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HomeMy WebLinkAboutFMC 2011 39 MONITORING SYSTEM CERTIFICATION E For Use By All Jurisdictions Within the State of Cal rfornia 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: separate 9ertification or report.must he-preonLd for each monitorine system control'panei by the f echnician<who,performs the work. A copy of,tb s-form must-be provided to the tank system owner/operator. The owner/operator roust submit a copy of*!s.form.to th64ocal;sgency re 'UST systems within 30 days of tesf:date. A. General Information Facility Name: AVO'S SHELL(FAIRFAX SHELL). Bldg.No.: Site Address: 5700 AUBURN ST. City BAKERSFIELD Zip: 93306 Facility Contact Person: AVO Contact Phone No.: (601),303-6608 Make/Model of Monitoring System: TLS-350 INSP,ON.SITE-ERNIE M. Date of Testing/Servicing: 1/7/2011 B. Inventory of Equipment.Tested/Cerlified Check the a date boxes to indicate etdgment ins serviced: Tank m: REGULAR 87 Tank ID: PREMIUM 91 N in-Tank Gauging Probe, Model: MAG ®.In-Tank Gang Probe. Model: MAG ®Annular space of Vault Sensor. Model: 362 ®.Annnlar,Spaee or Vault Sensor. Model:402 0.Piping Sump I Trench Sensor(s). Model:4081W4 ®Piping Sump I Trench Sensor(s): Model:.208/304 N Fill Sump Sensor(s). Model: 208!304 ®Fill Sump:Sensor(s). Model' 2081304 ®Mechanical Line Leak Detector. Modet: FX1V 0 Mechanical Lme:Leak Detector. Model:,FXI V []'Electronic Line LeakDeiecxor. Model: ❑Elembuic Line teak Detector. Model_ ®Tank Overfill/High-Level Sensor. Model::E.O.A..II ®Tank Overfill/High-Level�Sensor. 'Model: E:o.A.-1AAAG Other(specify equipment type and model.in Section,E on Psge2). ❑.Other:(spectfy equipment type and model'in Section.E on Page 2). Tank:ID: DIESEL Tank Elk 0,10-Tank_Gauging Probe. Model: MAG n*T .0 Probe. Model:: ®Annular Space or Vault Sensor.. Model: 302 ❑AnnularSpace,or Vault Sensor., :Model- 0 Piping sump/Trench Sensor(s)_ Model 2081304 ❑PTing,$ump[Trench, Sensor(s). Model: ®Fiq.Sump Sensor(s). Model• 2081304 ❑Fill Sump SeWdr(s). Model: ®:Mechanical.Line Leak Detector, Model' FX1DV ❑Mechanical lane Leak Detectoa: Model: ❑Electronictine Leak Detector. Model: []EleclrojiWLineLmk Detector, Model: ®Tank Overfill/Nigh-Level Sensor. Model: E OA-.MAG ❑Tank Overfill/High-Level Sensoi. Model: Other(specify equipment 1t,pc and model in Secti on E,onyage 2). ❑Other(specify equipment bW:and,model in Section'&an Page 2), Dispenser ID: 112 Dispenser ID: 314 . ®:Dispenser Con pmment Sensor(s). Model:2081304 10 Disperim Contammem Sensor(s). Model: 2081304 ®Shear Vaive(s). 04 Shear Valve(s). . ❑Dispenser.Comainmen(Float(s)and ChWs)• ❑Disimser.Comstinment Float(s).and Chain(s): Dispenser ID: 516 Dispenser ID: 7/8 ®Dispense Containment Seasor(s). Model:.2081304 ®Dispenser Containment Sewor(s). Model: 2081304 ®shm Valve(s). ®Shear Vatve(s). 0 Dispenser Coatainmem.Flont(s)and'Chain(O. ❑Dispenser Containment Float(s)and Chain(s). 