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2009 FMC RESULTS
IIIIIIIIIIIIIIIIIIII 41 IE 'Appendix V1 (Copies of Monitoring System Certification fmn and UST Monitoring Plot Plan available at httDJ/www.mlerboards sg.gov.) MONITORING SYSTEM CERTIFICATION For Use 8yA#JufbcfWbns Within the Sfafe of(WWn n Autimrfty Cited.Chapter&7,Health and Safety Code;Chapter 16,DkWon % 7766 23, Calftmia Coate of Regulations This form must be used to document testing and eWckmg of monitoring equipment.A separate cer(lficstion ar report must be prepared for each monitoring system control panel by the technician who performs the work. A copy of thla form must be provided to the tank system owner/operator. The owner/operator must subrnit a copy of this form to the local agency regulating UST systems within 30 days of test date. A. General Information Facifty Name: &,%g L I C G_ gym/1 Bldg.No.: Site Address x,00- Ctr: 12g*C6444a zo: 11 z FacifRy Contact Persons 13{ (1 Contact Phone No.:( t Maka/Moddo(MonitoringSydem: ilrr _ mn'1` j, S--s�a I�teorTesdlnySen�ICinQ .- l ,,JJJ � B. Inventory of Equipment TestedlCerI ied Check the Apmriate boxes to Indicate s c eauloment ins ected1swAced: Tank ID, Tank fD lµ iN-Tan auW--M Pltlbe. Model: A fn Tank Gauging Model: fl.�umnular Space or Vaaft Sensor. Alodei: -- --W'Aah ir IA�[nnularSpace or Vault Sensor. Model: !bj,,,k,.Ljtan aping Sump/Trench Sensor(s). Modal: X. d Ott tar W�8ump/Trench Sets*). Model:_e, v Deft Sump Sensor(e). Model: Sump Senor( Model: , Line Leek Oalector. Model: f L echenical We Leek Detector. Model: ❑ Electronic Line Leak Detector. Model: ❑ Electronic Line Leak Detedor. Model: o tank Overfill I HV-Levet Senw, mWei: ❑ Tenk Overlie/Wgh-�Sensor. Model: O ghat in Section E on Pap 4 0 Othw(simcify equipment type am model In Section E an Page 2 Tank p: 491 Mai Tank 0; Lin-Tank GoAMIng P Modal ❑ In-Tank Gauging P� Model: annular Space or Veldt Sensor. Model ❑ Annular Spam or Vault Sensor. Modal: nwAift Sump/Trench Sansor(s). Model krn�p r 1-1 Piping Sump/Trench Sensor(e). Modet t&-s' Sensor(s). Model: sue..../�+Im h-1 ❑ Fill Sump Sensor(s). Model: anlcad Line Leek Detector Model:CL ❑ Meoher>lcsd Line leak Detector. Model: ❑ B?ctronk:Line teak Dsledar. Model 0 Elactronk:Una Leak Defector. Model: o Tank Overfill I High-Level sensor. Model: ❑ Tank Over0 l Nov--Level Sensor. Model. rC3Dfhmrr s E on 2. ❑ Other W and mode!In Section E mxm P s ID: �;� Dispenser ID: 'fir — Vs m�ont riment Sardw(a). Model��•�� 4rti.Z e- hear cer Cartaimnftd gexsor(s). Modot• see Containment a and Chelrt s- ❑ D VaContalnMent Float(s)and Chatn s. spww w ID ofgWeerfD_ C,-Dispenker CordBdr wxd Seneor(s). Model: CormtwWwrt Sencor(4 Model:_,$�,,, Le"ADe-_ *-S5W VWVe(s). ear Ya(Ve(s). ❑ D cer Cmxmdainment Floatj!2 and Chains. ❑ Contahmmerd Floats ertd Chain a DI er Ib s--� Otapensar tp: J jLZ Containment Sensor(m>)_ Model' spensmrr Cortelnment Sensor{s). Model: �tm irari ge velmre(s)- 14�bhear vatve(s) ❑ Ggr Conhsnment F a end s ❑ QKp2jw Containment Float and Chmttrm s. thefix=ycan ns motelaft of Berg.copy M form. Include information for every tank and dispenser at the Wiffy. C. CartNfeation • 1 cerft that the•qulpmeot Ids Med In this dmwnant was inapeetsdlkarvteod In acoardance with ft noandfaetunnrs' guktellne& Attached to this CwilfIcatlon it Mommom(cg.rnunr oeWrers•chacckHats)necessary to verity that this Information Is correct and a Plot Plan showbrg the layout,of ntonitorM tpmanL For any�qulpmarmt capable d generAtVW such reports,1 have also attached a copy of the report;(check all trial applyr trstam ad up k h Technidan Name(print): e l_ ►t��gr'j o{6 S"Wattm Cettiticnflon No,:-91V,1[?`7 LkM ra& 9Z :2 S7 d. J4147 _ Testing Company Name: Phone No.,(061 1 3?-Z=:Z7 TesNVCcmpwyAddrwz: I ern ter/ Date of TaslinlYServidng Ll J1-1,a � moolloring System Cartlfleation Pagel d{ 12W ( 2121/07 IIIIIII(IIII III IIII 42 IE D. Results of Testingl3mvicing $oltware Vesslon ka t kxl: or Co a the tallowln oheoklget: Y ❑ NC' in the aroma alarm ope Y q No" is the dal alarm opentlon9R ❑ Nor Were ail ter s vlsuam Inspected.functla+aey tested,and cm m W Mwationd? Yes ❑ No" Were an UnNg al W potm d secorgi"t omw mart std poefitlonvd so lhet other equipment YWR net Interfere wRh their on? ❑ Yes c3 kW f atmms we eyed to a remote manRCrlhg station,is aU rvmniio ens equipment(e.g.modem)operetlonal? A a Yes For promxMW W" systems,does Ore kwune a Aarn Iy OPA down are PIDM�O sacand"Containment IMNbO rg syslen o WA detects a leaX tails to operate,or Is etecMcah dlsWrMedad? If r� mot= a�-dav '? �'x*9D that appryJ ❑ SumplTren h Sensors; 0 Dispe�f C.Malnmenl Sensotg. CW you conflnm poOhm stwt-down duo to INIM Ed Sensor Palluns/dtsconnecow f]Y 0 No. ❑ Yes ❑ WA vvatve is in9talted)e Is the wC�O wWNng alarm vaft s3 W and ble at lank fd pant(s) oWa n properW If$o,at whet percent w of tank doesthe alarm `x or dher taoed and R91 the O Yes' No es any nM IWng equlpm M replese4? H Ye& ��y WGZAc sensaa, ufacbner rwn a and model for alt end Pau in Section E below. r) es No Was Ilquld RXMd MWa any cMeInment systan deslprted es dry sysfemv (Check ap feet RPFIAO Product: 0 Water. If describe causes In Section E,below. 