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Home My WebLink AboutFMC Results 7-14-10 IIIIIIIIIIIIIIIIIIII 45 MONITORING SYSTEM CERTIFICATION 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: #775 Fastrip#19 (Chevron) Bldg.No.: Site Address: 4901 South Union Avenue City: Bakersfield zip: 93307 Facility Contact Person: Omero Garcia Contact Phone No.: 661-393-7000 Make/Model of Monitoring System: Veeder-Root TLS 350 Date of Testing/Servicing: 7/14/2010 B. Inventory of Equipment Tested/Certified es Check the appropriate box to Indicate specific equipment impeded/serviced: Tank ID: 12000 gal.Regular 1 Tank iD: 12000 gal.Regular 2 U In-Tank Gauging Probe. Mode 1:,847390-107 Lx] In-Tank Gauging Probe. Model:847390-107 [x] Annular Space or Vault Probe. Model:794390-420 U Annular Space or Vault Sensor. Model: 794390-420 U Piping Sump/Trench Sensor(s). Model.794380-208 Lx] Piping Sump/Trench Sensor(s). Model: 794380-208 ❑ Fill Sump Sensor(s) Model: ❑ Fill Sump Sensor(s). Model: [J Mechanical Line Leak Detector. Model:FX1y [x] Mechanical Line Leak Detector. Model: syphen ❑ Electronic Line Leak Detector. Model: ❑ Electronic Line Leak Detector. Model: U Tank Overfill/High Level Sensor. Model:847390-107 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: 12000 gal.Super Tank ID: 12000 gal.Diesel [x] in-Tank Gauging Probe. Mode 1:.847390-107 Lx] In-Tank Gauging Probe. Model:847390-107 [x] Annular Space or Vault Sensor. Mode 1:794390-420 [x] Annular Space or Vault Sensor. Model:794390-420 U Piping Sump/Trench Sensor(s). Model:794380-208 U Piping Sump/Trench Sensor(s). Model: 794380-208 ❑ Fill Sump Sensors(s). Model: ❑ Fill Sump Sensor(s). Model: [xx] Mechanical Line Leak Decector. Model:FX1y Lx] Mechanical Line Leak Detector. Model: FE Petro ❑ Electronic Line Leak Detector. Model: ❑ Electronic Line Leak Detector. Model: Lx] Tank Overfill/High Level Sensor. Model:847390-107 Tank Overfill/High Level Sensor.Model:847390-107 ❑ 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 [x-1 Dispenser Containment Sensor(s). Model: 794380-208 [X] Dispenser Containment Sensor(s). Model: 794380-208 [X] Shear Valve(s). U Shear Valve(s). ❑ Dispenser Containment Float(s)and Chain(s). ❑ Dispenser Containment Float(s)and Chain(s) Dispenser iD: 5&6 Dispenser ID: 718 [x] Dispenser Containment Sensor(s). Model: 794380-208 [X] Dispenser Containment Sensor(s).Model: 794380-208 [x] Shear Valve(s). U Shear Valve(s). ❑ Dispenser Containment Float(s)and Chains(s). ❑ Dispenser Containment Float(s)and Chain(s). Dispenser ID: Transition Sump North Dispenser iD: Transition Sump South [x] Dispenser Containment Sensor(s). Model: 794380-208 [x] Dispenser Containment Sensor(s). Model: 794380-208 ❑ 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 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) Ex]Syslaq