'Dispenser lb: 1110 Dispenser ID: 11112 ®Dispenser Containment Sensor(sj. ,Model:'208/304 N Dispenser Containment Sensor(s). Model: 208/304 ®:ShearValve(s). ®Shearvalvo(s),. ❑bispenser:Containment Floats)and Chain(s). ❑Disposer Containment Float(§)`and Chaur(s).. "If the facility contains more tanks.oi'disp nsers,e copythis form, Include:information'.for every.tank and dispenser at t)ie'facility: C. Certific,,BtloII-I certify that the equipment Identified in this document was°inspected/serviced in.a..ceordance with the manufacturers' guidelines. Attached to this Certification is information.(e.g. manufacturers' checklists) necessary to verity that this information is correct-and a Plot Plan showing-,the iayout:of monitoring uipment. For:any equipment capable of generat5ing.such reporls,.I have also, attached:a copy of the report;(aleck all that apply): �System set-up :Alarm history report ,Teclmician.Name;(print): STEVEN MEW Signature: Certification No.: A2853.1 18028980-UT License;No:: _C611 1340' 809850 Testing Covnpany Name: RICH ENVIRONMENTAL Phone No.:(661) 326-8402 Testing Company Address: 3305 BRIITAN RD.BAKERSFIELD,CA.93308 Date of Testing/Servicing: 1/7/2011 Page 1 of 5 UN-M—1/4 I IIIIIII IIII�III IIII 40 www.aoldocs org Rev,0V17/08 I Monitoring System Certification A Results of Testing/Serviciug Software Version Installed: 327.04 Complete the following checklist: 0 Yes ❑ No* Is the audible-alarm operational? 0 Yes ❑ No* . Is the visual alarm operational? 19 Yes ❑ No* Were all.sensois visually inspected;functionally jested,.and confirmed operational?, ® Yes ❑ .No* Were all sensors.installed at lowest paint of secondary containment and positioned.so that other equipment will not"interfere with their proper operation? Yes ❑ No* I If alarms are relayed to a remote monitoring,;station, is all communications equipment (e.g., modem) ® N/A operational? ® Yes ❑.No* For pressurized piping systems; does the turbine automatically shut down if,the piping'secondary containment ❑ N/A monitoring system iietects:a"leak,fails to'operate,or is electrically disconnected? Ifyes wh,ich sensors initiate positive shut-down?' (Check all that apply) ®Sump/Tmnch Sensors; ®Dispenser Containment Sensors. Did you.confirm positive shut-down due to iealts:;and:sensor failure%diseonnection? ®Yes; []No. .0--Yes p .Nor For tank systems"that utilize the monitoring.systeln as the I primary tank overfill warning device (i.e:, no, El N/A, mechanical overfill prevention valve is;installed),°is the overfill.warning alarm visible and audible at the tank fill point(s)and opeiat ng,propere If so,at what percent of tank capacity does the alarm trigger? % ❑ Yes* 0 N Was any monitoring equipment replaced? If yes;identify specific'sensors,probes;or:other:equipment replaced and fig the manufacturer name and model for all:replacemeat_parts in$ecEion,E,below.. ❑ :Yes* ® No Was liquid found inside.any secondary-conWnmenVsystems designed as.dry systems? (Check all that apply) ❑Product; :0.Water: If yes;describe causes in Section E,below: ®,Yes ❑ No* Was monitoring system set-up reviewed to ensure proper settings?Attach set up reports,if applicable ® Yes ❑ No* Is all momtorin&equipment 6perationa1per mannf ch rer's:specifications?. *In:Seetion E below,destribe:how`and when these deRcieacies were or,will'he corrected. E. Comments: i Page, 2 of 5' UN4M-214 wwwxnidomorg Rev.01/17/08 Monitoring