HomeMy WebLinkAbout2008 RESULTS • I II III VIII III IIII 57
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Appendix VI
(Copies of Monitoring System Certification form and UST Monitoring Plot Plan available at nA22/wvvw.sw1Tb.ca.00v.)
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, Calffornle Code of
Regulations
This form must be used to document testing and servicing of monitoring equipment A separate certification
must be or
pro Ided totthe tanprepared ystem
each monitoring system control panel by the technician who performs the work. A copy of this
owner/operator. The owner/operator must submit a copy of this form to the focal agency regulating UST systems within 30 days of test date.
A. General informations
Facility Name: Bldg.�'
Site Address: City: A *(�EC40 Zip: U2k2 f
Facility Contact Person: Contact Phone No.:t—�
Make/Model of Monitoring System: Date of Testing/Servictng: 10116110A
B. Inventory of Equipment Tested/Certifled
Check the a ro rlate boxes to Indicate specific equipment Ins ected/serviced: .F/Le/lam
Tank ID: V 1,-1 Tank ID: PLUSPS
)K In-Tank Gauging Probe, Model: 1 )f In-Tank Gauging Probe. Model: P-�6/
0 Annular Space or Vault Sensor. Model: ❑ Annutar Space or Vault Sensor. Model:
❑ Piping Sump/Trench Sensor(s). Model: 0 Piping Sump/Trench Sensor(s). Model:
❑ FIII Sump Sensor(s), Model: ❑ Fill Sump Sensor(s). Model:
o Mechanical Line Leak Detector. Model: 0 Mechanical Use Leak Detector. Model:
1x.Electronic Una Leak Detector. Model:}f "C - la Electronic Una Leak Detector. Model:ZA R art
Ar Tank Overfill/High-Level Sensor. Model: pM t IF Tank Overfill/High-Level Sensor. Model;
0 Others a ul rent type and model In Section E on Pa go 2). 0 Other(s�2ctfy equipment a and model In Section E on Pa 2).
Tank 10: eXf,-411 Tank ID: /
11 In-Tank Gauging Probe. Model: w i % In-Tank Gauging Probe. Model:
❑ Annular Space or Vault Sensor. Model: ❑ Annular Space or Vault Sensor. Model:
0 Piping Sump/Trench Sensor(s). Model: ❑ Piping Sump/Trench Sensor(s). Model:
D FIII Sump Sensor(s). Model; 0 Fill Sump Sensor(s). Model:
❑ Mechanical Line Leak Detector. Model: ❑ Mechanical Una Leak Detector. Model:
fit Electronic Line Leak Detector. Model: la electronic Une Leak Detector. Model: VPr4)0E- -
pS Tank Overfill/Hlgh-Level Sensor. Model: jt Tank Overfill/High-Level Sensor. Model: t!31 j',
❑ Other(specify equipment a and model In Section E on Pa 2). D Others e u rent tygg and model in Section E on Pa 2).
Dispenser ID: 1-11 Dispenser 10:
R Dispenser Containment Sensor(s). Model: L&A, 3( Dispenser Containment Sensor(s). Model:
!R; Shear Vatve(s). 0 Shear Vatve(s).
0 Dispenser Containment Floats and Chain(s), ❑ Dispenser Containment Floats and Chaln s.
Dispenser ID: - Dispenser ID: 11
fit Dispenser Contaillment Sensor(s). Model: 1111, Dispenser Containment Sensor(s). Model:y0Tgo
0 ShearValve(s). $ ShearValve(s).
0 Dise2nser Containment Float(s) and Chaln s. 6 Dispenser Containment Floats and Chaln s.
Dispenser ID: Dispenser to: Y-4
1Z.Dispenser Containment Sensor(s). Model: j[ Dispenser Containment Sensor(s). Model:
A Shear Velve(s). JQ Shoar Valve(s).
