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HomeMy WebLinkAboutUST-PERMIT COVERSHEET 9/24/2011HOODS ALARMS SPRINKLER SYSTEMS 9F ° " W o OO V H AST UST Permit No. Permit No. Permit No. Permit No. Permit No. Permit No. File Number: 3 c, G r // Address: 7 4 S- Bakersfield, CA 933 Date Received: Business Name: SYSTEM: BUILDING SQUARE FE F INSPECTM L ®2 New Mod. Commercial Hood System Building Sq. Feet: Date Time Fire Alarm System Calculation Bldg. Sq. Ft: aj„ N a AbZ4M 'ji. _ Fire Sprinkler System Z. Jl g // AO-C-57- vote N E; ccl Gf, Sgf Pm; 3. Pesss res> c Aboveground Storage Tank 4. Underground Storage Tank mi or Signature modification nderground Storage Tank removal Underground Storage Tank Signature Other. Comments: F CONFIDENCE UST SERVICES, INC. 417 Montclair Street, Bakersfield, CA 93309 800-339.9930 or 661 -631 -3870 FINAL TEST RESULTS: ALERT 1000 / ALERT 1050 / TEI LT -3 CUSTOMER ADDRESS: WORK ORDER:28186 SITE ADDRESS: Sullivan Petroleum Co. Downtown Chevron 1000 Truxtun Avenue TEST DATE: 11/11/11 2317 L Street Bakersfield, CA 93301 Bakersfield, CA 93301 SITE CONTACT:Frank Sullivan PHONE NUMBER: 661-327-5008 TECHNICIAN: Doug Young PHONE NUMBER:800- 339 -9930 LICENSE: 9010-76 WATER IN BACKFILL:n /a DATE 6 TIME OF LAST FUEL DELIVERY:n /a TANK INFORMATION: WETTED) PRODUCT TYPE: TOTAL GALLONS: PRODUCT LEVEL: PERCENT FULL- TEST METHOD: WATER IN TANK: TANK MATERIAL: P.S.I.@ BOTTOM: TEST DURATION: FINAL LEAK RATE: TEST RESULT: TANK INFORMATION: ULLAGE)U /F ONLY ULLAGE GALLONS: START PRESSURE: END PRESSURE: TEST RESULT: PRODUCT LINES: LINE TYPE: START TIME END TIME: TEST PRESSURE: FINAL LEAK RATE: TEST RESULT: MECHANICAL LEAK DETECTORS: MODEL: SERIAL NUMBER: CHECK VALVE PSI: BLEED OFF ml: LEAK RATE TESTED: TEST RESULT: TANK 1 TANK 2 TANK 3 TANK 4 Regular Plus Super ALERT 1050X ALERT 105OX ALERT 1050X ALERT 1050X TEI LT -3 TEI LT -3 TEI LT -3 TEI LT -3 Pressure Pressure Pressure 4:40pm 4:40pm 4:40pm 4:55pm 4:55pm 4:55pm 50 psi 50 psi 50 psi 0.004 qph 0.003 gph 0.003 gph PASS PASS PASS Red Jacket FXT Red Jacket FXT Red Jacket FAT Red Jacket FXT A) These systems and methods meet or exceed the criteria in USEPA 40CFR parts 280, NFPA 329 -87 and allapplic y to odes. B) Any fai re- s ed above may require further action, check with all regulatorygury agencies. Technicia a a re: Date. Manufacturer Cer tfication No: r an or D glas m. Young III Alert: 2004040 TEI: LT-3,089 CONFIDENCE UST SERVICES, INC. 417 Moikelalr Street, Bakersfield, CA 83309 800-339 -8830 or 881 -6313870 FINAL TEST RESULTS: ALERT 1000 / ALERT 1050 / TEI LT -3 CUSTOMER ADDRESS: WORK ORDER: 28200 SITE ADDRESS: Sullivan Petroleum Co. Downtown Chevron North 1000 Truxton Ave. TEST DATE: Nov. 18, 2011 2317 LfStreetCA 93301Bakersfield, CA 93301 SITE CONTACT:Frank Sullivan PHONE NUMBER: 661-327-5008 TECHNICIAN: Doug Young PHONE NUMBER:800- 339 -9930 LICENSE:90 -1076 WATER IN BACKFILL:N /A DATE S TIME OF LAST FUEL DELIVERY:N /A TANK INFORMATION: WETTED) PRODUCT TYPE: TOTAL GALLONS: PRODUCT LEVEL: PERCENT FULL: TEST METHOD: WATER IN TANK: TANK MATERIAL: P.S.I.