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HomeMy WebLinkAbout4050 GOSFORD ROAD (29)B E R S F I E D FIRE ARTM Ar Ronald J. Fraze Fire Chief Tyler Hartley Douglas Greener Deputy Chiefs HOWARD H. WINES, III DIRECTOR PREVENTION SERVICES 1501 Truxtun Ave., 151 Floor Bakersfield, CA 93301 VOICE: (661) 326 -3979 FAX: (661) 852 -2171 August 20, 2010 PUBLIC NOTICE PROPOSED CASE CLOSURE — UNDERGROUND TANK RELEASE, GOSFORD SHELL, 4050 GOSFORD ROAD, BAKERSFIELD, KERN COUNTY. This notice is to inform interested parties of the Bakersfield Fire Department, the local California Unified Program Agency (CUPA) consideration of closing the subject case and to request comments on the proposed closure. Underground storage tank (UST) systems at the Gosford Shell (formally Texaco) leaked prior to 2000, releasing gasoline constituents into subsurface soil. Gosford Shell is an operating retail motor fuel sales with a convenience store and is on the northeast corner of Gosford Road and White Lane in an area of mixed commercial and residential properties. Investigation to determine the extent and distribution of gasoline in the soil and clean up was conducted from 2000 to 2010. Reports submitted by the environmental consultant, Delta Environmental Consultants indicate that gasoline constituents in the soil have been reduced to low levels that are expected to naturally degrade. Delta Environmental Consultants also determined the remaining gasoline constituents are unlikely to threaten human health. Bakersfield Fire Department CUPA has reviewed the available information and determined that corrective action is nearing completion. Provided that no substantive comments are received, the Bakersfield Fire Department CUPA plans to issue a case closure (no further action) letter for the UST leak. You may participate in the closure process as an interested party by reviewing technical reports, asking questions, and providing comments during a thirty-day period beginning on the date of this notice. Technical reports may be viewed at the California Water Resources Control Board's GeoTracker website at: http: / /geotracker.swrcb.ca.gov /profile report.asp? Global id= T10000000475 or the Bakersfield Fire Department Headquarters located at 2101 H Street, Bakersfield, Ca. 93301 If you have questions, please contact; Craig Perkins Hazardous Materials Specialist for the Bakersfield Fire Department CUPA at (661) 326 -3979 or Mr. Philip Gilchrist Project Manager for Delta Environmental Consultants 626) 873 -2730. V 7 A_31 Jyw Oji.mndu V V V It 1L a A. L1 \iL .. ,v m 1 TIME CHARGED •y BUSINESS/DEAPRTMENT NAME: T4 ADDRESS: l'z) so G-7 vas QQ D PROJECT DESCRIPTION: Clc-- u e PROJECT NUMBER: b - 009 TIME DATE: NAME: CHGD: 1a /,2110 01,x)10 cpea-k- I^i > pew C.Erz.)w COMMENTS: o VX Off" rie, ( -\;4e\\ re tiUj r4 ) comas,; c- 0 ao1\ CN6a,s-, TE O-c Ve LL QLvcJ f C,i4Su 25,i f Q06 -mil PR OJEC" i' COMPLETION: ,ETION: DATE: m TIME CHARGED •, -; BUSINESS/DEAPRTMENT NAME: I-c ADDRESS: Q O S y 6© *d" PROJECT DESCRIPTION: Cj q. PROJECT NUMBER: TIME DATE: NAME: CHGD: io r 7l Iw c 71 Ici/(o lI)1 9) rI ID Tkof ) o G c A CPGO.1. I ++h r 6r r Set 1 COMMENTa- o saw v , L a a` /iaCJC vli cl C - } S t F, A44u Ls 44 k)4A PRn.TFC7 cnMPT.FTTON: DATE: r Xi MATERIALS1 UME r ^; R CHARGED ISION G ;fir BUSINESS/DEAPRTMENT NAME: ' e xAe- o '9- / Z 2Z ADDRESS: It SO PROJECT DESCRIPTION: C Ile vk f PROJE( DATE: 1 z r3 cs 3J 1rJ a ld" la r 1;91, T NUMBER: 6 d NAME: C) k- Q. G `" C, C C r a a-k w - TIME CHGD: COMMENTS: PR OJF C:T COMPLETION: ON: DATE: C °- .,:..___ F • -._ Grp `_' V S aN sg, PR OJF C:T COMPLETION: ON: DATE: V S aN sg, PR OJF C:T COMPLETION: ON: DATE: T)OUS MATERIALS S TIME CHARGED r^ C C BUSINESS/DEAPRTMENT NAME: 'C—xr --ct i Z, rz -L ADDRESS: /to SU 6->f- PROJECT DESCRIPTION: PROJECT NUMBER: DATE: J t - o4 NAME: 4 t%c-5 67v ' ` i16Z CHGD: COMMENTS: om AA qw 2 Qi(0 t6 -ze,c ISo ",P 2 10b S" to nL 4w S,r t_ e JUN 14 nng . /0 = oe a MAR t,3 2006 i1_l ,I l kj Z 3` Q 2 Uakle- Uar6c1 elak. f I ((k'lj C- *XfN„.„ 3 3 J w d PROJECT COMPLETION: DATE: HAZAOUS MATERIALS E'-- :IISION L}1 TIME CHARGED m •. BUSINESS/DEAPRTMENT NAME: ADDRESS: 40 -c-° c-,-0 s z t2z PROJECT DESCRIPTION: i? / P t l& UPGAAr>6 L(a-(L i PROJECT NUMBER: 070 DATE: oz 74/0" tot/It(01 TIME CHGD: COMMENTS: l i2w - 1ss I,J 9... ,ers f" P/i&.1 G.,, a cv Sv «,T DWG 7x, s- rc,/uTJS c zv A'S ,.x IcP(K ..,.r r^,c.,se, 1 2a 44<-,l t% O.HQ/S p S fG S^7 !la.,-4 ¢ woodJ . wetIs Cw,SuIJ,,+ (2h,, e 2 l,.r e..J jo a G i- l r w I' Ql,r .too jrl-rrc, -- V/6 obi' cow g (3 -64 Mow PROJECT COMPLETION: DATE: t 4111 October 8, 2004JAERSFD F /RE Mr. Tony Palagyi R1rN T Shell Oil Products US A*40* P.O. Box 7869 Burbank, CA 91510 -7869 RE: Results of Soil Vapor Extraction Tests of the property located at: 4050 Gosford Road in Bakersfield, CA Cc: B. Clark, Delta Env. J. Whiting, CV -RWQCB 09 (7tAor Dear Mr. Palagyi: FIRE CHIEF ROM =RA"E This office has reviewed the Soil Vapor. Ex traction Pilot Test reports ADMINISTRATIVE SERVICES submitted by you for the property located at the above stated address. 2101 ,.H" street Laboratory results reveal that methyl tertiary butyl ether (MTBE) is present inBakersfield, CA 93301 VOICE (661) 326 -3941 the soil at levels exceeding limits allowable by state guidelines. FAX (661) 852 -2170 You are hereby notified that mitigation of the MTBE contamination toSUPPRESSIONSERVICES 2101 .H.. sheer acceptable levels is required b this office. P q Y Bakersfield, CA 93301 VOICE (661) 326 -3941 FAX (661) 852 -2170 This office accepts the soil vapor extraction option, listed in the site characterization studies, as the most practical method for accomplishing a PREVENTION SERVICES reduction in the MTBE levels detected at the site. However, if you or your FIRE SAFETY SERVICES • ENVIRONMENTAL SERVICES 900 Truxtun Ave.. Suite 210 consultant has an alternate method you wish to employ, you may submit a Bakersfield, CA 93301 request to this office for review and approval. q PPVOICE (661) 326 -3979 FAX (661) 852 -2171 Please respond within twenty (20) working days from receipt of this FIRE INVESTIGATION letter as to your intentions regarding this matter and a time table for carrying1715ChesterAve. Bakersfield, CA 93301 them out. VOICE (661) 326 -3951 FAX (661) 852 -2172 If you have any questions, please call me at (661) 326 -3649. TRAINING DIVISION 5642 Victor Ave. Sincerely, Bakersfield, CA 93308 VOICE (661) 399 -4697 FAX (661) 399 -5763 Howard H. Wines, III Hazardous Materials Specialist Registered Geologist No. 7239 Office of Environmental Services Cc: B. Clark, Delta Env. J. Whiting, CV -RWQCB 09 (7tAor Delta' Environmental Consultants, Inc. Solving environment - related business problems worldwide 911 South Primrose Avenue • Suite K Monrovia, California 91016 USA 626.256.6662 800.477.7411 Fax 626.256.6263 April 15, 2004 Project No. PA4050G -1 Mr. Howard Wines III City of Bakersfield Fire Department Environmental Services 1715 Chester Avenue, 3.d Floor Bakersfield, CA 93301 Re: Update to Results of Soil Vapor Extraction (SVE) Pilot Tests Texaco Service Station 4050 Gosford Road Bakersfield, California Dear Mr. Wines: www.dettaenv.com Delta Environmental Consultants, Inc. (DELTA), on behalf of Equilon Enterprises, LLC dba Shell Oil Products US SHELL), submits this Update to Results ofSoil Vapor Extraction (SVE) Pilot Tests for the site referenced above. DELTA .discovered a miscalculation in the vapor flow rates presented in the Results ofSoil Vapor Extraction SVE) Pilot Tests dated February 9, 2004 due to an incorrect observation of the size of the extraction pipe where flow was observed. The pipe was incorrectly identified to be three inches in diameter; instead of its actual diameter of four inches. This change will increase both the actual extraction flow rate and the mass removal rate. The pages which reflect the corrected values have been attached to this letter. Please use these pages as a direct replacement for the pages in the original report. A memberof., Xinogeif Environmental Alliance Apri115,2004 Page 2 Should_ you have any questions or need any further assistance, please contact either Mr. Peter Shair or Mr. Bradley Clark (DELTA) at (626) 256 -6662 or Mr. Anthony Palagyi (SHELL Engineer) at (425) 377 -8530. Sincerely, Delta Environmental Consultants, Inc. Katherine Richardson Project Engineer Bradley E. Clark, P.E. C55425 Senior Project Engineer Attachments: Peter Shair Project Geologist Y Fy\ Z U0 C° NO.C55425 rn Exp. %2 •'N •og s civic CF Results CAIN Results of Soil Vapor Extraction (SVE) Pilot Tests, Page 7 Results of Soil Vapor Extraction (SVE) Pilot Tests, Page 8 Results of Soil Vapor Extraction (SVE) Pilot Tests, Page 11 Table 3 - Summary of SVE Step Test Data (VEW -4A) Table 4 - Summary of SVE Step Test Data (VEW -4B) Table 5 - Summary of SVE Step Test Data (VEW -5A) Table 6 - Summary of SVE Step Test Data (VEW -5B) Table 7 - Summary of SVE Extended Test Data (VEW -4A) Table 10 - Soil Vapor Mass Removal Rates Figure 4 - Flow Rate vs. Vacuum during Step Tests Appendix C - SVE Field Data Sheets cc: Mr. Anthony Palagyi, Shell Oil Products US ISERVERVCHM Dma\ChwM\ Shdl\_Shcll Sitm\4 \6050 Gosford \2004- 0a15_Lmerk2004 -04 -I5 Updncto Repomdoc January 13, 2004 Page 7 PILOT STUDY EXTENDED TEST OPERATION On December 9, 2003, Delta performed a 67 -hour constant vacuum SVE Extended Test utilizing Well VEW-4A at an applied vacuum of approximately 9.5 inches of Hg [129 inches of water]. The following procedures were conducted during the Extended Test: 1. The test commenced at 5:40 pm of December 9 and continued on until 1:00 pm, December 12. 2. Applied vacuum on the test well was measured. 3. Nearby wells VEW -lA, VEW -1B, VEW -2A, VEW -2B, VEW -3A, VEW -3B, VEW -4B, VEW -5A, and VEW -5B (74, 74, 54, 54, 35, 35, 0, 43, and 43 feet from Well VEW -4A, respectively) were used as observation wells. 4. Vacuum influence was monitored approximately every 2 hours for the first 4 hours and then every 12 hours. 5. Vacuum readings were taken using a monometer for both the extraction well and the observation wells. 6. Vapor flow rates were measured on the test well. 7. Flow rates were determined using a pitot tube and monometer. 8. Vapor samples were measured in the field with a PID, FID and Fixed Gas Meter for hydrocarbons, carbon dioxide, and oxygen. i9. Soil vapor samples were collected from the extraction well at the beginning, approximate mid -point and end of the Extended Test. Soil vapor samples collected during the Extended Test were analyzed for TPH- g using EPA Method TO -3 and BTEX compounds and fuel oxygenates using EPA Method TO -15.. Monitoring data of the Extended Test are presented in Table 7. SVE PILOT TEST FINDINGS The following sections present the principal findings of SVE pilot test. VAPOR FLOW RATES AND APPLIED VACUUM iThe results of the SVE step test performed on Well VEW -4A are displayed on Table 3 and summarized below: Vapor flow rates ranged from approximately 64.0 to 103.9 standard cubic feet per minute (scf n). An increase in the average vapor flow rate was observed with increasing vacuum. Applied vacuum ranged from approximately 2.5 inches of mercury to 10.0 inches ofmercury. I' . \lServddthm dnu\Clims\ Shdl\ Shdl SitaM\4050 Gosford\2004-02- 09_SVE Pilot Tat \Updetod Results ofSVE Pilot Tot (4050).dm January 13, 2004 Page S The results of the SVE step test performed on Well VEW -4B are displayed on Table 4 and summarized below: Vapor flow rates ranged from approximately 91.9 to 106.7 scfm. An increase in the average vapor flow rate was observed with increasing vacuum. Applied vacuum ranged from approximately 2.5 inches of mercury to 9.5 inches of mercury. The results of the SVE step test performed on Well VEW -5A are displayed on Table 5 and summarized below: Vapor flow rates ranged from approximately 73.4 to 103.9 scfm. An increase in the average vapor flow rate was observed with increasing vacuum. Applied vacuum ranged from approximately 2.0 inches of mercury to 10.0 inches of mercury. The results of the SVE step test performed on Well VEW -5B are displayed on Table 6 and summarized below: Vapor flow rates ranged from approximately 56.4 to 112.6 scfn. An increase in the average vapor flow rate was observed at the higher vacuum. Applied vacuum ranged from approximately 2.0 inches of mercury to 8.5 inches of mercury. A graph presenting flow rate versus vacuum is presented as Figure 4. The effect of the applied vacuum on well VEW -4A was observed as pressure at observation wells VEW -2B, VEW -4B, and VEW -5B during the Step Tests. The effect of the applied vacuum on Well VEW -4B was observed as pressure at observation wells VEW -2A, VEW -3A, VEW -4A, and VEW -5A during the Step Test. Data from these wells was assumed to be invalid and was not used in subsequent calculations. Wells VEW -lA and VEW -1B were not used during the Step Tests due to a shortage of well caps. Additional well caps were supplied during the Extended Test. The results of the SVE Extended Test performed on Well VEW -4A are summarized below: Vapor flow rates ranged from approximately 77.1 to 119.1 scfm. The average flow rate was approximately 99.9 scf n. Applied vacuum was approximately 9.5 inches of Hg. The observed vacuum in Well VEW -2A (54 feet from the extraction well) was an average of 0.56 inches of water (0.44% of applied vacuum). The observed vacuum in Well VEW -3A (35 feet from the extraction well) was an average of 0.73 inches of water (0.57% of applied vacuum). Mm= 144 _dma\Chcnis\ Shdl\ Shdl Si1esWW(150 Go5f6rd\2004-02 -N_SVE Pilot Tm \Updatod R=ltsofSVEPilot Tax (4050).dm January 13, 2004 Page 11 SOIL VAPOR MAsS REMOVAL RATE AND TOTAL MASS REMOVED The subsurface TPHg and BTEX vapor concentrations and vapor flow rates were used to calculate the TPHg mass removal rates and total TPHg mass removed during the pilot study. The removal rates were calculated based on concentrations and flow rates measured during the test. The results are included in Table 10. TPHg mass removal rates from Well VEW -4A are estimated at 93.0 pounds per day (lb /day). Based on an average TPHg concentration of 10,352 ug/L, a total of 259.8 pounds (lbs) of TPHg were removed over a 67 -hour period during the Extended Test on Well VEW -4A. Subsurface MTBE vapor concentrations and vapor flow rates were used to calculate the MTBE mass removal rates and total MTBE mass removed during the pilot study. The removal rates were calculated based on concentrations and flow rates measured during the test. The results are included in Table 10. MTBE mass removal rates from Well VEW -4A are estimated at 64.7 pounds per day (lb /day). Based on an average MTBE concentration of 7,200 ug/L, a total of 180.7 pounds (lbs) of MTBE were removed over a 67 -hour period during the Extended Test on Well VEW -4A. SVE RADIUS OF INFLUENCE To estimate SVE radius of influence for this site, the normalized vacuum influence data and distances from the extraction well VEW -4A to the observation wells (VEW -2A, VEW -3A, VEW -3B, and VEW -5A) were plotted on a semi - logarithmic chart. Supporting data for these plots are tabulated on Tables 3 and 7 and the radius of influence plots are presented as Figures 7 through 9. Data collected for the Step Test resulted in a radius of influence that was approximately 25 feet to wells screened in the shallow zone (VEW =2A, VEW -3A, and VEW -5A). Data collected for the Extended Test resulted in a radius of influence that is lower than the 1 % normalization in wells screened in the shallow zone (YEW -IA, VEW -2A, VEW -3A, and VEW -5A). The vacuum influences of the observation wells varied between 0.44% and 0.77% of applied vacuum and a ROI could not be created using this method. Data collected for the Extended Test resulted in a radius of influence that was approximately 33 feet to wells screened in the deep zone (VEW -1B, VEW -2B, VEW -3B, and VEW -5B). Sca1k1®_dm\Climu \_Shc]I\ Shdl SitetW4050 Gosl`wM2004- OZ09_SVE Pilot TW\Updwad Rcults ofSVE Pilot Te (4050).doc TABLES SUMMARY OF SVE STEP TEST DATA (VEW4A) 4050 Gosford Road Bakersfield, California Extraction Well (VEW =4A) Observation Well (VEW4B) Observation Well (VEW -3A) Observation Well (VEW -3B) Observation Well (VEW -5A) Dis. from VEW4A: 0 ft Dis. from VEW -4A: 35 It Dis. from VEW4A: 35 ft Dis. from VEW -4A: 43 ft Sample Date Sample Time 7- 00) f Vacuum in of Hg) Flow acfm) Flow scfm)* PID Influent Conc. (ppmv) O= CO= Pressure Vacuum Vacuum Vacuum H =0) of VEW -4A) P H20) . of VEW -0A) H20) of VEW -4A) H20) of VEW -4A) i ..x t Si... il iY•L ^`• -, FF n 3. M' 9 4.' i..& Y F`+.v il;,,.... ,Liti T''':7'•; Syr 4 lW s +b8 i -6a. Y,r'jnzi.- `Jtt.n+wxSRA'r1^c: 4.A3+a -^.tJ SY ii'.b1`1.L S}".- AY.fk 12/9/03 15:40 34.0 2.5 69.8 64.0 690 1.0 14.0 1.33 NA 0.23 0.676 0.21 0.617 0.22 0.647 12/9/03 15:55 34.0 2.5 69.8 64.0 840 1.3 14.4 1.50 NA NA NA 0.13 0.382 NA NA 12/9/03 16:10 34.0 2.5 69.8 64.0 870 1.0 13.9 1.48 NA NA NA 0.20 0.588 NA NA 12/9/03 16:20 74.8 5.5 110.3 90.0 900 1.0 13.9 1.41 NA 0.39 0.521 0.44 0.588 0.51 1 12/9/03 16:35 74.8 5.5 110.3 90.0 1020 0.9 13.0 1.44 NA 0.45 0.601 0.48 0.641 0.57 2 12/9/03 16:50 74.8 5.5 110.3 90.0 1140 0.9 12.6 1.45 NA 0.44 0.588 0.51 0.682 0.55 0.735 12/9/03 1 17:00 136.1 1 10.0 156.1 103.9 1230 0.6 12.6 1.42 NA 0.58 0.426 0.72 0.529 0.76 0.559 12/9/03 17:15 136.1 10.0 156.1 103.9 1300 0.9 12.4 1.38 NA 0.62 0.456 0.70 0.515 0.80 0.588 12/9/03 17:30 136.1 10.0 156.1 103.9 1370 1.0 12.2 1.30 NA 0.67 0.492 0.83 0.610 0.83 0.610 Maximum Step Average 156.1 103.9 NA NA 0.45 0.537 0.42 0.572 0.57 0.655 Notes: Hg - Inches of Mercury H2O - Inches of Water acfm - actual cubic feet per minute scfm - standard cubic feet per minute ppmv - parts permillion by volume NA - Not Applicable positive pressure indicated in bold Flow rate (sefm) - Flow rate (acfm) x [Pressure at the gauge (psi) + Pressure atmosphere (psi)yPressureatmosphere (psi) M M M M M M M M TABLE3 SUMMARY OF SVE STEP TEST DATA (VEW4A) [Continued] 4050 Gosford Road Bakersfield, California Extraction Well Observation Well (VEW -5B) Dis. from VEW -4A: 43 ft Pressure H2O) of VEW -4A) Flow PID Influent Conc. (ppmv) 1.25 NA 1.42 NA 1.39 NA 1.34 NA 1.35 NA 1.35 NA 1.34 NA 1.28 NA 1.19 NA 1.0 14.0 NA NA Sample Date Sample Tim- Vacuum in of H2O) Vacuum in of Hg) Flow acfm) Flow PID Influent Conc. (ppmv) CO, 2. kU'.l.. 3`.GS1 ye} yt"..: :taavFa. SYx1 a.dx.:v. k. g^( scfm)* Clai..:kw•'3'i3a,e1,.:•.8,.611d(.:.:3..D; 02 x^+,.> 12/9/03 15:40 34.0 2:5 69.8 64.0 690 1.0 14.0 12/9/03 15:55 34.0 2.5 69.8 64.0 840 1.3 14.4 12/9/03 16:10 34.0 2.5 69.8 64.0 870 1.0 13.9 12/9/03 16:20 74.8 5.5 110.3 90.0 900 1.0 13.9 12/9/03 16:35 74.8 5.5 110.3 90.0 1020 0.9 13.0 12/9/03 16:50 74.8 5.5 110.3 90.0 1140 0.9 12.6 12/9/03 17:00 136.1 10.0 156.1 103.9 1230 0.6 12.6 12/9/03 17:15 136.1 10.0 156.1 103.9 1300 0.9 12.4 12/9103 17:30 136.1 10.0 156.1 103.9 1370 1.0 12.2 Maximum Step Average 156.1 103.9 Notes: lig -Inches of Mercury H2O - Inches of Water acfm - actual cubic feet per minute scfm - standard cubic feetper minute ppmv - parts per million by volume NA - Not Applicable positive pressure indicated in hold _ Flow rate (scfm) - Flow rate (acfm) x (Pressure at the gauge (psi) + Pressure atmosphere (psi)yPressure atmosphere (psi) Observation Well (VEW -21 Dis. from VEW -4A: 54 ft Vacuum H2O) (% of VEW4j 0.05 0.147 NA NA NA NA 0.17 0.227 0.24 0.321 0.22 0.294 0.33 0.243 0.33 0.243 0.22 1 0.253 Observation Well (VEW -2B) Dis. from VEW4A: 54 ft Pressure H2O) (% of VEW -4A) 1.07 NA 1.21 NA 1.19 NA 1.15 NA 1.11 NA 1.12 NA 1.06 NA 1.05 NA NA I NA TABLE SUMMARY OF SVE STEP TEST DATA (VEW -4B) 4050 Gosford Road Bakersfield, California Extraction Well (VEW-4B) Observation Well (VEW -4A) Observation Well (VEW -3A) Observation Well (VEW -5A) Observation Well (VEW -2A Dis. from VEW-4B: 0 ft Dis. from VEW -4B: 35 ft Dis. from VEW -4B: 43 ft Dis. from VFM 4B: 54 ft Sample Date Sample Time a+ . ",F'y'#7,,`•':°n7'^"''_:; Vacuum in of H2O) Vacuum in of Hg) 3am.a_., .. Flow acfm) 7'.v. Y.'k- Flow scfm)* PID Influent Conc. (ppmv) 02 rte. CO, J Pressure Pressure Pressure Pressure H2O) of VEIV -4B) H2O) of VEW4B) H2O) ofVEW -411) H2O) ofVEW -4B) 12/9/03 13:35 34.0 2.5 104.7 96.0 170 8.5 6.0 0.11 NAB 0.14 NA 0.18 NA 0.24 NA 12/9/03 13:50 34.0 2.5 104.7 96.0 150 8.0 6.3 0.09 NA 0.10 NA 0.18 NA 0.22 NA 12/9/03 14:05 34.0 2.5 104.7 96.0 130 8.2 6.1 0.14 NA 0.13 NA 0.22 NA 0.23 NA 12/9/03 14:15 68.0 5.0 110.3 91.9 120 8.3 6.1 0.10 NA 0.10 NA 0.21 NA 0.22 12/9/03 14:30 68.0 5.0 110.3 91.9 110 8.4 6.2 0.11 NA 0.13 NA 0.24 NA 0.22 12/9/03 14:45 68.0 5.0 110.3 91.9 100 8.4 6.3 0.06 NA 0.07 NA 0.14 NA 0.18 NA 12/9/03 14:55 129.3 9.5 156.3 106.7 100 9.2 6.2 0.00 0.000 0.05 NA 0.10 NA 0.13 NA 12/9/03 15:10 129.3 9.5 156.3 106.7 100 8.7 6.5 0.05. NA 0.07 NA 0.14 NA 0.17 NA 12/9/03 15:25 129.3 9.5 156.3 106.7 100 8.5 6.5 0.00 0.000 0.05 NA 0.10 NA 0.11 NA Maximum Step Average 1 1563 106.7 NA NA NA NA NA NA NA NA Notes: fig - Inches of Mercury H2O - Inches ofWater acfm - actual cubic feet per minute scfm - standard cubic feet per minute ppmv - parts per million by volume NA - Not Applicable positive pressure indicated in bold Flow rate (scfm) - Flow rate (acfm) x [Pressure at the gauge (psi) + Pressure atmosphere (psi)yPressure atmosphere (psi) M M M M. M M r M M M M M M M M! M M M TABLES SUMMARY OF SVE STEP TEST DATA (VEW -5A) 4050 Gosford Road Bakersfield, California Extraction Well (VEW -5A) Observation Well (VEW -5B) Observation Well (VEW -2B) Observation Well (VEW -4B) Observation Well (VEW -313) Dis. from VEW -SA: 0 ft Dis. from VEW -5A: 39 ft Dis. from VEW -5A: 43 ft Dis. from VFW-5A: 54 ft Sample Date Sample Time Vacuum in of H2O) Vacuum in of Hg) Flow acfm) Flow scfm)* PID Influent Conc. (ppmv) 02 CO, Pressure Pressure Pressure Vacuum H2O) of VEW -5A) H2O) of VEW -5A) H2O) of VEW -5A) H2O) of VEW -5A) Y`.''' mY . 7k`-3 I• f. i t i ? 12/9/03 11:25 27.2 2.0 104.7 97.7 821 3.0 11.4 0.17 NA 0.13 NA 0.26 NA 0.23 0.845 12/9/03 11:40 27.2 2.0 1 92.3 86.1 1 904 2.5 11.0 0.35 NA 0.27 NA 0.39 NA 0.22 0.809 12/9/03 11:55 34.0 2.5 92.3 84.6 929 2.4 11.0 0.50 NA 0.41 NA 0.55 NA 0.15 0.441 12/9/03 12:05 68.0 5.0 92.3 76.9 947 2.4 11.0 0.60 NA 0.49 NA 0.69 NA 0.28 V 12/9/03 12:20 74.8 5.5 110.3 90.0 971 2.4 11.6 0.65 NA 0.53 NA 0.78 NA 0.36 12/9/03 12:35 74.8 5.5 110.3 90.0 1023 2.3 11.8 0.71 NA 0.61 NA 0.83 NA 0.34 0.454 12/9/03 12:45 136.1 10.0 110.3 73.4 1 1163 2.3 12.3 0.79 NA 0.64 NA 0.94 NA 0.48 0.353 12/9/03 13:00 136.1 10.0 156.1 103.9 NA 2.2 12.9 0.88 NA 0.65 NA 0.98 NA 0.57 0.419 12/9/03 13:15 136.1 10.0 156.1 103.9 1300 2.2 12.6 1.00 NA 0.78 NA 1.13 NA 0.55 0.404 Maximum Step Average 140.8 93.8 NA NA NA NA NA NA 0.20 0.698 Notes: Hg - Inches ofMercury H2O - Inches ofWater actin - actual cubic feet per minute scfm - standard cubic feel perminute ppnry - pans per million by volume NA - Not Applicable positive pressure indicated in bold Flow rate (scfm) s Flow rate (acfm) x [Pressureat the gauge (psi) + Pressure atmosphere (psi)] /Pressure atmosphere (psi) M r M M M M r M M = = == M M M M= M TABLE 6 SUMMARY OF SVE STEP TEST DATA (VEW -5B) 4050 Gosford Road Bakersfield, California Extraction Well (VEW -5B) 5A) 2A) 4A 3A) Dis. from VEW -5B: 0 It Dis. from VEW -511: 39 ft Dis. from VEW -513: 43 It Dis. from VEW -5B: 54,ft Sample Date Sample Time Vacuum in of H2O) Vacuum (in of Hg) Flow acfm) Flow scfm)* PID Influent Conc. (ppmv) 02 COI Vacuum Vacuum Vacuum Vacuum H2O) of VEW -5B) H20) ofVEW -5B) H2O) of VEW -5111) H2O) of VEW -5B) a s py 9:22 115.6 yre. 8.5 ky 156.1 44x,^,k}S 111.8 t, 44' •Y:.wu • 188 8.7 vutiri 6.6 ii 0.18 0.156 X117•.. =< ; tr ca` 0.16 sr T 0.138 i3:i 0.04 t fx'n''a L P'b".e 0.035 y 9; 3'v 0.00 cC.