0 Dispenser Containment Floats and Chains 0 Dis nser Containment Float(s)and Chains.
If the factrity 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 Inspectediserviced 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 Plot Plan showing the layout of monitoring equipment. For any equipment capable of generating such reports,I have also attached a
copy of the report;(check all that apply): ASystern set-up �r,Alarm history report
Techniden Name(print): A%fjt- ,O'ti/ Signature;
CerttFloationNo,: da'??e, 2 iGG# za&zj_22-tTT License. �/ 04
Testing Company Name: Qr(.hL ryurQ01.JE.y71*-t Phone No.: &
Testing Company Address:�(t f`� B 0/�S C T f1¢1C�'r�Jf/�t� C 1' Date of Testing/Servicing:&lf lj2
Monitoring System Certification Pagel of4 12J07
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1111111 VIII III IIII 58
IE
D. Results of Testing/Servicin/g/ C
Software Version Installed:
Complete the followin g checklist:
Yes ❑ No' Is the audible alarm operaVonal7
Yes ❑ No' is the visual alarm opera oral?
:R Yes ❑ No' Were all sensors visually Inspected,functionally tasted,and connrned rational?
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?
0 Yes ❑ No' If alarm&are relayed to a remote monitoring station,Is all communications equipment(e.g.modem operational?
NIA
❑ Yea A No' For pressurized plping'systems, does the turbine automatically shut down If the piping secondary containment monitoring system
0 NIA detects a leak,fails to operate,or Is electrically disconnected? If yes:which sensors initiate positive shut-down? (Check air that apply)
0 Sump/Trench Sensors: ❑ Dispenser Containment Sensors. Did you confirm positive shut-down due to leaks Apd sensor
fallureldlawrinectlon? 0 Yes; K No.
7, Yes 0 No' or tank systems that utilize the monitoring system as the primary tank overfill warning device(i.e.no mechanical overfill prevention
0 NIA valve Is Installed),is the overfill warning alaRn visible and audible at the tank fill point(s)and operating property? if so,at what percent
of tank capacity does the alarm ar? 110 %
0 Yes' /K 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.
0 Yes' No Was liquid found Inside any secondary containment systems designed as dry systems? (Check all that apply)0 Product; 0 Water. If
es describe causes In Section E,below.
Yes 0 No' Was monitoring system set-up reviewed to ensure proper settings?Attach set up reports,If applicable
Yoe 1 D No' Is all monitoring equipment operatkxial per manufacturer's spe iflcatlons?
In Section E below,describe how and when these deficiencies were or will be corrected.
E. Comments:
— s n-F o tiL Y � s^-�,•1,� •rr�v�' s.�.vsc�c i y �iSP P�ys.
Monitoring System Certlficadon Page T of 4 12!07
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F. In-Tank Gauging/SIR Equipment: 0 Check this box if tank gauging Is used only for Inventory control.
❑ 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:
Yes 0 No' Has all Input wiring been Inspected for proper entry and terminatlon,Including testing for ground faults?
pL Yes ❑ No' VNere all tank gauging probes visually inspected for damage and residue buildup?
Yes 0 No' Was accuracy of system product level readings tested?
b3 Yes ❑ No' Was accuracy of system water level readings tested?
Yes 0 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 now and when these deficiencies were or will be corrected.
G. Line Leak Detectors(LLD): 0 Check this box If LLDs are not Installed.
Complete the following checklist:
Yes 0 No' For equipment start-up or annual equipment certification,was a leak simulated to verify LLD performance?(Check all
0 NIA that apply) Simulated teak rate: 103 g.p.h.; 0 0.1 g.p.h; ❑0.2 g.p.h.
Yes ❑ No` Were all LLDs confirmed operational and accurate within regulatory requirements?
Yes D No' Was the testing apparatus properly calibrated?
0 Yes ❑ No' For mechanical LLDs,does the LLD restrict product flow If it detects a leek?
X. WA
�q Yes 0 No' For electronic LLDs,does the turbine automatically shut off if the LLD detects a leak?
