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HomeMy WebLinkAboutFMC RESULTS 10-21-10 IIIIIIIIIIIIIII��II� 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.ofRegulations 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 thetechnician who performs the work. keopy of this form must beprovided 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: SULLIVAN PETROLEUM Bldg.No:: Site Address: 6009.COFFEE RD City: BAKERFIELD Zip Facility Contact Person: Contact:Phone No.: ) Make/Model of Monitoring System: TLS-350 INSP.ESTHER ON-SITE Date of Testing(Servtcing: 10/21/2010 B. Inventory of Equipment Tested/Certified .Check the a ro rlate boxes to-indicates fir ni men-ins serviced: Tank ID: UNL87 Tank ID: PREM91 0:In-Tank Gat ging Probe. Model` MAGI ®In-Tank Gwging Probe. Model: MAG1 ®,Annular Space or Vault:Sensor. Model: 303 ®Annular Space or Vault Sensor. Modes: 303 ®Piping Sump)Trebcb Sensor(s). Mode L° 2081:304 ®Piping Sump/Trench Sensor(s). Model: 208-304 ®:Fill Sump Sensor'(s). Model: 208/304 ®Fill Suinp Sonsor(s): Model: 208/.304 ®Mechanical line Leak Detector: Model: FX1V ®Meolianicel U&Leak Detector. Model- FX1 V Electronic Line Leak Detector. Model: ❑Electronic Line Leak,Detector. Model: . •Tank Overfill/High-Levei Sensor. Model: MAGI. ®Tas*.O!erfilla High-Level Sensor. Model::MAGI •Other(specify equipment type and model in Section:E on Page 2). ®Other(specify equipment type and model in Seclion.E oo Page 2). Tank ID: DIESEL. Tank'ID:,. VENT BOX I&In-Tank:Gauging Probe. Model_ MAGI ❑1n-Tank Gauging Probe: Modcl; ®Annular Space or Vawt Sensor. Model: 303 ®Annular Space of Vault Sensor. Model: 304 ®Piping Sump/,Trench Sensor(s). .Model: 2081304. ®Piping Sump/Trenclt;Sesis (§): Model: 208 ®Fill Sump.Sens:m(s). iV 6&L 2081304 Fill Sump Sensoi(s): Model:' ®Medranicall:ine Leak Detector:, Model::FX1 DV ... ❑Mechanical Line Leak,Detector. Model:, .... ❑©e -Line.Lb&Detector, Model-: ❑Electronic Line 1e6A'Detecton Model', ®Tank Overfill/High.Level Sensor. ModeL• MAGI ❑Tank Overfill,/:High-1 ovel Sensor. Model'. .. ®Other(specify.equipmenttype and model in Section'E on'Page 2). ❑6iiier(specify equipment.type and model in Section E on Page'2). Dispenser:ID: 1-2 Dispenser ID: 341 ®Dispeaser_ContainmeatSensor(s). Model: 2081-304 ®I)ispensecContainmentSensor(s): ;Model, 208114 . ®Shear Valve(s). Shear Velve(s): ❑'Dispe.ow Containment Floats)and Chain(s). ❑Dispenser.Contaimnent Float(s)and Chain(s).: Dispenser IDi 54 Dispenser ID: 7-8 ® p r eontin �t >:Dispenser Contairment:Sensor(s). 'Lodes: 20si so4 Hoch::208 304 ®Shear Vahro(i). ®Shear Vaive(s). ❑Dispenser Cbntairiment Floats)and Chain(s)_ Dispenser Pontainment Floaks):and Chain(s)'. Dispenser ID: 9-10 'Dispenser ID: 11-i2' ®Daspceser Contaimnent Sensor(s). Model: 2081304 ®Dispenser Containment Sensors}: Modell.2081-304. ®Shear Valve(s). ®Shem:Valve(s). ❑,D speoser:Contaimneot Float(s)and Chein(s): ❑Dispenses:Contaiwn ent'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=l'certify that the equipment'identified in this document was.inspectedlserviced in accordance;with the manufacturers, guidelines. Attached to`this Certification is information (e g. manufacturers' checkl6b) necessary to verify that this information is correct and a Plot Plan howing;the layout of monitoring uipmetit For,auy equi mentcapable of generating such reports,;l:have also attached a copy of the report;(chick all that apply) System set-tip his ry report Technician Name(print): RYAN MASON Signature: Certification-N6.: A27367 ICC#8029371-UT License,No: 11 809850 Testing Company Name: Rich.Environmental: one No::(661) 392-8687 Testing Company Address: 5643 BROOKS C.T. BAKERSFIELD,CA 93308 Date of