The URL can be used to link to this page

Home My WebLink About2011 FMC RE-TESTHOODS ALARMS SPRINKLER SYSTEMS AST LOST Permit No. Permit No. Permit No. Permit No. Permit No. Permit No. ld6J 33 File Number: 3 3 273 Address: 7 Z n ® -'E:- (-..3 Bakersfield, CA 933 Date Received: a S - Business Name: (,)L M ( S'&C-e— j P- SYSTEM: BUILDING SQUARE FEET: I I INSPECTION LOG New Mod. Commercial Hood System Fire Alarm System Fire Sprinkler System Spiay Finish SVstlem, Aboveground Storage Tank Underground Storage Tank minor modification Underground Storage Tank removal Underground Storage Tank G Other. '-7- Comments: Building Sq. Feet: 0-y- Calculation Bldg. Sq. Ft: 9. a. L 3. 4. 1 11J V i (D Date Time Signature 14,C-ad Spill Bucket Testing Report Form SWRCB, January 2006 This, form is intendedfor use by contractors performing annual testing of UST spill containment structures. The completedform and printouts from tests (ifapplicable), should be provided to thefacility owner /operatorfor submittal to the local regulatory agency. 1. FACILITY INFORMATION Facility Name: #1001 Wholesale Fuels Date of Testing: 10/21/2011 Facility Address: 2200 East Brundage Lane , Bakersfield, CA 93307 Facility Contact: Omero Garcia I Phone: 661- 393 -7000 Date Local Agency Was Notified of Testing : 10/18/2011 Name of Local Agency Inspector (ifpresent during testing): Esther Duran 2. TESTING CONTRACTOR INFORMATION Company Name: Confidence UST Services, Inc. Technician Conducting Test: Bradley Seykora Credentials: 2 CSLB Contractor x ICC Service Tech. SWRCB Tank Tester Other (Specify) License Number(s): CSLB #804904 ICC # 8111231 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 Number, Stored Product, etc.) 1) T -1 2) T -3 3) T -4 4) Bucket Installation Type: 9 Direct Bury Contained in Sump Z Direct Bury Contained in Sump 21 Direct Bury Contained in Sump Direct Bury Contained in Sum Bucket Diameter: 12.00" 12.00" 12.00" Bucket Depth: 14.25" 13.75" 14.00" Wait time between applying vacuum /water and start of test: 5 minutes 5 minutes 5 minutes Test Start Time (Ti): 9:00 A.M. 9:00 A.M. 9:00 A.M. Initial Reading (Rj): 9.25" 9.50" 9.50" Test End Time (TF): 10:00 A.M. 10:00 A.M. 10:00 A.M. Final Reading (RF): 9.25" 9.50" 9.50" Test Duration (TF — Tj): 1 hour I hour 1 hour Change in Reading (RF - Ri): 0.00" 0.00" 0.00" Pass /Fail Threshold or Criteria: 0.0625" 0.0625" 0.0625" Test Result: Pass Fail x Pass Fail x Pass Fail Pass Fail Comments — (include information on repairs made prior to testing, and recommendedfollow -up forfailed tests) CERTIFICATION OF TECHNICIAN RESPONSIBLE FOR CONDUCTING THIS TESTING hereby certify that all the information contained in this report is true, accurate, and infull compliance with legal requirements. Technician's Signature: Date: 10/21/2011 State laws and regulations do not currently require testing to be performed by a qualified contractor. However, local requirements may be more stringent. t G0 tDt, U T u.vaciewc wirwaovnocv!c- Invoice No.: 28067 Site: #1001 Wholesale Fuels 2200 East Brundage Lane Bakersfield, CA 93380 -2277 Repairs Requested: Re -test spill buckets on Tanks 1, 3, 4 and verifiy the diesel leak on turbin of tank 3 had been fixed. Repairs completed: Required Repairs, Still Pending: no further repairs needed at this time. Technician Name: Bradley Seykora Signature: 'ed_ Date: 10/21/2011 UNDERGROUND STORAGE TANKS APPLICATION FIRE 0EPA R rmsm r 1-0 PERFORM F1J)/1-1N1zJ'[::S1 -1NG,/ BAKERSFIELD FIRE DEPARTMENT Prevention Services 1.600 Truximn Ave., Suil:e 401 Bakersfield, CA 9330:1. Phone: 661-326-3979 o Fax: 661-852-21.71 S "13 - - T9,9 S1:(-,0N0AR)' COWAINMI-N Ilaric I of I AND MONITORING C1::R1'1I7TCA-I-1CN LI 1, NI 1AN( 1. ) LEAK :01" 1 ff: FION D VLINUI 1- I ING SH-989 SF CONDARY rmrrAIf)MF%JT TANK FI 0 1 N S!, 1 I:1Jf'I-M0NI'I0RING ZTIFICATION SITE INFORMATION VACILHY NA(- W P, VII(INE 11 or C NTACT PrIUMI'l ADORES; W,16JI-P MAMI. OPHIA10K NAM f: I1l:RI-II1 1(1I V OF TANKS F0 131 - 1 I - S 1 1 - 1 S G -10 BE TI I I I1) C) NUPIPINGCOIN( TANK It VOLUME CONTENTS TANKTFSTING COMPANY IIAI•II: 11 01: CONTAC