0 WA
�P Yes 0 No' For electronic LLDs, does the turbine automatically shut off If any portion of the monitoring system Is disabled or
0 NIA disconnected?
O. Yes 0 No' For electronic LLDs, does the turbine automatically shut off if any portion of the monitoring system malfunctions or
0 WA fails a test? it
Yes 0 No' For electronic LLDs,have all accessible wiring connections been visually Inspected?
❑ WA
Yes 0 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:
Monitoring System Certification Page 3 of 4 12t07
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Monitoring System Certification
UST Monitoring Site Plan
Site Address: y�Od �✓�+71` Li1 � SF��LU Cam"¢ 9.1�0`7
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40� . . . . . . . . , . . . . . . . . . . . . .
. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
0 . . . . . . .. . . . . . . . . . . . . . . .
. . . . . . . . . . . . . . . . . . . . . . . . . . . .
. . . . . . . . . . . . . . . . . . . . . . . . . I . . . . . . . . . . . . . . . . . . .
Date map was drawn:_J__J,
Instructions
If you already have a diagram that shows all reglulred Information,you may Include It, rather than this page, with your Monitoring System
Certification. On your site plan,show the general!layout of tanks and piping. Clearly Identify locations of the following equipment,If Installed:
monitoring system control panels; sensors monitoring tank annular spaces, sumps, dispenser pans, spill containers, or other secondary
containment areas; mechanical or electronic line leak detectors; and In-tank liquid level probes (if used for leak detection), In the space
provided,note the date this Site Plan was prepare.
Monitoring System CerUfication Page 4 of 4 12/07
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5643 BRA0X8 C'C ER98'xRIJ�,CA.938C$ j
oFFjCR(661)392-6691 & 'r# (661)3.92-06.`27. i
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w/o#t
Faa:i.lity Name;T1siOR�l2� HD6/L j
FeLci.lity Address: LJihZf Ix C-I�Fi,'
Il
_ Pss
Product Line Type (Praaetire, Suction, ,G:ravitry)
PRODUCT LEAK DETECTOR TXP•a' TEST TRIR PAB$I
SZBZAL zttraosBtt MA ON Paz OR �
x./D �xp L�G1Q.-ovlL � Po W" , I
L/p TYV t A3$
saazAr< #uXF-OfiL-
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L/D TYPE_ £ t� A9
SxAL #I/62<O �� NO PAIL
SSRIaL #t/ -Ram" No � PAxL i
I certify the above tests were cdnducted.,on this dates according a
Rod Jacket kumpm field test apparatus testing Procedure an limitatIona.
Thm Mechanical Leak Detector .Teat pass / fail is•determined by wing
a low flow threshold trip..rate of 3 gallon per hour or leas, at to 081.
i .acknowledge r- aat all data collected in ,.true and aox' &Qt to the bent
of my knowledge.
s ign�ture: Date 1 l4 !G I
/66 SWRCB,January
Spill'Bucket Testing Report Form
nis form is intended for use by contractors per,fomOng annual tesatng of UST spill containment structures.-27re completed form arid.
printouts from tests(1'applicable),should keprovided to the faculty.mmirloperatorfor submittal•to the local regulatory agency.
1. FACILITY INBOPMATION ,
Facility Name: Date
Facility Address: Vl-00 c.1 •✓ F� 9 o S
Facility Contact: pie• .
Date Local Agmq Was Notified of Ttsting,. ;
Name of Local AgeuaY InsPecWr({,(present during testing): -tV IT
2. TESTING CONTRACTOR WORMATION
Com an Na=: 470 ,�v, c/rr JF✓ .
