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Home My WebLink About4647 WILSON RD (4) 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#16549,MKT 2368 City: BAKERSFIELD CA Zip:93309 Site Address: 4647 WILSON ROAD Contact Phone No: 833-0732 Date of Testing/Service: 01/16/2009 Facility Contact Person: Manager IIIIIIIIIIIIIIII III 43 Make/Model of Monitoring S stem:TLS-350 Work Order Number: 3164258 B.Inventory of Equipment Tested/Certified IE Check the appropriate boxes to indicate specific equipment inspected/serviced Tank ID: 1-87 Tank ID: 2-91 X In-Tank Gauging Probe. Model: MAG X In-Tank Gauging Probe. Model: MAG X Annular Space or Vault Sensor. Model: VR-420 Annular Space or Vault Sensor. Model: VR-420 X Piping Sump/Trench Sensor(s). Model: VR-208 Piping Sump/Trench Sensor(s). Model: VR-208 Fill Sump Sensor(s). Model: Fill Sump Sensor(s). Model: Mechanical Line Leak Detector. Model: Mechanical Line Leak Detector. Model: X Electronic Line Leak Detector. Model: ELECTRONIC X Electronic Line Leak Detector. Model: ELECTRONIC X Tank Overfill/High-Level Sensor. Model: ATG/FLAPPER Tank OverfilVHigh-Level Sensor. Model: ATG/FLAPPER Other(specify equipment type and model in Section E on page 2). Other(specify equipment type and model in Section E on page 2). TanklD: TanklD: 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 Sensor(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 Overfilt/High-Level Sensor. Model: Other(specify equipment type and model in Section E on page 2). Other(specify equipment type and model in Section E on page 2). Dispenser : 1/2 Dispenser ID: 3/4 ®Dispenser Containment Sensor(s) Model:VR-208 �( Dispenser Containment Sensor(s) Model:VR-208 XD Shear Valve(s). X Shear Valves) ❑Dispenser Containment Float(s)and Chain(s). Dispenser Containment Float(s)and Chain(s). Dispenser ID: Dispenser ID: 7 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): XO System set-up X❑Alarm history report Technician Name(print): AXEL MEDINA Signature: a Certification No.: 8014682-ut License, No.: 743160(Class'A'General Enginering Contractor License) Testing Company Name:Tanknology Phone No.: (800)800-4633 Site Address: 8501 N.MoPac Expressway,suite 400,Austin,TX 78759 Date of Testing/Servicing: 01/16/2009 Monitoring System Certification Page 1 of 3 IIIIIIIIIIIIIIIIIIII 44 Based on CA form dated 03/01 IE Monitoring System Certification Site Address 4647 WILSON ROAD Date of Test ng/Servi ce: 01/16/2009 D. Results of Testing/Servicing Software Version Installed: 119.05 Complete the following checklist: x Yes No• Is the audible alarm operational? O Yes No• Is the visual alarm operational? ❑x Yes No• Were all sensors visually inspected,functionally tested,and confirmed operational? O Yes ❑No Were all sensors installed at lowest point of secondary containment and positioned so that other equipment will not interfere with their proper operation? Yes D No' X 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 0 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) ❑ Sump/Trench Sensors; ❑x Dispenser Containment Sensors. Did you confirm positive shut-down due to leaks aad sensor failure/disconnection? ❑x Yes No ❑X Yes ❑No• N/A For tank systems that utilize the monitoring system as the primary tank overfill warning 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? 