Testmg/SdM* 1012112010 Page- 1 of 4 UN-036—1/4 wwwunidocs:org I IIIIIII VIII III IIII 46 Rev.01/17M, Monitoring System Certification I D. Results of Testing/Servicing: Software Version.Installed: ,325:02 Complete the following checklist: ® Yes 0 No* Is the audible alarm:operational? ® Yes 0 No* Is the visual alarm operational? ® Yes O'No* Were all sensors visuall inspected,,� �functionally tested,..and`confirmed operational? IR Yes L] No* Were,all sensors installed at'lowest. int of secondary containment and po dart'' positioned so that other:ecpi>pment will not interfere with their:proper o .on? 0 Yes 0 No* if alarms are relayed A& a remote: monitoring station, is all communications equipment (e.g., modem) 0 NIA. .operational? ® Yes ❑ No* ; For pressurized piping systems; does the turbine automatically abut`down if the piping secondary containment 0 N/A monitoring system detects a leak;fails.to operate,or is electrically disconnected? if yes ywhicli sensors initiate positive shut=down?_ '(Check all that apply): ®.Sump/Trencb Sensors; 0 Dispenser Containment Sensors: Did:you confirm positive shut=down,due'to leaks and o. sensor ® Yes 0 No* For tank systems that utilize the monitoring system as.the primary-tank overfill warning device ;(i e.; no El NIA mechanical overfill prevention valve is installed);.is the overfill warming alarm visible and;audilile at'tbe tank fill point(s)and operating properly? If so,at what percent of tank-capacity hoes the dmfi'trigge0 W/o 0.Yes* ® No Was any monitoring.equipment replaeed? If yes,:identify specific sensors,probes,or other equipmer&ieplaced and'list the manufacturer name and model.for all'replaeftent parts-in.Section E,below. O Yes* 0 N Was liquid found inside any secondary containment systems designed as dry systems? (Check all that apply) [3 Product; 0 Water. If yes,describe causes in'Section E,below. ® Yes 0 No* Was monhoring:system set-up reviewed to ensuro proper:setiings7.Attachset up,"reports,if applicable ® Yes 0:No* Is all"monitoring:eguipment;operational per manufacturer's specifications? *In Section E below,describe.how and.when these deficiencies were'or will.be corrected. E. °Comments. LIQUID WAS ADDED TO UNL87 FILL SUMP ANNULAR, UNL87 STP SUMP ANNULAR AND PREM91 FILL SUMP ANNULAR. -SMART VACUUM SENSORS'NOT LISTED ON FRONT PAGE S:1 UNL87 PRODUCT'SECONDARY 5:2 VAPOR LINE SECONDARY S3 UNL87VENT SECONDARY SA PREMIUM PRODUCT SECONDARY S:5 PREMIUM VENT SECONDARY S:8 DIESEL.VENT SECONDARY S 7 DIESEL PRODUCT SECONDARY Page 2 of 4 uNAM-2/4 www.uo1aomorg Rev: Lgms Monitoring System Certificadon F. In-Tank Gangrog L SIR Equipment: ®'Check this box if tank gaugingis used only;for inventory control. Check this'box if no;tank gauging or 5lR equipment is installed. Tl is,section.must be completed if..in-tank:gaugmg.egwpment is used to perform.leak detection monito intg Complete the following checklist: • Yes ❑ No; Has all:input wiring been inspected for proper'enay,:and termination,including:testing:for ground faults? • Yes p No* Were all tank gauging':probes visually inspected for damage and residue buildup? • Yes ❑ No* Was accuracy of system product level readings tested? • Yes p No* Was accuracy of system:water.level readings.tested? • Yes ❑ No* Wem all probes reinstal]zd.properly? ❑ Yes ❑ No* Were all items on the equipment manufacturer's maintenance checklist completed? *In Sectllon,K below,describe:how,And.when these deficiencies were or will be::correeted. G. Line Leak Detectors.