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HomeMy WebLinkAboutNOT OF VIOL. 8/2/2012Y Cal - Valley Equipment 3500 Gilmore Avenue Bakersfield, CA 93308 661) 327 -9341 (661) 888 - 327 -9341 FAX: (661) 325 -2529 Cont. Lic. #921733 A HAZ 08/02/12 RE: Notice of violation for Bakersfield City Corporation Yard, 4101 Truxtun Avenue dated 06/13/12 The following items were addressed and resolved by Jerry Rangel of Cal - Valley Equipment: Item 2, Failure to perform annual spill containment testing: The annual spill containment testing was performed along with the monitor certification dated 12/18/09. On 08/02/12 a copy of this report was placed in the UST binder on -site. CVE ticket #84287. Item 4, Failure to maintain Designated UST Operator monthly reports: On 08/02/12 copies ofthe Designated UST Operator reports for 05/2011, 06/2011, 07/2011, and 08/2011 were placed in the UST binder on -site. CVE ticket #84287. Item 5, Failure to maintain Designated UST Operator monthly reports: On 08/02/12 a copy of the Designated UST Operator report for 11/2011 was placed in the UST binder on -site. CVE ticket #84287. Item 6, Failure to perform secondary containment testing: The secondary containment test was performed on 12/15/11. On 08/02/12 a copy of the test results from 12/15/11 was placed in the UST binder on -site. CVE ticket #84287 Item 7, Failure to maintain monitoring plan on -site: On 08/01/12 the monitoring plan was filled out and placed in the UST binder on -site. CVE ticket # 84627 Item 8, Failure to maintain response plan on -site: On 08/01/12 the response plan was filled out and placed in the UST binder on -site. CVE ticket #84627 Item 9, Failure to maintain site plan on -site: On 08/01/12 the site plan was filled out and placed in the UST binder on -site. CVE ticket 84627 Item 10, Failure for the Designated Operator to provide employee training: The facility training was conducted on 06/20/12. On 08/02/12 a copy of the Designated Operator Facility Employee Training Record dated 06/20/12 was placed in the UST binder on -site. CVE ticket # 84287. Cal - Valley Equipment 3500 Gilmore Avenue Bakersfield, CA 93308 661) 327 -9341 (661) 888 - 327 -9341 FAX: (661) 325 -2529 Cont. Lic. #921733 A HAZ Item 12, Failure to maintain spill containment requirements: All spill containers were inspected and cleaned on 08/01/12. CVE ticket # 84627 Item 13, Failure to monitor product piping On 08/01/12 the test boots were pulled back from the secondary piping on all of the lines under all four dispensers to allow the detection of a leak at the earliest opportunity. The regular unleaded and diesel STP sump sensors were properly located at the lowest point to ensure the earliest possible opportunity for leak detection. CVE ticket # 84627. Photos ofthe test boots have been included with this letter. Jerry Rangel California UST System Operator ID: 8160834 California UST Service Technician ID: 5309489 S i Date UPCF UST -D (12/2007) 1/4 UNIFIED PROGRAM CONSOLIDATED FORM UNDERGROUND STORAGE TANK MONITORING PLAN - (Page 1 of 2) TYPE OF ACTION I. NEW PLAN ® 2. CHANGE OF INFORMATION 490-1 PLAN TYPE ® I. MONITORING IS IDENTICAL FOR ALL USTs AT THIS FACILITY. 490 -2 Check one item only) 2. THIS PLAN COVERS ONLY THE FOLLOWING UST SYSTEM(S)- I. FACILITY INFORMATION FACILITY ID # (Agency Use Only) BUSINESS NAME (Same as FACILITY NAME) Bakersfield City Corp Yard 3. BUSINESS SITE ADDRESS 4101 Truxtun Avenue 103 CITY Bakersfield 104. U. EQUIPMENT TI+;STMCAN MVENTIVE MAINTENANCE Testing, preventive maintenance, and calibration of monitoring equipment (e.g., sensors, probes, line leak detectors, etc.) must be performed at the frequency specified by the equipment manufacturers' instructions, or annually, whichever is more frequent, and that such work must be performed by qualified personnel. 23 CCR 263-2, 2634, 2638.264- -- -- - - - -- -- ------------ - - - - -- ---------------------- - - - - -- -- --- --- - -- MONITORING EQUIPMENT IS SERVICED ® I. ANNUALLY 99.OTHER (Specify): 490 -3a 490 -3b M. MONITORING LOCATIONS - 1. NEW SITE PLOT PLAN /MAP SUBMITTED WITH THIS PLAN. Lj 2. SITE PLOT PLAN/MAP PREVIOUSLY SUBMITTED. (23 CCR §2632, 2634 )490.4 V. TANK MONITORING- rt9,PERFOAMED USING THE FOLLOWING METHOD(S): ' ° 1. CONTINUOUS ELECTRONIC TANK MONITORING OF ANNULAR (INTERSTITIAL) SPACE(S) OR SECONDARY CONTAINMENT 490.5 VAULT(S) WITH AUDIBLE AND VISUAL ALARMS. (23 CCR §2632,2634) SECONDARY CONTAINMENT IS: ® a. DRY b. LIQUID FILLED c. PRESSURIZED d. UNDER VACUUM 490 -6 PANEL MANUFACTURER: Veeder Root 490-7. MODEL #: TLS -350 490-8 LEAK SENSOR MANUFACTURER: Veeder Root 490-9. MODEL #(S): 847390409 490-10 2. AUTOMATIC TANK GAUGING (ATG) SYSTEM USED TO MONITOR SINGLE WALL TANK(S). (23 CCR §2643) 400-11 PANEL MANUFACTURER: 490.12. MODEL #: 490 -13 fN --TANK --PROBE - -M--ANUFACTURER: 490-14. MODEL #(S): 490 -15 LEAK TEST FREQUENCY: a. CONTINUOUS b. DAILY/NIGHTLY c. WEEKLY 490-16 d. MONTHLY e. OTHER (Specify): 490 -17 PROGRAMMED TESTS: E3 a. 0.1 g. p. h. [:1 b. 0.2 g.p.h. c. OTHER (Specify): 490-18 490 -19 3. MONTHLY STATISTICAL INVENTORY RECONCILIATION (23 CCR §2646.1): 490 -20 4. WEEKLY MANUAL TANK GAUGING (MTG) (23 CCR §2645). TESTING PERIOD: El a. 36 HOURS El b. 60 HOURS 490 -21 490 -22 5. TANK INTEGRITY TESTING (23 CCR §2643.1): 490 -23 TEST FREQUENCY: a. ANNUALLY b. BIENNIALLY c. OTHER (Specify): 490 -24 490-25 El 99. OTHER (Specify): 490-26 a9o-z7 V. PIPE MONITORING IS PERFORMED USING THE FOLLOWING METHOD(S) (Check all that apply) 1. CONTINUOUS MONITORING OF PIPE/ PIPING SUMP(S) AND OTHER SECONDARY CONTAINMENT WITH AUDIBLE AND 490-28 VISUAL ALARMS. (23 CCR §2636) SECONDARY CONTAINMENT IS: ®a. DRY b. LIQUID FILLED c. PRESSURIZED d. UNDER VACUUM 490 -29 PANEL MANUFACTURER: Veeder Root - 490 -30 MODEL #: TLS -350 490-31 2 ----- LEAK SENSOR MANUFACTURER: Veeder Root 0-90 -3 MODEL #(S): 847390 -208 490-33 PIPING LEAK ALARM TRIGGERS AUTOMATIC PUMP (i.e., TURBINE) SHUTDOWN. a. YES ® b. NO 490-34 FAILURE/DISCONNECTION OF THE MONITORING SYSTEM TRIGGERS AUTOMATIC PUMP SHUTDOWN. a. YES ® b. NO 490-35 2. MECHANICAL LINE LEAK DETECTOR (MLLD) THAT ROUTINELY PERFORMS 3.0 g.p.h. LEAK TESTS AND RESTRICTS OR SHUTS OFF PRODUCT FLOW WHEN A LEAK IS DETECTED 23 CCR 2636 490-36 MLLD MANUFACTURER(S): Red Jacket 490.37 MODEL #(S): RJFXIV, RJFXIDV 490 -38 3. ELECTRONIC LINE LEAK DETECTOR (ELLD) THAT ROUTINELY PERFORMS 3.0 g.p.h. LEAK TESTS (23 CCR §2636) 490 -39 ELLD MANUFACTURER(S) 490 4 °. MODEL #(S): 490 41 PROGRAMMED IN LINE LEAK TEST: 1. MINIMUM MONTHLY 0.2 g.p.h. 2. MINIMUM ANNUAL 0.1 g.p.h. 490-42 ELLD DETECTION OF A PIPING LEAK TRIGGERS AUTOMATIC PUMP SHUTDOWN. a. YES b. NO 49043 ELLD FAILURE /DISCONNECTION TRIGGERS AUTOMATIC PUMP SHUTDOWN. a. YES b. NO 49044 4. PIPE INTEGRITY TESTING 49045 TEST FRE UENCY ® a. ANNUALLY b. EVERY 3 YEARS c. OTHER (Specify) 490-46490-47 5. VISUAL PIPE MONITORING. 49048 FREQUENCY a. DAILY ® b. WEEKLY C. MIN. MONTHLY & EACH TIME SYSTEM OPERATED* 490-49 Allowed for monitoring ofunburied emergency enerator fuel piping only er HSC §25281.5(b)(3 6. SUCTION PIPING MEETS EXEMPTION CRITERIA 123 CCR §2636(a)(3)1. 