90 ❑ 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' Qx No Was liquid found inside any secondary containment systems designed as dry systems?(check all that apply) ❑Product; ❑ 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. ❑ Yes ❑No• Is all monitoring equipment operational per manufacturers'specifications? •In Section E below,describe how and when these deficiences were or will be corrected. E. Comments: Page 2 of 3 Based on CA form dated 03/01 Monitoring System Certification Site Address: 4647 WILSON ROAD Date of Testing/Service: 01/16/2009 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: M 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? QYes MNo' Was accuracy of system product level readings tested? OYes ❑No' Was accuracy of system water level readings tested? M Yes ❑No` Were all probes reinstalled properly? E 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. 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? ❑X Yes E]No N/A (Check all that apply)Simulated leak rate: X❑ 3 g.p.h❑0.1 g.p.h E]0.2 g.p.h 71 Yes ❑No Were all LLDs confirmed operational and accurate within regulatory requirements? M Yes ❑No' Was the testing apparatus properly calibrated? ❑Yes ❑No' ❑N/A For mechanical LLDs,does the LLD restrict product flow if it detects a leak? Q Yes ❑No• ❑N/A For electronic LLDs,does the turbine automatically shut off if the LLD detects a leak? ❑Yes ❑No' ❑NIA For electronic LLDs,does the turbine automatically shut off if any portion of the monitoring system is disabled or disconnected? M Yes ❑No' ❑N/A For electronic LLDs,does the turbine automatically shut off if any portion of the monitoring system malfunctions or fails a test? 0 Yes ❑No` ❑N/A For electronic LLDs,have all accessible wiring connections been visually inspected? 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 03/01 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 #16 5 4 9, MKT 2368 Date of Testing: 01/16/2009 Facility Address: 4647 WILSON ROAD , BAKERSFIELD, CA, 93309 Facility Contact: Manager Phone: (6 61) 833-0732 Date Local Agency Was Notified of Testing Name of Local Agency Inspector(if present during testing): bakersf ield fire 2. TESTING CONTRACTOR INFORMATION Company Name: TANKNOLOGY, INC. Technician Conducting Test: AXEL MEDINA Credentials: CSLB Licensed Contractor ❑ SWRCB Licensed Tank Tester License Type: i c c I License Number: 8 014 6 8 2-ut Manufacturer Training Manufacturer Component(s) Date Training Expires F= 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 ❑ El ❑ ❑ ❑ ❑ ❑ Spill Box 2 PRE FILL [Ex ❑ ❑ ❑ ❑ ❑ ❑ ❑ El El El El El El El 0 El F1 El El El El El El El El El El El El E E 01010 0 D El E El El El El El El El El E E] 1 0 0 . Ell If hydrostatic testing was performed,describe what was done with the water after completion of tests: 2 5 gallon buckets of water left on site. 