9s ❑ N r was moruw %yAm set-up reviewed to ensure proper settiaoa7 Anarlh 8d uP reports,tr apptleabie D_—yes 0 No' Is all nl aomg equWn nt operstional per mawfe hoWe spedficalloms? In Section E below,describe how m+d when these daWancies were or will be con vcbed. I? Cornnlanta: L / r % " 41RaS Ad�k�� /wsi V[ ��!" wy4v1TlQyr Ir asd L AAonkarhlQ System CertMlcetloa fPaae Z of 4 2121107 F. in-'Tank Gauging/SIR Equipment: Mo Check this box if tank gauging is used only for inventory cantrd. �9 9 EQ t� ❑ Cheek this box?f no tank gauging or SiR equipment Is Installed. Tbfs Section must be Completed Ir h4ank gauging equipment is used to perform leak detection mondoring. Com late the fkcMoWn checklist Q Yes D No* Flas all input vAring bean kispect for proper entry and terminmioN i ng testing for ground faults? ❑ Yes ❑ Ne Were all lank gauging probes visually inspected for damage and residue buildup? D Yes O NO* Was amracy of System product level readings test 0 Yes O No' Was aooaraey of system water level resdmgs lusted? ❑ Yes 0 NC were all pr r retailed pmpedy? ❑ Yes ❑ Ne Were ag Nems on the egntpment manufacturefe maintenance checklW Completed? in the Secttgn H,belaw desedbe howand when these deftdencfes were or will be corrected. O. Line Leak Detectors(LLD): ❑ Check this box N LLDs am not installed. Gam lets the foilowln checklist es ❑ No* For equtprnenl startup or annual equipmenl calftwton,was a leak aftilated to vertry LLD performance?( ad o N/A lrtal apply) Simulated leak rate: ta3g.p h.; D 0.1 g,ph; O 0.2 g.p.h. -57Y'as 0 No' Were ad LLDS confirmed operatbnal and accurate wfthki regulatory raga ernents? V—Yes ❑ NW Was the testing apparatus properly Calbrated?P"Yes 0 No• For mechanical LLD$,does the restrk2 product Now i< acts a IeeiCt 0 N!A rou Yes D Flo• For electronic LLDs,does the turbine auWnatWly shut if the LLD detects a leak? e WA Yes ❑ W For electmft LLDs, does the turbine automatically shut off if any portion of the monitoring system Is dtv&W or PeNIA dideannected? D Yes O ice' For ebcbm Ic L LDR,does the turbine eutomatknMly shut off d any portion of the monitoring system mahw cdons ar NIA falls a lest? D Yes a tom' For elecflfcnrc LLDs,have all accessble wiring connection been visually krspeclW? Of"RIA Yes D No• Were alt dems on the equlpmwd manufacturers maintenance checkltst compretect? N the 8 an below.describe hovrand when these defiMON were or will be cortsctsd. H. Comments: Moeltoring Systern Cwtfflcatlon rage S of 4 12M7 3 2/21107 Monitoring Systeru Certification ' USI Monitoring Site Plan Site Address:.27,6a 6 8-e&A d 6rr.�• �C•* -- . . . . . . . . . . . . . . . . . . . _ O . . . . . . . . . . . . . rill p�G . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Q Q .5" re. _ ESO. . . . . . .. . . . . . . . . . . . . . „;tw - - - • - - - . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . _ . . . . . . . . . . . . . . . . . . . . . . . �u v■A- r Date map was drawn: 2-- ZM Z Instructions If you already have a diagram that shows all required information,you may include it, rather than this page,with your Monitoring System Certification on your site plan, show the general layout of tanks and piping. Clearly identify locations of the following equipment, if installed: monitoring system control panels; sensors monitoring tank annular spaces, sumps,dispenser pans,spill containers,or other secondary containment areas;mechanical or electronic line leak detectors;and in-tank liquid level probes(if used for leak detection). in the space provided,mote the date this Site Plan was pmpawd. Page or Y_. asn0 SWItCB,January 2006 Spill Bucket Testing Report Form This form is i rten*dfor we by coninw1ors pofaminga nwl testing of V$7 spill contwttrreem srnaclta= Ae complfetedforts and p*;tmAv from tests fff aMicable),sW uld be p wlded to lbe fay ifty owner/opwator for-whv iuul to Me local regal-oory agemy. X. FACILM WIMM"TION Facility Name: Date of Testing: Facility Address: c2WO 1:C Facility Contact: Phone: Date Local,Agwcy Was Notified of Testing: Name of Local Agency Inspector ftfpresem d14rftrgtesdiW- 2. TESTING CONTRACTOR INFORMATION Company Name: Technician Conducting Test: Credentials': 9Gb9..B Contractor 0 i,CC Service Tech- 0 SWRCD Tank Tester d Other(S nif-y) License Nnmber(s): 3. SPILL BUCKET TESTING,INFORMATION Test Metbod Used; .c 0 Vacumn 0 Other Test Equipment iJsed: ;s Equipment Resolution: Identify Spill Bucket(By Tank 1 2 3 � 4 Nwnber,Mored Pt»du e'r7 q ti Bucket Installation Type: 0 DQect Bury 0 Dit'ect Bury 0 Direct Bury 0 Dbixt Bury B-tamed in Sumip t>Wmh W in sumip 9,C-ntained in Sump 0 Contgne d in Sum Bucket Uiatnetex: j 'r • , Bucket Depth: ,0 Z,• Wait time between applying vacuum/water and start of test: ,,, Tag Start T•umme(Ti): 9, Initial Reading(RI): Test End Time Crv): Final Reading(RF): I ,kL Test Dwatim(Tv, Tr): Change in Reading(RP- Pan./Fail Threshold or Comment$-(r9tclude it orTggon on repd5r made prior to testing,and r+ecomme✓*d follow-up for failed tests) CERTIFICATION OF TFAINICIAN RESPONSIBLE FOR CONDUCTING THIS TESTING I hereby wdO that all the tsformadon contained In tlrts report is tme,accurate,and In JkU compliance wkh legat negatrmnt nr& Technician's Stgnstum: Date: 2-Z- 12 'State laws and regulations do not currexmtly require testing to be perierame d by a qualifiod contractemr.However,local requirem mts maybe mare stringexmt. CVE Cal-valley F; pmert 3500 Gilmore Ave- ' Bakersfield, CA 93308 661-327-9341 FAX#661-325-2329 VAPORLESS M4WFA.CI'UR NG,INC. LDT-S9_0 Leak Detector Test L2pwrd /AlV ��T m rialadn+ay 2-"9 + SabmersOle Pump Id attio2 ModdNo. Sew Number Lark Detector Id on Manaf�urrr D�mtaipiian OB�rr,�ty�a S�aa1c Dex Ta 4wvwgofseal Yes No Detetar is ftbumdW Pamp • Test at]Dbpe"W L Opeasttgg Pub Presme . 