.TcchtticianCoaduoftTest: y U o'er
Credcatials: CSLB Contractor_ I C Servme SWRCB TankTestcr Other S )
License Numbw(s)-. t y r3- t/7
3. SPILL BUCKET TESTING INFORMATION
Test Medw Used: drostatic 'Vaetwm Other
Tact.Equipment UOed: Uj (14-L- I Equip Resolution:
Identify Spill$uckot(ByTh-k• 1 2 3 4
Number StoredPeOduct,eta tJi Le-7
tB B
Bucket Iastallatica Typo: ataiaed in Sum
P Car= in S Coa in.S in
Bucket Diamctor: /a v 1'a.,...�j I ;•
Bucket Depth: l .0 / I
Wait tiuu botwoma applying 3a , v
vammmN ater and start of test:
Test Start Tina ,6r"
Initial Reading(Q:
Test End Ti=Cr,):' 14!00 I ;O 0 4, 'le,2ge= t�r
Test Duration(Tr-Tr: .-,,v U ' .✓
Change in RCBding(Rp•U: v d ,v
Pass/FaU T&esbold or
Critoria: . G�'� o, . . . . 01 v d.
• COMmeIIfS- e orrrsatlon on re made rior to.testln and r+econimended o or a11ed
CERTMCATION OF TECHNICIAN MPOMMLE FOR CONDUCTMVG TMS TESTING
I hereby esr!(fy that al!the tnjformation contaLred lrt this reportLs trot,accurau,and in full compliance with legal requirement.
Technician's Stgaainro; 2e, Date �� '/`� 'Gk
Staro laws and regulations aturend equirc testing to be palbaucd by a qualified contractor.However,local regniremrats
may bo moro stringent.
ti, aa�3o
SYSTEM SETUP - - IN-TANK SETUP
- - 10-16-08 11 :26 AM - - - - - - - - - - - - T 2:PLUS
PRODUCT CODE 2
T ( :UNLEADED THERMAL COEFF : .000070
PRODUCT CODE I TANK DIAMETER 95.00
SYSTEM UNITS THERMAL COEFF : .000070 TANK PROFILE 1 PT
U.S. TANK DIAMETER 95.00 FULL VOL 10000
SYSTEM LANGUAGE TANK PROFILE 1 PT
ENGLISH FULL VOL 10000
SYSTEM DATE/TIME FORMAT FLOAT SIZE: 4.0 IN. 8496
MM-DD-YY HH:MM:SS xM FLOAT SIZE: 4.0 IN. 8496 WATER WARNING 2.0
FASTBREAK MOBIL HIGH WATER LIMIT: 3.0
4800 W E HIT LN WATER WARNING 2.0
4800 WHITE CA 53309 HIGH WATER LIMIT: 3.0 MAX OR LABEL VOL: 10000
OVERFILL LIMIT
661-832-6720 MAX OR LABEL VOL: 10000 9200
SHIFT TIME 1 DISABLED OVERFILL LIMIT 92% HIGH PRODUCT 95%
SHIFT TIME 2 DISABLED 9200 9500
SHIFT TIME 3 DISABLED HIGH PRODUCT 95% DELIVERY LIMIT 15%
SHIFT TIME 4 DISABLED 9500 1500
DELIVERY LIMIT 15%
TANK PERIODIC WARNINGS 1500 LOW PRODUCT 1500
DISABLED LEAK ALARM LIMIT: 99
TANK ANNUAL WARNINGS LOW PRODUCT 1500 SUDDEN LOSS LIMIT: 99
DISABLED LEAK ALARM LIMIT: 99 TANK TILT 2.40
LINE PERIODIC WARNINGS SUDDEN LOSS LIMIT: 99
DISABLED TANK TILT 4.75 MANIFOLDED TANKS
LINE ANNUAL WARNINGS MANIFOLDED TANKS TO: NONE
DISABLED Tit: NONE
PRINT TC VOLUMES LEAK MIN PERIODIC: 0%
ENABLED 0
LEAK MIN PERIODIC: 0%
TEMP COMPENSATION 0 LEAK MIN ANNUAL 0%
'VALUE (DEC F ) : 60.0 LEAK MIN ANNUAL 0% 0
STICK HEIGHT OFFSET
DISABLED 0
PRECISION TEST DURATION PERIODIC TEST TYPE
HOURS: 12 STANDARD
DAYLIGHT SAVING TIME PERIODIC TEST TYPE
DISABLED STANDARD ANNUAL TEST FAIL
ANNUAL TEST FAIL ALARM DISABLED
SYSTEM SECURITY ALARM DISABLED PERIODIC TEST FAIL
CODE 000000
ALARM DISABLED
PERIODIC TEST FAIL
ALARM DISABLED GROSS TEST FAIL
ALARM DISABLED
GROSS TEST FAIL
ALARM DISABLED ANN TEST AVERAGING: OFF
PER TEST AVERAGING: OFF
ANN TEST AVERAGING: OFF
PER TEST AVERAGING: OFF TANK TEST NOTIFY: OFF
TANK TEST NOTIFY: OFF TNK TST SIPHON BREAK:OFF
COMMUNICATIONS GETUP - - TNK TST SIPHON BREAK:OFF DELIVERY DELAY 15 MIN
DELIVERY DELAY : 15 MIN
PORT SETTINGS:
NONE FOUND
RS-232 SECURITY
CODE : 000000.