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: 01/16/2009 o 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 #16549, MKT 2368 Date of Testing: 01/16/2009 Facility Address: 4647 WILSON ROAD , BAKERSFIELD, CA, 93309 Facility Contact: Manager Phone: (6 61) 833-0732 Date Local Agency Was Notified of Testing: Name of Local Agency Inspector(if present during testing): bakersf ield fire 2. TESTING CONTRACTOR INFORMATION Company Name: TANKNOLOGY, INC. Technician Conducting Test: AXEL MEDINA Credentials t: ❑CSLB Contractor E ICC Service Tech. ❑SWRCB Tank Tester E Other(Specify) icc License Number: 8 014 6 8 2-ut 3. SPILL BUCKET TESTING INFORMATION Test Method Used: Hydrostatic ❑ Vacuum ❑ Other Test Equipment Used:visual Equipment Resolution: Identify Spill Bucket(By Tank 1 1 REG FILL Z 2 PRE FILL 3 4 Number, Stored Product, etc) Bucket Installation Type: 0 Direct Bury [K]Direct Bury ❑Direct Bury ❑Direct Bury ❑Contained in Sump ❑Contained in Sump ❑ Contained in Sump ❑Contained in Sump Bucket Diameter: 12 12 Bucket Depth: 13 13 Wait time between applying 0 0 vacuum/water and starting test: Test Start Time(TI ): 0935 0935 Initial Reading(R1 ): 10 10 Test End Time(TF ): 10 3 5 10 3 5 Final Reading(RF ): 10 10 Test Duration: 1 hr 1 hr Change in Reading(R F-R1 ): 0 0 Pass/Fail Threshold or 0 0 Criteria: Tes Result: ® a ail Pass ail ass ® ail ��Pass ail 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: 01/16/2009 State laws and regulations do not currently require testing to be performed by a qualified contractor.However,local requirements SITE DIAGRAM r Tankwfogy 8501 N MOPAC EXPRESSWAY,SUITE 400 AUSTIN,TEXAS 78759 (512)451-6334 FAX(512)459-1459 TEST DATE: 01/16/09 WORK ORDER NUMBER3164258 CLIENT:7-ELEVEN, INC. SITE: 7-ELEVEN #16549, MKT 2368 W S N #1 DROPTUBE FLAPPER VALVES #2 SUP QA QV O STP #3 REG 10 QF STP #4 Mid grade tank still underground. All tank components have been removed tank and tank Q VENT sumps filled with dirt and gravel. CAS Printed 01/21/2009 08:46 ACRAMER Work Order: 3164258 (ESO)&(ESV)Testing Form-Version 1-6!252007 Emergency Shut Off(ESO) & Dispenser Emergency Shutoff Valve (ESV) ANNUAL TEST RECORD LOCATIONS AND TEST DATA Testing I I t Company: at- d/® Date: Location Name: �� f t//J��7 Store#: 16 S Stat:iD#: Address: b T W. I 0 >7 city: &Kc3(r a tate: tl- Emerizency Shut Off(ESO) Testing Results Ont — -O 5 in accordance with"ESO Vendor Letter(3-21-05).doc",from Valero's Retail Compliance Department,as a part of annual compliance testing,this representative tested the Emergency Shut Off SO 1 switches indicated on this sketch.Findings listed below: Emergency Shut Off(ESO) If No,Provide Operational? N I Maintenance Log# Date Called: Dispenser Emergency Shutoff Valve (ESV) Testing Results On Q/-16-o S in,accordance with NFPA 30A this representative tested the automatic-closing feature of the Dispenser Emergency Shutoff VALVE(S)(ESV)located in the supply lines at the base of each individual island type dispenser indicated on the diagram below.Each device(#) t in all, would automatically close. Findings listed below: Disp.Emergency Shut Off If No,Provide Valve(ESV)Operational? N I Maintenance Log# Date Called: Site Map Of Location and Placement of Devices Tested: Signature Of Representative: Tanknology Inc. 8501 N.MoPac Expressway,Suite 400,Austin,Texas 78759 Work Order: 3164258 FIF.I .r IT wLE uuuuUU Ti,-:'l I�Ukr�1'l:il`J HOURS: 504 0.20 GPH LINE TEST AUTO-CONFIRM: ENABLED 235053 7-11 16549 0.10 GPH LINE TEST 4647 WILSON RD AUTO-CONFIRM: ENABLED RS-232 END OF MESSAGE BAKERSFIELD.CA93309 DAYLIGHT SAVING TIME DISABLED A0369053005001 ENABLED START DATE AUTO DIAL ALARM SETUP R WEEK JAN 16. 