3 Cl__IYW (pets IS) z. Cialloos per how nbe 22) 3. Line pr asm wA p zmp alzot off psi (pars.23) 4. Bleodbo&Test vAA pump off ml (pis.26) 5. Step o It thm to fioll flow___,?,? �woomb(pare.34) 6. Leak detecw s"m m leak sc"position.(pamA2) Yes Ll-r No ,L.EAK DZIIM"XX)R TM Note tyus tl Idt deee�e!!b test polaoo� [ w Iatg dea UW APIs tut peotoo g Psw Fail Fctna,MC7(9-1-96) ++Com plew dwmW agpmaoe tort bcAme itAft k& -1-6ar.6or i 1996 Yapwim MmubLu hl&hr,1'rrsoott VASM AZ CVE Cal-valley menr 3500 Gilmore Aw- B m&,, CA 93308 661-327-9341 FAX#661325-1529 V"ORLEM MANUFACTURING,INC. --- _ -- - _ -- LOZ�90 L-es— ctectax Vest rd Canmctrr — k-D-- pastomts Dmn l v' Location t7o a r�j tlr +;c T Sobm�te p Ikon Scoial Number IA=k Detector Id don �t doodgm Othrr Stvk Detcctos 11 � Piftn-tYPe TsmpeaVroaseai ims~ Yes No Test At Dbpeaw 1. Ol mting Pump _._....IPd (pmm i. 2. Galkm per boar rate ....(pia.22) 3. Line pam"u"whit pump shut off t m (para.23) 4. Rke&oa Test with pump off _�h b-. tai (pars,26) S, step-thresh time to X11*w 3 _ SOOM&(pare.30) 6. Leak doctor stays in Jot aeara poski m.(IMM42) Yes No LEAK DGTOR TEST Note: lr�—L *dole"her b%*p wccd Le�dalscmrlLBr tu�pol000t Fail Form S90G�9-1 *Compleee dmxmw expensift tom!beige hift lea ddtctor. 1996 Vapodm bfamllculmg,ine.Rtimcoti Va1ky,AZ CVE Cal-Valley Equfpmaw 3500 GUmore Awe. BaJke,JWW, CA 93308 661-327--9341 FA"661-325-2529 VAPOR,ESS MANUFACTURING,INC. LDT,890 Leuk Deteete Fast Retard Subazonffile Pump Idoxataitton Modal No. Nau�r Lftk OT Mangfictum Oft_Shk Leaf Detoctor �, O" T -pmfwe ft=fty Yes No in luetmlbie ftmt p Test at Dispenser ,' i. 4paaatmg Puarp �� va+i (pare.15) Gauoas per l (pare 22) 3. i.ma pa atne wbh pomp shat aff d (pars.23) 4. Bloodback Test wi&pmov off,.__2 j12 tul (Para.26) S. Stop-throo�tic to 6u Bow -2 s+ocoada(Para.30)' 6. Leak detector stays iti Ink east+,&posid m.(psraA2) Yes EON No . R T—W N.tw Ao=—Lmkdd@dor5b6wprokwo! Fm -Lcok bcmr fth iapt ptotocai Pins Fad Fans 890G�9-LAS *7Omplew dwoW expmmioe teat t Aro Cdit IcA dttbcutor. 1996 VVW]k as Mmtdwbwin&bw,nwoott Valley,AZ ALARM HISTORY REPORT ----- SENSOR ALARr1 --- - L13:DISPENSER 7-8 ---- SENSOR ALARM ---- DISPENSER PAN L13:DISPENSER 7-8 FUEL ALARM DISPENSER PAN FEE 2, 2009 8:57 W FUEL ALARM i FEB 2. 2009 8:57 AM SETUP DATA WARNING JAN 30. 2009 1 :29 PM SETUP DATA WARNING X EI4D * * '� JAN 30, 2009 1 :28 PM . --•--- 2ENSOR ALARM ----- LIZ:DISPENSER 5-6 DISPENSER PAN FUEL ALARM FEB 2. 2009 8:58 AM x ?� END x * * ALARM HISTORY REPORT --^- SENSOR ALARM ----- Lib: OTHER SENSORS ----- SENSOR ALARM -- L15:DISPENSER 11-12 DISPENSER PAN FUE1. ALARM FEB 2, 2009 8:59 AM a► ALARM HISTORY REPORT SENSOR ALARM x 0 END L14:D18PENSER 9-10 DISPENSER PAN FUEL ALARM FEB 2, 2009 9:01 AM SETUP DATA WARNING -- SENSOR ALARM •----- JAN 30, 2009 10:35 AM DISPENSER 9-10 DISPENSEER R PAN SETUP DATA WARNING FUEL ALARM JAN 3D. 2009 9:14 AM FEB 2. 2009 9:01 Art ----- SENSOR ALARM ----- ►� * END ►� H L 3:BUPREME ANNULAR ANNULAR SPACE FUEL ALARM FEB 2. 2009 9:08 AM ALARM HISTORY REPORT ----- SENSOR ALARP9 ----- �^ SENSOR ALARM ----- L 9:REGUL.AR ANNULAR L15:DISPENSER 11-12 ANNULAR SPACE SUET. ALARM DISPENSER PAN FEB 2. 2009 9:17 AM FUEL ALARM FEB 2. 2009 8:59 AM SETUP DATA WARNING JAN 30. 2009 9:57 AM SETUP DATA WARNING JAN 30. 2009 9:14 AM ALARM HISTORY REPOKI' ALARM HISTORY REPORT ALARM HISTORY REPORT ~• SENSOR ALARM -- SENSOR ALARM -- _ L 7:REGULAR TURBINE $UMP I-1D:D ISPENSER 1�2 :D DrBFENSEI7 PAN -- SENSOR ALARM ----- STP SUMP FUEL ALARM L 4:D[ESEL TURBINE SUMP FUEL ALARM FEB 2, 2009 8:55 AM STP SUMP FEB 2, 2009 8:41 AM FUEL ALARM SETUP DATA WARNING FEB 2, 2009 8:43 AM FUR, ALARM JAN 30, 2009 2:00 PM JAN 29. 2008 9:513 AM FUEL ALARM SETUP DATA WARNING JAN 29. 2008 9:33 AM FUEL ALARM JAN 30. 2009 1 :37 PM JAN 29. 2008 9:55 AM END � � k k ►! END X k X k w END ALARM HISTORY REPORT ALARM HISTORY REPORT . ALARM HISTORY REPORT ----•- SENSOR ALARM - SENSOR ALARM L 5:DIEStL-FILL SUMP--- ---- SENSOR ALARM ----- L11 :DISPENS£R 3•-4 PIPING SUMP L B:REGULAR FILL SUMP DISPENSER PAN FUEL ALARM PIPING SUMP FUEL ALARM ME 2, 2009 9:40 AM FUEL ALARM FEB 2, 2009 8:66 AM FUEL. ALARM FEB 2. 2DO9 9:53 AM JAN 29, 2008 9:15 AM FUEL ALARM SETUP DATA WAR 2;23 FM JAN 29, 2008 8:54 API JAN 30. 2009 2:23 SETUP DATA WARNING JAN 30, 2009 1 :37 PM k k k }E END k k lF 3E k k 3E k END k * k k k k k k END X k X k ALARM HIST±QRY REPORT SENSOR ALARM ALARM HISTORY REPORT �- -•---- L 6:DIFSEL ANNULAR ----- SENSOR ALARM ALARM HISTORY REPORT ANNULAR SPACE L 9:REGUL.AR ANNULAR FUEL ALARM ANNULAR SPACE -- SENSOR ALARM - --- FEB 2. 2009 8:38 AM FLIEL ALARM I L12:1)ISPBNSER 5-6 SENSOR OUT ALARM FEB 2. 2009 9:17 AM DISPENSER PAN ALARM DEC 17, 2008 12:34 PM SETUP DATA WARNING FL11rFEB L A A 2009 8:58 All SETUP DATA WARNING DEC 17. 2008 12:59 PM DEC 17, 2009 12:13 pM SETUP DATA WARNING JANU30, 2009Al2;9 FM DEC 17, 2008 12:56 PM SETUP DATA WARNING JAN 30. 2009 1.1 :34 AM ALARM HISTORY REPORT --- SENSOR ALARM -_-- ----+ SENSOR ALARM - L 1 :SUPREME TURBINE SUPtf- L 7:REGULAR TURBINE SUMP STP SUMP STP SUMP FUEL ALARM FUEL ALARM --- SENSOR ALARM - FEB 2. 2009 8:46 AM FEB 2, 2009 8:49 AM L 6:DIESEL ANNULAR, ANNULAR SPACE FUEL. ALARM FUEL ALARM FEB 20, 2008 12:58 PM FEB 2. 2009 9!38 AI"I FUEL ALARM FEB 3, 2008 2:56 PM ---�- SENBOR ALARM ----- L 2:SUPREME FILL. SUMP PIPING SUMP FUET- ALARM ----- SENSOR ALARM --^-- FEB 2. 2009 6:52 AM L 5:DIESEL-FILL SUMP PIPING SUMP FUEL ALARM * * 7s x END * �' ►� FEB 2, 2009 8:40 AM ----- SE14BOR ALARM L 8:REGULAR FILL SUMP ' PIPING SUMP j FUEL ALARM -- SENSOR ALARM ---^- FEB 2. 