490-50 7. NO REGULATED PIPING PER HEALTH AND SAFETY CODE, DIVISION 20, CHAPTER 6.7 IS CONNECTED TO THE TANK SYSTEM 490 -51 99. OTHER (Specify) 490-52 490 -53 UPCF UST -D (12/2007) 1/4 UST Monitoring Plan - Page I Instructions Complete a separate UST Monitoring Plan for each UST monitoring system at the facility. This form must be submitted with your initial UST Operating Permit Application and within 30 days of changes in the Information it contains. Please note that your local agency may require you to obtain approval prior to installing or modifying monitoring equipment. (Note: Numbering of these instructions follows the data element numbers on the form.) 490 -1. TYPE OF ACTION - Check the appropriate box to indicate why this plan is being submitted. 490 -2. PLAN TYPE - Check the appropriate box to indicate whether this plan covers all, or merely some, of the USTs at the facility. If the plan covers only some ofthe tanks, identify those tanks in the space provided [e.g., by using the Tank ID #(s) in item 432 of the UST Operating Permit Application - Tank Information Form(s)]. 1. FACILITY ID NUMBER - This space is for agency use only. 3. BUSINESS NAME - Enter the complete Facility Name. 103. BUSINESS SITE ADDRESS - Enter the street address where the facility is located, including building number, if applicable. Post office box numbers are not acceptable This information must provide a means to locate the facility geographically. 104. CITY - Enter the city or unincorporated area in which the facility is located. 490 -3a MONITORING EQUIPMENT IS SERVICED - Check the appropriate box to specify the frequency ofmonitoring equipment testing/certification. 490 -3b Specify Other frequency for monitoring equipment servicing. 490-4 SITE PLAN - Indicate ifa site plan/map is submitted with this monitoring plan or if it was submitted previously and is current for the facility. Monitoring plans must include a Site Plot Plan/Map showing the tank and piping layouts and the locations where monitoring is performed (i.e., location ofsensors, probes, line leak detectors, monitoring system control panel, etc.). 490 -5 IV -1 CONTINUOUS ELECTRONIC MONITORING - Indicate ifthis monitoring method is being used to monitor the tanks. 490-6 SECONDARY CONTAINMENT- If IV -I is checked, check the appropriate box to describe the environment inside the tank secondary containment. 490 -7 PANEL MANUFACTURER— If IV -1 is checked, enter the name ofthe manufacturer ofthe monitoring system control panel (console). 490 -8 MODEL # - If IV -I is checked, enter the model number for the monitoring system control panel. 490 -9 LEAK SENSOR MANUFACTURER- IfIV -1 is checked, enter the name of the manufacturer of the sensor(s). Ifadditional space is needed, use Section X. 490 -10 MODEL #(S) -- If IV -1 is checked, enter the model number for each type of sensor installed. If additional space is needed, use Section X. 490-11 IV -2 AUTOMATIC TANK GAUGING- Indicate ifthis method is used for monitoring the UST's. 490 -12 PANEL MANUFACTURER - If IV -2 is checked, enter the name ofthe manufacturer of the monitoring system control panel (console). 490 -13 MODEL # - If IV -2 is checked, enter the model number for the monitoring system control panel. 490 -14 IN -TANK PROBE MANUFACTURER - If IV -2 is checked, enter the name ofthe manufacturer of the probe(s). 490 -15 MODEL #(S) - IfIV -2 is checked, enter the model number for each type of in -tank probe installed. Ifadditional space is needed, use Section X. 490 -16. LEAK TEST FREQUENCY - If IV -2 is checked, check the appropriate box to describe the ir. -tank leak test frequency. 490 -17. SPECIFY - If 490 -16e is checked, enter the frequency of programmed leak tests. 490 -18. PROGRAMMED TESTS - If IV -2 is checked, check the appropriate box to describe the tests programmed into the ATG system. 490 -19. SPECIFY - If 490 -18c is checked, enter the frequency of in -tank leak testing. 490 -20. IV -3 INVENTORY RECONCILIATION -Check the box ifstatistical inventory reconciliation is performed. 490 -21. IV -4 WEEKLY MANUAL TANK GAUGING. Indicate ifthis method is used to monitor the tanks. 490 -22. TESTING PERIOD - If IV4 is checked, check the appropriate box to describe the MTG testing period. 490 -23. IV -5 TANK INTEGRITY TESTING: Indicate ifthis method is used to monitor the tanks. 490 -24. TEST FREQUENCY - If IV -5 is checked, check the appropriate box to describe the frequency of tank integrity testing. 490 -25. OTHER: If 490 -24c is checked, specify other test frequency. 490 -26. IV -99 OTHER: Indicate ifmonitoring of the tanks occurs that is not indicated in any other category. 490 -27. If IV -99 is checked, enter a brief description of the other tank monitoring method(s) used (e.g., vadose zone monitoring per 23 CCR §2647, groundwater monitoring per 23CCR §2648). Include the monitoring frequency (e.g., Continuous, Weekly). Ifadditional space is needed, use Section X. 490 -28. V -1 CONTINUOUS MONITORING OF PIPE /PIPING SUMP(S) AND OTHER SECONDARY CONTAINMENT WITH AUDIB LE AND VISUAL ALARMS: Indicate ifthis is the monitoring method used for the piping. 490 -29. SECONDARY CONTAINMENT: If V -I is checked, Check the appropriate box to describe the environment inside piping secondary containment. 490 -30. PANEL MANUFACTURER - If V -1 is checked, enter the name of the manufacturer of the monitoring system control panel (console). 490 -31. MODEL # - If V -1 is checked, enter the model number for the monitoring system control panel. 490 -32. LEAK SENSOR MANUFACTURER- IfV -I is checked, enter the name ofthe manufacturer ofthe sensor(s). 490 -33. MODEL #(S) - IfV -1 is checked, enter the model number for each type ofsensor installed. Ifadditional space is needed, use Section X. 490 -34. PIPING LEAK ALARM TRIGGERS AUTOMATIC PUMP SHUTDOWN - If V -I is checked, check Yes or No. 490 -35. FAILURE/DISCONNECTION OF THE MONITORING SYSTEM TRIGGERS AUTOMATIC PUMP SHUTDOWN - IfV -I is checked, check Yes or No. 490 -36. V -2 PIPE MECHANICAL LINE LEAK DETECTORS PERFORM 3 GPH LEAK TESTS: Indicate ifthis monitoring method is used to monitor the pipelines. 490 -37. MLLD MANUFACTURER(S) - If V -2 is checked, enter the name(s) of the manufacturer(s) of the mechanical line leak detector(s). If additional space is needed, use Section X. 490 -38. MODEL #(s) - If V -2 is checked, Enter the model number for each type of mechanical line leak detector installed. Ifadditional space is needed, use Section X. 490 -39. V -3 PIPE ELECTRONIC LUNE LEAK DETECTORS: Indicate ifthis monitoring method is used to monitor the pipelines. 490 -40. ELLD MANUFACTURER - If V -3 is checked, Enter the name of the manufacturer of the electronic line leak detector(s). 49041. MODEL #(S)n - If V -3 is checked, enter the model number for each type ofelectronic line leak detector installed. Ifadditional space is needed, use Section X. 49042. PROGRAMMED LUNE INTEGRITY TESTS -If V -3 is checked, check the appropriate box to describe the type of tests programmed into the monitoring system. 49043. ELLD DETECTION OF A PIPING LEAK ALARM TRIGGERS PUMP SHUTDOWN - If V -1 is checked, check Yes or No. 490 -44. ELLD DETECTION OF A PIPING LEAK FAILURE /DISCONNECTION TRIGGERS PUMP SHUTDOWN. - If V -1 is checked, check Yes or No. 490 -45. V-4 PIPE INTEGRITY TESTING - Indicate ifthis monitoring method is used to monitor the pipelines. 490 -46. TEST FREQUENCY - If V-4 is checked, check the appropriate box to describe the frequency ofpipe integrity testing. 49047. SPECIFY - If490 -46 -99 is checked, enter the frequency of pipe integrity testing. 