(LLD): ❑ Check ttiis box:if L LDs are not<"installed. Complete the followi ne checklist:" Yes ❑:No* For equipment start-up or annual equipment certification, was a leak simulated to verify IID performance? ❑ N/A (Check all.that apply) Simulated k*&rate: ®3 g.p.h.; 0 0.1 g p:h; 0"02 g.p.h, • Yes ❑ No* Were all LLDs.con&med operational and accutate within regulatory requirements? ` ®'Yes ❑ No* Was the testing;apparatusproperlycalibrated? ® Yes ` ❑ No' F;or mechanicalLLDs„does the LLD restrict:product flow if it detects a leak? ❑ N/A ❑ Yes ❑ No*” .For.eltetronic LLDs,does the turbine automaticallyshut off:if.t he,LLD;detects,a leak? S. N/A ❑ Yes ❑ No* F'or.:electronic',LLDs,does:the turbine.automatically shut off if any portion;of then onitoring system,is disabled ®`N%A or disconnepted- .0 Yes ❑ No For electronic"LLD ,does:t a turbine automatically shut off if any portion of the monitoring system malfunctions ® N/A or IN"a test? ❑ Yes D No* For electronic LLDs,have all accessiblewiring connections been visually inspected? OVA ® Yes ❑ :No* Were all items on the equipment manufacturer's.maintei ance checklist completed? "In Section K.b,6low,.describe how;and wheq these deficiencies'were or will_be'corrected. H. Comments: Page 3 of 4 VN-036; 114 www:anidomorg Rev.01117M Monitoring.System Certification Form:.Addendum.for Vacuum/P.ressure.Intersdtiel Sensors � I. Results of Vacuum/Pressure:Monitoring EquipmentTesting This page should be.used to document.testing and servicing of vacuum:and.pressure interstitial sensors. A copy of this form:must be included with the Monitoring.System Certifcation 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-VEEDEROOT Model:463 :System Type: El Pressure;,;®Vacuum . Sensor ID Component(s).Monitored by this Sensor; UNL PROD SA Sensor Functionality Test Result. Pass; ❑ Fail. Interstitial Communication Test:Result;®Pass; ❑:_ Fail' Component(s)'Monitored`by,this Sensor: VAPOR LINE S:2 Season Functionality.Test.Result:O Pass ❑ Fail Interstitial Communication Test Result: ®Pass; ❑ Fail S Gompoaent(s)Monitored hy`this Sensor: UNL VENT :3 ty: ❑ Fail Interstitial Communication Test Result:R Pass. ❑ Fail Sensor Functionality.Test Result:�:Kass; Components)Monitored-by this Sensor PREMIUM PRODUCT S:4 Sensor Functionality Test Result:N Pass; .[I Fail Interstitial.Communication Test,`Reswt:®Pass; ❑ Fail Componen.t(s)Monitored by this Sensor: PREMIUM:VENT S:5 Sensor Functionality Test Result: ®Pass; ❑ 'Fail' Interstitial Communication T.est,Result:®Pass; ❑ Faii Components),Monitored bythis Sensor.; DIESEL VENT S:6 Sensor Functionality Test;Resuh: ®Pass; ❑ Fail Interstitial Communication Test.Result:Z Pass; ❑ Fail Components)Monitored by this Sensor: DIESEL PROD 8'7 Sensor Functi ' Te ❑ -Fail Interstitial Communication Test Result: 'Pass; ❑ Fail onalrty st Result:.®Pass; Component(s).Monitoed by this Sensor: Sensor Functionality Test.Result ❑Pass;. ❑ 'Fail Interstitial Communication7erst R6ult❑,Pass;, 0.Fail Components)Monitored by:this.Sensor;: Sensor FuncEionality-Test Result:❑Pass;: ❑ Fail Interstitial Communication Test Result:❑.Pass; [] Fail Component(s)Monitored by this Sensor: Sensor Functionality Test.Result:'❑'.Pass;. ❑ Pail. Interstitial:Communication Test Result:.0 Pass ❑ Fail . I3ow wash terstitial.communication verified? ❑ Leak Introduced at Far.End of:Interstitial'Space 0 Gauge; EJ Visual Inspection;. ❑ Other.(Describe in Sec:J below) Was vacuum/pressure restored to°operating.levets in:all initerstitial spaces? .❑Yves ❑No;(Ifno, describe in Sec:J, below) J. Comments; Page 4 of 4 ' If the,sensor tsuccessfully detects a simulated vacuum/pressure..leak introduced in the interstitial space-at the:furthest point from the sensor,vaeuuin/pre' ure has been demoA't'd ed.tci be communicathng thr. ef"ut the:interstice. UN-8MA-111 www:ah16e.arg Rev.4112 M Monitoring System Urtif azio- UST Moniitoring.Site Plan Site Address: 6009.COPPEE RD. BAKERSFIELD:; CA:933.08 7 . ,� . . . . . . . . . . . : : . : , . . . . . . . . . . . . . . . . . . . . . . . . . _ D. . . . . . . . . . . . . . . . : : . : : : . : : : : . . . .. . . . : : : : : : . Date map-was drawn; 1o" IOLI0. Instructions 'If you already have a diagram that shows all.r quired inf©nnation,you may include it, rather than this page, with:your Monitoring System Certification. On ;our site rAan,; 5hav; the;general layout of tanks.and piping. Clearly identify locations of the"following equipment, if installed. monitoring ayaie,n control panels; sensors ,monitoring tank annular:spaces., sumps, dispenser pans, spill container,or of er s&Oddar—c-;fl.:a', «z;,:QiCa, iitecLarcal oi_eleovoaic linE leak deter brs-.and'in:tank liquid level Otgbes.(if used for leak detection).. In the snare prd-7de4;note the date:this Site Plan:was prepared. Page 4 of 4 VN-036—4/4 www.0 nidomorg Rev:01/17/08 RICH ENVIRONMENTAL 3305 BRITTAN ST. BAKERSFIELD, CA. 93308 OFFICE(661)326-8402 FAX(661)326-8934 .PRODUCT LINELEAK DETECTOR TEST WORK SHEET W/0#: FACILITY NAME:._ SULLIVAN PETROLEUM FACILITY ADDRESS-.; 0009 COFFEE ROAD,BAKERSFIELD 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:MECHANICAL YES 9 PASS SERIAL#RED.JACKET PREM91 L/D TYPE"MECHANICAL YES: 10 PASS SERIAL# RED JACKET DIESEL �TYPE:MECHANICAL VES g PASS. SERIAL# REDJACKET AM LID TYPE:. YES PASS SERIAL# NO FAIL I CERTIFY THE ABOVE TESTS:WERE:CONDUCTED ON.THIS DATE ACCORDING TO RED JACKET PUMPS FIELD TEST APPARATUS TESTING PROCEDURE AND LIMITATIONS: THE.MECHANICAL LEAKDETECTOR TEST PASS/FAIL.IS DETERMINED BY USING A I;OW FLOW THRESHOLD TRIP RATE:OF 3 GALLONS.PER>HOUR OR LESS;AT 10P S.L I ACKNOWLEDGE THAT ALL DATA COLLECTED IS TRUE.AND CORRECT TO THE BEST OF MY,KNOWLEDGE.. TECKMCUN:L IWAN MASON SIGNATURE: DATE: 10-21-10 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),should1be provided to'the facility owner/operator fos submittal to the local.r:"egulatory agency. 1. 'FACH ITYPUORMATION Facility Name: SULLIVAN`PETROLEUM Date of Testing. 10-21-10 Facility Address: 6009 COFFEE RD BAKERSF.IELD,:CA' Facility Contact: Phone: Date Local Agency Was Notified of Testing. Name of Local Agency Inspector:(f present during testing):. ESTHER DURAN 2. TESTING CONTRACTOR INFORMATION Company Name: RICH ENVIRONMENTAL. Technician Conducting T.est:, RYAN MASON. Credentials': Q.CSLB Contractor X ICC.Semce Tech. ❑SWRCB.Tank Tester ❑Other(Specify)' License Number(s): 8029371-UT' 3: SPILL BUCKET TESTING 1NFQRMATION Test Method-Used: XHydrostatic ❑Vacuum ❑°Other Test EquipmentUsed:VISUAL Equipment Resolution:0.00 Identify.Spill Bucket(By Tank . 1. z 3 4 Number,; Stored Product, !jc.2 UNL87 PREM91 DIESEL Bucket Installation Type: 0 Direct:Bury- ❑'Direct Bury 0 Direct:Bury ❑Direct.Bury X Contained in Sump X Contained in Sump X.Contained in Sump ❑Cont"ed in Sump Bucket-Diameter: 12" 12" 12 Bucket Depth: 1.6" 16" 16", Wait time between.applying 30 M1N 30;MIN 30 MIN vacuum/water and start oftest: Test Start..Tune(Tj: 9c00AM 9:00AM 9:OOAM Initial:Reading(RI): 14" 14" 14" Test'End Time(TF): 10:OOAM 10 OOAM 10;06AM Final Reading.(RF) 14" 14" 14" Test'Dt ration(TF—Tr): 1-HOUR 1-HOUR. 1-HOUR. Change in Reading(R£-Rt): 0" 099 0" PaWFail Threshold.or Q-00 +/_-0:00' +/-0.00. Criteria'. Comments include p fwmation;on repairrmade prior to:testing, and recommended follow-up for failed tests) CERTIFICATION OF TECHNICIAN RESPONSIBLE TOR CONDUCTING T 19 TESTING I hereby certlfy_tkat all Nee rmutlored in tliis:repon is due,accurate,and in full compliance with,legal requirements. Techaician's Signature. Date: 2140.. 'State laws and regulations do t y require testing to be performed by a.gualified ogntractor:However,;local requirements may be.inore.stringent. Yziur OCT 21,. 2010 12:1.91 1:11 'OMIUNICATIONS SETUP a&1STEM UNITS PORT SETTINGS: U.S. FTWARE REVISION LEVEL STEM .LPiNGUAGE, COMA1 'BOARD s .2. .(FXMOD) VERSION 325.02 , ENGL_TSH BAUD "RATE : .1.:2(20 OFTWARE# 346325-100-C SYSTEM DATE/TIME FORMAT PARITY ODD CREATED - 05.t)8..09.12.51 MON . WyY HH't'14:SS,, xhi STOP BIT_ I STOP DATA,.LEWOTH 7 ATA NO SOFTWARE MODGLE BIG COUNTRY CHEVRON RS-232 SECURITY SYSTEM FEATURES: 6009 COFFEE PD. CODE,. ' DISABLED PERIODIC IN-TAW TESTS BAKERSFIEL�:CA 99308 DIAL TYPE. : TONE ANNUAL. IN=TANK TESTS ANSWER::DN 1 RING MODEM .SETUR STRING SH I FT :T I Pit 1 : DISABLED SHII'I` TIME ;2 : DISABLED DIAL, TONE I.NTERVAL:' '32 SHIFT TIME 3 : DISABLED SHIFT -TIME 4 : DISABLED RECEIVER 'SETUP: TANK PER TST NEEDED WRN fI I SABLED NONE TANK, ANN TST NEEDED WRN . DISABLED LINE ICE-ENABLE METHOD . PASS, L I.NE TEST LINE PER TsT Nii+EDED WRN D.I:SABLED_ LINE: ANN TST NEEDED WRN DISABLED PRINT :TC VOLUMts ENABLED. AUTO DIAL, T I;ME; SETUP: NONE TEMP .COHPENSATION VALUE- (DEG F )` 60..0 STICK` HEI.GHT OFFSET DISABLED— H-PROTOCOL DATA FORMAT HEIGHT DAYLIGHT SAVTNG TIME ENABLED: START :DATE APR,*, WEEK,. 1 SUN START TIME £N@. DATE OCT WEEK 6 SUN RS-232 END OF MESSAGE END, TIME DISABLED. . 2:00 AM AUTO DIAL ALARM SETUP RE-DIRECT LOCAL PRINTOUT - D 1 BA13L:EO EURO PROTOCOL-PREFdX. S' SYSTEM SECURITY CODE 0006bO CUSTOM.ALARM .LABELS' DISABLED 'J?S�atiO IN-TAN SETUP T 2.:PREM1UM - - - - - - - - - -• PRODUCT WDE 2 T 3:DIESEL THERMAL coEFF : .000'700 PRODUCt CODE 3 T .I :UNLEADED TANK DIAMETER 9E..00, 'THERMAL COEFF : .0004.50 PRODUCT CODE t TANK PROFILE '1 PT TANK. DIAMETER 96.00 THERMAL COEFF' 000700. FULL.VOL 12000 TANK PROFILE 1 PT TANK. DIAMETER , §6.:00 FULL 'VOL- 12000 TANK PROFILE 1 PT FULL VOL : 12000 FLOAT SIZE: 4.0 IN. FLOAT BSI'ZE,: 4,.0 IN. WATER WARNING 2,.o FLOAT SIZE: 4.0 1N,. HIGH, WATER LIMIT: 31.-.0 MATER WARNING 2..0 HIGH WATER. LIMIT: 3..0, WATER WARNING 2.0 MAX c7R LABEL .VOL* 1.2000 HIGH WATER LIMIT: 3:0 OVERFILL I`IMIT 90. -MAX OR LABEL VOL: 12000 10800 OVERFILL LIMIT 90% MAX OR LABEL VOL: 12070 HIGH. PRODUCT - 95% 10800 OVERFILL LIMIT, 90% 1140Q, HIGH FRODUCT .95% 10800 DELIVERY' LIMIT .15% . I1400 -HIGH PRODUCT 95e 1800 DELIVERY LIMIT 1.586 11400 1800 DELIVERY LIMIT 15% LOW PRODUCT 10.00 1800 LEAK ALARM LIMI'T;' 99 LQW PRODUCT 1000 SUDDEN LOSS LIMIT : 99 LEAK ALARM LIMIT: 99 'LOW PRODUCT 1000 TANK TILT 2.00 SUDDEN LOSS LJ'MIT: s9 LEAK ALARM LIMIT! 99 PROBE OFFSET 0.00 TANK T. 0.700 SUDDEN LOSS LIMIT: 99 PROBE- OFFSET .0.'00 TANK TILT 3.50' PROBE OFFSET 01:00' SIPHON MANIFOLDED TANKS Ttt.,. .NONE SIPHON MANIFOLDED TANKS LINE MANIFOLDED TANKS To: NONE: 'SIPHON MANIFOLDED TANKS T#: NONE LINE' MAN,IFOLDED TANKS; Tat: NONE Tit: NONE. LINE MANIFOLDED TANKS TO: NONE LEAK MIN, PERbODIC: 1 120 LEAK MIN PER:I ODIC: 1% 120 LEAK MIN PERIODIC: 1%, LEAK: MlN ANNUAL 1 120 120: LEAK MIN ANNUAL : 1% 120 LEAK. MIN ANNUAL Y% 1.20 PEP.I:ODI C TEST TYPE. STANDARD PERIODIC TEST TYPE STANDARD PERIODIC TEST TYPE ANNUAL TEST FAIL STANDARD ALARM DISABLED ANNUAL TEST FAIL ALARM DISABLED ANNUAL TEST :FAIL PERIODIC TEST FAIL ALARM DISABLED ALARM DISABLED .PERIODIC TEST FAIL ALARH .DISABLED 'PERIODIC TEST FAIL GROSS TEST FAIL ALARM DISABLED ALARM DISABLED. GROSS, TEST FAIL ALARM DISABLED CROSS TEST FAIL ANN TEST AVERAGING: OFF ALARM DISABLED PER TES I AVERAGI NG;: OFF ANN. TEST AVERAGING: OFF PER TEST AVERAGING: OFF ANN TEST AVERAGING: OFF, TANK TEST NOTIFY::. OFF PER T8ST AVERAGING: OFF TANK :TEST NOTI F': OFF TNK TST S I,PHOiU BREAK:OFF TANK TEST NOTIFY' OFF TNK TST SIPHON, BREAK:OFF DELIVERY DELAY 1 MIN TNK -TST SIPHON BREAK:OFF PUMP THRESHOLD 10.00% DEL--I.VE,RY 'DELAY 1 MIN PUMP THRESHOLD 1'0.00% .DELIVERY DELAY ;:. 1 Ml N PUMP THRESHOLD 10.00% L1:U PREfI.ANNULAR: L23 .DI:SP 5-b. 1I7'U° DUAL POINT HYDROSTATIC. NORMALLY CLOSED LEAK 'TEST METHOD - - - - CATEGORY ANNULAR SPACE CATEGORY : OTHER SEKSOR-' TEST CAN DATE ALL TANK JAN 15. 2007 START TIME 2:00 AM L1,1 .D;IESEL,STP SUMP L24:DI3P 7'-8 TEST RATE :D,,20 GAL/HR TTRI-STATE (SINGLE FLOAT) TRI-STATE .(SI•NGLE FLOAT) DURATION 2 HOURS CATEGORY STP SUMP CATEGORY DISPENSER PAN TST EARLY STOP:DISABLED L 12 D,I EBEL F I LL..8UMP ,2ND .LEAK TEST REPORT FORMAT NORMALL:Y .CLOSED U61:D,1SP 7 .8 z2ND NORMAL CATEGORY :: OTHER SENSORS, NORMALLY CLOSED CATEGORY OTHER SENSORS LI!3:DIESEL'FII:L SUMP' TRI-STATE ;(SLNGLE FLOAT) L26:DISP 9-10 CATEGORY OTHER SEI SOBS TRI=STATE k.SINGLE FLOAT) CATEGORY DISPENSER PAW ._414::DI£SEL:..:F.ILL SUMP 2ND NORMALLY CLOSED L27:DISP 9-10 2ND •LICUID SENSOR SETUP CATEGORY OTHER SENSORS NORMALLY CLOSED - - - - - - - - - - CATEGORY :: OTHER SENSORS L d :UNL STP SUMP TRI-STATE (SI,NGLE .FLOATi L15:.DIESEL:;ANNULAR.. CATEGORY - STF SUMP DUAL POINT HYDROSTATIC: L26:DISP 11-12., CATEGORY ANNULAR ;SPACE TRI-STATE 4S;TNGLE FLOAT) CATEGORY : DISPENSER PAN L Z.UNL STP SUMP 2ND NORMALLY CLOSED CATEGORY . : OTHER :SENSORS L16:VENT BOX TRI=STATE (.SINGLE FLOAT) L29-DISP 11-12.'2ND CATEGORY OTHER SENSORS NORMALLY CLOSED CATEGORY OTHER-' SENSORS T.,3:UNL F ILL SUMP TRI=STATE (SINGLE FLOAT`3 CFiT1;GORY OTHER SENSORS: L M DENT_:BOX. 2ND TRI-STATE (SINGLE FLOAT) CATEGORY : OTHER SENSORS L 4:UNL FILL SLAP 2ND NORMALLY CLOSET) CATEGORY : OTHER SENSORS L48 D:I:SP._1-2 TRI.-STATE (SINGLE ,FLOAT) CATEGORY DISPENSER PAN L 5::UNL. ANNULAR DUAL POINT HYDROSTATIC PUMP SENSOR SETUP CATEGORY : ANNULAR SPACE L19:DISP 11-2 2ND - - - - - - - NORMALLY CLOSED CATEGORY OTHER SENSORS S,_.1 ;'UNLEADED TANK; ,#: I,: L. G:'PREM STP SUMP DISPENSE MOUE: TRI-STATE .(SINGLE FLOAT) STANDARD .CATEGORY STP SUMP 1_20:DI:SP 3-4 TRI-STATE (SINGLE FLOAT)' S Z:PREMIUM CATEGORY `DISPENSER PAN TANK W.. 2' 1. 7:PREM STP SUMP 2ND DISPENSE MODE: NORMALLY CLOSED STANDARD. CATEGORY OTHER SENSORS L21:DISP 3-4 2ND So 3 DIESEL NORMALLY.. CLOSED' TANK: $ CATEGORY OTHER SENSORS DISPENSE MODE' L 8:PREm FILL SUMP. STANDARD: TRI-STATE (SINGLE FLOAT) CATEGORY : OTHER sENSORs L22:D1SP 5-76 TRI STATE xsI:NGL£ .FLOAT) CATEGORY DISPENSER PAN -L 9.:PREM FILL SUMP 2ND NORMAILY CLOSED CATEGORY OTHER SENSORS v u i r u l•.-xELAt6 SETUP R 3:D`I ESEL 1 � - - - - TYPE: PUMP CONTROL OUTP..UT R I :UNLEADED TANK :: 3 SMARTSENSOR SETUP TYPE; PUMP CONTROL OUTPUT TANK 4: 1 IN-T6NK ALARMS. s .1 :UNL PRODUCT T 3:-LEAK. ALARM CATEGORY VAC SENSOR PLMIP 0, IN-TANK ALARMS. LIQUID SENSOR, ALMS 'R 1 UNLEADED T 1 :LEAK .ALARM L11 :-FUEL, ALARM VOLUMLE':. 200.:0. GALLONS L18, FUEL ALARM RELIEF VALVE: NO LIQUID SENSOR AIMS L2Q:FUEL. ALARM L. 1 -FUEL ALARM L22,:FUEL ALARM: s 2;VAPOR LINE L 6:FUEL ALARM L24:FUEL ALARM CATEGORY VAC SENSOR L1:8:,FUEL ALARM L2:6lFUEIL ALARM PUMP #: L20:FUEL ALARM L28FUEL ALARM. R I UNLEADED. L22lFUEL ALARM Lll.,:SENSOR OUT. :ALARM VOLUME: 115.0 GALLONS . L24:FUEL .ALARhI L26:FUEL ALARM L1$:SENSOR :OUT ALARM- - RELIEF VALVE:: :. NO L2Q:SENSOR OUT ALARP9 L28:FUEL .ALARM: . L22:8ENSOR OUT ALARM s. 3:UNL VENT L 1 :SEN8OR OUT ALARM L24:SENSOR OUT ALARM CATEGORY VAC SENSOR L 6.:SENSOR OUT ALARM L26::SENSOR OUT ALARM PUMP t1`: L18':SENSOR OUT ALARM L2B.:SENSOR OUT,ALAW.. R 1 :,UNL:EADE.D L20::SENSOR OUT ALARM L11:SHORT ALARM VOLUME 20.0 GALLONS L22:SENSOR. OUT ALARM 1.18lSHORT' ALARM RELIEF' VALVE: NO L24:SENSOR OUT ALARM 1.20:SHORT ALARM L26:SENSOR OUT ALARM UZ-SHORT''ALARM s' 4 PREMIUM PRODUCT L28:SENSOR ,OUT..ALARM L24!SHORT ALARM. CATEGORY VAC ;SENSOR L 1.:SHORT ALARM L26:SHORT ALARM PUMP ;#: L 6SHORT ALARM L26:SHORT ALARM: R: 2:.PPEM UM,. L18:SHORT ALARM VOLUME 500..0 GALLONS L20:SHORT ALARM RELIEF VALVE: NO L22:SHORT ALARM L24:SHORT ALARM '5,,5:PREMIUM 'VENT L26,:SHORT ALARM CATEGORY VAC SENSOR L28-SHORT ALARM PUMP' t!: R 2:PREMIUM R 2:PREMIUM VOLUME 20-.:0 G'ALLO S TYPE: • REL.I EF VALVE: : NO PUMP CONTROL OUTPUT TANK 4: 2 s 6:.DIESEL 'VENT CATEGORY' VAC. SENSOR IN-TANK ALARMS R 3:DIESEL, T '2:'.LEAK ALARM VOLUME! .. 