2009 8:53 AM L 4:OI£SEL TURBINE SUMP ALHRq HISTORY REPORT STP SUMP FUEL ALARM --^-- SENSOR ALARM ----° FEB 2, 2009 8:43 AM L 2:SUPREME FILL SUMP PIPING SUMP J FUEL ALARM •, � FEB 2, 2009 8:52 AM FUEL. 'ALARM - -- SENSOR ALARM - is .JAN 29. 2006 9705 AM L107DISPENSER 1-2 6 1 DISPENSER PAN FUEL ALARM ----- 88NSOR ALARM --- J FEB 2, 2009 8:55 AM i L 1 :SUPREME TURBINE SUMP E STP SUMP FUEL ALARM FEB 2, 2009 8:46 AM x x x x x END x x • i i -�-- SENSOR ALARM ----- L11 :DISPENSFR 3-4 DISPENSER PAN FUEL ALARM j FES 2, 2009 0:56 AM i i ALARM HISTORY REPORT ----- SENSOR ALARM ----- L 3:SUPREME ANNULAR ANNULAR SPACE FUEL ALARM FEB 2. 2009 9:08 AN FUEL ALARM DEC 22, 2008 9:16 AM SETUP DATA WARNING DEC 17, 200e 12:31 PM RECEIVER SETUP: SYSTEM SETUP D 1 :SULLIVANS FES 2 2009 -9:16 FW 661-061-0939 RCVR TYPE,. FACSIMILE PORT NO: 3 COMMUNICATIONS SETUP RETRY NO: 3 SYSTEM 1.1N I T;5 RETRY DELAY: 3 - - - - - - - - - - - U.S. CONFIRMATION REPORT. OF1' SYSTEM LANGUAGE PORT SETTINGS: ENGLISH SYSTEM DATE.,T I19E FORMAT COMM BOARD : I (RS-232) MBN DD YYYY HH:MM:SS xM BAUD RATE : 9600 ROSEDALE rHEVRON PARI'T'Y : EVEN 9700 ROSEDALE H14Y. STOP BIT , : 1 STOP BAKERSFIELD,CA.93312 DATA LENGTH: 7 DATA 661-588-4455 COMM BOARDS : 3 (FXMOD) SHIFT TIME I DISABLED 13AUD RATE : 1200 SHIFT TIME 2 : DISABLED AUTO DIAL TIME SETUP: PARITY ODD SHIFT TIME 3 DISABLED STOP BIT 1 STOP SHIFT TIME 4 12:00 AM DATA LENGTH: 7 DATA D I :BULLIVANS DIAL TYPE : TONE SHIFT BIR PRINTOUTS DIAL DAILY ANSWER ON I RING ENABLED DIAL TIME t 10:50 AM DAILY SIR PRINTOUTS RECEIVER REPORTS: AUTO TRANSMIT SETTINGS: ENABLED INVENTORY TANK PERIODIC WARNINGS AUTO LEAK ALARM LIMIT DISABLED DISABLED TANK ANNUAL WARNINGS AUTO HIGH WATER LIMIT DISABLED DISABLED LINE PERIODIC WARNINGS AUTO OVERFILL LIMIT DISABLED • DISABLED LINE ANNUAL WARNINGS I AUTO LOCI PRODUCT DISABLED DISABLED PRINT TC VOLUMES AUTO THEFT LIMIT ENABLED D I SAI3LED RS-232 S>CURIT� AUTO DELIVERY START TEMP COMPENSATION CODE : 000000 DI'SARLED VALUE (DEC F ) : 60.0 AUTO DFL[UERY END STICK HEIGHT OFFSET DISABLED DISABLED AUTO EXTERNAL INPUT ON TRANSMIT H-PROTOCOL DATA FOW"T AUTO EXTERNAL INPUT OFF HEIGHT TRANSMIT RS-232-END OF MEWAGE S PRECISION TEST DURATION AUTO SENSOR FUEL ALARM AUTO SED HOURS: 12 AUTO SENSOR WATER FiLATt1"I DAYLIGHT SAVING TIME AUTO DIAL ALARM SETUP ENABLED - _ - - - - _ - - _ - DISABLED START DATE AUTO SENSOR OUT ALARM APR WEEK I SUN D 1 :SULLIVANS DISABLED START TIME NO ALARM ASSIGNMENTS - AUTO DELAY TIME - 5 SEC 2:00 AM END DATE OCT WEEK 6 SUN END TIME 2:00 AM RE-DIRECT LOCAL PRINTOUT DISABLED SYSTEM SECURITY CODE : 000000 IN—TANK SETUP T 1:REGULAA UNLEADED PRODUCT CODE 1 T 3:DIESEL T 2:SUPREME THERMAL COEFF : .000700 PRODUCT CODE 2 TANK. DIAMETER 92.00 PRODUCT CODE THERMAL COEFF 3 THERMAL COEFF : .000700 TANK PROFILE 4 PTS TANK DIAMETER : .000450 TANK DIAMETER 92.00 FULL VOL : 11627 TANK PROFILE 92.00 TANK PROFILE 4 PTS 69.0 INCH VOL 9438 FULL VOL 4 PTS FULL VOL 11627 46.0 INCH VOL 5814 69.0 : 11627 69.0 INCH VOL 9430 23.0 INCH VOL 2190 FULL VOL 46.0 INCH VOL 9430 46.0 INCH VOL 5t31�# METER DATA NO 23,0 INC13 VO 5814 23.0 INCH VOL 2190 L METER DATA X2190 METER DATA NO FLOAT SIZE: 4.0 TN. 6496 FLOAT SIZE: 4.0 FN. 8496 FLOAT SIZE: 4.0 IN. 8496 WATER WARNING 1 .0 WATER WARNING l HIGH ATER WATER LIMIT: 3.0 WARNING 1 .0 HIGH WATER LIMIT: 3.0 HIGH WATER LIMIT: 3.0 HIGH MAX OR LABEL VOL: 11627 MAX OR LABEL VOL: 11627 OVERFILL IA M I T 90% MAX OR LABEL VOL: 11627 10464 OVERFILL LIMIT y� OVERFILL LIMIT 76% HIGH PRODUCT 95% 8836 11045 HIGH PRODUCT 1+79�s4s HIGH PRODUCT 9�+ DELIVERY LIMIT 12% 9301 1395 DELIVERY LIMIT 11045 DELIVERY-LIMIT• 12% 12% 1395 LOW PRODUCT 500 1395 LOW PRODUCT LOW PRODUCT : 500 LEAK ALARM LIMIT: 32 SUDDEN LOSS LIMIT: 50 LEAK ALARM LIMIT: 532 LEAK ALARM LIMIT: 32 TANK TILT 0.00 SUDDEN LOSS LIMIT: 50 SUDDEN LOSS LIMIT: 50 TANK TILT TANK TILT 0.00 MANIFOLDED TANKS 0'00 TO: NONE MANIFOLDED TANKS MANIFOLDED TANKS Ta: NONE . TO: NONE. LEAK MIN PERIODIC: 0% LEAK MIN PERIODIC: LEAK MIN PERIODIC: 0% tl 0•/ 0 LEAK MIN ANNUAL 0% 0 0 LEAK MIN ANNUAL L);AK MIN ANNUAL 11!: ; 0; 0 0 PERIODIC XES'T TYPE PERIODIC TEST 7YPE PERIODIC TEST TYPE STANDARD STANDARD STANDARD ANNUAL. TEST FAIL ANNUAL TEST FAIL i ANNUAL TEST FAIL -ALARM DtSAHLED ALARM DISABLED ALARM DISABLED PERIODIC TEST FAIL PERIODIC TEST FAIL PERIODIC TEST FAIL ALARM DISABLED ALARM DISABLED ALARM DISABLED GROSS TEST FAIL GROSS TEST FAIL GROSS TEST FAIL ALARM DISABLED ALARM DISABLED ALARM DISABLED ANN TFST AVERAGING: OFF ANN TEST AVERAGING: OFF ANN TEST AVERAGING: OFF PER TEST AVERAGING: OFF PER TEST' AVERAGING: OFF PER TEST AVERAGING: OFF TANK TEST NOTIFY: OFF TANI, TEST-NOTIFY: TANK TEST NOTIFY: OFF TNK TST SIPHON BREAK:OFF OFF i TNK TST SIPHON 13REAK:OFF TNK TST SIPHON BREAK:OFF DELIVERY DELAY 3 MIN DELIVERy D DELIVERY DELAY 3 MIN i DELIVERY 3 MIN i L 7:REGULAR TURBINE SUMP LEAK-TEST MFTHOD - - - - TR I-STATE (SINGLE FLOAT) TEST ON DATE : ALL. TANK CATEGORY : STP SUMP JU14 7. 