UNLEADED 3 VOLUME = 3490 GALS ULLAGE = 6510 GALS PRESSURE LINE LEAK ALARM 90% ULLAGE= 5510 GALS G 1 :67 REG UNL TC VOLUME = 3433 GALS PLLD SHUTDOWN ALARM 243508 ARCO AM-PM HEIGHT = 36.26 INCHES AUG 26, 2010 9:39 AM 4203 MING AVE WATER VOL - 0 GALS BAKERSFIELD CA. WATER = 0.00 INCHES 661-834-1076 TEMP x 83.0 DEG F AUG 26, 2010 10:19 AM T 4:PkEMIUM VOLUME = 2716 GALS ULLAGE = 7284 GALS SYSTEM STATUS REPORT 90% ULLAGE= 6284 GALS _ TC VOLUME _ 2662 GALS PRESSURE LINE LEAK ALARM D 8:DELIVERY REPORT WRN- HEIGHT = 30.20 INCHES G 2:92 PREM UNL WATER VOL = 0 GALS PLLD SHUTDOWN ALARM WATER = 0.00 INCHES AUG 26, 2010 9:39 AM TEMP = 87.7 DEG F END ---- SENSOR ALARM ----- L 8:87 REG UNL 3 SYPHON PIPING SUMP FUEL ALARM AUG 26, 2010 9:39 AM 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: Arco AM/PM (M&S Enterprises) Date of Testing: 08/26/2010 Facility Address: 4203 Ming Avenue, Bakersfield,CA 93309 Facility Contact: Augustine I Phone: 661-834-1076 Date Local Agency Was Notified of Testing: 07/29/2010 Name of Local Agency Inspector(if present during testing): Howard Wines 2. TESTING CONTRACTOR INFORMATION Company Name: Confidence UST Services,Inc. Technician Conducting Test: Douglas M.Young III Credentials: © CSLB Contractor © ICC Service Tech. ❑ SWRCB Tank Tester ❑Other(Spec) License Number(s): CSLB#804904 , ICC#878646-UT , SWRCB#90-1076 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#1 Slave 2 Regular#2 Master 3 Regular#3 Slave 4 Super Number, Stored Product, etc. Bucket Installation Type: ❑Direct Bury ❑ Direct Bury ❑Direct Bury ❑ Direct Bury ❑X Contained in Sum ®Contained in Sump ElContained in Sump ©Contained in Sum Bucket Diameter: 12.00" 12.00" 12.00" 12.00" Bucket Depth: 13.75" 14.00" 13.50" 13.75" Wait time between applying 5 min. 5 min. 5 min. 5 min. vacuum/water and start of test: Test Start Time(Tj): 08:50am 08:50am 08:50am 08:50am Initial Reading(Rj): 11.25" 11.50" 11.25" 11.001, Test End Time(TF): 09:50am 09:50am 09:50am 09:50am Final Reading(RF): 11.25" 11.505, 11.25" 11.001, Test Duration(TF—Tj): 1 hour 1 hour I hour 1 hour Change in Reading(RF-Rj): 0.000" 0.000" 0.000" 0.000" Pass/Fail Threshold or 0.0625" 0.0625" 0.0625" 0.0625" Criteria: Test Result: ® Pass ❑Fail ® Pass ❑Fail Ill 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 I hereby certify that all the informa 'on contained in this report is true,accurate, and in full compliance with legal requirements. Technician's Signature: Date:08/26/2010 State laws and regulations do not ently req testing to be performed by a qualified contractor. However, local requirements may be more stringent.