Loading...
HomeMy WebLinkAbout2010 RESULTS 13 MONITORING SYSTEM CERTIFICATION 1E For Use By All Jurisdictions Within the State of California Authority Cited: Chapter 6 7, Health and Safety Code; Chapter 16, Division 3, Title 23, California Code of Regulations This form must be used to document testing and servicing of monitoring equipment. A separate certification or report must be prepared for each monitoring system control panel by the technician who performs the work. A copy of this form must be provided to the tank system owner/operator. The owner/operator must submit a copy of this form to the local agency regulating UST systems within 30 days of this date. A. General Information Facility Name: #360 Farrell's Fastrip Bldg.No.: Site Address: 6401 White Lane City: Bakersfield Zip: 93309 Facility Contact Person: Omero Garcia Contact Phone No.: 661-393-7000 Make/Model of Monitoring System: Veeder-Root TLS-350 Date of Testing/Servicing: 8/16/2010 B. Inventory of Equipment Tested/Certified Check the appropriate boxes to indicate specific equipment Inspected/serviced: Tank ID: 12000 gal. Regular Tank ID: 12000 gal.Super [x] In-Tank Gauging Probe. Model:847390-107 L] In-Tank Gauging Probe. Model:847390-107 [x] Annular Space or Vault Probe. Model:794380-303 [x] Annular Space or Vault Sensor. Model:794380-303 [x] Piping Sump/Trench Sensor(s). Model:794380-208 Piping Sump/Trench Sensor(s). Model: 794380-208 [x] Fill Sump Sensor(s) Model:794380-208 U Fill Sump Sensor(s). Model:794380-208 [x] Mechanical Line Leak Detector. Model:FX1V [x] Mechanical Line Leak Detector. Model: FX1V ❑ Electronic Line Leak Detector. Model: ❑ Electronic Line Leak Detector. Model: U Tank Overfill/High Level Sensor. Model:847390-107 U Tank Overfill/High Leval Sensor. Model: 847390-107 ❑ Other(specify equip.type and model in Sec. E on Pg.2) ❑ Other(specify equip.type and model in Sec. E on Pg. 2) Tank ID: 12000 gal. Diesel Tank iD: [x] In-Tank Gauging Probe. Mode 1:.847390-107 ❑ in-Tank Gauging Probe. Model: [x] Annular Space or Vault Sensor. Model:794380-303 ❑ Annular Space or Vault Sensor. Model: [x] Piping Sump/Trench Sensor(s). Model:794380-208 ❑ Piping Sump/Trench Sensor(s). Model: [x] Fill Sump Sensors(s). Model:794380-208 ❑ Fill Sump Sensor(s). Model: [x] Mechanical Line Leak Decector. Model:FX1DV ❑ Mechanical Line Leak Detector. Model: ❑ Electronic Line Leak Detector. Model: ❑ Electronic Line Leak Detector. Model: [x] Tank Overfill/High Level Sensor. Model:847390-107 ❑ Tank Overfill/High Level Sensor.Model: ❑ Other(specify equip.type and model in Sec. E on Pg.2) ❑ Other(specify equip.typs and model in Sec. E on Pg.2) Dispenser iD: 1 &2 Dispenser ID: 3&4 [x] Dispenser Containment Sensor(s). Model: 794380-208 [x] Dispenser Containment Sensor(s). Model: 794380-208 [7 Shear Valve(s). [�] Shear Valve(s). ❑ Dispenser Containment Float(s)and Chain(s). ❑ Dispenser Containment Float(s)and Chain(s) Dispenser iD: 5&6 Dispenser ID: 7&8 [x] Dispenser Containment Sensor(s). Model: 794380-208 [x] Dispenser Containment Sensor(s).Model: 794380-208 [x] Shear Valve(s). Shear Valve(s). ❑ Dispenser Containment Float(s)and Chains(s). ❑ Dispenser Containment Float(s)and Chain(s). i 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/services in accordance with the manufacturers'guidlines.Attached to this Certification is information(e.g.manufacturers'checklist)necessary to varify that this information is correct and a plot plan showing the layout of monitoring equipment.For equipment capable of generating such reports,1 have attached a copy of the report; (check all that apply) ❑x System Set-up rxlAI#M history report Technician Name(print): Bryan A Self Signature: ' Certification No: 837601 License No:804904 Testing Company Name: Confidence UST Services,Inc. Phone No: 800-339-9930 Site Address: 6401 White Lane,Bakersfield,CA 93309 IIIIIIIIIIIIIIIIIIII 14 _Date of Testing/Servicing: 8/16/2010 IE D. Results of Testing/Servicing Software Version Installed: 327.04 Complete the following checklist: Lx] Yes ❑ No* Is the audible alarm