System..Certification (cs F. In-Tank Gauging/SIR Equipment: N Check thisbbox if tank gauging is,used only for'inventory control. p Check this box if no tank;gauging.or'SIR,equipmeM is installed. This section must be completed if in-tank gauging equipment is usedto perform leak detection monitoring. Complete the following checklist: El Yes ❑ No* Has_all input wiring been.inspected for proper entry and`tPrcun9fion,including testing for ground faults? •:Yes D No* Were all tank gauging probes visually inspected fordamage and residue buildup? •'Yes ❑ No* Was accuracy of.systcmn product level readings tested? • Yes ❑ No* Was accuracy of system water level readings;tested? Yes ❑ 'No* Were all probes reinst,FAed,properly? ❑ Yes ❑ No* Were all items on-the equipment manufacturer's maintenance checklist'completed? *In Section Ill,below,describe how and when these deficiencies were'or will be corrected. G. Line Leak;Detectors(LLD): ❑ Check this box if LEDs are not installed: complete the fodo-_n st checklist: ® Yes ❑ No* For equipment startup or annual equipment certification, was a leak simulated'to verify ]LLD performance? N/A (Check all than apply)° Simulated,leak rate: ,®3 g.p:h.; ❑01 g.p.h; 1102 g:p:h. ® Yes ❑ No* Wereell LLDs confirmed operationol'and accurate.within regulatory requirements? ® Yes 0 No* Was the testing apparatus properly calibrated? ® Yes :❑ No* For mechanical LLDs;doesAhe LLD restrict product flow if it detects a leak? ❑ N/A C1 Yes ❑No* For electronic LLDs,does the turbine automatically shut`oft'ifthe1LD'detects a leak? N N/A ❑ Yes ❑ Noi For.electronic LLDs does:the turbine automatically shutoff if any portion.of:the monitoring system-is disabled ; N N/A or disconnected? ❑ Yes ❑No* For electronic LLDs;does the tuibine.automaticalty-shut off if any portionlof the monitoring system malfunctions ® N/A or fails a test? Q Yes ❑ No* Eor:electronic LLDs,'have,all'accessible wiring.connections been visually inspected? ® N/A 1.0 Yes 1 ❑ No* I Were all items on the equipment manufacturer.s maintenamce checklist completed? In. Section.L below,describe how and when these:de5ciencies were or will"be corrected, H. Comments: Page 3 of 5 I N-M-.3/4 www an dOMOM Rev.01/17/08 Monitoring System Certification Form:Addendum for'Vsicuum/Pressore..Interstitial Sensors L. Results of Vacuum/Pressure Monitoring Ega pment Testing This page should.be used to document.testiAg..and servicing of vacuum and,pressure.interstitial sensors. A copy of this form must be included with:the Monitoring System Certification.Form, which must;be provided to the tank system owner/operator. The owner/operator must submit,a copy of the Monitoring System Certification.Form to the local agency regulating`UST systems within 30 days of test date. Manufacturer:VEEDER-ROOT Models 463. System Type:[]'Pressure; Vacuum Sensor ID S:9 Sensor Functionality Test Result:' Pass Fad SECONDARY Components)Monitored by this Sensor.r: �PRODUCT:Interstitial Cainmuntcation Test Result-0 Pass; Q Fail SAO Components)Monitored.by this Sensor; 8741 VAPOR RECOVERY SECONDARY Sensor Functionality Test"Result:®Pass; .❑ Fail Interstitial Conimunication Test;Result: 12 Pass; ❑ Fail Component(s)Monitored by this:Sensor:. 