•.:..t d.nfw`i° 0.00012/9/03 12/9/03 9:37 115.6 8.5 156.1 111.8 214 8.9 6.4 0.25 0.216 0.18 0.156 0.08 0.069 0.05 0.043 12/9/03 9:52 115.6 8.5 156.1 111.8 212 8.3 6.6 0.24 0.208 0.18 0.156 0.05 0.043 0.04 0.035 12/9/03 10:02 68.0 5.0 135.2 112.6 483 8.9 7.1 0.19 0.279 0.12 0.176 0.04 0.059 0.03 1 12/9/03 10:17 68.0 5.0 135.2 112.6 260 8.4 6.7 0.16 0.235 0.12 0.176 0.03 0.044 0.02 9 12/9/03 1 10:32 68.0 5.0 104.7 87.2 262 8.1 7.1 0.17 0.250 0.13 0.191 0.06 0.088 0.04 0.059 12/9/03 10:42 27.2 2.0 85.5 79.8 1 432 8.0 7.0 0.10 0.368 0.08 0.294 0.01 0.037 0.00 0.000 12/9/03 10:57 27.2 2.0 60.4 56.4 252 7.3 7.0 0.09 0.331 0.06 0.221 0.01 0.037 0.01 0.037 12/9/03 11:12 27.2 1 2.0 60.4 56.4 271 7.6 7.0 1 0.00 1 0.000 0.05 0.184 0.05 1 0.184 0.05 1 0.184 Maximum Step Average Maximum Step Average 156.1 111.8 0.173 0.255 0.070 0.233 0.010 1 0.086 0.005 0.074 Notes: Hg - Inches of Mercury 1120 - Inches of Water acfm - actual cubic feet per minute scfm - standard cubic feet per minute ppmv - parts per million by volume NA - Not Applicable positive pressure indicated in bold . Flow rate (scfm) = Flow rate (afm) x [Pressure at the gauge (psi) + Pressure atmosphere (psi)]/Pressure atmosphere (psi) M M = = M M TABLE SUMMARY OF SVE EXTENDED TEST DATA (VEW4A) 4050 Gosford Road Bakersfield, California Sample Date Sample Time Extraction Well (VEW 4A) Observation Well (VEW -011 Observation Well VEW -3A Observation Well VEIV -3B Observation Well VEW -5A) DIs. from VEW4A: 0 It Dls. from VEW4A: 35 It Dls. from VEW4A: 35 It Dis. from VEW4A: 43 it Vacuum In of 1120) Vacuum in ofllg) Flow acfm) Flow scfm)" PID Influent Cone. (ppmv) 02 CO2 Vacuum Vacuum Vacuum Vacuum 11,,0) of VEW -0A) II O ofVEW4A) Ih0) of VEW4A) II=O) of VEW4A) 12/09/03 17:40 136.1 10.0 156.1 103.9 1370 1.3 12.1 1.24 0.911 0.68 0.500 0.82 0.603 0.87 0.639 12/09/03 19:40 136.1 10.0 156.1 103.9 1220 3.3 10.5 0.95 0.698 0.63 0.463 0.84 0.617 0.85 0.625 12/09/03 21:40 136.1 10.0 156.1 103.9 1050 4.3 9.6 0.80 0.588 0.65 0.478 0.89 0.654 0.83 0.610 12/10/03 7:40 122.4 9.0 1.10.3 77.1 590 8.7 7.2 0.48 0.392 0.79 0.645 1.23 1.005 1.04 0.849 12110/03 17:40 136.1 10.0 174.5 116.2 470 10.2 8.4 0.25 0.184 0.76 0.559 1.06 0.779 1.00 0.735 12/11/03 7:40 122.4 9.0 110.3 77.1 330 11.7 5.4 0.20 0.163 0.76 0.621 1.10 0.898 1.02 0.833 12/11/03 13:40 129.3 9.5 1 174.5 119.1 300 11.7 5.8 0.27 1 0.209 0.75 0.580 1.05 0.812 0.96 0.743 12/12/03 7:40 115.6 8.5 110.3 79.0 250 14.5 3.6 1.85 1.600 1 0.83 0.718 1.51 1.306 1.24 1 1.072 12/12103 13:00 129.3 9.5 174.5 119.1 240 13.7 4.4 0.74 0.573 0.76 0.588 1.23 0.952 1.04 0.805 Avg 147.0 99.9 1.02 0.855 0.73 0.572 1.08 0.847 0.98 0.768 Notes: Flg - Incha ofMowry 1120 - Inches of Wmer acfm - actualcubic fee per minute selm - staodard cubic feet perminute ppmv - pans per millionby volume positive pmnm indicated in bold NA - Not Applicable Flow rate (sue ) - Flow rate (acfm) x [Presumat thegauge (psi) + Pmssom atmosphem (psi)yPress ne atmosphem (psi) M M M M= M r= M M= M= M= M == M TABLE 7 SUMMARY OF SVE EXTENDED TEST DATA (VEW4A) [Continued) 4050 Cosford Road Bakersfield, California Extraction Well VENVAA Observation Well VEW -5B) Observation Well ENV-2A Observation Well (VEW -2B Observation Well (V.En- Observation Well VEW -10 Dis. from VEAVAA: 43 ft Dis. from VENV4A: 54 R Dis. from VEW4A: 54 ft Dis. from VEW4A: 74 it Dis. from VEW4A: 74 ft ' Sample Date Sample lime Vacuum In of 1120) Vacuum In of Dg) Floe acfm) Flow acfm)" PID Influent Conc. ( mv) 02 CO' Vacuum Vacuum Vacuum Vacuum Vacuum ofVEW -A) 1110) ofVEW 4A) 1110) ofVEW 4A) 1120) ofVEW 4A) II10) of VEW 4A) t) Pmm m.. FSC,;, .a 12109103 17:40 136.1 10.0 156.1 103.9 1370 1.3 12.1 1.14 0.838 0.43 0.316 0.91 0.669 NA NA NA NA 12/09/03 19:40 136.1 10.0 156.1 103.9 1220 3.3 10.5 0.90 0.662 0.43 0.316 0.71 0.522 NA NA NA NA 12/09/03 21:40 1 136.1 10.0 1 156.1 103.9 1,050 4.3 9.6 0.72 0.529 0.45 0.331 0.50 0368 NA NA NA NA 12110/03 7:40 122.4 9.0 110.3 77.1 590' 8.7 7.2 0.48 0.392 0.62 0.506 0.55 0.449 NA NA NA NA 12/10/03 17:40 136.1 10.0 174.5 116.2 470 10.2 8.4 0.16 0.118 0.57 0.419 0.05 0.037 NA NA NA NA 12/11/03 7:40 122.4 9.0 110.3 77.1 330 11.7 5.4 0.16 0.131 0.55 0.449 0.07 0.057 0.52 0.425 0.00 0.000 12/11/03 13:40 129.3 9.5 174.5 119.1 300 11.7 5.8 0.23 0.178 0.53 0.410 0.10 0.077 0.45 0.348 0.09 0.030 12/12/03 7:40 115.6 8.5 110.3 79.0 250 14.5 3.6 1.76 1.522 1 0.84 10.726 1.64 1.418 0.83 0.718 1.85 0.740 17/12/03 13:00 129.3 9.5 174.5 119.1 240 13.7 4.4 0.68 0.526 0.65 0.503 0.74 0.573 0.60 0.464 0.71 0.296 Avg 147.0 1 99.9 0.97 0.813 0.56 0.442 0.98 0.813 0.60 0.489 0.85 0.345 Notes: IIg - Inches ofM-ury H2O - Inchvt ofWets edm - actual cubic feet petminute scrim - standard cubic fed paminute ppmv - pens pa million by volume positive pressure indicated in bold NA - NotApplicable Fbw sate (scrim) - Flow rate (acfm) a (Pressure b thegauge (psi) +Pow;ura atmosphere (psi)yPresom atmosph -(psi) TABLE 10 SOIL VAPOR MASS REMOVAL RATES 4050 Cosford Road Bakersfield, California MTBE Mass Removal Calculation - Extended Test VEW4A Hours of Operation hr Average Influent Cone. u Average Flow Rate scfm Conversion Factor Mass Removed (lb) Mass Removal Rate lb/hr) Mass Removal Rate lb/day) 67.0 7,200 99.9 3.7 y5 E -06 180.7 2.7 64..7 w.. .i?. :.' 12iN9.s.c F.X'3»".= s °_,... TPHg Mass Removal Calculation - Extended Test VEW4A Hours of Operation hr Average Influent Cone. ug/1) Average Flowrate scfm Conversion Factor Mass Removed (lb) Mass Removal Rate lb/hr) Mass Removal Rate lb/day) 67.0 10,352 99.9 3.75E -06 259.8 3.9 93.0 Mass removal (lbs) = influent concentration (ug/1) x flowrate (scfm) x hours of.operation (hr.) x 3.75E -06 Abbreviation% & Notes: MTBE = Methyl tert -butyl ether TPHg = Total petroleum hydrocarbons as gasoline ug/1= micrograms per liter scfin - standard cubic feet per minute lb/hr - pounds per hour lb/day - pounds per day ft3 - cubic feet 120.0 100.0 WE E 4- U Jq 60.0 0 40.0 20.0 MUS Figure 4 Flow Rate vs. Vacuum during Step Tests 4050 Gosford Road Bakersfield, California 7 In VE- MWEW/ Br 0.0 2.0 4.0 6.0 8.0 10.0 12.0 Vacuum (in Hg) rr rr r rr rr r rr r r rr r irr rr r ri rr r SOIL VAPOR EXTRACTION PILOT TEST PRIMARY TEST - FIELD SHEET D C(.Tz Approx. Test Well: Obs. Well: Obs. Well: Obs. Well: Obs: Well: Otis. Well: Obs. Well: Water Notes: Time Time . ' . = ,Z 9 Interval Vacuum Valgeilr PID CO2 Temp. Level 'Vacuum Vacuum Vacuum Vacuum Vacuum Vacuum Measurment VOZ' Applied Vac. In. H20): rna 71 1 1,; I/i-S rC'I -i _n, I -4 --4111 -•ice -1 1 --7.-. I I &A 7 1 A nl' I /)Fi) I A (NOV I A_wL I I 1 1 --7.-7 r L• Pro)ects1SVE Field Test ReAsedI B A FIRE ABfM T December 10, 20( FIRE CHIEF Mr. Ed PadenRONFRAZE Shell Oil Products US ADMINISTRATIVE SERVICES P. O. Box 78692101 'H' Street Bakersfield, CA 93301 Burbank, CA 91504 -7869 VOICE (661) 326 -3941 FAX (661) 395.1349 RE: Texaco 121224 at 4050 Gosford Road in Bakersfield SUPPRESSION SERVICES 2101 'H' Street Bakersfield, CA 93301 Dear Mr. Paden: VOICE (661) 326 -3941 FAX (661) 395 -1349 I have reviewed the Site Assessment Report, dated July 21, 2002, PREVENTION SERVICES prepared by WGR Southwest, Inc. FIRE SAFETY SERVICES • EWOMMEWAL SERVICES 1715 Chester Ave. Bakersfield, CA 93301 Based on the results of the above referenced report, a soil remediationPVOICE (661) 326 -3979 FAX (661) 326-0576 I proposed shall be submitted to this office. Please submit a work plan f j which describes the lateral and vertical extent of the problem area and PUBLIC EDUCATION 1715 Chester Ave. tiacompletedescription stepsonoftheremedial proposed to mitigate thePP p p p g Bakersfield, CA 93301 contamination. VOICE (661) 326 -3698 FAX (661) 326-0576 FIRE INVESTIGATION you have anIfY lease feel free to call meat 661- 326 -3979. 1715 Chester Ave. Y questions, P Bakersfield, CA 93301 VOICE (661) 326 -3951 FAX (661) 326-0576 Sincerely, TRAINING DIVISION 5642 Victor Ave. Bakersfield, CA 93308 VOICE (661) 399 -4897 FAX (881) 399 -5763 Howard H. Wines, III Hazardous Materials Specialist Registered Geologist No. 7239 Office of Environmental Services HHW /dc cc: D. Williams WGR pARTM A%polik, FIRE CHIEF N ;:RAZE T July 24, 2002 Bruce T. Marubashi Shell Oil Products US Northwest Region P O Box 8509 San Jose, CA 95155 f-- ADMINISTRATIVE SERVICES 2101 "rr Street Bakersfield, CA 83301 VOICE (881) 3284841 FAX (881) 385.1349 SUPPRESSION SERVICES 2101 W street Bakersfield. CA 9=1 VOICE (881) 328 -3941 FAX (881) 395 -1349 PREVENTION SERVICES 1715 Cheater Ave. Bakersfield, CA 93301 VOICE (881) 3283951 FAX (881) 328-0578 ENVIRONMENTAL SERVICES 1715 Chester Ave. Bakersfield, CA 93301 VOICE (881) 328.3978 FAX (881) 328-0578 TRAINING DIVISION 5842 Victor Ave. Bakersfield, CA 93308 VOICE (881) 3994897 FAX (881) 399.5783 Dear Mr. Marubashi: In your fax message of June 25, 2002, you requested a payment extension date to July 25, 2002 and an explanation of the charges for two Texaco facilities located in Bakersfield, CA. These two facilities are the Texaco stations located at 3698 Ming Avenue in Bakersfield and the Texaco station located at 4050 Gosford Road in Bakersfield. The tanks at 3698 Ming Ave were removed on July 25, 2001. As a result of the preliminary soil sample results, a site assessment was required on October 24, 2001. The borings were completed on May 6, 2002. We have not received a report of the results of this assessment. The oversight of this project during the second quarter of 2002 involved one hour of review and the notice for site assessment and workplan and three hours on site field work on May 6, 2002. The underground storage tank system at 5040 Gosford Road had the under dispenser pan installed on July 7, 2001. Portions of the existing lines were replaced and soil samples taken did show evidence of possible contamination. A full site assessment was required by this office on October 24, 2002. We were notified on March 22, 2002 that a new consultant was hired and provided with a work plan for the site assessment completed by your previous consultant. Review of these correspondences and re- submitted work plan was completed on May 24, 2002. The oversight of this project billed in the second quarter of2002 covered all of the work to date on this project, the review of the preliminary test results and the requirement for a full site assessment as well as review of the work plan for that site assessment. Total seven (7) hours. As the Certified Unified Program Agency (CUPA) in the City of Bakersfield, the Office ofEnvironmental Services, is a part of the Bakersfield Fire Department agency for the Underground Storage Tank program as well as Hazardous Waste program. Our oversight rate for Hazardous Waste Cleanup projects, as posted in the Municipal Code is $80/hr. The second part of your request was an extension until July 25, 2002 to pay these bills. That request has been granted. Sincerely, Ralph-E. Hu Director of a on Services REH/dc cc: H. Wines, Hazardous Materials Specialist B. Wilson, Accounting Clerk II L—D P /R6 AR1M FIRE CHIEF RON FRAZE ADMINISTRATIVE SERVICES 2101 'H' Street Bakersfield, CA 93301 VOICE (661) 326 -3941 FAX (661) 395.1349 SUPPRESSION SERVICES 2101 'H' Street Bakersfield, CA 93301 VOICE (661) 326 -3941 FAX (661) 395 -1349 PREVENTION SERVICES 1715 ChesterAve. Bakersfield, CA 93301 VOICE (661) 326 -3951 FAX (661) 326 -0576 ENVIRONMENTAL SERVICES 1715 ChesterAve. Bakersfield, CA 93301 VOICE (661) 326 -3979 FAX (661) 326 -0576 TRAINING DIVISION 5642 Victor Ave. Bakersfield, CA 93308 VOICE (661) 399 -4697 FAX (661) 399.5763 r July 24, 2002 Bruce T. Marubashi Shell Oil Products US Northwest Region P O Box 8509 San Jose, CA 95155 Dear Mr. Marubashi: In your fax message of June 25, 2002, you requested a payment extension date to July 25, 2002 and an explanation of the charges for two Texaco facilities located in Bakersfield, CA. These two facilities are the Texaco stations located at 3698 Ming Avenue in Bakersfield and the Texaco station located at 4050 Gosford Road in Bakersfield. The tanks at 3698 Ming Ave were removed on July 25, 2001. As a result of the preliminary soil sample results, a site assessment was required on October 24, 2001. The borings were completed on May 6, 2002. We have not received a report of the results of this assessment. The oversight of this project during the second quarter of 2002 involved one hour of review and the notice for site assessment and workplan and three hours on site field work on May 6, 2002. The underground storage tank system at 5040 Gosford Road had the under dispenser pan installed on July 7, 2001. Portions of the existing lines were replaced and soil samples taken did show evidence of possible contamination. A full site assessment was required by this office on October 24, 2002. We were notified on March 22, 2002 that a new consultant was hired and provided with a work plan for the site assessment completed by your previous consultant. Review of these correspondences and re- submitted work plan was completed on May 24, 2002. The oversight of this project billed in the second quarter of 2002 covered all of the work to date on this project, the review of the preliminary test results and the requirement for a full site assessment as well as review of the work plan for that site assessment. Total seven (7) hours. As the Certified Unified Program Agency (CUPA) in the City of Bakersfield, the Office of Environmental Services, is a part of the Bakersfield Fire Department agency for the Underground Storage Tank program as well as Hazardous Waste program. Our oversight rate for Hazardous Waste Cleanup projects, as posted in the Municipal Code is $80/hr. The second part of your request was an extension until July 25, 2002 to pay these bills. That request has been granted. Sincerely,, y, r Ralph . Hu Director of P e ton Services REH/dc cc: H. Wines, Hazardous Materials Specialist B. Wilson, Accounting Clerk II E-QUILON s ENTERPRISES LLC anen s Thxeco wor+ano lbpeohw July 8, 2002 Mr. Howard H. Wines, III City of Bakersfield Fire Department Environmental Services 1715 Chester Avenue, 3rd Floor Bakersfield, CA 93301 RE: EQUILON ENTERPRISES LLC / EQUIVA SERVICES LLC dba SHELL OIL PRODUCTS US Dear Sir or Madam: The Shell purchase of Texaco's interest in Equilon Enterprises LLC and Equiva Services LLC has been approved by government authorities and was completed in early February. Please be advised that effective March 1, 2002, Equilon Enterprises LLC and Equiva Services LLC will begin doing business as (DBA) "Shell Oil Products, US." Sinoe Equilon Enterprises LLC will remain the owner and/or the responsible Party of assessment/remediation activities at Texaco Station, 4050 Gosford Road, Bakersfield, CA, no changes are needed or requested for permits. If you have any questions please contact Mr. Ed Paden at (310) 818 -2075. Yours truly, I Edward Paden Environmental Engineer Shell Oil Products US JUN -11 -02 02:02 PM WGR SOUTHWEST ti' fir': • 1 W t Southwest, Inc, 11021 5627998556 562) 799 -8510, Fax (562) 799 -8556 P. 01 ti' X SOW.— wif. J!! Ji JUN-11-02 02:03 PM R „.•.. Gp) th%-6st• Inc. WGR SOUTHWEST 5627998556 June 11, 2002 cHoward H. Wines, III ity ofBakersfield Fire Department 4nviromental Services IS Chester Avenue, 34 Floor akenfield, CA 93301 NOTICE FOR FIELD ASSESSMENT INVESTIGATION Texaco Service Station 4050 Gooford @ White Lane Bakersfield, California Tear Mr, Wines: n behalf of Equiva. Services dba Shell Oil Products US, WOR Southwest, roviding this notification to perform a Site Assessment Investigation at the ;abov deference property address. A workplan describing the purpose of the investigati4n w T i ubmitted to your office in December 2001 and approved on May 28, 2002, Wotk will I iegin at the site at 8: 00am on June 20, 2002 and will continue on June 21, 2002 if you have any questions regarding this site/or investigation, please contact me (562.) 199-8510, i -arely. nc Y. rGR Southwest, Inc. t X35, ' d Williams, roject a- -Wltiam RG, avid 1 Manager c: Ed Paden, Shelf Oil Products US 11021 Winners Circle, Suite 101 • Los Alamitos, CA 90720 • (562) 799.8510 • Fax (562) 79 -8556 Los Alamitos, CA • Bothell, WA • Lodi, CA P. 02 NVGIR'. Southwest, Inc. March 22, 2002 Mr. Howard H. Wines, III City of Bakersfield Fire Department Environmental Services 1715 Chester Avenue, 3`d Floor Bakersfield, CA 93301 Re: New Project Consultant Texaco Service Station 4050 Gosford @ White Lane Bakersfield, California Dear Mr. Wines: WGR has been requested by Equiva Services to serve as the project consultant for the above referenced site. As such, WGR will continue work in progress and will implement the Workplan for Site Assessment originally submitted in December 2001 by the IT Corporation after receipt of your approval letter. Prior to implementation WGR will provide the City at least 5 days advance notice. Our address is as follows: Mr. David A. Williams WGR Southwest, Inc. 11021 Winners Circle, Suite 101 Los Alamitos, CA 90720 If you have any questions regarding this site, please contact me at (562) 799 -8510. Sincerely, WGR So hwest, In . David A. 'ams, RG. Project Manager cc: Ed Paden, Equiva 11021 Winners Circle, Suite 101 • Los Alamitos, CA 90720 (562) 799 -8510 • Fax (562) 799 -8556 Los Alamitos, CA • Bothell, WA Lodi, CA no 0 thet;P,oup December 26, 2001 IT Project 830842/10600000 Mr. Howard H. Wines, III City of Bakersfield Fire Department Environmental Services 1715 Chester Avenue, 3rd Floor Bakersfield, CA 93301 Re: AB2886 GEOTRACKER REQUIREMENTS Former Texaco Service Station 4050 Gosford at White Street Bakersfield, California Dear Mr. Wines: Corporadon 3452 East Foothill Boulevard, 9th Floor Pasadena, CA 91107-3159 Tel. 626.304.1500 Fax. 626.5,35.9076 A ALrruber "f The IT Croup 63 Z 4r ,g McG.1 Ca On behalf of Equiva Services LLC (EQUIVA), the IT Corporation (IT) is submitting this letter to inform you that the above referenced site is not listed in the Geotracker Database Geotracker) on the internet. As such, IT is unable to upload laboratory analytical data to Geotracker for this site, as required by AB2886. IT requests this site be listed on Geotracker. Please notify IT upon listing this site on Geotracker so data uploaded can proceed. If you have any questions regarding this site, please contact Mr. Bradley Clark (IT) at (626) 304- 1520. Sincerely, IT Corporation L \fA-- Bradley E. Clark, P.E. Project Manager cc: Ed Paden, Equiva E: \Gosford- 160\2001- 12- 26_EDF- Agency- Letter\2001- 12- 26_EDF Agency Letter.doc 4 the f1*0UP December 12, 2001 IT Project: 830842 Mr. Howard H. Wines, III City of Bakersfield Fire Department Environmental Services 1715 Chester Avenue, 3r Floor Bakersfield, California 93301 Re: Work Plan for Additional Subsurface Assessment Texaco Service Station 4050 Gosford Road at White Street Bakersfield, California Dear Mr. Wines: Corporation 3452 East Foothill Boulevard, 9th Floor Pasadena, CA 91107 -31.59 Tel. 026.304.1.500 Fa.,. 626.535.9076 A Member u1 The IT Croup IT Corporation (IT), on behalf of Equiva Services LLC (EQUIVA), has prepared the following work plan for additional subsurface assessment at the site referenced above. The need for additional assessment was outlined in the City of Bakersfield Fire Department — Environmental Services (CBFDES) letter dated October 24, 2001 Appendix A). The purpose of the assessment is to more fully define the vertical and lateral extent of petroleum hydrocarbons beneath the site. This plan has been prepared to comply with the California Code of Regulations, Title 23, Division 3, Chapter 16, Article 11, Section 2722. All work will be performed under the supervision of a California - registered geologist and/or professional civil engineer. BACKGROUND Site Description The subject site is an active Texaco service station located on the northeast corner of the intersection of Gosford Road and White Lane in Bakersfield, California (Figures 1 and 2). The property is currently occupied by a service station building with a mini -mart, three 10,000 - gallon and one 12,000 - gallon underground fuel storage tanks (USTs), two dispenser islands, and a car wash. December 12, 2001 Page 2 Previous Environmental Activities On January 19, 2000, Pacific Environmental Group (PEG) conducted a Phase H environmental assessment at the subject site (PEG, February 2000). Six soil borings were advanced to depths of 20 to 40 feet below ground surface (bgs). Soil analytical results revealed low -level hydrocarbon impact near the USTs and northwest dispenser island (soil borings BB -1, BB -2, and 1313-6). Soil boring locations are shown in Figure 2. On July 5, 2001, IT conducted soil sampling beneath the product piping and dispensers during station upgrade activities. Total petroleum hydrocarbons as gasoline and diesel TPH -g and TPH -d) were detected in soil beneath the product piping in sample locations P -1 and P -2 and dispenser D -1 (Figure 2), at concentrations ranging from 0.78 milligrams per kilogram (mg/kg) to 210 mg/kg. Methyl tert-butyl ether (MtBE) was detected in soil beneath all product piping and dispenser sample locations, except D -2 Figure 2), at concentrations ranging from 0.011 mg/kg to 13 mg/kg. On July 17, 2001, IT returned to the site to supervise limited contaminated soil over - excavation. Approximately 50 cubic yards of soil was removed from product piping areas P -1 and P -2 and dispenser D -1 (Figure 2). Confirmation soil samples were collected from the bottom and sidewalls of the excavations. TPH -g and MtBE were detected in all confirmation soil samples collected from areas P -1 and P -2. TPH -g concentrations ranged from 3.5 mg/kg to 7.9 mg/kg and MtBE concentrations ranged from 6.1 mg/kg to 16 mg/kg, by EPA Method 8260B. TPH -g concentrations were not detected in conformation soil samples collected from D -1. MtBE concentrations were detected in the conformation soil samples collected from D -1 at 0.014 mg/kg and 0.0088mg/kg. Historical analytical results are presented in Table 1. Geology and Hydrogeology The geologic conditions in the site vicinity are characterized by alluvial deposits underlain by marine and non -marine sedimentary units, metamorphic rocks, and crystalline basement material. Surface and near - surface soil is designated by the U.S. Geological Survey (USGS) as older alluvium, deposited in northwest- dipping alluvial fans resulting from outwash from the Sierra Nevada mountain range to the east. This alluvium is composed primarily of poorly - graded and unconsolidated sands, sandy gravels, and occasional discontinuous lenticular bodies of sandy clay and silt. Regionally, the surface of these old alluvial fans is undulatory, with a distinct dip toward the Kern River to ' the northwest of the site. The site itself is located along one of the crests of the alluvial fan surface 'ripples', at an elevation of approximately 390 feet above mean sea level (MSL). The total thickness of the alluvial fan deposits is estimated to range from approximately 600 feet west of the site to over 4,000 feet near the Sierra Nevada Mountains. N:\ data \PROJEC7)705- equiva \Gos ford - 160\830842 \Work Plan 12- 01 #2.doc December 12, 2001 Page 3 The site lies within the Edison hydrogeologic sub -area of the Edison - Maricopa area. Uppermost groundwater within this area occurs within the old alluvial fan deposits. In the site vicinity, deeper aquifers of limited areal extent are present in the consolidated non -marine sedimentary units and within fracture zones of the crystalline basement rock. The most prominent subsurface features controlling the groundwater flow direction are the groundwater barriers formed by the northwest -to- southeast trending Edison fault and subparalleI splays of this fault, located south and north of the site, respectively. Site Specific Geology and Hydrogeology Based on soil samples collected during this station upgrade and a previous site assessment (PEG, February 2000), site lithology consists of interbedded sand, silty sand and sandy silt to a total depth of 40.5 feet bgs. Groundwater was not encountered during any site activities. PROPOSED SCOPE OF WORK IT will oversee the drilling and sampling of the six on -site soil borings (BB -7 through BB -12) located around the eastern product piping, southwestern dispenser, and northeastern dispenser and piping. The proposed boring locations are presented in Figure 2. Pre -field Activities IT will visit the site to mark the boring locations, contact Underground Services Alert 48 hours prior to drilling, arrange the drilling schedule, and mobilize drilling equipment and materials. IT will prepare a site - specific health and safety plan prior to initiating field activities. Notifications regarding the field activities will be made in advance to the appropriate agencies. If required, permits will be obtained for the proposed borings. Field Activities All six borings will be advanced to a minimum depth of 50 feet bgs or 20 feet beyond hydrocarbon impacted soils as defined by the PID readings, or until groundwater is encountered, whichever is first. Prior to drilling with a hollow stem auger rig, the exploratory boring locations will be cleared by hand -auger equipment to a depth of five feet bgs. Soil samples will be collected at five -foot intervals using a 2 -inch diameter California modified split -spoon sampler. At each sampling interval, the soil samples will be logged using the Unified Soil Classification System, and a 2 -inch diameter brass or stainless steel sleeve will be retained for analysis. The sleeve will be sealed at each end with TeflonTM —lined plastic end caps, labeled, and stored on ice for transport with the appropriate chain -of- custody documentation to a state - certified analytical laboratory. At each sampling interval, soil samples will be field- screened for the presence of volatile N: \data\PROJECn705- equiva \Gosford -160 \830842 \Work Plan 12- 01 #2.doc December 12, 2001 Page 4 organic compounds (VOCs) by headspace analysis using a photoionization detector PID) calibrated to 100 parts per million by volume (ppmv) of isobutylene. Once that target depth has been reached and all soil samples collected, each boring will be backfilled with bentonite chips and plugged with asphalt patch, concrete, or soil to match the existing surface cover. Equipment Decontamination All down -hole sampling equipment will be washed between samples in a non - phosphate detergent and rinsed with potable water. Soil Cuttings and Rinsate Disposal Soil cuttings and rinsate generated during drilling activities will be placed in Department of Transportation (DOT)- approved 55- gallon drums. The drums will be sealed and labeled in accordance with the appropriate protocols and each drum will be identified on a waste inventory