operational? x Yes No* Is tTe—Visual alarm operational? x I Yes No* Were all sensors visually inspected,functionally tested,and confirmed operational? x Yes ❑ No* Were all sensors installed at the lowest point of secondary containment and positioned so that other equipment will not interfere with their proper operation? Yes No* If alarms are relayed to a remote monitoring station, is all communications equipment(e.g.modem) Hx N/A operational? x Yes ❑ No* For pressurized piping systems, does the turbine automatically shut down if the piping secondary ❑N/A containment monitoring system detects a leak,fails to operate, or is electrically disconnected?If yes: which sensors initate positive shut-down? U Sump/Trench Sensors L]Dispenser Containment Sensors Did you confirm positive shut-down due to leaks and sensor failure/disconnected? [X] Yes; ❑ No; U Yes ❑ No* For tank systems that utilize the monitoring system as the primary tank overfill warning device(i.e.no ❑N/A mechanical overfill prevention valve is installed),is the overfill warning alarm visual and audible at the tank fill point(s)and operating properly?If so,at what percent of tank capasity does the alarm trigger? 90 % ❑ Yes* L] 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* E No Was liquid found inside any secondary containment systems designed as dry systems? ❑ Product; ❑ Water. If yes,describe causes in Section E,below. x No* Was monitoring system set-up reviewed to ensure proper settings?Attach set-up reports, if applicable. LxJ Yes No* I Is all monitoring equipment operational per manufacturer's specifications? * In Section E below,discribe how and when these deficiencies were or will be corrected. E. Comments: F. In-Tank Guaging/SIR Equipment: U Check this box if tank guaging is used only for inventory control. ❑ Check this box if tank guaging or SIR equipment is installed. This section must be completed if in-tank guaging equipment is used to perform leak detection monitoring. Complete the following checklist: [X] Yes ❑ No* Has all input wiring been inspected for proper enter and term ination,including testing for ground faults? x Yes No* Were all tank guaging probes visually inspected for damage and residue buildup? Tx] Yes No* Was accuracy of system product level readings tested? x Yes 7 No* Was accuracy of system water level readings tested? x Yes No* Were all probes reinstalled properly? L] Yes ❑ No* Were all items on the equipment manufacturer's maintenance checklist completed? * In the Section H,below,describe how and when these deficiencies were or will be corrected. G. Line Leak Detectors (LLD): ❑Check this box if LLD's are not installed. Complete the following checklist: [x] Yes ❑ No* For equip. start-up or annual equipment certification,was a leak simulated to varify LLD performance? (Check all that apply) Simulated leak rate: ❑3 g.p.h.: 00.1 g.p.h.; ❑0.2 g.p.h.; x Yes No* Were all LLD's confirmed operational and accurate within regulatory requirments? x Yes 7 No Was t e testing apparatus properly calibrated? Yes No For mac anica LLD's,does the LLD restrict product flow if it detects a leak? N/A ❑ Yes No* For electronic LLD's,does the turbine automatically shut off if the LLD detects a leak? [x] N/A ❑ Yes No* For electronic LLD's,does the turbine automatically shut off if any portion of the monitoring system is M N/A disabled or disconnected? ❑ Yes No* For electronic LLD's,does the turbine automatically shut off if any portion of the monitoring system U N/A malfunction or fails a test? ❑ Yes No* For electronic LLD's,have all accessible wiring connections been visually inspected? [� N/A x Yes 10 No I Were all items on the equipment manufacturer's maintenance checklist completed? * In the section H,below,describe how and when these deficiencies were or will be corrected. H. Comments: SYSTEM SETUP - - - - - - - - - - - - COMMUNICATIONS SETUP AUG 16. 