2009 8:41 AM START T ME 2 SUN - - - - - - - - - - - - 2:00 AM D 5:FQ FMS END DATE SYSTEM STATUS REPORT NOV WEEK 1 SUN IN-TANK ALARMS END TIME ALL:LEAK ALARM ALL FUNCTIONS NORMAL 2:00 AM ALL:HIGH WATER ALARM ALL:OVERFILL ALARM RE-DIRECT LOCAL PRINTOUT ALL:LOW PRODUCT ALARM DISABLED ALL:SUDDEN LOSS ALARM EURO PROTOCOL PREFIX ALL:HIGH PRODUCT ALARM S ALL:INVALID FUEL LEVEL ALL:PROBE OUT ALL:HIGH WATER WARNING ALL:DELIVERY NEEDED SYSTEM SETUP SYSTEM SECURITY ALL:MAX PRODUCT ALARM ALL:GROSS TEST FAIL - CODE 000000 ALL:PERIODIC TEST FAIL JAN 16, 2009 8:41 AM ALL:ANNUAL TEST FAIL ALL:PER TST NEEDED WRN ALL:ANN TST NEEDED WRN ALL:PER TST NEEDED ALM SYSTEM UNITS ALL:ANN TST NEEDED ALM U.S. ALL:TANK TEST ACTIVE SYSTEM LANGUAGE ALL:NO CSLD IDLE TIME ENGLISH ALL:TANK SIPHON BREAK SYSTEM DATE/TIME FORMAT ALL:CSLD INCR RATE WARN MON DD YYYY HH:MM:SS xM ALL:ACCU.CHART CAL WARN ALL:RECON WARNING 235053 7-11 16549 COMMUNICATIONS SETUP ALL:RECON ALARM 4647 WILSON RD - - - - - - - - - - - - ALL:LOW TEMP WARNING BAKERSFIELD.CA93309 ALL:MISSING TICKET WARN A0369053005001 PORT SETTINGS: ALL:GROSS FAIL LINE TNK SHIFT TIME 1 7:00 AM SHIFT TIME 2 DISABLED COMM BOARD 3 (S-SAT ) LIQUID SENSOR ALMS SHIFT TIME 3 DISABLED BAUD RATE 9600 ALL:FUEL ALARM SHIFT TIME 4 DISABLED PARITY NONE ALL:SENSOR OUT ALARM STOP BIT 1 STOP ALL:SHORT ALARM SHIFT BIR PRINTOUTS DATA LENGTH: 8 DATA ALL:WATER ALARM ENABLED ALL:WATER OUT ALARM DAILY BIR PRINTOUTS ALL:HIGH LIQUID ALARM ENABLED RECEIVER SETUP: ALL:LOW LIQUID ALARM TICKETED DELIVERY ALL:LIQUID WARNING DISABLED TANK PER TST NEEDED WRN D 5:FQ FMS COMM SIDE DIM ALM DISABLED C10.90.3.96i3001 ALL:DISABLED DIM ALARM TANK ANN TST NEEDED WRN RRORT TYPE: TELETYPE TELETYPE ALL:COMMUNICATION ALARM DISABLED RETRY NO: 5 RECONCILIATION ALM LINE RE-ENABLE METHOD RETRY DELAY: 5 ALL:PROD THRESHOLD ALM PASS LINE TEST CONFIRMATION REPORT: OFF ALL:CLOSE SHIFT WARNING ALL:CLOSE DAILY WARNING LINE PER TST NEEDED WRN DISABLED PRESSURE LINE LEAK LINE ANN TST NEEDED WRN ALL:GROSS LINE FAIL DISABLED ALL:ANNUAL LINE FAIL ALL:PER TST NEEDED WRN PRINT TC VOLUMES ALL:PER TST NEEDED ALM ENABLED ALL:PLLD OPEN ALARM ALL:UNKNOWN ALARM TEMP COMPENSATION ALL:PLLD SHUTDOWN ALARM VALUE (DEG F ): 60.0 ALL:UNKNOWN ALARM STICK HEIGHT OFFSET AUTO DIAL TIME SETUP: ALL:UNKNOWN ALARM ENABLED ALL:PERIODIC LINE FAIL ALL:ANN TST NEEDED WRN D 5:FQ FMS ALL:ANN TST NEEDED ALM DIAL ON DATE ALL:LOW PRESSURE ALARM DEC 18, 2001 ALL:UNKNOWN ALARM DIAL TIME • DISABLED ALL:CONT HANDLE ALM RECEIVER REPORTS: Tanknology Inc. 8501 N.MoPac Expressway, Suite 400,Austin,Texas 78759 Work Order: 3164258 T 1 :RUL ALL:FUEL OUT PRODUCT CODE I ALL:LN EQUIP FAULT ALM THERMAL COEFF : .000700 TANK DIAMETER 109.00 T 2:SUL LIQUID SENSOR SETUP TANK PROFILE I PT PRODUCT CODE 3 - - - - - - - - - - - - FULL VOL : 10018 THERMAL COEFF : .000700 METER DATA YES TANK DIAMETER 109.00 L 1:RUL ANNULAR END FACTOR: NONE TANK PROFILE 1 PT TRI-STATE (SINGLE FLOAT) CAL UPDATE: NEVER FULL VOL : 10018 CATEGORY : ANNULAR SPACE METER DATA YES END FACTOR: NONE FLOAT SIZE: 4.0 IN. 8496 CAL UPDATE: NEVER L 2:RUL TURBINE SUMP WATER WARNING 1 .0 TRI-STATE (SINGLE FLOAT) HIGH WATER LIMIT: 1 .5 FLOAT SIZE: 4.0 IN. 8496 CATEGORY : STP SUMP MAX OR LABEL VOL: 10018 WATER WARNING 1 .0 OVERFILL LIMIT 90% HIGH WATER LIMIT: 1 .5 L 3:SUL ANNULAR 9016 TRI-STATE (SINGLE FLOAT) HIGH PRODUCT 95% MAX OR LABEL VOL: 10018 CATEGORY : ANNULAR SPACE 9517 OVERFILL LIMIT 90%6 DELIVERY LIMIT IOS: 9016 1001 HIGH PRODUCT 95% 9517 L 4:SUL TURBINE SUMP LOW PRODUCT 900 DELIVERY LIMIT 10: TRI-STATE (SINGLE FLOAT) LEAK ALARM LIMIT: 15 1001 CATEGORY : STP SUMP SUDDEN LOSS LIMIT: 40 TANK TILT 0.00 LOW PRODUCT 900 LEAK ALARM LIMIT: 15 L 5:DISPENSER PAN 1-2 MANIFOLDED TANKS SUDDEN LOSS LIMIT: 40 TRI-STATE (SINGLE FLOAT) TO: NONE TANK TILT 0.00 CATEGORY : DISPENSER PAN MANIFOLDED TANKS LEAK MIN PERIODIC: 25% TO: NONE 2504 L 6:DISPENSER PAN 3-4 TRI-STATE (SINGLE FLOAT> LEAK MIN ANNUAL 50% LEAK MIN PERIODIC: 25%6 CATEGORY DISPENSER PAN 5009 2504 LEAK MIN ANNUAL 50: PERIODIC TEST TYPE 5009 STANDARD ANNUAL TEST FAIL PERIODIC TEST TYPE ALARM DISABLED STANDARD PERIODIC TEST FAIL ANNUAL TEST FAIL ALARM DISABLED ALARM DISABLED GROSS TEST FAIL PERIODIC TEST FAIL ALARM DISABLED ALARM DISABLED ANN TEST AVERAGING: OFF GROSS TEST FAIL PER TEST AVERAGING: OFF ALARM DISABLED TANK TEST NOTIFY: OFF ANN TEST AVERAGING: OFF PER TEST AVERAGING: OFF TNK TST SIPHON BREAK:OFF TANK TEST NOTIFY: OFF DELIVERY DELAY 3 MIN STICK OFFSET 0.00 TNK TST SIPHON BREAK:OFF DELIVERY DELAY 3 MIN STICK OFFSET 0.00 Tanknology Inc. 8501 N.MoPac Expressway,Suite 400,Austin,Texas 78759 Work Order: 3164258 OUTPUT RELAY SETUP R 1 :OVERFILL ALARM TYPE: PUMP CONTROL OUTPUT TANK 0: NONE IN-TANK ALARMS ALL:OVERFILL ALARM _. . _ . . .. PLLD LINE DISABLE SETUP 0 1 :RUL LIQUID SENSOR ALMS L 1 :FUEL ALARM L 2:FUEL ALARM L 5:FUEL ALARM L 6:FUEL ALARM L I :SENSOR OUT ALARM L 2:SENSOR OUT ALARM L 5:SENSOR OUT ALARM L 6:SENSOR OUT ALARM SOFTWARE REVISION LEVEL L I :SHORT ALARM VERSION 119.05 L 2:SHORT ALARM SOFTWARE# 346119-100-F L 5:SHORT ALARM CREATED - 00.02.25.12.15 L 6:SHORT ALARM S-MODULE# 330160-160-A Q 2:SUL SYSTEM FEATURES: PERIODIC IN-TANK TESTS LIQUID SENSOR ALMS ANNUAL IN-TANK TESTS L 3:FUEL ALARM BIR L 4:FUEL ALARM PLLD L 5:FUEL ALARM 0.10 AUTO L 6:FUEL ALARM 0.20 REPETITIV L 3:SENSOR OUT ALARM WPLLD L 4:SENSOR OUT ALARM 0.10 AUTO L 5:SENSOR OUT ALARM 0.20 REPETITIV L 6:SENSOR OUT ALARM L 3:SHORT ALARM L 4:SHORT ALARM L 5:SHORT ALARM L 6:SHORT ALARM Tanknology Inc. 8501 N.MoPac Expressway,Suite 400,Austin,Texas 78759 Work Order: 3164258 rlmlULAR u•; ANNULAR SPACE ---- IN-TANK ALARM ----- "' `" SENSOR OUT ALARM ,,. JAN 16, 2009 9:43 AM T 1 :RUL T 2:SUL FUEL ALARM LEAK ALARM JAN 16, 2009 9:36 AM OCT 1, 2007 2:30 AM HIGH WATER ALARM JUL 2. 2007 3:00 AM JAN 16, 2009 10:41 AM SENSOR OUT ALARM 20 PM HIGH WATER ALARM JAN 29, 2008 3:06 PM JAN 16, 2009 10:40 AM FEB 7, 2007 8:48 AM JAN 29, 2008 3:06 PM OVERFILL ALARM FEB 7, 2007 8:54 AM JAN 29. 