RS-232 END OF MESSAGE /
DISABLED
r
� �a13o
T 3:SUPER T 4:DIESEL
PRODUCT CODE 3 PRODUCT CODE 4 LEAK TEST METHOD
THERMAL COEFF : .000070 THERMAL COEFF : .000045 _ — — — — — —
TANK DIAMETER 95.00 TANK DIAMETER 95.00 TEST ANNUALLY: ALL TANK
TANK PROFILE 1 PT TANK PROFILE I PT JAN WEEK 1 MON
FULL VOL 10000 FULL VOL 10000 START TIME : 2:00 AM
TEST RATE :0.20 GAL/HR
FLOAT SIZE: 4.0 IN. 8496 FLOAT SIZE: 4.0 IN. 9496 DURATION 2 HOURS
WATER WARNING 2.0 WATER WARNING 2.0
HIGH WATER LIMIT: 3.0 HIGH WATER LIMIT: 3.0 LEAK TEST REPORT FORMAT
MAX OR LABEL VOL: 10000 MAX OR LABEL VOL: 10000 ENHANCED
OVERFILL LIMIT 92% OVERFILL LIMIT 92*/*
9200 9200
HIGH PRODUCT 95% HIGH PRODUCT 95%
9500 9500
DELIVERY LIMIT 15: DELIVERY LIMIT 15%
1500 1500
LOW PRODUCT 1500 LOW PRODUCT 1500
LEAK ALARM LIMIT: 99 LEAK ALARM LIMIT: 99
SUDDEN LOSS LIMIT: 99 SUDDEN LOSS LIMIT: 99
TANK TILT 2.60 TANK TILT 2.40
PRESSURE LINE LEAK GETUP
MANIFOLDED TANKS MANIFOLDED TANKS — — —
TO: NONE TO' NONE
G 1 :UNLEADED
LEAK MIN PERIODIC: ox LEAK MIN PERIODIC: 0/o
0 0 PIPE TYPE: STEEL
LINE LENGTH: 100 FEET
LEAK MIN ANNUAL 0yo LEAK MIN ANNUAL 0y* SHUTDOWN RATE: 3.0 GPH
0 0 T I :UNLEADED
DISPENSE MODE:
STANDARD
PERIODIC TEST TYPE PERIODIC TEST TYPE SENSOR: NON—VENTED
STANDARD STANDARD
ANNUAL TEST FAIL ANNUAL TEST FAIL
ALARM DISABLED ALARM DISABLED
PERIODIC TEST. FAI.L PERIODIC TEST FAIL
ALARM DISABLED ALARM DISABLED
GROSS TEST FAIL GROSS TEST FAIL
ALARM DISABLED ALARM DISABLED
ANN TEST AVERAGING: OFF ANN TEST AVERAGING: OFF d 2:PLUS
PER TEST AVERAGING: OFF PER TEST AVERAGING: OFF PIPE TYPE: STEEL
TANK TEST NOTIFY: OFF TANK TEST NOTIFY: OFF LINE LENGTH: 200 FEET
SHUTDOWN RATE: 3.0 GPH
TNK TST SIPHON BREAK:OFF TNK TST SIPHON BREAK:OFF T 2:PLUS
DISPENSE MODE:
DELIVERY DELAY 15 MIN DELIVERY DELAY 15 MIN STANDARD
SENSOR: NON—VENTED
i
aa�3 0
ALARM HISTORY REPORT
----- SYSTEM ALARM -----
_ PAPER OUT
10-12—OB 10:12 PM
PRINTER ERROR
10-12-08 10:12 PM
BATTERY IS OFF
OUTPUT RELAY SETUP 01-01-96 8:00 AM