2005 START TIME : DISABLED L 8:R1rGULHR FILL SUMP TAT RATE :0.20 GAL/HR AURA C l ON 24 HOl1pS TRI-STATE (SINGLE FLOAT) CATEGORY : PIPING SUMP RECONC I I.4 tQN SETUP - L 9:REGULHR ANNULAR LEAK TEST REPORT' FORMAT NORMAL TRI-STATE (SINGLE FLOAT) AUTOMATIC DAILY CLOSING CATEGORY ANNULAR SPACE TIME: 2:00 AM AUTO SHIFT Of CLOSING TIME: DISABLED L10:01SPENSER 1-2 TRI-STATE (SINGLE FLOAT) AUTO SHIFT 02 CLOSING CATEGORY DISPENSED. PAN TIME: DISABLED ' AUTO SHIFT #3 CLOSING TIME: 12:00 AM L11 :DISPENSER ;3-4 TRI-STATE (SINCLE FLOAT) LINE LEAK LOOKOUT SETUP AUTO SHIFT #4 CLOSING CATEGORY : DISPENSER PAN - - - - - - - - - _ - TIME: DISABLED LOCKOUT SCHEDULE DAILY START TIME: D I EWLED PERIODIC RECONCILIATION L12:DISPENSER 5-6 STOP TIME : DISABLED MODE: ROLLING TRI-STATE (SINGLE FLOAT) LENGTH: 31 DAYS CATEGORY : DISPENSED PA14 ALARM: DISABLED TEMP COMPENSATION STANDARD LIO:DISPENSER 7-8 TRt-STATE (SINGLE FLOAT) BUS SLOT FUEL METER TANK i CATEGORY : DISPENSER PAN TANK MAP EMPTY L14:D1SPENSFR 9-10 ' I TRI-STATE (SINGLE FLOAT) LIQUID SENSOR SETUP CATEGORY : DISPENSER PAN - - _ - - - - - _ _ - - L 1 :SUPRF-ME TURBINE SUMP LI5:DISPENSF.R 11-12 TRI-STATE (SINGLE FLOAT) 'TRI-STATE (S I NCLE FLOAT) t:A'IEGORY STP SUMP CATEGORY DISPENSER PAN L 2:6UPREME FILL SUMP SOFTWARE REVISION LEVF,L TAI-STATE (SINGLE FLOAT) VERSION 115.01 CATEGORY : PIPING SUMP SOMAREO 345115-100-B CREATED - 97.10.23.11 .08 8-MODULEq 330160-110-A TRI-STATE (SINGLE FLOAT)SYSTEM FEATURES: CATEGORY : ANNULAR BPAGE PERIODIC }N--TANK TESTS AA R • NUAL IAN-TANK TESTS PREC TON PLLD L 4:0tESEL TURBINE SUMP PLLD LINE DISABLE SETUP TRI-STATE (61W3LE FLOAT) CATEGORY STP SUMP L 5:DIESEL-FILL SUMP TRI•-STATF (SINGLE FLOAT) i CATEGORY PIPING SUMP L 6:DIMM ANNULAR TRI-STATE (SINGLE FLOATS CATEGORY ` ANNULAR SPACE 3304 GS.lwarC &tee +SMOLT-UM Daftwsft old, CA 93M 1 .61-387-9341 F 561-323--2559 .Vr » UKE#1: $7 UL -B-Mww—,MMw 970a gag (& Imo_ UNE II yL 294M Cmr.AT: �;el� f?eZ. uw#&. 17te� s el e =DOW-THECO*�OO10W1;FIX&D$Y: J*M&q Imo-.AMWI ti VOKW PqM14 OMM R"VOJM dlF�teaAlaEwV01 Ma*M p s r4*weiasy-vjjw,%w pr 0.0150,�.,,,abet+wta ca+w�tsar v $onn spw a rc►gat�ra der r�ur, fie conve�an evrtaxarr�titeeei alas L�ctmamel Fxt. PQCDUV Psi staar va(A&) } VOL OIPF, p WH OMACM FM ML V1- 05:39 50 190 f r lay P�oDllcr WE PS �lmL} �c3hf. e�+1 sr�c�s PIt9s r� q1 V1 1-0 50 q1 to Oq 26 Sa 10 —010!4 r/ CCMMM, ROD= 18ML am. S 70. fr a 3 so 70 67 ' I declare udder penalty of perjury that I am a llcensod tarok teeter In the State of California and that � the information contained in this report is true and correct to the best of my knowled9s. i' CAL-VALLEY EQUIPMENT 3500 GILMORE AVENUE BAKERSFIELD, CA 93308 EQUIPMENT (661) 327-9341 FAX: (661) 325-2529 CONTRACTOR'S LIC,#784170 A HAZ i roax To: � From: Faic p'2 Pages: INCLUDING COVER AM. Date: Ete: CC: C Urgent C For Review C Please Comment ❑Please Raply ❑Please Recycle Comments: Esc G� see to? J SWRCB,J4nuaty 2002 Fag,_l.___of Secondary Containment Testing Report Form This form M intended for use by contractors performing periodic testing of UST secondary containrnenl systems. Use the appropriatepages of this form to report results far all components tested. The completedform,written test procedures.and printouts from tests(fopplicable),should beprovided to thefactlity ownerloperator for submillal to the local regulatory agency. z. FACILrr,Y INFORMATION Faci1.1 Namme: bate of Testi Facility Address 9 $ Facility Contact: Phonc; Date Local A ency Was Notified of Testhig. Name of Local Agency Inspector( present during testing); 2. TESTING CONTRACTOR INFORMATION Com an Name Technician Conductiag Test: cmdentials: &CSLB Licensed Contractor U SWRCB Licensed Tank Tester License Type: License Number. Manufacturer Ttainin g Manufacturer Component(s) Date Traii3ing PAPires 3. SUMMARY OF TEST RESULTS Component Pass Frti No t Repairs Component Pass Fail Not Repairs Tested Made Tested Made Cl ❑ ❑ ❑ ❑ ❑ ❑ Q Cl ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ t ❑ o C] ❑ Uul C) ❑ ❑ ❑ ❑ ❑ !VuLF;it L ❑ a 1 ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ C3 ❑ ❑ ❑ Cl ❑ ❑ D '� �. ❑ ❑. ❑ D O CJ ❑ If hydrostatic testing was performed,describe what was done with the wader after completion of tests: 41 CERTWCATION OF TECHNICIAN RESPONSIBLE FOR CONDU'CMG'TMS TESTING To the best of my knowledge,the facts stated in this document are accurate and in fall compliance with legal rear+iremextf Tcchnician'sSigmeure; bate; fZ/�� SWRCB,January 2002 Page 2 of 4. TANK ANNULAR TESTING Test Method Developed 13y: 0 Tank Manufacturer Wdustry Standard 0 Professional Engineer C3 other(Spec ) Test Method Used: 0 Pressure *-Vacuum 0 Hydrostatic ❑other(Sped ) 'rest Equipment Used: jI.N Equipment Resolution: Tank t Tank Tank# Teak 0 Is Tank Exempt From Tcsting? U Yes elgo 0 Yes PM 0 Yes C+-M 0 YeA 0 No Tank Capacity: Tank Material: 1�j -eH Atop Tank Manufacturer: Product Stored: Wait time between applying pressureNacuum/water and starti test In f40 Test Start Time: •© f _,� r, Initial]reading()4); Test End Time: , Final Raadiaig a Ad O Test Duration: Change in Reading(Rp-Rt): �.. Pass/Fail'Ihreabold or Ctiteria: , 2 Aw t)q Z 'rest Result- W#46. C]p`ilI "Ass ❑F»3I: ' R>tss, •. i1::`* ... ss C Fail Was sensor removed for testing? 13 7es ❑No Cl NA ❑No ❑NA Cis C No ❑NA ❑Yes ❑Nc DNA Was sensor properly replaced and Wes ❑No U NA &Ves C No DNA I< Q No DNA ❑Yes 0 No DNA verified functional after C4rrtrnentS Sutclude information on repairs madepdor to testing and recommend oilow-u or crifed tests) Secondary containment systems where the continuous monitoring automatically monitors both the primary and seeoudaty containment,such as systems that are hydrostatically monitored or under constant vacuum,are exempt from periodic containment testing. jCalifbrnia Code of Regulations,Titic 23,Section 2637(a)(G)) SWR(M,JaQuary 2002 r Page-I—of S. SECONDARY PIPE TES'T'ING Test Method Developed$y: 0 Piping Manufacturer V rRdustry Standard 0 Professiortol Engineer 0 Other(Sriecify) Test Method Used: R'l ressure 0 Vacuum 0 Hydrostatic 0 Other(Specify) IPiping ui went Uscd t Egeupmcat Resolution: Piping Run# Piping Razt# Piping Ran# Piping Run Material: g Manufacturer: �r Diameter. th of Piping Pun: Product Stored: 3a IC Method and location of 1 in -rtm.isolation: Wait time between applying pressurelvacuum/watcr and starting test: Test Start Tithe: r Initial Reading(RI): Ttst End Time: Final Reading(RF): Test Duration: Change in Reading(Rp-R,): Pas&Tail Threshold or Criteria: , , `Test Result: epass 0 FiA p aos D•F IP, E tss. Q Fait: `1 . 