2010 8::36 AM - - - - - - - - - - - - PORT SETTINGS: ?ASTRIP SYSTEM UNITS -3401 WHITE LANE U.S. COMM BOARD : I (RS-232) SAYERSFIELD-CA 93309 SYSTEM LANGUAGE BAUD RATE : 9600 ENGLISH PARITY : NONE SYSTEM DATE/TIVIE FORMAT STOP BIT : 1 STOP AUG 16, 2010 8:38 AM MON DD YYYY HH:MM:SS xM DATA LENGTH: 8 DATA RS-232 SECURITY FASTRIP CODE : DISABLED 6401 WHITE LANE SYSTEM STATUS REPORT BAKEP.SFIELD-4A 93309 COMM BOARD 2 tRS-232} - - - - - - - - - - - - BAUD RATE 9600 ALL FUNCTIONS NORMAL PARITY NONE SHIFT TIME 1 7:00 AM STOP BIT I STOP INVENTOR`! REPORT SHIFT TIME 2 DISABLED DATA LENGTH: 8 DATA SHIFT TIME 3 DISABLED RS-232 SECURITY SHIFT TIME 4 DISABLED CODE : DISABLED T 1 :UNL VOLUME - 8641 GALS TANK PER TST NEEDED WRI4 COMM BOARD : 3 (EDIM ULLAGE - 3159 GALS DISABLED RS-232 SECURITY 90% ULLAGE- 1959 GALS TANK ANN TST NEEDED WRN CODE : DISABLED TC VOLUME - 8728 GALS DISABLED HEIGHT = 66.31 INCHES WATER VOL 0 GALS LINE RE-ENABLE METHOD AUTO,TRANSMIT SETTINGS: WATER 0,00 INCHES PASS LINE TEST TEMP - 78.2 DEC. F AUTO LEAK ALARM LIMIT LINE PER TST NEEDED WRN DISABLED DISABLED AUTO HIGH WATER LIMIT T 2:PNL LINE ANN TST NEEDED WRN DISABLED VOLUME _ 4035 GALS DISABLED AUTO OVERFILL LIMIT ULLAGE - 7965 GALS DISABLED 90•% ULLAGE- 6765 GALS PRINT TO VOLUMES AUTO LOW PRODUCT TC VOLUME 3961 GALS ENABLED DISABLED HEIGHT =35.51 INCHES AUTO THEFT LIMIT WATER VOL 0 GALS TEMP COMPENSATION DISABLED WATER - 0.00 INCHES VALUE (DEG F ) : 60.0 AUTO DELIVERY START TEMP 86.3 DEG F STICK HEIGHT OFFSET DISABLED DISABLED AUTO DELIVERY END ULLACE: 9w. DISABLED T 3:DIESEL AUTO EXTERNAL INPUT ON VOLUME = 4671 GALS H-PROTOCOL DATA FORMAT DISABLED ULLAGE - 7329 13ALS HEIGHT AUTO EXTERNAL INPUT OFF -90% ULLAGE- 6129 GALS DAYLIGHT SAVING TIME DISABLED TC VOLUME - 4618 GALS ENABLED AUTO SENSOR FUEL ALARM HEIGHT = 39.61 INCHES START DATE DISABLED WATER VOL - 0 GALS MAR WEEK 2 SUN AUTO SENSOR WATER ALARM WATER - 0.00 INCHES START TIME DISABLED TEMP = 85.3 DEG F 2:00 AM AUTO SENSOR OUT ALARM END DATE DISABLED NOV WEEK I SUN k w R x �k END k w „ x END TIME 2:00 AM RE-DIRECT LOCAL PRINTOUT DISABLED EURO PROTOCOL PREFIX S RS-232 E14D OF MESSAGE DISABLED SYSTEM SECURITY CODE : 000000 MAINTENANCE HISTORY DISABLED TANK CHART SECURITY DISABLED CUSTOM ALARMS DISABLED MASS/DENSITY DISABLED l :7:UIt7tL IN-TANX SETUP T 2:PNL PRODUCT CODE 3 - - - - - - - - - - - - PRODUCT CODE 2 THERMAL COEFF : .000450 THERMAL COEFF : .000700 ER 96 _ T I :UNL TANK DIAMETER 96.00 TANK DIAMTE PT PRODUCT CODE I TANK PROFILE I PT FULL VOL : 12300 THERMAL COEFF : .Uuu7u0 FULL VOL 12000 TANK DIAMETER 96.00 TANK PROFILE i PT FLOAT SIZE: 4.0 IN. FULL VOL 12000 FLOAT SIZE: 4.0 IN. WATER WARNING 2.0 WATER WARNING 2.0 HIGH WATER LIMIT: 3.0 FLOAT SIZE: 4.0 114. HIGH WATER LIMIT: 3.0 MAX OR LABEL VOL: 12000 .DATER WARNING �.0 MAX OR LABEL VOL: 12000 OVERFILL LIMIT 90'/. HIGH WATER LIMIT: 3.0 OVERFILL LIMIT 90% 10800 loaccl HIGH PRODUCT 95% 4AX OR LABEL VOL: 12000 HIGH PRODUCT 95% 11400 DVERFILL LIMIT 90% 11400 DELIVERY LIMIT 15% 10600 DELIVERY LIMIT 15%, 1800 HIGH PRODUCT 95; 1800 11400 LOW PRODUCT 500 DELIVERY LIMIT 15i LOW PRODUCT 500 LEAK ALARM LIMIT: 99 1800 LEAK ALARM LIMIT: 99 SUDDEN LOSS LIMIT: 99 SUDDEN LOSS LIMIT: 99 TANK TILT 10.00 LOW PRODUCT no TANK TILT 0.00 PROBE OFFSET 0.00 LEAK ALARM LIMIT: 99 PROBE OFFSET 0100 SUDDEN LOSS LIMIT: 99 TANK TILT 10.00 SIPHON MANIFOLDED TANKS PROBE OFFSET 0.00 SIPHON MANIFOLDED TANKS TO: NONE T71: NONE LINE MANIFOLDED TANKS LINE MANIFOLDED TA14KS Tv NONE SIPHON MANIFOLDED TANKS Tit: NONE TV: NONE LINE MANIFOLDED TANKS LEAK MIN PERIODIC: 1% TO: NONE LEAK MIN PERIODIC:: 1% 120 120 LEAK MIN ANNUAL 11: LEAK MIN PERIODIC: 1: LEAK MIN ANNUAL : 1`- 120 120 120 LEAK MIN ANNUAL : 1"" PERIODIC TEST TYPE 120 PERIODIC TEST TYPE STANDARD STANDARD ANNUAL TEST FAIL PERIODIC TEST TYPE ANNUAL TEST FAIL ALARM DISABLED STANDARD ALARM DISABLED PERIODIC TEST FAIL ANNUAL TEST FAIL PERIODIC TEST FAIL ALARM DISABLED ALARM DISABLED ALARM DISABLED GROSS TEST FAIL PERIODIC TEST FAIL GROSS TEST FAIL ALARM DISABLED ALARM DISABLED ALARM DISABLED ANN TEST AVERAGING: OFF 'ROSS TEST FAIL ANN TEST AVERAGING: OFF PER TEST AVERAGI NG: OFF ALARM DISABLED PER TEST AVERAGING: OFF TANK TEST NOTIFY: OFF ANN TEST