form. The drums will be temporarily left on -site, pending transport and disposal by Equiva's waste handling contractor. Disposal of drill cuttings and rinsate at appropriate disposal or recycling facilities in Southern California will be coordinated by Equilon Enterprises LLC (EQUILON). Laboratory Analysis Soil samples collected during site activities will be analyzed for TPH -g and TPH -d by EPA Method 8015 Modified; and for benzene, toluene, ethylbenzene and total xylenes BTEX compounds), and MtBE by EPA Method 8260B. Sample Preservation and Transport. All samples designated for chemical analyses will be placed on ice until delivered to the laboratory for analyses. Chain -of- custody documentation will be maintained throughout the sample collection, transport, and analysis process. Report Once the assessment data has been received and reviewed a report will be prepared detailing the complete results of the investigative activities. The report will include the boring logs, a site location map, a table summarizing laboratory analytical results, laboratory reports, and chain -of- custody documents. Following internal review and revision, a final copy of the site assessment report will be submitted to the CBFDES. N: \data\PROJEC7 705- equiva \Gosford -160 \830842 \Work Plan 12- 01 #2.doc December 12, 2001 Page 5 SCHEDULE OF PROPOSED WORK IT is prepared to initiate field activities upon approval from the CBFDES. A technical report detailing the results of the investigation will be submitted to the CBFDES within 30 days after completion of the field activities. If you have any questions regarding this work plan, please contact Mr. Bradley Clark at 626) 304 -1520. Sincerely, IT Corporation. Staff Geologist C' Bradley E. Clark, P.E. Project Manager Attachments: Table 1 — Historical Soil Analytical Data Figure 1 — Site Location Map Figure 2 — Site Map Appendix A — CBFDES Letter Dated October 24, 2001 cc: Mr. Ed Paden, Equiva Services LLC NAdata\PROJE=05- equiva \Gosford- 160 \830842 \Work Plan 12 -01 #2.doc TABLE Table I Historical Soil Analytical Results 4050 Gosford Road Bakersfield, California IT Project No: 829246 n:\data\project\705-equiva\Gosford-160\829246\Table 1 12/5/0.1 di T eiid0 B ne y g. BB-1 1/19/00 5 ND (<1.0) ND (<5.0) NA ND (<0.0050) ND (<0.0050) ND (<0.0050) ND ( <0.0 15) 1.9 NA NA NA NA NA 10 ND ( <1.0) 5.6 NA ND (<0.0050) ND (<0.0050) ND (<0.0050) ND ( <0.0 15) 2.3 NA NA NA NA NA 15 ND (<2.0) ND (<5.0) NA ND (<0.0050) ND (<0.0050) ND (<0.0050) ND ( <0.0 15) 7.8 8.1 NA NA NA NA 20 ND (<I.0) ND (<5.0) NA ND (<0.0050) ND (<0.0050) ND (<0.0050) ND ( <0.0 15) 1.7 NA NA NA NA NA 25 ND (<I.0) ND (<5.0) NA ND (<0.0050) ND (<0.0050) ND (<0.0050) ND ( <0.015) 0.36 NA NA NA NA NA 35 ND ( <1.0) ND (<5.0) NA ND (<0.0050) ND (<0.0050) ND (<0.0050) ND ( <0.0 15) 0.28 NA NA NA NA NA 40 ND (<1.0) ND (<5.0) NA ND (<0.0050) ND (<0.0050) ND (<0.0050) ND ( <0.0 15) 2.8 NA NA NA NA NA BB-2 1/19/00 5 ND (<1.0) ND (<5.0) NA ND (<0.0050) ND (<0.0050) ND (<0.0050) ND (<0.0 15) 0.76 NA NA NA, NA NA 10 ND (<1.0) ND (<5.0) NA ND (<0.0050) ND (<0.0050) ND (<0.0050) ND ( <0.0 15) 19 NA NA NA NA NA 15 ND (<1.0) ND (<5.0) NA ND (<0.0050) ND (<0.0050) ND (<0.0050) ND ( <0.0 15) 42 NA NA NA NA NA 20 ND (<1.0) ND (<5.0) NA ND (<0.0050) ND (<0.0050) ND (<0.0050) ND ( <0.0 15) 51 27 NA NA NA NA 25 ND (<1.0) I I NA ND (<0.0050) ND (<0.0050) ND (<0.0050) ND ( <0.0 15) 6.7 NA NA NA NA NA 30 ND (<1.0) ND (<5.0) NA ND (<0.0050) ND (<0.0050) ND (<0.0050) ND ( <0.0 15) 0.15 NA NA NA NA NA 35 ND (<I.0) 7 NA ND (<0.0050) ND (<0.0050) ND (<0.0050) ND ( <0.0 15) 10 NA NA NA NA NA 40 ND (<1.0) ND (<5.0) NA ND (<0.0050) ND (<0.0050) ND (<0.0050) ND (<0.0 15) 0.14 NA NA NA NA NA BB-3 1/19/00 5 ND (<I.0) ND (<5.0) NA ND (<0.0050) ND (<0.0050) ND (<0.0050) ND ( <0.0 15) ND (<0.035) NA NA NA NA NA 10 ND ( <1.0) ND (<5.0) NA ND (<0.0050) ND (<0.0050) ND (<0.0050) ND ( <0.0 15) ND (<0.035) NA NA NA NA NA 15 ND ( <1.0) ND (<5.0) NA ND (<0.0050) ND (<0.0050) ND (<0.0050) ND ( <0.0 15) ND (<0.035) NA NA NA NA NA 20 ND ( <1.0) ND (<5.0) NA ND (<0.0050) ND (<0.0050). ND (<0.0050) ND (<0.0 15) ND (<0.035) NA NA NA NA NA BB-4 1/19/00 5 ND (<1.0) ND (<5.0) NA ND (<0.0050) ND (<0.0050) ND (<0.0050) ND ( <0.015) ND (<0.035) NA NA NA NA NA 10 ND ( <1.0) ND (<5.0) NA ND (<0,0050) ND (<0.0050) ND (<0.0050) ND ( <0.0 15) ND (<0.035) NA NA NA NA NA 15 ND (<1.0) ND (<5.0) NA ND (<0.0050) ND (<0.0050) ND (<0.0050) ND ( <0.0 15) ND (<0.035) NA NA NA NA NA 20 ND (<I.0) ND (<5.0) NA ND (<0.0050) ND (<0.0050) ND (<0.0050) ND ( <0.0 15) ND (<0.035) NA NA NA NA NA BB-5 1/19/00 5 ND (<1.0) ND (<5.0) NA ND (<0.0050) ND (<0.0050) ND (<0.0050) ND (<0.015) ND (<0.035) NA NA NA NA NA 10 ND ( <1.0) ND (<5.0) NA ND (<0.0050) ND (<0.0050) ND (<0.0050) ND ( <0.0 15) ND (<0.035) NA NA NA NA NA 15 ND (<1.0) ND (<5.0) NA ND (<0.0050) ND (<0.0050) ND (<0.0050) ND ( <0.015) ND (<0.035) NA NA NA NA NA 20 ND (<1.0) ND (<5.0) NA ND (<0.0050) ND (<0.0050) ND (<0.0050) ND ( <0.0 15) ND (<0.035) NA NA NA NA NA IT Project No: 829246 n:\data\project\705-equiva\Gosford-160\829246\Table 1 12/5/0.1 Table 1 Historical Soil Analytical Results 4050 Gosford Road Bakersfield, California PH T 14., 16 tog) % AlWK91, BB-6 1/19/00 5 ND ( <1.0) ND (<5.0) NA ND (<0.0050) ND (<0.0050) ND (<0.0050) ND ( <O.015) ND (<0.035) NA NA NA NA NA 10 ND ( <1.0) ND (<5.0) NA ND (<0.0050) ND (<0.0050) ND (<0.0050) ND ( <O.015) ND (<0.035) NA NA NA NA NA 15 ND (<1.0) ND (<5.0) NA ND (<0.0050) ND (<0.0050) ND (<0.0050) ND (<O.O15) ND (<0.035) NA NA NA NA NA 20 ND ( <1.0) ND (<5.0) NA ND (<0.0050) ND (<0.6050) ND (<0.0050) ND ( <O.015) 0.039 0.039 NA NA NA NA Dispenser Samples D-1-4 . 7/5/01 10 210 NA ND(0.0050) ND(0.0050) ND(0.0050) ND(0.010) NA 0.017 ND(0.25) ND(0.010) ND(0.010) ND(0.010) D-1-8 7/5/01 ND(0.5) ND(5.0) NA ND(0.0050) ND(0.0050) ND(0.0050) ND(0.010) NA ND(0.0050) ND(0.25) ND(0.010) ND(0.010) ND(0.010) D-24 7/5/01 ND(0.5) ND(5.0) NA ND(0.0050) ND(0.0050) ND(0.0050) ND(0.010) NA ND(0.0050) ND(0.25) ND(O.010) ND(0.010) ND(0.010) D-2-8 7/5/01 ND(0.5) ND(5.0) NA ND(0.0050) ND(0.0050) ND(0.0050) ND(0.010) NA ND(0.0050) ND(0.25) ND(0.010) ND(0.010) ND(0.010) D-34 7/5/01 ND(0.5) ND(5.0) NA ND(0.0050) ND(0.0050) ND(0.0050) ND(0.010) NA 0.29 ND(0.25) ND(0.010) ND(0.010) ND(0.010) D-3-8 7/5/01 ND(0.5) ND(5.0) NA ND(0.0050) ND(0.0050) ND(0.0050) ND(0.010) NA 0.041 ND(0.25) ND(0.010) ND(0.010) ND(0.010) D-4-4 7/5/01 ND(0.5) ND(5.0) NA ND(0.0050) ND(0.0050) ND(0.0050) ND(0.010) NA 0.028 ND(0.25) ND(0.010) ND(0.010) ND(0.010) D-4-8 7/5/01 ND(0.5) ND 5.0 NA ND(0.0050) ND 0.0050) ND 0.0050) ND 0.010 NA ND(0.25) ND 0.25) ND 0.010 ND(0.010) ND 0.010 Piping Samples P-1-4 7/5/01 ND(0.5) ND(5.0) NA ND(0.0050) ND(0.0050) ND(0.0050) ND(0.010) NA 0.96 0.94 ND(0.010) ND(0.010) ND(0.010) P-1-8 7/5/01 0.78 ND(5.0) NA ND(0.0050) ND(0.0050) ND(0.0050) ND(0.010) NA 2.4 6.5 ND(0.010) ND(0.010) ND(0.010) P-1-10 7/5/01 2.80 ND(5.0) NA ND(0.0050) ND(0.0050) ND(0.0050) ND(0.010) NA ND(0.0050) 1.9 ND(0.010) ND(0.010) ND(0.010) P-1-12 7/5/01 1.10 ND(5.0) NA ND(0.0050) ND(0.0050) ND(0.0050) ND(0.010) NA 13 2.1 ND(0.010) ND(0.010) ND(0.010) P-1-14 7/5/01 ND(0.5) ND(5.0) NA ND(0.0050) ND(0.0050) ND(0.0050) ND(0.010) NA 2.7 1.3 ND(0.010) ND(0.010) ND(0.010) P-2-4 7/5/01 ND(0.5) ND(5.0) NA ND(0.0050) ND(0.0050) ND(0.0050) ND(0.010) NA 0.2 3.8 ND(0.010) ND(0.010) ND(0.010) P-2-8 7/5/01 4.3 ND(5.0) NA ND(0.0050) ND(0.0050) ND(0.0050) ND(0.010) NA 8.2 ND(6.3)* ND(0.010) ND(0.010) ND(O.0; P -2 -10 7/5/01 2.6 31 NA ND(0.0050) 0.055 0.024 0.223 NA 2.7 4.5 ND(0.010) ND(0.010) ND(0.01,, P-3-4 7/5/01 ND(0.5) ND(5.0) NA ND(0.0050) ND(O.0050) ND(0.0050) ND(0.010) NA 0.02 ND(0.25) ND(0.010) ND(0.010) ND(0.010) P-3-8 7/5/01 ND(0.5) ND(5.0) NA ND(0.0050) ND(0.0050) ND(0.0050) ND(0.010) NA 0.017 ND(0.25) ND(0.010) ND(0.010) ND(0.010) P4-4 7/5/01 ND(0.5) ND(5.0) NA ND(0.0050) ND(0.0050) ND(0.0050) ND(0.010) NA 0.012 ND(0.25) ND(0.010) ND(0.010) ND(0.010) P-4-8 7/5/01 ND 0.5) ND(5.0) NA ND 0.0050 ND 0.0050 ND 0.0050 ND 0.010) NA 0.011 ND 0.25 ND(0,010) ND(O.0 10) ND(0.010) IT Project No: 829246 n:\data\projcct\705-cquiva\Gosford-160\829246\Table 1 12/5/01 Table I Historical Soil Analytical Results 4050 Gosford Road Bakersfield, California IT Project No: 829246 n:\data\project\705-equiva\Gosford-160\829246\Table 1 12/5/01 tOO! Tp T OY tit kg 0. Over-Excavation Samples D-1-10 7/17/01 ND(0.5) ND(5.0) NA ND(0.0050) ND(0.0050) ND(0.0050) ND(0.010) ND(0.025) NA NA NA NA NA D-I-NSIO 7/17/01 ND(0.5) ND(5.0) NA ND(0.0050) ND(0.0050) ND(0.0050) ND(0.010) 0.026 0.014 NA NA NA NA D-1-WS10 7/17/01 ND(0.5) ND(5.0) NA ND(0.0050) ND(0.0050) ND(0.0050) ND(0.010) 0.042 0.0088 NA NA NA NA P-1-20 7/17/01 3.5 ND(5.0) NA ND(0.0050) ND(0.0050) ND(0.0050) ND(0.010) 4.4 6.1 NA NA NA NA P- I -WS20 7/17/01 5.8 ND(5.0) NA ND(0.0050) ND(0.0050) ND(0.0050) ND(0.010) 6.5 9.9 NA NA NA NA P-1 -ES18 7/17/01 3.8 ND(5.0) NA ND(0.0050) ND(0.0050) ND(0.0050) ND(0.010) 5.3 8.3 NA NA NA NA P-2-20 7/17/01 4.3 ND(5.0) NA ND(0.0050) ND(0.0050) ND(0.0050) ND(0.010) 6.3 10 NA NA NA NA P-2-WS20 7/17/01 7.9 ND(5.0) NA ND 0.0050 ND(0.0050) ND 0.0050 ND 0:010) 10 16 NA NA NA NA Stockpile Samples SP- I -A 7/5/01 ND(0.5) NA NA ND(0.0050) ND(0.0050) ND(0.0050) ND(0.010) NA NA NA NA NA NA SP-1-B 7/5/01 15 NA NA ND(0.0050) 0.23 0.15 1.4 NA NA NA NA NA NA SP-2-A 7/5/01 ND(0.5) NA NA ND(0.0050) ND(0.0050) ND(0.0050) ND(0.010) NA NA NA NA NA NA SP-2-B 7/5/01 ND(0.5) NA NA ND(0.0050) ND(0.0050) ND(0.0050) ND(O.010) NA NA NA NA NA NA SP-3-A 7/5/01 ND(0.5) NA NA ND(0.0050) ND(0.0050) ND(0.0050) ND(0.010) NA NA NA NA NA NA SP-3-13 7/5/01 ND(0.5) NA NA ND(0.0050) ND(0.0050) ND(0.0050) ND(0.010) NA NA NA NA NA NA SP-1,2A(c) 7/5/01 NA NA ND(<0.5) NA NA NA NA NA NA NA NA NA NA SP-213,3(c) 7/5/01 NA NA ND(<0.5) NA NA NA NA NA NA NA NA NA NA SP4-A 7/17/01 3.3 NA NA ND(0.0050) ND(0.0050) ND(0.0050) 0.033 NA NA NA NA NA NA SP4-13 7/17/01 1.9 NA NA ND(0.0050) 0.0091 ND(0.0050) 0.036 NA NA NA NA NA NA SP4-C 7/17/01 1.5 NA NA ND(0.0050) ND(0.0050) ND(0.0050) ND(0.010) NA NA NA NA NA NA SP4-D 7/17/01 2 NA NA ND(0.0050) ND(0.0050) ND(0.0050) ND(0.010) NA NA NA NA NA NA SP-4- A,B,C,D(c) 7/17/01 NA NA 2.39 NA NA NA NA NA NA NA NA NA NA IT Project No: 829246 n:\data\project\705-equiva\Gosford-160\829246\Table 1 12/5/01 Table 1 Historical Soil Analytical Results 4050 Gosford Road Bakersfield, California Notes: ND = Analyte was not detected above the Laboratory Reporting Limits shown NA = Not analyzed na = not applicable c) = Composite sample TPH -g = Total Petroleum Hydrocarbons as gasoline, analyzed by EPA Method 8015M TPH -d = Total Petroleum Hydrocarbons as diesel, analyzed by EPA Method 8015M BTEX prior to 2001 analyzed by EPA Method 8021 B MtBE = Methyl tert -Butyl Ether DIPE = Di- isopropyl Ether ELBE = Ethyl tert-Butyl Ether TAME= Tert-Amyl- Methyl Ether TBA = Tert-Butyl Alcohol MRL is elevated because of matrix interferences and because the sample required diluting IT Project No: 829246 n:\data\ project \705- equiva\Gosford- 160\829246 \Table 1 12/5/01 ctixtix :::::::::::::'C 4etie:::: eAtli :lfienx. rue.:::::. ees 0.....m t13 T. kU Notes: ND = Analyte was not detected above the Laboratory Reporting Limits shown NA = Not analyzed na = not applicable c) = Composite sample TPH -g = Total Petroleum Hydrocarbons as gasoline, analyzed by EPA Method 8015M TPH -d = Total Petroleum Hydrocarbons as diesel, analyzed by EPA Method 8015M BTEX prior to 2001 analyzed by EPA Method 8021 B MtBE = Methyl tert -Butyl Ether DIPE = Di- isopropyl Ether ELBE = Ethyl tert-Butyl Ether TAME= Tert-Amyl- Methyl Ether TBA = Tert-Butyl Alcohol MRL is elevated because of matrix interferences and because the sample required diluting IT Project No: 829246 n:\data\ project \705- equiva\Gosford- 160\829246 \Table 1 12/5/01 FIGURES APPENDIX A CBFDES LETTER DATED OCTOBER 24, 2001 N 00 O CD L6 O ti 0 Z WQco OOZ Z Ja Tank N r e 1 II 375 i Cl C l/ N E EQUIVA SERVICES LLC t SCALE IN FEET TEXACO SERVICE STATION 6 BAKERSFIELD, CALIFORNIA N CALIF. 2000 0 2000 IT CORPORATION v, SITE FIGURE 1 SITE LOCATION MAP REFERENCE: 7.5 MINUTE USGS TOPOGRAPHIC MAP OF GOSFORD, CALIFORNIA QUADRANGLE 4050 GOSFORD ROAD AT WHITE LANECLDATE: 1954, PHOTOREVISED: 1968 AND 1973 BAKERSFIELD, CALIFORNIASCALE= 1:24000 UJWca 02Q Z co 0 IrCL CI W w co Z z - L L DISPFNSEI2 I l ISLANDS `% CAR WAS14 L2 i _ PLANTER PI ANTER. % P:4t4 D-44 D-34 I BB-10 D4-8 D-3-8 P-24IP-341,j P 2-8 Pl-,\N]-ERP- -8,I)i P:2-100' A - - - I P-2-20 STATION BUILDINGi B13-2Bt9 BIP-2-WS200i '-k 2 D-2-4 D-2-8 B-7B D-I-NSI0 P-I-WS20,': V If 1313-1 D-I-WSI0 UNDERGROUND PLANTER 1-4- BB'3-6-1— — P-l-ES18 BB-11 STORAGE TANKSI D1-4 - 1-4 +1313-8 D-1-8 P-1-8 D-1-10 P-1-10 P-1-12 P-1-14 P -1 -20 PLANTI"R SIDEWALK WHITE LANE LEGEND BB-I • SOIL BORING LOCATION AND DESIGNATION, 1/19/00) P-34 0 SOIL SAMPLE LOCATION AND DESIGNATION, SAMPLED 7/5/01 AND 7/17/01) PROPOSED BORING LOCATION AND DESIGNATION AREA OF PRODUCT PIPING 0 30 60 SCALE IN FEET EQUIVA SERVICES LLC TEXACO SERVICE STATIONEDBAKERSFIELD, CALIFORNIA FT CORPORATION FIGURE 2 SITE PLAN 4050 GOSFORD ROAD AT WHITE LANE BAKERSFIELD, CALIFORNIA APPENDIX A CBFDES LETTER DATED OCTOBER 24, 2001 riwn-t uivn aert,uca maw -e6 ^0] 18.50 PRON.NoUIVA S' VIGg• LLC RW OW FWN MAZE AMANT Ul WSLOW" Mot x 8O ergqllIKOA 8=1 vase (WI M&MI F" 01) mi;-160 qNSSM VN VI= 1 VO= l") M4041 PAX p61)3WISO PNOMMON SWAM 1716 CMMWAVIR. vow on t PAX 01) Mam Aivanlcoa 1716 ChIdWPrR WWWWK CA am voce to" =549M TRAINM PRUM Wild WAW& Aa4/N014 CAmow V0=(W)3994W M(631)SM40 e Jiuoiotaai 10, October 24, 2001 Mr. Edward Paden Equilon Enterprises L.LC P O Box 78$9 Burbank, Ca 81 510 -7869 I -(40 r.ui /ua P -rya r P^Uhi l l/ .i 1 OC 1 3 0 2001 EWE & iNG- a.. -EST XAV RE: Laboratory resufts from preliminary aft assessment ducted atthe Tax&= #12J22-4 MAW Gostoxl Rd .Ln 9ake rafleld .. Permit *BI -202. Dear Mr. Peden! Upon review of the recenty aubmltted laboratory results from your facility, this offfee has determined thm &* extent of the contamination plume, asasoclat+ed with the product plping previously located on your property, his not been adequately defined. This •odfioe requires (in acoordanc4-with Etiapter 6:7 of the California Health and Saitety Code and Chapter 16, Title 23 of the Capfomla Code of Reguladons) thud further istoo martt be done to define the ver0cal and horizontal extant of the contamination plume. t- 1!.. 1 i .Il IA = 1 ,: • t - lei. [i 11 /.% [, =i[- '41 -. 1 - 1 Additionally, be adldasd that. oversight" for this pn*mtwin be toted to you at a rate of $80.00 per hour. If you have any questions, please call me at (661) 328 -3979. Sincerety, Howard H. Winoe,' Ill Hazardous Materials Speciaftt ReglWored Geologist No. 7239 ' OKles of Environme' ntal' Servioes HHW /dim wlrrrora"M AJ fir. •r ,r i•• • i •' i SUBJECT: DATE: S/S #: J A J. Myers & Co., Inc. ENVIRONMENTAL COMPLIANCE CONTRACTOR 451 Constitution Avenue, Unit E Camarillo, CA 93010 805 - 383 -9244 / 805 - 383 -9245 FAX Annual Electronic Leak Monitoring System Inspection and Certification 10/01/01 Texaco 121224 To Whom It May Concern: LOCATION: 4050 Gosford Bakersfield, CA Enclosed are the reports for the annual inspection of the existing Monitoring System that was performed at the above referenced facility. The method used to test the electronic and mechanical monitoring systems is approved by and exceeds the specifications according to the manufacturer. R. J. Myers & Co., Inc. has been contracted by Equiva Services, LLC to insure that their facilities comply with all the rules and regulations that govern the operation of underground storage tanks and product lines. If you have any questions, please call. Sincerely, R. J. MYERS & CO., INC. 7 Ronald J. Myers, II President RJ M /rf CONT. LIC. #330631 (6 -061) SERVING THE PETROLEUM INDUSTRY SINCE 1967 11.. J. Myers & Co., Ir,,;. ENVIRONMENTAL COMPLIANCE CONTRACTOR 451 Constitution Avenue, Unit E Camarillo, CA 93010 805 - 383 -9244 / 805 - 383 -9245 FAX DATE OF SERVICE: 10/01/01 S.S. #: Texaco 121224 TECHNICIAN: Jason Nonnweiler BILL TO: Equiva Services LLC P.O. 7869 Burbank, Ca. 91510 -7869 SERVICE REQUESTED: Annual Monitor Certification and Testing DESCRIPTION OF WORK: Inspected and tested all leak sensors for Proper operation. Verified proper operation And calibration of all TLM probes. All systems normal. MODEL #: Veeder -Root Simplicity TLS -350 SERIAL #: 70844396305001 SYSTEM CERTIFIED: YES X NO SYSTEM PSD: YES X NO SYSTEM RUNNING: YES X NO WASTE OIL: YES NO SYSTEM SEALED: YES X NO NA W. 0. #: Feryal Sarrafian PROBE I.D. #: In Tank Setup T1 Diesel T2 Plus T3 Premium T4 Regular PLLD Setup Q1 Diesel Q2 Plus Q3 Premium Q4 Regular Liquid Sensor Setup L1 Regular Turbine Sump L2 Plus Turbine Sump L3 Premium Turbine Setup L4 Diesel Turbine Setup L5 Regular Fill Sump L6 Plus Fill Sump L7 Premium Fill Sump L8 Diesel Fill Sump L9 Regular Annular Space L10 Plus Annular Space L11 Premium Annular Space L12 Diesel Annular Space NA X STATION ADDRESS: 4050 Gosford CITY: Bakersfield STATE: California UST EQUIPMENT INSPECTION REPORT TAUVA Amn LIuRA SAP NUMBER: 121224 BRAND NAME: Texaco Tank Product Tank Type Tank Size UST or AST Tank Corrosion Type Line Type Una Corrosion Type Yes R = Regular M = Mid Grade P = Premium D = Diesel U = Used CII K = Kerosene DWF = Doublewall Fiberglass SWF = Singlewall Fiberglass SWS = Singlewall Steel OWS = Doublewall Steel DFS = Double Fiber Steel Nominal Gallons Grole the correct type oftank. Underground Storage orAboveground Stwage F = Fiberglass Le Lined IC = Impressed Curtest A = Anode DWF = Doublewall Fiberglass SWF = 8inglewall Fiberglass SWS = Singlewall Steel FOW = Flexible Doublewall F - Fiberglass IC Impressed Current A = Anode P - Plastic Flex 1 Regular DWF 12,000 UST Fiberglass DWF Fibe lass 2 I Plus DWF 10000 I UST I Fiber lass I DWF I Fiberglass 3 Premium DWF 10,000 UST Fibe lass DWF Fiberglass 4 1 Diesel DWF 10000 UST Fiberglass DW Fiberglass Comments: PRODUCT TANK MONITORING SYSTEM Qty Type Positive Shut Down Fall Safe Operational MAntifacturcr and Model Number 4 DW Tanks With Interstitial Sensors Wet Yes Yes Yes Veeder -Root TLS -350 Simpliefty #301 4 Automatic Tank Gauge Probes (ATG) rammed: CSLD Yes Yes Yes Veeder -Root TLS -350 SImpficily Meg eft 4 Groundwater Sensors Yea Yea Yes Veeder -Root SimD]Ictty PLLD 4 FIIWn Recovery Riser Yes Yes Yes Veeder -Root TLS -350 Simplift # 208 ETM (ATG) Sum Conwwrlts: Interstitial Monitor (DW tanks) WOKU YIL IAMR AMY PRODUCT LINE MONITORING SYSTEM Manufacturerand Model Number OW Type Positive Shut Down Fall Safe Operational Manufacturer and Model Number Mechanical Leak Detector 4 Electronic Sensor In Fill Sump Yes Yes Yea Veeder -Root Simpkity # 208 4 Electronic Una Pressure Sensors Yea Yea Yes Veeder -Root SimD]Ictty PLLD 4 Electronic Sensor in Turbine Sump Yes Yes Yes Veeder -Root TLS -350 Simplift # 208 Electronic Sensors In Contained Trench Cortrrtertts: I certify that the above M mratlon Is accurate and the equipment is functioning according to manufacturer's specifications unless otherwise indicated. SIGNATURE: ,,Gweku— COMPANY: R. J. Myers & Co., Inc. PRINTED NAME: Jason Nonnweiler hq]d] DATE: 10/01/01 STATION ADDRESS: 4050 Gosford CITY: Bakersfield STATE: California UST EQUIPMENT INSPECTION REPORT TURRINE AREA SAP NUMBER: 121224 BRAND NAME: Texaco DATE: 10/1101 Tank Product Permit Required Confined Space Identification Tag orDecal Present Turbine Head Is The Sump D Test Boot/Drain Pius: Flex Connector I9111L Many: Is the product manftolded between tanks? Are there any observation wells In the tank area? Arethe products blending? Turbine Fitter? Are there top seal or side seal adapters on the tank fill ? Are there Internal or external drainson the spill containment ? Havetest boots been backed off secondary containment piping, or drain plugs removed for proper drainage? Protection: Plastic Flm Booted, Taped, Sump, Anode, impressed Current, Unable to Verity Protection Type: Contained Sump, Rigid Soil Barrier, Liner, None 1 Reaular No Contained Sump Yes Yes Sump N/A No No No Top Seal Internal 2 Plus No Contauved Sump Yes Yes Sump N/A No No No Top Seal Internal 3 Premium No Contained Sump Yes Yes Su N/A No No No Top Seal Internal 4 Diesel No Contained Sump Yes Yes Sump N/A No No No Top Seat Internal Comments: Tarts I Product I Size IDrain Remote FFRI Tank tl 07711 5 No Vent Cap T:: Renate Pressure Cap, Vapor Recovey Vapor Rain Cap, None Type I Recover! TANK FILL AREA Overfin Protection olvdition Type: Bag Float, Dip Stick Protection askets In Flapper, Both, Tvoe: Strike Plate, Spig Containment wr Good Fill Ud Product None or Unable to Basket Cage, Both or Remote Fig FRI Ud Condition Painted Identification Verify None STAGE 1 VAPOR RECOVERY AREA Caps and Gaskets In Dry Break In Good Good meratim Condition Condition h-2d2 Vapor Is There A Spnl Recovery Containment Box Lid Identification Around Each VR Spill Containment Ud Painted Condition Tan Present Point Drain Operational STATION ADDRESS: 4050 Gosford CITY: Bakersfield STATE: California UST EQUIPMENT INSPECTION REPORT DISPENSER AREA SAP NUMBER: 121224 BRAND NAME: Texaco DATE: 1011101 GENERAL INFORMATION Eme encY Shutoff I ESO Dispenser Nozzles Intl tact Mechanism spenser Containment Dispenser Numbers Manufacturer Securely Anchored? Oldest Date on Dispenser Fuel Filters Number of Nozzles Gallons per minute being pumped by closest nozzle. Reg Mid Pre Stage II Vapor Recovery Type: Impact Type: Securely Anchored Mechanical Valve Operational Flex Connector Pte: Boot, Tape, Contain Sump, Anode, Impressed Current, Unable To Verify Cottainment Sump Liquid Sump Sensors Operational? Mechanical Valve or Motion Sensor or Both Sensor Type: Sump Type: Deep, Shallow, None Mechanical, Electronic, None Balance, Vacuum Assist, None 1/2 GIbarco Yes 8/3101 6 VA MV Yes Yes Contain Sump Deep None N/A 3/4 Gilbarco Yes 8/3101 8 VA MV Yes Yes Contain Sump Deep None N/A 5/6 Gilbarco Yes 8/3/01 6 7.8f7.8/8.03 VA MV Yes Yes Contain Sump Deep None N/A 7/8 Gilbarco Yes 8/3101 8 Pumped Out VA MV Yes Yes Contain Sump Deep None N/A Yes Yes Simplicity N/A Interior Yes 2 Comment* Car Wash closed unable to test. TOTAL # OF NOZZLES: 28 Comments: GENERAL INFORMATION Eme encY Shutoff I ESO Car Wash Oil -Water Separator Automatic Tank Gauge Strip Reclaim Drain If a remote Sump Needs to Attach A Printout Of The Tank Monitor Does thewater level Simplicity (S), monitoris Needs to be be Set-Up and Most Recut Test Results shown on the ATG match Polecat (P) or hutalled, is It Pumped Pumped B: Service Bay Needs to be SWF Tank Locations). Is a PrhtOut what Is shown on a Neither (N) operating Operational Qtv Out? Out C: Car Wash Pumped Out Attached To This Form. manual stick reading? Installed on ATG. cu Exterior Yes 2 Yes Yes Simplicity N/A Interior Yes 2 Comment* Car Wash closed unable to test. Ny If MONI )RING SYSTEM CERTIF 'ATION For Use By All Jurisdictions Within the State ofCalifornia Authority Cited: Chapter 6 7, Health andSafety Code; Chapter 16, Division 3, Title 23, California Code ofRegulations This form must be used to document testing and servicing of monitoring equipment. A separate certification or report must be prepared for each monitoring system control panel by 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 oftest date. A. General Information Facility Name: Texaco 121224 Bldg. No.: Site Address: 4050 Gosford City: Bakersfield Zip: Facility Contact Person: Jan Contact Phone No.: (661)833 -4002 Make/Model ofMonitoring System: Veeder -Root Simplicity, TLS -350 Date of Testing/Servicing: 10/01/01 B. Inventory of Equipment Tested /Certified Check the aoorooriate boxes to Indicate aneci0c eauloment insnected/serviced: Tank ID: Unleaded Tank ID: Plus In -Tank Gauging Probe. Model: Veeder -Root Mag #1 In -Tank Gauging Probe. Model: Veeder -Root Mag #1 Annular Space or Vault Sensor. Model: Veeder -Root #301 Atmular Space or Vault Sensor. Model: Veeder -Root #301 Piping Sump / Trench Sensor(s). Model: Veeder -Root #208 Piping Sump / Trench Sensor(s). Model: Veeder -Root #208 Fill Secondary Riser Sensor(s). Model: Veeder -Root #208 Fill Secondary Riser Sensor(s). Model: Veeder -Root #208 Mechanical Luce Leak Detector. Model: Mechanical Line Leak Detector. Model: Electronic Line Leak Detector. Model: Veeder -Root PLLD Electronic Line Leak Detector. Model:: Veeder -Root PLLD Tank Overfill / High -Level Sensor. Model: OPW 61SO Tank Overfill / High -Level Sensor. Model: OPW 61 SO Other (specify equipment a and model in Section E on Pa 2). Other (specify ui ment type and model in Section E on Page 2). Tank ID: Premium Tank ID: Diesel In -Tank Gauging Probe. Model: Veeder -Root Mag #1 In -Tank Gauging Probe. Model: Veeder -Root Mag #1 Annular Space or Vault Sensor. Model: Veeder -Root #301 Annular Space or Vault Sensor. Model: Veeder -Root #208 Piping Sump / Trench Sensor(s). Model: Veeder -Root #208 Piping Sump / Trench Sensor(s). Model: Veeder -Root #208 Fill Secondary Riser Sensor(s). Model: Veeder -Root #208 Fill Secondary Riser Sensor(s). Model: Veeder -Root #301 Mechanical Line Leak Detector. Model: Mechanical Line Leak Detector. Model: Electronic Line Leak Detector. Model:: Veeder -Root PLLD Electronic Line Leak Detector. Model:: Veeder -Root PLLD Tank Overfill / High -Level Sensor. Model: OPW 61SO Tank Overfill / High -Level Sensor. Model: OPW 61 SO Other (specify equipment type and model in Section E on Page 2). Other (specify equipment type and model in Section E on Page 2). Dispenser ID: 1/2 Dispenser ID: 3/4 Dispenser Containment Sensor(s). Model: Beaudreau Dispenser Containment Sensor(s). Model: Beaudreau 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 Dispenser Containment Sensor(s). Model: Beaudreau Dispenser Containment Sensor(s). Model: Beaudreau Shear Valve(s). Shear Valve(s). Dispenser Containment Float(s) and Chain(s). Dispenser Containment Float(s) and Chain(s). Dispenser ID: Dispenser ID: Dispenser Containment. Sensor(s). Model: Dispenser Containment Sensor(s). Model: Shear Valve(s). Shear Valve(s). ElDispenser 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/serviced in accordance with the manufacturers' guidelines. Attached to this Certification is information (e.g. manufacturers' checklists) necessary to verify that this information is correct and a Plot Plan showing the layout of monitoring equipment. For any equipment capable of generating such reports, I have also attached a copy ofthe report; (check all that apply): ® System set -up ® Alarm history report Technician Name (print): Jason Nonnweiler Signature: Jason Nonnweiler Certification No.: 555 -49 -1195 License. No.: Testing Company Name: R. J. Myers & Co.. Inc. Phone No.: (805) 383 -9244 Site Address: Date ofTesting/Servicing: 10 /01 /01 Page 1 of 3 03101 Site Address: 4050 Gosford. Bakers' D. Results of Testing/Servicing Software Version Installed: 121.00 Complete the following checklist: D )f Testing/Servicing: 10/01/01 Yes 0 No* Is the audible alarm operational? Yes No* Is the visual alarm operational? Yes No* Were all sensors visually inspected, functionally tested, and confirmed operational? Yes No* Were all sensors installed at 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) operational? N/A Yes No* For pressurized piping systems, does the turbine automatically shut down if the piping secondary containment N/A monitoring system detects a leak, fails to operate, or is electrically disconnected? If yes: which sensors initiate positive shut -down? (Check all that apply) ® Sump/Trench Sensors; Dispenser Containment Sensors. Did you confirm positive shut -down due to leaks and sensor failure/disconnection? ® Yes; No. 