0 v 11 Comments—Jincluda lnforrrmadon on repairs madeprior to testirr�,and recommended.,Lllaw.upfarfailed tests) SWRCB,January 2002 Page 3—of G- WIPING SUMP TESTING Test Method Developed By: Q Sump Manufacturer Oln-dustry Standard n Professional rAgineer 0 Other(Specify) Test Method Used; U Pressure 0 Vacuumydeostatia U Other(Specify) Tcst Equipment Useed: 'A-Kt4 vk 'Tg— M $quipment Resolution: p Sump# AC&I Sump# c1l Sump# 92,,L Sump# 7EMIc,ttical p Diameter,r 7 w r Depth: � Material: ev ht from Tank Top to Top of em Pi in Penetration: ► ht from Tank Top to Lowest Penetration; f�' / Condition of sump prior to testing; dets ,1 Portion of SuT2,Tested` { t Does turbine shut down when ,es ,No ❑NA sump sensor 4ctect9 liquid(both Rlres 0 No Q NA [Wes ❑Ne ❑NA 0 Yes Q Na DNA roduct and water)?' Turbine shutdown response time Is system programmed for fail-safe P-1` 0 No 0 NA shutdown?' @Tcs 0 No Q NA erVes Q No DNA 0 Yes 0 No U NA Was fait-safe vcrificd to be lies 0 No 0 NA ,operational?, Pas 0 No i7 NA M-Yes n No 0 NA ❑Yes ❑No Q NA Wait time between applying pressure/vaeunm/water and starding test, Zo oft 1:4 lei Test Start Time; Initial!reading M): Test End Time- l f r Final Reading Test Duration: Q Change in Reading(Rp-": s Pass/Fail Threshold or Criteria Test Result: 99,Tass R Fail D4ANs M fail P-Pgss Q Far)! ri Piss 0 rail Was sensor removed for testing? Q?Yes 0 No 0NA• QY% El No 1)NA CWt't's 0 N ❑NA OYes ❑No ONA Was sczLwr properly rc placed and Wes Ll No 0 N W ONO r7 NA FrTes 0 N 0 N 0Yes 0 N 0 N vcrifted functional attCr testi Comments—(include information on repairs madeprior to testing,acrd reeomme!Ad oliow-ap or ailed lasts) t If the entire depth of tho sump is not tested,specify how much was tested- If the answer to 40 of the questions indicated with an s Brisk(')is"NO"or"NA",the entire sump must be tested. (Sea SWRCB LG•160) SWRCB,January 2002 Page-'�- of 7. UNDER-DISPENSER CONTAINMENT(UPQ TES'T'ING Test Method Developed By: 0 UDC Manufacturer 1641ndustty Standard ❑PrOcssional Engincer 0 Outer( ecgfy) Test Method Used: 0 Pressure 0 Vacuum allydrostatic 0 Other(Specify) Test iprnent Used; r.LWrt "M— Equipment Resolution: UDC# UDC# UDC# UDC R. 7EDC Manufacturer: a PY Material: Dc y M 2 dy"# ht from UDC Bottom to Top i est pi in Penetration: ITIf 10 r, Height from UDC Bottom to Lowest Electrical Penetration: r+ Condition,of UDC prior to testing: (f' R Portion of UDC Tested o Does turbine shut down when UDC sensor detccts liquid(both @'Yes C►No ONA des 0 N 0 N LION LINO ❑NA BTes [2 No 0 N product and water)?* Turbine shutdown response time 3 S Is system[programmed for fail- S-Y" fl No 0 NA safe shutdown? B ❑Na Q NA 8—Yes 0 No C?NA 19-Yes 0 No Q NA Was fail-safe verified to be es 0 No Q NA &<eff 0 N 13 NA *-Yes 0 N 11 NA r+Yc—s ❑No ONA a erationalf Wait time between applying pressure/vacuumAvater and starting test Tcst,Start Time: , Initial Readingt Test End It tine: is i + Final Readingt Test D=tion: 1 45a.r2 Chan in Rcadi R e�QCID3;10 -4 PanTail Threshold or Criteria: T at.Result; "ass ❑Fail'`:..' 'PIAv QFait ❑Fail B'Pa" ❑',Kan Was srnsor removed for testing? IRcs 0 No 0 NA "is 0 No Cl NA X-Y= 0 No d NA [ 3frs 0 No Q NA Was sewwrproperly replaced and ClrYe's ❑No o NA ONO 0 N t Res 0 N 11 NA Lsr t 0 N 0 N verified functional after testin ? Connments—(include information on aElrs madeprlar to resrtn&and recommended follow-r forf i e, r¢y L---C— t&-6 cl a, � 2 1,�� t Q.n r c .-=i� t If the entire depth of the UDC is not tested,specify how much was tested. If the answer to rat of the questions.indicated with an asterisk(*)is`NO"or"NA",the entire UDC[Host be tested. (See SWRCB LG-160) SWRCB,January 2002 Page—L of 7, UNDER DISPENSER CONTAINMENT TESMG(UVC Test Method Developed)3y; 0 UDC Manufacturer PgOustry Standard ❑Professional Engineer ❑Other(S)w Test Method Used: ❑Pressure 0 Vacuum Wydmstatie 0 Other(Specify) Test Equipment Used: �rLCA c1 STS Equipment Resolution: UDC# _Ic UDC# t UDC# UDC# UDC Manufacturer; LZ UDC Material: Pic g Ic le 00 UDC the Height from UDC Bottom to Top of Highest fting Penetration: Sleight from UDC Bottom to Lowest ElectricalPenetrmtion: � Condition of U.DC prior to testi.0jr ►� Portion of UDC Tested',gam Does turbine shutdown when �., 11 No d NA UDC sensor detects liquid(both 1}'F es O No f 1 NA ❑Yes 0 No ❑NA ❑Yes 0 No 0 NA product and water)?' Turbine shutdown E! se titnc Is system programmed for fail- (9-Yes ❑No 0 NA hate shutdown?- ❑No ❑NA ❑Yes ❑No r7 NA ❑Yes ❑No d NA Was fail-safe verilled to be es 0 No ❑NA Wea CJ No ❑NA ❑Yee 0 No 0 KA O Yes ❑No 0 NA o rational?