87 VENT SECONDARY 3:11. Sensor Functionality Test Result:R Pass; Q Fail Interstitial Communication Test Result:®Pass; ❑ Fail Component(s)Monitored by tbis',Sensor: 91 PRODUCT SECONDARY 5.:12 Sensor Functionality Test Result Z Pass, ❑ :Fail Interstitial Comm unication Test Result:,®.Pass; ❑'Fail Components)Monitored by this Sensor: 91 VENT SECONDARY S:13 Sensor Functionality Test Result::Z Pass; [] Fail Interstitial Communication Test Result Pass; ❑ Fail Components)Monitored by this,;Sensor: DIESEL PRODUCT SECONDARY 5:14 Sensor Functionality Test Resuht Pass;; ❑ Fail Interstitial Communication Test Result: Pass; ❑ Fail. Component(syMonftored.by this Sensor: DIESEL VENT SECONDARY SAS Sensor Functionality Test Result .Pass; Fail interstitial Communication Test Result: Pass; ❑ Fail Component(s)Monitored:by this Sensor: Sensor Functionality Test:Result:❑Pass; Fail Interstitial Communication Test;Result:(]Pass; ❑ ,❑. Fail Component(s)Monitored':by thbs Sensor: Sensor_'FSmctionality Test Result;❑'Pass; ❑: Fail Interstitial Communication Test:Result:❑Pass; ❑ Fail Components)M :bonitoredy this Sensor: SensorFunctionality;Test Result;:❑Pass; Q Fait Interstitial Communication Test Result:❑Pass; ❑ :Fail How was interstitial communication verified? ❑ Leak introduced atFar End.of.Interstitial S ;' ❑ Gauged Z Visual Inspection; ❑ .other(Describe in Sea J, below) Was vacuum/pressure restored'to:operating levels.in all interstitial;spaces? Z Yes ❑No(If no, describe in Sea J,below) J. Comments: Page 4 of 5 ' If the sensor,successfully,detects a snnulated vacuumJpressure.leak.introduced in the interstitial space.at the-furthest point from the sensor,vacumx✓pressure has been demonstrated to be communicatmg:throughout the.irnerstice. UN-036A-171 www.vnidm.org Rev.01!26/06 ?a ,'„' t r Y.!: :S;ti' .. r: '! o° . • +,.a . 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Yr obit IWO Y ,��� RICHENPYRONHEATA:L 3305''BRITTAN ST.BAKERSFIELD.CA. 93308 QFEICE'(661)326-8402`FAX(661, )326-8934 PRODUCT LINE LEAK.DETECTOR TEST WORKSHEET W/O#: FACILITY NAME: AVO'S SHELL FACILITY ADDRESS: 5700 AUBURN ST.BAKERSFIELD,CA. 93306 PRODUCT LINE TYPE: PRESSURE PRODUCT LEAK DETECTOR TYPE TEST TRIP PASS BELOW P.S.I. OR SERIAL NUMBER 3 G.P.H. FAIL UNL87 IM TYPE: FXI-V SERIAL.#.. 6931 YES 10 P.S.I. PASS PREM91 LID TYPE: 7XlV SERIAL# 2573 YES 10.PS.I. PASS DIESEL L/D TYPE: . FX1DV SERIAL.#.. 00(3 YES 10 PS.I. PASS L,D TYPE: PASS YES SERIALk FAIL. I CERTIFY THE ABOVE TESTS WERE CONDUCTED ON THIS'DATE ACCORDING:TO RED JACKET PUMPS FIELD TEST APPARATUS TESTING PROCEDURE AND LEWITATIONS. THE MECHANICAL:LEAK DETECTOR TEST PASS/FAIL:IS DETERMINED BY VSING A LAW FLOW THRESHOLD TRIP RATE,Of 3:GALLONS PER AOUR:OR LESS AT 10 P'S.I..I ACKNOWLEDGE THAT ALL DATA COLLECTED IS TRUE AND,CORRECT TO TBE BEST OF MY KNOWLEDGE, TECHNICIAN: STEVEN OBERT SIGNATURE: DATE: 1/7/11 SWRCB,January 2006 Spill Bucket Testing Report Form This farm is intended for use by contractors performing annual testing of IIST spill contaminent strueiures. The completed form and printouts frowtests(if applicable),should be pravided to the facility owner/operator for