490 -48. V -5 VISUAL PIPE MONITORING - Indicate ifthis monitoring method is used to monitor the pipelines. 490 -49. If V -5 is checked, check the appropriate box to describe the frequency of visual monitoring. 490 -50. SUCTION PIPING MEETS EXEMPTION CRITERIA - Indicate ifthis monitoring method is used to monitor the pipelines. 490 -51. NO REGULATED PIPING PER HEALTH AND SAFETY CODE, DIVISION 20, CHAPTER 6.7 IS CONNECTED TO THE TANK SYSTEM - Check this box if no piping in the tank system is regulated under the UST law, or there is no piping. 490 -52. V -99 OTHER - Indicate ifanother method is used for pipeline monitoring. 490 -53. SPECIFY - Enter a briefdescription of the other line monitoring method(s) used. Ifadditional space is needed, see Section X. Be sure to clearly describe monitoring method(s) and frequency This monitoring plan must include a Site Plan showing the general tank and piping layouts and the locations where monitoring is performed (i.e., location of each sensor, line leak detector, monitoring system control panel, etc.). If you already have a diagram (e.g., current UST Monitoring Site Plan from a Monitoring System Certification form, Hazardous Materials Business Plan map, etc.) that shows all required information, include it with this plan. UPCF UST -D (12/2007) 2/4 UPC F UST-D (12/2007) 3/4 UNIFIED PROGRAM CONSOLIDATED FORM UNDERGROUND STORAGE TANK MONITORING PLAN (Page 2 of 2) VI. UNDER DISPENSER CONTAINMENT (UDC) MONITORING I. UDC MONITORING IS PERFORMED USING THE FOLLOWING METHOD 490-54a 490-546 I. CONTINUOUS ELECTRONIC MONITORING 2. FLOAT AND CHAIN ASSEMBLY 0 3. ELECTRONIC STAND-ALONE 4. NO DISPENSERS 99. OTHER (Specify): PANEL MANUFACTURER: 90-" MODEL #: 490-56, LEAK SENSOR MANUFACTURER:Veeder Root 490-57 1 MODEL #(S): 330212-001 490-58 DETECTION OF A LEAK INTO THE UDC TRIGGERS AUDIBLE AND VISUAL ALARMS a. YES 0 b. NO 490-59 UDC LEAK ALARM TRIGGERS AUTOMATIC PUMP SHUTDOWN Z a. YES b. NO 490-60. FAILURE / DISCONNECTION OF UDC MONITORING SYSTEM TRIGGERS AUTOMATIC PUMP SHUTDOWN. ED a. YES b. NO 490-61 UDC MONITORING STOPS THE FLOW OF PRODUCT AT THE DISPENSER. ED a. YES b. NO 490-62 2. UDC CONSTRUCTION IS ®I. SINGLE- WALLED C-12.DOUBLE- WALLED 490-63 IF DOUBLE WALLED: aR-64a _ UDC INTERSTITIAL SPACE IS MONITORED BY: E1_l_._L_1QUID El 2. PRESSURE F1 3. VACUUM A LEAK WITHIN THE SECONDARY CONTAINMENT OF THE UDC TRIGGERS AUDIBLE AND VISUAL ALARMS [3a.YES E1b.NO 490-64b VII. PERIODIC SYSTEM TESTING 1. ELD TESTING: THIS FACILITY HAS BEEN NOTIFIED BY THE STATE WATER RESOURCES CONTROL BOARD THAT ENHANCED 490-65, LEAK DETECTION (ELD) MUST BE PERFORMED. PERIODIC ELD IS PERFORMED EVERY 36 MONTHS UCC2641.1) ---- 2. SECONDARY CONTAINMENT COMPONENTS ARE TESTED EVERY 36 MONTHS. 490-66 Z 3. SPILL BUCKETS ARE -TESTED -ANNUALLY. 490-67 VIII. RECORDKEEPING The following monitoring/maintenance records are kept for this facility: 0 Alarm logs 490-68a 0 Visual Inspection Records 490-68b Tank integrity testing results 490-68c SIR testing results (and supporting documentation records). 490-68d Tank gauging results (and supporting documentation records). 490-68e ATG Testing results (and supporting documentation records). 490-68f [:] Corrosion Protection 60-day logs 490-68g Equipment maintenance and calibration records. 490-68h IX TRAINING Personnel with UST monitoring responsibilities are familiar with all of the following documents relevant to theirjob duties. 490-69a REFERENCE DOCUMENTS MAINTAINED AT FACILITY (Check all that apply) 0 THIS UNDERGROUND STORAGE TANK MONITORING PLAN (Required) 490-696 Z OPERATING MANUALS FOR ELECTRONIC MONITORING EQUIPMENT (Required) 490-69c CALIFORNIA UNDERGROUND STORAGE TANK REGULATIONS 490-69d CALIFORNIA UNDERGROUND STORAGE TANK LAW 490-69e STATE WATER RESOURCES CONTROL BOARD (SWRCB) PUBLICATION: "HANDBOOK FOR TANK OWNERS - MANUAL AND STATISTICAL INVENTORY RECONCILIATION" 490-69f SWRCB PUBLICATION: "UNDERSTANDING AUTOMATIC TANK GAUGING SYSTEMS" 490-69g OTHER (Specify): M69h, M69i This facility has a "Designated LIST Operator" who has passed the California LIST System Operator Exam administered by the International Code Council (ICC). The "Designated LIST Operator" will train facility employees in the proper operation and maintenance of the UST systems annually, and within 30 days of hire. This training will include, but is not limited to, the following: Operation of the UST systems in a manner consistent with the facility's best management practices The facility employee's role with regard to the monitoring equipment as specified in this UST Monitoring Plan The facility employee's role with regard to spills and overfills as specified in the UST Response Plan Names of contact person(s) for emergencies and monitoring alarms. 490-70 X. COMMENTS/ADDITIONAL INFORMATION Provide additional comments here or indicate how many pages with additional information on specific monitoring procedures are attached to this plan. 49o-71 XI. PERSONNEL RESPONSIBILITIES The UST Owner/Operator is responsible for ensuring that: 1) the daily/routine UST monitoring activities and maintenance of LIST leak detection equipment covered by this plan occurs, 2) all conditions that indicate a possible release are investigated, and 3) all monitoring records are maintained properly. The followys persotn(s) are responsible for performing the monitoring and equipment maintenance: NAME .101- 490-72 TITLE h1",k*0V VI-r— T 490-73 NAME 490-74 TITLE —"%g "Ar— 1A )Al2 IZ.&C 490-75 The Designated Operator shall perform a mcfnthly visual inspection of the facility, provide a report to the owner /operator, and inform the owner/operator of any conditions that need follow-up action. XH. OWNER/OPERATOR SIGNATURE CERTIFIC)kTION: I ceni"at the information provided herein is true and accurate to the best of my knowledge. NATURE 490-76 Ti,Ow, DATE: 490-77 1. z 9—ArAr - 2 Fo6lity Owner/OigMtor 0 3. Authorized agp% f A PLICP AME (print)- 490-78 11 APPLICANT TITLE: 490-79 1 t O_Auk & " I via O/Z- UPC F UST-D (12/2007) 3/4 Agency Use Only) This plan has been reviewed and: Approved j] Approved With Conditions'' Local Agency $Ignat=: Date: Comments or Special Conditions; UST Monitoring Plan - Page 2 Instructions Complete a separate UST Monitoring Plan for each UST monitoring system at the facility. This form must be submitted with your initial UST Operating Permit Application and within 30 days of changes in the information it contains. Please note that your local agency may require you to obtain approval prior to installing or modifying monitoring equipment. (Note: Numbering of these instructions follows the data element numbers on the form.) 490 -54a. MONITORING OF THE UNDER DISPENSER CONTAINMENT- Indicate the method used for UDC monitoring. 490 -54b. SPECIFY-11`99 "Other" is checked, describe other method used. If VI -I -1, VI -1 -2 or VI -1 -3 or VI -I -99 is checked, complete 490 -55 to 490 -64b. 490 -55. PANEL MANUFACTURER -Enter the name of the manufacturer ofthe monitoring system control panel (console). Ifthere is no control panel (e.g., only an electrical relay box is installed) leave this space blank. 490 -56. MODEL # - Enter the model number for the monitoring system control panel (console). If there is no control panel (e.g., only an electrical relay box is installed) leave this space blank. 490 -57. LEAK SENSOR MANUFACTURER - Enter the name of the manufacturer of the sensor(s). 