` Wait tirtte between applying presautelvacaum/water and startina test Test Start Tlmc: 2:2 Initial Reading t: Test End'lime: x: Final Rcadi Test Duration: Change in Reading&:R): a,co t Pass/Fall Threshold or Criteria: i. est Result f$'�ase 0.F101, 1 P 's :�xsi :.. ;E]':L'aaa Gl Fail 0 f3rFdtl Was sensor removed for testing? p*es I]No 0 NA 5LYes 0 No ❑NA ❑Yes ❑No Q NA 1J Ycs ❑No ❑NA Was sensor properly replaced and es ❑No I:J NA Beres 0 No 0 NA ❑Yes 0 No ❑NA n Yes -D No ❑NA verified functional alter testing? C0MMeittS j nclude information on repairs madeprtor to lesturg_and recommgmdedfollonyefbrfailed tests) If the entire depth of the VDC is not tested,specify how much was tested, if the answer to apy of the questions indicated with an asterisk(")is"NO"or"NA",tbo entire UDC must be tested. (See SWRCB LO-160) S WRCB,li nuaty 2002 Page 7 of S S. FILL RISER CONTAINMMNT SUh?,P T9STTNG Faci4ty is Not Equipped With Fill Riser Containment Sumps D Fill Riser Containment Sumps are Present,but were Not Tested 0 Test Method Developed By: 0 Sump Manufacturer i Edustry Standard 0 Professional Engineer 0 Other(Specify Test Method Used: ❑Pressure n Vacuum X- Hydrostatic 0 Other(Specify) Test Equipment Used: Equipment RCSOhttion; F{TI Sum I Fill Sum # Fill'%!S R#ItzXj POI Sum # %n Diameter: 714 Sump Depth: +� . r to Height:(rem Tank Top to Top of HE hest?i2irta Penetration: 7 q t a Height from Tank Top to Lowest Electrical Penetration: ' Condition of sump prior to testin Portion of Sump Tested Surnp Material: Wait time between applying pig pressumJvacuutm/water and starting test Test Start Time; , Initial Reading Test End Time: Final%eadi ; Test Duration Change in Reading P , _ Pass/Fail Threshold or Criteria: Test Results acs D FaU. as ❑ ail mss D Fall D Pass OW], Is there a sensor in the sump? t+'es 0 No O-V:m d No QY,*s 0 No 0 Yes 0 No Does the sensor alarm when &Yes 0 No 0 NA either product or water is *JM DNo ❑NA *% D No ❑NA 0 Ycs ❑No p NA detected? Was sensor removed for testing? P/Tes 0 No DNA 0-res []No DNA 9�f DNo DNA Dyes ONO DNA Was sensor property replaced and es ❑No DNA des Li No DNA &Yit C]No DNA DYes Owo rjNA verified functional after testing? Comments—(include in ormadon on re Airs made prior to testing,and recommended follow-up&filed tests w SWRCB,January 2002 rage I of 9. SPILIJOVl RML CONTALNMENT BOXES Facility is Not Squ d With ill/Overfill Containment Boxes a S ill/Ovm 111 Containment Boxes are Present,but were Not Tested 0 Test Method Developed By; 0 Spill Bucket Manufacturer Q15dustry Standard 0 Professional Engineer 0 Other(Speci ) Test Method Used. 0 Pressure Q Vacuum 241ydrostatic 0 Other(specify) Vest Equipment Used: :rjtSggq IsZ,z Bquiptnent Resoaution_ Spill Boz# Spiel Box#91., Spill aBoz#Q Spin Box# Bucket Dismoter: •� '( ~ Bucket Depth. � Wait time between applying pressurelvaeuum/water and starting test: ` CA Test Start'Time: Initial Reading(Re): a MG Test End Time; ylg ) _ Final Reading(RF): g_ , Test Duration: Change in Reading(Rr &). o. Pass/Fail Threshold or Criteria: Teststelt:,. =ass, D Fall c�'gaas d: Gass Ct '9i1 Q Pews Q Fail Comments--andr de tnformarion on repairs made prior to lesttrtI,and recommended follo%,- E orfatled rests) ROSEDALE CHEVRON 9706 ROSEDALE HWY 8AKERSFIELD CA 12/1712008 2111:5 P RISEDkZ CHEVRON SUIhP LEAK TEST REPORT!700 ROSEDALE HWY SAKERSFIELD GA I UDC9-10 12/17/2896 12:28 PM TEST STARTED 1:58 PM ALARM REPORT TEST STARTED 12/17/2098 ROSEbALE: CHEVRON BEGIN LEUEL 7„5498 IN 12/17/2008 11:48 AM a END 7IME *11 PM 700 ROSEDALE HWY END DATE 1231732988 POWER DOW14 BAKERSFIELD CA END LEVEL 7,5383 IN LEAK THRESHOLD 0.062 Ik 12/17/2868= 1:24 Prl TEST RESULT FAILED 1217/2'00$ 12:283 PM POWER UP RUMP LEAK PEST REPORT UDC 1-z UDIi-12 TEST STARTED 1:89 PM TEST STARTED Ilse PM TEST 97ARTED 12/17/ N 2008 TEST STARTED 12/17/2008 I BEGIN LEVEL 4.5740 IN BEGIN LEVEL 4.3732 N END END TIME 1:24 PM TIME 2:13 PM END DATE 12/17/2008 END DATE 12/17/2008 .3573IN END LEVEL 4.673x9 IN END LEVEL a0.002 IN LEAK THRESHOLD 9.N2 IN LEAK THRESHOLD 0.FAI IN TEST RESULT PASSED TEST RESULT FalLf=o • ROSEDALE t�iEURQN 9700 ROSEDALE HWY , 8AKF-RSFIELD CA UDC 1-2 12/17/2808 '4:58 PM TEST STARTED 1:09 i 7 STARTED 123/7 SUMP LkAK TESL r�EPOR7 gEG L 1$ IN END TIM '1:24 PM UDC 1-2 END DATE. 12/17/2008 TEST STARTED 11:43 PM END 56 IN (�C{•$EDALE CHEVRON THE SHOLD 8. IN 9700 ROSEDALE HWY TEST STARTED 12/17/20OR TEST RESULT FA gAkT;.RSFTELD CA ::NLEVEL 4.817 IN D TI E PM D DATE /1732988 12117170 @�s 2-'a7 PC D LEV 4.8471 IN SUMP +_EAK TEST REPORT ESHOLD 002 IN T RESULT IN ED UDC9-lid UDC 3-4 ZEST STARTED 2:21 PM TEST STARTED 12/17/1908 TEST STARTED 12:4; PM BEGIN LEVEL 7.5605 IN TEST STARTED 12/17/2886 END TIME 2:-42 PM SEGIN LEVEL 3.4318 IN , ROSEDALE CHEVRON END DATE 123179 @88 END LEVEL 7.53.1 IN END TIME 12:58 PM 9700 42[ISEDAL-E HWY LEAK THRESHOLD 9.062 Ik END DATE 12/17/2008 BAKERSFIELD to TEST RESULT PASSED END LEVEL 3.3636 IN LEAK THRESHOLD 0.082 IN 12/17/2005' '1:54 PM TEST RESULT FAILED UD11-12 ALARM REPORT UDC 5-6 12/17/2068 1:39 Pm TEST STARTED 2;21 PM PgWEii DOWN TEST STARTED 12/17/2808 TEST STAR'PcD 12.43 PM BEGIN LEUEL 4.3583 IN TES? STARTED 12/17129 08 END TIME 2.-V PM END DATE 12/17/2098 SEGIN LEUEL 6.7328 IN 12/17/2108 .t54 PM END LEVEL 4.3377 IN END TIME 12:58 PM ' POWER UP 6.n LEAK THRESHOLD 9.062 IN END LEVEL 5.73.15 END DATE 19 IN ;EST RESULT PASSED LEAK THRESHOLD 9.902 IN TEST RESULT PASSED UD9-10 i u0c 7-83 TEST STARTED 2:21 PM TEST N L EL A 7.5311 RT? 12/17/2808 i GI TEST STARTED 12:43 PM END TIMF_ TEST STARTED 12317/2085 END DATE 7/28ae BEGIN LEVEL, 2.7042 IN . IN END TIME 12x58 PM LAND HR£SHQW 5 31518 0 IN END DATE 12/17/1008 T ST RESULT ED END LEVEL. 