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 visible and audible at the tank fill point (s) and operating ro erl ? If so, at what percent of tank capacity does the alarm tri er? % Yes* 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* No Was liquid found inside any secondary containment systems designed as dry systems? (Check all that apply) Product; Water. Ifyes, describe causes in Section E, below. Yes No* Was monitoring stem set-up reviewed to ensure proper settings? Attach set up reports, if applicable Yes No* Is all monitoring equipment ,ment o ,erational per manufacturer's specifications? In Section E below, describe how and when these deficiencies were or will be corrected. E. Comments: ID-1 ..fl 0111111 F. In -Tank Gauging / SIR Equipment: Check this box iftank gauging is used only for inventory control. Check this box ifno tank gauging or SIR equipment is installed. This section must be completed if in -tank gauging equipment is used to perform leak detection monitoring. Complete the following checklist: Yes No* Has all input wiring been inspected for proper entry and termination, including testing for ground faults? Yes No* Were all tank gauging probes visually inspected for damage and residue buildup? Yes No* Was accuracy of system product level readings tested? Yes No* Was accuracy of system water level readings tested? Yes No* Were all probes reinstalled properly? 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): Complete the following checklist: Check this box if LLDs are not installed. Yes No* For equipment start-up or annual equipment certification, was a leak simulated to verify LLD performance? N/A Check all that apply) Simulated leak rate: ®3 g.p.h.; 0.1 g.p.h ; 0.2 g.p.h. Yes No* Were all LLDs confirmed operational and accurate within regulatory requirements? Yes No* Was the testing apparatus properly calibrated? Yes No* For mechanical LLDs, does the LLD restrict product flow if it detects a leak? N/A Yes No* For electronic LLDs, does the turbine automatically shut offifthe LLD detects a leak? N/A Yes No* For electronic LLDs, does the turbine automatically shutoff ifany portion of the monitoring system is disabled or N/A disconnected? Yes No* For electronic LLDs, does the turbine automatically shut off if any portion of the monitoring system malfunctions N/A or fails a test? Yes No* For electronic LLDs, have all accessible wiring connections been visually inspected? N/A 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. H. Comments: Page 3 of 3 03/01 I Monitoring System Certification UST Monitoring Site Plan Site Address: 4050 Gosford, Bakersfield Fill . . . . . STP. Annular 19 ... 4F90ON, IA 4 ANPAM417h, Diesel 89 91 87 White r.au . . . . . . . . . . . . uate map was arawn: iylu i lui 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, note the date this Site Plan was prepared. CALM-02 Page 1 of 1 11/15/99 A.Q. M. D. SUMMARY REPORT S /S: Texaco 121224 ADDRESS: 4050 Gosford Bakersfield, Ca. DATE: 10/01/01 TP201.3: PASS X FAIL N/A Reason For Failure: TP201.4 PASS X FAIL N/A Reason For Failure: TP201.5: PASS X FAIL N/A Reason For Failure: Electronic Monitor Results: PASS X FAIL N/A Reason For Failure: Drop Tubes: PASS X FAIL N/A Drop Tubes That Were Replaced: None 87 89 92 Diesel Siphon Tank None X Reason For Failure: Containment Box Report: PASS X FAIL Manufacturer: Size: 5 Gallons In Ground Type Retrofittable CNI Pomeco Phil Tite Safe Lite FRC OPW X EBW E R S F L D FIRE ARTM T V011111" FIRE CHIEF RON FRAZE ADMINISTRATIVE SERVICES 2101 'H' Street Bakersfield, CA 93301 VOICE (661) 326 -3941 FAX (661) 395 -1349 SUPPRESSION SERVICES 2101 'H' Street Bakersfield, CA 93301 VOICE (661) 326 -3941 FAX (661) 395 -1349 PREVENTION SERVICES 1715 Chester Ave. Bakersfield, CA 93301 VOICE (661) 326 -3951 FAX (661) 326-0576 ENVIRONMENTAL SERVICES 1715 Chester Ave. Bakersfield, CA 93301 VOICE (661) 326.3979 FAX (661) 326 -0576 TRAINING DIVISION 5642 Victor Ave. Bakersfield, CA 93306 VOICE (661) 399 -4697 FAX (661) 399 -5763 October 24, 2001 Mr. Edward Paden Equilon Enterprises LLC P O Box 7869 Burbank, Ca 91510 -7869 RE: Laboratory results from preliminary site assessment conducted at the Texaco #121224 at 4050 Gosford Rd in Bakersfield Permit #13I -202. Dear Mr. Paden: Upon review of the recently submitted laboratory results from your facility, this office has determined that the extent of the contamination plume, associated with the product piping previously located on your property, has not been adequately defined. This office requires (in accordance with Chapter 6.7 of the California Health and Safety Code and Chapter 16, Title 23 of the California Code of Regulations) that further assessment be done to define the vertical and horizontal extent of the contamination plume. Please submit a work plan for further assessment, to this office, within 30 days from receipt of this letter. The workplan should follow guidelines found in: A1212endix A - Reports. Tri - Regional Board Staff Recommendations for Preliminary evaluation and Investiaation of Underground Tank Sites; July 6, 1990. Additionally, be advised that oversight cost for this project will be billed to you at a rate of $80.00 per hour. If you have any questions, please call me at (661) 326 -3979. HHW /dlm SAUSTFORNIMUST.12 Sincerely, Howard H. Wines, III Hazardous Materials Specialist Registered Geologist No. 7239 Office of Environmental Services 16 % C-Z i (/6 ( 7"p '//CJO/rPi J/ —' Zi eA 11 4FIjrR,Nff f Afto FIRE CHIEF RON FRAZE ADMINISTRATIVE SERVICES 2101 'H' Street Bakersfield, CA 93301 VOICE (661) 326 -3941 FAX (661) 395 -1349 SUPPRESSION SERVICES 2101 W Street Bakersfield, CA 93301 VOICE (661) 326.3941 FAX (661) 395 -1349 PREVENTION SERVICES 1715 ChesterAve. Bakersfield, CA 93301 VOICE (661) 326 -3951 FAX (661) 326 -0576 ENVIRONMENTAL SERVICES 1715 ChesterAve. Bakersfield, CA 93301 VOICE (661) 326 -3979 FAX (661) 326 -0576 TRAINING DIVISION 5642 Victor Ave. Bakersfield, CA 93306 VOICE (661) 399.4697 FAX (661) 399 -5763 r October 24, 2001 Mr. Edward Paden Equilon Enterprises LLC P O Box 7869 Burbank, Ca 91510 -7869 RE: New Landowner Notification and Participation Requirements for Texaco #121224 at 4050 Gosford Rd in Bakersfield Dear Mr. Paden: This letter is to inform you of new legislative requirements pertaining to cleanup and closure of sites where an unauthorized release of hazardous substance, including petroleum, has occurred from an underground storage tank (UST). Section 25297.15(a) of Ch. 6.7 of the Health & Safety Code requires the primary or active responsible party to notify all current record owners of fee title to the site of: 1) a site cleanup proposal, 2) a site closure proposal, 3) a local agency intention to make a determination that no further action is required, and 4) a local agency intention to issue a closure letter. Section 25297.15(b) requires the local agency to take all responsible steps to accommodate responsible landowners' participation in the cleanup or site closure process and to consider their input and recommendations. For purposes of implementing these sections, you have been identified as the primary or active responsible party. Please provide to this agency, within twenty (20) calendar days of receipt of this notice, a complete mailing list of all current record owners of fee title to the site. You may use the enclosed list of landowners form (sample letter 2) to comply with this requirement. If the list of current record owners of fee title to the site changes, you must notify the local agency of the change within twenty (20) calendar days from when you are notified of the change. Landowner Notifiaction Page 2 If you are the sole landowner, please indicate that on the landowner list form. The following notice requirements do not apply to responsible parties who are the sole landowner for the site. In accordance with Section 25297.15(a) of Ch 6.7 of the Health & Safety Code, you must certify to the local agency that all current record owners of fee title to the site have been informed of the proposed action before the local agency may do any of the following: 1) consider a cleanup proposal (corrective action plan) 2) consider a site closure proposal 3) make a determination that no further action is required 4) issue a closure letter You may use the enclosed notice ofproposed action form (sample letter 3) to comply with this requirement. Before approving a cleanup proposal or site closure proposal, determining that no further action is required, or issuing a closure letter, the local agency will take all reasonable steps necessary to accommodate responsible landowner participation in the cleanup and site closure process and will consider all input and recommendations from any responsible landowner. HHW /dm enclosures S:\USTFORMS \UST.LA Sincerely, PAWA., 0. Myj Howard H. Wines, III Hazardous Materials Specialist Registered Geologist No. 7239 Office of Environmental Services Sample Letter (2): List of Landowners Form Date: City of Bakersfield Fire Department Office of Environmental Services c/o Howard H. Wines, III 1715 Chester Avenue, Suite 300 Bakersfield, CA 93301 RE: Certified List of Record Fee Title Owners for Site name Site address Fill out item 1 if there are multiple site landowners. If you are the sole site landowner, skip item 1 and fill out item 2. 1. In accordance with section 25297.15(a) of Chapter 6.7 of the Health & Safety Code, I, Name ofprimary responsible party certify that the following is a complete list ofcurrent record fee title owners and their mailing addresses for the above site: 2. In accordance with section 25297.15(a) of Ch. 6.7 of the Health & Safety Code, I, Name of primary responsible party certify that I am the sole landowner for the above site. Sincerely, Signature ofprimary responsible party Name of primary responsible party Sample Letter (3) Notice of Prop,-.d Action Submitted to Local Agency Date: City of Bakersfield Fire Department Office of Environmental Services c/o Howard H. Wines, III 1715 Chester Avenue, Suite 300 Bakersfield, CA 93301 RE: Notice of Proposed Action Submitted to Local Agency for Site name Site address In accordance with section 25297.15(a) of Ch. 6.7 of the Health & Safety Code, I, certify that I have notified all Name ofprimary responsible party responsible landowners of the enclosed proposed action. Check space for applicable action(s): cleanup proposal (corrective action plan) site closure proposal local agency intention to make a determination that no further action is required. local agency intention to issue a closure letter. CC: (Names and addresses of all record fee title owners) Sincerely, Signature ofprimary responsible party Name of primary responsible party 044 lip k, CITY OF BAKERSFIELD FIRE DEPARTMENT t6 b, OFFICE OF ENVIRONMENTAL SERVICES UNIFIED PROGRAM INSPECTION CHECKLIST 1715 Chester Ave., 3rd Floor, Bakersfield, CA 93301 FACILITY NAME icute n .5v& v- oatt r _' INSPECTION DATE t Section 2: Underground Storage Tanks Program Routine YCombined Joint Agency L) Multi - Agency L] Complaint Re- inspection Type of Tank DWF- Number of Tanks Type of Monitoring l'F.Gu Type of Piping i2cllr= OPERATION C V COMMENTS Proper tank data on file Proper owner /operator data on file Pen-nit fees current Certification of Financial Responsibility Monitoring record adequate and current Maintenance records adequate and current 8 Q'N Oh Failure to correct prior UST violations Has there been an unauthorized release? Yes No Section 3: Aboveground Storage Tanks Program TANK SIZE(S) Type of Tank AGGREGATE CAPACITY Number of Tanks OPERATION Y N COMMENTS SPCC available SPCC on file with OES Adequate secondary protection Proper tank placarding /labeling Is tank used to dispense MVF? If yes, Does tank have overfill /overspill protection? C= Compliance V= Violation Y =Yes N =NO Inspector: j1/1" lljl g Office of Environmental Services (805) 326 -3979 White - Env. Svcs. Pink - Business Copy Business Site Responsible Party TZ6 CITY OF BAKERSFIELD FIRE DEPARTMENT OFFICE OF ENVIRONMENTAL SERVICES s P UNIFIED PROGRAM INSPECTION CHECKLIST 1715 Chester Ave., 3rd Floor, Bakersfield, CA 93301 FACILITY NAME I [' "c r-7 &6r nAja ADDRESS !yj2K-n &.54goret FACILITY CONTACT INSPECTION TIME Section 1: Business Plan and Inventory Program INSPECTION DATE 10 I c.((O I PHONE NO. 833- q00 I BUSINESS ID NO. 15-210 - NUMBER OF EMPLOYEES Routine 6 Combined Joint Agency Multi- Agency Complaint Re- inspection OPERATION C V COMMENTS Appropriate permit on hand Business plan contact information accurate Visible address Correct occupancy Verification of inventory materials Verification of quantities Verification of location Proper segregation of material Verification of MSDS availability Verification of Haz Mat training Verification of abatement supplies and procedures Emergency procedures adequate Containers properly labeled Housekeeping Fire Protection Site Diagram Adequate & On Hand C= Compliance V= Violation Any hazardous waste on site ?: Yes *0 Explain: Questions regarding this inspection? Please call us at (661) 326 -3979 White - Env. Svcs. Yellow - Station Copy Pink - Business Copy Business Site esponsible Party Inspector: TEllf, = 92.5 DE,--, F TEXm0o 70844396305001 H03 4. 2001 9 :5G ri knAFH STATUS R 1S AR'll T 3 :91 PREM. 5972 G A I - S UL = 3751 GALS ULL E= 2278 G TC 584E GAS HE I GHT I I t1l" HE s WATER ',.-OL 11 C;ALS, WATER Cl , 1-11-1 !r H TD-IP 91.! DE F T 4:87 REG. VOLUME lil-LAGE 9 ULL E TC VOLUME HEIGHT WATER VOL WATER TUMP L T 1 'LjIE;..--',EL VOLUME = 4444? GGAD--', ULLAC,E = 55281 91 DEt = 44:308 TC VOLUME = 44385 GGALS HE I GHT = 442.90 ! tC HES, WATER VOL 00 GGALS WATER 00.00 ! t HE'S. A TT 990.7 DDEG F T 2:89 PLUS Kpowr LLUHE = 44125 GGALS 5603 GGAI ALARH 00 HEIGHT = 440.50 1 1,41--'HES WATF.F.' vaL = 00 GGAL2, WATER oo.00 ! tH TEXm0o 70844396305001 H03 4. 2001 9 :5G ri knAFH STATUS R 1S AR'll T 3 :91 PREM. 5972 G A I - S UL = 3751 GALS ULL E= 2278 G TC 584E GAS HE I GHT I I t1l" HE s WATER ',.-OL 11 C;ALS, WATER Cl , 1-11-1 !r H TD-IP 91.! DE F T 4:87 REG. VOLUME lil-LAGE 9 ULL E TC VOLUME HEIGHT WATER VOL WATER TUMP L T 4:87 REG. VOLUME lil-LAGE 9 ULL E TC VOLUME HEIGHT WATER VOL WATER TUMP L T --+" HJb VC,L E 4447 LJLj-jV-;E 4688 GALS TC 403i GALS HE I 6HT = 40.80 11,11'.HES. L = 0 GALS WATER = 0.00 1 NCHES TUB = 92.5 EG F T 3:91 PREM. VC,L E 4447 LJLj-jV-;E 3752 GALS 90% WAGE= 4087 GALS TC' vOLUME - 5846 GALS HE HT . 54,31 11,11-HES WA-YER 0 f, ALS wA, 1, r-" 1-" = 0.00 INCHM TUB, qt . I DEG, F T 4 :G/ RE6 VOUAE 4447 4454 GALS ULLAGEC 4087 GALS 6228 GALS HEIGHT = D.,j 11, -v -,HES FER VOL = 0 GALS ER = n.o0 tHE TEMP = 93.3 DEG F J, ALL AR; 4. 2001 9 :29 RI MTEM STHTU,REPORT T I : b I ESEL 4447 5281 GALS GALS 4Se5 GAL HE 11.11-II = 42.90 I L,IATER "J'C"L = 0 L' 1,1ATER 0. Ll 0 tHES TEMP = cin. 9 DEC: F. DSL 4. -,001 'J:':;1 STP JUMP FIEL AIj, 89 p", MANI A : H411UG IA NE Fil,J;RTI 9::D,3 H1,11 L J:'l TURB. STP SUH1- FUEL ", 1, '1 ou,-; I. -,oul tAI--JE L I yR SURE LINE .' I . ... ( SHE I 7 ri SEA0R ALARn FUEL A! 1. - .. 4. 200! (41 E I IPREIREJ, I E i Yll \ ANGULAR SkiE Q 2 :e9 3 A rlLhRl"I PLIA U 4. 2001 9 :45 Ae L I Ci i m"'NNI-ChR DJE1 ALAS 3 ri Pr E. uRE LlNR LEAK Aii Au 4, 200l- 4 0. All Li I :5l ANUmwR SFCE FUEL ALARM PIA-it Sm «b tilil-I 4- 2110! t_.Em''K AEA ALARM L 9 :e? ANNUL R ANNULR styE FUEL ALARM 51 i4l RD. 7oe44:3 6 3 0 5 UCl I AIJG Ll - 200! 9 : 5i Hir-I i'y',3TEI"1 STS i REP") L I I ISEN'S'CIR UUT ALAS i- I : FUEL l"I G r r t r r i::"' , r •`T` L• °` ;; ';mow T,p y! — " • " F. i ji i'. GSA tR .O I;- Y uhi V. - ` • +:,' fly.`,' ;f:! %' . i• ' i'• ` \ tiN / +{ b`'jf f +/ 1,•' ti ,'4'.•'f ;- 'r I !.'..i -;. `{j'i•'` t'' 6t ill ' • t:•• °- ,•r:yt` •j/ . ', ;c'a,r•,.• ,, ., _ ,`i: r. } • i.,;, .•E'er ;%v, `, 1 '1 • r, iKl, ,.r 1f yH' filly - 1 ' '4 f ; CITY OF BAKERSFIELD FIRE DEPARTMENT - ICE OF ENVIRONMENTAL SERVICES { 1715 CHESTER AVENUE - BAKERSFIELD, CALIFORNIA 93301 W nv / 0 0 J IqD C S. t CITY OF BAKERSFIELD FIRE DEPARTMENT OFFICE OF ENVIRONMENTAL SERVICES 1715 CHESTER AVENUE BAKERSFIELD, CALIFORNIA 93301 Permit No. CITY OF BAKERSFIELD OFFICE OF ENVIRONMENTAL SERVICES 1715 Chester Ave., Bakersfield, CA (805) 326 -3979 a w A, PERMIT APPLICATION TO CONSTRUCTIMODIFY UNDERGROUND STORAGE TANK TYPE OF APPLICATION (CHECK) NEW FACILITY [ ]MODIFICATION OF FACILITY [ ]NEW TANK INSTALLATION AT EXISTING FACILITY STARTING DATE PROPOSED COMPLETION DATE--Jr " d Q• FACILITY NAME EXLSTG FACILITY PERMIT NO. FACILITY ADDRESS CITY IdQj!X 2d MEA-0 ZIP CODE TYPE OF BUSINE S APN # TANK O P ONE NO. ADDRESS CITY ZIP CODE CONTRACTOR CA LICENSE NO. ADDRESS CITY ZIP CODE PHONE NO. BAKEASFIELD CITY BUSINESS LICENSE NO. WORKMAN COMP NO. INSURER STS= _tuno - - -- - - WATER TO FACILITY PROVIDED BY DEPTH TO GROUND WATER SOIL TYPE EXPECTED AT SITE NO. OF TANKS TO BE INSTALLED ARE THEY FOR MOTOR FUEL YES NO SPILL PREVENTION CONTROL AND COUNTER MEASURES PLAN ON FILE YES NO SECTION FOR MOTOR FUEL TAIjK NO. VOLUME UNLEADED REGULAR PREMIUM DIESEL AVIATION 4 -- -- -- SECTION FOR NON MOTOR FUEL STORAGE TANKS TANK NO. VOLUME CHEMICAL STORED CAS NO. CHEMICAL PREVIOUSLY STORED NO BRAND NAME) OF KNOWrTI FOR OFFICIAL USE ONLY rtP'CATIgNAttl E FACF dTXNo, NS7 AR TAivlt& T_ FMS ,._ y y<} s THE APPLICANT HAS RECEIVED, UNDERSTANDS, AND WILL COMPLY WITH THE ATTACHED CONDITION. OF THIS PERMIT ANDANY OTHER STATE, LOCAL AND FEDERAL REGULATIONS. THIS FORM HAS BEEN COMPLETED UNDER PENALTY OF PERJURY, AND TO THE BES OF MY OWL , TRUE CT. rar1 A )Voc /at APPLICANT NAME (PRINT) P THIS APPLICATION BECOMES A PERM t WHEYAPPROVED CITY OF BAI{F SFIELD OFFICE OF ENVIRONMENTAL SERVICEStd 1715 Chester Ave. Bakersfield CA (661) 326 -3979 INSPECTION RECORD POST CARE) AT IOR SITE Facility '' AI in -51.11 1b Owner r Address Address City, zip Me rs4i JJ 13 30 c City. zip Phone No. Permit # T • ego —L INSTRUCTIONS: Please call for an inspector only when each group of inspections with the same number are ready. They will run in consecutive order beginning with number I. DO NOT cover work for any numbered group until all items in that group are signed off by the Permitting Authority. Following these instructions will reduce the number of required inspection visits and therefore prevent assessment of additional fees. TANKS AND BACKFILL INSPECTION DATE INSPECTOR UC Backfill ofTank(s) Liner Installation - Piping Corrosion Protection of Piping, Joints, Fill Pipe Spark Test Certification or Manufactures Method Vault With Product Compatible Sealer Electrical Isolation of Piping From Tank(s) Cathodic Protection ofTank(s) Level Gauges or Sensors, Float Vent Valves Cathodic Protection System- Piping rlrINLYbybIr1M )I It, i n1 /1 l Piping & Raceway w /Collection Sump — ' 7fi Liner Installation - Piping Corrosion Protection of Piping, Joints, Fill Pipe Vault With Product Compatible Sealer Electrical Isolation of Piping From Tank(s) Level Gauges or Sensors, Float Vent Valves Cathodic Protection System- Piping Product Compatible Fill Box(es) Dispenser Pan Product Line L .,cicctor(s) JCt.,UNI)AKY LUN I AINMEN I. UV LKP ILL rKU ILL I WIN. LEAK Ut I EL I IUIN FINAL Liner Installation - Tank(s) Liner Installation - Piping Vault With Product Compatible Sealer Level Gauges or Sensors, Float Vent Valves Zo+ Product Compatible Fill Box(es) Product Line L .,cicctor(s) Leak Detector(s) for Annual Space-D.W. Tank(s) O Monitoring Well(s) /Sump(s) - h120 Test r-i O Leak Detection Device(s) for Vadose /Groundwater Spill Prevention Boxes 1 41t FINAL CONTRACTOR n . C _ Sf CtJ I Cc,S V LICENSE # CONTACT aL (I V ia T Ct1 `Cr PHONE # -y9- yyy- ()3e0 Monitoring Wells, Caps & Locks Fill Box Lock Monitoring Requirements Type Authorization for Fuel Drop Zo+ CONTRACTOR n . C _ Sf CtJ I Cc,S V LICENSE # CONTACT aL (I V ia T Ct1 `Cr PHONE # -y9- yyy- ()3e0 4o of(m, P ttL tc, 6-hkotl ';ejASo r- tic PI lf((L V 41,nLAL c C fL-j 6,(Y- 6rocltd 4tg ckr 1'7 J6 It -9ED PROGRAM CONSOLIDATED FORM FACILITY INFORMATION BUSINESS OWNER /OPERATOR IDENTIFICATION P e or 1. IDENTIFICATION FACILITY M BEGINNING DATE 100 ENDING DATE 101 1115101 12/31 /01 BUSINESS NAME (Same as FACILITY NAME orDBA - Doing Business As 3 BUSINESS PHONE 102 LINMAR # % 1 1 661- 833 -4002 BUSINESS SITE ADDRESS 103 4050 GOSFORD WHITE CITY 10^ CA ZIP CODE fns BAKERSFIELD 93309 -7692 DUN & BRADSTREET 106 SIC CODE (4 digit #) 107 5541 COUNTY fns KERN BUSINESS OPERATOR NAME 10' BUSINESS OPERATOR PHONE 110 LINMAR PETROLEUM 661- 833 -4002 II. BUSINESS OWNER OWNERNAME III OWNER PHONE 112 LINMAR PETROLEUM 661- 833 -4002 OWNER MAILING ADDRESS 113 PO BOX 7869 CITY 114 STATE 116 ZIP CODE 116 BURBANK 1 CA 91510 -7869 III.ENVIRONMENTAL CONTACT CONTACT NAME 117 CONTACT PHONE 118 FERYAL SARRAFIAN 1 818- 736 -5078 CONTACT MAILING ADDRESS 119 PO BOX 7869 CITY 120 STATE Ill ZIP CODE 122 BURBANK 1 CA 91510 -7869 PRELIMINARY- IV. EMERGENCY CONTACTS -SECONDARY - NAME 1S3 NAME 128 FRANK HUTCHINS FERYAL SARRAFIAN TITLE 134 TITLE 121 STATION SUPERVISOR SH &E COMPLIANCE COORDINATOR BUSINESS PHONE W BUSINESS PHONE 130 760 - 743 -8787 818 - 736 -5078 24 -HOUR PHONE 126 24 -HOUR PHONE 131 661 - 619 -9423 CELL,PAGER) 310489 -6296 (CELL) PAGER# 127 PAGER# 132 SAME AS ABOVE NONE ADDITIONAL LOCALLY COLLECTED INFORMATION: 133 Certification: Based on my inquiry of those individuals responsible for obtaining the information, I certify under penalty of law that 1 have personally examined and am familiar with the information submitted and believe the information is true, accurate, and complete. SIGNATURE OF OWNER /OPERATOR bt DES TED REPRESENTATIVE DATE 134 7- t_ n NAME OF DOCUMENT PREPARER 133 R.S. WATSON NAME OFSIGNER (print) 136 TITLE OF SIGNER 131 FERYAL SARRAFIAN SH &E COMPLIANCE COORDINATOR UPCF ( 1/99 revised) 4 OES FORM 2730 (1/99) N y IT Corporation 3452 Fast Foothill Boulevard, 91h Floor Pasadena, CA 91107-3159 A Member of The l'1' Croup t Canaan Crouch TtjN 16vv-o Geologist D Sp oC- Sa" "'S Direct 626.304.1544 Office 626.304.1500 ext 1 544 Fax 626.535.9076 the 0, LVOUP Pager E"",il 626.651.8106 ecrouci)@theitgroup.corn IT Corporation 3452 Fast Foothill Boulevard, 91h Floor Pasadena, CA 91107-3159 A Member of The l'1' Croup t FIRE AIPfM 4fto FIRE CHIEF RON FRAZE ADMINISTRATIVE SERVICES 2101 `H" Street Bakersfield, CA 93301 VOICE (661) 326 -3941 FAX (661) 395 -1349 SUPPRESSION SERVICES 2101 "H" Street Bakersfield, CA 93301 VOICE (661) 326.3941 FAX (661) 395 -1349 PREVENTION SERVICES 1715 Chester Ave. Bakersfield, CA 93301 VOICE (661) 326 -3951 FAX (661) 326.0576 ENVIRONMENTAL SERVICES 1715 Chester Ave. Bakersfield, CA 93301 VOICE (661) 326 -3979 FAX (661) 326 -0576 TRAINING DIVISION 5642 Victor Ave. Bakersfield, CA 93308 VOICE (661) 399 -4697 FAX (661) 399 -5763 r I II7 January 22, 2001 Texaco 4050 Gosford Bakersfield Ca 93309 RE: Dispenser Pan Requirement December 31, 2003 Underground Storage Tank Dispenser Pan Update