490 -58. MODEL #(S) - Enter the model number ofthe sensor(s) installed. Ifadditional space is needed, use Section X. 490 -59. DETECTION OF A LEAK INTO THE UDC TRIGGERS AUDIBLE AND VISUAL ALARMS. Indicate Yes or No 490 -60. UDC LEAK ALARM TRIGGERS PUMP SI IUTDOWN - Indicate Yes or No 490 -61. FAILURE/DISCONNECTION OF UDC MONITORING SYSTEM TRIGGERS AUTOMATIC PUMP SHUTDOWN - Indicate Yes or No 490 -62. UDC MONITORING STOPS TIIE FLOW OF PRODUCT AT THE DISPENSER - Indicate Yes or No. 490 -63. UDC CONSTRUCTION - Indicate ifthe construction ofthe UDC is single - walled, or double - walled. 490 -64a. DOUBLE - WALLED INTERSTITIAL SPACE MONITORING - Indicate what is used to monitor the interstitial space. 490 -64b. LEAK WITHIN THE SECONDARY CONTAIMENT OF UDC TRIGGERS AUDIBLE AND VISUAL ALARMS - Indicate Yes or No 490 -65. VII -I ELD TESTING - Check the box ifyou have been notified by the State Water Resources Control Board (SWRCB) that the UST(s) covered by this plan is /are subject to Enhanced Leak Detection Requirements (i.e., UST has any single -wall component and is located within 1,000 feet ofa public drinking water well). 490 -66. TESTING OF SECONDARY CONTAINMENT COMPONENTS EVERY 36 MONTHS - Check the box ifyou have secondary containment that requires testing. 490 -67. SPILL BUCKET TESTING - Check the box if you have spill buckets. 490- 68a -h. VIII RECORDKEEPING - Indicate which monitoring and equipment maintenance records are maintained for this facility. 490 -69a IX TRAINING STATEMENT - Check the box to verify that the statement is true. REFERENCE DOCUMENTS MAINTAINED AT FACILITY - Check the appropriate boxes to describe reference documents maintained at the facility. Note that the first two items on the list must be kept at the facility. 490 -69b. MONITORING PLAN: Indicate that this plan is kept as a reference document. 490 -69c. OPERATING MANUALS FOR ELECTRONIC EQUIPMENT: Indicate that this plan is kept as a reference document. 490 -69d. CA UST REGULATIONS - Indicate that this is kept as a reference document. 490 -69e. CA UST LAW - Indicate that this is kept as a reference document. 490 -69f. STATE WATER RESOURCES CONTROL BOARD (SWRCB) PUBLICATION - "HANDBOOK FOR TANK OWNERS - MANUAL AND STATISTICAL INVENTORY RECONCILIATION - Indicate that this is kept as a reference document. 490 -69g. SWRCB PUBLICATION: "UNDERSTANDING AUTOMATIC TANK GAUGING SYSTEMS ": Indicate that this is kept as a reference document. 490 -69h. OTHER - Indicate that other reference documents are kept. 490 -69i. SPECIFY -1f "OTHER" is checked, enter a briefdescription ofthe other document(s) maintained at the facility. If additional space is needed, see Section X. 490 -70. DESIGNATED OPERATOR TRAINING - Check this box to verify that this statement is true. 490 -71. COMMENTS /ADDITIONAL INFORMATION - Make additional comments or you may attach and identify the number of additional pages of information to describe any additional UST system monitoring - related information (e.g., additional information required by your local agency). Attach any monitoring logs that you will be using for the monitoring of your tank system. 490 -72. NAME - Enter the name of the person who routinely conducts the monitoring and equipment maintenance under this plan. 490 -73. TITLE- Enter the title of the person. 490 -74. NAME -Enterthe name of the second person, if applicable, who routinely conducts the monitoring and equipment maintenance under this plan. 490 -75. TITLE - Enter the title ofthe second person. OWNER/OPERATOR SIGNATURE - The tank owner /operator, facility owner /operator, or an authorized representative of the owner shall sign in the space provided. This signature certifies that the signer believes that all information submitted is true, accurate, and complete, and that the training program specified in Section IX has been implemented. 490 -76. REPRESENTING -- Check the appropriate box to indicate whether the signer is the UST owner /operator, the UST facility owner /operator, or an authorized representative ofthe owner. 490 -77. DATE -Enter the date the plan was signed. 490 -78. APPLICANT NAME -Print or type the name of the person signing the plan. 490 -79. APPLICANT TITLE - Enter the title of the person signing the plan. UPCF UST -D (12/2007) 4/4 UNDERGROUND STORAGE TANK RESPONSE PLAN - PAGE 1 (One form per facility) TYPE OF ACTION I. NEW PLAN ® 2. CHANGE OF INFORMATION R01. I. FACILITY INFORMATION FACILITY ID # (Agency Use Only) BUSINESS NAME (Same as FACILITY NAME) R02, Bakersfield City Corp Yard BUSINESS SITE ADDRESS R03. CITY R04. 4101 Truxtun Avenue Bakersfield Q II. SPILL CONTROL AND °CLEANUP METHODS This plan addresses unauthorized releases from UST systems and supplements the emergency response plans and procedures in the facility's Hazardous Materials Business Plan. If safe to do so, facility personnel will take immediate measures to control or stop any release (e.g., activate pump shut -off, etc.) and, if necessary, safely remove remaining hazardous material from the UST system. Any release to secondary containment will be pumped or otherwise removed within a time consistent with the ability of the secondary containment system to contain the hazardous material, but not greater than 30 calendar days, or sooner if required by the local agency. Recovered hazardous materials, unless still suitable for their intended use, will be managed as hazardous waste. Absorbent material will be used to contain and clean up manageable spills of hazardous materials. Absorbent material which has become too saturated to be effective or which is no longer intended for use will he managed as hazardous waste unless a waste determination in accordance with 22 CCR §66262.11 finds that it is non - hazardous. Used absorbent material, reusable or waste, will be stored in a properly labeled and sealed container. Waste material shall be disposed appropriately. Y Facility personnel will determine whether any water removed from secondary containment systems, or from clean -up activity, has been in contact with any hazardous material. If the water is contaminated, it will be managed as hazardous waste unless a waste determination in accordance with 22 CCR §66262.11 finds that it is non - hazardous. If the water has a petroleum sheen (i.e., rainbow colors), it is contaminated. A thick floating petroleum layer may not necessarily display rainbow colors. Water (hazardous or non - hazardous) from sumps, spill container•:, etc. will not be disposed to storm water systems. We will review secondary containment systems for possible deterioration if any of the following conditions occur: 1. Hazardous material in contact with secondary containment is not compatible with the material used for secondary containment; 2. Secondary containment is prone to damage from any equipment used to remove or clean up hazardous material collected in secondary containment; 3. Hazardous material, other than the product/waste stored in the primary containment system, is placed inside secondary containment to treat or neutralize released product/waste, and the added material or resulting material from such a combination is not compatible with secondary containment. III. SPILL CONTROL AND-CLEAN -UP EQUIPMENT PERIODIC MAINTENANCE: Spill control and clean-up equipment kept permanently on -site is listed