AVERAGING: OFF TANK TEST NOTIFY: OFF PER TEST AVERAGING: OFF TNK TST SIPHON SREAK:OFF T14K TST SIPHON BREAK:OFF TANK TEST NOT 1 F`r': OFF DELIVERY DELAY 1 MIN DELIVERY DELAY 1 MIN PUMP THRESHOLD : 10.00% TNK TST SIPHON BREAK:OFF PUMP THRESHOLD 10.OD°: DELIVERY DELAY 1 1-11N PUMP THRESHOLD 10.00% LEAK TEST METHOD TEST ON DATE : ALL TANK JAN 16, 2006 START TIME : DISABLED TEST RATE :0.20 GAL/HR DURATION : 2 HOURS TST EARLY STOP:DISABLED LEAK TEST REPORT FORMAT 14ORMAL R 2:PNL LIQUID SENSOR SETUP TYPE: - - - - - - - - - - - - PUMP SENSOR SETUP PUMP CONTROL OUTPUT TANK 0: 2 L 1:UNL STP - TRI-STATE (SINGLE FLOAT> S I :UNL LIQUID SENSOR. ALMS CATEGORY : STP SUMP TANK a: 1 L 4:FUEL ALARM DISPENSE MODE: LIO:FUEL ALARM STANDARD L11 :FUEL ALARM L 2:UNL ANN L12:FUEL ALARM DUAL POINT HYDROSTATIC'O, S 2:PNL L13:FUEL ALARM CATEGORY : ANNULAR SPACE TANK 0: 2 L 4:SENSOR OUT ALARM DISPENSE MODE: 1_10:SENSOR OUT ALARM STANDARD Lll :SENSOR OUT ALARM L 3:UNL FILL L12:SENSOR OUT ALARM TRI-STATE (SINGLE FLOAT) L13:SENSOR OUT ALARM CATEGORY : OTHER SENSORS L 4:SHORT ALARM LIO:SHORT ALARM LII :SHORT ALARM L12:SHORT ALARM L 4:PNL STP L13:SHORT ALARM TRI-STATE (SINGLE FLOAT) ISD SITE ALARMS CATEGOR`! : STP SUMP ISD GROSS PRES FAIL OUTPUT RELAY SETUP ISD DEGRD PRES FAIL L 5:PNL FILL - - - - - _ _ _ _ _ _ ISD VAPOR LEAK FAIL TRI-STATE (SINGLE FLOAT) ISD VP PRES S FA ISD VP STATUS IL FA CATEGORY : OTHER SENSORS R I :UNL TYPE: ISD HOSE ALARMS PUMP CONTROL OUTPUT ALL:GROSS COLLECT FAIL L 6:PNL ANN TANK 0: 1 ALL:DEGRD COLLECT FAIL DUAL POINT HYDROSTATIC ALL:FLOW COLLECT FAIL CATEGORY : ANNULAR SPACE LIQUID SENSOR ALMS R 3:DIESEL L ( :FUEL ALARM TYPE: L10:FUEL ALARM STANDARD LiI :FUEL ALARM NORMALLY CLOSED L 7:DIE STP L12:FUEL ALARM TRI-STATE (SINGLE FLOAT) L13:FUEL ALARM TANK 4: 3 CATEGORY : STP SUMP L I :SENSOR OUT ALARM L10:SENSOR OUT ALARM Lll :SENSOR OUT ALARM LIQUID SENSOR. ALMS L 8:DIE FILL L12:SENSOR OUT ALARM L 7:FUEL ALARM TRI-STATE (SINGLE FLOAT) L13:SENSOR OUT ALARM LIO:FUEL ALARM CATEGORY : OTHER SENSORS L ( :SHORT ALARM L12:FUEL ALARM LIO:SHORT ALARM L 7:SENSOR OUT ALARM L11 :SHORT ALARM LIO:SENSOR OUT ALARM L12:SHORT ALARM L12:SENSOR OUT ALARM L 9:DIE ANN L13:SHORT ALARM L 7:SHORT ALARM DUAL POINT HYDROSTATIC; LIO:SHORT ALARM CATEGORY : ANNULAR SPACE ISD SITE ALARMS L12:SHORT ALARM ISD GROSS PRES FAIL ISD DEGRD PRES FAIL R 4:OVERFILL ALARM ISD VAPOR LEAK-FAIL TYPE: LIO:DISP 1-2 ISD VP PRES FAIL STANDARD TRI-STATE (SINGLE FLOAT'S ISD VP STATUS FAIL NORMALLY OPEN CATEGORY : DISPENSER PAN ISD HOSE ALARMS TANK a: NONE ALL:GROSS COLLECT FAIL ALL:DEGRD COLLECT FAIL L11 :DISP 3-4 ALL=FLOW COLLECT FAIL IN-TANK ALARMS TRI-STATE (31NGLE FLOAT) ALL:OVERFILL ALARM CATEGORY : DISPENSER PAN ALL:HIGH PRODUCT ALARM ALL:MAX PRODUCT ALARM L12:DISP 5-6 TRI-STATE (SINGLE FLOAT) CATEGORY : DISPENSER PAN L13:D1SP 7-8 TRI-STATE (SIWLE FLOAT) CATEGORY : DISPENSER PAN S9ARTS£NSOR SETUP s I :V.P SEI9S0R DISP 3-4 EVR TYPE: VACUUM ASSIST CATEGORY VAPOR PRESSURE VACUUM ASSISI' TYPE HEALY VAC a 2:F.M.DISP 1-2 SOFTWARE REVISION LEVEL CATEGORY AIR FLOW METER NOZZLE AIL RANGE VERSION 327.04 MAX: 1 .15 MIN: 0.95 SOFTWAREO 346327-100-E s 3:F.M.DISP 3-4 CREATED - 07.02.06.10.28 CATEGORY AIR FLOW METER VAPOR PROCESSOR TYPE NO VAPOR PROCESSOR S-MODULEO 330160-004-a s 4:F.M.DISP 5-6 SYSTEM FEATURES: CATEGORY AIR FLOW METER PERIODIC IN-TANK TESTS ANALYSIS TIMES ANNUAL IN-TANK TESTS s 5:F.M.DiSP 7-8 TIME: 10:00 AM ISD CATEGORY AIR FLOW METER DELAY MINUTES: I PMC ACCEPT HIGH ORVR: DISABLED ISD HOSE TABLE ID FP FL HL AA RR ------------------------ 01 01 Ol 02 01 UU 02 02 02 02 Ol UU 03 03 03 02 02 UU ALARM HISTORY REPORT 04 04 04 02 02 UU 05 05 05 02 03 UU ---- IN-TANK ALARM ----- 06 '06 06 02 03 UU 07 07 07 02 04 UU T 1 :UNL 08 08 08 02 '04 UU ' OVERFILL ALARM JUL 14, 2010 2:08 PM ISD AIRFLOW METER MAP JUL 4, 2010 11 :04 PM ID SERIAL NUM LABEL OCT 16, 2009 10:18 PM 1 8255 F.M.DISP-1 SUDDEN LOSS ALARM 28272 F.M.DISP 3 AUG 7, 2009 9:34 AM 3 8614 F.M.DISP 5 4 8258 F.M.DISP 7 HIGH PRODUCT ALARM AUG 7. 