I' PERSON 11: STI W.; (:0H PA 14V MAILING A I:IZTIHCATION 0 ()R SPECIAL INYIECIORNAMEP, I'll NI: ICC /I V, t'll: l r'l roOAII I I qk OA '1 F. A1111LI(:AN't THIS APPLICATION BECO114ES A PERMIT WHEN APPROV ED nn 'n: V. rl)2016 (Rite 061r-7) BILLING & PERMIT STATEMENT IPERMIT # I 11 1 : .1:0. III A Ii It S V 1 I. 114.1 FIRE J;1 a. .fPA R Tm r 1101 BAKERSFIELD FIRE DEPARTMENT Prevention Services 1600 TrLIXtUn Avenue, SUiLe 401 Bakersfield, CA 93301 Phone: 661-326-3979.c, Fax: 661-852-2171 FD2021 (Rev 06/W) 1 - ORIGINAL WHITE (Treasury) 1- YELLOW (File) 1 -PINK (Customer) gitiINFOR'M, LOCATION OF PROJECT W\AbU_<.CXU , E, C raraaRL L PROPERTY OWNER W'RoLtsaja_ FL"Os S ARTT114G DATE QQAPwAiand== "R .AC NAME PROJECT NAME PHONE PROJECT ADDRESS cny ..&I,SFIELD STATE CA- ZIP CODE CO T CTOR NAMI! CA LICENSE # TYPE 01: LICENSE EXPIRATION DATE PHONF 0RA L CONTIIAc-rOR COMPANI NAME FAX 9 ADDRESS CITY ZIP CODE All permits must be reviewed, stamped, and approved PRIOR TO BEGINNING WORK. Alarm - New & Modification (minimum charge) $280 84 98 Over 10,000 sq ft 0 .028 x sq ft Mr 84 98 Sprinkler - New & Modification (minimum charge) 280 or 84 98 Over 10,000 sq ft 0 .028 x scl fL 84 98 Minor Sprinkler Modification (<10 heads) 96 (inspection only) 84 98 Commercial Hood (New & Modification) 470 84 Additional hood 58 0—. 84 98 Spray Booth (New & Modification) 470 84 98 Aboveground Storage Tank (Installation /One Inspection) 82180 Additional Tank 96 T n 82 D Aboveground Storage Tank (Removal /Inspection) 109 a 82 Underground Storage Tank (Installation /Inspection) 878/Lank e 82 Underground Storage Tank (Modification) 878/site e 82 Underground Storage Tank (Minor Modification) 167 82 Underground Storage Tank (Removal) 573/tank 84 n- Oil well (Installation) m--an- -- 84 LtY dated Leak Detection (test)/Fuel Mont Cert/S13989 96/site m 82 NOTE: $96 for each type of test/per site even if scheduled at the same time 13 Tent X96 /tenC Ie 84 C1 After-hours inspection fee 121 Pyrotechnic (per event, plus inspection fee of $96/hr) 96 + (5 lirs min standby fee /insp)=$576 84 Re- inspection /Follow -up Inspection 96/hr m 84 Portable LPG (Propane): It of Cages? 96 84 EI Explosive Storage 266 84 LF-I'Copying File Research (File Research fee $34/hr) 0.25/page 84 Miscellaneous 84 FD2021 (Rev 06/W) 1 - ORIGINAL WHITE (Treasury) 1- YELLOW (File) 1 -PINK (Customer) OAF Fti N . t`00 ICES o COMPLIANCE WITH CONFIDENCE" August 29, 2011 CITY OF BAKERSFIELD Attn: David Weirather Office of Environmental Services Fire Department /UST Program 2101 H Street Bakersfield, CA 93301 To Whom It May Concern: Enclosed for your approval, please find Applications to Perform Fuel Monitoring Certifications and Billing and Permit Statements, along with our check in the amount of $192.00 /site. Please fax the approved Applications and permit fee receipts to our office at 661- 587 -9758. Should you have any questions, please feel free to contact me at 631 -3870. Thank you for your attention herein. Enclosures Yours truly, CONFIDENCE UST SERVICES, INC. Karli Karns, Dispatch Coordinator 16250 Meacham Road - Bakersfield, CA 93314 661) 631 -3870 or (800) 339 -9930 FAX (661) 587 -9758 BAKERSFIELD CITY FIRE DEPARTMENT -- INSPECTION RECORD Post this Card at the Job Site and DO NOT Remove for Duration of Work Inspection Request Phone No. (661) 326 -3979 UST NEW INSTALL DESCRIPTION DATE SIGNATURE BACKFILL PRIMARY PIPE SECONDARY PIPE SECONDARY CONTAINMENT SENSORS AUTHORIZATION FOR FUEL ELECTRICAL SEAK -OFF TANK TESTING UST REMOVAL DESCRIPTION DATE SIGNATURE AST NEW INSTALL DESCRIPTION DATE SIGNATURE MODIFICATIONS MINOR / MAJOR AST REMOVAL DESCRIPTION DATE SIGNATURE EVR UPGRADE PRIOR TO OPERATION OF ANY SYSTEM, ALL UST AND /OR AST SYSTEMS SHALL BE' INSTALL, COMPLETE AND ACCEPTED BY MISC. ACTIVITY JHE BAKERSFIELD CITY FIRE DEPARTMENT: FIRE DEPARTMENT (FINAL) REMARKS: BUILDING ADDRESS: 1 JOB DESCRIPTION: wl C. O CUPANCY TYPE: OWNER: L PERMIT NO. 3 LWCONTRACTOR: PHONE # /— Q FD 1743 city /!C /2 \' 4-41 Cir. i)YAwer-: PRY - pxGJ99 gg w TS ag I` '12 aG OW-N 7s. t,-5 6. 00 9521 2R; 2 ;9 4L QLj'PU,_P jOW