Dear Underground Storage Tank Owner: You will be receiving updates from this office now, and in the future with regard to the Senate Bill 989, which went into effect January 1, 2000. This bill requires dispenser pans under fuel pump dispensers. On December 31, 2003, which is the deadline for compliance, this office will be forced to revoke your permit to operate, effectively shutting down your fueling operation. It is the hope of this office, that we do not have to pursue such action, which is why this office plans to update you. I urge you to. start planning now to retro -fit your facilities. If your facility has upgraded already, please disregard this notice. Should you have any questions, please feel free to contact me at 661 - 326 -3190. Sincerel , Steve Underwood, Inspector Office of Environmental Services SBU /dm R. J. Myers & Co., Inc. ENVIRONMENTAL COMPLIANCE CONTRACTOR P.O. BOX 191 CANOGA PARK, CA 91305 818- 702 -6470 / 818 -702 -6484 FAX 05.3A3 -' -1 00, p 4` FO i'''°• , ? Opp SUBJECT: Annual Electronic and /or Mechanical Moni ing System Inspect and Meter Calibration / A. Q. M. D. Tes esults DATE: 9/27/00 S/S 4: Texaco 121224 To Whom it May Concern, LOQ'ATION: 4050 Gosford Bakersfield, CA 933 Enclosed are the reports for the annual inspection of the existing Monitoring System that was performed at the above referenced facility. The method used to test the electronic and mechanical monitoring systems is approved by and exceeds the specifications according to the manufacturer. Also enclosed are the Air Quality Management District test results for the above referenced station. These results must be kept at your station for a minimum of .five 5) years. The results must be available for agency inspections. Failure to maintain these records could result in fines and penalties. R. J. Myers & Co., Inc. has been contracted by Equiva Services LLC to insure that their facilities comply with all the rules and regulations that govern the operation of underground storage tanks and product lines. If you have any questions, please call. Sincerely, R. J. MYERS & CO., INC. Ronald J. Myers, II President RJM /rf CONT. LIC. 4330631 (B -061) SERVING THE PETROLEUM INDUSTRY SINCE 1967 R. J. MYERS & CO., INC. ENVIRONMENTAL COMPLIANCE CONTRACTOR P. O. BOX 191 CANOGA PARK, CALIFORNIA 91305 818 - 702 -6470 / 818 - 702 -6484 FAX Wil iussed Inspaclion DATE OF SERVICE: 9/27/00 S.S. #: Texaco 121224 W. O. #: TECHNICIAN; Jason Nonnweiler BILL TO: Equiva Services LLC P.O. Box 7869 Burbank, CA SERVICE REQUESTED - Annual leak monitor inspection and certification, DESCRIPTION OF WORK: Inspected and tested all leak sensors for proper operation. Verified proper operation and calibration of all TLM probes All systems normal. MODEL #: Veeder -Root TLS -350 SYSTEM CERTIFIED OYES NO SERVICE REQUESTED BY: Feryal Sarrafian PROBE I.D. #: In Tank Setup T1 Diesel T2 Plus T3 Premium T4 Unleaded Pressure Line Leak Setup Q1 Diesel 02 Plus Q3 Premium Q4 Unleaded Liquid Sensor Setup L1 Diesel Turbine Sump L2 Plus Turbine Sump L3 Premium Turbine Sump L4 Unleaded Turbine Sump L5 Diesel Annualr L6 Plus Annular L7 Premium Annular L8 Unleaded Annular SERIAL #: 708443963 5001 SYSTEM PSD YES N/A NO SYSTEM RUNNING YES NO WASTE OIL SYSTEM SEALED YES N/ NO YES NO STATION ADDRESS: 4050 Gosford CITY: Bakersfield STATE: California UST EQUIPMENT INSPECTION REPORT Taus awn LINES SAP NUMBER: 121224 BRAND NAME: Texaco Tank Typo Positive Product Operational Tank Type Tank Size UST or AST Tank Corrosion Type Line Type Line Corrosion Typo Manufacturer and Model Number 4 R = Regular P - Premium 0 - Methanol M - Mid Grade U - Us or C!5.,j DWF = Doublewall Fiberglass SWF = Singlewall Fiberglass SWS = Singlewall Steel DWS = Doublewall Steel Nominal Gallons Cirde the correct typeof tank. Underground Storage or Aboveground Storage F = Fiberglass L = Lined IC = Impressed Current A = Anode DWF = Doublewell Fiberglass SWF - Singlewall Fiberglass SWS • Singlewell Steel F e Fiberglass IC • Impressed Current A • Anode P e Plastic Flex 1 10 No M P U O SWF SWS DW 12,000 AST L IC A DWF COP SWS IC A P 2 R 4 P U O SWF SWS DW 10,000 AST L IC A DWF W SWS IC A P 3 R M P U O SWF SWS DW 10,000 AST L IC A DWF SWS F IC A P 4 R M P U SWF SWS, DW 10,000 S AST F L IC A DWF SWF SWS IC A P 5 R M P U 0 DWF SWF SWS DWE UST AST F L IC A DWF SWF SWS F IC A P 6 R M P U O DWF SWF SWS DW UST AST F L IC A DWF SWF SWS F IC A P PRODUCT TANK MONITORING SYSTEM Interstitial Monitor (DW tanks) Wet Sensor in Fill Sump ments: UZKD OIL TANK AND LINE MONITORING UT3TEM Yes PRODUCT LINE MONITORING SYSTEM Manufacturer and Model Number oty Typo Positive Fall Operational Manufacturer and Model Number MY Typo Shut Down Safe Operational Manufacturer and Model Number 4 OW Tanks With Interstitial Sensors Y No Veeder -Root TLS -350 PLLD Electronic Sensor In Fill Sump 4 X ) Wet ( ) Dry Ye No No 10 No Veeder -Root TLS -350 #301 No Automatic Tank Gauge Probes (ATG) es No Veeder -Root TLS -350 #208 Electronic Sensors In Contained Trench (TLM Yes No Programmed. Yes No Comments: Sump sensors were not setup for positive shut down, programmed them In. No sensors In fill sump. 4 X ) Static Test ( ) CSLD I No Y No es No Veeder -Root TLS -350 Mag #1 Groundwater Senso s Yes No Yes No Yes No Comments: Annulars were not set for positive shut down, programmed them In. No Intank tests have been performed. Interstitial Monitor (DW tanks) Wet Sensor in Fill Sump ments: UZKD OIL TANK AND LINE MONITORING UT3TEM Yes PRODUCT LINE MONITORING SYSTEM Manufacturer and Model Number oty Typo Positive Shut Down Fell Safe Operational Manufacturer and Model Number Mechanical Leek Detector No 0 No Yes No 4 Electronic Line Pressure Sensors Y No Veeder -Root TLS -350 PLLD Electronic Sensor In Fill Sump Yes No Yes No Yes No 4 Electronic SensorIn Turbine Sum No No es No Veeder -Root TLS -350 #208 Electronic Sensors In Contained Trench (TLM Yes No Yes No Yes No Comments: Sump sensors were not setup for positive shut down, programmed them In. No sensors In fill sump. I certify that the above Information is accurate and the equipment Is functioning according to manufacturer's specifications unless otherwise Indicated. SIGNATURE: COMPANY: R. J. Myers & Co., Inc. PRINTED NA Jason Nonnweller DATE: 9127/00 I-r wr STATION ADDRESS: 406043 tkwd CITY: Bakarettell STATE: California UST EQUIPMENT INSPECTION REPORT TURBINE ARIA SAP NUMBER: tit224 BRAND NAME: Teaaco DATE: w77No Tank Product Permit Required Confined Space WantHlution Tag or Decal P—nt Turbin% Head Protection Tune: Is TheSump Dry Teat BOQtLDroht Plug: Flex ConnecterProtection: Tank Manifold: Are there arty obaa v tlon welt In the tank area? Are the products blending? Turbine Filter? Are there top seal w aide seal adapbre on thetank fill pipn7 Are there Internal or external drains on the Spill containment He— batboots been backedoff secondary conWnmendPiping, or drain plugs removed foi properdrakvge7 ContalnW Sump, Rigid Soll Barrier, Liner, None Plastic Flex, Booted, Taped, Sump, Anode, Improeaed Current. Unable toVerity Is theproduct manrkAded between tank97 1 9 M P D Yes IQ erC? RSB L N No Yes No t / PF B T A IC UTV I Yes o Yes SS t 2 R P D Yes RSB L N No Yes No PF B T A IC UTV Recovery Condition Yes No Yes T SS Around Each VR Point 3 R M D Yes RSB L N No Yes No PF B A IC UTV AYesNoeiUr/" N'21 Yes Yes S SS In External 4 R M P Yes RSB L N No Yes No W PF B T A IC UTV Condition Yes No Yes No SS Internal External 5 R M P D Yes No CS RSB L N Yes No Yes No NIA PF 8 T S A IC UTV Yes No WA No Yes No Yes No TS SS Internal External 6 R M P D Yes No CS RSB L N Yes No Yes No N/A PF B T S A tC UTV Yes No N/A Yes No Yes No Yes No TS SS Intemal External Comments: TANK FILL ARIA 5 1 R M P D 1 PC RC N Dual Point Coaxial I Yes No Yes No Yes No I Yes No Good Poor Yes No 1 Yes No I Yes No None I 6 I R M P 0 I PC RC N Dual Porn Coanal I Yes No Yes No Yes No I Yes No I Good Poor I Yes No I Yes No I. Yes No None Comments: Unleaded Dry Break drain is phgged off. Vapor Vent Cap Type: Owrflll Protav;tlon Caps and Recovery ISt Then A SpW Prmeure Cap, R.I. I Ranwta Va Dry Break In Good Operating Gaskets In Good Caps end 16—tf madon Boa Spill Containment TvDa: Ball Float, Dip Stick Protection 7vpe: Cap, None Vapor Recovey Type Recovery Condition C itk— Lid Painted Spin Containment Spill Containment Around Each VR Point Spill Containmenton Remote Gaskets N Good Fill Lid I Yea No onc C) No Product Flepper, Both, None or Stake Plate, BasketCaga, Both Tank Yes o None Product Size Drain Operational Remote Fin F61 Condition Condition Fl RC N Unable to Verity orNone No YY No Poor No No No None 3 I R M ( D RC N Q I ual Poi Coa 11 Yes U no ( Yes No mss) No Yes 1 No Poor CY No I CYes J No I (Y No None I M P D 15 25 None No I Yes Yes No one No Poor a No No BF &>B N UTV SP 8 N 2 R P D 15 25 None No I Yes Yes No o No G Poe No Na BF QB N IJTV SP B N 3 R M D 15 25 None lYad No I Yes Yes No one No Poor Y No No B B N UTV SP B N 4 R M P 5 5 25 None Y No I Yes Yes No on No Poor es No Y No BF F N LIT/ SP BC B N I5iRMPD51525NoneYesNo Yes No Yes No None Yes No Good Poor Yes No Yes No BF F B N 11TV SP BC B N 7;_1 R M P D 5 15 25 None I Yes No Yes No 1111991111M Yes No None Yes No Good Poor Yes No Yes No BF F B N UTV SP 8C B N Comments: 5 1 R M P D 1 PC RC N Dual Point Coaxial I Yes No Yes No Yes No I Yes No Good Poor Yes No 1 Yes No I Yes No None I 6 I R M P 0 I PC RC N Dual Porn Coanal I Yes No Yes No Yes No I Yes No I Good Poor I Yes No I Yes No I. Yes No None Comments: Unleaded Dry Break drain is phgged off. Vapor Vent Cap Type: Caps and Recovery ISt Then A SpW Prmeure Cap, R.I. Ranwta Va Dry Break In Good Operating Gaskets In Good 16—tf madon Boa Spill Containment Tank Product Cap, None Vapor Recovey Type Recovery Condition C itk— Lid Painted Lid Condition Tag Present Around Each VR Point Drain Operational 1 M P D C RC al P Coaxial I Yea No onc C) No I No Poor I No es No Yes o None i 2 R P D RC N I Covnali Yes Y No No YY No Poor No No No None 3 I R M ( D RC N Q I ual Poi Coa 11 Yes U no ( Yes No mss) No Yes 1 No Poor CY No I CYes J No I (Y No None 5 1 R M P D 1 PC RC N Dual Point Coaxial I Yes No Yes No Yes No I Yes No Good Poor Yes No 1 Yes No I Yes No None I 6 I R M P 0 I PC RC N Dual Porn Coanal I Yes No Yes No Yes No I Yes No I Good Poor I Yes No I Yes No I. Yes No None Comments: Unleaded Dry Break drain is phgged off. STATION ADDRESS: 4050 Gosford CITY: Bakersfield STATE: Calffomla UST EQUIPMENT INSPECTION REPORT DISPENSER AREA SAP NUMBER: 121224 BRAND NAME: Texaco DATE: 9!27100 GENERAL INFORMATION Eme enc Shutoff ESO Dispenser Nozzles Impact Mechanism Dispenser Containment Dispenser Numbers Manufacturer Securely Anchored? Oldest Date onDLspenser Fuel Filters Number of I Nozzles Gallons per minute being pumped by closest nozzle. Reg Mid Pre Staae II Vapor Impact Type: Securely Anchored Mechanical Valve Operational Flex Connector Protection: Containment Sump Liquid Sump Sensors Operational? Mechanical Valve or Motion Sensor or Both SensorType: Mechanical, Electronic, None Recovery Type: Balance, Vacuum Assist, None Boot, Tape, Contain Sump, Anode, Impressed Current, Unable To Verify Sump Type: Deep, Shallow, None 12 Gilbarco 67e3 No I 7/31/00 6 7.0/8.619.2 B 4 N MS S No es No T CS A IC UTV D S 0 M E I e No 3/4 Gilbarco No 8f3/00 8 1 B Ulll N MS OLoS No Tel No CO T CS A IC UTV D S M E Q No 5/6 Gilbarco Y No 725100 6 Pum Out B N MS No es No T CS A IC UTV D S M E I No 7/8 Giibarco a No 725/00 8 Yes No B N MS VQ No a No B T CS A IC UTV D S M E es No I Yes No B VA N MV MS Yes No Yes No B T CS A IC UTV D S N M E N Yes No Yes No B VA N MV MS Yes No Yes No B T CS A IC UTV D S N M E N Yes No Yes No B VA- N MV MS Yes No Yes NItB T CS A IC UTV D S —N FM E N Yes No Comments: Sensors located In turbine sumps only. GENERAL INFORMATION Eme enc Shutoff ESO Car Wash Oil - W rSeparator Automatic Tank Gauge Reclaim If a remote Sump Needs Attach A Printout Of The Tank Monitor Simplicity (S), monitor is to be Strip Drain Set-Up and Most Recent Test Results Does the water level shown on PoleCat (P) or installed, is it Pumped Needs to be B: Service Bay Needs to be Pumped SWF Tank Locations). Is a PrintOut the ATG match what is shown on Neither (N) operating Operational Qty Out? Pum Out C: Car Wash Out Attached To This Form. a manual stick reading? installed on ATG. correctly? Exterior No 1 Yes No Yes No B C Yes No es No es No S P Yes No Interior 6Ce No 2 I I I NA Comments: P-j A. Q. M. D. SUMARRY REPORT S /S: Texaco 121224 ADDRESS: 4050 Gosford Bakersfield, CA DATE: 9/27/00 TP201.3: PASS X FAIL Reason For Failure: TP201.4: PASS FAIL Reason For Failure: No test at this time. TP201.5: PASS X FAIL Reason For Failure: Unable to test dispenser 2. Electronic Monitor Results: PASS X FAIL Reason For Failure: Drop Tubes: PASS X FAIL Drop Tubes That Were Replaced: 87 89 92 Diesel Siphon Tank Reason For Failure: Containment Box Report: PASS X FAIL Reason For Failure: N/A N/A X N/A N/A N/A None X N/A Manufacturer: Size: 5 Gallons In Ground Type Retrofittable CNI Pomeco X Phil Tite OPW 9 -20 -2000 3 : 1 1 PM FROM R. J. MYERS CO. INC. 8187026484 P.1 R.J. Myers & Co., Inc. Environmental Compliance Contractor P.O. Box 191 Canoga Park, CA 91305 818- 702 - 6470/818- 702 -6484 FAX To: City Of Bakersfield Fire. Department Hazardous Materials Division Date: 9/20/00 Attn: Steve Underwood Fax number: 661- 326 =0576 From: Theresa Isaacs R.J. Myers & Co., Inc. Our phone: 818- 702 -6470 Our fax: 818- 702 -6484 Of pages including cover pages: 1 Steve, Listed below is a location we will be performing the Annual Monitor Certification at on September 27, 2000, at 8:00 AM. Ifyou have any questions give me a call. Texaco Service Station: 4050 Gosl'ord Bakersfield, CA CORRECTION NOTICE BAKERSFIELD FIRE DEPARTMENT N_ 982 Location -Fem n s a'r 1 f 16. A Sub Div. '400 &S40 r . Blk. . Lot You are hereby required to make the following corrections at the above location: Cor. No C Ut- rc_ J V., Cl 4a r r. c 6- a,f vou y- &wALhal 144,cutt4cka c- oo a MaA tTOrta C 4 C c2. t t r- 12 Atj \v- CQ oc- C(0 rvIrC'Ko S C_ diet\ 19 Completion Date for Correct". d i Date % o Inspector 326 -3979 C) 0 A II T CITY OF BAKERSFIELD FIRE DEPARTMENT Ik# FACILITY NAME INSPECTION DATE fl igL10 ADDRESS g6S'O PHONE NO. %33 - (too? FACILITY CONTACT BUSINESS ID NO. 15-210 - ON TIME NUMBER OF EMPLOYEES (n OFFICE OF ENVIRONMENTAL SERVICES y UNIFIED PROGRAM INSPECTION CHECKLIST ' d1715ChesterAve., 3 Floor, Bakersfield, CA 93301 INSPECTI Section 1: Business Plan and Inventory Program Routine U14/_ombined Joint Agency Multi - Agency Complaint Re- inspection OPERATION C V COMMENTS Appropriate permit on hand Business plan contact information accurate Visible address Correct occupancy Verification of inventory materials Lk I Verification of quantities Verification of location Proper segregation of material Verification of MSDS availability Verification of Haz Mat training Verification of abatement supplies and procedures Emergency procedures adequate Containers properly labeled Housekeeping Fire Protection 6*h r, .cr o1n 55%,41. 5ceL 5 scWIq Site Diagram Adequate & On Hand C= Compliance V= Violation Any hazardous waste on site ?: Yes No Explain: Questions regarding this inspection? Please call us at (661) 326 -3979 White - Env. Svcs. Yellow - Station Copy Pink - Business Copy ot'g, Business Site Responsible Party f Inspector: — . J- 1 r IJ y t$LD \ CITY OF BAKERSFIELD FIRE DEPARTMENT e ro\ OFFICE OF ENVIRONMENTAL SERVICES Iva p UNIFIED PROGRAM INSPECTION CHECKLIST kox 1715 Chester Ave., 3" Floor, Bakersfield, CA 93301 FACILITY NAME I drn SA& r IlUr+ INSPECTION DATE 0 Section 2: Underground Storage Tanks Program Routine L2/combined Joint Agency Multi- Agency Complaint Re- inspection Type of Tank DW F Number of Tanks Type of Monitoring Type of Piping Da)r: OPERATION C V COMMENTS Proper tank data on file Proper owner /operator data on file Permit fees current Certification of Financial Responsibility Monitoring record adequate and current Maintenance records adequate and current Failure to correct prior UST violations Has there been an unauthorized release? Yes No Section 3: Aboveground Storage Tanks Program TANK SIZE(S) Tvi)e of Tank AGGREGATE CAPACITY Number of Tanks OPERATION Y N COMMENTS SPCC available SPCC on file with OES Adequate secondary protection Proper tank placarding /labeling Is tank used to dispense MVF? Ifyes, Does tank have overfill /overspill protection? C= Compliance V= Violation Y =Yes N =NO Inspector: aL 66Lta Office of Environmental Services (805) 326 -3979 White - Fnv. Svcs. Pink - Business Copy usiness §ite Responsible Party m CITY" OF BAKERSFIELDrA OFD " -E OF ENVIRONNIENTAL S- 2VICES r 1715 Chester Ave., Bakersfield, CA 93301 (661) 326 -3979 UNDERGROUND STORAGE TANKS - UST FACILITY Page 1 0( TYPE OF e dam o 1. NEW SITE PERMIT . RENEWAL PERMIT 5. CHANGE OF INFORMATION (Specify change - 7. PERMANENTLY CLOSED SITECheckonedamonly) ( fY 9 4. AMENDED PERMIT local use only) 8. TANK REMOVED 400 6. TEMPORARY SITE CLOSURE I. FACILITY 1 SITE INFORMATION 86SINESS NAME (Same as FACk.1rY ME or DBA -Doing Business As) 3 FACILITY ID 0 t l '-'_Y vg C-4:1 T.4Q n tAA -I- NEAREST C SS STREET 401. FACILITY OWNER TYPE 4. LOCAL AGENCY /DISTRICT' i Q., -c JQO \ L I ` , T` t. CORPORATION 5. COUNTY AGENCY - BUSINESS 1 j LJJ w I 2. INDIVIDUAL 6. STATE AGENCY- TYPE Ir, 1. GAS STATIO 3. FARM 5. COMMERCIAL 3. PARTNERSHIP 7. FEDERAL AGENCY' C1 J r11ST{71HIITnR ri n oonreecno n a n7uGO nna I 402. IU JAL NUMbl=K UI- TANKS Is facility on Indian Reservation or •K owner of UST a public agency: name of supervisor ofREMAININGATSITEI i trustlands7 division, section or office which operates the UST. This is the contact person for the lank records.) 1 404. Yes >z No 405. 406. II. PROPERTY OWNER INFORMATION PROPERTY OWNER NAME 407. PHONE 408, 81 6 -"-13 I CITY 410. STATE 411. LIY I:UUt 412, 3y GZ C.a 16-10 - 116 9 PROPERTY OWNER TYPE El 2. INDNIDUAL El 4. LOCAL AGENCY/ DISTRICT 6. STATE AGENCY 413. 1. CORPORATION 3. PARTNERSHIP [1 5. COUNTY AGENCY 7. FEDERAL AGENCY III. TANK OWNER INFORMATION TANK OWNER NAME 414. 1 I MUNt 415. C_QJk_oN-A MAILING STREET DORESS 416. O r x CITY 417. i STATE 418. ZIP CODE 419. 0A e3 I p TANK OWNER TYPE 1-] 2. INDIVIDUAL C1 4. LOCAL AGENCY / DISTRICT 6. STATE AGENCY 420. I. CORPORATION 3. PARTNERSHIP 5. COUNTY AGENCY 7. FEDERAL AGENCY IV. BOARD OF EQUALIZATION UST STORAGE FEE ACCOUNT NUMBER TY (TK) HQ 4 4 - Call (916) 322 -9669 if questions arise 421. V. PETROLEUM UST FINANCIAL RESPONSIBILITY INDICATE METHOO(S) 1, SELF- INSURED 4. SURETY BOND 7. STATE FUND 10. LOCAL GOVT MECHANISM 2. GUARANTEE 5. LETTER OF CREDIT 8. STATE FUND S CFO LETTER 99. OTHER: 3. INSURANCE 6. EXEMPTION 9. STATE FUND & CD 422. VI. LEGAL NOTIFICATION AND MAILING ADDRESS Check one box to indicate which address should be used for legal notifications and mailing. 1, FACILITY 2. PROPERTY OWNER 3. TANK OWNER 423. Legal notiflcations and mailings wilt be sent to the tank owner unless box 1 or 2 is checked. Certification: I certify that the Information provided herein Is true and a SIGNATURE OF APPLICANT NAME OF APPLICANT (print) use PCF (7/99) VII. APPLICANT SIGNATURE to the best of myknowledge. DATE 1 I ` , 424. PHONE 425. TITLE OF APPLICANT n 427. S _. G O. - /1.11,. 1. Gc -- -0..cV.4TOR S:\CUPAF0RMS\swrcb-a-wPd CITY OF BAKERSFIELD OFFIC OF ENVIRONMENTAL SEF -CES FIRI AATr r 1715 Chester Ave., Bakersfield, CA 93301 (661) 326 -3979 UNDERGROUND STORAGE TANKS - TANK PAGE 1 Page of TYPE OF ACTION I. NEW SITE PERMIT 4. AMENDED PERMIT 5. CHANGE OF INFORMATION) 6. TEMPORARY SITE CLOSURE ICheck one item only) 7. PERMANENTLY CLOSED ON SITEX3. RENEWAL PERMIT Specify reason - forlocal use only) (Specify change • (orlocal use only) S. TANK REMOVED 430 BUSINESS NAME (Same as FACILITY NAME or OBA - Doing Business As) J FACILITY ID b - LOCATION WITHIN SITE (Optional) - - - - - ---------- -- - - - - -- 437 I. TANK DESCRIPTION TANKiD # 432 TANK MANUFACTURER 433 COMPARTMENTALIZED TANK Yes No 434 If 'Yes', complete one page for each compartment. OA7E INSTALLED (YEAR/MO) 435 TANK CAPACITY IN GALLONS 436 1- NUMBER OF COMPARTMENTS 437 ADDITIONAL DESCRIPTION (For local use II. TANK CONTENTS 438 TANK USE 439 PETROLEUM TYPE X.T3. FIBERGLASS/ PLASTIC 440 1. MOTOR VEHICLE FUEL K1a. REGULAR UNLEADED 2. LEADED 5. JET FUEL If marked, complete Petroleum Type) 1b. PREMIUM UNLEADED 3. DIESEL El 6. AVIATION FUEL 2. NON -FUEL PETROLEUM FRP)_ TANK MATERIAL - secondary tank t BARE STEEL 1c. MIOGRADE UNLEADED C3 4. GASOHOL El 99. OTHER 3. CHEMICAL PRODUCT 2. STAINLESS STEEL 4. STEEL CLAD W /FIBERGLASS 4. HAZARDOUS WASTE (Includes COMMON NAME (from Hazardous Materials Inventory page) 441 1 CAS p (from Hazardous Materials Inventorypage) 442 Used Oil) k-.- /} r JC95. UNKNOWN ( T0 Q III. TANK CONSTRUCTION TYPE OF TANK 1. SINGLE WALL 3. SINGLE WALL WITH 5. SINGLE WALL WITH INTERNAL BLADDER SYSTEM 443 Check one dam only) X2. DOUBLE WALL EXTERIOR MEMBRANE LINER 95. UNKNOWN El 4. SINGLE WALL IN A VAULT 99. OTHER TANK MATERIAL - primary tank 1 BARE STEEL X.T3. FIBERGLASS/ PLASTIC 5. CONCRETE 95. UNKNOWN 444 Check one item only) 2. STAINLESS STEEL 4. STEEL CLAD W/FIBERGLASS 6. FRP COMPATIBLE W /100% METHANOL 99. OTHER REINFORCED PLASTIC FRP)_ TANK MATERIAL - secondary tank t BARE STEEL 3. FIBERGLASS / PLASTIC 6. FRPCOMPATIBLE W /100% METHANOL 95. UNKNOWN 445 Check one item only) 2. STAINLESS STEEL 4. STEEL CLAD W /FIBERGLASS 9. FRP NON - CORRODIBLE JACKET 99. OTHER REINFORCED PLASTIC (FRP) 10. COATED STEEL 5. CONCRETE TANK INTERIOR LINING 1. RUBBER LINED 3. EPDXY LINING 5. GLASS LINING 5. UNKNOWN 446 DATE INSTALLED 447 OR COATING 2. ALKYD LINING 4. PHENOLIC LINING 6. UNLINED 99. OTHER Check one item only) For localuse only) OTHER CORROSION PROTECTION IF APPLICABLE 1. MANUFACTURED CATHODIC DATE INSTALLED3. FIBERGLASS REINFORCED PLASTIC ).)5.55. UNKNOWN 448 449 PROTECTION 4. IMPRESSED CURRENT 99. OTHER Check one item only) 2. SACRIFICIAL ANODE For local use only) SPILL AND OVERFILL YEAR INSTALLED 450 TYPE (Forlocal use only) 451 OVERFILL PROTECTION EQUIPMENT: YEAR INSTALLED 452 Check allthat apply) 1. SPILL CONTAINMENT 4t- I 1. ALARM X3. FILL TUBE SHUT OFF VALVE j 92. DROP TUBE L .4 `- 'r-L_04eez it. X2. BALL FLOAT 4. EXEMPT X3. STRIKER PLATE r- v7•cyai - ._. x ..9j' r.. v. - I' Z - n r;. N. ,_ v`yp -tty t.l -.a .. zY TANK L_EAKOETECTION,. ,. mow... IF SINGLE WALLTANK Check all that apply): 453 IF DOUBLE WALL TANK OR TANK WITH BLADDER (Check one item only): 454 j 1, VISUAL (EXPOSED PORTION ONLY) 5. MANUAL TANK GAUGING (MTG) 1. VISUAL (SINGLE WALL IN VAULT ONLY) I 2. AUTOMATIC TANK GAUGING (ATG) 6. VADOSE ZONE X;• CONTINUOUS INTERSTITIAL MONITORING 3. CONTINUOUS ATG 7. GROUNDWATER 3. MANUAL MONITORING 4. STATISTICAL INVENTORY RECONCILIATION (SIR) + B. TANK TESTING BIENNIAL TANK TESTING y -- - -- 1:199. OTHER -- V. TANK CLOSURE INFORMATION / PERMANENT CLOSURE IN PLACE ESTIMATED DATE LAST USED (YR/MO/DAY) 455 ESTIMATED QUANTITY OF SUBSTANCE REMAINING 458 TANK FILLED WITH INERT MATERIAL? 457 1 gallons Yes No UPCF (7/99) S:iCUPAF0RMSkSWRC13-B.WP0 1 7 CITY OF BAKERSFIELD OFFICE OF ENVIRONMENTAL SERVICES 17. nester Ave., Bakersfle)d, CA 93301 (661) 326 -39. UST - TANK PAS,: CONVENTIONAL SUCTION SYSTEMS: i CONVENTIONAL SUCTION SYSTEMS (Check all that apply): 5. DAILY VISUAL MONITORING OF PUMPING SYSTEM + TRIENNIAL PIPING INTEGRITY I 5. DAILY VISUAL MONITORING OF PIPING AND PUMPING SYSTEM TEST (0.1 GPH) 6. TRIENNIAL INTEGRITY TEST (0.1 GPH) SAFE SUCTION SYSTEMS (NO VALVES IN BELOW GROUND PIPING): 7. SELF MONITORING GRAVITY FLOW: 9. BIENNIAL INTEGRITY TEST (0.1 GPH) SECONDARILY CONTAINED PIPING PRESSURIZED PIPING (Check all that apply): 10. CONTINUOUS TURBINE SUMP SENSOR WITH AUDIBLE AND VISUAL ALARMS AND Check one) a. AUTO PUMP SHUT OFF WHEN A LEAK OCCURS b. AUTO PUMP SHUT OFF FOR LEAKS, SYSTEM FAILURE AND SYSTEM DISCONNECTION c. NO AUTO PUMP SHUT OFF d 11. AUTOMATIC LINE LEAK DETECTOR (3.0 GPH TEST) WITH FLOW SHUT OFF OR RESTRICTION 12. ANNUAL INTEGRITY TEST (0.1 GPH) SUCTIOWGRAVITY SYSTEM: 13. CONTINUOUS SUMP SENSOR + AUDIBLE AND VISUAL ALARMS EMERGENCY GENERATORS ONLY (Check all that apply) e 14. CONTINUOUS SUMP SENSOR WITHOUT AUTO PUMP SHUT OFF + AUDIBLE AND VISUAL ALARMS i 15. AUTOMATIC LINE LEAK DETECTOR (3.0 GPH TEST) WITHOUT FLOW SHUT OFF OR 1 RESTRICTION S 16. ANNUAL INTEGRITY TEST (0.1 GPH) 17. DAILY VISUAL CHECK SAFE SUCTION SYSTEMS (NO VALVES IN BELOW GROUND PIPING): T. SELF MONITORING GRAVITY FLOW (Check all that apply): 8. DAILY VISUAL MONITORING 9. BIENNIAL INTEGRITY TEST (0.1 GPH) SECONDARILY CONTAINED PIPING PRESSURIZED PIPING (Check all that apply): 10. CONTINUOUS TURBINE SUMP SENSOR WITH AUDIBLE AND VISUAL ALARMS AND (check one) a. AUTO PUMP SHUT OFF WHEN A LEAK OCCURS b. AUTO PUMP SHUT OFF FOR LEAKS, SYSTEM FAILURE AND SYSTEM DISCONNECTION c. NO AUTO PUMP SHUT OFF 11. AUTOMATIC LEAK DETECTOR 12. ANNUAL INTEGRITY TEST (0.1 GPH) SUCTION/GRAVITY SYSTEM: 13. CONTINUOUS SUMP SENSOR + AUDIBLE AND VISUAL ALARMS EMERGENCY GENERATORS ONLY (Check all that apply) 14. CONTINUOUS SUMP SENSOR WITHOUT AUTO PUMP SHUT OFF + AUDIBLE AND VISUAL ALARMS 15. AUTOMATIC LINE LEAK DETECTOR (3.0 GPH TEST) 16. ANNUAL INTEGRITY TEST (0.1 GPH) 17. DAILY VISUAL CHECK VIII:DISPENSER CONTAINMENT' DISPENSER CONTAINMENT A, 1 . FLOAT MECHANISM THAT SHUTS OFF SHEAR VALVE 4. DAILY VISUAL CHECK DATE INSTALLED 468 2. CONTINUOUS DISPENSER PAN SENSOR + AUDIBLE AND VISUAL ALARMS 5. TRENCH LINER/ MONITORING 3. CONTINUOUS DISPENSER PAN SENSOR WITH AUTO SHUT OFF FOR DISPENSER + AUDIBLE AND VISUAL ALARMS 6. NONE 469 1 IX. OWNER/OPERATOR SIGNATURE I certify that the information provided herein Is true and accurate to the best of my knowledge. t SIGNATURE OF OWNERIOPERATOR - -- - - -- -, DATE - -- ---- -- _- - -. -_- . _ _.. -.- - -- .. -- ----- ___ - -- 470 ENAME OF OWNERIOPERATOR (print) 471 TITLE OF OWNEF PERA,TOORRl 472 kg- s : ` 1- Q_! t 1 -_ 1_ - C- -'^" 1 1 4 1_ - -C J FC K1 1 iD 2 Petmil Number (For local use only) 473 Permit Approved (For local use only) 474 Permit Expiration Date (For local use only) 475 UPCF (7/99) S: \CUPAFORMS \SWRCB -B.WPO VI. PIPING CONSTRUCTION (Check an that epply) UNDERGROUND PIPING ABOVEGROUND PIPING SYSTEM TYPE X1t PRESSURE 2. SUCTION 3. GRAVITY 450 1. PRESSURE 2. SUCTION 3. GRAVITY 45q CONSTRUCTIOWK 1. SINGLE WALL 3. LINED TRENCH 99. OTHER 460 ( 1. SINGLE WALL 95. UNKNOWN 467 MANUFACTURER 2, DOUBLE WALL 95. UNKNOWN 2. DOUBLE WALL 99. OTHER MANUFACTURER I 461 MANUFACTURER 463 t, BARE STEEL 6. FRP COMPATIBLE W/ 100% METHANOL ? 1. BARE STEEL 6. FRP COMPATIBLE W/ 100% METHANOL MATERIALS AND 2, STAINLESS STEEL 7. GALVANIZED STEEL 2. STAINLESS STEEL 7. GALVANIZED STEEL CORROSION PROTECTION 3. PLASTIC COMPATIBLE WITH CONTENTS 95. UNKNOWN 3. PLASTIC COMPATIBLE WITH CONTENTS 8. FLEXIBLE (HDPE) 99. OTHER 4. FIBERGLASS 8. FLEXIBLE (HOPE) 99. OTHER 4. FIBERGLASS C3 9. CATHODIC PROTECTION 5. STEEL W/ COATING 9. CATHODIC PROTECTION 464: 4 5. STEEL W/ COATING 95. UNKNOWN 465 VII. PIPING LEAK DETECTION (Check en that apply) UNDERGROUND PIPING ABOVEGROUND PIPING SINGLE WALL PIPING 466 SINGLE WALL PIPING a67 PIPING (Check all that apply): PRESSURIZED PIPING (Check all that apply): J!SSURIZEO 1. ELECTRONIC LINE LEAK DETECTOR 3.0 GPH TEST WITH AUTO PUMP SHUT OFF FOR 1. ELECTRONIC LINE LEAK DETECTOR 3.0 GPH TEST WITH AUTO PUMP SHUT OFF FOR LEAK. LEAK, SYSTEM FAILURE. AND SYSTEM DISCONNECTION + AUDIBLE AND VISUAL SYSTEM FAILURE, AND SYSTEM DISCONNECTION + AUDIBLE AND VISUAL ALARMS ALARMS 2. MONTHLY 0.2 GPH TEST 2. MONTHLY 0.2 GPH TEST 3. ANNUAL INTEGRITY TEST (0.1 GPH) 3. ANNUAL INTEGRITY TEST (0.1 GPH) 4. DAILY VISUAL CHECK CONVENTIONAL SUCTION SYSTEMS: i CONVENTIONAL SUCTION SYSTEMS (Check all that apply): 5. DAILY VISUAL MONITORING OF PUMPING SYSTEM + TRIENNIAL PIPING INTEGRITY I 5. DAILY VISUAL MONITORING OF PIPING AND PUMPING SYSTEM TEST (0.1 GPH) 6. TRIENNIAL INTEGRITY TEST (0.1 GPH) SAFE SUCTION SYSTEMS (NO VALVES IN BELOW GROUND PIPING): 7. SELF MONITORING GRAVITY FLOW: 9. BIENNIAL INTEGRITY TEST (0.1 GPH) SECONDARILY CONTAINED PIPING PRESSURIZED PIPING (Check all that apply): 10. CONTINUOUS TURBINE SUMP SENSOR WITH AUDIBLE AND VISUAL ALARMS AND Check one) a. AUTO PUMP SHUT OFF WHEN A LEAK OCCURS b. AUTO PUMP SHUT OFF FOR LEAKS, SYSTEM FAILURE AND SYSTEM DISCONNECTION c. NO AUTO PUMP SHUT OFF d 11. AUTOMATIC LINE LEAK DETECTOR (3.0 GPH TEST) WITH FLOW SHUT OFF OR RESTRICTION 12. ANNUAL INTEGRITY TEST (0.1 GPH) SUCTIOWGRAVITY SYSTEM: 13. CONTINUOUS SUMP SENSOR + AUDIBLE AND VISUAL ALARMS EMERGENCY GENERATORS ONLY (Check all that apply) e 14. CONTINUOUS SUMP SENSOR WITHOUT AUTO PUMP SHUT OFF + AUDIBLE AND VISUAL ALARMS i 15. AUTOMATIC LINE LEAK DETECTOR (3.0 GPH TEST) WITHOUT FLOW SHUT OFF OR 1 RESTRICTION S 16. ANNUAL INTEGRITY TEST (0.1 GPH) 17. DAILY VISUAL CHECK SAFE SUCTION SYSTEMS (NO VALVES IN BELOW GROUND PIPING): T. SELF MONITORING GRAVITY FLOW (Check all that apply): 8. DAILY VISUAL MONITORING 9. BIENNIAL INTEGRITY TEST (0.1 GPH) SECONDARILY CONTAINED PIPING PRESSURIZED PIPING (Check all that apply): 10. CONTINUOUS TURBINE SUMP SENSOR WITH AUDIBLE AND VISUAL ALARMS AND (check one) a. AUTO PUMP SHUT OFF WHEN A LEAK OCCURS b. AUTO PUMP SHUT OFF FOR LEAKS, SYSTEM FAILURE AND SYSTEM DISCONNECTION c. NO AUTO PUMP SHUT OFF 11. AUTOMATIC LEAK DETECTOR 12. ANNUAL INTEGRITY TEST (0.1 GPH) SUCTION/GRAVITY SYSTEM: 13. CONTINUOUS SUMP SENSOR + AUDIBLE AND VISUAL ALARMS EMERGENCY GENERATORS ONLY (Check all that apply) 14. CONTINUOUS SUMP SENSOR WITHOUT AUTO PUMP SHUT OFF + AUDIBLE AND VISUAL ALARMS 15. AUTOMATIC LINE LEAK DETECTOR (3.0 GPH TEST) 16. ANNUAL INTEGRITY TEST (0.1 GPH) 17. DAILY VISUAL CHECK VIII:DISPENSER CONTAINMENT' DISPENSER CONTAINMENT A, 1 . FLOAT MECHANISM THAT SHUTS OFF SHEAR VALVE 4. DAILY VISUAL CHECK DATE INSTALLED 468 2. CONTINUOUS DISPENSER PAN SENSOR + AUDIBLE AND VISUAL ALARMS 5. TRENCH LINER/ MONITORING 3. CONTINUOUS DISPENSER PAN SENSOR WITH AUTO SHUT OFF FOR DISPENSER + AUDIBLE AND VISUAL ALARMS 6. NONE 469 1 IX. OWNER/OPERATOR SIGNATURE I certify that the information provided herein Is true and accurate to the best of my knowledge. t SIGNATURE OF OWNERIOPERATOR - -- - - -- -, DATE - -- ---- -- _- - -. -_- . _ _.. -.- - -- .. -- ----- ___ - -- 470 ENAME OF OWNERIOPERATOR (print) 471 TITLE OF OWNEF PERA,TOORRl 472 kg- s : ` 1- Q_! t 1 -_ 1_ - C- -'^" 1 1 4 1_ - -C J FC K1 1 iD 2 Petmil Number (For local use only) 473 Permit Approved (For local use only) 474 Permit Expiration Date (For local use only) 475 UPCF (7/99) S: \CUPAFORMS \SWRCB -B.WPO 41 / III A1PrAm r CITY O N BA tom;"F1 E L U L L t- OFF* OF ENVIRONMENTAL SE 'ICES 1715 Chester Ave., Bakersfield, CA 93301 (661) 326 -3979 UNDERGROUND STORAGE TANKS - TANK PAGE 1 Page _q- of a TYPE OF ACTION I. NEW SITE PERMIT 4. AMENDED PERMIT 5. CHANGE OF INFORMATION) 6. TEMPORARY SITE CLOSURE Check one dom only) RENEWAL PERMIT 7. PERMANENTLY CLOSED ON SITE Specify reason -!or loco/ use only) (Specifychange - for kcal use only) 6. TANK REMOVED 430 BUSINESS NAME (Same as FACILITY NAME or DBA - Doing Business As) J FACILITY 10 # LOCATION WITHIN SITE (Optional) 431 I. TANK DESCRIPTION TANK ID # 432 TANK MANUFACTURER 433 COMPARTMENTALIZED TANK Yes No 434 If -Yes', complete one page for each compartment. bX ffINSTALLED (YEAR/MO) 435 TANK CAPACITY IN GALLONS -Z36-1 ^ NUMBER OF COMPARTMENTS 437 ADDITIONAL DESCRIPTION (Forkcal use only) 438 TANK USE 439 1. MOTOR VEHICLE FUEL 11 marked, complete Petroleum Type) 2. NON -FUEL PETROLEUM 3. CHEMICAL PRODUCT Cl 4. HAZARDOUS WASTE (Includes Used Oil) 95. UNKNOWN II. TANK CONTENTS PETROLEUM TYPE 1a. REGULAR UNLEADED 2. LEADED X1b. PREMIUM UNLEADED 3. DIESEL 1c. MIDGRADE UNLEADED 4. GASOHOL 5. JET FUEL 6. AVIATION FUEL 99. OTHER 440 COMMON NAMES (from Hazardous Materials Invenlorypage) 441 1 CAS # (from Hazardous Materials Inventorypage) 442 III. TANK CONSTRUCTION TYPE OF TANK 1. SINGLE WALL 3. SINGLE WALL WITH 5. SINGLE WALL WITH INTERNAL BLADDER SYSTEM 443 Check one item only) 2. DOUBLE WALL EXTERIOR MEMBRANE LINER 95. UNKNOWN 4. SINGLE WALL IN A VAULT 99. OTHER TANK MATERIAL - primary tank 1 BARE STEEL 3. FIBERGLASS / PLASTIC 5. CONCRETE 1195. UNKNOWN 444 Check one item only) 2. STAINLESS STEEL 4. STEEL CLAD W /FIBERGLASS 8. FRP COMPATIBLE W/100% METHANOL 99. OTHER REINFORCED PLASTIC FRP TANK MATERIAL - secondary tank 1 BARE STEEL 3. FIBERGLASS / PLASTIC 8. FRP COMPATIBLE W/100% METHANOL 95. UNKNOWN 445 Check one item only) 2. STAINLESS STEEL 4. STEEL CLAD W /FIBERGLASS 9. FRP NON - CORRODIBLE JACKET 99. OTHER REINFORCED PLASTIC (FRP) 10. COATED STEEL 5. CONCRETE TANK INTERIOR LINING El 1. RUBBER LINED C3 3. EPDXY LINING C3 5. GLASS LINING A5. UNKNOWN 446 DATE INSTALLED 447 OR COATING 2. ALKYD LINING C3 4. PHENOLIC LINING C3 6. UNLINED C1 99. OTHER 1Check one item only) For locoluse only) OTHER CORROSION 1:1 1 MANUFACTURED CATHODIC X 3. FIBERGLASS REINFORCED PLASTIC .95. UNKNOWN 448 DATE INSTALLED 449 PROTECTION IF APPLICABLE PROTECTION 4, IMPRESSED CURRENT 99. OTHER Check one item only) 2. SACRIFICIAL ANODE For kcal use only) SPILL AND OVERFILL YEAR INSTALLED 450 TYPE (Forlocal use only) 451 OVERFILL PROTECTION EQUIPMENT: YEAR INSTALLED 452 i Check all thatapply) 1. SPILL CONTAINMENT `. G A- w1 Y 1. ALARM K3. FILL TUBE SHUT OFF VALVE 1119 2. DROP TUBE L/'N" 1 L- A%0eZ . X2. BALL FLOAT 4. EXEMPT 3. STRIKER PLATE T (3ka e r Y. , c i v , ': N TANK LEAFG DET8CT10N ;;y1« + ' :'y i4 v :•" . 4 4y ,'p- A 1 , IF SINGLE WALL TANK (Check all Chet apply): 453 IF DOUBLE WALL TANK OR TANK WITH BLADDER (Check one item only): 454 1, VISUAL (EXPOSED PORTION ONLY) 5. MANUAL TANK GAUGING (MTG) C] 1. VISUAL (SINGLE WALL IN VAULTONLY) 2. AUTOMATIC TANK GAUGING (ATG) 6. VADOSE ZONE >:. CONTINUOUS INTERSTITIAL MONITORING 3. CONTINUOUS ATG 7. GROUNDWATER 3. MANUAL MONITORING 4. STATISTICAL INVENTORY RECONCILIATION (SIR) + 8. TANK TESTING BIENNIAL TANK TESTING 49. OTHER V. TANK CLOSURE INFORMATION I PERMANENT CLOSURE IN PLACE ESTIMATED DATE LAST USED (YR/MO/DAY) 455 ESTIMATED QUANTITY OF SUBSTANCE REMAINING 458 TANK FILLED WITH INERT MATERIAL') 457 gallons Yes No JPCF (7/99) S:ICUPAFORMSISWRCB -B.WPD CITY UI- bAKtKZ)rlrt_U OFFICE OF ENVIRONMENTAL SERVICES ' 1 Zhester Ave., Bakersfield, CA 93301 (661) 326 -, UST - TANK PA-t VI. PIPING CONSTRUCTION (Checkan Metapply) UNDERGROUND PIPING ABOVEGROUND PIPING - y SYSTEM TYPE KI PRESSURE 2. SUCTION 3. GRAVITY 458 ! 1, PRESSURE 2. SUCTION 3. GRAVITY 459 CONSTRUCTIOX I. SINGLE WALL 3. LINED TRENCH 99. OTHER 460 ( 1. SINGLE WALL 95. UNKNOWN 462 MANUFACTURER 2. DOUBLE WALL 95. UNKNOWN 2. DOUBLE WALL 99. OTHER MANUFACTURER 461 I MANUFACTURER 463 1. BARE STEEL S. FRP COMPATIBLE W/ 100% METHANOL 1. BARE STEEL 6. FRP COMPATIBLE W/ 100°x. METHANOL MATERIALS AND .' 2, STAINLESS STEEL 7. GALVANIZED STEEL 2. STAINLESS STEEL 7. GALVANIZED STEEL CORROSION PROTECTION 3. PLASTIC COMPATIBLE WITH CONTENTS Cl 9S. UNKNOWN If 3. PLASTIC COMPATIBLE WITH CONTENTS 8. FLEXIBLE (HOPE) 1199. OTHER X4. FIBERGLASS S. FLEXIBLE (HOPE) 99. OTHER I 4. FIBERGLASS 9. CATHODIC PROTECTION I 5, STEEL W/ COATING 9. CATHODIC PROTECTION 464 ! 5. STEEL W/ COATING 95. UNKNOWN 465 VII. PIPING LEAK DETECTION (Check all that apply) UNDERGROUND PIPING ABOVEGROUND PIPING 467 P SSURIZED PIPING (Check all that apply): PRESSURIZED PIPING (Check allthat apply). 1. ELECTRONIC LINE LEAK DETECTOR 3.0 GPH TESTWITH AUTO PUMP SHUT OFF FOR 1. ELECTRONIC LINE LEAK DETECTOR 3.0 GPH TEST WITH AUTO PUMP SHUT OFF FOR LEAK LEAK, SYSTEM FAILURE. AND SYSTEM DISCONNECTION + AUDIBLE AND VISUAL SYSTEM FAILURE, AND SYSTEM DISCONNECTION + AUDIBLE AND VISUAL ALARMS ALARMS MONTHLY 2. MONTHLY 0.2 GPH TEST 2. MONTHLY 0.2 GPH TEST 1 ANNUAL INTEGRITY TEST (0.1 GPH) 3. ANNUAL INTEGRITY TEST (0.1 GPH) 4. DAILY VISUAL CHECK CONVENTIONAL SUCTION SYSTEMS: i CONVENTIONAL SUCTION SYSTEMS (Check alt that apply): 5, DAILY VISUAL MONITORING OF PUMPING SYSTEM + TRIENNIAL PIPING INTEGRITY a 5. DAILY VISUAL MONITORING OF PIPING AND PUMPING SYSTEM TEST (0.1 GPH) 6. TRIENNIAL INTEGRITY TEST (0.1 GPH) SAFE SUCTION SYSTEMS (NO VALVES IN BELOW GROUND PIPING): 7. SELF MONITORING GRAVITY FLOW: 9. BIENNIAL INTEGRITY TEST (0.1 GPH) j SECONDARILY CONTAINED PIPING PRESSURIZED PIPING (Check all that apply): 10. CONTINUOUS TURBINE SUMP SENSOR WITH AUDIBLE AND VISUAL ALARMS AND Check one) a. AUTO PUMP SHUT OFF WHEN A LEAK OCCURS b. AUTO PUMP SHUT OFF FOR LEAKS, SYSTEM FAILURE AND SYSTEM DISCONNECTION c. NO AUTO PUMP SHUT OFF 11. AUTOMATIC LINE LEAK DETECTOR (3.0 GPH TEST) WITH FLOW SHUT OFF OR RESTRICTION I 12. ANNUAL INTEGRITY TEST (0.1 GPH) t SUCTION/GRAVITY SYSTEM: r 13. CONTINUOUS SUMP SENSOR + AUDIBLE AND VISUAL ALARMS i EMERGENCY GENERATORS ONLY (Check all thatapply) 14. CONTINUOUS SUMP SENSOR WITHOUT AUTO PUMP SHUT OFF + AUDIBLE AND VISUAL ALARMS 4 15. AUTOMATIC LINE LEAK DETECTOR (3.0 GPH TEST) WITHOUT FLOW SHUT OFF OR i RESTRICTION 18. ANNUAL INTEGRITY TEST (0.1 GPH) j 17. DAILY VISUAL CHECK SAFE SUCTION SYSTEMS (NO VALVES IN BELOW GROUND PIPING): 7. SELF MONITORING GRAVITY FLOW (Check all that apply): 8. DAILY VISUAL MONITORING 9. BIENNIAL INTEGRITY TEST (0.1 GPH) SECONDARILY CONTAINED PIPING PRESSURIZED PIPING (Checkall that apply): 10. CONTINUOUS TURBINE SUMP SENSOR WITH AUDIBLE AND VISUAL ALARMS AND (check one) a. AUTO PUMP SHUT OFF WHEN A LEAK OCCURS b. AUTO PUMP SHUT OFF FOR LEAKS, SYSTEM FAILURE AND SYSTEM DISCONNECTION c. NO AUTO PUMP SHUT OFF 11. AUTOMATIC LEAK DETECTOR 12. ANNUAL INTEGRITY TEST (0.1 GPH) SUCTION/GRAVITY SYSTEM: 13. CONTINUOUS SUMP SENSOR + AUDIBLE AND VISUAL ALARMS EMERGENCY GENERATORS ONLY (Check all that apply) 14. CONTINUOUS SUMP SENSOR WITHOUT AUTO PUMP SHUT OFF + AUDIBLE AND VISUAL ALARMS 1S. AUTOMATIC LINE LEAK DETECTOR (3.0 GPH TEST) 16. ANNUAL INTEGRITY TEST (0.1 GPH) 17. DAILY VISUAL CHECK 1 DISPENSER CONTAINMENT 1. FLOAT MECHANISM THAT SHUTS OFF SHEAR VALVE 11914, DAILY VISUAL CHECK DATE INSTALLED 468 2. CONTINUOUS DISPENSER PAN SENSOR + AUDIBLE AND VISUAL ALARMS 5. TRENCH LINER/ MONITORING 3. CONTINUOUS DISPENSER PAN SENSOR WITH AUTO SHUT OFF FOR DISPENSER + AUDIBLE AND VISUAL ALARMS 6. NONE 469 IX. OWNER/OPERATOR SIGNATURE 1 certify that the infoanallon provided herein b true and accurate 10 the best of myknowledge. SIGNATURE OF OWNER/OPERATOR DATE - 470 NAME OF OW,Niii /bp,E/RiATOR (print) i 471 TITLE OF 0 RIOPERA(T/OR (/ 472 G_51.` ` .'_ --l i -..----1 ---`- t --...V- S i C 2 0 " 1 Ail4i' UPCF (7199) S:\CUPAFORMS \SWRCB -B.WPO C1 l Y 0 BAl_ KSt 1LL1) OFF? 'OF ENVIRONMENTAL SE 'ICESr / tAlffAr.l.r. r 1715 Chester Ave., Bakersfield, CA 93301 (661) 326 -3979 UNDERGROUND STORAGE TANKS - TANK PAGE 1 C Page 119:1 of TYPE OF ACTION I. NEW SITE PERMIT 4. AMENDED PERMIT 5. CHANGE OF INFORMATION) 6. TEMPORARY SITE CLOSURE Check one item only) 7. PERMANENTLY CLOSED ON SITEXJ. RENEWAL PERMIT Spec reason - far local use on (Specifychange - y) B. TANK REMOVED 430Specifyonly) (Sped cnan for local use only) BUSINESS NAME (Same as FACILITY NAME or DBA - Ddng Bus Hess 0.S) 3 I FACILITY ID # I I LOCATION WITHIN SITE (Optional) -~ -- -- __ y. - -- 431 I. TANK DESCRIPTION TANK ID # 432 TANK MANUFACTURER 433 COMPARTMENTALIZED TANK Yes No 434 if -Yes complete one page for each compartment. DATE INSTALLED (YEAR/MO) 435 TANK CAPACITY IN GALLONS '436 NUMBER OF COMPARTMENTS 437 1,, (71>0ic_,> ADDITIONAL DESCRIPTION (For local use only) _43j- 11. TANK CONTENTS TANK USE 439 Ix PETROLEUM TYPE 3. FIBERGLASS/ PLASTIC 5. CONCRETE 95. UNKNOWN 444 440 1. MOTOR VEHICLE FUEL 1a. REGULAR UNLEADED 2. LEADED 5. JET FUEL It marked. complete Petroleum Type) 1b. PREMIUM UNLEADED 3. DIESEL 6. AVIATION FUEL 2. NON -FUEL PETROLEUM Wic. MIDGRADE UNLEADED 4. GASOHOL 99. OTHER Cl 3. CHEMICAL PRODUCT 5. CONCRETE 4. HAZARDOUS WASTE (Includes COMMON NAME (from Hazardous Materials Inventorypage) 441 1 CAS # (from Hazardous Materials Inventorypage) 442 Used Oil) i Ap To Q95. UNKNOWN 13 4. PHENOLIC LINING 11 6. UNLINED E3 99. OTHER Check one item only) III. TANK CONSTRUCTION TYPE OF TANK 1. SINGLE WALL 3. SINGLE WALL WfTH 5. SINGLE WALL WITH INTERNAL BLADDER SYSTEM 443 Check one Rem only) X2, DOUBLE WALL EXTERIOR MEMBRANE LINER 95. UNKNOWN 4. SINGLE WALL IN A VAULT 99. OTHER TANK MATERIAL - primary lank 1 BARE STEEL 3. FIBERGLASS/ PLASTIC 5. CONCRETE 95. UNKNOWN 444 Check one item only) 2. STAINLESS STEEL 4. STEEL CLAD WIFIBERGLASS 8. FRP COMPATIBLE W1100% METHANOL 99. OTHER 8. TANK TESTING REINFORCED PLASTIC FRP TANK MATERIAL - secondary tank 1 BARE STEEL 3. FIBERGLASS / PLASTIC 8. FRP COMPATIBLE W /i00% METHANOL 95. UNKNOWN 445 Checkone Rem only) 2. STAINLESS STEEL 4. STEEL CLAD W/FIBERGLASS 9. FRP NON - CORRODIBLE JACKET 99. OTHER REINFORCED PLASTIC (FRP) 10. COATED STEEL 5. CONCRETE TANK INTERIOR LINING 11 1. RUBBER LINED 3. EPDXY LINING C3 5. GLASS LINING . UNKNOWN 446 DATE INSTALLED 447 OR COATING 2. ALKYD LINING 13 4. PHENOLIC LINING 11 6. UNLINED E3 99. OTHER Check one item only) Farbcal use ordy) OTHER CORROSION PROTECTION IF APPLICABLE 1. MANUFACTURED CATHODIC DATE INSTALLED 449193. FIBERGLASS REINFORCED PLASTIC ,. 05. UNKNOWN 448 PROTECTION 4. IMPRESSED CURRENT 99. OTHER Check one item only) 2. SACRIFICIAL ANODE For local use only) SPILL AND OVERFILL YEAR INSTALLED 450 TYPE (Forlocal use only) 451 OVERFILL PROTECTION EQUIPMENT: YEAR INSTALLED 452 w% r X3. Check all thatapply) 1. SPILL CONTAINMENT A- 1. ALARM FILL TUBE SHUT OFF VALVE 92. DROP TUBE i vj 01•-`- ll-L -AeezR $2. BALL FLOAT 4. EXEMPT 3. STRIKER PLATE r (Nta Z_ xt4n,a , x, x;c;t ` . , .. .. ,...fit =, . ' IV.,TANICyLEAiG DETECTION _ > , :'1 k,.`!K.r l ; : , J * W .; rs.. TANK (Checka# thatapply). 1. VISUAL (EXPOSED PORTION ONLY) 2. AUTOMATIC TANK GAUGING (ATG) 3. CONTINUOUS ATG 4. STATISTICAL INVENTORY RECONCILIATION (SIR) BIENNIAL TANK TESTING ESTIMATED DATE LAST USED (YR/MO /DAY) 5. MANUAL TANK GAUGING (MTG) 6. VADOSE ZONE 7. GROUNDWATER 8. TANK TESTING 99. OTHER TANK OR TANK WITH BLADDER (Check one Rem only): 454 1. VISUAL (SINGLE WALL IN VAULT ONLY) 5. CONTINUOUS INTERSTITIAL MONITORING 3. MANUAL MONITORING V. TANK CLOSURE INFORMATION / PERMANENT CLOSURE IN PLACE 455 ESTIMATED QUANTITY OF SUBSTANCE REMAINING 456 TANK FILLED WITH INERT MATERIAL? 457 gallons Yes No JPCF (7/99) S: \CUPAFORMS \SWRCB -B.WPD CITY OF t1Ar tKJt•ICl-IJ OFFICE OF ENVIRONMENTAL SERVICES 17 hester Ave., Bakersfield, CA 93301 (661) 326 -3! UST - TANK PAC;t a Page of VI. PIPING CONSTRUCTION (Check au thatapply) UNDERGROUND PIPING - ABOVEGROUND PIPING _ SYS TEM TYPE bill. PRESSURE 2. SUCTION 3. GRAVITY 458 I. PRESSURE 2. SUCTION 3. GRAVITY 45g CONSTRUCTION 1. SINGLE WALL 3. LINED TRENCH 99. OTHER 460 1. SINGLE WALL 95. UNKNOWN 462 MANUFACTURER 2. DOUBLE WALL 95. UNKNOWN 2. DOUBLE WALL 99. OTHER I MANUFACTURER 461 MANUFACTURER 463 1. BARE STEEL 6. FRP COMPATIBLE W/ 100% METHANOL +: 1. BARE STEEL 6. FRP COMPATIBLE W/ 100% METHANOL MATERIALS AND 2, STAINLESS STEEL 7. GALVANIZED STEEL I 2. STAINLESS STEEL 7. GALVANIZED STEEL CORROSION PROTECTION I 3. PLASTIC COMPATIBLE WITH CONTENTS 95. UNKNOWN 3. PLASTIC COMPATIBLE WITH CONTENTS 8. FLEXIBLE (HOPE) 99. OTHER Xa. FIBERGLASS 8. FLEXIBLE (HOPE) 99. OTHER C3 a. FIBERGLASS C:1 9. CATHODIC PROTECTION 5. STEEL W/ COATING 9. CATHODIC PROTECTION 464 I 5. STEEL W/ COATING 95. UNKNOWN 465 VII. PIPING LEAK DETECTION (Check all that apply) UNDERGROUND PIPING ABOVEGROUND PIPING SINGLE WALL PIPING 466 SINGLE WALL PIPING - - - -- 467 PttFSSURIZED PIPING (Check all that apply): PRESSURIZED PIPING (Check all that apply): Lip`{ 1. ELECTRONIC LINE LEAK DETECTOR 3.0 GPH TEST WITH AUTO PUMP SHUT OFF FOR 1. ELECTRONIC LINE LEAK DETECTOR 3.0 GPH TEST WITH AUTO PUMP SHUT OFF FOR LEAK LEAK, SYSTEM FAILURE. AND SYSTEM DISCONNECTION + AUDIBLE AND VISUAL SYSTEM FAILURE, AND SYSTEM DISCONNECTION + AUDIBLE AND VISUAL ALARMS ALARMS 2. MONTHLY 0.2 GPH TEST 2, MONTHLY 0.2 GPH TEST 3. ANNUAL INTEGRITY TEST (0.1 GPH) 3. ANNUAL INTEGRITY TEST (0.1 GPH) 4. DAILY VISUAL CHECK CONVENTIONAL SUCTION SYSTEMS: i CONVENTIONAL SUCTION SYSTEMS (Check all that apply): 5. DAILY VISUAL MONITORING OF PUMPING SYSTEM + TRIENNIAL PIPING INTEGRITY I 5. DAILY VISUAL MONITORING OF PIPING AND PUMPING SYSTEM TEST (0.1 GPH) j 6. TRIENNIAL INTEGRITY TEST (0,1 GPH) SAFE SUCTION SYSTEMS (NO VALVES IN BELOW GROUND PIPING): 7. SELF MONITORING GRAVITY FLOW: 9. BIENNIAL INTEGRITY TEST (0.1 GPH) SECONDARILY CONTAINED PIPING PRESSURIZED PIPING (Check all that apply): 10. CONTINUOUS TURBINE SUMP SENSOR WITH AUDIBLE AND VISUAL ALARMS AND Check one) a. AUTO PUMP SHUT OFF WHEN A LEAK OCCURS b. AUTO PUMP SHUT OFF FOR LEAKS, SYSTEM FAILURE AND SYSTEM DISCONNECTION C. NO AUTO PUMP SHUT OFF 11. AUTOMATIC LINE LEAK DETECTOR (3.0 GPH TEST) WITH FLOW SHUT OFF OR RESTRICTION 12. ANNUAL INTEGRITY TEST (0.1 GPH) t! SUCTIONIGRAVITY SYSTEM: C 13. CONTINUOUS SUMP SENSOR + AUDIBLE AND VISUAL ALARMS i EMERGENCY GENERATORS ONLY (Check all that apply) 14. CONTINUOUS SUMP SENSOR WITHOUT AUTO PUMP SHUT OFF + AUDIBLE AND VISUAL ALARMS 4 15. AUTOMATIC LINE LEAK DETECTOR (3.0 GPH TEST) WITHOUT FLOW SHUT OFF OR RESTRICTION 16. ANNUAL INTEGRITY TEST (0.1 GPH) i 17. DAILY VISUAL CHECK SAFE SUCTION SYSTEMS (NO VALVES IN BELOW GROUND PIPING): 7. SELF MONITORING GRAVITY FLOW (Checkallthat apply): B. DAILY VISUAL MONITORING 9. BIENNIAL INTEGRITY TEST (0.1 GPH) SECONDARILY CONTAINED PIPING PRESSURIZED PIPING (Check all that apply): 10. CONTINUOUS TURBINE SUMP SENSOR WITH AUDIBLE AND VISUAL ALARMS AND (check one) a. AUTO PUMP SHUT OFF WHEN A LEAK OCCURS b. AUTO PUMP SHUT OFF FOR LEAKS, SYSTEM FAILURE AND SYSTEM DISCONNECTION C. NO AUTO PUMP SHUT OFF 11. AUTOMATIC LEAK DETECTOR 12. ANNUAL INTEGRITY TEST (0.1 GPH) SUCTIOWGRAVITY SYSTEM: 13. CONTINUOUS SUMP SENSOR +AUDIBLE AND VISUAL ALARMS EMERGENCY GENERATORS ONLY (Check all that apply) 14. CONTINUOUS SUMP SENSOR WITHOUT AUTO PUMP SHUT OFF -AUDIBLE AND VISUAL ALARMS 15. AUTOMATIC LINE LEAK DETECTOR (3.0 GPH TEST) 16. ANNUAL INTEGRITY TEST (0.1 GPH) 17. DAILY VISUAL CHECK VII Sl EN ER CONTAINMENT DISPENSER CONTAINMENT 1. FLOAT MECHANISM THAT SHUTS OFF SHEAR VALVE 4. DAILY VISUAL CHECK DATE INSTALLED 466 2. CONTINUOUS DISPENSER PAN SENSOR + AUDIBLE AND VISUAL ALARMS S. TRENCH LINER / MONITORING i 1 CONTINUOUS DISPENSER PAN SENSORWITH AUTO SHUT OFF FOR DISPENSER + AUDIBLE AND VISUAL ALARMS 6. NONE 469 i 1 IX. OWNERIOPERATOR SIGNATURE I certify that the information provided herein Is true and accurate to the best of myknovAedge. - SIGNATURE OF OWNER/OPERATO DATE 470 NAME OWNER/OPERATOR(pdnt) cam-' a71 TifL LF+ 61 1iERA/70R 472 f T UPCF (7/99) S: \CUPAFORMS \SWRCB -B.WPD LI ,t Y Or BAK -LKSr IELU i L , L L %- OFF( 'OF ENVIRONMENTAL SE. "ICES AJrm r 1715 Chester Ave., Bakersfield, CA 93301 (661) 326 -3979 UNDERGROUND STORAGE TANKS - TANK PAGE 1 W.0 TYPE OF ACTION 1. NEW SITE PERMIT 4. AMENDED PERMIT 5. CHANGE OF INFORMATION) 6. TEMPORARY SITE CLOSURE Check one ,tem only) 7. PERMANENTLY CLOSED ON SITEX3. RENEWAL PERMIT ac reason • for local use o rfY ge • y) 8. TANK REMOVED 430Sprtyonly) (Spec cnan lor/ocal use only) BUSINESS NAME (Same as FACILITY NAME or DBA - Doing Business As) 33 FACILITY ID q LOCATION WITHIN SITE (Optional) _ 431 I. TANK DESCRIPTION TgNKiDp a32 TANK MANUFACTURER 433 COMPARTMENTALIZED TANK Yes No 434 If -Yes', complete one page for each compartment. DATE INSTALLED (YEAR/MO) 435 ; TANK CAPACITY IN GALLONS 436 NUMBER OF COMPARTMENTS 43y 1,0 ` C C101 ADDITIONAL DESCRIPTION (Forlocal use only) 438 SPILL AND OVERFILL YEAR INSTALLED 450 TYPE (For local use only) 451 IL TANK CONTENTS r Check all that apply) 1. SPILL CONTAINMENT 414- TANK USE 439 Karked. 1. MOTOR VEHICLE FUEL PETROLEUM TYPE ta. REGULAR UNLEADED 3 2. LEADED 440 C1 5. JET FUEL complete Petroleum Type) 1b. PREMIUM UNLEADED W 3. DIESEL 6. AVIATION FUEL 2. NON -FUEL PETROLEUM 1c. MIDGRADE UNLEADED 4. GASOHOL 99. OTHER 3. CHEMICAL PRODUCT - IF DOUBLE WALL TANK OR TANK WITH BLADDER (Check one item only): 454 4. SINGLE WALL IN A VAULT 4. HAZARDOUS WASTE (Includes COMMON NAME (fromHazardous Materials Inventorypage) 441 1 CAS 11 (from Hazardous Materials Inventory page) 442 Used Oil) 1195. 5. CONCRETE 95. UNKNOWN UNKNOWN Check one item only) 2. STAINLESS STEEL 4. STEEL CLAD WIFIBERGIASS SPILL AND OVERFILL YEAR INSTALLED 450 TYPE (For local use only) 451 111. TANK CONSTRUCTION r Check all that apply) 1. SPILL CONTAINMENT 414- N 1. ALARM K3. FILL TUBE SHUT OFF VALVE TYPE OF TANK 1. SINGLE WALL 3. SINGLE WALL WITH 5. SINGLE WALL WITH )NTERNAL BLADDER SYSTEM 443 Check one item only) 2. DOUBLE WALL EXTERIOR MEMBRANE LINER 95. UNKNOWN w',.,a• IF SINGLE WALL TANK (Check all that apply): 453 IF DOUBLE WALL TANK OR TANK WITH BLADDER (Check one item only): 454 4. SINGLE WALL IN A VAULT 99. OTHER Cl I. VISUAL (SINGLE WALL IN VAULT ONLY) 2. AUTOMATIC TANK GAUGING (ATG) TANK MATERIAL - primary lank 1 BARE STEEL 3. FIBERGLASS / PLASTIC 5. CONCRETE 95. UNKNOWN 441 Check one item only) 2. STAINLESS STEEL 4. STEEL CLAD WIFIBERGIASS 8. FRP COMPATIBLE W1100% METHANOL 99. OTHER V. TANK CLOSURE INFORMATION / PERMANENT CLOSURE IN PLACE ESTIMATED DATE LAST USED (YR/MO/DAY) 455 REINFORCED PLASTIC FRP 456 TANK FILLED WITH INERT MATERIAL? 457 gallons TANK MATERIAL - secondary tank 1. BARE STEEL 3. FIBERGLASS / PLASTIC S. FRP COMPATIBLE W //00% METHANOL 95. UNKNOWN 445 Check one item only) 2. STAINLESS STEEL 4. STEEL CLAD WIFIBERGLASS 9. FRP NON- CORRODIBLE JACKET 99. OTHER REINFORCED PLASTIC (FRP) 10. COATED STEEL 5. CONCRETE TANK INTERIOR LINING 1 RUBBER LINED C3 3. EPDXY LINING 5. GLASS LINING A5. UNKNOWN 446 DATE INSTALLED 447 OR COATING 2. ALKYD LINING 4. PHENOLIC LINING 6. UNLINED 99. OTHER Check one item only) For local use orgy) OTHER CORROSION C3 1, MANUFACTURED CATHODIC ttooI 3. FIBERGLASS REINFORCED PLASTIC S. UNKNOWN 448 DATE INSTALLED 449 PROTECTION IF APPLICABLE PROTECTION 4, IMPRESSED CURRENT 99. OTHER Check one tam only) y) 2. SACRIFICIAL ANODE For local use only) y) SPILL AND OVERFILL YEAR INSTALLED 450 TYPE (For localuse only) 451 OVERFILL PROTECTION EQUIPMENT: YEAR INSTALLED 452 r Check all that apply) 1. SPILL CONTAINMENT 414- N 1. ALARM K3. FILL TUBE SHUT OFF VALVE 1d DROP TUBE I ,%" 1 L- 04PeiQ X2. BALLFLOAT 4. EXEMPT y 2. Ja.3. STRIKER PLATE V p T -^ cbh>>(. N.- .TANK "L'EAKDET8CT10N :'' *r?a,. '" x .r;,si •;,.« r fk',,_ w',.,a• IF SINGLE WALL TANK (Check all that apply): 453 IF DOUBLE WALL TANK OR TANK WITH BLADDER (Check one item only): 454 1, VISUAL (EXPOSED PORTION ONLY) 5. MANUAL TANK GAUGING (MTG) Cl I. VISUAL (SINGLE WALL IN VAULT ONLY) 2. AUTOMATIC TANK GAUGING (ATG) 6. VADOSE ZONE 5. CONTINUOUS INTERSTITIAL MONITORING 3. CONTINUOUS ATG 7. GROUNDWATER 3. MANUAL MONITORING 4, STATISTICAL INVENTORY RECONCILIATION (SIR) B. TANK TESTING BIENNIAL TANK TESTING 99, OTHER V. TANK CLOSURE INFORMATION / PERMANENT CLOSURE IN PLACE ESTIMATED DATE LAST USED (YR/MO/DAY) 455 ESTIMATED QUANTITY OF SUBSTANCE REMAINING 456 TANK FILLED WITH INERT MATERIAL? 