@ BOTTOM: TEST DURATION: FINAL LEAK RATE: TEST RESULT: TANK INFORMATION: ULLAGE)U /F ONLY ULLAGE GALLONS: START PRESSURE: END PRESSURE: TEST RESULT: PRODUCT LINES: LINE TYPE: START TIME: END TIME: TEST PRESSURE: FINAL LEAK RATE: TEST RESULT: MECHANICAL LEAK DETECTORS: MODEL: SERIAL NUMBER: CHECK VALVE PSI: BLEED OFF ml: LEAK RATE TESTED: TEST RESULT: TANK 1 TANK 2 TANK 3 TANK 4 Regular Mid -Grade Premium Diesel ALERT 1050X ALERT 105OX ALERT 105OX ALERT 105OX TEI LT -3 TEI LT -3 TEI LT -3 TEI LT -3 Pressure Pressure Pressure Pressure 3:15pm 3:40pm 3:40pm 3:15pm 3:30pm 3:55pm 3:55pm 3:30pm 50 psi 50 psi 50 psi 50 psi 0.003 gph 0.004 gph 0.003 gph 0.005 gph PASS PASS PASS PASS Red Jacket FXT Red Jacket FXT Red Jacket FXT Red Jacket FXT A) These syystems and methods meet or exceed the criteria in USEPA 40CFR parts 280, NFPA 329 -87 and all applicab stat codes. B) Any fa ur ed above may require further action, check with all regulatory agencies. Technic' s ure: Date: Manufacturer Cer }fication No: an or uglas m. Young III (( Alert: 2004090 TEI : LT-3,089 UNDERGROUND STORAGE TANK PERMIT APPLICATION TO CONSTRUCT- INSTALL NEW TANK (NEW FACILITY) /NEW TANK INSTALL (EXISTING FACILITY) /MOD -MINOR MOD IPermit # TYPE OF APPLICATION: CHECK ONE ONLY) BAKERSFIELD FIRE DEPARTMENT Prevention Services 2101 H Street Bakersfield, CA 93301 Phone: 661 - 326 -3979 • Fax: 661 - 852 -2171 AR r Page 1 of 1 NEW TANK INSTALL/NEW FACILITY MODIFICATION OF FACILITY NEW TANK INSTALL/EXISTING FACILITY it MINOR MODIFICATION OF FACILITY ST RTINGqATE/ ctODer 15, 2011 PRO oS D MPLETI AT UcVO e ,011 FACILITY NAME Downtown Chevron - North side EXISTING FACILITY PERMIT # FYffff'WFE% Street -7cTakersfield 2933r61 TYPE OF BUSINESS Gas Station APN # TANK OWNER Sullivan Petroleum Co. LLC PHONE # 661 - 327 -5008 A10 0 Truxtun Ave. akersfield zIP9 01 CONTRACTOR Sunset Construction and Mechanical CA LICENSE # 589517 IC 41013 44 9 AD r sls7 Kimber Ave. C akersfield Z193307 PH # gZ1- 322 -0660 BAKERSFIE4D Crf1 BUSINESS LICENSE # On File W MP # n -10 INSURER SCIF BRIEFLY DESCRIBE THE WORK TO BE DONE: Pull new OPW Pisces piping through existing sleeve. WATER TO FACILITY PROVIDED BY California Water DEPTH TO GROUND WATER_ 1251 SOIL TYPE EXPECTED AT SITE Sand OF TANKS TO-BEOne LLED NN ARE THEY FOR MOTOR FUEL? IX YES NO EX SPILL PREVENTION CONTROL AND COUNTERMEASURES PLAN ON FILE? YES NO THXS SECTION IS FOR STORAGE TANK IIDIENTXFIICATIION TANK # VOLUME UNLEADED REGULAR PREMIUM DIESEL OTHER Tank Testing Company NAME OF TESTING COMPANconfidence UST Services PHONE NUMBER 1- 800 - 339 -9930 MAILING ADDRESS 16250 Meacham Road Bakersfield, CA 