in the facility's Hazardous Materials Business Plan. This equipment is inspected at least monthly, and after each use, supplies are replenished as needed. Defective equipment is repaired or replaced as necessary. EQUIPMENT NOT PERMANENTLY ON -SITE, BUT AVAILABLE FOR USE IF NEEDED: (Complete nly if applicable) EQUIPMENT LOCATION AVAILABILITY RIO. R20. R30. RI I. R21. R31. RI2. R22. R32. R13. R23. R33. R14. R24. R34. R15. R25. R35. IV. RESPONSIBLE PERSONS THE FOLLOWING PERSON(S) IS /ARE RESPONSIBLE FOR AUTHORIZING ANY WORK NECESSARY UNDER THIS RESPONSE PLAN: NAME / R40. TITLE R50, NAME R41. TITLE R5 1. o w NAME f R42. TITLE R52. NAME -3. TITLE R53. V. ' MONITORING INDICATORS IF MONITORMG INDICATES A POSSIBLE UNAUTHORIZED RELEASE, STEPS TO VERIFY THE RELEASE WILL BE MADE AS FOLLOWS: Additional system testing or data collection ® Inspection by qualified persons ® Recalibration ofequipment Other: R60. UST Response Plan (12/2010) - 113 UST Response Plan — Instructions Complete one UST Response Plan for each UST facility. This Application and within 30 days of changes in the information Procedures in the facility's Hazardous Materials Business Plan. (T the form.) form must be submitted with your initial UST Operating Permit it contains. It supplements the Emergency Response Plans and ate: Numbering ofthese instructions follows the data element numbers on RO1. TYPE OF ACTION — Check the appropriate box to indicate why this plan is being submitted. FACILITY ID NUMBER — This space is for agency use only. R02. BUSINESS NAME — Enter the complete Facility Name. R03. BUSINESS SITE ADDRESS — Enter the street address where the facility is located, including building number, if applicable. Post office box numbers are not acceptable. This information must provide a means to locate the facility geographically. R04. CITY — Enter the city or unincorporated area in which the facility is located. R10. EQUIPMENT — If you have spill control or clean -up equipment kept off -site, list that equipment in sections RIO through R15. If no equipment is kept off -site, leave this section blank. R20. LOCATION — Ifyou have spill control or clean -up equipment kept off -site, list the equipment location(s) sections R20 through R25. If no equipment is kept off -site, leave this section blank. R30. AVAILABILITY — If you have spill control or clean -up equipment kept off -site, list the equipment availability in sections R30 through R35. If no equipment is kept off -site, leave this section blank. R40. NAME — At least one person responsible for authorizing any work necessary under this UST Response Plan must be identified. Use sections R40 through R43 to list the name(s) of the responsible person(s). R50. TITLE — At least one person responsible for authorizing any work necessary under this UST Response Plan must be identified. Use sections R50 through R53 to list the job title(s) of the responsible person(s). R60. MONITORING INDICATORS Briefly describe the steps that will be taken to verify the presence or absence of a release if the tank monitoring system indicates the possibility of a release. OWNER/OPERATOR SIGNATURE — The owner /operator shall sign in the space provided. This signature certifies that the signer believes that all information submitted is true, accurate, and complete. R70. DATE — Enter the date the plan was signed. R71. OWNER/OPERATOR NAME — Print or type the name of the person signing the plan. R72. OWNER/OPERATOR TITLE — Enter the title of the person signing the plan. UST Response Plan (12/2010) - 2/3 UNDERGROUND STORAGE TANK RESPONSE PLAN - PAGE 2 VI. REPORTING AND RECORD KEEPING We will report/record any overfill, spill, or unauthorized release from a UST system as indicated in this plan. Recordable Releases: Any unauthorized release from primary containment which the UST operator is able to clean up within eight (8) hours after the release was detected or should reasonably have been detected, and which does not escape from secondary containment, does not increase the hazard of fire or explosion, and does not cause any deterioration ofsecondary containment, must be recorded in the facility's monitoring records. Monitoring records must include: The UST operator's name and telephone number: A list ofthe types, quantities, and concentrations of hazardous substances released; A description of the actions taken to control and clean up the release; The method and location of disposal of the released hazardous substances, and whether a hazardous waste manifest was or will be used; A description of actions taken to repair the UST and to prevent future releases; A description ofthe method used to reactivate interstitial monitoring after replacement or repair ofprimary containment. Reportable Releases: Any overfill, spill, or unauthorized release which escapes from secondary containment (or primary containment if no secondary containment exists), increases the hazard of fire or explosion, or causes any deterioration ofsecondary containment, is a reportable release. Reportable releases are also recordable. Within 24 hours after a reportable release has been detected, or should have been detected, we will notify the local agency administering the UST program of the release, investigate the release, and take immediate measures to stop the release. If necessary, or if required by the local agency, remaining stored product/waste will be removed from the UST to prevent further releases or facilitate corrective action. If an emergency exists, we will notify the California Emergency Management Agency at (800) 852 -7550. Within five (5) working days of a reportable release, we will submit to the local agency a full written report containing all of the following information to the extent that the information is known at the time of filing the report: The UST owner's or operator's name and telephone number; A list of the types, quantities, and concentrations of hazardous materials released; The approximate date of the release; The date on which the release was discovered; The date on which the release was stopped; A description of actions taken to control and/or stop the release; A description of corrective and remedial actions, including investigations which were undertaken and will be conducted to determine the nature and extent of soil, ground water or surface water contamination due to the release; The method(s) ofcleanup implemented to date, proposed cleanup actions, and a schedule for implementing the proposed actions; The method(s) and location(s) of disposal of released hazardous materials and any contaminated soils, groundwater, or surface water. Copies of any hazardous waste manifests used for off -site transport ofhazardous wastes associated with clean -up activity; A description of proposed methods for any repair or replacement of UST system primary/secondary containment systems; A description of additional actions taken to prevent future releases. We will follow the reporting procedures described above if any ofthe following conditions occur: A recordable unauthorized release can not be cleaned up or is still under investigation within eight (8) hours of detection; Released hazardous substances are discovered at the UST site or in the surrounding area; Unusual operating conditions are observed, including erratic behavior of product dispensing