2009 10:12 AM ISD FUEL GRADE HOSE MAP INVALID FUEL LEVEL 1 2 3 4 AUG 9, 2010 7:58 AM FP MHH MHH MHH MHH AA JUL 22., 2010 6:12 PM --------------- ---------- JUL 7, 2010 4:59 PM 01 201 3o1 901 5 u 1 02 202 302 902 5 U 1 PROBE OUT 03 203 303 903 U U 2 NOV 12. 2009 6:48 PM 04 204 304 904 U U 2 NOV 12, 2009 12:56 PM 05 205 305 905 5 U 3 NOV 12, 2009 7:42 AM 06 206 306' 906 5 U 3 07 207 307 907 U U 4 OB 206 308 908 U U 4 DELIVERY NEEDED AUG 91 2010 6:49 AM JUL 22. 2010 737 F'M LABEL TABLE JUL 7. 2010 4: 17 PM ---------------------- 1 : UNASSIGNED 2: BLEND3 3: REGULAR 4: MID GRADE 5: PREMIUM 6: GOLD 7: BRONZE 8: SILVER 9: BLEND2 10; BLEND4 K x x END x PMC SETUP PROCESSOR CONTROL LEVEL: NONE ALARM HISTORY REPORT ALARM HISTORY REPORT ALARM HISTORY REPORT SENSOR ALARM ----- IN-TANK ALARM ----- SENSOR ALARM ----- L 6:PNL ANN T 2:PNL L I :UNL STP ANNULAR SPACE STP SUMP LOW LIQUID ALARM OVERFILL ALARM FUEL ALARM MAR 1, 2010 2:48 PM AUG 7, 2009 10: 15 All AUG 7. 2009 10:06 All LOW LIQUID ALARM SUDDEI4 LOSS ALARM MAR 1 . 2010 2:46 PM AUG 7. 2009 9:33 AM LOW LIQUID ALARM PROBE OUT AUG 7. 2009 10:27 Ali AUG 7, 2009 10:16 All AUG 7, 2009 9:33 Hm HIGH WATER WARNING AUG 7, 2009 10:13 AM k x x x x END x x x x DELIVERY NEEDED FEB 17, 2010 11 :22 Pl•1 JAN 31 , 2010 2:39 PM x ;: x # END n x x x AUG 7, 2009 10: 16 All LOW TEMP WARNING AUG 7, 2009 10:16 AM ALARM HISTORY REPORT ----- SEI4BOR ALARM ----- L 4:PNL STP STP SUMP FUEL ALARM ALARM HISTORY REPORT AUG 7, 2009 10:07 All ----- SENSOR ALARM ----- '� x x x END : x x x r: L 7:DIE STP STP SUMP FUEL ALARM JUL 26. 2010 6:42 AM FUEL ALARM AUG 7, 2009 10:06 All FUEL ALARM END x R JUL 16, 2009 10:45 AM ALARM HISTORY REPORT ---- IN-TANK ALARM ----- T 3:DIESEL HIGH PRODUCT ALARM AUG 7, 2009 10:17 Hht ii x x END INVALID FUEL LEVEL ALARM HISTORY REPORT MAR 26, 2010 6:42 Pl,1 ----- SENSOR ALARM ----- PROBE OUT L 5:PNL FILL AUG 7, 2009 10:18 AM OTHER SENSORS AUG 7, 2009 9:31 AM FUEL ALARM FEB 27. 2010 12:59 AM DELIVERY NEEDED FUEL ALARM HAR 26, 2010 12:06 P11 DEC 10, 2009 10:Ot PM LOW TEMP WARNING AUGL 72009 5:51 AM AUG 7, 2009 10:19 AM END K x r A.X w x. x END ALARM HISTORY REPORT ALARM HISTORY REPORT ----- SENSOR ALARM ----- SENSOR ALARM ----- L10:DISP 1-2 ALARM HISTORY REPORT L 8:151E FILL DISPENSER PAN OTHER SENSORS SENSOR OUT ALARM ----- SENSOR ALARM ----- FUEL ALARM AUG 7. 2009 10:35 AM L12:DISP 5-6 FEB 21. 2010 5:17 PM DISPENSER PAN FUEL ALARM' SENSOR OUT ALARM FUEL ALARM AUG 7. 2009 9:42 AM AUG 7. 2009 10:35 AM AUG 7, 2009 10:00 All " FUEL ALARM FUEL ALARM AUG 7. 2009 9:43 AM AUG 7. 2009 9:56 AM x x x X x END x x x x x END END x x x x r ALARM HISTORY REPORT ----- SENSOR ALARM ---- Ll1 :DISP 3-4 ALARM HISTORY REPORT ALARM HISTORY REPOP.T DISPENSER PAN FUEL ALARM ----- SENSOR ALARM ----- ----- SENSOR ALARM -- -- AUG 13. 2009 12:42 Phi L13:DISP 7-8 L 9:DIE ANN DISPENSER PAN ANNULAR SPACE SENSOR OUT ALARM SENSOR OUT ALARM .SENSOR OUT ALARM AUG 7. 2009 10:35 AM AUG 7. 2009 10:35 AM AUG 7. 2009 10:35 AM FUEL ALARM FUEL ALARM LOW LIQUID ALARM AUG 7. 200'9 9:39 AM AUG 7, 12009 9:44 AM AUG 7, 2009 to:2B AM i END k x . s x ;( ,s x.I k END K x k k v x x x x END x x x FASTRIP FASTRIP IN-TANK ALARM ----- 6401 WHITE LANE 6401 WHITE LANE T 1 :UNL BA}.ERSFiELD,�A 93369 SAKERSFIELD-CA 93309 HIGH PRODUCT ALARM AUG 16, 2010 9:34 AM AUG 16. 2010 9:36 AM AUG 16, 2010 9:37 AM SYSTEM STATUS REPORT - - - SYSTEM STATLO REPORT T 1 :LOW TEMP WARNING ALL FUNCTIONS NORMAL T 2:OUERFILL ALARM ---- IN-TANK ALARM ----- T 1 :UNL PROBE OUT AUG 16, 2010 9:34 AM ---- IN-TANK ALARM ----- T 3:DIESEL HIGH PRODUCT ALARM ---- IN-TANK ALARM ----- AUG 16, 2010 9:36 AM T 2:PNL PROBE OUT ---- IN-TANK ALARM ----- AUG 16. 2010 9:36 Alh T I :UNL LOW TEMP WARNING AUG 16. 2010 9:35 AM FA.STR I P 6401 WHITE LANE BAKERSFIELD.CA 93309 FASTRIP 6401 WHITE LANE AUG 16. 2010 9:36 AM BAKERSFIELD,CA 93309 ---- 114-TANK ALARM ----- T 2:P14L OVERFILL ALARM AUG 16, 2010 9:36 Aft SYSTEM STATUS REPORT AUG 16. 2010 9:36 AM _ _ T 3:HIGH PRODUCT ALARM SYSTEM STATUS REPORT T I :LOW TEMP WARNING T 2:PROSE OUT FASTRIP 6401 WHITE LANE BAKEP.SFIELD.GA 93309 FASTRIP AUG 16. 