93314 NAME OF TESTER Doug Young I ICC# 901076 THE APPLICANT HAS RECEIVED, UNDERSTANDS, AND WILL COMPLY WITH THE ATTACHED CONDITIONS OF THIS PERMIT AND ANY OTHER STATE, LOCAL, AND FEDERAL REGULATIONS. THIS FORM HAS BEEN COMPLETED UNDER PENALTY OF PERJURY, AND TO THE BEST OF MY KNOWLEDGE IS TRUE AND CORRECT. NAME OF TESTER Doug Young ICC# 901076 THIS APPLICATION BECOMES A PERMIT WHEN APPROVED FOR OFFICIAL USE ONLY DATE APPROVED C APP VED Y FD2086 (Rev 08/09) UNDERGROUND STORAGE TANK PERMIT APPLICATION TO CONSTRUCT- INSTALL NEW TANK (NEW FACILITY) /NEW TANK INSTALL (EXISTING FACILITY) /MOD -MINOR MOD IPermit # TYPE OF APPLICATION: CHECK ONE ONLY BAKERSFIELD FIRE DEPARTMENT Prevention Services 2101 H Street j Bakersfield, CA 93301 FIRE Phone: 661 - 326 -3979 o Fax: 661 - 852 -2171ARr' r Page 1 of 1 NEW TANK INSTALL/NEW FACILITY NEW TANK INSTALL/EXISTING FACILITY MODIFICATION OF FACILITY 9 MINOR MODIFICATION OF FACILITY ST RTINGqp,TE/ CtOl er 15 , 2 011 PRO S D MPLETI AT c o er , t2 011 FACILITY NAME Downtown Chevron - South side EXISTING FACILITY PERMIT # FAGI4IIY Dg11ES Street Bakersfield Z1M33rb1 TYPE OF BUSINESS Gas Station APN # TANK OWNER Sullivan Petroleum Co. LLC PHONE 661 - 327 -5008 ADDRE 5 10 0 akersfield ZIP93 01 CONTRACTOR Sunset Construction and Mechanical CA LICENSE # 589517 IC1541013449 AD4bl7 Kimber Ave. takersfield Z193307 9V-322-0660 BAKERSFIELD CITY BUSINESS LICENSE # On File W MP # 10 FINSFURER IF BRIEFLY DESCRIBE THE WORK TO BE DONE: Pull new OPW Pisces piping through existing sleeve. WATER TO FACILITY PROVIDED BY California Water DEPTH TO GROUND WATER_ 1251 SOIL TYPE EXPECTED AT SITE Sand OF TANKS TO -BEOINSTALLED j en LLED ARE THEY FOR MOTOR FUEL? K YES NO EX SPILL PREVENTION CONTROL AND COUNTERMEASURES PLAN ON FILE? YES NO THIS SECTION IS FOOD STORAGE TANK IIDEHTXFIICATIION TANK i# VOLUME UNLEADED REGULAR PREMIUM DIESEL OTHER Tank Testing Company NAME OF TESTING COMPANconfidence UST Services PHONE NUMBER 1- 800 - 339 -9930 MAILING ADDRESS 16250 Meacham Road Bakersfield, CA 93314 NAME OF TESTER Doug Young ICCA 901076 THE APPLICANT HAS RECEIVED, UNDERSTANDS, AND WILL COMPLY WITH THE ATTACHED CONDITIONS OF THIS PERMIT AND ANY OTHER STATE, LOCAL, AND FEDERAL REGULATIONS. THIS FORM HAS BEEN COMPLETED UNDER PENALTY OF PERJURY, AND TO THE BEST OF MY KNOWLEDGE IS TRUE AND CORRECT. NAME OF TESTER Doug Young ICC# 901076 THIS APPLICATION BECOMES A PERMIT WHEN APPROVED FOR OFFICIAL USE DATE APPROVED j APPRO D BY FD2086 (Rev 08/09) CK m9 G9,67, 6CKUQY, 216- A 6-!. aTotaltendered %».mOlkifntal !IaygAt w& .yM) fram, date: 5/yd! IELP CIATRU- fHE PET PIEA!.[ SPAY mD Uper: mg +-CiRo bate; 9661,11 ot keteip", r-6: @ :71 g@ ollaTst it koRAll :OM3y OUILOING pumne CK m9 G9,67, 6CKUQY, 216- A 6-!. aTotaltendered %».mOlkifntal !IaygAt w& .yM) fram, date: 5/yd! IELP CIATRU- fHE PET PIEA!.[ SPAY mD