457 gallons Yes No JPCF (7/99) S:ICUPAFORMSISWRCB -B.WPD CITY Uh tlAMtKJrltl_U UNDERGROUND PIPING P}2 SSURIZED PIPING (Check all that apply): - 11 1-1- -- 1{ 1, ELECTRONIC LINE LEAK DETECTOR 3.0 GPH TEST WITH AUTO PUMP SHUT OFF FOR LEAK, SYSTEM FAILURE, AND SYSTEM DISCONNECTION +AUDIBLE AND VISUAL ALARMS 2. MONTHLY 0.2 GPH TEST 3. ANNUAL INTEGRITY TEST (0.1 GPH) eanvFr_Rnt wn PiPwr. W67 PRESSURIZED PIPING (Check all that apply): 1. ELECTRONIC LINE LEAK DETECTOR 3.0 GPH TEST WITH AUTO PUMP SHUT OFF FOR LEAK SYSTEM FAILURE, AND SYSTEM DISCONNECTION + AUOIBLE AND VISUAL ALARMS 2. MONTHLY 0.2 GPH TEST 3. ANNUAL INTEGRITY TEST (0.1 GPH) 4. DAILY VISUAL CHECK CONVENTIONAL SUCTION SYSTEMS: i CONVENTIONAL SUCTION SYSTEMS (Check all that apply): 5. DAILY VISUAL MONITORING OF PUMPING SYSTEM + TRIENNIAL PIPING INTEGRITY I 5. DAILY VISUAL MONITORING OF PIPING AND PUMPING SYSTEM TEST (O.h GPH) 6. TRIENNIAL INTEGRITY TEST (0.1 GPH) SAFE SUCTION SYSTEMS (NO VALVES IN BELOW GROUND PIPING): 7. SELF MONITORING GRAVITY FLOW: 9. BIENNIAL INTEGRITY TEST (0.1 GPH) SECONDARILY CONTAINED PIPING PRESSURIZED PIPING (Check all that apply): 10. CONTINUOUS TURBINE SUMP SENSOR WITH AUDIBLE AND VISUAL ALARMS AND Check one) - a. AUTO PUMP SHUT OFF WHEN A LEAK OCCURS b. AUTO PUMP SHUT OFF FOR LEAKS, SYSTEM FAILURE AND SYSTEM DISCONNECTION c. NO AUTO PUMP SHUT OFF 11. AUTOMATIC LINE LEAK DETECTOR (3.0 GPH TEST) WITH FLOW SHUT OFF OR RESTRICTION 12. ANNUAL INTEGRITY TEST (0.1 GPH) SUCTION/GRAVITY SYSTEM: r 13. CONTINUOUS SUMP SENSOR + AUDIBLE AND VISUAL ALARMS i EMERGENCY GENERATORS ONLY (Check all that apply) 14. CONTINUOUS SUMP SENSOR WITHOUT AUTO PUMP SHUT OFF + AUDIBLE AND s VISUAL ALARMSr 15. AUTOMATIC LINE LEAK DETECTOR (3.0 GPH TEST) WITHOUT FLOW SHUT OFF OR RESTRICTION 16. ANNUAL INTEGRITY TEST (0.1 GPH) 17. DAILY VISUAL CHECK SAFE SUCTION SYSTEMS (NO VALVES IN BELOW GROUND PIPING): 7. SELF MONITORING GRAVITY FLOW (Check all that apply): 8. DAILY VISUAL MONITORING 9. BIENNIAL INTEGRITY TEST (0.1 GPH) SECONDARILY CONTAINED PIPING PRESSURIZED PIPING (Check all that apply): 10. CONTINUOUS TURBINE SUMP SENSOR WITH AUDIBLE AND VISUAL ALARMS AND (Check one) a. AUTO PUMP SHUT OFF WHEN A LEAK OCCURS b. AUTO PUMP SHUT OFF FOR LEAKS, SYSTEM FAILURE AND SYSTEM DISCONNECTION c. NO AUTO PUMP SHUT OFF 11. AUTOMATIC LEAK DETECTOR 12. ANNUAL INTEGRITY TEST (0.1 GPH) SUCTION/GRAVITY SYSTEM: 13. CONTINUOUS SUMP SENSOR + AUDIBLE AND VISUAL ALARMS EMERGENCY GENERATORS ONLY (Check all that apply) 14. CONTINUOUS SUMP SENSOR WITHOUT AUTO PUMP SHUT OFF + AUDIBLE AND VISUAL ALARMS 15. AUTOMATIC LINE LEAK DETECTOR (3.0 GPH TEST) 16. ANNUAL INTEGRITY TEST (0.1 GPH) 17. DAILY VISUAL CHECK LIx .,ti Vlll'DISPENSER CONTAINMENT' DISPENSER CONTAINMENT 1. FLOAT MECHANISM THAT SHUTS OFF SHEAR VALVE A14, DAILY VISUAL CHECK DATE INSTALLED 468 2. CONTINUOUS DISPENSER PAN SENSOR + AUDIBLE AND VISUAL ALARMS S. TRENCH LINER / MONITORING 3. CONTINUOUS DISPENSER PAN SENSOR WITH AUTO SHUT OFF FOR DISPENSER + AUDIBLE AND VISUAL ALARMS 6. NONE 469 IX. OWNERIOPERATOR SIGNATURE - -- - I certify that the information provided herein Is true and accurate to the best of my knamedge. SIGNATURE OF OWNER/OPERATOR DATE 470 NAME OF OWNER/OPERATOR (print) i 471 r TITLE OF OWNNEERIOPERATOR - 472 c"..` 5_C2. .r - ____...I1_ -g -- t\. °__+yc c o R o1 1 4'rD - UPCF (7/99) S:iCUPAF0RMSISWRC8 -8.WP0 OFFICE OF ENVIRONMENTAL SERVICES 1 Zhester Ave., Bakersfield, CA 93301 (661) 326-: UST - TANK PA,e of z VI. PIPING CONSTRUCTION (Check e9 that apply) UNDERGROUND PIPING ABOVEGROUND PIPING SYSTEM TYPE X1 PRESSURE 2. SUCTION 3. GRAVITY 458 ,. I. PRESSURE 2. SUCTION 3. GRAVITY 45q CONSTRUCTIOX 1. SINGLE WALL 3. LINED TRENCH 99. OTHER 460 ( I. SINGLE WALL 95. UNKNOWN 462 MANUFACTURER 2. DOUBLE WALL 95. UNKNOWN 2. DOUBLE WALL 99. OTHER MANUFACTURER 461 MANUFACTURER 463 1. BARE STEEL 6. FRP COMPATIBLE W/ 100% METHANOL 1. BARE STEEL 8. FRP COMPATIBLE W/ 100% METHANOL MATERIALS AND 2, STAINLESS STEEL 7. GALVANIZED STEEL 2. STAINLESS STEEL100 7. GALVANIZED STEEL CORROSION PROTECTION 1 3. PLASTIC COMPATIBLE WITH CONTENTS 9., UNKNOWN 3. PLASTIC COMPATIBLE WITH CONTENTS 8, FLEXIBLE (HOPE) 99. OTHER K4. FIBERGLASS 8. FLEXIBLE (HOPE) 99. OTHER ! 4. FIBERGLASS 9. CATHODIC PROTECTION T 5. STEEL W/ COATING 9. CATHODIC PROTECTION 464 5. STEEL WI COATING 95. UNKNOWN 465 VII. PIPING LEAK DETECTION (Check all that apply) UNDERGROUND PIPING P}2 SSURIZED PIPING (Check all that apply): - 11 1-1- -- 1{ 1, ELECTRONIC LINE LEAK DETECTOR 3.0 GPH TEST WITH AUTO PUMP SHUT OFF FOR LEAK, SYSTEM FAILURE, AND SYSTEM DISCONNECTION +AUDIBLE AND VISUAL ALARMS 2. MONTHLY 0.2 GPH TEST 3. ANNUAL INTEGRITY TEST (0.1 GPH) eanvFr_Rnt wn PiPwr. W67 PRESSURIZED PIPING (Check all that apply): 1. ELECTRONIC LINE LEAK DETECTOR 3.0 GPH TEST WITH AUTO PUMP SHUT OFF FOR LEAK SYSTEM FAILURE, AND SYSTEM DISCONNECTION + AUOIBLE AND VISUAL ALARMS 2. MONTHLY 0.2 GPH TEST 3. ANNUAL INTEGRITY TEST (0.1 GPH) 4. DAILY VISUAL CHECK CONVENTIONAL SUCTION SYSTEMS: i CONVENTIONAL SUCTION SYSTEMS (Check all that apply): 5. DAILY VISUAL MONITORING OF PUMPING SYSTEM + TRIENNIAL PIPING INTEGRITY I 5. DAILY VISUAL MONITORING OF PIPING AND PUMPING SYSTEM TEST (O.h GPH) 6. TRIENNIAL INTEGRITY TEST (0.1 GPH) SAFE SUCTION SYSTEMS (NO VALVES IN BELOW GROUND PIPING): 7. SELF MONITORING GRAVITY FLOW: 9. BIENNIAL INTEGRITY TEST (0.1 GPH) SECONDARILY CONTAINED PIPING PRESSURIZED PIPING (Check all that apply): 10. CONTINUOUS TURBINE SUMP SENSOR WITH AUDIBLE AND VISUAL ALARMS AND Check one) - a. AUTO PUMP SHUT OFF WHEN A LEAK OCCURS b. AUTO PUMP SHUT OFF FOR LEAKS, SYSTEM FAILURE AND SYSTEM DISCONNECTION c. NO AUTO PUMP SHUT OFF 11. AUTOMATIC LINE LEAK DETECTOR (3.0 GPH TEST) WITH FLOW SHUT OFF OR RESTRICTION 12. ANNUAL INTEGRITY TEST (0.1 GPH) SUCTION/GRAVITY SYSTEM: r 13. CONTINUOUS SUMP SENSOR + AUDIBLE AND VISUAL ALARMS i EMERGENCY GENERATORS ONLY (Check all that apply) 14. CONTINUOUS SUMP SENSOR WITHOUT AUTO PUMP SHUT OFF + AUDIBLE AND s VISUAL ALARMSr 15. AUTOMATIC LINE LEAK DETECTOR (3.0 GPH TEST) WITHOUT FLOW SHUT OFF OR RESTRICTION 16. ANNUAL INTEGRITY TEST (0.1 GPH) 17. DAILY VISUAL CHECK SAFE SUCTION SYSTEMS (NO VALVES IN BELOW GROUND PIPING): 7. SELF MONITORING GRAVITY FLOW (Check all that apply): 8. DAILY VISUAL MONITORING 9. BIENNIAL INTEGRITY TEST (0.1 GPH) SECONDARILY CONTAINED PIPING PRESSURIZED PIPING (Check all that apply): 10. CONTINUOUS TURBINE SUMP SENSOR WITH AUDIBLE AND VISUAL ALARMS AND (Check one) a. AUTO PUMP SHUT OFF WHEN A LEAK OCCURS b. AUTO PUMP SHUT OFF FOR LEAKS, SYSTEM FAILURE AND SYSTEM DISCONNECTION c. NO AUTO PUMP SHUT OFF 11. AUTOMATIC LEAK DETECTOR 12. ANNUAL INTEGRITY TEST (0.1 GPH) SUCTION/GRAVITY SYSTEM: 13. CONTINUOUS SUMP SENSOR + AUDIBLE AND VISUAL ALARMS EMERGENCY GENERATORS ONLY (Check all that apply) 14. CONTINUOUS SUMP SENSOR WITHOUT AUTO PUMP SHUT OFF + AUDIBLE AND VISUAL ALARMS 15. AUTOMATIC LINE LEAK DETECTOR (3.0 GPH TEST) 16. ANNUAL INTEGRITY TEST (0.1 GPH) 17. DAILY VISUAL CHECK LIx .,ti Vlll'DISPENSER CONTAINMENT' DISPENSER CONTAINMENT 1. FLOAT MECHANISM THAT SHUTS OFF SHEAR VALVE A14, DAILY VISUAL CHECK DATE INSTALLED 468 2. CONTINUOUS DISPENSER PAN SENSOR + AUDIBLE AND VISUAL ALARMS S. TRENCH LINER / MONITORING 3. CONTINUOUS DISPENSER PAN SENSOR WITH AUTO SHUT OFF FOR DISPENSER + AUDIBLE AND VISUAL ALARMS 6. NONE 469 IX. OWNERIOPERATOR SIGNATURE - -- - I certify that the information provided herein Is true and accurate to the best of my knamedge. SIGNATURE OF OWNER/OPERATOR DATE 470 NAME OF OWNER/OPERATOR (print) i 471 r TITLE OF OWNNEERIOPERATOR - 472 c"..` 5_C2. .r - ____...I1_ -g -- t\. °__+yc c o R o1 1 4'rD - UPCF (7/99) S:iCUPAF0RMSISWRC8 -8.WP0 E R S F L ARTM T FIRE CHIEF RON FRAZE ADMINISTRATIVE SERVICES 2101 'H' street Bakersfield, CA 93301 VOICE (805) 328 -3941 FAX (805) 395 -1349 SUPPRESSION SERVICES 2101 'H• street Bakersfield, CA 93301 VOICE (805) 326 -3941 FAX (805) 395 -1349 PREVENTION SERVICES 1715 Chester Ave. Bakersfield, CA 93301 VOICE (805) 326 -3951 FAX (805) 326-0578 ENVIRONMENTAL SERVICES 1715 Chester Ave. Bakersfield, CA 93301 VOICE (805) 326 -3979 FAX (805) 328-0576 TRAINING DMSION 5642 Vldor Ave. Bakersfield, CA 93308 VOICE (805) 399-4697 FAX (805) 399 -5763 April 4, 2000 Equilon Enterprises LLC Ms. Feryal Sarrafian 255 N. Ontario St #208A Burbank CA 91504 Dear Ms. Sarrafian: You have been identified as the compliance coordinator for the facility/facilities referenced in the attachment. The permits to operate this facility/facilities will expire on June 30, 2000. However, in order for this office to renew your permit, updated forms A, B, & C must be filled out and returned prior to the issuance of a new permit. Please make sure that you are sending the updated forms which are indicated by the date 7/99 in the lower left hand corner. Please complete and return to this office by May 15, 2000. Failure to comply, will result in a delay of issuance of your new permit to operate. Should you have any questions, please feel free to call me at 661- 326 -3979. Sincerely, Steve Underwood, Inspector Office of Environmental Services SU /dam attachment J L i C7im/!2l! /Z!OSe w01 .. Facffliy Address California Ave Shell 3623 California Ave, Bakersfield, Ca 93301 Cleo Reyes Shell 3605 Rosedale Hwy, Bakersfield, Ca 93308 White Lane Shell 2600 White Lane, Bakersfield, Ca 93309 Formerly Macias Shell 101 S. Union Ave., Bakersfield, Ca 93305 Ming Ave Shell 3700 Ming Ave, Bakersfield, Ca 93309 Shell Service Station 3130 241 Street, Bakersfield, Ca 93301 Stockdale Texaco 5321 Stockdale Hwy, Bakersfield Ca 93309 Texaco Gas 2401 Oak Street, Bakersfield, Ca 93301 Texaco 3698 Ming Avenue, Bakersfield, Ca 93309 Texaco X050= Gosford_L'ane, Bakersfield, Ca 93309 Texaco Star Mart 3621 California Ave, Bakersfield, Ca 93301 Texaco Star Mart 2601 White Lane, Bakersfield, Ca 93304 STATE OF CALIFORNIA . " "• STATE WATER RESOURCES CONTROL BOARD i UNDERGROUND STORAGE TANK PERMIT APPLICATION - FORM A Location Number 610580799 COMPLETE THIS FORM FOR EACH FACILITY/SITE MARK ONLY I NEW PERMIT 3 RENEWAL PERMIT ® S CHANGE OF INFORMATION 7 PERMANENTLY CLOSED, SITE ONE ITEM 2 INTERIM PERMIT 4 AMENDED PERMIT 6 TEMPORARY SITE CLOSURE I. FACILITY /SITE INFORMATION & ADDRESS - (MUST BE COMPLETED) DBA OR FACILITY NAME NAME OF OPERATOR Texaco #799 Manager ADDRESS NEAREST CROSS STREET PARCEL * (OPTIONAL) 4050 /GOSFORD RD. AND WHITE LN GOSFORD RD. AND WHITE LN M CORPORATION Q PARTNERSHIP CITY NAME STATE ZIP CODE SITE PHONE ! WITH AA CODE BAKERSFIELD CA 93309 805.833.4002 BOX CORPORATION INDIVIDUAL = PARTNERSHIP Q LOCAL- AGENCY Q COUNTY- AGENCY' Q STATE-AGENCY ' Q FEDERAL- AGENCY' TO INDICATE DISTRICTS 4 owner M UST is apublic agency, amplete Me following name ol supervisor of Qivision, section or office which aerates the UST TYPE OF BUSINESS ® 1 GAS STATION 2 DISTRIBUTOR Q IF INDIAN I# OF TANKS AT SITE E. P. A. 1. 0. * (optional) 0 3 FARM 0 4 PROCESSOR Q S OTHER RESERVATION OR TRUST LANDS T4 I EMERGENCY CONTACT PERSON (PRIMARY) EMERGENCY CONTACT PERSON (SECONDARY) - optional DAYS: NAME (LAST, FIRST) PHONE a WITH AREA CODE DAYS: NAME (LAST, FIRST PHONE 0 WITH AREA CODE Manager 805.833.4002 L_ co-1L F—Co (a. _ k-3 e, NIGHTS: NAME (LAST, FIRST) PHONE * WITH AREA CODE NIGHTS: NAME (LAST, FIRST) PHONE kWITH AREA CODE box to ndcate Q INDIVIDUAL ove, 9os- 3 "— ¢:z v II. PROPERTY OWNER INFORMATION - (MUST BE COMPLETED) NAME 10 UOP i door, Universal city, CA 91608iCAREOFADOI "'O Equilon Enterprises LLC box to indicate Q INDIVIDUAL Q LOCAL-AGENCY Q STATE-AGENCY MAILING OR STREET ADDRESS box to ndcate Q INDIVIDUAL Q LOCAL - AGENCY Q STATE - AGENCY P.O. Box 4453 M CORPORATION Q PARTNERSHIP Q COUNTY- AGENCY Q FEDERAL- AGENCY CITY NAME STATE ZIP CODE PHONE 0 WI Houston TX 77210 -445 713)1S'F88 III. TANK OWNER INFORMATION - (MUST BE COMPLETED) NAME OF OWNER Equilon Enterprises LLC CARE OF ADDRESS INFORMATION10UCPlothFloor, Universal City, CA 91608 MAILING OR STREET ADDRESS box to indicate Q INDIVIDUAL Q LOCAL-AGENCY Q STATE-AGENCYP.O. Box 4453 CORPORATION Q PARTNERSHIP Q COUNTY-AGENCY QFEDERAL-AGENCY CITY NAME STATE ZIP CODE PHONE * WITH A Houston TX 77210 -445 713) 2R7'-'?8P00 IV. BOARD OF EQUALIZATION UST STORAGE FEE ACCOUNT NUMBER - Call (916) 322 -9669 if questions arise. TY (TK) H0 F4_744 3 11 11 J2 11 j V. PETROLEUM UST FINANCIAL RESPONSIBILITY -(MUST BE COMPLETED) -IDENTIFY THE METHOD(S) USED 1 box10 indWle ® I SELF - INSURED = 2 GUARANTEE Q 3 INSURANCE = 4 SURETY BOND Q S LETTER OFCREDfT Q 8 EXEMPTION Q 7 STATE FUND Q 8 STATERIND 8CHIEF FWANCIAL OFFICER LETTER Q 9 STATE FUND & CERTIFICATE OF DEPOSIT Q 10 LOCAL GOVT. MECHANISM Q 99 OTHER VI. LEGAL NOTIFICATION AND BILLING ADDRESS Legal notification and billing will be sent to the tank owner unless box I or II is checked. CHECK ONE BOX INDICATING WHICH ABOVE ADDRESS SHOULD BE USED FOR LEGAL NOTIFICATIONS AND BILLING: I. 11. III. n - THIS FORM HAS BEEN COMPLETED UNDER PENALTY OFPERJURY, AND TO THE BESTOF MY KNOWLEDGE, IS TRUE AND CORRECT TANK OWNER'S NAME (PRINTED & SIGNATURE) TANK OWNER'S TITLE DATE MONTHJDAWYEAR Feryal Sarrafia re L SH &E Coordinator 6 -11 -98 LOCAL AGENCY USE ONLY COUNTY # LOCATION TRACT* - JURISDICTION a FT-7 SUPVISOR - DISTRICT FACILITY p THIS FORM MUST BE ACCOMPANIED BY AT LEAST (1) OR MORE PERMIT APPLICATION - FORD B, UNLESS THIS IS A CHANGE OF SITE INFORMATION ONLY. OWNER MUST FILE THIS FORM WITH THE LOCAL AGENCY IMPLEMENTING THE UNDERGROUND STORAGE TANK REGULATIONS FORM A (695) Location Number 610580799 STATE OF CALIFORNIA STATE WATER RESOURCES CONTROL BOARD UNDERGROUND STORAGE TANK PERMIT APPLICATION - FORM B COMPLETE A SEPARATE FORM FOR EACH TANK SYSTEM. 4 r MARK ONLY 1 NEW PERMIT Q 3 RENEWAL PERMIT ® S CHANGE OF INFORMATION 7 PERMANENTLY CLOSED ON STE ONE ITEM 2 INTERIM PERMIT 4 AMENDED PERMIT 8 TEMPORARY TANK CLOSURE F7 8 TANK REMOVED DBA OR FACILITY NAME WHERE TANK IS INSTALLED: Texaco 799 99 OTHER (DESCASE N REM 0. BELOW) 1. TANK DESCRIPTION COMPLETE ALL ITEMS - SPECIFY IF UNKNOWN A. OWNER'S TANK I. D. • B S. MANUFACTURED BY: UNK C. DATE INSTALLED (MOIDAY/YEAR) I ' D. TANK CAPACITY IN GALLONS: 12, 000 II. TANK CONTENTS IF A -1 IS MARKED. COMPLETE ITEM C. A a 1 MOTOR VEHICLE FUEL 4 OIL B C X to REGULAR UNLEADED 3 DIESEL 8 AVIATION GAS 2 PETROLEUM 80 EMPTY 1 PRODUCT 1b PREMWM UNLEADED to MIDGRAOE UNLEADED 4 GASAHOL 7 METHANOL 5 JET FUEL 9 mm 3 CHEMICAL PRODUCT El 95 UNKNOWN 2 WASTE E] 2 LEADED El 99 OTHER (DESCASE N REM 0. BELOW) D. IF (A1) IS NOT MARKED. ENTER NAME OF SUBSTANCE STORED C. A S. 0: Ill. TANK CONSTRUCTION MARK ONE ITEM ONLY IN BOXES A. B, AND C. AND ALL THAT APPLIES IN BOX D AND E A. TYPE OF 1 DOUBLE WALL 3 SINGLE WALL WITH EXTERIOR LINER 5 INTERNAL BLADDER SYSTEM 95 UNKNOWN SYSTEM 2 SINGLE WALL 4 SINGLE WALL IN A VAULT 99 OTHER B. TANK I BARE STEEL 2 STAINLESS STEEL 3 FIBERGLASS 4 STEEL CLAD W/ FIBERGLASS REINFORCED PLASTIC MATERIAL S CONCRETE 8 POLYVINYL CHLORIDE 7 ALUMINUM 8 100% METHANOL COMPATIBLE W/FRP Primary Tank) 9 BRONZE 10 GALVANIZED STEEL 95 UNKNOWN 99 OTHER C. INTERIOR I RUBBER LINED 2 ALKYD LINING 3 EPDXY LINING 4 PHENOLIC LINING LINING OR 5 GLASS LINING 8 UNLINED 95 UNKNOWN 99 OTHER COATING IS LINING MATERIAL COMPATIBLE WITH 100% METHANOL? YES _ NO_ D. EXTERIOR 1 POLYETHYLENE WRAP 2 COATING 3 VINYL WRAP 4 FIBERGLASS REINFORCED PLASTIC CORROSION PROTECTION S CATHODIC PROTECTION 91 NONE 95 UNKNOWN 99 OTHER E SPILL AND OVERFILL, etc. SPILL CONTAINMENT INSTALLED (YEAR) OVERFILL PREVENTION EQUIPMENT INSTALLED (YEAR) DROP TUBE YESY,__ NO STRIKER PLATE YES X NO DISPENSER CONTAINMENT YES NO IV. PIPING INFORMATION CIRCLE A IF ABOVE GROUND OR U IF UNDERGROUND. BOTH IFAPPLICABLE A. SYSTEM TYPE A U 1 SUCTION A 2 PRESSURE A U 3 GRAVITY A U 4 FLEXIBLE PIPING A U 99 OTHER B. CONSTRUCTION A U T SINGLE WALL A 02 DOUBLE WALL A U 3 LINED TRENCH A U 95 UNKNOWN A U 99 OTHER C. MATERIAL AND CORROSION PROTECTION A U A U A U 1 BARE STEEL 5 ALUMINUM 9 GALVANIZED STEEL A U A U A U 2 STAINLESS STEEL A U 8 CONCRETE A U 10 CATHODIC PROTECTION 3 POLYVINYL CHLORIDE (PVC) A 0 4 FIBERGLASS PIPE 7 STEEL WlCOATING A U 8 100% METHANOL COMPATIBLE W/FRP A U 95 UNKNOWN A U 99 OTHER D. LEAK DETECTION 1 1EOUAlCAI I" LEAK OEhROR 2 U E Tltl E 3 OWNUaS NTEFATIAL 4 EIECTROW LYE TLVM C9 MOWCFt +o .® TEAK DETECTOR S AUTOMATIC PUMP suT00" 9s OTHER V. TANK LEAK DETECTION 1 VISUAL CHECK 2 RECONCILIATTIIONORY 3 VADOZE ®4 GAUGING AUTOMATIC TANK 5 GROUND MONITORING 8 TESTING 7 CONTINUOUS INTERSTITIAL ( 8 SIR 9 ME GAUGINC,U C:] 10 MFNTHGLY TANK 95 UNKNOWN - 99 OTHER VI. TANK CLOSURE INFORMATION (PERMANENT CLOSURE IN- PLACE) 1. ESTIMATED DATE LAST USED (MO/DAYNR) 2. ESTIMATED QUANTITY OF I 3. WAS TANK FILLED WITH YES E] NO SUBSTANCE REMAINING GALLONS INERT MATERIAL 7 THIS FORM HAS BEEN COMPLETED UNDER PENALTY OF PERJURY, AND TO THE BEST OF MY KNOWLEDGE, IS TRUE AND CORRECT TANK OWNERS NAME DATE PRINTED 4 SKiNATUAM Feryal Sarrafian / Fred Long d tI C 1 6 -11 -98 LOCAL AGENCY USE ONLY THE STATE I.D. NUMBER IS COMPOSED OF THE FOUR THIS FORM MUST BE ACCOMPANIED BY A PERMIT APPLICATION - FORM A. UNLESS A CURRENT FORM A HAS BEEN FILED. FORM C MUST BE COMPLETED FOR INSTALLATIONS. THIS FORM. SHOULD BE ACCOMPANIED BY A PLOT PLAN. FILE THIS FORM WITH THE LOCAL AGENCY IMPLEMENTING THE UNDERGROUND STORAGE TANK REGULATIONS FORM 8 (6.95) COUNTY x JURISDICTION 0 FACILITY 8 TANK a STATE I.D.4 m PERMIT NUMBER PERMIT APPROVED BYIDATE PERMIT EXPIRATION DATE THIS FORM MUST BE ACCOMPANIED BY A PERMIT APPLICATION - FORM A. UNLESS A CURRENT FORM A HAS BEEN FILED. FORM C MUST BE COMPLETED FOR INSTALLATIONS. THIS FORM. SHOULD BE ACCOMPANIED BY A PLOT PLAN. FILE THIS FORM WITH THE LOCAL AGENCY IMPLEMENTING THE UNDERGROUND STORAGE TANK REGULATIONS FORM 8 (6.95) Location Number 610580799 STATE OF CALIFORNIA STATE WATER RESOURCES CONTROL BOARD UNDERGROUND STORAGE TANK PERMIT APPLICATION - FORM B COMPLETE A SEPARATE FORM FOR EACH TANK SYSTEM. w • f i' MARK ONLY I NEW PERMIT 3 RENEWAL PERMIT a 5 CHANGE OF INFORMATION 7 PERMANENTLY CLOSED ON SITE ONE ITEM 2 INTERIM PERMIT 4 AMENDED PERMIT 8 TEMPORARY TANK CLOSURE 8 TANK REMOVED DBA OR FACILITY NAME WHERE TANK IS INSTALLED: Texaco #799 I. TANK DESCRIPTION COMPLETE ALL ITEMS - SPECIFY IF UNKNOWN A. OWNER'S TANK I. D. • B. B. MANUFACTURED BY: -Lf3 rf4 CK C. DATE INSTALLED (MOIOAWYEAR) 9 ` D. TANK CAPACITY IN GALLONS: 10 , 0 0 0 11. TANK CONTENTS IF A•1 IS MARKED. COMPLETE ITEM C. A ® 1 MOTOR VEHICLE FUEL 4 OIL B. C. 18 REGULAR UNLEADED n 3 DIESEL 8 AVIATION GAS a 2 PETROLEUM a 80 EMPTY 1 PRODUCT 1D PREMeJM UNLEADED Ll 4 GASAHOL a 7 METHANOL S. TANK I BARE STEEL IC MIDGRADE UNLEADED 5 JET FUEL 8 M85 3 CHEMICALPRODUCT 95 UNKNOWN a 2 WASTE 2 LEADED 99 OTHER (DESCRIBE IN ITEM 0. BELONG D. IF (AI) IS NOT MARKED, ENTER NAME OF SUBSTANCE STORED C. A. S. 0: III. TANK CONSTRUCTION MARK ONE ITEM ONLY IN BOXES A. B. AND C. ANDALL THAT APPLIES IN BOX D AND E A. TYPE OF 1 DOUBLE WALL 3 SINGLE WALL WITH EXTERIOR LINER 5 INTERNAL BLADDER SYSTEM 95 Ut QXYA N SYSTEM k 2 SINGLE WALL 4 SINGLE WALL IN A VAULT 99 OTHER S. TANK I BARE STEEL 2 STAINLESS STEEL 3 FIBERGLASS 4 STEEL CLAD W/ FIBERGLASS REINFORCED PLASTIC MATERIAL S CONCRETE 8 POLYVINYL CHLORIDE 7 ALUMINUM 8 100% METHANOL COMPATIBLE WIFRP P'M Y Teak) 9 BRONZE 10 GALVANIZED STEEL 95 UNKNOWN 99 OTHER C. INTERIOR 1 RUBBER LINED 2 ALKYD LINING 3 EPDXY LINING 4 PHENOLIC LINING LINING OR 5 GLASS LINING 8 UNLINED 95 UNKNOWN 99 OTHER COATING IS LINING MATERIAL COMPATIBLE WITH 100% METHANOL? YES _ NO- A U 99 OTHER D. EXTERIOR 1 POLYETHYLENE WRAP 2 COATING 3 VINYL WRAP 4 FIBERGLASS REINFORCED PLASTIC CORROSION PROTECTION 5 CATHODIC PROTECTION 91 NONE 95 UNKNOWN 99 OTHER E SPILL AND OVERFILL, etc. SPILL CONTAINMENT INSTALLED (YEAR) OVERFILL PREVENTION EQUIPMENT INSTALLED (YEAR) I" OETECTOR DROP TUBE YES NO STRIKER PLATE YES NO DISPENSER CONTAINMENT YES NO IV. PIPING INFORMATION CIRCLE A IF ABOVE GROUND OR U IF UNDERGROUND. BOTH IF APPLICABLE A. SYSTEM TYPE A U 1 SUCTION A 0 2 PRESSURE A U 3 GRAVITY A U 4 FLEXIBLE PIPING A U 99 OTHER B. CONSTRUCTION A U 1 SINGLE WALL Aft DOUBLE WALL A U 3 LINED TRENCH A U 95 UNKNOWN A U 99 OTHER C. MATERIAL AND A U 1 BARE STEEL A U 2 STAINLESS STEEL A U 3 POLYVINYL CHLORIDE (PVC) A 4 FIBERGLASS PIPEQCORROSIONAUSALUMINUMAU8CONCRETEAU7STEELW /COATING A 8 100% METHANOL COMPATIBLE W/FRP PROTECTION A U 9 GALVANIZED STEEL A U 10 CATHODIC PROTECTION A U 95 UNKNOWN A U 99 OTHER 0. LEAK DETECTION 1 1EClIA1 M UNE LEAK 2 LK T16NTWM 3 OdIN&CIA DRE0.STRIAL EECTRONC LKI 255 AUTOMATIC PUMP 99 OTHERoETECTORTESNLUMOICOF04I" OETECTOR S,LIOO" V. TANK LEAK DETECTION 1 VISUAL CHECK 2 RECONCILIATTIIONORY 3 MONITORING ® 4 GAUGING AUTOMATIC TANK 5 GROUND TER 8 TESTING CEg 7 CONTOROINTERSTITIAL "n 8 SIR 9 WEEKLY MANUAL NIG 10 MONTHLY TANK 95 UNKNOWN' 99 OTHER TESTING VI. TANK CLOSURE INFORMATION (PERMANENT CLOSURE IN-PLACE) 1. ESTIMATED DATE LAST USED (MO/DAYNR) 2. ESTIMATED QUANTITY OF 3. WAS TANK FILLED WITH YES NO SUBSTANCE REMAINING GALLONS INERT MATERIAL 7 THIS FORM HAS BEEN COMPLETED UNDER PENALTY OF PERJURY, AND TO THE BEST OF MY KNOWLEDGE, IS TRUE AND CORRECT TANK OWNERS NAME DATE PRINTED a SIGNATURM Feryal Sarrafian / Fred Long 0 'CA 1 6 -11 -98 LOCAL AGENCY 118E ONLY THE STATE LO_ NIIMRER IS COMPOSED OF THE FOUR COUNTY 1 JURISDICTION 0 FACILITY • TANK 0 STATE I.D.4 m PERMIT NUMBER PERMIT APPROVED BY/DATE PERMIT EXPIRATION DATE THIS FORM MUST BE ACCOMPANIED BY A PERMIT APPLICATION - FORM A. UNLESS A CURRENT FORM A HAS BEEN FILED. FORM C MUST BE COMPLETED FOR INSTALLATIONS. THIS FORM SHOULD BE ACCOMPANIED BY A PLOT PLAN. FILE THIS FORM WITH THE LOCAL AGENCY IMPLEMENTING THE UNDERGROUND STORAGE TANK REGULATIONS FORM B (8-95) Location Number 610580799 STATEOF CALIFORNIA STATE WATER RESOURCES CONTROL BOARD UNDERGROUND STORAGE TANK PERMIT APPLICATION - FORM B COMPLETE A SEPARATE FORM FOR EACH TANK SYSTEM. i MARK ONLY 1 NEW PERMIT 3 RENEWAL PERMIT a 5 CHANGE OF INFORMATION 7 PERMANENTLY CLOSED ON SITE ONE ITEM 2 INTERIM PERMIT 4 AMENDED PERMIT 8 TEMPORARY TANK CLOSURE 8 TANK REMOVED DBA OR FACILITY NAME WHERE TANK IS INSTALLED: Texaco 799 4 7 METHANOL I. TANK DESCRIPTION COMPLETE ALL ITEMS - SPECIFY IF UNKNOWN A. OWNERS TANK I. D. • S. MANUFACTURED BY: i C. DA-M INSTALLED (MOIDAY/YEAR) D. TANK CAPACITY IN GALLONS: 10, 000 II. TANK CONTENTS IF A•1 IS MARKED, COMPLETE ITEM C. A. ® 1 MOTOR VEHICLE FUEL 4 OIL 8. C. to REGULAR UNLEAADED 1b PREMIUM UNLEADED a Q 3 DIESEL 8 AVIATION GAS GASAHOL2PETROLEUM80EMPTY1PRODUCT I BARE STEEL 2 STAINLESS STEEL 4 7 METHANOL 4 STEEL CLAD W/ FIBERGLASS REINFORCED PLASTIC MATERIAL 5 CONCRETE 1c MIOGRADE UNLEADED El 5 JET FUEL BMW0. 