03:SUPER —
— — — — — — — — — —
PIPE TYPE: STEEL R I :SONITROL
LINE LENGTH: 100 FEET TYPE:
SHUTDOWN RATE: 3.0 GPH STANDARD
T 3:SUPER NORMALLY OPEN
DISPENSE MODE:
STANDARD
SENSOR: NON—VENTED PRESSURE LINE LEAK
ALL:GROSS LINE FAIL * x x x END
ALL:PLLD OPEN ALARM
ALL:PLLD SHUTDOWN ALARM
R 2:OVERFILL
TYPE:
STANDARD
NORMALLY OPEN
IN—TANK ALARMS
0 4:DIESEL ALL:OVERFILL ALARM
PIPE TYPE: STEEL ALL:HIGH PRODUCT ALARM ALARM HISTORY REPORT
LINE LENGTH: 100 FEET ---- IN—TANK ALARM ---°—
SHUTDOWN RATE: 3.0 GPH
T 4:DIESEL T I :UNLEADED
DISPENSE MODE:
STANDARD LEAK ALARM
SENSOR: NON—VENTED 06-23-08 12:00 PM
OVERFILL ALARM
10-16-08 10:16 AM
08-21-08 6:58 PM
PLLD LINE DISABLE SETUP 07-27-08 2:05 PM
0 1 :UNLEADED LOW PRODUCT ALARM
10-07-08 6:19 PM
— NO ALARM ASSIGNMENTS — 09-30-08 3:34 PM
09-21-08 2:29 PM
0 2:PLUS HIGH PRODUCT ALARM
LINE LEAK LOCKOUT SETUP — NO ALARM ASSIGNMENTS — 10-16-08 10:16 AM
LOCKOUT SCHEDULE 09-07—OQ 8:41 AM
DAILY 0 3:SUPER 08-17-04 3:06 PM
START TIME: DISABLED — NO ALARM ASSIGNMENTS — INVALID FUEL LEVEL
STOP TIME DISABLED 08-13-08 6:32 PM
0 4:DIESEL 01-24-08 7:47 PM
01--09-08 5:39 AM
— NO ALARM ASSIGNMENTS —
PROBE OUT
10-16-08 10:16 AM
10-16-08 10:09 AM
DELIVERY NEEDED
10-07-08 6:19 PM
09-30-08 3:34 PM
09-21-08 2:29 PM
MAX PRODUCT ALARM
08-11-04 9:00 AM
1
�c x * END x * * x
ALARM HISTORY REPORT ALARM HISTORY REPORT
ALARM HISTORY REPORT ---- IN-TANK ALARM -----
---- IN-TANK ALARM -----
---- IN-TANY, ALARM ----- T 3:SUPER T 4:DIESEL
T 2:PLUS LOW PRODUCT ALARM OVERFILL ALARM
10-16-08 10:20 AM 10-16-08 10:20 AM
OVERFILL ALARM 10-11-08 9:09 AM LOW PRODUCT ALARM
10-16-08 10:17 AM 09-27-08 5:46 PM 10-16-08 10:22 AM
LOW PRODUCT ALARM SUDDEN LOSS ALARM 10-07-08 2:32 PM
10-16-08 10:19 AM 02-15-07 5:04 PM 09-17-08 5:54 AM
10-09-08 11 :31 AM 02-15-07 4:43 PM
INVALID FUEL LEVEL
09-24-08 6:14 PM 02-15-07 4:28 PM 10-16-08 10:22 AM
HIGH PRODUCT ALARM HIGH PRODUCT ALARM 10-15-08 9:44 AM
03-10-OB 6:20 AM
10-16-08 10:17 AM 10-16-08 10:19 AM