submittal to thellocal.regulatory agency. I.: FAGS M INFORMATION Facility Name: AVO'.S SHELL Date of Testing: 0/11 Facility Address: 5700 AUBURN ST:BAKERSFIELD,Ck.93306 Facility Contact: AVO I Phone: (661)303-9608 Date Local Agency Was Notified of Testing: I W27/10 Name.of Local Agency g cy Inspector(tf present:during testing}: ERNIE M. 2. TESTING.CONTRACTOR INFORMATION Company Name: RICH ENVIRONMENTAL Technician Conducting Test: STEVEN;OBERT Credentials: 0 CSLB Contractor X.'ICC Service Tech. 0 SWRCB Tank Tester 0 Other(Specify) License Number(s): 8029980-UT 3. SPILL BUCKET,TESTi q"G INFORMATION Test Method Used: X Hydrostatic 'D Vacuum 0.0ther Test Equipment Used:VISUAL. Equipment Resolution-0 Identify Spill Bucket(By Tank 1 2 PRENIIIUM 91- -3 4' Number,Stored Product eta REGULAR 87-FILL. FILL DIESEL FILL Bucket Installation Type: 0 Direct Bury 0 Direct Bury 13.11 � Bury .0 Direct"B.ury X Contained:in Sump X Contained,-in Sump X Contained in Sump 0 Contained in'Sum Bucket Diameter: 12" 12" '12 Bucket Depth: 14" 14" .14" Wait time between applying vacuum/water and start of test: 3:O MIN 301 MIN 301VIIN Test Start Time:(TD: 0900 6900. 0900 Initial Reading(R0: 12" 12" 12" Test End Time(TF): 1000 1000 1000 Final Reading(RF): IT, `Test Duration(TF—TO: 17HOUR 1-HOUR 1-HOUR .Change.in-Reading( 4x.-R): 0 0 0 Pass/Fail,Threshold or ±l-6:00 +/ 0:00 +/-0.00 Criteria: Ma 11,COMMeUt —(mclude`information on repairs,made prior to testing:and recommended follow-up for failed tests) 1 CERTIFICATION OF.TECHNIC'IAN RESPONSEBLE FOR CONDUCTING THIS TESTING I hereby certify that all the Information,contained In this report is true,accurate,and in full conrpll once with legal requiremenn. Techniciads Signature: Date: 1/7/i.l. 'State laws and regulations.do,not;currently,require testing to be performed by a qualified contractor.However,local requirements maybe more stringent. LVA1 a,4J✓ .+...... `,�I INK 1 b G�rpuls �DL i ur- PMC SETUP 1ST s 1 :PRESS DISP 1-2 EAR TYPE: CATEGORY VAPOR PR£S: PROCESSOR CONTROL LEVEL. VACUUM ASSIST TYPE NONE HEALY"VAG s 2::.FM D i SP 1-2 NOZZLE A/L RANGE CATEGORY AIR FLOW M) MAX: 1 .15 MIN: 0.95 s„ 3:FM DLSP 3-4 VAPOR PROCESSOR TYPE CATEGORY AIR FLOW M) NO. VAPOR PROCESSOR. s 4:FM DLSP 5-6 CATEGORY AIR FLOW M: ANALYSIS :TIMES s 5;FM .DISP 7-8 SOFTWARE REVISION LEVEL TIME": ELAY MINUTES: 1 CATEGORY AIR FLOW M' VERSION 327:,04 SOFTWARE# 34:6327-100-E s 6.,:FH DISP 9-10 CREATED - 07",02.06.. 10.28 ACCEPT HIGH ORVR: CATEGORY AIR FLOW M S-MOD DISABLED s 7:FM DISP 11-12 U LE# 3310160-004.-a" SYSTEM FEATURES: .;` ISD HOSE TABLE CATEGORY AIR FLOW M PERIODIC IN-TANK TESTS 1D FP FL HL AA RR ANNUAL IN=TANK. TESTS ------------------------ s .9:.67 PROD ISD 01, 01 01 02 .01 UU CATEGORY VAC .SENSOR PMC 02 02, 02_ 02 01 UU PUMP #: b3 033 `03 02 '02 UU R; 1.:87 STP 04, 04 04 02: 02 UU. VOLUME: 212.5 GALL© 05 05 05 02 03: UU RELIEF VALVE: NO 06 06 06 02 03 UU x10::87-91 VAPOR 07 07 07 02 04 UU '176: 06 06 02 04, UU CATEGORY VAC SENSOR 09: 09 09 02 05" UU PUMP #: i0 16 i0 02 05 UU R 1 ,87 STP 11 17 11 02 06 UU VOLUME: 254.1 GALLC 12 I'S 12 02 06 UU.. RELIEF VALVE: : NO R 4 OVF-RFfL s11 :87 VENT TVA L' qt ISD AIRFLOW METER MAP CATEGORY VAC ,SENSOF STA ID SERIAL NUM LABEL. PUMP # NC3Rh6gL�LYARD --- ---------- -------- R. 1 67 STP s�"EN 1 10279 FM :DISP 1 VOLUME: 69.0: GALL( TANK #: 2 26735 FM DISP 3 RELIEF VALVE: NO NONE 3 8125 FM DISP 5- 4 110210 FM D18P 7- 12:41 PROD TANy{ A 5 10276 FM DISP 9- CATEGORY VAC SENSOF Q 6 "1",021=1 FM DISP 1.1 PUMP 4.1 ALL. IRFILL R: 2:91 STP AZ.L• p�H PR4DUC RM VOLUME: 226..3 GALL( PRODUCT .A 1 ISD FUEL GRADE..:HOSE MAP RELIEF VALVE: NO 1 3 4 s,13,':91 ENT - - - T - F ---INN MEIN M-- AA- -- VENT VAC SENSOI 01 201 901 1.01 3U 1 PLIMP. #; 02"202 902 102: 3 U 1 R 2:91 STP 03 203 903 103. 3 U: 2. VOLUME: . 55.2 GALLS 04 2104 904 104 3 U 2 RELIEF VALVE:: : NO G5 205 4,05 905 U U 3: 06.,106 206 9106 U U 3 s 14":DIESEL: PROD 07 207 907 .107 1 U U 4 CATEGORY VAC SENSO: 08 '208-:106 908 U U 4 PUMP #;. 09209, 909 f09 3 U 5 R.3::DIESEL STP 16 210 910 11.0. 3 U 5 VOLUME: 240.1 GALL 17 211 `911 Ill 3 U 6 RFu EF VALVE: : NO �. 1.8 212 912 112 3" U 6 515:DIF.SEL VENT - CATEGORY VAC SENSO LABEL TABLE P14p 0 =--=-------------------- R :3::1)IESEL STP I; UNASSIGNED VOLUME!. ,, 45.0 GALL 2: BLEND3 RELIEF VALVE : NO 3: REGULAR. 516:ATM PRESS 4: tit I"D GRADE CATEGORY ATM P SEN 5:: PREMIUM 6: GOLD" 7; 'BRONZE 8: SILVER 9: BLEND2 10: BLEND4 i rU i_AZLMI 5L.1 Ur - - T 3 D.I ESEL - - - - - - - - - - - _......._ PRODUCT CODE 3, THERMAL,COEFF : .000450 L 1 :UNL TANK ANN 1,:67�STP L20:DI'S 1,!-i 2 ANN PE: TANK DIAMETER 89.7.5 DUAL POINT. HYDROSTATIC TRI-STATE (SINGLE L PUMP CONTROL OUTPUT TANK PROFILE 4 PTS: CATEGORY ANNULAR SPACE CATEGORY ANNULAR S NK #: 1 FULL; VOL 11527 67.3 INCH VOL 9379 44.9 I'NCH VOL 5836 22.4 INCH VOL 2271 L 2:PREM TANK ANN (QUID SENSOR ALMS L21:UNL STP 17:FUEL ALARM, DUAL POINT HYDROSTATIC TRI-STATE (SINGLE FL 19:FUEL ALARM ATEGORY ANNULAR SPACE CATEGORY STP SUMP 21 :FUEL ALARM FLOAT SIZE: 3.0 I Ni.` 25:FUEL ALARM WATER WARNING 2.0 27:FUEL ALARM L22:UNL STP ANN HIGH WATER LIMIT: 3.0 L 3:DIESEL TANK ANN 29:FUEL ALARM TR1-STATE (SINGLE FL 31 :FUEL ALARM POINT HYDROSTATIC MAX.OR LABEL VOL: 11527 CATEGORY : ANNULARSPACE CATEGORY ANNULAR S 17:SENSOR OUT ALARM OVERFILL LIMIT 90 19:SENSOR OUT ALARM 10374 21 :SENSOR OUT ALARM HIGH PRODUCT' 95 25•SENSOR OUT ALARM �a L23:PREM STP :117950 L 9:DIESEL STP 27:SENSOR OUT ALARM DELIVERY LIMIT : 10% TRI-STATE (SINGLE FLOAT) TRI-STATE (S.INGLE FL 29:SENSOR OUT ALARM '1200 CATEGORY STP SUMP CATEGORY STP SUMP .31 :SENSOR OUT .ALARM LOW PRODUCT 10017 :D SL'FE ALARMS L24:PREM STP ANN LEAK ALARM.. LIMIT: 99 L10:DIESEL STP ANN SD GROSS PRES FAIL TRI=STATI: (SINGLE FL SD DEGRD PRES.FAIL SUDDEN LOSS LIMIT: X50 TRI-STATE (SINGLE. FLOAT.) CATEGORY ANNULAR 6 SD VAPOR LEAK FAIL TANK TILT 0,00 CATEGORY ANNULAR SPACE PROBE OFFSET 0.00 D HOSE ALARMS ALL GROSS COLLECT FAIL L25:DIS 1-2 81PHON .MANIFOLDED TANKS L11:UNL FILL tLL•DEGRD COLLECT FAIL TRI-STATE (SINGLE FL T# . NONE TRI-STATE (SINGLE FLOAT) CATEGORY : DISPENSEF 2:91 STP LINE MANIFOLDED' TANKS CATEGORY PIPING SUMP T#:. NONE _ PUMP CONTROL OUTPUT L12:UNL FILL ANN INK #: 2 LEAK MLN PERIODIC: 109 TRI=STATE (S:INGLE FLOAT) L26:DIS 1-2 ANN 1200 CATEGORY : ANNULAR',:SPACE NORMALLY CLOSED � CATEGORY '. . ANNULAR :QUID SENSOR ALMS LEAK H N ANNUAL 10Y. .17FUEL ALARM- 1200 .19.FUEL ALARM L1.3:PREM FILL ANN .23•FUEL ALARM L27:DIS 3-4 TRI-STATE (SINGLE FLOAT) .25:FUEL ALARM PERIODIC TEST TYPE CATEGORY' : ANNULAR SPACE TF:I-STATE (SINGLE FI .27:FUEL .ALARM STANDARD CATEGORY : D:ISPENSEI _29:FUEL ALARM .31 :FUEL ALARM ANNUAL TEST FAIL _17 SENSOR OUT'ALARM ALARM DISABLED L14:PREM FILL _19:SENSOR OUT ALARM L28:DIS.:3-4 ANN _23 SENSOR OUT ALARM TR1 STATE (SINGLE .FLOAT) TRI-STATE (SINGLE Fl _25:SENSOR OUT ALARM PERIbIIIC TEST FAIL ` CATEGORY PIPING SUMP CATEGORY : ANNULAR E r:SENSOR OUT ALARM ALARM DISABLED I . :29.SENSOR OUT AI ARM. .,31 :SENSOR OUT ALARM GROSS TEST'FAIL +I TESEL F I L:L ALARM. D'ISABLED ,, STATE (SI`NGLE FLOAT) I.29:DLS 5-6 CATEGORY : P I'P:I NG SUMP TR L-STATE (SINGLE F) 3D SITE ALARMS I SD `GROSS PRES FA 1,L ANN TEST AV.ERAGI;NG: OFF . CATEGORY : .D I SPENS81 ISD DEGRD PRES -FAIL PER TEST Avow,ING:: OFF LSD VAPOR LEAK .FAIL L 1.6.A kEP&L FILL ANN TANK TEST NOTIFY: OFF NR)`7Af Y CLOSED 3D .HOSE. ALARMS CATEGORY ANNULAR SPACE L30:,DIS 5-6 ANN TNK TST SIPHON "BREAK:OFF aI:1. GROSS Ct7LLEGT FAIL TRI=8'fATE (SINGLE F: 4LL:.DE0RD COLLECT FAIL CATEGORY : ANNULAR DELIVERY DELAY, 15. MIN 3:D I ESEL STP PUMP THRES HOLD 10.00 : i 17+D-Per°!3-1'E} � lPE: TRL STATE (SINGLE FLOAT:) • PUMP CONTROL OUTPUT CATEGORY DISPENSER PAN I31 :DIS 7-8 -INK #: 3 TRI-STATE (SI:NGLE F CATEGORY DISPENSE LIS:DIS.9-10 ANN 10ULD :SENSOR ALMS TRI-STATE (S:INGLE FLOAT) L. 9;.F.UEL ALARM CATEGORY : ANNULAR SPACE L :F 1S 7-8 ANN 17; UEL ALARM L32;D L 19:FUEL ALARM TR I-S`T'ATE (S I;NGLE F L25:FUEL ALARM CATEGORY ANNULAR L27..FUEL ALARM L19:DIS 11-12 L 9:SENSOR OUT ALARM TRI:-STATE (SINGLE FLOAT) L17:SEItOR OUT ALARM CATEGORY DISPENSER PAN L1:9.:SENS0R OUT ALARM L25:SENSOR OUT ALARM L.271SI ENSOR .OUT ALARM. 2:PREMILIM vn,i ♦.+Iw r..ra..l Vi DDUCT':CODE 2 - - - - - - - - .� - - _ _ _ - - - - - ERMAL 'COsFF : .000700 T. 1 :UNLEADED - JAN 7. 2011. 8:_10 F NK'D;IAHETER : 89.75 PRODUCT CODE 1 PORT SETTINGS: �� NK PROFILE 4 PTS THERMAL. COEFF '..0007(30. FULL 'VOL 1'1:527 TANK, DIAMETER 1 17,,76 67.3 INCH VOL 9379 TANK PROFIT.:. 20. PTS Comm BOARD 1 (.DIM } SYSTEM UNITS 44.E INCH VOL 5836 RS-232: SECURITY U,S. 22.4 :INCH VOL 2271 F:,ULI; :VOL : 1:9,703 CODE DISABLED SYSTEM LANGUAGE 111..9 INCH VOL- : 19390 ENGLISH 106..0 INCH :VOL 18791 COMM .BOARD ,2 fRS-232) SYSTEM DATEiTIME FOb OAT SIZE: 3..0 INw, 100'.1. INCH':VOL : 18010 BAUD RATE 9600 MON DD YYYY HH.:MM:SE 94.2 INCH VOL A 70,91 PARITY NONE 88.3 INCH, VOL. `I 6062 STOP`BI.T ] STOP FAlRFAX .SHELL MART T,ER' WTER LI 2.0 82.4 INCH VOL 14933 DATA LENGTH: 8 DATA 5700 AUBURN ST GH WATER LIMIT: 3.tI 76 5 1NCH, VOL 13739 t RS-232 SECURITY BAKERSFIELD CA 9330E 70.6 INCH VOL '12507 CODE : DISABLED 661-573-7730 X OR LABEL VOL: 11527' 64.8 1NCH VOL. 11269 ERFILL LIMIT 90% 50.9 INCH VOL : 996,1' Of 10374 53.0 INCH 'VOL B678 SHIFT TIME 1 ISAE GH PRODUCT 95 AUTO TRANSMIT SETTINGS: SHIFT TIME 2 DISAE 10950. 47.. 