equipment, sudden loss of product, or the unexplained presence of water in the tank, unless system equipment is found to be defective and is immediately repaired or replaced, and no leak has occurred; Monitoring results from UST system monitoring equipment/methods indicate that a release may have occurred, unless the monitoring equipment is found to be defective and is immediately repaired, recalibrated, or replaced, and additional monitoring does not confirm the initial results. Record Retention: Monitoring records and written reports ofunauthorized releases must be maintained on -site (or off -site at a readily available location, ifapproved by the local agency) for at least 3 years. Hazardous waste shipping/disposal records (e.g., manifests) must be maintained for at least 3 years from the date of shipment. VII. OWNER/OPERATOR SIGNATURE CERTIFICATION: I certify that the ' formation provided herein is true and accurate to the best or my knowledge. OWNER/0"--RA QR SIGNATURE DATE ago. Z ONE OPERAT R71. W OWNER/OPERATO} TITLE R7z. Agency Use Only) This plan has been reviewed and: Approved Approved With Conditions Disapproved Local Agency Signature: Date: UST Response Plan (12/2010) -3/3 April 10, 2012 State of Califomia State Water Resources Control Board P.O. Box 944212 Sacramento, Co. 942442121 To Whom It May Concern: The City of Bakersfield Is self- insured for General Liability, Automobile Liability and Workers' compensation. All exposures, including contractual liability, arising out of City operations are covered by the City's self - insurance program undertaken pursuant to California Government Code Section 990. Under our self - insurance program, we will bear all risk of bodily injury and property damage lasses until we have satisfied any obligations we may have. This leffm h In NO force and effect until rescinded. Sincerely, oR a Covey Risk Manager Cltv of Bakersfield • Office of Risk ,ManaQement • 1600 Truxtun Avenue Bakersfield - California • 93301 661)326 -3738 a (661)852.2030 B A K E R S F I E L D April 10, 2012 State of Califomia State Water Resources Control Board P.O. Box 944212 Sacramento, Co. 942442121 To Whom It May Concern: The City of Bakersfield Is self- insured for General Liability, Automobile Liability and Workers' compensation. All exposures, including contractual liability, arising out of City operations are covered by the City's self - insurance program undertaken pursuant to California Government Code Section 990. Under our self - insurance program, we will bear all risk of bodily injury and property damage lasses until we have satisfied any obligations we may have. This leffm h In NO force and effect until rescinded. Sincerely, oR a Covey Risk Manager Cltv of Bakersfield • Office of Risk ,ManaQement • 1600 Truxtun Avenue Bakersfield - California • 93301 661)326 -3738 a (661)852.2030 n• Appendix VI Copies of Monitoring System Certification form and UST Monitoring Plot Plan available at http://`www.mterboarda,ca.gov.) MONITORING SYSTEM CERTIFICATION For Use ByMJutbdict/ons Within the Slate ofCerdbmia Authority Cited. Chapter 6.7, Health and Safety Code, Chapter 18, Division A Me 23, Califomla Code of Regulations This form must be used to document testing and servicing of monitoring equipment. A separate certification or report must be prepared for each monitoring system control panel by the technician who performs the work. A copy of thisform must be provided to the tank system owner /operator. The owner /operator must submit a copy of this form to the local agency regulating UST systems within 30 days of test date. A. General Information / Facility Name: 9a &c PIPId n - ,.,GI Bldg. No.: SRO Address: Slle I Trl, SIN in A I,-- City: go ke &Aged zip: ?136 1 Facility Contact Person: 12 ca k yla Contact Phone No.: ( Make/Modet ofMonitoring System _ ...), B. Inventory of Equipment Tested/Certified Check the aonroDNate boxes to indicate sDeclfic eaulDment insooded/servlced: Tank ID: L Tank ID: Po'ln -Tank auging Probe. Model: In -Tank Gauging Probe. ModeC wSnnular Space orVault Sensor. Model: eT j rM- V Annular Space or Vault Sensor. Model: iping Sump/ Trench Sensor(s). Model: X&j2j ASeim rri 1. Piping Sump / Trench Sensor(s). Model: dill Sump Sensor(s). Model: Fill Sump Sensor(s). Model: 00"Machanied Una Leak Detector. Model: 0 Mechanical Una Leak Detector. Model: o Electronic Una Leak Detector. Model: 0 Electronic Line Leak Detector. Model: Tank Overfill / High-level Sensor. Model: Tank Overfill / High-level Sensor. Model: Other ul ent a and model in Section Eon P e 2). 0 Other (specIN 2gulpment type and model in Section E on Page 21. Ta k ID: Tank ID: Vn -Tank Gauging Probe. Model: In -Tank Gauging Probe. Model: 0' Annular Space or Vault Sensor. Model: Annular Space or Vault Sensor. Model: B131ping Sump / Trench Sensor(s). Model' safe e c er s( L_ Piping-Sump / Trench Sensor(s). Model: FiII Sump Sensor(s). Model. _T 0 Fill Sump Sensor(s). Model: po- Mechanical Une Leak Detector. Model: L 0 Mechanical Line Leak Detector. Model: 0 Electronic Une Leak Detector. Model: 0 Electronic Une Leak Detector. Model: Tank Overfill./ High -Level Sensor. Model: 0 Tank Overfill / High-Level Sensor. Model: Other (%2gfj 2gulpment and model in Section E on P e 2 . Other 'mulpmenUm and model in Section E on Page2L Dis sar ID: Dispenser ID: pensar Containment Sensor(s). Model: 4Yblspenser Containment Sensor(s). Model: 9 ShearValve(s). 905hear Valve(s). 0 Dispenser Containment Floats and Chaln s . 0 DisomserCordainmenl Floats and Chain(s). a ser iD: — DlspenwID: ispenser Containment Sensor(s). F Model: Dispenser Containment Sensor(s). Model: hear Valve(s). 0 Shear Valve(s). Dispenser Containment Floats and Chain a . Dls eraserContainment Floats and Chains . Dispenser ID: Dispenser ID: IspenserContainment Sensor(a). Model: 0 Dispenser Containment Sensor(s). Model: 6'S'hear Valve(s). 0 Shear Valve(s). 0 Dispenser Containment Floats and Chain s Dispenser Containment Float(s) and Chain(s). Ifthe facillty contains more tanks or dispensers, copy this form. Include Information for every tank and dispenser at the facility. C. Certification - 1 certify that the equipment identified In this document was Inspeetedlserviced 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 ui ment_ For an equipment caps Ig ofgaelDting_wjrjLMpMb. I -have also atteched a Copy of the rep (Check all tapply): m set -up larm history Technician Name (print): f&i t/ jua"-A-44 L Signature: Certification No.: A.31% n 4 Dense a: Z Testing Company Name Phone No.:( Ad/ 1 - 4,J W Testing Company Address: A Do Gi b' ea. !2430 tt Date of Testing/Servicing: fZ /,1,?j Poo 9 Monitoring System Certification Page 1 of 4 12107 2/21/07 e D. Resulte of Testing/Servlcing Software version Installed: Cmmnlata thainnnuAnn char_Irliatr p/Yes No• Is the audible alarm operational? es No• Is the visual alarm operational? Ir es No• Were all sensors visually Inspected, furze lonaffy tested, and confirmed operational? or Yes No• Were all sensors Installed at'lowest point of secondary containment and positioned so that other equipment will not Interfere with their proper on? Yes p o• Ifalarms are relayed to a remote monitoring station, is all communications equipment (e g. modem) operational? WA Yes o No' For pressurized piping systems, does the turbine automatically strut down I the piping secondary containment monitoring system WA deemoctss a leak, fops to operate, or le electrically disconnected? If yes: wtdc h. sensors Inftiete positive shut -down? (Check allthat apply) irSump9lrench Sensors; Disperser Containment Sensors. Did you confirm positive shutdown due to leaks id sensor fallure/disconnection? • No. Yes o• or tank s at d e on valve is Installed), is the overfill warning alarm visible and audible at the tank M point(s) and operating property? 