2010 9:36 AM 6401 WHITE LANE BAKERSFIELD,CA 93309 SYSTEM STATUS REPORT ---- 114-TANK ALARM --- AUG 16, 2010 9:313 AM - - - - - - - - - - T 2:PNL T 1 :LOW TEKP WARNING LOW TEMP WARNING T OVERFILL ALARM AUG 16, 2010 9:37 Am SYSTEM STATUS REPORT - _ T 3:HIGHPRODUCT ALARM FASTRIP T 2:PNL 6401 WHITE LANE INVENTORY INCREASE HAY.ERSFIELD.CA 93309 INCREASE START AUG 16. 2010 9:35 AM AUG 16, 2010 9:38 AM VOLUME - 7925 GALS HEIGHT - 60.23 INCHES ----- SENSOR ALARM ----- WATER - 0.83 INCHES L 9:DIE ANN SYSTEM STATUS REPORT TEMP = 92.2 DEC F ANNULAR SPACE - - - - - - - - - - - - SENSOR OUT ALARM T 3:H1GH PRODLK T ALARM AUG 16. 2010 9:40 AM INCREASE END AUG 16. 2010 9:38 AM VOLUME = 11160 GALS HEIGHT - 84.25 INCHES WATER - 0.84 INCHES TEMP = 92.0 DEG F :,ROSS INCREASE- 3235 ----- SENSOR ALARM ----- TC NET INCREASE- 3164 LIO:DISP 1-2 IN-TANK ALARM ---- DISPENSER PAN T 3:DIESEL SENSOR OUT ALARM PROBE OUT AUG 16, 2010 9:40 AM AUG 16. 2010 9:36 RM ---- IN-TAN); ALARM ----- ----- SENSOR ALARM ----- T I :UNL T 3:DIESEL L11 :DISP 3-4 INVENTORY INCREASE LOW TEMP WARNING DISPENSER PAN AUG 16. 2010 9:39 AM SENSOR OUT ALARM INCREASE START AUG 16, 2010 9:41 AM AUG 16. 2010 9:35 AM VOLUME 6639 GALS HEIGHT - 52.02 II.•HES WATER - 0.00 INCHES TEMP -99.0 DEG F INCREASE END T 3:DIESEL AUG 16. 2010 9:38 AM INVENTORY INCREASE ----- SENSOR ALARM ----- L12:DISP 5-6 VOLUME a 8811 GALS INCREASE START DISPENSER PAN HEIGHT - 66.10 INCHES AUG 16, 2010 9:37 All SENSOR OUT ALARM WATER v 0.00 INCHES AUG 16. 2010 9:41 AM TEMP - -99.0 DEG F VOLUTE - 7367 GALS HEIGHT - 56.63 INCHES WATER - 0.88 1NCWES GROSS INCREASE- 2172 TEMP - 92.5 DEG F TO NET INCREASE- 2414 INCREASE END AUG 16. 2010 9:40 AM VOLUME - 9476 GALS ----- SENSOR ALARM ----- HEIGHT - 70.72 INCHES L13:DISP 7-8 WATER = 1 .17 INCHES DISPENSER PAN TEMP - 92.2 DEG F SENSOR OUT ALARM AUG 16. 2010 9:41 AM GROSS INCREASE- 2109 TC NET INCREASE- 2080 ARCHIVE UTILITY FEE 6, 2007 5:00 AM RESTORE SETUP DATA: FASTk1P END TIME: 6401 WHITE LANE FEB 6, 2007 8:05:26 AM BAKERSFIELD,CA 93309 SYSTEM STATUS REPORT SYSTEM SETUP - AUG 16, 2.010 9:41 AM ALL FUN(::TIONS NORI94tL FEB 6, 2007 8:05 AM- - SYSTEP1 STATUS REPORT SYSTEM UNITS U.S. L S:SEN-OR OUT ALARM SYSTEM LANGUFiGE ENGLISH L10:SEIVSOR OUT ALARM SYSTEM DATE/TIME FORT L12:8ENSOR OUT HLARh] ---- ISD SITE ALARM ---- MON DD YYYY HH:MM:SS :,1°) MISSING TANK SETUP FASTRIP FEB 6, 2007 8:01 AM 6401 WHITE LANE BAKERSFIELD.CA 93309 SHIFT TIME 1 7:00 AM SHIFT TIME 2 DISABLED SHIFT TIME 3 DISABLED SHIFT TIME 4 DISABLED TANK PER TST NEEDED WRN SY5TEP1 RESET ---- ISD SITE ALARM ---- DISABLED FEB 6. 2007 8:00 Arl MISSING HOSE SETUP TANK ANN TST NEEDED WRN FEB 6, 2007 @:O! AM DISABLED LINE RE-ENABLE METHOD PASS LINE TEST LINE PER TST NEEDED WRN DISABLED LINE ANN TST NEEDED WRN DISABLED ISD SITE ALARM ---- PRINT TC VOLUMES ARI-HIVE UTILITY MISS VAPOR FLOW MTR ENABLED FEB E. 2007 8:01 All RESTORE SETUP DATA: TEMP COMPENSATION START TIME: VALUE (DEG, F ) : 60.0 FEB 6, 2007 8:00:1=1 41 STICK HEIGHT OFFSET DISABLED ULLAGE: 90% H-PROTOCOL DATA FORMAT HEIGHT ---- ISD SITE ALARM ---- DAYLIGHT SAVING TIME ENABLED MISS VAPOR PRES BEN START DATE FEB 6, 2007 8:01 AM MAR WEEK _ SUN START TIME 2:00 AM END DATE NOV WEEK 1 SUN END TIME 2:00 AM RE-DIRECT LOCAL PRINTOUT DISABLED EURO PROTOCOL PREFIX S SYSTEM SECURITY CODE : 000000 MAINTENANCE HISTORY DISABLED TANK CHART SECURIT:' DISABLED CUSTOM ALARMS DISABLED MASS/DENSIT`! DISABLED T 2:P1L COMMUNICATIONS SETUP PRODUCT CODE 2 1N-TAN14 SETUP THERMAL COEFF :.000700 - - - - - - - - - - - - - - TANK DIAMETER 96.00 TANK PROFILE I PT PORT SETTINGS: T 1 :UNL FULL VOL 12000 PRODUCT CODE I COMM BOARD 1 (RS-2321 THERMAL COEFF : .000?00 BAUD RATE 9600 TANK DIAMETER 96.00 FLOAT SIZE: d.0 IN_ PARITY NONE TANK PROFILE 1 PT STOP BIT 1 STOP FULL VOL 12000 WATER WARNING : 2.0 DATA LENGTH: 8 DATA HIGH WATER LIMIT: 3.0 RS-•232 SECURITY FLOAT SIZE: 4.0 IN. MATS OR LABEL VOL: 12000 CODE : DISABLED OVERFILL LIMIT 90/ COMM BOARD 2 IRS-232> WATER WARNING 2.0 10800 BAUD RATE 9600 HIGH WATER LIMIT: 3.0 HIGH PRODUCT 95v. PARITY NONE 