Set-up Alarm ory r port Technician Name(print): Bryan A Self Signature: - ` Certification No: 837501 License No:804904 Testing Company Name: Confidence UST Services,Inc. Phone No: 800-339-9930 Site Address: 4901 South Union Avenue,Bakersfield,CA 93307 IIIIIIIIIIIIIIIIIIII 46 `ate of Testing/Servicing: 711412010 IE D.Results of Testing/Servicing Software Version Installed: 327.04 Complete the following checklist: x] Yes ❑ No* Is the audible alarm operational? Wx] Yes No* Is e V isua a arm operations? No* Were all sensors visually inspect ? ❑ 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 instate positive shut-down? El Sump/Trench Sensors[x]Dispenser Containment Sensors Did you confirm positive shut-down due to leaks and sensor failure/disconnected? [X] Yes; ❑ No; U 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? 90 % [� Yes* El 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* U No Was liquid found inside any secondary containment systems designed as dry systems? ❑Product; ❑ Water.If yes,describe causes in Section E,below. x No* Was monitoring system set-up reviewed to ensure proper settings? *In Section E below,discribe how and when these deficiencies were or will be corrected. E. Comments: F. In-Tank Guaging/SIR Equipment: M 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: xx] 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? x Yes No* Was accuracy of system product level readings tested? x Yes No* Was accuracy of system water level readings tested? x Yes No* Were all probes reinstalled properly? [� 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. Complete the following checklist: Fx] 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: Lx]3 g.p.h.: 00.1 g.p.h.; 00.2 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? U Yes For mac anica LLD's,does the LLD restrict product ow t it detects a leak? Y es #LN/A No* For electronic LLD's,does the turbine automatically shut off if the LLD detects a leak? Lx] N/A ❑ Yes 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 U N/A malfunction or fails a test? ❑ Yes D No* For electronic LLD's,have all accessible wiring connections been visually inspected? U N/A x 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: SYSTEM SETUP - - - _ _ COMMUNICATIONS SETUP --- JUL 14. 2010 3:28 PM - '., IN-TANK SETUP- PORT SETTINGS: T I :UNLEADED 1 1 SYSTEM UNITS COMM BOARD 1 (F.DIM ? j ! PRODUCT CODE ;.,000700 RS-232 SECURITY THERMAL COEFF 96,00 SYSTEM LANGUAGE CODE : DISABLED TANK DIAMETER 1 PT ENGLISH TANK PROFILE SYSTEM 12032 SYSTEM DATE/TIME FORMAT COMM BOARD : 2 (RS-232) MON DD YYYY HH:MM:SS xM BAUD.RATE :9600 NONE + 4.0 IN- CHEVRON 775 PARITY ; 1 STOP FLOAT SIZE: 4901 S.UNION STOP BIT 2.0 BAKERSFIELD CA93307 DATA LENGTH:. 