0so, at whjUdhe WA of tank ca does the alarm eR % Yea• No Was any monitoring equipment replaced? If yes,. W speGflc sensors, probes, or other equipment replaced a manufacturer name and model for all replacement in Section E below. Yes* No Was liquid nd I e any secondary containment systems designed as dry systems? (Checkall thatapply) Product; describe causes In Section E below. Yes No* Was monitoring system set-up reviewed to ensure proper settings? Attach set up reports, Ifapplicable as No' Is atI monitoring equipment operational per manufacturer's specillcallons? . in section a below, describe now and when these deficiencies were or watt de corrected. E. Comments: i • ' J 1 a / a / Monitoring System Cernfleatlon Page 2 of 4 1=7 2 2/21/07 F. In -Tank Gauging / SIR Equipment" R" Check this box if tank gauging is used only for inventory control. 0 Check this box If notank gauging or SIR equipment is installed. This sebtion must be completed If in -tank gauging equipment is used to perform leak detection monitoring. Cmmnlata thafnlinudnn r_h"MIal- 0 Yes 0 No• I Has all input wiring been inspected for proper entry and termination, including testing for ground faults? Yes NW Were alltank gauging probes visually, Inspected for damage and residue buildup? 0 Yes 0 No• Was accuracy of system product level readings tested? 0 Yes 0 No* Was accuracy of system water level readings tested? Yes No• Were all probes reinstalled properly? 0 Yes 0 No• Were all items on the equipment manufacturer's maintenance checklist completed? In the Section H. below describe howand when these deflclencies were or will be corrected. O. Line Leak Detectors (LLD): P.mmnlata Iha /nllnuAnn whew411ah Check this box if LLDs are not installed. es No* WA or equipment start -up or annual equipment certHic on, was a leak simulated to verity LLD performance? (Check a Mat apply) Simulated leak rate: a rg.p.h.; 0 0.1 g.p.h ; 0 0.2 g.p.h. . Y No• Were all LLDs confirmed operational and accurate within regulatory requirements? or Yes No' Was the testing apparatus property calibrated? Yes No* N/A For mechanical LLDs, does the LLD restrict product flow if it detects a leak? 0 Yes blo• OO'N/A For electronic LLDs, does the turbine automatically shut off if the LLD detects a leak? 0 Yes 0 jio• Dor N/A For electronic LLDs, does the turbine automatically shut off H any portion of the monitoring system Is disabled or disconnected? 0 Yes 0 0• BK WA For electronic LLDs, does the turbine automatically shut off if any portion of the monitoring system malfunctions or fails a test? Yes N/A For electronic LLDs, have all accessible wiring connections been visually inspected? Yes 0 No' Were all items on the equipment manufacturer's maintenance checklist completed? in the aecuon n, Delow, aescnne now ana wnen tnese aenciencies were or will De con ea. K Comments: Monitoring System Certification Page 3 of4 IWO 3 2/21/07 I Monitoring System Certiflca(ion UST Monitoring Site Plan Site Address: Y' . . . . . . . . . . . . . . . . S ....... I . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . I . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . I2.3 aI ' sC]6 . 709 .. . . . . . . . . . . . . . . . . . . . . . . 10 ' It wtQr pn . . fl li nvl . . . . . . . . . . . . . . . . . . . . . 1....s ... ll.......................... 1 Date map was drawn: ) M,1p,Q; 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. Page q of 1 asioo CVE Cal - valley Equoment 3500 Gilmore Ave. Bakersfield, CA 93308 661 - 327 -9341 FAX# 661 -32S -2529 V"ORLESS MANUFACTURING, INC. LDT -890 Leak Detector Test Record Coatcactor Model No. Seualber E Pt -- Leak Detector Ideadfication Manufacturer otian Other Styk beak Detector Piston-We - - Tamper -proofseal ms6tlled. Yes No Test at Dispenser L Operating Pump P _17 psi (pare. l5) 2. Gaflons per hour rate —3 (porn. 22) 3. Line presswe with pump shut off 2 Z psi (pare. 23) 4. Bleedback Test with pump off 17,0 ml (pate. 26) S. Step-dtrough time to roll now seconds (Pate. 30) 6. Leak detector stays in teak search position. (pamAX) Yes r/ No EM ETECMR Note: Para- te+Iicdbleaorf&r6eatprotoaol M a Leakddvaw fi& teatpmftd Passe lt'atl Form 890C(9-1-96) 96) mete t m=W expansion test before &Uft ld& dettaw 1996 Vapodm Manuf cbmin& inn, Prescoa valley, AZ CITE Cal - valley liq*_ ment 3500 GilmoreAve: Bakersfield, CA 9330+8 661 - 327 -9341 FAX# 661325 -2529 V"ORLESS MANUFACTURING, INC. LDT-390 IMk Detector Test Record Model No. Sedd Leak Detector idea on Manuiactttrt r Other Style Leak patector D;sphogm -type rsaoe -type 1i Tamperproofseal ins~ Yes No Detector In ftntp Test at Dispenser 1. OPmtigg PmV Pomm 2:,L P i (pam 1S) 2. Gallons perhas rata (Para. 22) 3. Lim pressm with pump shut off 2j psi (pam. 23) 4. Bloodback Test with pump off 4P Q ml . j(" , 24. - -- -- - - -... - S. Sb*4h ough time to toll flow __j seconds (pars. 30) 6. Leak ddkftr steps in kak seat& poddom (pamA2) Yes No NOW rap- Ladc Qt wapoww Lta><detocsorARatestpnlnooi l:ctm 89000 -1- *Qxwlete &cmW ap asiba ant bdixe hft ld* detector. 1996 V"arlem Mamfichnia& Ina., Prams Valley, AZ SWRCB, January 2006 Spill Bucket Testing Report Form Thisform is intendedfor use by contractorsperforming annual testing ofUSTspill containment structures The completedform and printoutsfrom tests (ifapplicable),.shouldbe providedto thefacility owner /operatorfor submittal to the local regulatory agency. 1. FACILITY INFORMATION Facility Name: Date ofTesting: _ Facility Address: e Facility Contact: brpej Phone: Date Local Agency Was Notified ofTesting: Name ofLocal Agency Inspector ({fpresent during testing): e 2. TESTING Cogppany Name: C. Technician Conducting Test: z- Credentials': PtSLB Contractor ICC Service Tb& SWRCB Tank Tester 0 Other LicenseNumber(s): 92(133 i4 14&7 3. SPILL BUCKET TESTING INFORMATION Test Method Used: ! static vacuum Other Test Equipment Used: vf Identify Spill Bucket Tank 1 2 Number, StoredProduct, etc Equipment Resolution: 3 4 Bucket Installation Type: RDirect Bury Contained in Sum RS*ect Bury Contained in Sum Direct Bury Contained in Sum Direct Bury Contained in S Bucket Diameter: Bucket Depth: 4 Waittime between applying vacuum/water and start o €test: Test Start Time (Ter: Initial Reading (PQ: Test End Time (TF): Final Reading (RF): 91, Test Duration (TF — TO: lCriteria: Change in Reading (RF -N: s- Pass/Fail Threshold or V. Z " Comments — (include h orm don on repairs made, prior to testing andrecommendjollo)y-upjorfailedtests) CERTIFICATION OF TECHNICIAN RESPONSIBLE FOR CONDUCTING THIS TESTING Ihereby ceriffy that all the Worn adon contained1n 1 k report is true, accurate, and inJidl compliance with legalrequlrements Technician's Date: /2- /Y 2C 0 9 State laws and regulations do not currently require tasting to be performed by a qualified contractor. However, local requirements may be more stringent. x ALARM HISTORY REPORT SYSTEM ALARM - - - -- PAPER OUT OCZ 1, 2009 2:05 PMPRINTERERROR OCT 1. 