11400 STOP BIT I STOP MAX OR LABEL VOL: 12000 DELIVERY LIMIT 15% DATA LENGTH: 8 DATA OVERFILL LIMIT 901% 1800 RS-232 SECURITY 10800 CODE : DISABLED HIGH PRODUCT 95% LOW PRODUCT 500 11400 LEAK ALARM LIMIT: 99 COMM BOARD 3 (EDlrt t DELIVERY LIMIT 15% SUDDEN LOSS LIMIT: 99 RS-232 SECURITY PROBE TANK TILT 0.00 PROBE OFFSET 0.00 CODE : DISABLED LOW PRODUCT 500 LEAK ALARM LIMIT: 99 AUTO TRANSMIT SETTINGS: SUDDEN LOSS LIMIT: 99 SIPHON MANIFOLDED TANKS TANK TILT 10.00 TO: NONE AUTO LEAK ALARM LIMIT PROBE OFFSET 0.00 LINE MANIFOLDED TANKS DISABLED TO: NONE AUTO HIGH WATER LIMIT SIPHON MANIFOLDED TANKS DISABLED TO: NONE LEAK MIN PERIODIC: 1% AUTO OVERFILL LIMIT DISABLED LINE MANIFOLDED TANKS 120 AUTO LOW PRODUCT Tp: NONE LEAK MIN ANNUAL : 1% DISABLED 120 AUTO THEFT LIMIT LEAK MIN PERIODIC: IV DISABLED 120 AUTO DELIVERY START PERIODIC TEST TYPE DISABLED LEAK MIN AN14UAL 11% STANDARD AUTO DELIVERY END DISABLED ANNUAL TEST FAIL AUTO EXTER14AL INPUT ON ALARM DISABLED DISABLED AUTO EXTERNAL INPUT OFF PERIODIC TEST TYPE DISABLED STANDARD PERIODIC TEST FAIL AUTO SENSOR FUEL ALARM ALARM DISABLED DISABLED ANNUAL TEST FAIL AUTO SENSOR WATER ALARM DISABLED GROSS TEST FAIL DISABLED ALARM DISABLED AUTO SENSOR OUT ALARM PERIODIC TEST DISABLED ALARM M DISABLED ANN TEST AVERAGING: OFF PER TEST AVERAGING: OFF GROSS TEST FAIL ALARM DISABLED TANK TEST NOTIFY: OFF ANN TEST AVERAGING: OFF TNK TST SIPHON BREAK:OFF PER TEST AVERAGING: OFF DELIVERY DELAY 1 MIN TANK TEST NOTIFY: OFF PUMP THRESHOLD 10.00'. RS-232 END OF MESSAGE TNK TST SIPHON 9REAr:OFF DISABLED DELIVERY DELAY 1 MIN PUMP THRESHOLD 10.00Y T 3:DIESEL PRODUCT CODE 3 LIQUID SENSOR SETUP PIU�IP SENSOR SETUP _ THERMAL COEFF : .000450 - - - - - - - - - - - - TANK DIAMETER 96.00 _ TANK PROFILE 1 PT L 1 :UNL STP S I .UNL FULL VOL 12000 TRI-STATE (SINGLE FLOATS I CATEGORY : STP SUMP TA PENBF i'IODE FLOAT SIZE: 4.0 IN. STANDARD L 2:UNL ANN S 2;PNL WATER WARNING 2.0 DUAL POINT HYDROSTATIC TANK 0; 2 HIGH WATER LIMIT: 3.0 CATEGORY ANNULAR SPACE DISPENSE MODE' MAX OR LABEL VOL: 12000 STANDARD OVERFILL LIMIT 90% 10800 L 3:UNL FILL HIGH PRODUCT 95% TRI-STATE (SINGLE FLOAT) 11400 CATEGORY : OTHER SENSORS DELIVERY LIMIT 15% 1800 LOW PRODUCT 500 L 4:PNL STP LEAK ALARM LIMIT: 99 TRI-STATE (SINGLE FLOAT) SUDDEN LOSS LIMIT: 99 CATEGORY : STP SUMP TANK TILT 10.00 OUIF M RELAY SETUP PROBE OFFSET 0.00 L 5:PNL FILL TRI-STATE (SINGLE FLOAT) R 1 ;UNL SIPHON MaNIFOLDEL TANKS CATEGORY : OTHER SENSORS TO: N014E T',PE CONTROL OUTPUT LINE MANIFOLDED TANKS TA pwp K >s: I TO: NONE L 6:PNL ANN LEAK MIN PERIODIC: 19G DUAL POINT HYDROSTHTIC SENSOR A CATEGORY : ANNULAR. SPACE L�j{FUEL ALARM 120 L10:FUEL ALARM LEAK MIN ANNUAL 14 L11-FUEL ALARM L12:FUEL ALARM 120 L 7:DIE STP L13"FUEL A OUT ALARM TRI-STATE (SINGLE FLOAT) CATEGORY : STP SUMP L.10' 1 p:SENSOR OUT ALARM PERIODIC TEST TYPE LII;SENSOR OUT ALARM STANDARD L12;SENSOR OUT ALA ANNUAL TEST FAIL TRe-STATE I(SIIVGLE FLOAT) L13•SENSOR S ALARM L I :SµORT ALARM DISABLED CATEGORY OTHER aEWSORS L10.SHORT ALARM P)rR l OD 1 G TEST 'FA i L Lit '. RT ALARM ALARM D I SABI ED L13;SHORT ALA GROSS TEST FAIL L DUAL ANN ALARM D[SHBLEG DUAL POINT HYDROSTATIC tSD SITE ALARt'S FAIL CATEGORY : ANNULAR SPACE GROSS PRES 1 Sl) DEGRD PRE K FAIL ANN TEST AVERAGING: OFF ISO VAPOR LEAK, PER TEST AVERAGING: OFF VP PRES 1SD STATUS FAIL LlO:D1SP 1-2 VP ST TANK, TEST NOTIFY: OFF TRI-STATE (SlWLE FLOAT) SSD F1+}::4FF CATEGORY : DISPENSER PAN 1SD HOSE AL Q�EVT FAIL TNK TST SIPHON BR ALL;GROSS COLLECT FAIL DELIVERY DELAY 1 MlN ALL FLOW COLLECT FAIL PUMP THRESHOLD 10.00% L11 :DISP 3-4 HLL TRI-STATE (SINGLE FLOAT) CATEGORY : DISPENSER PAN L12:DISP 5-6 TRI-STATE (SINGLE FLOAT) CATEGORY : DISPENSER PAN L13:D1SP 7-8 LEAK TEST METHOD TRI-STATE (SINGLE FLOAT) - - - - - - - - - - - CATEGORY DISPENSER PAN TEST ON DATE : ALL TANK JAN 16. 