1 INCH VOL 7409 SHIFT TIME 3 c DISAI ;LIVERY LIMIT 100 41 .2 INCH VOL 6144 AUTO LEAK ALARM LIMIT SHIFT TIME 4 DISAI 1200 35..3 INCH 'VOL 4977 DISABLED , 29.4 INCH VOL 3.324 AUTO HIGH WATER LIPTIT TANK PER TST NEEDED tW PRODUCT , : 1000 23.5 'INCH VOL 278..0. DISABLED DISABLED :AK ALARM LIMIT,: 99 17.7 I:NCH VOL 1855 AUTO ,OVERFILL LIMIT TANK ANN TST NEEDED 11:.6 I:NCH VOL 104.9 DISABLED DISABLED 1DDEN LOSS LIMIT: 50 5. INCH VOL :: 400 AUTO LOW PRODUCT iNK TILT 0.00 DISABLED LINE RE-ENABLE METH( ;OHE OFFS.[ 0.00 AUTO THEFT LIMIT PASS ;LINE TEST FLOAT S12E: 3;.0 `IN: DISABLED PHON,MANIFOLDED TANKS AUTO DELIVERY START LI NE. °PER TST NEEDED , : NONE WATER WARNING _ 2..0 A I;SABI.I:D DISABLED :NE MANIFOLDED TANKS HIGH WATER LIMIT:" 3.0 AUTO DELIVERY END `41 NE ANN TST NEEDED i s NONE D I SABLED D I SARI ED MAX OR LABEL VOL: 19703 AUTO EXTERNAL 11 NPUT ON OVERFILL LIMIT 9,096, DISABLED: PRINT TC VOLUMES 17,732 AUTO EXTERNAL INPUT OFF ENABLED :AK M'I N.PERIODIC: 10'/9 HIGH PRODUCT 95% DISABLED 1200 18716 AUTO SENSOR FUEL ALARM TEMP COMPENSATION DELIVERY LIMIT I0! DISABLED VALUE (DEG F ) El :AK MIN ANNUAL 100 2000 AUTO SENSOR WATER ALARM STICK HEIGHT OFFSET 120D DISABLED DISABLED LOW PRODUCT' 1500 AUTO SENSOR OUT ALARM ULLAGE:: 90% :RIODIG TEST TYPE LEAK ALARM LIMIT: 99' DISABLED STANDARD SUDDEN LOSS LIMIT H-PROTOCOL DATA FORE TANK TILT 1 .00 HEIGHT UNUAL: TEST FAIL PROBE•OFFSET 0.:00 DAYLIGHT SA V.I fVG TI M1 ALARM D I.SABI.ED ENABLED.START BATE :R]ODIC ,TEST FAIL SIPHON, 'MAN I FOLDED TANKS APR :WEEK 1 SUN N ALARM DISABLED TOO NONE START 'TIME LINE hiANIFOLDED TANKS 2:00 AM. X055 TEST FAIL T#:. NONE.. RS=232 END OF MESSAGE END ;DATE ALARM DISABLED DISABLED' OCT WEEK: 6 SUN END TIME 11N TEST AVERAG';ING: OFF LEAK MIN PERIODIC: I0% ' 2.:00 AM 2000: ER TEST AVERAGING: OFF _ RE-DIRECT LOCAL PRIi LEAK MIN ANNUAL 104. PUMP SENSOR SETUP DISABLED MR TEST NOTIFY: OFF 2000 - - _ _ _ _ _ _ _ _ _ EURO PROTOCOL PREFI: NK TST' SIPHON BREAK:OFF S I :UNLEADED $ ELIUERY DELAY 15 MIN PERIODIC TEST TYPE TANK 0, 1 UMP THRESHOLD : 10.00% STANDARD DISPENSE MODE: STANDARD ANNUAL TEST FAIL SYSTEM,SECURITY ALARM DISABLED S 2:PRSMIUM CODE 000000 TAN 2 _` . PERIODIC TEST FAIL DISPENSE MODE: MAINTENANCE HISTORY i�T METHOD ALARM DISABLED STANDARD DISABLED r:Hx - - - - - - - - GROSS. TEST. FAIL 5 3::DIESEL EST ANNUALLY: ALL TANK ALARM DISABLED TANK,.#: 3 TANK CHART SECURITY EC WEEK 1 SUN DISPENSE MODE: DISABLED TART TIME : 2:.30.AM ANN TEST AVERAGING: OFF STANDARD EST RATE :0.20 GAL/HR PER TEST AVERAGING: OFF URATION : 2 HOURS CUSTOM ALARMS TANK TEST NOTIFY .OFF DISABLED ST EARLY STOP;DISABLED TNK TST SIPHON BREAK.OFF EAK TEST REPORT FORMAT MASSDENSITY NORMAL 'DELIVERY 'DELAY 15 MIN DISABLED PUMP THRESHOLD 10.00% MONITOR CERT. FAILURE REPORT SITE NAME.: AVO'S SHELL, DATE : 01/07/11 ADDRESS: 5700 AUBURN ST. TECHNICIAN: STEVEN OBERT CITY: BAKERSFIELD SIGNATURE: `- THE FOLLOWING COMPONENTS WERE REPLACED/REPAIRED TO COMPLETE TESTING. "PAIRS: NONE LABOR: NONE. PARTS INTALLED:: NONE NAME : TITLE : SIGNATURE THE ABOVE NAMED PERSON TAKES'FULL RESPONSIBILITY OF'NOTHWING THE APPROPRIATE PARTY TO.HAVE CORRECTIVE ACTION TAIKEN TO REPAIR THE ABOVE LISTED PROBLEMS AND NOTIFYING RICH ENVIRONMANTAL FOR .ANY NEEDED,RETESTING.THIS ALSO RELEASES RICH ENVIRONMENTAL OF ANY FINES OR PENALTIES OCCURING FROM NON=COMPLIANCE. A COPY OF THIS DOCUMENT HAS BEEN LEFT ON-SITE FOR YOUR GONVIENENCE.