2008 3:45 PM OVERFILL ALARM FEB 7, 2007 8:34 AM NOV 20, 2008 12:20 AM FEH 21, 2006 9:04 AM OCT 18. 2008 10:52 PM LOW PRODUCT ALARM SEP 12, 2008 5:03 AM JAN 16, 2009 10:42 AM LOW PRODUCT ALARM JAN 2 . 2008 2:50 PM 1 MAY 1. 2007 4:05 PM * * * * END JAN 16, 2009 10:42 AM MAR 23, 2008 9:48 PM SUDDEN LOSS ALARM JAN 29, 2008 2:50 PM JAN 16. 2009 10:38 AM SUDDEN LOSS ALARM AUG 7, 2008 9:09 AM JAN 16, 2009 10:36 AM JAN 29, 2008 2:48 PM JAN 29, 2008 2:45 PM HIGH PRODUCT ALARM FEB 7, 2007 8:31 AM JAN 16, 2009 10:41 AM HIGH PRODUCT ALARM JAN 16. 2009 10:36 AM JAN 16, 2009 10:41 AM JAN 29, 2008 3:46 PM JAN 16, 2009 10:37 AM INVALID FUEL LEVEL ALARM HISTORY REPORT JAN 29. 2008 3:46 PM JAN 16, 2009 10:42 AM _ ALARM INVALID FUEL LEVEL AUG 7. 2008 9:12 AM L 2:RULETTURBINE SUMP JAN 16, 2009 10:42 AM JAN 29. 2008 2:50 PM STP SUMP JAN 29, 2008 2:50 PM PROBE OUT SENSOR OUT ALARM FEB 21, 2006 7:58 AM JAN 16, 2009 10:43 AM JAN 16, 2009 9:43 AM PROBE OUT JAN 16, 2009 10:35 AM FUEL ALARM JAN 16. 2009 10:44 AM AUG 7. 2008 9:22 AM JAN 16, 2009 9:36 AM JAN 16, 2009 10:36 AM HIGH WATER WARNING JAN 29, 2008 3:49 PM JAN 16. 2009 10:41 AM SENSOR OUT ALARM AUG 6. 2008 2:22 PM JAN 29, 2006 2:20 PM HIGH WATER WARNING JAN 29, 2008 3:06 PM JAN 16, 2009 10:40 AM JAN 29. 2008 3:06 PM FEB 7, 2007 8:54 AM DELIVERY NEEDED JAN 16, 2009 10:42 AM DELIVERY NEEDED APR 27, 2008 7:55 PM JAN 16, 2009 10:42 AM MAR 24, 2008 11 :22 PM MAR 23. 2008 6:39 PM MAX PRODUCT ALARM JAN 29, 2008 2:50 PM JAN 16, 2009 10:41 AM JAN 29, 2008 3:46 PM '� * END MAX PRODUCT ALARM FEB 7, 2007 8:35 AM JAN 16, 2009 10:41 AM JAN 16, 2009 10:37 AM JAN 29, 2008 3:46 PM LOW TEMP WARNING JAN 29, 2008 3:49 PM LOW TEMP WARNING FEB 21, 2006 8:13 AM JAN 29, 2008 3:50 PM FEB 20. 2006 8:30 AM FEB 20, 2006 8:27 AM SEP 14, 2004 10:56 AM ALARM HISTORY REPORT ----- SENSOR ALARM ----- L 3:SUL ANNULAR ANNULAR SPACE SENSOR OUT ALARM Xxx * * END x * * XX JAN 16. 2009 9:43 AM FUEL ALARM * * ►� * END * * * JAN 16, 2009 9:39 AM SENSOR OUT ALARM JAN 29, 2008 2:20 PM t� 1 Tanknology Inc. 8501 N.MoPac Expressway,Suite 400,Austin,Texas 78759 Work Order: 3164258 STP SUMP SENSOR OUT ALARM '---- SENSOR ALARM ----- JAN 16. 2009 9:43 AM L I :RUL ANNULAR ANNULAR SPACE FUEL ALARM SENSOR OUT ALARM JAN 16, 2009 9:39 AM JAN 16, 2009 9:43 AM SENSOR OUT ALARM FUEL ALARM JAN 29. 2008 2:21 PM JAN 16, 2009 9:36 AM ALARM HISTORY REPORT SENSOR OUT ALARM JAN 29, 2008 2:20 PM ----- SENSOR ALARM ----- Q 2:SUL PLLD SHUTDOWN ALARM JAN 16. 2009 10:32 AM GROSS LINE FAIL JAN 16. 2009 10:32 AM * END X * * PLLD SHUTDOWN ALARM :;LN60R ALARM ----- JAN 16. 2009 9:43 AM 0 1 :RUL PLLD SHUTDOWN ALARM JAN 16, 2009 10:24 AM PLLD SHUTDOWN ALARM JAN 16, 2009 9:41 AM GROSS LINE FAIL PLLD SHUTDOWN ALARM JAN 16, 2009 10:24 AM JAN 16. 2009 9:40 AM ALARM HISTORY REPORT PLLD SHUTDOWN ALARM SENSOR ALARM ----- JAN 16, 2009 9:43 AM PLLD SHUTDOWN ALARM ----- L 5:DISPENSER PAN 1-2 JAN 16. 2009 9:39 AM DISPENSER PAN PLLD SHUTDOWN ALARM SENSOR OUT ALARM JAN 16, 2009 9:41 AM PLLD SHUTDOWN ALARM JAN 16, 2009 9:43 AM JAN 16. 2009 9:39 AM FUEL ALARM PLLD SHUTDOWN ALARM JAN 16. 