2006 START TIME : DISABLED TEST RATE :0.20 GAL.,HR DURATION : 2 HOURS TST EARLY STOP:DISABLEG .LEAK TEST REPORT FORMAT NORMAL R 2:PNL ISD AIRFLOW METER hWP TYPE: SMARTSENSOR SETUP ID SERIAL NUM LABEL PUMP,CONTROL OUTPUT - - - - - — - - - - - ------------------------ _ TANK p: 2 l 0 F.M.DISP 1 S I :V.P SENSOR DISP 3-4 2 0 F.M.DISP 3 CATEGORY VAPOR PRESSURE 4 0 F .M .DISP 7 LIQUID SENSOR ALMS L 4:FUEL LARII s 2:F.M.DISP 1-2 1_10:FUEL ALARM CATEGORY AIR FLOW'METER L1l :FUEL ALARM ISD FUEL GRADE HOSE MAP L12:FUEL ALARM s 3:F.M.DISP 3-4 1 2 3 4 L13:FUEL ALARM CATEGORY AIR FLOW METER FP MHH MHH MHH MHH AA L 4:SENSOR OUT ALARM ------------------------ LIO:SENSOR OUT ALARM s 4:F.M.DISP 5-6 O1 201 301 901 5 U I LII:SENSOR OUT ALARM CATEGORY AIR FLOW METER 02 202 302 902 5 U I L12:SENSOR OUT ALARM 03 203 303 903 U U 2 L13:SENSOR OUT ALARM s 5:F.M.DISP 7-8 04 204 304 904 U U 2 L 4:SHORT ALARM CATEGORY AIR FLOW METER . 05 205 305 905 5 U 3 LIO:SHORT ALARM 06 206 306 906 5 U 3 LII :SHORT ALARM 07 207 307 907 U U 4 L12:SHORT ALARM 08 208 308 908 U U 4 L13:SHORT ALARM ISD SITE ALARMS LABEL TABLE ISD GROSS PRES FAIL --------------'---- ISD DEGRD PRES FAIL 1: UNASSIGNED ISD VAPOR LEAK FAIL 2: BLEND3 ISD VP PRES FAIL 47 3: REGULAR ISD VP STATUS FAIL 4: MID GRADE 5: PREMIUM ISD HOSE ALARMS M 6: GOLD ALL:GROSS COLLECT FAIL 7: BRONZE ALL:DEGRD COLLECT FAIL £VR/ISD SETUP '-.' B: SILVER ALL:FLOW COLLECT FAIL 9: BLEND2 V0: BLEND4 R 3:DIESEL TYPE: EVR TYPE: VACUUM /FIST STANDARD VACUUM ASSIST TYPE NORMALLY CLOSED HEALY VAC TANK 9: 3 NOZZLE A/L RANGE MAX: 1 .15 MIN: 0.95 LIQUID SENSOR H1JiS VAPOR PROCESSOR TYPE L ?:FUEL ALARM NO VAPOR PROCESSOR LIO:FUEL ALARM P14C SETUP LI2:FUEL ALARM L 7:SENSOR OUT ALARM ANALYSIS TIMES PROCESSOR CONTROL LEVEL: LIO:SENSOR OUT ALARM TIME: 10:00 Aft NONE L12:SENSOR OUT ALARM DELAY MINUTES: I L 7:SHORT ALARM L10:SHORT ALARM L12:SHORT ALAR11 ACCEPT HIGH ORVR: DISABLED R 4:OVERFILL ALARM TYPE: ISD HOSE TABLE STANDARD ID FP FL HL AA RR NORMALLY OPEN -------------------------- 01 01 01 02 01 UU TANK 9: NONE 02 02 02 02 01 UU 03 03 03 02 02' UU 04 04 04 02 02 UU IN-TANK ALARMS 05 05 05 02 03 UU ALL:OVERFILL ALARM 06 06 06 02 03 UU ALL:HIGH PRODUCT ALARM 07 07 07 02 04 UU ALL:MAX PRODUCT ALARM 08 08 08 02 04 UU J 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(f applicable), should be provided to the facility owner/operatorfor submittal to the local regulatory agency. 1. FACILITY INFORMATION Facility Name: #360 Farrell's Fastrip I Date of Testing: 8/16/2010 Facility Address: 6401 White Lane,Bakersfield,CA 93309 Facility Contact: Omero Garcia I Phone: 661-393-7000 Date Local Agency Was Notified of Testing: 7/23/2010 Name of Local Agency Inspector(fpresent during testing): Ernie Medina 2. TESTING CONTRACTOR INFORMATION Company Name: Confidence UST Services, Inc. Technician Conducting Test: Bryan A Self Credentials: X CSLB Contractor X ICC Service Tech. ❑SWRCB Tank Tester ❑Other(Spec) License Number(s): CSLB#804904 ICC#8022804-UT 3. SPILL BUCKET TESTING INFORMATION Test Method Used: x Hydrostatic ❑Vacuum ❑Other Test Equipment Used: Lake Test Equipment Resolution: 0.0625" Identify Spill Bucket(By Tank 1 Regular 2 Super 3 Diesel 4 Number, Stored Product, etc.) Bucket Installation Type: ❑Direct Bury ❑Direct Bury ❑Direct Bury ❑Direct Bury x Contained in Sump x Contained in Sump x Contained in Sump ❑Contained in Sum Bucket Diameter: 14.00" 14.00" 14.00" Bucket Depth: 12.25" 12.25" 12.25" Wait time between applying 5 min. 5 min. 5 min. vacuum/water and start of test: Test Start Time(Tj): 9:00am 9:00am 9:00am Initial Reading(R,): 10.25" 10.75" 10.25" Test End Time(TF): 10:00am 10:00am 10:00am Final Reading(RF): 10.25" 10.75" 8.25" Test Duration(TF—Tj): 1 hour 1 hour 1 hour Change in Reading(RF-R�): 0.00" 0.00" 2.00" Pass/Fail Threshold or 0.0625" 0.0625" 0.0625" Criteria: �P Test.Result. XPass; ,p`.Fail�rt �XRPassr �wFailj a�sP,ass= X Fail; ; y ❑,JPasst 0 Fail Comments—(include information on repairs made prior to testing and recommended follow-up or failed tests) Diesel Spill Bucket failed and needs to be replaced. 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: 8/16/2010 State laws and regulations do not currently require testing to be performed by a qualified contractor. However,local requirements may be more stringent.