INVALID FUEL LEVEL INVALID FUEL LEVEL PROBE OUT
10-16-09 10:11 AM 09-05-08 9:21 PM 10-16-08 10:21 AM
10-16-08 10:15 AM
02-14-08 7:09 PM 05-09-08 7:46 PM
01-23-08 6:04 PM 02-08-08 8:33 AM
PROBE OUT PROBE OUT DELIVERY NEEDED
10-16-08 10:18 AM 10-16-08 10:19 AM 10-16-08 10:22 AM
10-16-08 10:11 AM 10-16-08 10:14 AM 10-07-08 2:32 PM
09-17-08 5:54 AM
DELIVERY NEEDED DELIVERY NEEDED
10-16-08 10:19 AM 10-16-08 10:20 AM
10-09-08 11 :31 AM 10-11-08 9:09 AM
09-24-08 6:14 PM 09-27-08 5:46 PM
* x x x END x
x x END * x END x x
ALARM HISTORY REPORT
----- SENSOR ALARM -----
v 1 '
OTHER SENSORS
►� x END xxxxx
1
aa�3c�
ALARM HISTORY REPORT
----- SENSOR ALARM -----
-- 0 3:SUPER
PLLD SHUTDOWN ALARM
10-16-08 9:46 All
ALARM HISTORY REPORT GROSS LINE FAIL
10-16-08 9:46 AM
SENSOR ALARM PLLD SHUTDOWN ALARM
0 1 :UNLEADED
\ PLLD SHUTDOWN ALARM 06-26-08 2:31 PM
10-16-08 9:42 AM
` GROSS LINE FAIL
10-16-08 9:42 AM
PLLD SHUTDOWN ALARM
10-03-08 4:08 PM
x x END x * x x
x x END x x x
ALARM HISTORY REPORT
.----- SENSOR ALARM -----
0 4:DIESEL
PLLD SHUTDOWN ALARM
10-16-08 10:02 AM
ALARM HISTORY REPORT GROSS LINE FAIL
10-16-08 10:02 AM
-- SENSOR ALARM ---
HIGH PRESSURE WARN
0 2:
PLUS
PLLD SHUTDOWN ALARM 09-04-07 8:50 AM
10-16-08 9:48 AM
GROSS LINE FAIL
10-16-08 9:48 AM
PLLD SHUTDOWN ALARM
09-18-08 4:15 PM
�cxxxx END xxxxx
x x x x x END x x x x x
LINE LEAK LOCKOUT SETUP
—
LOCKOUT SCHEDULE
' DAILY
/ START TIME: DISABLED
/ STOP TIME : DISABLED
MOIVITO - CERT: 'AILURE REPORT
MIME;
9
T�••OLLOWING corviroNEr lls wER,.REPLA.cE�• coMeLETE
TESTING.
REPA t 3:
r
i •
LABQg;.
. PARTSiINTALLED: .. .
NAME TITLE;
SIGNATURE.
T E NAMED PERSON TAKES FULL RESPONSIBYI.YTY OF'NOTIFYING
THE ROPRIATE PARTY TO HAVE C)Ri{&TAT ACTION TAKEN TO REPAIR
TlE F6S .LISTED PROBLEMS AND Nornn ING RICH ENVMON 4ANTAL•FOR
ANY D RETESTING.THIS ALSO RELEASES RICH ENVIRONMENTAL OF
ANY ORPENALTTE S 0CCURTNG FROM NON-COMPLIANCE.
A COPY(OF T`HS DO'C`UNIEIVT HAS BEEN LEFT'ON-SITE FOR YOT)R
CONVI4NBNCE: