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HomeMy WebLinkAboutFMC 2011 MONITORING SYSTEM CERTIFICATION For Use By All Jurisdictions Krithin 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: CIRCLE K 2708605 City: BAKERSFIELD CA Zip:93306 Site Address: 5600 AUBURN ST Contact Phone No: 871-7979 @FAIRFAX RD. Date of Testing/Service: 01/19/2011 Facility Contact Person: SCOTT-MANAGER Make/Model of Monitoring System:TLS350 Work Order Number: 3180344 IIIIIIIIIIIIIIIIIIII 07 B.Inventory of Equipment Tested/Certified 1E Check the appropriate boxes to indicate specific equipment inspected/serviced TanklD: 91 TanklD: 89 71 In-Tank Gauging Probe. Model: MAG PROBE X In-Tank Gauging Probe. Model: MAG PROBE X Annular Space or Vault Sensor. Model: 409 21 Annular Space or Vault Sensor. Model: 409 X Piping Sumprrrench Sensor(s). Model: 208 Piping Sump/Trench Sensor(s). Model: 208 Fill Sump Sensor(s). Model: Fill Sump Sensogs). Model: X Mechanical Line Leak Detector. Model: LD2000 X Mechanical Line Leak Detector. Model: LD2000 Electronic Line Leak Detector. Model: Electronic Line Leak Detector. Model: X Tank Overfill/High-Level Sensor. Model: FLAPPER Tank Overfill/High-Level Sensor. Model: 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: 87 TanklD: In-Tank Gauging Probe. Model: MAG PROBE In-Tank Gauging Probe. Model: X Annular Space or Vault Sensor. Model: 409 Annular Space or Vault Sensor. Model: X Piping Sump/Trench Sensor(s). Model: 208 Piping Sump/Trench Sensor(s). Model: Fill Sump Sensor(s). Model: Fill Sump Sensor(s). Model: X Mechanical Line Leak Detector. Model: LD2000 Mechanical Line Leak Detector. Model: Electronic Line Leak Detector. Model: Electronic Line Leak Detector. Model: Tank Overfill/High-Level Sensor. Model: FLAPPER Tank Overfill/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: BEAUDREAU X Dispenser Containment Sensor(s) Model: BEAUDREAU QShear Valve(s). X Shear Valve(s) E]Dispenser Containment Float(s)and Chain(s). Dispenser Containment Float(s)and Chain(s). Dispenser ID: Dispenser lD: F—IDispenser 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): ❑X System set-up X❑Alarm history report Technician Name(print): ROBERT ALLEN Signature: Certification No.: A20125 License.No.: 743160(Class'A'General Enginering Contractor License) Testing Company Name:Tanknology Phone No.: (800)800-4633 Site Address: 11000 N.MoPac Expressway,suite 500,Austin,TX 78759 Date of Testing/Servicing: 01/19/2011 Monitoring System Certification Page 1 of 3 IIIIIIIIIIIIIIIIIIII 08 Based on CA form dated 03/08 IE Monitoring System Certification Site Address 5600 AUBURN ST Date of Testing/Service: 01/19/2011 @FAIRFAX RD. D. Results of Testing/Servicing Software Version Installed: 328.03 Complete the following checklist: X Yes No' Is the audible alarm operational? Q Yes No' Is the visual alarm operational? 0 Yes No' Were all sensors visually inspected,functionally tested,and confirmed operational? Q 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 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 Yes E]No• NIA monitoring system detects a leak,fails to operate,or is electrically disconnected?If yes:which sensors initiate positive shut-down?(check all that apply) ❑x Sump/Trench Sensors; ❑ Dispenser Containment Sensors. Did you confirm positive shut-down due to leaks and sensor failure/disconnection? ❑Yes EjNo ❑ 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? �x 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. O Yes ❑No• Is all monitoring equipment operational per manufacturers'specifications? 'In Section E below,describe how and when these deficlences were or will be corrected. E. Comments: panel light replaced Page 2 of 3 Based on CA form dated 03/08 Monitoring System Certification Site Address: 5600 AUBURN ST Date of Testing/Service: 01/19/2011 @FAIRFAX RD. 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: E Yes F-1 No• Has all input wiring been inspected for proper entry and termination,including testing for ground faults? ❑x Yes ❑No• Were all tank gauging probes visually inspected for damage and residue buildup? Q Yes ❑No• Was accuracy of system product level readings tested? QYes ❑No• Was accuracy of system water level readings tested? x Yes ❑No• Were all probes reinstalled properly? ❑X 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 ❑No• ❑N/A (Check all that apply)Simulated leak rate: Q 3 g.p.h❑0.1 g.p.h E]0.2 g.p.h x Yes ❑No Were all LLDs confirmed operational and accurate within regulatory requirements? FX-1 Yes ❑No• Was the testing apparatus properly calibrated? ❑x Yes ❑No• ❑N/A For mechanical LLDs,does the LLD restrict product flow if it detects a leak? ❑Yes ❑No• ©N/A For electronic LLDs,does the turbine automatically shut off if the LLD detects a leak? ❑Yes ❑No• Q N/A For electronic LLDs,does the turbine automatically shut off if any portion of the monitoring system is disabled or disconnected? ❑Yes ❑No• M N/A For electronic LLDs,does the turbine automatically shut off if any portion of the monitoring system malfunctions or fails a test? ❑Yes ❑No• FX�N/A For electronic LLDs,have all accessible wiring connections been visually inspected? MYes ❑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 03/08 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: CIRCLE K 2708605 DateofTesting: 01/19/2011 Facility Address: 5600 AUBURN ST @FAIRFAX RD. , BAKERSFIELD, CA, 93306 Facility Contact: SCOTT - MANAGER Phone: (6 61) 871-7 979 Date Local Agency Was Notified of Testing: 12/29/2010 Name of Local Agency Inspector(if present during testing): Esther Duran 2. TESTING CONTRACTOR INFORMATION Company Name: TANKNOLOGY, INC. Technician Conducting Test: ROBERT ALLEN Credentials: CSLB Licensed Contractor SWRCB Licensed Tank Tester License Type: A I License Number: 743160 Manufacturer Training Manufacturer Component(s) Date Training Expires Incon STS 05/14/2011 3. SUMMARY OF TEST RESULTS Not Repairs Not Repair Component Pass Fail Tested Made Component Pass Fail Tested Made Spill Box 1 PRE FILL Fx] 0 ❑ ❑ ❑ ❑ ❑ ❑ Spill Box 1 PRE FILL X ❑ ❑ ❑ ❑ ❑ ❑ ❑ Spill Box 2 REG FILL El ❑ ❑ ❑ ❑ ❑ ❑ ❑ Spill Box 2 REG FILL El ❑ ❑ ❑ ❑ ❑ ❑ ❑ Spill Box 3 REG FILL X ❑ ❑ ❑ ❑ ❑ El El- Spill Box 3 REG FILL � ❑ ❑ ❑ ❑ ❑ ❑EJ Spill Box 1 PRE VAPOR El 1:1 ❑ ❑ ❑ ❑ ❑ ❑ Spill Box 1 PRE VAPOR E ❑ ❑ ❑ ❑ ❑ ❑ E Spill Box 2 REG VAPOR El ❑ ❑ ❑ ❑ ❑ ❑ ❑ Spill Box 2 REG VAPOR 1 ❑ ❑ ❑ ❑ ❑ ❑ ❑ Spill Box 3 REG VAPOR X ❑ E. ❑ ❑ ❑ El ELI Spill Box 3 REG VAPOR E ❑ ❑ ❑ ❑ ❑ ❑ If hydrostatic testing was performed,describe what was done with the water after completion of tests: Test water left on site in 5gl buckets. CERTIFICATION OF TECHNICLAN 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: 01/19/2011 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: CIRCLE K 2708605 DateofTesting: 01/19/2011 Facility Address: 5600 AUBURN ST @FAIRFAX RD. , BAKERSFIELD, CA, 93306 Facility Contact: SCOTT - MANAGER Phone: (6 61) 871-7979 Date Local Agency Was Notified of Testing : 12/29/2010 Name of Local Agency Inspector(if present during testing): Esther Duran 2. TESTING CONTRACTOR INFORMATION Company Name: TANKNOLOGY, INC. Technician Conducting Test: ROBERT ALLEN Credentials I: [fl CSLB Contractor E ICC Service Tech. 0 SWRCB Tank Tester E Other(Specify)A License Number: 743160 3. SPILL BUCKET TESTING INFORMATION Test Method Used: Ra Hydrostatic 0 Vacuum ❑ Other Test Equipment Used: I ncon Equipment Resolution: .0 0 2 0 Identify Spill Bucket(By Tank 1 1 PRE FILL Z 1 PRE FILL 3 2 REG FILL 4 2 REG FILL Number, Stored Product, etc) Bucket Installation Type: ❑Direct Bury X❑Direct Bury X❑Direct Bury X❑Direct Bury ❑ Contained in Sump ❑Contained in Sump ❑Contained in Sump ❑Contained in Sump Bucket Diameter: 1111 1111 1111 1111 Bucket Depth: 1311 1311 1311 1311 Wait time between applying 15min 15min 15min 15min vacuum/water and starting test: Test Start Time(TI ): 11:44am 12 :03pm 11:44am 12:03pm Initial Reading(R 1 ): 2.6081 2.6 0 81 3.2297 3 .2 2 8 7 Test End Time(TF ): 11:59am 12 :18pm 11:59am 12:18pm Final Reading(RF 2.6081 2.6083 3.2294 3 .2275 Test Duration: 15min 15min 15min 15min Change in Reading(R F-R I ): 0 .0002 .0 0 0 3 .0012 Pass/Fail Threshold or .0020 .0 0 2 0 .0020 .0 0 2 0 Criteria: e esul•: Inman" -as 0 a ass a' NU as alt 11 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: 01/19/2011 I State laws and regulations do not currently require testing to be performed by a qualified contractor.However,local requirements 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: CIRCLE K 2708605 Date of Testing: 