200.L GALLONS RELIEF VALVE.: : NO LIQUID SENSOR ALMS L 1 !FUEL AIARM s'.7' D1 ESEL PROD G:F� ALARM CATEGORY VAC SENSOR L1 UEL ALARM PUMP #: L20 :FUEL ALARM R; 3 D,,I;ESEL L22;:FUEL ALARM VOLUME: . 40.0 GALLONS: L24.:FUEL..ALARM :RELIEF VALVE!' :; NO L26:FUEL ALARM 128:'FUELALARM, s 8:ATM L 1 :SENSOR OUT AL ARM CATEGORY ATM !P .SENSOR L 6:SENSOR OUT ALARM L1B.lSENSOR OUT ALARM L20,'S OUT ALARM L22:SENS4R OUT ALARM L24.:SVWOR OUT ALARM L26'.:SENSOR OUT ALARM L28;8£NSOR OUT ALARM 4 1 :SHORT ALARM L 6:SHOj2T ALARM L18:SHORT ALARM L20':SWRT ALARM. L22:SHORT ALARM L24:SHORT ALARM L26':SHORT ALARM L.28, SHORT ALARM �b ALARM HLS'f4RY :REPORT ALAFdl H11 STOPY2 REPORT ALARM HI roW REPORT . ----- SEi�Ok ;ALARM ----- - SYSTEM ALARM. --�- ____ I N-TANK: F1Lr ARM ----- L 1,;UNL. STP SUMP PAPER OUT STP, SUMP OCT 21., 201 D 12:19 W T 2`:PREM I UM FUEL ALARM PRI-NTER ERROR OCT 21. 2010 10':09 AM OCT 21, 2010 12:f9 PM DELIVERY' NEEDED BATTERY IS OFF SEP 27 2010 2:16 PH. AUG 9. 2605 @:GO AM SEP 15, 20,10 Sf 28. AM AUG 2A. 2010 1 :22, .PM' END * . END ri END Xx ALA3�y9 HISTORY REPORT ----- SENSOR ALARM ,ALARM HISTORY REPORT L .2: UNL STP,,SUMP 2ND OTHER SENSORS -=-- IN-TANK .ALARM ----- FUEL ALARM ALARM HISTORY REPORT OCT 2:1, 2010 '12:02 PM T :1 'UNLEADED ---� IN.-TANK ALARM --.--- FUE . ,ALARM . LOW PRODUCT ALARM '� 3:L�I ESEL OCT 21: 2010 10:10 AM JUL 10, 2010 7:16 PM JUL 2. 2010 1:52 P.M TEL ALARM. APR 2. 2010 1:43 PH DELIIIERY.NEEDED OCT 21., 2010 9;:57 AM HIGH ,PRODUCT ALARM SEP 29, 2010 5:53 PM AUG 9. 2005 -8:05 AM SEP 20. 201.0 .6:43 AM. AUG„24., 20.110. 7 :43 PM I NVAL I D FUEL LEVEL. JUL 10. 20.101 7:_55; PM JUL. 2:, 2010 2.:M Pitt APR 2. 20,10. 2:111 PM9 DELIVERY NEEDED. * x * * END ri SEP 13': 201"0 8:30 PM SEP 31 2010 4:19 PM AUG. 20. 2010 9:44 PH 14 iE jE 3f ' 'END: ALARM HISTORY REPORT - SENSOR ALARM ---__ * :* * X END w x W * * L 3,:UN4 FILL SUMP OTHER SENSORS FUEL. ALARM JAN 22: '201.0 10:0.7 AM SENSOR.OUT ALARM JAN: 22. 2010 10;0.5 AM FUEL ALARt f - -- JAN '22. 2010 :10:00 AM .e, rilr�xri h15i:Ul�.Y KtYtiK!' ---- SENSOR PLAR[ti1 �---- L 6.RPEH: STF SL.tp ---- SENSOR ALARM -- ALAFM HISTORY REPORT STP SUMP L 9, PREM' FILL SUMP 2ND .. FUEL ALARM OTHER SENSORS ----- SENSOR ALARM --_-- OCT 21 201. 0, 1.0:07°AM FUEL Al HPM L 4:UNL FILL SUMP 2ND OCT 21, 201;0 10:21 AM OTHER SENSORS FUEL.,ALARM- FUEL ALARM OCT 21, 20W '31:554 AM FUEL ALARM OCT 2.1. 2010 11 =56 AM AWG 9. 2005' 8:05 AM FUEL .ALARM OCT 21, `2010 10:12 AM FUEL ALARM OCT 21, 2010 10:12 AM ALARM' HISTORY REPORT END --� SENSOR ALARM.— ==- L 7:PREM. STP .SUMP 2ND OTHER SENSORS FUEL,ALARM * * END * OCT 2f, 2010 ,I.0::08 AK FUEL ALARM. 9.: 2005 8:d5 AM ALARM HISTORY REPORT SENSOR ALARM ----- L1'L]:PREM ANNULAR ANNULAR. SPACE HIGH LIQUID, ALARM ALARM HISTORY REPORT OCT 21. 2010 10:26 AM — SENSOR.ALARM ----- END * LOW LIQU;ID ►;EARN. L 5UNL ANNULAR OCT. 21, 2010 10-26 AM ANNULAR SPACE HI Gii L,FQU I D'.ALARM. LOW L I QUID ALARM OCT. 21; 20.10 10:27 AM JUL 30,'2.010 10:16 AM LOW .4-1OUID ALARM O.CT 21. 201,0; 10:27 AM HIGH LIQUID'ALARM AUG 4.. 201.0 0:40 AM' .ALARM HISTORY REPORT ----- SENSOR ALARM ----- 'L B:PREM FILL SUMP OTHER SENSORS FUEL�ALARM OCT 21, 201:0 10:14 AM FUEL ALARM * * * .END # * * JAN 21 2010 9;22 PM FUEL ALARM., JAN 20. °2010 2't.46 PM :ALARM H I S'TO-' REPORT ----- SENSOR ALARM ----- L 1 1 :D IESEL STP S Li'IP STP SUMP • FUEL :ALARM OCT .21. 