2.7404 IN LEAK THRESHOLD 10.002 IN TEST RESULT FOILED .r... ROSEDALE CHEVRON 97OU ROSEDALE HWY SAKFJRSFIELD CA ROSEDALE CHEVRON 12/17/2008 9:47 Po" ?709 ROSEDALE HWY BAKERSFIELD CA SUMP LEAK TEST REPORT RGSEDALE CHEVRON 12/17/2000 10:24 AM 97u0 ROSEDALE HWY 87 STP �' SAKERSFIEL.D CA SUMP LEAK TEST REPORT >TIME D 9=31 AM 12/17/200+3 11:12 AM D 12/17/200 87 STP 4.9638 IN SUMP LEAK TEST REPORT TEST STARTED 10:09 AM 7/2008 TEST STARTED 12/17/209'3 87 FS 79 IN BEGIN LEVEL 4.9806 IN OLD 0. END TIME 10:24 AM ''EST STARTED 10:56 AM INCREASED END DATE 1247/2008 TEST STARTED 12/17/200 END LEVEL 4.9889 IN BEGIN LEVEL 3.2421 IN LEAK THRESHOLD e.S02 IN END TIME 11:12 AM 87 F8 TEST RESULT PASSED N 008 D LEVEL 13.242 TEST STARTED 9:331 AM LEAK THRESHOLD 0.092 IN TEST STARTED 12/17/2008 81' STP TEST RESULT PR!�SED BEGIN LEVEL 7.4807 IN END TIME 9:47 AM TEST STARTED 10:89 AM END DATE 12/17/100$ >VEL 12/17/2008 +37 FS END LEVEL 7.4807 IM 4.6295 LEAK THRESHOLD A-082 IN AM TEST STARTED ie.% AM TEST RESULT PASSED /17/200Ea i STARTED 12/17/2009 4. ' 7 IN BEG EL 4.887 IN 0. N END TIM 1 2 AM PASS END DATE 17/2008 END LEV 8+875 IN LEAK 51IOLD 0. IN RESULT PA ROSEDALE CHEVRON 9700 ROSEDALE HWY SAKEREFIELD CA ROSEDALE CHEVRON 12/17/2008 10=07 AM 9700 ROSEDALE HWY BAKERSFIELD CA SUMP LEAK 'PEST REPORT ROSEDALE CHEVRON 12/17/20N 10:53 AI"I 9700 ROSEDALE HWY 87 'S1"P BAKERSFIELD CA SUMP LEAK TEST REPORT TEST STARTED 9:52 AM 12/17/2008 11:45 AM TEST STARTED 12/17/2008 87 FS BF_GIN LEVEL 4.9805 IN SUMP LERK TEST REPORT END TIME 10:07 AM TEST STARTED 10:37 AM END "TE; 12/171200$ TEST STARTED 12/ /200$ 91 FS END LEVEL 4.9806 IN GIN 3 2433 IN LEAK THRESHOLA 0.882 IN E 10:53 AM TEST STAh'TED 11:38 AM TEST RESULT PASSED END DATE 0$ TEST STARTED 12/17/2008 END LEUE 3.2494 "' EL S.<82 LEAK SHOLp 9.092 IN END TIME 87 STP TEST SULT FAILED Fit6 DATE'-EVEL 5.T STARTED 9:52 AM ir. T 'HOLD 0.0 IN TEST D 12/17/2008 pSL FS TES ESULT INCREASED BEGIN LE 4,639 END TIME AM' TEST STARTED 10:37 AM END DATE: 2/1• 008 TEST STfl TED 1 174008 91FS END 4.6296 BEGIN LE 2966 IN 0.P 7CaT STARTED 11:30 AM TEST RESULT PASSED THRESHOLD S SED IN END DATE 1,2/17/2008 ; TEST STARTED 12/17/2888 END LEVEL 3.2965 IN I BEGIN LEVEL 7.3721 IN LEAK THRESHOLD 0,002 IN END TIME 11:45 AM TEST RESULT PASSED i END DATE 12/17/2898 END LEVEL 7.3718 IN LEAK THRESHOLD 0.002 IN TEST RESULT PASSED TEST STARTED 8:53 AM TI-ST STARTED 12/17/2008 BEGIN LEVY 2.9996 IN ROSEDALE CHEVRON END TIME ?:09 AM ROSEDALE CHEVRON 9790 ROSEDALE HWY END DATE 12117/2008 9 7AP ROSEDALE HWY RAKER!SFIF.LD CA END LEVEL 2.9095 IN OAK.CRSFIELD CA LEAK THRESHOLD .0.002 IN 12/17,-200$ 8:44 AM TEST RESULT PASSED 12/18-/2008 10:43 AM SUMP LEAK TEST REPORT SUlP LEAK TEST REPORT l{ 91 FR uaC 3-, Tr3l STARTED 8:29 AM TE,T STARTE AM TE,T STARTED 12/1/12098 T QT STARTE 408$ 9F61N LEVEL 2.0870 IN REG +JEL t� END TIME 8:44 AM END TIME +43 AM END DATE 12/17/2008 FhIL� DATE 200E END LEVEL 2.$?9,2 IN ROSEDALE CHEVRON END tE.V �. '45 IN LEAK THRESHOLD 0.002 14 9700 LRSEDALE HWY L WSHOL) X3.00 TEST RESULT INCREASED 8filEERSFIEl� CA T �T RESULT FAILED 12/17/290? 9:24 AM DSL � SUMP LEAK TEST REPORT UDC 3-4 TEST STARTED 8:29 AM 91 STP TES? STARTED 10:27 AM TEST START/=D 12/17/2988 - TARTED 12/1 p$ BEGIN LEVEL, 2.3441 IN TEST STARTED l:99 AM BEGIN UEL IN END TIME 5:44 AM TEST STARTED 12/17/20!s3S END TIM . 10:43 AM END DATE 12/17/2088 BEGIN LEVEL 5.1581 IN END DATE 12/18/2008 END LEVEL 2.3445 IN END TIME 9:24 AM PD4858 IN LEAK THRESHOLD 0,002 IN END DATE 12/17/2008 THRESHOLD IN TEST RESULT PASSES D END LEVEL 5.1580 IN TEST RESULT F ED LEAK THRESHOLD 0.092 IN TEST RESULT PASSED UDC 7-8 TFST STARTED 10:27 AM , 07STP TEST STARTED 12/16/2006 I BEGIN L�UEL 5.1661 IN i TEST STARTED 9.04 AM END TIME 10:43 AM $T STARTED 12/17x,2008 END DATE 12/18x2008 SE UEL 5.3089 IN END LEVEL 5.1662 IN ROSEDALE CHEVRON D TIM 9:2 AM iLEAK THRESHOLD 0.002 IN 9790 ROSEDALE HWY LEVEL 24 IN TEST RESULT PASSED BAKERSPIEID CA AK T LD 0.0 IN "r;. i 12/17/20E g;qy A!7 o SULT INCREAS i aJC 7-8 r SUMP LEAK TEST REPORT ROSEDALE CNEURON DSL STP 97FR ROSEDALE i4wy 51 STP TEST STARTED 9:e9 AN EAKCRSFiELD CA TEST STARTED i TEST STARTED 12/17/20@8 TEST STARTED 12/17,2909 BEGIN LEVEL 5.8334 IN 12.18f200S 11:32 AM END TIME BEGIN LEVEL 5.1576 IN 9:24 AM LEVEL 5,8335 IN END DATE 12/17/2088 SUMP LEAK TEST REPORT ; END TIME 9:09 RM [j END DATE 12.17/2908 0.OU2 IN T'LEAK THRESHOLD 0.002 IN UDC 3-4 END LEVEL, 5 IN TES RESULT PASSED i LEAK THRESHOLD .002 TEST STARTED 11:17 AM j TEST RESULT PASSED i TEST STARTED 12/18/2098 r ' £ DIN LEVEL 2.4571 IN 91 FB .END TIME 11:32 AM 87STP T STARTED 9:99 AM END DATE 12/1578 IN TEST ARTED 12/17/2908 END LEUE:. 2,4578 IN � TEST STARTED 8:53 AM � BEGIN L 2.009 LEAK THRESHOLD 0.002 3N ST STARTED 12/17/2885 END T TEST RESULT PASSED END TIME 5.3 p IN END DATE 1712068 END DATE 9 A!1 END L 2. I N UDC 3� E END LE �,a7/2,006 L HRESHOLD. 9.00 N LEW HOLD 0.@02 IN ST RESULT PASS -EST STARTED 11e17 AM T� RESULT PA3$ED ! NEST STARTED 12/1 88 ! 8 EL 5.,7992 IN j END TIIgE 11:32 AM DSL STP END DATE 8/26e6 'TEST STARTED 8153 AM END L 5. IN LEA RESHOLD 1 .002 TEST STARTED 12/17/208$ TZST RESULT FAILED BEGIN LEVEL 5,8330 IN END TIME 9:09 AM END DATE 12/17/2008 END LEVEL. 5.8335 IN !-CAK THRESHOLD 0_0132 IN ,,-,r .. „ CAL-VALLEY EQUIPMENT 3500 GILMORE AVENUE BAKERSFIELD, CA 93308 EQUIPMENT (661) 327-9341 FAX: (661) 325-2529 CONTRACTOR'S LIC.#784170 A HAZ F d Toi 1 From ram - ��� Pages: INCLUDING COVER ATT: bate: Re; CC: CJ Urgent ❑ For Review M Pleom Comment CI Please Reply D Please Recycle Comments: 622�Q�1 '�,e.J,� .-.