01/19/2011 Facility Address: 5600 AUBURN ST @FAIRFAX RD. , BAKERSFIELD, CA, 93306 Facility Contact: SCOTT - MANAGER Phone: (6 61) 871-7979 Date Local Agency Was Notified of Testing: 12/29/2010 Name of Local Agency Inspector(if present during testing): Esther Duran 2. TESTING CONTRACTOR INFORMATION Company Name: TANKNOLOGY, INC. Technician Conducting Test: ROBERT ALLEN Credentials): ❑CSLB Contractor X❑ICC Service Tech. ❑SWRCB Tank Tester Other(Sped)A License Number: 743160 3. SPILL BUCKET TESTING INFORMATION Test Method Used: Hydrostatic ❑ Vacuum ❑ Other Test Equipment Used: Incon Equipment Resolution: .0020 Identify Spill Bucket(By Tank 1 3 REG FILL 2 3 REG FILL 3 1 PRE VAPOR 4 1 PRE VAPOR Number, Stored Product, etc) Bucket Installation Type: 0 Direct Bury X❑Direct Bury X❑Direct Bury ❑X Direct Bury ❑Contained in Sump ❑Contained in Sump ❑Contained in Sump ❑Contained in Sump Bucket Diameter: 111, 1111 1111 1111 Bucket Depth: 1311 1311 1311 1311 Wait time between applying 15min 15min 15min 15min vacuum/water and starting test: Test Start Time(TI ): 11:44am 12 :03pm 12 :32pm 1:04pm Initial Reading(RI ): 3.5260 3.5274 3.0046 3.0018 Test End Time(TF 11:59am 12:18pm 12:47pm 1:19pm Final Reading(RF ): 3.5275 3.5277 3.0039 3.0018 Test Duration: 15min 15min 15min 15min Change in Reading(R F-RI ): .0005 .0 0 0 3 .0007 0 Pass/Fail Threshold or 0020 .0020 .0020 .002 0 Criteria: est esult 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: 01/19/2011 I State laws and regulations do not currently require testing to be performed by a qualified contractor.However,local requirements 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: CIRCLE K 2708605 1 DateofTesting: 01/19/2011 Facility Address: 5600 AUBURN ST @FAIRFAX RD. , BAKERSFIELD, CA, 93306 Facility Contact: SCOTT - MANAGER I Phone: (6 61) 871-7979 Date Local Agency Was Notified of Testing: 12/29/2010 Name of Local Agency Inspector(if present during testing): Esther Duran 2. TESTING CONTRACTOR INFORMATION Company Name: TANKNOLOGY, INC. Technician Conducting Test: ROBERT ALLEN Credentialsl: Fx]CSLB Contractor E ICC Service Tech. E:]SWRCB Tank Tester El Other(Specify)A License Number: 743160 3. SPILL BUCKET TESTING INFORMATION Test Method Used: Hydrostatic Vacuum 0 Other Test Equipment Used: Incon Equipment Resolution: .0 02 0 Identify Spill Bucket(By Tank 1 2 REG VAPOR 2 2 REG VAPOR 3 3 REG VAPOR 4 3 REG VAPOR Number, Stored Product, etc) XD Bucket Installation Type: Direct Bury X❑Direct Bury XO Direct Bury XO Direct Bury ❑Contained in Sump ❑Contained in Sump ❑Contained in Sump ❑Contained in Sump Bucket Diameter: 1111 1111 1111 11,1 Bucket Depth: 1311 1311 1311 1311 Wait time between applying 15min 15min 15min 15min vacuum/water and starting test: Test Start Time(TI ): 12 :32pm 1:04pm 12 :32pm 1:04pm Initial Reading(RI ): 3.3066 3.3042 3.4482 3 .4479 Test End Time(TF ): 12 :47pm 1:19pm 12:47pm 1:19pm Final Reading(RF ): 3.3067 3 .3034 3.4484 3.4482 Test Duration: 15min 15min 15min 15min Change in Reading(R F-RI ): .0001 .0008 .0002 .0003 Pass/Fail Threshold or 0020 .0020 .0020 .0020 Criteria: COmnlMS- (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: 01/19/2011 I State laws and regulations do not currently require testing to be performed by a qualified contractor.However,local requirements 0p Mmkwicogy 8501 N MOPAC EXPRESSWAY,SUITE 400 AUSTIN,TEXAS 78759 (512)451-6334 FAX(512)459-1459 TEST DATE-:01/19/11 WORK ORDER NUMBER3180344 CLIENT:CIRCLE R STORES SITE:CIRCLE R 2708605 COMMENTS Monitor Cert, Leak Detector, Spill Bucket (direct bury) , Impact Valve & e-stop - All Test Pass Parts replaced to be billed on WO# 3180344. PARTS REPLACED QU TITY DESC P HELIUM PINPOINT TEST RESULTS (IF APPLICABLE) ITE IMISITMESMEM HELIUM PINPOINT L TEST RES LTS I I j Printed 02/03/2011 08:24 ACRAMER `f k SITE DIAGRAM i T, br*nology 8501 N MOPAC EXPRESSWAY,SUITE 400 AUSTIN,TEXAS 78759 (512)451-6334 FAX(512)459-1459 TEST DATE:01/19/11 WORK ORDER NUMBER3180344 CLIENT:CIRCLE R STORES SITE: CIRCLE R 2708605 FC-1 DUMP- C-STORE STER "ATGs in STP sumps ICE L1 SO PROPANE L3 �. FO L5 #1 CANOPY #3 NZ O O V NTS #2 #4 F on 0 �1 C inopy Dispensers contain CAS W AIR/ 0 u beaudreau stand- AIR/ sensors H2O Printed 02103/2011 08:24 ACRAMER Work Order: 3180344 (ESO)&(ESV)Testing Farm-Version I-6125 AV Emergency Shut Off (ESO) & Dispenser Emergency Shutoff Valve (ESV) ANNUAL TEST RECORD LOCATIONS AND TEST DATA Testing " Com an : O a Date• l ;,-ZO Location Name: G ,o 2 Store#: Or State ID#: $d,o0 Ausu—t YA 01-lr•r Address: I I City: �6� State: Emereencl Shut Off(ESO) Testing Results On L-1-Z-11 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 i 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 (ESD Testing Results On -6 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{#)�_in all, would automatically close. Findings listed below: Disp.Emergency Shut Off If No,Provide Valve(ESV)Operational? N Maintenance Log# Date Called: Site Map Of Lmafi n and Placement of Devices este8: V o C) a O G OV c d , Sizpature Of Representative: Tanlmology Inc. 11000N.MoPac Expressway,Suite 500,Austin,Texas 78759 Work Order; 3180344 ALARM HISTORY REPORT ----- SYSTEM ALARM ----- PAPER OUT JAN 5, 2011 1 :01 AM PRINTER ERROR JAN 5, 2011 1 :01 AM SERVICE NOTICE NOV 16, 2010 9:17 AM ALARM HISTORY REPORT ---- 1N-TANK ALARM ----- X X X k x END X * * T 2:UNL-MID HIGH WATER ALARM JAN 19, 2011 8:48 AM OVERFILL ALARM JAN 19, 2011 9:26 AM CIRCLE Y, 2708605 5600 AUBURN ST LOW PRODUCT ALARM BAKERSFIELD CA.93306 JAN 19. 2 JUL 20, 201 10:43 1 AAM 661-871-7979 JAN 19, 2011 1:17 PM AliiRM HISTORY REPORT HIGH PRODUCT ALARM JAN 19. 2011 9:28 AM ---- IN-TANK ALARM ----- INVALID FUEL LEVEL SYSTEM STATUS REPORT T 1 :UNL-PREM JAN 19. 2011 8:45 AM - ALL FUMW TIONS NORMAL. HIGH WATER ALARM PROBE OUT JAN 19, 2011 9:50 AM JAN 19. 20I1 9:40 AM JAN 19, 2011 8:44 AM OVERFILL ALARM JUL 20, 2010 10:03 AM JAN 19. 2011 9:39 Ah1 HIGH WATER WARNING HIGH PRODUCT ALARM JAN 19, 2011 8:48 AM JAN 19, 2011 9:38 AM INVALID FUEL LEVEL DELIVERY NEEDED SOFTWARE REVISION LEVEL JAN 19, 2011 0:47 AM JAN 19. 2011 8:44 AM VERSION 328.03 JAN 13. 2011 5:04 PM SOFTWARE# 346328-100-D PROBE OUT DEC 8, 2010 6:58 AM CREATED - 08.06.06.17.21 JAN 19. 2011 9:41 AM JAN 19. 2011 8:46 AM MAX PRODUCT ALARM S-11ODULE# 330160-004-a JUL 20, 2010 10:37 AM JAN 19. 2011 9:31 AM SYSTEM FEATURES: PERIODIC IN-TANK TESTS HIGH WATER WARNING LOW TEMP WARNING ANNUAL IN-TANK TESTS JAN 19, 2011 8:50 AM ISD JAN 19, 2011 9:40 AM DELIVERY NEEDED JAN 19, 2011 0:47 AM DEC 10, 2010 2:24 AM DEC 2, 2010 11 :55 AM Mk, PRODUCT ALARM JAN 19, 2011 9:41 AM LOW TEMP WARNING JAN 19. 2011 8:47 AM Tanknology Inc. 11000N.MoPac Expressway,Suite 500,Austin,Texas 78759 Work Order: 3180344 ALARM HISTORY REPORT ALARM HISTORY REPORT ----- SENSOR ALARM ----- --- SENSOR ALARM ----- L 1:87 ANNULAR L 4:89 TURBINE ANNULAR SPACE STP SUMP SENSOR OUT ALARM SENSOR OUT ALARM JAN 19, 2011 10:11 AM JAN 19. 2011 10:11 AM FUEL ALARM FUEL ALARM JAN 19. 2011 10:01 AM JAN 19. 2011 9:57 AM ALARM HISTORY REPORT ---- I14-TANK ALARM ----- T 3:UNL-REG a[ x END * 1+ * * * " " END x HIGH WATER ALARM JAN 19. 2011 8:47 AM OVERFILL ALARM JAN 19. 2011 9:29 AM JAN 15, 2011 12:46 AM DEC 27, 2010 10:48 P11 HIGH PRODUCT ALARM JAN 19, 2011 9:31 AM OCT 20, 2010 8:05 PM ALARM HISTORY REPORT ALARM HISTORY REPORT OCT 19. 201D 12:54 AM -- SENSOR ALARM ----- '- SENSOR ALARM ----- INVALID FUEL LEVEL L 2:87 TURBINE L 5:91 ANNULAR JAN 19, 2011 8:44 AM STP SUMP ANNULAR SPACE SENSOR OUT AL 1 APR 8. 2010 4:11 AM SENSOR OUT ALARM 0: JAN 31, 2010 10:41 AM JAN 19. 2011 10:11 AM JAN 19. 2011 10:11 AM PROBE OUT FUEL ALARM FUEL ALARM JAN 19, 2011 9:38 AM JAN 19. 2011 9:59 AM JAN 19. 2011 9:56 AM JAN 19, 2011 8:43 AM FUEL ALARM HIu^H WATER WARNING JAN 19. 2011 9:56 Ail JAN 19, 2011 B:47 AM DELIVERY NEEDED JAN 19. 2011 - B:44 AM NOV 1, 2010 5:51 PM MAY 24. 2010 1 :54 PM END x MAX PRODUCT ALARM JAN 19. 2011 9:38 AM * x * END x AUG 27. 21010 11 :15 PM LOW TEMP WARNING JAN 19. 2011 9:40 AM ALARM HISTORY REPORT ----- SENSOR ALARM ----- ALARM HISTORY REPORT L 3:B9 AN14ULAR ANNULAR SPACE ----- SENSOR ALARM ----- SENSOR OUT ALARM L 6:91 TURBINE JAN 19, 2011 10:11 AM STP SUMP SENSOR OUT ALARM FUEL ALARM JAN 19. 2011 10:11 AM JAN 19, 2011 9:57 AM FUEL ALARM JAN 19, 2011 9:55 AM Tanknology Inc. 11000 N.MoPac Expressway, Suite 500,Austin,Texas 78759 Work Order: 3180344 COMMUNICATIONS SETUP PORT SETTINGS: COMM BOARD : I (EDIM ) RS-232 SECURITY CODE : DISABLED COMM BOARD 2 (RS-232) BAUD RATE 9600 j PARITY ODD STOP BIT 1 STOP DATA LENGTH: 7 DATA RS-232 SECURITY CODE : DISABLED CIRCLE K 270&605 PRINT TC VOLLNIES COMM BOARD : 5 (RS-485) 5600 AUBURN ST ENABLED BAUD RATE : 960D BAKERSFIEL.D CA,93306 PARITY NONE 661-671-7979 TEMP COMPENSATION STOP BIT 2 STOP VALUE (DEG F ) : 60.0 DATA LENGTH: 8 DATA JAN 19, 2011 7:44 All STICK HEIGHT OFFSET RS-232 SECURITY DISABLED CODE : DISABLED ULLAGE: 90% SYSTEM STATUS REPORT H-PROTOCOL DATA FORMAT C BOARD 6 (RS-232) BAU - - - - -- - - - - - - - HEIGHT BAUD RATE 9600 PARITY NONE ALL FUNCTIONS NORMAL DAYLIGHT SAVING TIME STOP BIT 2 STOP DISABLED DATA LENGTH: B DATA RE-DIRECT LOCAL. PRINTOUT RS-232 SECURITY DISABLED CODE : DISABLED EURO PROTOCOL PREFIX S AUTO TRANSMIT SETTINGS: AUTO LEAK ALARM LIMIT SYSTEM SETUP SYSTEM SECURITY AUTO HIGH AUTO HIGH WATER LIMIT - - - - - - - - - - - - CODE : 000000 DISABLED JAN 19. 2011 7:44 AM AUTO OVERFILL LIMIT MAINTENANCE HISTORY DISABLED DISABLED AUTO LOW PRODUCT DISABLED SYSTEM UNITS AUTO THEFT LIMIT U.S. TANK CHART SECURITY DISABLED SYSTEM LANGUAGE DISABLED AUTO DELIVERY START ENGLISH DISABLED SYSTEM DATE;TIME FORMAT AUTO DELIVERY END MON DD YY,'Y HH:Mh1:SS xM CUSTOM ALARMS DISABLED DISABLED AUTO EXTERNAL INPUT ON CIRCLE K 2708605 DISABLED 5600 AUBURN ST AUTO EXTERNAL INPUT OFF BAKERSFIELD C_.H.93306 SERVICE NOTICE DISABLED 661-671-7979 DISABLED AUTO SENSOR FUEL ALARM D I BA13LF-D SHIFT TIME 1 6:00 Ail AUTO SENSOR WATER ALARM SHIFT TIME 2 DISABLED MASS•-DENS17Y DISABLED SHIFT TIME 3 DISABLED DISABLED AUTO SENSOR OUT ALARM SHIFT TIME 4 DISABLED DISABLED . TANK PER TST NEEDED WRN DISABLED TANK ANN TST NEEDED WRN DISABLED RECEIVER SETUP: LINE RE-ENABLE METHOD PASS LINE TEST NONE LINE PER TST NEEDED WRN DISABLED LINE ANN TST NEEDED WRN DISABLED AUTO DIAL TIME SETUP: NONE Tanknology Inc. 11000 N.MoPac Expressway,Suite 500,Austin,Texas 78759 Work Order: 3180344 RS-232 END OF MESSAGE DISABLED AUTO DIAL ALARM SE'T'UP T 2:UNL-MID T 3:UNL-REG PRODUCT CODE B PRODUCT CODE THERMAL COEFF : .000700 THERMAL COEFF :.00070 TANK DIAMETER . 89.75 TANK DIAMETER 89.7 TANK PROFILE : 4 PTS TANK PROFILE 4 PT: FULL VOL : 9GB4 b7.3 INCH VOL 768 67. INCH VOL : 7881 40.9 9 INCH VOL 4407 44.9 INCH VOL : 490' 22,q INCH VOL 190: IN-TANK SETUP 22.4 INCH VOL : 1901 T 1 :UNL-FREM FLOAT SIZE: 3.0 IN. FLOAT SIZE: 4.0 IN. PRODUCT CODE C DIAMETER WATER WARNING 2.0 WATER WARNING 2.0 TANK THERMAL METER : .009700 89.75 HIGH WATER LIMIT: 3.0 HIGH WATER LIMIT: 3.0 TANK PROFILE 4 FTS Mp,X OR LABEL VOL! 9684 MAX OR LABEL. VOL: 9684 FULL VOL 9654 67,3 INCH VOL 7881 OVERFILL. LIMIT 90% OVERFILL LIMIT 904/0 44.9 INCH VOL 4907 HIGH PRODUCT 8715 HIGH PRODUCT 8715 22.4 INCH VOL 1901 DELIVERY LIMIT 910% DELIVERY LIMIT 9199 10% FLOAT SIZE: 4.0 IN. 981 981 WATER WARNING 2.0 LOW PRODUCT 500 LOW PRODUCT : 500 LEAK ALARM LIMIT: 99 LEAK ALARM LIMIT: 99 HIGH WATER LIMIT: 3.0 SUDDEN LOSS LIMIT. 50 SUDDEN LOSS LIMIT: 50 MAX OR LABEL VOL: 9684 TAB TANK TILT TILT O.OD 0.00 OVERFILL LIMIT 9D% PROBE PROBE OFFSET 0.00 PROBE OFFSET 0,00 8715 HIGH PRODUCT 95% SIPHON MANIFOLDED TANKS SIPHON MANIFOLDED TANKS 910% TO: NONE TO. NONE DELIVERY LIMIT 1 LINE MANIFOLDED TANKS LINE MANIFOLDED TANKS 9881 1 T4: NONE Tit: NONE LOW PRODUCT 5DO LEAK ALARM LIMIT: 99 50% LEAK MIN PERIODIC: 50%LEAK MIN PERIODIC: SUDDEN LOSS LIMIT: 50 TANK TILT 0.00 4842 4842 PROBE OFFSET 0.00 LEAK MIN ANNUAL 5056 LEAK MIN ANNUAL : 500 4842 4842 SIPHON MANIFOLDED TANKS Tit: NONE PERIODIC TEST' TYPE PERIODIC TEST TYPE LINE MANIFOLDED TANKS Tit: NONE QUICK QUICK ANNUAL TEST FAIL ANNUAL TEST FAIL LEAK MIN PERIODIC: 50% ALARM DISABLED ALARM DISABLED 4842 PERIODIC TEST FAIL PERIODIC TEST FAIL LEAK MIN ANNUAL 50% ALARM DISABLED ALARM DISABLED 4842 GROSS TEST FAIL GROSS TEST FAIL ALARM DISABLED ALARM DISABLED PERIODIC TEST TYPE ANN TEST AVERAGING: OFF ANN TEST AVERAGING: OFF QUICK. PER TEST AVERAGING: OFF PER TEST AVERAGING: OFF ANNUAL TEST FAIL TANK TEST NOTIFY: OFF TANK TEST NOTIFY: OFF ALARM DISABLED PERIODIC TEST FAIL TNK TST SIPHON BREAK:OFF TW TST SIPHON BREAK:OFF ALARM DISABLED DELIVERY DELAY 2 MIN DELIVERY DELAY 2 MIN GROSS TEST FAIL PUMP THRESHOLD 10.00% PUMP THRESHOLD 10.00% ALARM DISABLED ANN TEST AVERAGING: OFF PER TEST AVERAGING: OFF TANK TEST NOTIFY: OFF TNK TST SIPHON BREAK:OFF DELIVERY DELAY 2 MIN PUMP THRFfiHnI.II 1 A.11M, Tanknology Inc. 11000N.MoPac Expressway,Suite 500,Austin,Texas 78759 Work Order: 3180344 ISD SITE ALARMS ISD GROSS PRES FAIL ISD DEGRD PRES FAIL ISD VAPOR LEAK FAIL LEAK TEST METHOD - - - - ISD HOSE ALARMS TEST ON DATE : ALL TANK OUTPUT RELAY SETUP ALL:GROSS COLLECT FAIL JUN 6. 2008 - - - - - - - - - ALL:DEGRD COLLECT FAIL START TIME : DISABLED ALL:FLOW COLLECT FAIL TEST RATE :0.20 GAL/HR R 1 ;87 UNLEADED DURATION 2 HOURS TYPE: R 3:89 PLUS STANDARD TYPE: TST EARLY STOP:DISABLED NORMALLY CLOSED NORMALLY STANDARD CLOSED LEAK TEST REPORT FORMAT TANK 0: 3 NORMAL TANK tt: 2 IN-TANK ALARMS T 3:HIGH WATER ALARM IN-TANK ALAN T 3:LOW PRODUCT ALARM T 2:HIGH WATER ALARM T 2:LOW PRODUCT ALARM LIQUID SENSOR ALMS L 1 :FUEL ALARM LIQUID SENSOR ALMS L 2:FUEL ALARM L 3:FUEL ALARM L I :SENSOR OUT ALARM L 4:FUEL ALARM L 2:SENSOR OUT ALARM L 3:SENSOR OUT ALARM L 1 :SHORT ALARM L 4:SENSOR OUT ALARM LIQUID SENSOR SETUP L 2:SHORT ALARM L 3:SHORT ALARM _ _ _ _ _ _ _ _ _ _ _ _ L ISD SITE ALARMS 4:SHORT ALARM L 1 ;87 ANNULAR ISD GROSS PRES FAIL ISD SITE ALARMS TR1-STATE {SINGLE FLOAT) ISD DEGRD PRES FAIL ISD GROSS PRES FAIL CATEGORY ANNULAR SPACE ISD VAPOR LEAK FAIL ISD DEGRD PRES FAIL ISD VAPOR LEAK FAIL ISD HOSE ALARMS ALL:GROSS COLLECT FAIL ISD HOSE ALARMS L 2:87 TURBINE ALL:DEGRD COLLECT FAIL ALL:GROSS COLLECT FAIL TRI-STATE (SINGLE FLOAT) ALL:FLOW COLLECT FAIL ALL:DEGRD COLLECT FAIL C ALL:FLOW COLLECT FAIL CATEGORY : STP SUMP' R 2:51 PREMIUM TYPE: L 3:89 ANNULAR STANDARD TRI-STATE (SINGLE FLOAT) NORMALLY CLOSED CATEGORY : ANNULAR SPACE TANK 0: 1 L 4:89 TURBINE IN-TANK ALARMS TRI-STATE (SINGLE FLOAT) T 1 :HIGH WATER ALARM CATEGORY : STP SUMP T I :LOW PRODUCT ALARM SMHRTS£NSOR SETUP LIQUID SENSOR ALMS - - - - - - - - - - - - L 5:91 ANNULAR L 5:FUEL ALARM TRI--STATE (SINGLE FLOAT) L 6:FUEL ALARM s 1 :DISP 1-2 AFM CATEGORY : ANNULAR SPACE L 5:SENSOR OUT ALARM CATEGORY AIR FLOW METER L 6:SENSOR OUT ALARM L 5:8HORT ALARM s 2:DISP 3-4 AFM L 6:SHORT ALARM CATEGORY AIR FLOW METER L 6:91 TURBINE s 3:DISP 1-2 VPS TRI-STATE (SINGLE FLOAT) CATEGORY VAPOR PRESSURE CATEGORY : STP SUMP Tanknology Inc. 11000N.MoPac Expressway,Suite 500,Austin,Texas 78759 Work Order: 3180344 EVR.=ISD SETUP EVR TYPE: VACUUM ASSISI VACUUM ASSIST TYPE HEALY VAC NOZZLE A/L RANGE MAX: 1 .15 MIN: 0.95 VAPOR PROCESSOR TYPE NONE ANALYSIS TIMES TIME: 9:00 AM DELAY MINUTES: 1 ACCEPT HIGH ORVR: DISABLED 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 04 04 04 02 02 UU ISD AIRFLOW METER MAP ID SERIAL MUM LABEL - 1 20397 DISP 1-2 A 2 26232 DISP 3-4 A ISD FUEL GRADE HOSE MAP 1 2 3 4 FP MHH MHH MHH MHH AA ------------------------ 01 201 101 001 U U 1 02 202 102 002 U U 1 03 203 003 103 U U 2 04 204 104 004 U U 2 LABEL TABLE ------------------------ 1 : UNASSIGNED 2: BLEND3 3: REGULAR 4: MID GRADE 5: PREMIUM 6: GOLD 7: BRONZE 8: SILVER 9: BLEND2 10: BLEND4 PMC SETUP PMC VERSION: 01 .01 VAPOR PROCESSOR TYPE NOME PROCESSOR CONTROL LEVEL: NONE Tanknology Inc. 11000N.MoPac Expressway,Suite 500,Austin,Texas 78759 Work Order: 3180344 CIRCLE K 2708605 5600 AUBURN ST BAKERSFIELO CALIFORNIA CIRCLE K 2708605 3180344 5600 AUBURN ST BAKERSFIELO 01/19/2011 12:47 PM CALIFORNIA 3180344 SUMP LEAK TEST REPORT 01/19/2011 1:19 PM 91UAPOR SUMP LEAK TEST REPORT TEST STARTED 12:32 PM TEST STARTED 01/19/2011 91VAPOR BEGIN LEVEL 3.0046 IN END TIME 12:47 PM TEST STARTED 1:04 PM END DATE 01/19/2011 TEST STARTED 01/19/2011 END LEVEL 3.0039 IN BEGIN LEVEL 3,0018 IN LEAK THRESHOLD 0,002 IN END TIME 1:19 PM TEST RESULT PASSED END DATE 01/19/2011 END LEVEL 3,0018 IN LEAK THRESHOLD 0.002 IN 89VAPDR TEST RESULT PASSED TEST STARTED 12:32 PM TEST STARTED 01/19/2011 89VAPOR BEGIN LEVEL 3.3066 IN END TIME 12:47 PM TEST STARTED 1:04 PM END DATE 01/19/2011 TEST STARTED 01/1912011 END LEVEL 3,3067 IN BEGIN LEVEL 3.3042 IN LEAK THRESHOLD 0.002 111 END TIME 1:19 PM TEST RESULT PASSED END DATE 01/19/2011 END LEVEL 3,3034 IN LEAK THRESHOLD 0,002 IN 87VAPOR TEST RESULT PASSED TEST STARTED 12:32 PM TEST STARTED 01/19/2011 87UAPOR BEGIN LEVEL 3.4482 IN TEST STARTED 1:04 PM END TIME 12:47 PM TEST STARTED 01/19/2011 END DATE 01/19/2011 END LEVEL 3.4484 IN BEGIN LEVEL 3,4479 IN LEAK THRESHOLD 0,002 IN END TIME 1:19 PM TEST RESULT PA END DATE 01/19/2011 SSED END LEVEL 3.4482 IN LEAK THRESHOLD 0,002 IN TEST RESULT PASSED i Tanknology Inc. 1 1000 N.MoPac Expressway,Suite 500,Austin,Texas 78759 Work Order: 3180344 CIRCLE K 2708605 CIRCLE K 2708505 5600 AUBURN ST 5600 AUBURN ST BAKERSFIELD BAKE IELD CALIFORNIA MIFORNIA 3180344 3180344 01/19/2011 11:59 AM 01/19/2011 12:18 PM SUMP LEAK TEST REPORT SUMP LEAK TEST PEPORT 91SPILL 91SPILL TEST STARTED 11:44 AM TEST STARTED 12:03 PM TEST STARTED 01/19/2011 TEST STARTED 01/19/2011 BEGIN LEVEL 2,6081 IN BEGIN LEVEL 2,6081 IN END TIME 11:59 AM END TIME 12:18 PM END DATE 01/1912011 END DATE 01/19/2Dll END LEVEL 2,6081 IN END LEVEL 2,6083 IN LEAK THRESHOLD 0,002 IN LEAK THREMD 0,002 IN TEST RESULT PASSED TEST RESULT PASSED 89SPILL 89SPILL TEST STARTED 11:44 AM TEST STARTED 12:03 PM TEST STARTED 01/19/2011 TEST STARTED 01/19/2011 BEGIN LEVEL 3,2297 IN BEGIN LEVEL 3,2287 IN END TIME 11:59 AM END TIME 12:18 PM END DATE 01/19/2011 END DATE 01/19/2011 END LEVEL 3,2294 IN END LEVEL 3.2275 IN LEAK THRESHOLD 0.002 IN LEAK THRESHOLD 0,002 IN TEST RESULT PASSED TEST RESULT PASSED 87SPILL 87SPILL TEST STARTED 11:44 AM TEST STARTED 12:03 PM TEST STARTED 01/19/2011 I TEST STARTED 01/19/2011 BEGIN LEVEL 3,5280 IN BEGIN LEVEL 3,5274 IN END TIME 11:59 AM END TIME 12:18 PM END DATE 01/19/2011 END DATE 01/19/2011 END LEVEL 3,5275 IN END LEVEL 3.5277 IN LEAK THRESHOLD 0,002 IN LEAK THRESHOLD 0.002 IN TEST RESULT PASSED TEST RESULT PASSED Tanknology Inc. 11000 N.MoPac Expressway,Suite 500,Austin,Texas 78759 I ► T'anknology 11000 N. MoPac Expressway,Suite 500 Austin,Texas 78759 Phone: (512)451-6334 Fax: (512)459-1459 Date Printed and Mailed: 02/03/2011 BAKERSFIELD FIRE DEPARTMENT OFFICE OF ENVIRONMENTAL SERVICES INSPECTOR CRAIG PERKINS 1501 TRUXTUN AVE. BAKERSFIELD, CA. 93301 Test Date: 01/19/2011 Order Number: 3180344 Dear Regulator, Enclosed are the results of recent testing performed at the following facility: CIRCLE K 2708605 5600 AUBURN ST @FAIRFAX RD. BAKERSFIELD, CA. 93306 Testing performed: Leak detector tests Monitor Certification Secondary Containment-Spill Container Sincerely, i�1/ o KA Dawn Kohlmeyer Manager, Field Reporting r � � 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: 01/19/11 WORK ORDER NUMBER: 3180344 CUSTOMER PO: Rex Abacan CLIENT: CIRCLE K STORES SITE:CIRCLE K 2708605 495 E.RINCON,STE.150 5600 AUBURN ST CORONA,CA 92879 @FAIRFAX RD. BAKERSFIELD,CA 93306 REX ABACAN SCOTT-MANAGER (951)270-5193 (661)871-7979 TEST TYPE: TLD-1 Product Pipe Tightness Test Results ELN IMP S � P B F N T1 91 1 PREMIUM DW FIBERG PRESSURE Y T2 87 Ea 2 REGULAR DW FIBERG PRESSURE Y T3 87 We 3 REGULAR DW FIBERG PRESSURE Y Existinq Line Leak Detector Test EXISTIN LEAK D CT0_R � TINGIL '' DETEC7TiQR#2 NE IM UFAC RE MO U L# E # RESU MANUFAC RE ODEL SRI ULT ID T1 91 1 VAPORLESS MLD 09111166 P T2 87 Ea 2 VAPORLESS MLD 09111164 P T3 87 We 3 VAPORLESS MLD Unknown P New Replacement Line Leak Detector Test NE M UFACTUR MOD L IAL# RESUL MAN FA R MODE SERIAL ESUL ID For owner detailed report information,visit www.tanknology.com and select On-Line Reports-WRAP,or contact your local Tanknology office. Tester Name:ROBERT ALLEN Technician Certification Number:3637843760 R Printed 02/03/2011 08:24 ACRAMER INDIVIDUAL TANK INFORMATION AND TEST RESULTS i Tankmailogy TEST DATE: 01/19/11 8501 N MOPAC EXPRESSWAY,SUITE 400 WORK ORDER NUMBER: 3180344 AUSTIN,TEXAS 78759(512)451-6334 CLIENT: CIRCLE K STORES SITE: CIRCLE K 2708605 TANK INF�ORM'AT110N Tank ID: T1 91 1 Tank manifolded: No Bottom to top fill in inches: 92.0, Product: PREMIUM Vent manifolded: YES Bottom to grade in inches: Capacity in gallons: 9,864 Vapor recovery manifolded: YES Fill pipe length in inches: Diameter in inches: 92.00 Overfill protection: YES Fill pipe diameter in inches: 4.0 Length in inches: 345 Overspill protection: YES Stage I vapor recovery: DUAL Material: DW FIBERG Installed: ATG Stage II vapor recovery: ASSIST CP installed on: COMMENTS K TEST SUL es e O I IMEAWIDETE-CiT,011511TESA RRESJQ��Iesumem,o 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 LIFT/OFT: Make: VAPORLESS Fluid volume in gallons: Model: WILD Tank water level in inches: S/N: 09111166 Test time: NOT Open time in sec: 4.00 Number of thermisters: TESTED Holding psi: 25 NOT Specific gravity: Resiliency cc: 75 TESTED Water table depth in inches: Test leak rate ml/m: 189.0 Determined by(method): Metering psi: 15 Leak rate in gph: Calib.leak in gph: 3.00 Result: Results: PASS COMMENTS COMMENTS ULLAG TEST RESULTSTeSt Method:N LIIJE TES RESULTS es type: -LD- Test time: Ullage volume: Material: Dw FIBERG Ullage pressure: Diameter(in): 2.0 Results: Length (ft): 160.0 Test psi: DATA FOR UTS-4T ONLY: Bleedback cc: Time of test 1: Test time (min): Temperature: NOT Start time: NOT NOT NOT NOT Flow rate(cfh): TESTED End time: TESTED TESTED TESTED TESTED Time of test 2: Final gph: Temperature: Result: Flow rate(cfh): Pump type: PRESSURE Time of test 3: Pump make: RED JACKET Temperature: Flow rate(cfh): Impact Valves Operational: YES COMMENTS COMMENTS Printed 02/03/2011 08:24 ACRAMER INDIVIDUAL TANK INFORMATION AND TEST RESULTS Mr T mknology TEST DATE: 01/19/11 8501 N MOPAC EXPRESSWAY,SUITE 400 WORK ORDER NUMBER: 3180344 AUSTIN,TEXAS 78759(512)451-6334 CLIENT: CIRCLE K STORES SITE: CIRCLE K 2708605 �ANIC�INFO A- N Tank ID: T2 87 Ea 2 Tank manifolded: No Bottom to top fill in inches: 92.0 Product: REGULAR Vent manifolded: YES Bottom to grade in inches: Capacity in gallons: 9,864 Vapor recovery manifolded: YES Fill pipe length in inches: Diameter in inches: 92.00 Overfill protection: YES Fill pipe diameter in inches: 4.0 Length in inches: 345 Overspill protection: YES Stage I vapor recovery: DUAL Material: Dw FIBERG Installed: ATG Stage II vapor recovery: ASSIST CP installed on: COMMENTS ST R S MethO D OR T RESO We immed 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 LIFT/OFT: Make: VAPORLESS Fluid volume in gallons: Model: Vim Tank water level in inches: S/N: 09111164 Test time: NOT Open time in sec: 7.00 Number of thermisters: TESTED Holding psi: 25 NOT Specific gravity: Resiliency cc: 80 TESTED Water table depth in inches: Test leak rate ml/m: 189.0 Determined by(method): Metering psi: 17 Leak rate in gph: Calib. leak in gph: 3.00 Result: Results: PASS COMMENTS COMMENTS U G ST RESU TS es MethQd NO �NE TEST RESULTS e• Test time: Ullage volume: Material: Dw FIBERG Ullage pressure: Diameter(in): 2.0 Results: Length (ft): 100.0 Test psi: DATA FOR UTS-4T ONLY: Bleedback cc: Time of test 1: Test time(min): Temperature: NOT Start time: NOT NOT NOT NOT Flow rate(cfh): TESTED End time: TESTED TESTED TESTED TESTED Time of test 2: Final gph: Temperature: Result: Flow rate(cfh): Pump type: PRESSURE Time of test 3: Pump make: RED JACKET Temperature: Flow rate(cfh): Impact Valves Operational: YES COMMENTS COMMENTS IL Printed 02/03/2011 08:24 ACRAMER INDIVIDUAL TANK INFORMATION AND TEST RESULTS r T�nlvmo>bqy TEST DATE: 01/19/11 8501 N MOPAC EXPRESSWAY,SUITE 400 WORK ORDER NUMBER: 3180344 AUSTIN,TEXAS 78759(512)451-6334 CLIENT: CIRCLE K STORES SITE: CIRCLE K 2708605 T/AN INF ff" •N Tank ID: T3 87 we 3 Tank manifolded: No Bottom to top fill in inches: 92.o Product: REGULAR Vent manifolded: YES Bottom to grade in inches: Capacity in gallons: 9,864 Vapor recovery manifolded: YES Fill pipe length in inches: Diameter in inches: 92.00 Overfill protection: YES Fill pipe diameter in inches: 4.0 Length in inches: 345 Overspill protection: YES Stage I vapor recovery: DUAL Material: Dw FIBERG Installed: ATG Stage II vapor recovery: ASSIST CP installed on: COMMENTS T RES Me MENTIE I R ST U 11 , meth od 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: VAPORLESS Fluid volume in gallons: Model: MD Tank water level in inches: S/N: Unkn,� Test time: NOT Open time in sec: 5.00 Number of thermisters: TESTED Holding psi: 25 NOT Specific gravity: Resiliency cc: 80 TESTED Water table depth in inches: Test leak rate ml/m: 189.0 Determined by(method): Metering psi: 15 Leak rate in gph: Calib. leak in gph: 3.00 Result: Results: PASS COMMENTS COMMENTS [UffMGEjT[jE$A1[R-E SU [IJiN Me LIN SITIREP ULfS type Test time: Ullage volume: Material: Dw FIBERG Ullage pressure: Diameter(in): 2.0 Results: Length(ft): 100.0 Test psi: DATA FOR UTS-4T ONLY: Bleedback cc: Time of test 1: Test time (min): Temperature: NOT Start time: NOT NOT NOT NOT Flow rate(cfh): TESTED End time: TESTED TESTED TESTED TESTED Time of test 2: Final gph: Temperature: Result: Flow rate(cfh): Pump type: PRESSURE Time of test 3: Pump make: RED JACKET Temperature: Flow rate(cfh): Impact Valves Operational: YES COMMENTS COMMENTS Printed 02/03/2011 08:24 ACRAMER