8 DATA 661-391-9387 RS-232 SECURITY WATER WARNING 3,0 CODE : DISABLED HIGH WATER LIMIT: SHIFT TIME 1 6:00 AM COMM HOARD 3 (RS-232? MAX OR LABEL VOL: 12032 i SHIFT TIME 2 DISABLED BAUD RATE 9600 OVERFILL LIMIT 10828 SHIFT TIME 3 DISABLED ( PARITY : NONE 95% SHIFT TIME 4 DISABLED STOP BIT 1 STOP HIGH PRODUCT 11430 TANK PER TST NEEDED WRN DATA LENGTH.: 8 DATA DELIVERY LIMIT 1804 154 DISABLED RS-232 SECURITY TANK ANN TST NEEDED WRN CODE : DISABLED 500 DISABLED LOW PRODUCT 99 LINE RE-ENABLE METHOD ;AUTO TRANSMIT SETTINGS: ALARM LIM 99 7.30 PASS LINE TEST AUTO LEAK ALARM LIMIT TANK TILT 0.00 PROBE OFFSET LINE PER TST NEEDED WRN AUTOBHIGGH WATER LIMIT } DISABLED i DISABLED LINE ANN TST NEEDED WRN AUTO OVERFILL LIMIT SIPHON MANIFOLDED TANKS DISABLED T#'- 02 4 .DISABLED i AUTO LOW PRODUCT LINE MANIFOLDED TANK PRINT TC VOLUMES T;t: NONE ENABLED DISABLED AUTO THEFT LIMIT 1% TEMP COMPENSATION DISABLED 120 VALUE (DEG F ) : 60.0 AUTO DELIVER! START LEAK MIN PERIODIC: STICK HEIGHT OFFSET DISABLED ly DISABLED AUTO.DELIVERY END LEAK MIN ANNUAL- 120 ULLACE: 90% DISABLED AUTO EXTERNAL INPUT ON H-PROTOCOL DATA FORMAT DISABLED HEIGHT AUTO EXTERNAL INPUT OFF PERIODIC TEST TYPE TANDARD . DAYLIGHT SAVING TIME DISABLED ENABLED AUTO SENSOR FUEL ALARM START DATE DISABLED APR WEEK 1 SUN AUTO SENSOR WATER ALARM{ ANNUAL TEST LARMLDISABLED START TIME DISABLED 2:00 AM AUTO SENSOR OUT ALARM PERIODIC TEST FAIL DISABLED END DATE - {, DISABLED OCT WEEK 6 SUN TEST FAIL END TIME GROSS ALARM DISABLED 2:00 AM r RE-DIRECT LOCAL PRINTOUT AANNNN TrEESSTT AVERAGING:GING. OFF PER DISABLED EURO PROTOCOL PREFIX PS-232 END OF MESSAGE TANK PEST NOTIFY: OFF S 1 DISABLED TNK TST SIPHON BREAK:OFF _ DELIVERY DELAY 1 MIN SYSTEM SECURITY PUMP THRESHOLD : 10.009 CODE : 000000 MAINTENANCE HISTORY DISABLED TANK CHART SECURITY DISABLED CUSTOM ALARMS DISABLED MASS/DENSITY DISABLED [FLOAT EADED 2 CODE 2 T 3:PREMIUM' T 4:DIESEL COEFF : .000700 PRODUCT CODE 3 PRODUCT CODE 4 AMETER 96.00 THERMAL COEFF '.000700 THERMAL COEFF : .000450 OFILE 1 PT TANK DIAMETER : 96.00 TANK DIAMETER 96.00 FULL VOL 12032 TANK PROFILE I PT TANK PROFILE 1 PT FULL VOL 12031 FULL VOL 12032 IZE: 4.0 IN. 4 0 IN.FLOAT SIZE: FLOAT SIZE: 4.0 IN. ARNING : 2.0 InIATEk WARNING : 2.0 WATER WARNING 2.0 TER LIMIT: 3:0 HIGH WATER LIMIT: 3.0 HIGH WATER LIMIT': 3.0' LABEL VOL: 12032 MAX OR LABEL VOL: 12031 MAX OR LABEL VOL: 12032 OVERFILL LIMIT 90% OVERFILL LIMIT 90% OVERFILL LIMIT 90% 10828 HIGH PRODUCT 95% 10958 10828 11430 HIGH PRODUCT HIGH PRODUCT 95% DELIVERY LIMIT 15°6 DELIVERY LIMIT 11429 15% DELIVERY LIMIT 1115% 1804 1804 1804 LOW PRODUCT : 500 LOW PRODUCT : 500 LOW PRODUCT 500 LEAK ALARM LIMIT: 99 LEAK ALARM LIMIT: 99 LEAK ALARM LIMIT: 99 SUDDEN LOSS LIMIT: 99 SUDDEN LOSS LIMIT: 99 SUDDEN LOSS LIMIT: 99 TANK TILT 9.88 TANK TILT 2.67 TANK TILT 3.75 PROBE OFFSET 0.00 PROBE OFFSET 0.00 PROBE OFFSET 0.00 SIPHON MANIFOLDED TANKS T#: 01 SIPHON MANIFOLDED TANKS SIPHON MANIFOLDED TANKS LINE MANIFOLDED TANKS Tit: NONE T#: NONE T#: NONE LINE MANIFOLDED TANKS LINE MANIFOLDED TANKS T#: NONE T#: NONE LEAK MIN PERIODIC: la LEAK MIN PERIODIC: 13a 120 LEAK MIN PERIODIC: 120 120 LEAK MIN ANNUAL 1% LEAK MIN ANNUAL : I% LEAK MIN ANNUAL 136 120 120 120 PERIODIC TEST TYPE STANDARD PERIODIC TEST TYPE PERIODIC TEST TYPE STANDARD STANDARD ANNUAL TEST FAIL ANNUAL TEST FAIL ANNUAL TEST FAIL ALARM DISABLED ALARM DISABLED ALARM DISABLED PERIODIC TEST FAIL PERIODIC TEST FAIL PERIODIC TEST FAIL ALARM DISABLED ALARM DISABLED ALARM DISABLED GROSS TEST FAIL GROSS TEST FAIL GROSS TEST FAIL ALARM DISABLED ALARM DISABLED ALARM DISABLED ANN TEST AVERAGING: OFF ANN TEST AVERAGING: OFF PER TEST AVERAGING: OFF PER 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 1 MIN DELIVERY DELAY 1 MIN PUMP THRESHOLD 10.00% PUMP THRESHOLD 10.00% PUMP THRESHOLD : 10.00% i s LEAK—TEST METHOD TEST ON DATE : ALL TANK FED 6, 2007 START TIME : DISABLED a TEST RATE :0.20 GAL/HR DURATION : 2 HOURS TST EARLY STOP:DISABLED LEAK TEST REPORTNFORMAT L SETUP R 6:PNL- - - - - OUTPUT RELAY SETUP TYPE: - _ - - - _ _ _ STANDARD L 1 :UNL 1 STP NORMALLY CLOSED TRI-STATE (SINGLE FLOAT) R 3:OVERFILL ALARM CATEGORY STP SUMP TYPE: TANK #: NONE STANDARD L 2:UNL 1 ANN NORMALLY OPEN i LIQUID SENSOR ALMS TRI-STATE (SINGLE FLOAT) TANK #: NONE L 6:FUEL ALARM CATEGORY ANNULAR SPACE f L 9:FUEL ALARM L10.:FUEL ALARM IN-TANK ALARMS k L11 :FUEL ALARM ALL:OVERFILL ALARM L12:FUEL. ALARM L 3:UNL 2 STP ALL:HIGH PRODUCT ALARM L 6:SENSOR OUT ALARM TRI-STATE (SINGLE FLOAT) ALL:MAX PRODUCT ALARM L 9:SENSOR OUT ALARM CATEGORY STP SUMP ; { L10:SENSOR OUT ALARM R 5:UNL 1 Ll1 :SENSOR OUT ALARM L12:SENSOR OUT ALARM L 4:UNL 2 ANN TYSTANDARD t` L 6:SHORT ALARM TRI-STATE (SINGLE FLOAT) NORMALLY CLOSED L 9:SHORT ALARM CATEGORY : ANNULAR SPACE Ll0:SHORT ALARM TANK #: 1 L11 :SHORT ALARM L12:SHORT ALARM L 5:PNL STP LIQUID SENSOR ALMS ISD SITE ALARMS TRI-STATE (SINGLE FLOAT) L 1 :FUEL ALARM ISD GROSS PRES FAIL CATEGORY : STP SUMP L 3:FUEL ALARM ISD DEGRD PRES FAIL L 9:FUEL ALARM ISD VAPOR LEAK FAIL L10:FUEL ALARM i ISD VP PRES FAIL L 6:PNL ANN L11 :FUEL ALARM 1 ISD VP STATUS FAIL TRI-STATE (SINGLE FLOAT) L12:FUEL ALARM CATEGORY : ANNULAR SPACE L 1 :SENSOR OUT ALARM ISD HOSE ALARMS L 3:SENSOR OUT ALARM ALL:GROSS COLLECT FAIL L 9:SENSOR OUT ALARM ALL:DEGRD COLLECT FAIL L10:SENSOR OUT ALARM . ALL:FLOW COLLECT FAIL L 7:DSL STP L11 :SENSOR OUT ALARM TRI-STATE (SINGLE FLOAT) L12:SENSOR OUT ALARM R 7:DSL CATEGORY: STP SUMP L 1 :SHORT ALARM TYPE: L 3:SHORT ALARM STANDARD L 9:SHORT ALARM NORMALLY CLOSED L 8:DSL ANN L10:SHORT ALARM TRI-STATE (SINGLE FLOAT) Lll :SHORT ALARM TANK #: NONE CATEGORY : ANNULAR SPACE L12':SHORT ALARM L13:SHORT ALARM LIQUID SENSOR ALMS ISD SITE ALARMS L 7:FUEL ALARM L 9:DISP 1-2 ISD GROSS PRES FAIL L 9:FUEL ALARM TRI=STATE (SINGLE FLOAT) ISD DEGRD PRES FAIL L10:FUEL ALARM CATEGORY : DISPENSER PAN ISD VAPOR LEAK FAIL L11 :FUEL ALARM ISD VP PRES FAIL L12:FUEL ALARM ISD VP STATUS FAIL L13:FUEL ALARM ISD SETUP-FAIL L 7:SENSOR OUT ALARM L10:DISP 3-4 L 9:SENSOR OUT ALARM TRI-STATE (SINGLE FLOAT) ISD HOSE ALARMS L10:SENSOR OUT ALARM CATEGORY : DISPENSER PAN ALL:GROSS COLLECT FAIL Lll :SENSOR OUT ALARM ALL:DEGRD COLLECT FAIL L12:SENSOR OUT ALARM ALL:FLOW COLLECT FAIL L13:SENSOR OUT ALARM L 7:SHORT ALARM LII :DISP 5-6 L 9:SHORT ALARM TRI-STATE (SINGLE FLOAT) L10:SHORT ALARM CATEGORY : DISPENSER PAN L11 :SHORT ALARM L12:SHORT ALARM L13:SHORT ALARM L12:DISP 7-8 R 8: TRI-STATE (SINGLE FLOAT) TYPE: CATEGORY : ANNULAR SPACE STANDARD NORMALLY OPEN TANK #: NONE L13:N.TRANS SUMP TRI-STATE (SINGLE FLOAT) - NO ALARM ASSIGNMENTS. - CATEGORY : PIPING SUMP L14:S.TRANS TRI-STATE (SINGLE FLOAT) CATEGORY PIPING SUMP �;i"1tiR"Tr: lda'ih t�;ET(�1 EVR/ISD SETUP s 1 :PS 3-4 EVR TYPE: VACUUM ASSIST SOFTWARE REVISION LEVEL CATEGORY VAPOR PRESSURE VACUUM ASSIST TYPE VERSION 327.04 VAPOR VAC SOFTWARE# 346327-100-E CATEGORY s EGO 1-2 RY AIR FLOW METER CREATED - 07.02.06.10.28 NOZZLE A/L RANGE s 3:FM 3-4 MAX: 1 ..15 MIN: 0.95 S-MODULEO 330160-004-a CATEGORY AIR FLOW METER SYSTEM FEATURES: VAPOR PROCESSOR TYPE PERIODIC IN-TANK TESTS s 4:FM 5-6 NO VAPOR PROCESSOR ANNUAL IN-TANK TESTS CATEGORY AIR FLOW METER pM s S:FM 7-8 ANALYSIS TIMES CATEGORY AIR FLOW METER TIME: 10:00 AM DELAY MINUTES: 1 ISD HOSE TABLE ID FP FL HL AA RR ------------------------- 01 01 01 02 01 UU 02 02 02 02 01 UU 03 03 03 02 02 UU ALARM HISTORY REPORT 04 04 04 02 02 UU 05 05 05 02 03 UU IN-TANK. ALARM ----- 06 06 06 02 03 UU T 1 :UNLFADED 1 07 07 07 02 04 UU 08 08 08 02 04 UU ISD AIRFLOW METER MAP ID SERIAL NUM LABEL ------------------------ 1 8620 FM 1-2 2 8595 FM 3-4 3 8597 FM 5-6 4 8590 FM 7-8 x * x END ISD FUEL GRADE HOSE MAP FP MHH MHH MHH MHH AA 01-201-901 301 U U- 1 02 202 302 902 U U 1 03 203 303 903 U U 2 04 204 304 904 U U 2 05 205 305 905 U U 3 06 206306 .906 U U 3 07 207 307 907 U U 4 t ALARM HISTORY REPORT 08 208 308 908 U U 4 ---- IN-TANK ALARM LABEL TABLE_ __ T 2:UNLEADED 2 ~ ^UNASSIGNED '_______ 1 : 2: BLEND3 3: REGULAR 4: MID GRADE 5: PREMIUM 6: GOLD 7: BRONZE 8: SILVER 9: BLEND2 10: BLEND4 * * * END X X X PMC SETUP PROCESSOR CONTROL LEVEL: NONE ALARM HISTORY REPORT ALARM HISTORY REPORT ---= IN-TANK ALARM -----. ----- SENSOR ALARM ----- ALARM HISTORY REPORT T 3:PREMIUM L 2:UNL 1 ANN ----- SENSOR ALARM ---=- ANNULAR SPACE L 5:PNL STP STP SUMP DELIVERY NEEDED JUL 14, 2010 2:09.PM x * * * END * ENDx * * * END { i - ALARM HISTORY REPORT ----- SENSOR ALARM ----- ALARM HISTORY REPORT L 3:UNL 2 STP ----- SENSOR ALARM ----- STP SUMP L 6:PNL -ANN ALARM HISTORY REPORT ANNULAR SPACE ---- IN-TANK ALARM ----- T 4:DIESEL DELIVERY NEEDED JUL 14, 2010 2:09 PM * * * END * * END * x * * END * * * * ALARM HISTORY REPORT ALARM ----- SENSOR ALARM ----- HISTORY REPORT L 4•rUNL 2 ANN ----- SENSOR ALARM ----- ANNULAR SPACE L 7:DSL STP STP SUMP' ALARM HISTORY REPORT ----- SENSOR ALARM ----- * * END L 1.:UNL 1 STP * * * END STP SUMP 4 * * * END x - -- "AL RWi H1STQkY :REI�OR , ALARM HISTORY REPORT. ----- SENSOR ALARM ----- ____ SENSOR ALARM ----- L11::DISP 5-6 L 8:.DSL ANN DISPENSER.PAN ANNULAR SPACE. x x x x x END x x * END x x x ALARM HISTORY REPORT ALARM HISTORY REPORT -- SENSOR ALARM ----- ---- SENSOR ALARM - L12:DISP 7-8 NSI ANNULAR SPACE DISPESR PAN x x x x x END * * x x x x x x x x END x * * x x ALARM HISTORY REPORT ALARM HISTORY REPORT ___-- SENSOR ALARM ----- -- SENSOR ALARM ----- L13:N.TRANS.$UMP L10:DISP 3-4 PIPING SUMP DISPENSER PAN i x x x x x END x x x x x x x x x x END x x x x x ALARM HISTORY REPORT . ----- SENSOR ALARM ----- PI PING UMP x x x x x END * * * x x 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: #775 Fastrip#19(Chevron) I Date of Testing: 7/14/2010 Facility Address: 4901 South Union Avenue, Bakersfield,CA 93307 Facility Contact: Omero Garcia I Phone: 661-393-7000 Date Local Agency Was Notified of Testing : Ernie Medina Name of Local Agency Inspector(f present during testing): 6/23/2010 2. TESTING CONTRACTOR INFORMATION Company Name: Confidence UST Services, Inc. Technician Conducting Test: Bryan A Self Credentials': X CSLB Contractor X 1CC Service Tech. ❑ SWRCB Tank Tester ❑Other(Spec) License Number(s): CSLB#804904 ICC#8022804-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 I Regular 1 2 Regular 2 3 Super 4 Diesel 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: 13.50" 14.00" 14.00" 14.50" Wait time between applying 5 min. 5 min. 5 min. 5 min. vacuum/water and start of test: Test Start Time(Ti): 9:00am 9:00am 9:00am 9:00am Initial Reading(Rj): 10.50" 11.00" 10.75" 11.00" Test End Time(TF): 10:00am 10:00am 10:00am 10:00am Final Reading(RF): 10.50" 11.00" 10.75" 11.00" Test Duration(TF—Tj): 1 hour 1 hour 1 hour l hour Change in Reading(RF-Rj): 0.00" 0.00" 0.00" 0.00" Pass/Fail Threshold or 0.0625" 0.0625" 0.0625" 0.0625" Criteria: 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. Technician's Signature: a= Date: 7/14/2010 ' State laws and regulations do not currently require testing to be performed by a qualified contractor.However,local requirements may be more stringent. G4#V1DVhC us If •amauwu wrnr ocaurxycc• Invoice No: 23439 Re air.Lo " Tony from Jaco was on site and changed the stuck relay on the regular unleded. We also had to change the battery in the TLS and do a cold start. "7-da '' `e u iredRe a is: , � R w Comments: � Updated 04/19106 TATT Team