2009 9:40 AM JAN 16, 2009 9:40 AM PLLD SHUTDOWN ALARM JAN 29. 2008 3:32 PM SENSOR OUT ALARM JAN 29. 2008 2:20 PM PLLD SHUTDOWN ALARM JAN 16. 2009 9:36 AM GROSS LINE FAIL JAN 29. 2006 3:32 PM PLLD SHUTDOWN ALARM PLLD SHUTDOWN ALARM JAN 16, 2009 9:36 AM JAN 29, 2008 2:20 PM PLLD SHUTDOWN ALARM SEP 30, 2008 5:52 PM * >E * END X GROSS LINE FAIL SEP 30, 2008 5:52 PM PLLD SHUTDOWN ALARM JAN 29. 2008 3:08 PM END K x ALARM HISTORY REPORT ----- SENSOR ALARM ----- uiiLovii xL L 6:DISPENSER PAN 3-4 A0369053005 CA93309 DISPENSER PAN A0369053005001 SENSOR OUT ALARM JAN 16. 2009 11 :53 AM JAN 16, 2009 9:43 AM * * * END x * x x FUEL ALARM JAN 16, 2009 9:41 AM SYSTEM STATUS REPORT SENSOR OUT ALARM ALL FUNCTIONS NORMAL .TGN 9q. 9n08 2:20 PM Tanknology Inc. 8501 N.MoPac Expressway,Suite 400,Austin,Texas 78759 Tanknology 8501 N. MoPac Expressway, Suite 400 Austin,Texas 78759 Phone: (512)451-6334 111 Fax: (512)459-1459 Date Printed and Mailed: 01/21/2009 BAKERSFIELD FIRE DEPARTMENT OFFICE OF ENVIRONMENTAL SERVICES INSPECTOR STEVE UNDERWOOD 1501 TRUXTUN AVE. BAKERSFIELD, CA. 93301 Test Date: 01/16/2009 Order Number: 3164258 Dear Regulator, Enclosed are the results of recent testing performed at the following facility: 7-ELEVEN #16549, MKT 2368 4647 WILSON ROAD BAKERSFIELD, CA. 93309 Testing performed: Leak detector tests Monitor Certification Secondary Containment-Spill Container Sincerely, y/ Dawn Kohlmeyer Manager, Field Reporting tpl,�n 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: 01/16/09 WORK ORDER NUMBER: 3164258 CUSTOMER PO: CLIENT: 7-ELEVEN,INC. SITE:7-ELEVEN#16549,MKT 2368 P.O.BOX 711 4647 WILSON ROAD DALLAS,TX 75221 BAKERSFIELD,CA 93309 Manager (972)828-7908 (661)833-0732 Product Pipe Ti htness Test Results LINE LINE LIN DELIVERY IMP CT TEST RESULT FINAL LEN RARE (gph) VALVE ID PRO UC MATERI TYP B A B C� D FUNCTIO 1 1 REG UNLEAD FIBERGLASS PRESSURE Y 2 2 PREMIUM FIBERGLASS PRESSURE Y Existina Line Leak Detector Test STING L AK DETiE.CTiQRt#:1 ISiTiI-GILEAI(DETECTOR#2 LINE MANUFAC RER MODEL SERIAL# RESULT MANUFA TURER MODEL SERI # R SULT ID 1 1 VEEDERROOT ELECTRONI 108123 P 2 2 VEEDERROOT ELECTRONI 200875 P New Replacement Line Leak Detector Test BIN MANUFACTURER MODEL# SERIAL# RESULT MANU�CT RER MODEL# SERI # RESUL For owner detailed report information,visit www.tanknology.com and select On-Line Reports-WRAP,or contact your local Tanknology office. Tester Name:AXEL MEDINA Technician Certification Number: Printed 01/21/2009 08:45 ACRAMER INDIVIDUAL TANK INFORMATION AND TEST RESULTS Tarr ology TEST DATE: 01/16/09 8501 N MOPAC EXPRESSWAY,SUITE 400 WORK ORDER NUMBER: 3164258 AUSTIN,TEXAS 78759(512)451-6334 CLIENT: 7-ELEVEN, INC. SITE: 7-ELEVEN #16549, MKT 2368 TiANFCiNFORMATILON Tank ID: 1 1 Tank manifolded: NO Bottom to top fill in inches: Product: REG UNLEAD Vent manifolded: YES Bottom to grade in inches: Capacity in gallons: 9,766 Vapor recovery manifolded: YES Fill pipe length in inches: Diameter in inches: 109.00 Overfill protection: YES Fill pipe diameter in inches: 4.0 Length in inches: 251 Overspill protection: YES Stage I vapor recovery: DUAL Material: Dw STEEL Installed: ATG Stage II vapor recovery: ASSIST CP installed on: COMMENTS TAN TES RES LTS Test Method: NMI DETECT ST S.0 I est method. 