2010 10:04 AM END x X X * END *, ri.nra-i .n i�,i vreY xtrux 1. ���a� __ ----- -SENSOR ALFiRM — v/l ALARM HISTORY REPORT —"-" SENSS3R ALARM —�--- L16:D:ISP 1-2 L15:D`IESEL ANNULAR DISPENSER :FAR ----- SENSOR ALARM ----- ANNULAR SPACE FUEL .ALARM_ LI2' DIESEL FILL SUMP 2ND HIGH LIQUID ALARM OCT 2.1. 26'10 101::46 All OTHER SENSORS OCT 21. 2010 10:25 AM FUEL.ALARM LOW 1 IGUID ALARM` OCT 21 , 2010 i G s 06 AM M OCT 21. 2010 .I;0:24 AM FUEL ALARM JUN 19.. 20.10 3:f8' AM FUEL ALARM AUG 9. 2005 8:05 AM * * END k END :* X. x END �€ ALARM HI'ST4RY REPORT _-- SENSOR ALARM ----- L.19::DISP 1--2 2ND ALARM HISTORY 'REPORT OTHER,:SENSORS FUEL ALARM. ----- SENSOR ALARM-.— --- OCT 21,. 20:10. 10:46 AM LL6;ENT. BOX OTHER.SENSORS ,ALARM HISTORY REPORT FUEL .ALARM OCT 21, 20.10 1:0:49:AM ----- SENSOR ALARM ----- L M:DIESEL FILL SUMP - .OTHER; SENSORS FUEL ALARM OCT ,21'. 2010 '10:15� AM 3s * END x x x w ')c w£ND END. ' :� x ALARM HISTORY REPORT -- -- SENSOR ALARM ALARM HISTORY REPORT L2 PE E 3-4 DISPENSER PAN FUEL ALARM ---- SENSOR :ALARM ----- 60T, 2A , :2010 1`0:44 AM Ll-7 :VENt BOX .2ND OTHER 'SEkWRB ALARM HISTORY REPORT FUEL.ALARM.- OCT ;21�- 20.10 10:49 AM ---- SENSOR ALARM ----- L,14.:UIESEL FILL SUMP 2ND OTHER SENSORS FUEL ALARM &T 21, 2010 10:15 AP1 FUEL ALARM * *. * -END `* SEP @. 20;I C 9:46- AM FUEL ALARM END * ` JUN-11 . 2010 2:'12 'PM rni,rtrtri ni�lvxY xrrVxl � .�J ALARM. .HrSTGR' REPORT w SENSOR ALARM — -- - ----- SENSOR ALARM --.-- L24:E(I;SP 7-8 -- SENSOR ALARM -- L24.:DISP 3-4- 2ND DISPENSER PAN L97 D1SP g ;10 2c�D -- OTHER SENSORS.. FU, ALARM OTHER 'SENS RIS FUEL :1 ,ALARM 0 OCT 2-1.. 2.O 1,0, 10:39 AM F'UEL. .AL.ARM OCT F1. 20I>D 10:,45 AM OCT 21. 2010 10x36. AM 'FUEL ALARM JUL 7, 2010 8:44 AM £ND * m x *E :END :* X END X ALARM HISTORY REPORT ----- SENSOR.ALARM ----- L29:DISP 11-12 AND OTHER SENSORS ALARM HISTORY REPORT FUEL. ALARM. ALARM HISTORY, REPORT WT 21. 2010 10:.34 AM. --- SENSOR ALARM ----- -- ,Sl~NSOR ALARM —=— L22:Di:8P 5-6 L25=DISP, 7 8 2ND DISPENSER PAN OTHER„SENSORS. FUEL FUEL ALARM ALARM, 00T 21, 2010 10::38 AM OCT•21 2010 10:39 Al l FUEL ALARM JUL 7i 2010 6:48 AM FUEL ALARM ALARM: H I STORY REPORT JUL B, 2010 9:01 PM ----- SENSOR ALARM ----- e i OTHER 'SENSORS �tRxEND ALARM HISTORY REPORT — SMARTSENSOR ALARM -- s i':IINL PRODUCT ALARM HISTORY REPORT NO VACUUM—ALARM OCT 21. 2010 11 :04 AM --.— SENSOR ALARM L23:DISP 5 ----- 140, VACUUM ALARM. —'6 2ND . OTHER .SENSORS OCT 21 2010 `11 T 04 AM FUEL ALARM ,OCT 21., 2U 10 1,0:38 AM, ALARM HISTORY REPORT. NO VACUUM ALARM _—_—.SENSOR ALARM ----- 21 . 2010 11 :03 AM L26:DISPt9-40 DISPENSER PAN FUEL ALARM OCT 21, 2010 10':36 AM * END X END x i x X END:,X .* ALARM HISTORY REPORT --- SMARTSENSOR ALARM -- s 5:PREMIUM VENT NO VACUUM:ALARM OCT 21, 2010' 10:59 AM NO VACUUM ALARM JUN 28. 2010 1'225' PM NO VACUUM ALARM JUN 21., 2010 2:44 PM A * x X E14D X x X * yf ALARM HISTORY REPORT -_- SMARTSENSOR ALARM - s 7:D1'ESEL PROD HIGH LIQUID ALARM OCT .21 2010 10:58 AM NO VACUUM ALARM OCT 21'... 2010 10:58 AM NO,VACUUM ALARM SEP S. 2010 11 :59 AM MONITOR CERT. FAILURE REPORT SITE NAME: SULLIVAN PETROLEUM DATE: 10-21-10 ADDRESS:.6009 C.OFFEE'.RD TECHNICIAN R ,MASON (A CITY:,BAKERSFIELD SIGNATURE: REPAIRS: ADDED LIQUID TO,87 FILL SUMP ANNULAR,`87'STP SUMP ANNULAR:AND PREM91 FILL SUMP ANNULAR. PARTS INSTALLED:. NONE THE ABOVE NAMED PERSON TAKES.FULL-RESPONSIBILITY OF NOTIFYING THE APPROPRIATE PARTY TO'HAVE CORRECTIVE ACTION TAKEN TO REPAIR THE ABOVE LISTED PROBLEMS,AND:NOTWYINGRICH 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 CONVIENENCE.