3 CHEMICAL PRODUCT UNKNOWN 2 WASTE 2 LEADED 99 OTHER 99 OTHER (DESCRME IN ITEM O. BELOM D. IF (A1) IS NOT MARKED, ENTER NAME OF SUBSTANCE STORED 2 ALKYO LINING C. A. S. 8: III. TANK CONSTRUCTION MARK ONE ITEM ONLY IN BOXES A. B, AND C. AND ALL THAT APPLIES IN BOX D AND E A. TYPE OF I DOUBLE WALL 3 SINGLE WALL WITH EXTERIOR LINER 5 INTERNAL BLADDER SYSTEM 95 UNKNOWN SYSTEM 2 SINGLE WALL 4 SINGLE WALL IN A VAULT 99 OTHER B. TANK I BARE STEEL 2 STAINLESS STEEL 3 FIBERGLASS 4 STEEL CLAD W/ FIBERGLASS REINFORCED PLASTIC MATERIAL 5 CONCRETE 8 POLYVINYL CHLORIDE 7 ALUMINUM 8 100% METHANOL COMPATIBLEW/FRP Primary Tank) 9 BRONZE 10 GALVANIZED STEEL 95 UNKNOWN 99 OTHER C. INTERIOR I RUBBER LINED 2 ALKYO LINING 3 EPDXY LINING 4 PHENOLIC LINING LINING OR 5 GLASS LINING 8 UNLINED 95 UNKNOWN 99 OTHER COATING IS LINING MATERIAL COMPATIBLE WITH 100% METHANOL? YES _ NO_ D. EXTERIOR 1 POLYETHYLENE WRAP 2 COATING 3 VINYL WRAP 4 FIBERGLASS REINFORCED PLASTIC CORROSION PROTECTION 5 CATHODIC PROTECTION 91 NONE 95 UNKNOWN 99 OTHER E SPILL AND OVERFILL, g SPILL CONTAINMENT INSTALLED (YEAR) OVERFILL PREVENTION EQUIPMENT INSTALLED (YEAR) DROP TUBE YES_ NO STRIKER PLATE YES --.K_ NO DISPENSER CONTAINMENT YES NO IV. PIPING INFORMATION CIRCLE A IF ABOVE GROUND OR U IF UNDERGROUND, BOTH IF APPLICABLE A. SYSTEM TYPE A U 1 SUCTION A W 2 PRESSURE A U 3 GRAVITY A U 4 FLEXIBLE PIPING A U 99 OTHER B. CONSTRUCTION A U 1 SINGLE WALL A U 2 DOUBLE WALL A U 3 LINED TRENCH A U 95 UNKNOWN A U 99 OTHER C. MATERIAL AND CORROSION PROTECTION A U A U A U 1 BARE STEEL 5 ALUMINUM 9 GALVANIZED STEEL A U A U A U 2 STAINLESS STEEL A U 8 CONCRETE A U 10 CATHODIC PROTECTION 3 POLYVINYL CHLORIDE (PVC) A 0 4 FIBERGLASS PIPE 7 STEEL W/ COATING A U 8 100% METHANOL COMPATIBLE W/FRP A U 95 UNKNOWN A U 99 OTHER D. LEAK DETECTION 1 IEClwrtcx WE I.EAIC GETecroa 2 LFK TIGHTNESS 3 CWK OA NMRSMK 4 UEURpaC UNE 5 wra4unc Pwv TESTING roKraRw ® r oEleeraa s+uTmwN OTHER V. TANK LEAK DETECTION 1 VISUAL CHECK 2 RI" ECOUNNCILIATTIIOONNORY 3 MONITORING © 4 GAUGIG AUTOMATIC TANK 5 MONTORINGTER 8 TE NGTANK 7 MONITORING INTERSTITIAL ® 8 SIR 9 WEEKLY UINUAL 10 MONTHLY TANK 95 UNKNOWN ' 99 OTHER VI. TANK CLOSURE INFORMATION (PERMANENT CLOSURE IN-PLACE) 1. ESTIMATED DATE LAST USED (MO/OAY/YR) 2. ESTIMATED QUANTITY OF I 3. WAS TANK FILLED WITH ,ITS NO SUBSTANCE REMAINING GALLONS INERT MATERIAL ? THIS FORM HAS BEEN COMPLETED UNDER PENALTY OF PERJURY, AND TO THE BEST OF MY KNOWLEDGE, IS TRUE AND CORRECT TANK OWNERS NAME DATE PROD +SKMTURnI Feryal Sarrafian / Fred Long ` 6 -11 -98 LOCAL AGENCY USE ONLY THE STATE I.D. NUMBER IS COMPOSED OF THE FOUR NUMBED XO* COUNTY 11 JURISDICTION 0 FACILITY 0 TANK A STATE I.Dl m PERMIT NUMBER I PERMIT APPROVED BY/DATE I PERMIT EXPIRATION DATE THIS FORM MUST BE ACCOMPANIED BY A PERMIT APPLICATION . FORM A, UNLESS A CURRENT FORM A HAS BEEN FILED. FORM C MUST BE COMPLETED FOR INSTALLATK)NS. THIS FORM SHOULD BE ACCOMPANIED BY A PLOT PLAN. FILE THIS FORM WITH THE LOCAL AGENCY IMPLEMENTING THE UNDERGROUND STORAGE TANK REGULATIONS FORMS (8-95) Location Number 610580799 STATE OF CALIFORNIA STATE WATER RESOURCES CONTROL BOARD UNDERGROUND STORAGE TANK PERMIT APPLICATION - FORM B COMPLETE A SEPARATE FORM FOR EACH TANK SYSTEM. MARK ONLY 1 NEW PERMIT 3 RENEWAL PERMIT O 5 CHANGE OF INFORMATION 7 PERMANENTLY CLOSED ON SITE ONE REM 2 INTERIM PERMIT 4 AMENDED PERMIT 8 TEMPORARY TANK CLOSURE 8 TANK REMOVED DBA OR FACILITY NAME WHERE TANK IS INSTALLED: Texaco 799 99 OTHER (DESCRIBE IN REH D. BELO" 1. TANK DESCRIPTION COMPLETE ALL ITEMS - SPECIFY IF UNKNOWN A OWNERS TANK I. D. • S. MANUFACTURED BY: UNK aZ)ffa (1 r C. DATE INSTALLED (MONAY/YEAR) - Cr O. TANK CAPACITY IN GALLONS: 10, Q Q Q II. TANK CONTENTS IF A•1 IS MARKED, COMPLETE ITEM C. A. ® 1 MOTOR VEHICLE FUEL 4 OIL g, C to REGULAR UNLEADED 3 DIESEL B AVIATION GAS 2 PETROLEUM 80 EMPTY 1 PRODUCT tb PAEASUM UNLEADED 1C MOGRADE UNLEADED 4 GASAHOL 7 METHANOL S JET FUEL 8 M85 3 CHEMICAL PRODUCT 95 UNKNOWN 2 WASTE 2 LEADED Ed 99 OTHER (DESCRIBE IN REH D. BELO" D. IF (A.1) IS NOT MARKED. ENTER NAME OF SUBSTANCE STORED C. A. S. • : Ill. TANK CONSTRUCTION MARKONE ITEM ONLY IN BOXES A. B, AND C. AND ALLTHAT APPLIES IN BOX D AND E A. TYPE OF 1 DOUBLE WALL 3 SINGLE WALL WITH EXTERIOR LINER S INTERNAL BLADDER SYSTEM 95 UNKNOWN SYSTEM 2 SINGLE WALL 4 SINGLE WALL IN A VAULT 99 OTHER B. TANK 1 BARE STEEL 2 STAINLESS STEEL 3 FIBERGLASS 4 STEEL CLAD W/ FIBERGLASS REINFORCED PLASTIC MATERIAL S CONCRETE 8 POLYVINYL CHLORIDE 7 ALUMINUM 8 100% METHANOL COMPATIBLE W/FRP Primary Tank) 9 BRONZE 10 GALVANIZED STEEL 95 UNKNOWN 99 OTHER C. INTERIOR 1 RUBBER LINED 2 ALKYD LINING 3 EPDXY LINING 4 PHENOLIC LINING LINING OR S GLASS LINING 8 UNLINED 95 UNKNOWN 99 OTHER COATING IS LINING MATERIAL COMPATIBLE WITH 100% METHANOL? YES _ NO_ A U 95 UNKNOWN D. EXTERIOR 1 POLYETHYLENE WRAP 2 COATING 3 VINYL WRAP 4 FIBERGLASS REINFORCED PLASTIC CORROSION PROTECTION S CATHODIC PROTECTION 91 NONE 95 UNKNOWN 99 OTHER E SPILL AND OVERFILL, etc. SPILL CONTAINMENT INSTALLED (YEAR) OVERFILL PREVENTION EQUIPMENT INSTALLED (YEAR) MONToam DROP TUBE YES X_ NO STRIKER PLATE YES _L_ NO DISPENSER CONTAINMENT YES NO IV. PIPING INFORMATION CIRCLE A IF ABOVE GROUND OR U IF UNDERGROUND. BOTH IF APPLICABLE A. SYSTEM TYPE A U 1 SUCTION A U 2 PRESSURE A U 3 GRAVITY A U 4 FLEXIBLE PIPING A U 99 OTHER B. CONSTRUCTION A U 1 SINGLE WALL A(4 2 DOUBLE WALL A U 3 LINED TRENCH A U 95 UNKNOWN A U 99 OTHER C. MATERIAL AND A U 1 BARE STEEL A U 2 STAINLESS STEEL A U 3 POLYVINYL CHLORIDE (PVC) AU 4 FIBERGLASS PIPE CORROSION A U 5 ALUMINUM A U a CONCRETE A U 7 STEEL W/ COATING AT 8 100% METHANOL COMPATIBLE W/FRP PROTECTION A U 9 GALVANIZED STEEL A U 10 CATHODIC PROTECTION A U 95 UNKNOWN A U 99 OTHER D. LEAK DETECTION 1 1ECW/EUL UIE LEAK 2 UE n%ffWM 3 OOKITWUW9 WIEFWrIAL 4 aECm010C UDE S ALR011 I 99 oTHERTESTWOMONToamM" DETECTOR WDO N V. TANK LEAK DETECTION 1 VISUAL CHECK 2 RRECONCILIATIONORY 3 MONITORING a 4 GAULIN C TANK 5 MRONTORING R 8 TESTING 7 MO CONTINUOUS O INTERSTITIAL sz g SIR 9 TAMK GAUG NI GAL 10 MONTHLY TANK 95 UNKNOWN ' 99 OTHER VI. TANK CLOSURE INFORMATION (PERMANENT CLOSURE IN-PLACE) 1. ESTIMATED DATE LAST USED (MOKDAYNR) 2 ESTIMATED QUANTITY OF I 3. WASTANK FILLED WITH YES C::] SUBSTANCE REMAINING GALLONS INERT MATERIAL 7 THIS FORM HAS BEEN COMPLETED UNDER PENALTY OF PERJURY, AND TO THE BEST OF MY KNOWLEDGE, IS TRUEAND CORRECT TANK OWNERS NAME DATE PRINTED a SKU"TURE) Feryal Sarrafian / Fred Long _Q 6 -11 -98 LOCAL AGENCY USE ONLY THE STATE I.D. NUMBER IS COMPOSED OF THE FOUR NUMBER COUNTY • JURISDICTION M FACILITY N TANK t STATE I.Dl C E= -1= PERMIT NUMBER PERMIT APPROVED BY/DATE I PERMIT EXPIRATION DATE THIS FORM MUST BE ACCOMPANIED BY A PERMIT APPLICATION • FORM A. UNLESS A CURRENT FORM A HASBEEN FILED. FORM C MUST BE COMPLETED FOR INSTALLATIONS. THIS FORM SHOULD BE ACCOMPANIED BY A PLOT PLAN. FILE THIS FORM WITH THE LOCAL AGENCY IMPLEMENTING THE UNDERGROUND STORAGE TANK REGULATK)HS FORMS (6-95) FIRE ABTM A%W* FIRE CHIEF RON FRAZE ADMINISTRATIVE SERVICES 2101 'H' Street Bakersfield, CA 93301 VOICE (805) 326 -3941 FAX (805) 395 -1349 SUPPRESSION SERVICES 2101 'H' Street Bakersfield, CA 93301 VOICE (805) 326 -3941 FAX (805) 395 -1349 PREVENTION SERVICES 1715 Chester Ave. Bakersfield, CA 93301 VOICE (805) 326 -3951 FAX (805) 326 -0576 ENVIRONMENTAL SERVICES 1715 Chester Ave. Bakersfield, CA 93301 VOICE (805) 326 -3979 FAX (805) 326-0576 TRAINING DIVISION 5642 Victor Ave. Bakersfield, CA 93308 VOICE (805) 399.4697 FAX (805) 399 -5763 r February 9, 1999 Texaco Service Station 4050 Gosford Road Bakersfield, CA 93313 RE: Compliance Inspection Dear Underground Storage Tank Owner: The city will start compliance inspections on all fueling stations within the city limits. This inspection will include business plans, underground storage tanks and monitoring systems, and hazardous materials inspection. To assist you in preparing for this inspection, this office is enclosing a checklist for your convenience. Please take time to read this list, and verify that your facility has met all the necessary requirements to be in compliance. Should you have any questions, please feel free to contact me at 805- 326 -3979. SBU /dm enclosure Sincer y, Steve Underwood Underground Storage Tank Inspector Office of Environmental Services v/ i w _d CITY OF BAKE1L. -FIELD OFFICE OF ENVIRONMENTAL SERVICES 1715 Chester Ave., Bakersfield, CA (805) 326 -3979 Facility Owner Addnm Address 0 City. Zip - City, Zrp Phone No. Parmit STRUCTIONS: Piqua call for an itrsprxsor only when arch group ofas1 11, ns with the same muober asLady. They will nm is eoereoutmorderbegmrting with ssnmsbrt1. DO NOT cover work for anyoundwed rasp uaWAll hetas in due group we =pW offbythe Permitting Audwr* Bolbowing dmw kswwd es mil! te* the nu mbrat mgwed in:pomon visits and tboWmWorms wommuant ofaddhiooal fees. Backfin ofTaws) Spark Test C,etti6aRion or llaorutacoues M.atbW Cathodic Protection ofTank(s) PIPING SYSTEM Piping & Raceway wlCollesxioo Sump Cvrrraun iiotentiep ofPipius Joirm. Fill Pipe Electrical isolation of Piping From Tank(s) Cathodic Protection System - Piping o . D spcnstr Put II i SECONDARY CONTAIN1fE. \T. OVERFML PROs. MON. LEAK DETECnON Liner Irmallatioe - Tw*4sD v - Piping -I Vault With Product CorMwible Seslar Level Gauges or Sesuom Floss Vest Valves Product Compatible Fill Box(es) Product Line Leak Deteetons) 1 Leak Deteator(s) for Annual Space-D.W. Tank(s) Monitoring Well(sySumpts) - H2O Test Leak Detection Devi*s) for Vadosu'Groundwater Spill Prevention Boxes Monitoring Walls. Caps A Locks Fill Box Lack Monitoring Requirerrtenu Type ONTRACTOR — _._... _, LICENSE 0 l.SNTACT .,_ _ . _,,. _ PHONE 0 CITY OF BAKERSrIELD OFFICE OF ENVIRONMENTAL SERVICES Iff 1715 Chester Ave., Bakersfield, CA (805) 326 -3979 POST CARD AT JOB SITE Facility Owtror address 0 Addraa City. Zip City. Zip t Phone No. - Permit IINSTRUCTIONS: Please call for an inspector only when each group of i mmmons withthe same number are ready. They will run m conseartiw alder being with mmaw, 1. DO NOT cover work for any wAnbe ed group until aU items in tsar group ate signed off by the PermittingAudwrity. Followingthese i A&wtkm wiU reduce themmtbw of required inspection visits and thereforeprevent assommem ofadditional fees. BwkrU ofTw k(s) Spark Test CutiScrWon or Mamrfacttm Method Cathodic Protection ofTmk(s) Monitoring Wells. Caps & Locks Fill Box Lock Monitoring Require uem Type ONTRACTOR ONTACT PHONE #_ Piping & Raceway *Collection Sump Corrosion Protection of Piping, Joints. Fill Pipe Electrical Isolation ofPiping From Tank(s) Cathodic Protection System - Piping Dispenser Pan SECONDARY CONTAIN.ME \T. OVERFML PROTECTION. LEAK DETECTION Liner Installation - Tank(s) L MIMOMM - Piping XA S ll 084ga4gny l Vault With Product Compatible Sealer Level Gauges orSatsom Float Vert Valves Product Compatible Fill Box(es) Product Line Leak Detector(s) Laak Detemor(s) for Annual Space-D.W. Tank(s) Monitoring Well(sySump(s) - H2O Test Leak Detection Device(s) for Valos&Ca urtdw&W Spill Prevention Boxes Monitoring Wells. Caps & Locks Fill Box Lock Monitoring Require uem Type ONTRACTOR ONTACT PHONE #_ rmit No. a CITY OF BAKERSFIELD OFFICE OF ENVIRONMENTAL. SERVICES Zff 1715 Chester Ave., Bakersfield, CA (805) 326 -3979 PERMIT APPLICATION TO CONSTRUCT/MODIFY UNDERGROUND STORAGE TANK TYPE OF APPLICATION (CHECK) NEW FACILITY PQMODIFTCATION OF FACILITY STARTING DATE 4 FACILITY NAME_1 FACILITY ADDRES; TYPE OF BUSINESS TANK OWNER -& PHONE NO, WORKMAN COMP S 7 NEW TANK INSTALLATION AT EXISTING FACILITY PROPOSED COMPLETION DATE EXISTING FACILITY PERMIT NO. CITY ZIP CODE AFN it NO. WATER TO FACILITY PROVIDED BY DEPTH TO GROUND WATER SOIL TYPE EXPECTED AT STIR NO. OF TANKS TO BE INSTALLED ARE THEY FOR MOTOR FUEL YES NO SPILL PREVENTION CONTROL AND COUNTER MEASURES PLAN ON FILE YES NO TANK NO. VOLUME TANK NO. VOLUME SECTION FOR MOTOR FUEL UNLEADED REGULAR PREMIUM SECTION FOR NON MOTOR FUEL STORAGE TANKS DIESEL AVIATION CHEMICAL STORED CAS NO. CHEMICAL PREVIOUSLY STORED NO BRAND NAME) (IF KNOWN) FOR OFFICIAL USE ONLY APPLICATION DATE 7 / A LITYNO (oZO Nd 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 TRU ORRECT. vQ Gacmg APPLICANT (PRINT) LIC GNA THIS APPLICATION BECOMES A PERMIT WHEN AP ROVED 7 n3r.o Refining 10 Unver3al C;ty ?!a=s and 1War.tating Inc Univar,al C'ty CA 916rS September 9, 1998 SEF 14 1998 Attached for your review is a copy of Annual Certification for the subject Texaco location. Please call me at (818) 505 -2724 if you require additional information. Thank you, 7- Feryal Saraffian SH &E Coordinator ENVIRONMENTAL COMPLIANCE CONTRACTOR P.O. BOX 191 CANOGA PARK, CA 91305 818 - 702 -6470 / 818 - 702 -6484 FAX SUBJECT: Annual Electronic /Mechanical Monitoring System Inspection and Meter Calibration DATE: 8/26/98 S /S #: 61058000799 Dear Sir, LOCATION: 4050 Gosfo.rd Rd. Bakersfield, Ca. This is to certify that the annual inspection of the existing Monitoring System was performed at the above referenced facility. The method used to test the electronic and mechanical monitoring systems is approved by and exceeds the specifications according to the manufacturer. R. J. Myers & Sons, Inc. has been contracted by EQUILON ENTERPRISES LLC to insure that their facilities comply with all the rules and regulations that govern the operation of underground storage tanks and product lines. If you have any questions, please call. Sincerely, R. J. MYERS & CO., INC. Ronald J. Myers, II President RJM /rf CONT. LIC. #330631 (B -C61) SERVING THE PETROLEUM INDUSTRY SINCE 1967 Monitor Certification Inspection This letter certifies that the monitor is in place, the probes are in the correct position and the operation of the system. FACILITY #: 61058000799 DEALER: Jane ADDRESS: 4050 Gosford Rd. Bakersfield, Ca. TYPE AND MODEL OF MONITOR: SYSTEM FUNCTION DATE: 8/26/98 Veeder Root TLS 350 TANKS PASS X FAIL N/A USED OIL PASS FAIL N/A IN LINE PASS X FAIL N/A SUMPS MONITOR PASS X FAIL N/A PRODUCT LINES FILL SUMPS PASS FAIL N/A WHEN MONITOR IS TURNED OFF OR IN ALARM DOES THE TURBINE SHUT OFF? YES X NO IS THE CONSOLE LABELED CORRECTLY? YES X NO COMMENTS: INSPECTED BY: R. J. MYERS & CO., INC. TECHNICIAN: Jack Barry SIGNATURE: Vd. b -1--1 / X X DATE OF SERVICE: R. J. MYERS & CO., INC. ENVIRONMENTAL COMPLIANCE CONTRACTOR P. 0. BOX 191 CANOGA PARK, CALIFORNIA 91305 818- 702 -6470 / 818 -702 -6484 FAX 8/26/98 S. S. #: 61058000799 W. O. #: TECHNICIAN: Jack Barry SERVICE REQUESTED BY: Fred BILL TO: Equilon Enterprises LLC 3663 Gibson Street Bakersfield, CA 93308 SERVICE REQUESTED - Annual Certification DESCRIPTION OF WORK: Inspected and tested all leak senors and probes for proper operation. MODEL #: Veeder Root TLS 350 SYSTEM CERTIFIED E NO SERIAL #: SYSTEM PSD FSD N/A NO PROBE I.D. #: In Tank Setup T1 Diesel T2 Pius T3 Premium T4 Unlead Liquid Sensor Setup L1 Diesel Turbine Sump L2 Plus Turbine Sump L3 Premium Turbine Sump L4 Unlead Turbine Sump L5 Diesel Annular L6 Plus Annular L7 Premium Annular L8 Unlead Annular PLLD Line Setup 01 Diesel 02 Plus 03 Premium 04 Unlead 7074439630 5001 WASTE OIL SYSTEM SEALED YES N/A NO YE NO uORPRUTH M. c J . 4 &G 6O -.9 c/T,G. ENVIRONMENTAL COMPLIANCE CONTRACTOR P. 0. BOX 191 CANOGA PARK, CA 91305 818- 702 -6470 / 818 - 702 -6484 FAX Texaco R & M S/S #: 61058000799 Location: 4050 Gosford Rd. Bakersfield, Ca. Tank & Dispenser Equipment Survey Monitoring System: Make: Veeder Root Model: TLS 350 Probe Model: Make Model: Probe Model: Make: Model: Probe Model Communication Compatibility: X Yes No Mechanical Leak Detectors: Red Jacket Tokheim Vaporless Other PLLD Dispenser: Make: Gilbarco Model #: 010001 -01 Impact Valve Anchors: X Yes No Dispenser Sumps: Yes X No Mfg. N/A Dispenser Console: Make: Micro Max Model: 3000 4" Double Wall Turbines: Red Jacket X Single Wall X Liner Tokheim FE Petro Mfg Other Tank & Dispenser Equipment - Continued Make: Pomeco Model #: 1 1 1 -1 Volume: 5 Gal Waste Oil: YES NO) NA Turbine Sumps ES NO No. Size: 36" In. Mfg. Pomeco Fill Sumps: YES NO No. Tank Size: Tank Mfg.: Unk. Prem. 10.000 Plus 10.000 Unlead 12.000 Diesel 10.000 Waste Oil S/W S/W S/W S/W S/W D/W X D/W X D/W X D/W X D/W Fiber X _ Fiber X Fiber X Fiber X Fiber Steel Steel Steel Steel Steel Future Conduits: X Yes R NOTE: Old Pomeco over fill boxes are not CARB approved. Unlead Premium Pius 1611 16" 16" Center of dry break To center of fill STATION EQUIPMENT SURVEY S.S. #: 61058000799 Tanks /Lines product: Tank 1 Diesel Tank 2 Plus Tank 3 Premium Tank 4 Unlead Tank 5 turbine sump: e /no rss/ no V/ no no yes / no fill sump: es/no a no es no no yes / no sump cover lid: yes / no yes / no yes / no yes yes / no remote fill: yes /t yes / no yes / no yes / no yes / no V/R type': dua / ual/ uai/ ual/ dual coaxia coaxial coaxial coaxial coaxial tank bottom protector: es; no es;/ no no S/ no yes / no overspill box: esY no es, no C,/ no yes no yes / no capacity (gal.): 5 Gal 5 Gal 5 Gal 5 Gal flapper valve: es >/ no o/ no yes no es. no yes / no manufacturer: OPW OPW OPW OPW turbine manufacturer: Red Jacket Red Jacket Red Jacket Red Jacket mechanical leak detector manufacturer: PLLD PLLD PLLD PLLD PV valve ": yes es no GY no ye / no yes / no VR Return Lines Line i Line Line 3 Line 4 Lina_5 system type: assist /( assist/ assist/ assist/ assist/ balance balance balance balance balance vapor pot: yes / no yes A@Do yes / nod yes yes / no Observation Wells number of wells outside backfill: 0 number of wells Inside backfill: 0 underground water proximity: Unk stage I vapor recovery system presure relief valve on top of vent pipe TEXACO - EMERGENCY PUMP AND DISPENSER SHUT OFF CHECKLIST FACILITY #: ADDRESS: f97911199 STOP SWITCH LOCATION OUTSIDE WALL S/S 61058000799 4050 Gosford Rd. Bakersfield, Ca. 8/26/98 SHUTS DOWN TURBINE DISPENSER Y /N) (Y /N) Y . Y INSIDE STORE Y OTHER CONTRACTOR - R. J. MYERS & CO., INC. COMMENTS: Y SIGNATURE: (,,, COMMENTS/ REPAIRS None None DROP TUBE CHECK SHEET INSTRUCTIONS S. S. # 61058000799 1.) Remove tight fill cap, look down tube, and check for following: a.) Loose or damaged deflector. No b.) Flapper hanging out past deflector. No 2.) Pull out drop tube and check for the following: For OPW 61 -SO: a.) Float pivots freely and resets at approx. 30 degree angle from vertical when at rest. Float does not hang up in any position. Yes b.) Deflector rivets are intact. Rivets must be stainless steel as supplied. Yes c.) Three (3) screws are properly installed and aluminum tube and screw heads are not damaged nor cracked. Yes d.) ' Look down drop tube while float is pivoted to see if flapper moves into tube properly and resets behind deflector. kes For EMCO Wheaton: a.) Deflector rivets are intact. b.) Three (3) screws are properly installed and aluminum tube around screw heads are not damaged nor cracked. c.) Aluminum sheathing around mechanism is not dented. d.) Space behind deflector plate is free of wood chips, debris, etc. FOR STRAIGHT DROP TUBES (CHECK ONE) 1.) 4" STRAIGHT DROP TUBE 2.) 4" STRAIGHT COAXIAL DROP TUBE 3.) 3" STRAIGHT DROP TUBE 4.) 3" STRAIGHT COAXIAL DROP TUBE R. J. MYERS & CO, INC. P. O. BOX 191 CANOGA PARK, CA 91305 818 -702 -6470 / 818 - 702 -6484 FAX Address: 4050 Gosford Rd.., Bakersfield, Ca. Annual Environmental Facility Inspection Inspector:Jack Barry Date:8 -26 -98 Fac# 61058000799 I Disoenser /P mo Leak No Leak Reoaire Y/N 1111 Leak Detectors Leak INo Leak Renaired Y/N Piping Housing X N/A Check Valve Test X N/A Hoses Sealed X N/A Nozzles Proper Clearance to Lid X N/A Fittings IV Observation X Monitoring Well N/A Impact Valve Operational (Y /N) Caps Secured & Locked (Y /N) Y N/A Fitter Warning Signs (Y /N) Box Covers Fit Properly Y N/A Pulsar Seals V Visual Premises Y Check Y II Tanks Electronic Tank Monitors Operational (Y /N) Y Fills Tagged Properly Emergency Pump Shut Off Y Switch Operational (Y /N) Y Fill Boxes Free of Dirt, Debris, Check for Evidence of Spills: Water, (Y /N) Y NONE Fill Box Drain Valve Operational Low Spots Around Facility if Present) (Y/N) Y Property NONE Vapor Recovery Fittings Landscaped Area X FAIR Submerged Pumps Nearby Ditches, Creeks, Etc. X NONE Turbine Relays (Y /N) VI Miscellaneous Operational) Y Length fill Drop Tubes DIESEL PREMIUM PLUS UNLEAD Fill /Vapor Caps Functional 150 149.5 148.5 148 Y /N) Y Tank Bottom to Top of Fill Riser Fill /Vapor Cap Gaskets 153.5 152.5 151.5 151 Present /Functional (Y /N) Y Top of 45 Degree Taper <6 Fill adaptor Gaskets Present / Inches from Tank Bottom Y Y Y Y Functional (Y /N) Y Overfill Valves Operational Pump Controller Box Sealed Y Y Y Y Y /N) Y Drop Tubes Labeled (Y /N) Remote Single Wall Fills (Y /N) with engraving tool) Y Y Y Y N No 8: Com men ts:Installed (4) drop tubes and (4) bottom pertectors and (4) fill adaptor gaskets and (4) drop tube Orings and (1) 3" to 2" bell and (1) 2" x 2" nipple and (1) pressure vent valve and (3) fill caps and (2) dry break caps and (3) pack's super weld. Replaced (2) Pomeco drain values and (1) dry break housing and (26) bolt's and washers 1/4" x 1 ". Replaced (4) nozzles. INSPECTOR'S SIGNATURE: _ ` Equilon Enterprises Supplied Parts List Station M 61058000799 Address: 4050 Gosford Rd. City /State: Bakersfield, Ca. The following parts were installed. at the above location from Texaco supplied stock. Tank Applications: Quantity Type 1.) Drop Tubes 4 OPW 2.) Dry Breaks 1 OPW 3.) Fill Caps 3 OPW 4.) Vapor Caps 2 OPW 5.) Fill Adaptor Gaskets 4 Rubber 6.) Drop Tube Gaskets 4 Rubber 7.) Pressure Vent Valves 1 OPW 2253 8.) Fill Adaptor NONE N/A 9.) Tank Bottom Protectors 4 Pomeco 10.) Diesel Vent Cap 1 Unk. Dispenser Applications: Quantity Type 1.) Hoses NONE N/A 2.) Nozzles 4 OPW 11M -27 3.) Whip Hoses NONE N/A 4.) Break Aways NONE N/A 5.) Filters NONE N/A 6.) Flow Limitor NONE N/A 7.) Supplied By R. J. Myers Quanitity Amount 1.) Superweld 3 36.00 2.) Silicone NONE N/A 3.) Bolts/Washers 26 26.00 4.) Pipe /Fittings 2 31.40 Total: 93.40 Permit No. 4. D , CITY OF BAKERSFIELD OFFICE OF ENVIRONMENTAL SERVICES 1715 Chester Ave., Bakersfield, CA (805) 326 -3979 PERMIT APPLICATION TO CONSTRUCT/MODIFY UNDERGROUND STORAGE TANK TYPE OF APPLICATION (CHECK) NEW FACILITY MODIFICATION OF FACILITY [ JNEW TANK INSTALLATION AT EXISTING FACILITY STARTING DATE R — / — ? 7 PROPOSED COMPLETION DATE T- / 717 WATER TO FACILITY PROVIDED BY DEPTH TO GROUND WATER SOIL TYPE EXPECTED AT SITE NO. OF TANKS TO BE INSTALLED ARE THEY FOR MOTOR FUEL YES NO SPILL PREVENTION CONTROL AND COUNTER MEASURES PLAN ON FILE YES NO SECTION FOR MOTOR FUEL 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 TR AND 57,ORRECT. L Q APPLICANT (PRINT) LIC GNA THIS APPLICATION BECOMES A PERMIT WHEN AP ROVED\ 7 1 • 1 ' L'SL ice s' i1 ' , L 1' • rr' low '•; i_ L %q i r •; L wl• •r 'llTili 1 • . LL U 1 1 glamlipW" WATER TO FACILITY PROVIDED BY DEPTH TO GROUND WATER SOIL TYPE EXPECTED AT SITE NO. OF TANKS TO BE INSTALLED ARE THEY FOR MOTOR FUEL YES NO SPILL PREVENTION CONTROL AND COUNTER MEASURES PLAN ON FILE YES NO SECTION FOR MOTOR FUEL 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 TR AND 57,ORRECT. L Q APPLICANT (PRINT) LIC GNA THIS APPLICATION BECOMES A PERMIT WHEN AP ROVED\ 7 r B A K E R S / 0 F I E L D FIRE DEPARTMENT February 13, 1998 RRE CHIEF MK:HAELR.KELLY Texaco Service Station 4050 Gosford Road ADWNISTRATIVESERVICES Bakersfield, CA 933092101WSheet Bakersfield, CA 93301 805) 326-3941 FAX (805) 395 -1349 SUPPRESSION SERVICES RE: "Hold Open Devices" on Fuel Dispensers 2101 W Sheet Bakersfield, CA 93301 8135) 326-3941 Dear Underground Storage Tank Owner: FAX (805) 395.1349 PREVENTION SERVIES The Bakersfield City Fire Department will commence with our annual 1715 Chester Ave. Underground Storage Tank Inspection Program within the next 2 weeks. Bakersfield, CA 93301 805) 326-3951 FAX(805)326-0576 The Bakersfield City Fire Department recently changed its City Ordinance concerning "hold open devices" on fuel dispensers. The Bakersfield City FireENVIRONMENTA«RVIC S 1715 Chester Ave. Department now requires that "hold open devices" be installed on all fuel Bakersfield, 01 dispensers. The new ordinance conforms to the State of California guidelines. geos) 326-397905)3 6. 3979 P FAX (805) 326-0576 The Bakersfield Fire Department apologies for any inconvenience this NING566422 VictorrSStreeeetJ 5 may cause you. Bakersfield, CA 93308 805) 399 -4697 FAX(805)399 -5763 Should you have any questions, please feel free to contact me at 326 -3979. Sincerely, Steve Underwood Underground Storage Tank Inspector cc: Ralph Huey SERVICE STATION CONSTRUCTION Q PETRO TITE TANK & LINE TESTING 0nn,n, P.O. BOX 191 CANOGA PARK, CA 91305 2 213 -875 -0830 f 818- 993 -9575 199> 818 - 993 -9577 FAX SUBJECT: Annual Electronic /Mechanical Monitoring System Inspection and Meter Calibration DATE: 1/20/97 LOCATION: 4050 Gosford S /S #: 61058000799 Bakersfield, CA Dear Sir, This is to certify that the annual inspection of the existing Monitoring System was performed at the above referenced facility. The method used to test the electronic and mechanical monitoring systems is approved by and exceeds the specifications according to the manufacturer. R. J. Myers & Sons, Inc. has been contracted by TEXACO R & M to insure that their facilities comply with all the rules and regulations that govern the operation of underground storage tanks and product lines. If you have any questions, please call. Sincerely, J. MYERS & SONS,, INC. Ronald J. Myers, II President RJM /rf CONT. LIC. #330631 (B -C61) SERVING THE PETROLEUM INDUSTRY SINCE 1967 Monitor Certification Inspection This letter certifies that the monitor Is In place, the probes are in the correct position and the operation of the system. FACILITY #: DEALER: ADDRESS: 61058000799 Texaco 4050 Gosford Bakersfield, CA TYPE AND MODEL OF MONITOR: SYSTEM FUNCTION TANKS PASS X USED OIL PASS N/A IN LINE PASS X SUMPS MONITOR PASS X PRODUCT LINES FILL SUMPS PASS N/A DATE: Red Jacket PPM 9000 FAIL N/A FAIL N/A FAIL N/A FAIL NIA FAIL N/A WHEN MONITOR IS TURNED OFF OR IN ALARM DOES THE TURBINE SHUT OFF? YES X NO IS THE CONSOLE LABELED CORRECTLY? YES_ NO COMMENTS: Gilbarco Dispenser (2) AL8Z1 OC 2) ALIZ10C INSPECTED BY: R. J. MYERS & SONS, INC. TECHNICIAN: DAN D;AGO _TINO SIGNATURE: t ;"v. - ! 1/20/97 R. J. MYERS & SONS, INC. SERVICE STATION CONSTRUCTION PETRO TrrE TANK & LINE TESTING P. O. BOX 191 CANOGA PARK, CALIFORNIA 91305 818 -993 -9575 / 818 -993 -9576 213 -875 -0830 / 818- 993 -9577 FAX DATE OF SERVICE: 1/20/97 S. S. #: 61058000799 W. O. #: 1124775 -000 TECHNICIAN Dan D'Agostino SERVICE REQUESTED BY: Fred Long BILL TO: Texaco R & M 1900 E. Los Angeles Ave. Simi Valley, CA SERVICE REQUESTED - Annual electronic monitor inspection and certification. DESCRIPTION OF WORK: Inspected and tested all leak probes for proper operation. MODEL #: Red Jacket FILM 9000 SYSTEM CERTIFIED NO SERIAL #: SYSTEM PSD YE N/A NO PROBE I.D. #: 1 Diesel Annular 2 Plus Annular 3 Super Annular 4 Unleaded Annular 5 Diesel Sump 6 Plus Sump 7 Super Sump 8 Unleaded Sump SYSTEM RUNNING YE NO WASTE OIL SYSTEM SEALED YES N/ NO YES NO J LEAK DETECTORS TEST CHART LOCATION SERVICE COMPANY Texaco R & M R. J. MYERS & SONS, INC. S/S 61058000799 P. 0. BOX 191 4050 Gosford CANOGA PARK, CA 91305 Bakersfield, CA TECHNICIAN PERFORMING TEST: Dan D'Agostino TECH #: i DATE: 1 /;)f)/q7 TYPE OF LEAK DETECTORS TESTED (CHECK APPROPIRATE MFG [S]) RED JACKET: TOKHEIM: VAPORLESS: FE PETRO: OTHER: SERIAL # GRADE RESILIENCY (ML) OPENING TIME (SEC) TEST LEAK RATE ML /MIN FUNCTIONAL ELEMENT HOLDING PSI METERING PSI PASS OR FAIL NOTE: N/A Red Jacket Line Pressure TEST INFORMATION 2 3 w Super Plus Unleaded Diesel PASS PASS PASS PASS r'