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: VEEDERROOT Fluid volume in gallons: Model: ELECTRONIC Tank water level in inches: S/N: 108123 Test time: NOT Open time in sec: Number Of thermisters: TESTED Holding psi: NOT Specific gravity: Resiliency cc: TESTED Water table depth in inches: Test leak rate ml/m: 189.0 Determined by(method): Metering psi: Leak rate in gph: Calib.leak in gph: 3.00 Result: Results: PASS COMMENTS COMMENTS ULLAG Silill,E S LTSTes Method: LINE TEST RESU T$ T st type: Test time: Material: FIBERGLASS Ullage volume: Diameter(in): 2.0 Ullage pressure: Length (ft): 40.0 Results: Test psi: Bleedback cc: DATA FOR UTS-4T ONLY: Test time(min): Test 1:Start time: Time Of test 1: Finish psi: NOT NOT NOT NOT Temperature: NOT Vol change cc: Test 2:Start time: TESTED TESTED TESTED TESTED Flow rate(cfh): TESTED Finish psi: Time of test 2: Vol change cc: Test 3:Start time: Temperature: Finish psi: Flow rate (cfh): Vol change cc: Time of test 3: Final gph: Temperature: Result: Flow rate(cfh): Pump type: PRESSURE COMMENTS Pump make: RED JACKET COMMENTS Impact Valves Operational: YES IL Printed 01/21/2009 08:45 ACRAMER INDIVIDUAL TANK INFORMATION AND TEST RESULTS Mr 7 mknology FTESTDAT'E: 01/16/09 8501 N MOPAC EXPRESSWAY,SUITE 400 WORK ORDER NUMBER: 3164258 AUSTIN,TEXAS 78759(512)451-6334 -ELEVEN, INC. SITE: 7-ELEVEN #16549, MKT 2368 NNhTjM—f0INF-0'RMAAT1ft Tank ID: 2 2 Tank manifolded: No Bottom to top fill in inches: Product: PREMIUM Vent manifolded: YES Bottom to grade in inches: Capacity in gallons: 10,018 Vapor recovery manifolded: YES Fill pipe length in inches: Diameter in inches: 109.00 Overfill protection: YES Fill pipe diameter in inches: 4.0 Length in inches: 251 Overspill protection: YES Stage I vapor recovery: DUAL Material: Dw STEEL Installed: ATG Stage II vapor recovery: ASSIST CP installed on: COMMENTS TAN TEST RESULTS j est Method. DETECTOR TEST REST TS es meth d 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: VEEDERROOT Fluid volume in gallons: Model: ELECTRONIC Tank water level in inches: S/N: 200875 Test time: NOT Open time in sec: Number of thermisters: TESTED Holding psi: NOT Specific gravity: Resiliency cc: TESTED Water table depth in inches: Test leak rate ml/m: 189.0 Determined by(method): Metering psi: Leak rate in gph: Calib. leak in gph: 3.00 Result: Results: PASS COMMENTS COMMENTS ULLAG TES R SU TSTest Method: LINE TEST RES LTS Test pe: Test time: Material: FIBERGLASS Ullage volume: Diameter(in): 2.0 Ullage pressure: Length(ft): 40.0 Results: Test psi: Bleedback cc: DATA FOR UTS-4T ONLY: Test time(min): Test 1:Start time: Time of test 1: Finish psi: NOT NOT NOT NOT Temperature: NOT Vol change cc: Test 2:Start time: TESTED TESTED TESTED TESTED Flow rate(cfh): TESTED Finish psi: Time of test 2: Vol change cc: Test 3:Start time: Temperature: Finish psi: Flow rate(cfh): Vol change cc: Time of test 3: Final gph: Temperature: Result: Flow rate (cfh): Pump type: PRESSURE COMMENTS Pump make: RED JACKET COMMENTS Impact Valves Operational: YES Printed 01/21/2009 08:45 ACRAMER