2009 2:06 PMBATTERYISOFFJAN " 1996 8:00 AM END * * * * * ALARM HISTORY REPORT SENSOR ALARM - - - -- L 1:UNLEADED STPSTPSUMP FUEL ALARM DEC 18, 2009 9:37 AM FUEL ALARM DEC 18. 2009 8:19 AM FUEL ALARM DEC 24, 2008 7:59 AM I END ***** M HISTORY REPORT SENSOR ALARM - - -- D I ESEL STP J:: ALARM 18. 2009 9:37 AM ALARM 18. 2009 8:24 AM ALARM 24. 2008 1:42 PM END ALARM HISTORY REPORT SENSOR ALARM - - - -- L 4:DIESEL ANNULAR ANNULAR SPACE FLIEL ALARM DEC 18, 2009 9:37 AM FUEL ALARM DEC 18, 2009 8:28 AM SENSOR OUT ALARM DEC 24, 2008 2:09 PM x* * END ***** ALARM HISTORY REPORT SENSOR ALARM - - - -- L 6: OTHER SENSORS SETUP DATA WARNING DEC 18, 2009 9:39 AM S 3 ** END* ALARM HISTORY REPORT SENSOR ALARM - - k' UNLEADED ANNULAR LAR SPACE ALARM 18, 2009 9:38 AM ALARM 4 18, 2009 8:22 AM OR OUT ALARM 24, 2008, 2:11 PM ENDS * * *''," K T 2:DIESEL -NO.2 PRODUCT CODE 2THERMALCOEFF TANK 000470DIAMETER119.38TANKPROFILE4PTSFULLVOL14783B9.5 INCH VOL 1202359.7 INCH VOL 7400 29.8 INCH VOL 2750 FLOAT SIZE: 4.0 IN. WATER WARNING 2.0HIGHWATERLIMIT: . 4.0 MAX OR LABEL VOL: 14783OVERFILLLIMIT : 99% HIGH PRODUCT 14 98% 98% DELIVERY LIMIT 144 5913 LOW PRODUCT 300LEAKALARMLIMIT: 99 SUDDEN' LOSS •i. I M IT : 99TANKTILT - 0.25PROBEOFFSET0.00 SIPHON MANIPOLDED TANKST#: NONE LINE.MANIFOLDED TANKSTO: NOME LEAK MIN PERIODIC: 0% 0 LEAK MIN ANNUAL 0% 0 PERIODIC TEST TYPE I STANDARD ANNUAL TEST PAIL ALARM DISABLED PERIODIC TEST FAILlALARMDISABLED IGROSS TEST FAIL ALARM DISABLED ANN TEST AVERAGING: OFF PER TEST AVERAGING: OFF TANK TEST NOTIFY: OFF TNK TST SIPHON BREAK :OFF DELIVERY DELAY 3 MINPUMPTHRESHOLD10.00% LEAK TEST METHOD - - - - TEST ON DATE ALL TANK IAN 1, 1996 I START TIME : DISABLED TEST ` DURATION : 0220 HR HOURS I TST EARLY STOP :DISABLED LEAK TEST REPORT NFORMAT LIQUID SENSOR SETUP- - - L I:UNLEADED STP CATEGORYE:( STPGSUMPLQAT) I L 2-.UNLEADED ANNULAR TRI -STATE (SINGLE FLOAT) CATEGORY : ANNULAR SPACE L 3:DIESEL STP TRI-STATE CATEGORY:( STPG FLOAT) SUMP 1 L 4 :DIESEL ANNULAR TRI -STATE (SINGLE FLOAT) CATEGORY : ANNULAR SPACE IN-TANK ALARMS T 2:HIGH WATER ALARM T 2:LOW PRODUCT ALARM LIQUID SENSOR ALMS L 3:FUEL ALARM L 3:SENSOR OUT ALARM iL 4:SENSOR OUT ALARM L 3:SHORT ALARM L 4:SHORT ALARM R 3:REMOTE BEACON TYPE: STANDARD NORMALLY CLOSED IN -TANK ALARMS ALL:LOW PRODUCT ALARM LIQUID SENSOR ALMS ALL:FUEL ALARM . ALL :SENSOR OUT ALARM ALL :SHORT ALARM i f RECONCILIATION SETUP OUTPUT RELAY SETUP - - - R 1 :UNLEADED -STP TYPE: STANDARD NORMALLY CLOSED IN -TANK ALARMSTI:HIGH WATLIR ALARMT1 :LOW PRODUCT (ALARM LIQUID SENSOR ALMS L 1 :FUEL ALARM L I- SENSOR OUT ALARM L 1:SHORT ALARM ALARM L 2 : SHORT ALARM R 2 :1)IESEL STP TYPE: STANDARD AUTOMATIC DAILY CLOSING TIME: 2:00 AM PERIODIC RECONCILIATION MODE:* MONTHLY TEMP COMPENSATION STANDARD BUS SLOT FUEL METER TANK TANK MAP EMPTY SOFTWARE REVISION LEVEL VERSION 123.02 SOFTWARE# 346123 -100 -C CREATED - 02.11.25.15.17 NO SOFTWARE MODULE SYSTEM FEATURES: PERIODIC IN -TANK TESTS ANNUAL IN -TANK TESTS R SYSTEM SETUP DEC 18, 2009 10:35 AM SYSTEM UNITS U.S. SYSTEM LANGUAGE ENGLISH SYSTEM DATE /TIME FORMAT MON DD YYYY HH:MM:SS xM CITY CORP. YARD 4101 TRUXTON AVE. BAKERSERFID CA.9Q309 661- 326 -3795 SHIFT TIME 1 DISABLED SHIFT TIME 2 DISABLED SHIFT T I E '8 .: DISABLED SHIFT Tl t FE 4 DISABLED TANK PER TST NEEDED WRN DISABLED TANK ANN TST NEEDED WRN DISABLED LINE RE-- ENABLE METHOD PASS LINE TEST j LINE PER TST NEEDED WRN DISABLED LINE ANN TST NEEDED WRN DISABLED PRINT TC VOLUMES ENABLED,. . i TEMP COMPENSATION VALUE (DEG F ): 60.0 STICK HEIGHT OFFSET DISABLED DAYLIGHT SAVING TIME ENABLED START DATE. APR WEEK 1 SUN START TIME 2:00 AMIENDDATE I OCT WEEK.6 SUN END TIME 2:00 AM CUSTOM ALARM LABELS DISABLED CWMUNICATI NS 9a,TUP PORT SETTINGS: NONE FOUND,4 J/ RS -232 END OF MESSAGE DISABLED IN -TANK SETUP T 1:UNLEADED PRODUCT CODE 1 THERMAL COEFF 000700 TANK DIAMETER 119.38 TANK PROFILE 4 PTS FULL VOL 14783 89.5 INCH VOL 12023 59.7 INCH VOL 7400 29.8 INCH VOL 2750 FLOAT SIZE: 4.0 IN. WATER WARNING 2.0 HIGH WATER LIMIT: 4.0 MAX OR LABEL VOL: 14783 OVERFILL LIMIT 99% 14635 HIGH PRODUCT 98% 14487 DELIVERY LIMIT 40% 5913 LOW PRODUCT 300 LEAK ALARM LIMIT: 99 SUDDEN LOSS LIMIT: 99 TANK TILT 4.10 PROBE OFFSET 0.00 SIPHON MANIFOLDED TANKS T#: NONE LINE MANIFOLDED TANKS T#: NONE LEAK MIN PERIODIC: 0% 0 LEAK MLN ANNUAL 0% 0 PERIODIC TEST TYPE QUICK ANNUAL TEST FAfL ALARM DISABLED PERIODIC TEST FAIL ALARM DISABLED GROSS TEST FAIL ALARM DISABLED ANN TEST AVERAGING: OFF PER TEST AVERAGING: OFF TANK TEST NOTIFY: OFF TNK TST SIPH ©N BREAK:OFF DELIVERY DELAY 3 MIN ZUMP THRESHOLD 1n.nnw UNDERGROUND STORAGE TANK SYSTEM DESIGNATED OPERATOR FACILITY EMPLOYEE TRAINING RECORD Foruw by Unid=AlWnbwAgemdworwhew 4prowed byywwLocdJwtwdlcftn Au&orhyata Mk23. Div. 3, Ck 16.Ca9firnlaCoefe ojReguWOM (CCR) Facility Name: &W-eae.V1A CLJ-„ Facility Site Address: GI 10 ( r . JJv a v--O— city: Section 2715 of Tale 23, Cdibmia Code of Regulations, mpl es thatDesignated Underground- Storage Ta* Operators provide training to Awift em;ftees who, have associated with the operation and/or niabdenance of 1. wu std tank (U31) systems. This trambg mud be p wftd by July 1, 2005, and every 12 months thereafter: For &mft emp yeas hired attwr Jdly 1. 2005, the initial training most be provided within 30 days of the date of hire. At least ono ofthe faoilty employees p =Wtduring op=&Shours mist have owwat trainng. This training must mchhde, bad is Dot limitW tq, the followingitemsas specified in 23 CCR Seedws 2715(f)(1) and (2): Opmationofthe UST system in aman= consistent with tba Mity'sBest Mrmagam antPtaotioes; The empkyee's role wilt regard to UST nwn t mg equ4ment.as specified inthewritten UST Monitaring Plan; Theemployee's role withmgudtospasand ovedUb as specifiedin thewritten UST Respame Phm; Nam*) ofccutectperson(s).for andmoibmS equipment alarm For fcilitim that are notran6nely staffed, specified in the hainiDg program approved by fire local USTregulatory agency. 23 CCR $ 2715M requiresthat a list ofemployees whohome beentrainedby the DesignatedU hmd Stamp Tank Opmator(s) be Wined ore sit% oroff -aite at a r q-avadaide lootsiom irammmA by tim local aaeDay. and p avided to the local agency upon request- CompkNonofthis form wiil satisfy UST haiubg reonrd I I i grequnammum The Mo mg employees have been trained as ragnaed by 23 CCR Seotioas 27150(1) and (2): Fwcft EmOleffix Name Date MmDaW Trainer Name E 7... t 8.5• X02 p 11 7.2.0'1 Lt CM&&WOurepmto tfhkw shwJaty I. "a sTammmtba.ammon adirtqpQ2twfwSosaayaeshetTnwafeswu SWRCB, January 2002 Page I of Secondary Containment Testing Report Form Thisform is intendedfor use by contractorsperforming periodic testing ofUSTsecondary containment systems. Use the appropriate pages ofthisform to report resultsfor all components tested. The completedform, written testprocedures, and printoutsfrom tests (:fapplicable), should be provided to thefacility owner /operatorfor submittal to the local regulatory agency. Wl.% 1. FACILIW INFORMATION Facility Name: Date ofTesting: a fof Facility Address: T r v Facility Contact Phone: Date Local Agency Was Notified ofTesting: Name of Local Agency Inspector (ifpresent during testing): 2. TESTING CONTRACTOR INFORMATION Company Name: Technician Conducting Test: Credentials: KCSLB Licensed Contractor SWRCB Licensed Tank Tester License Type: ^ Ii c c L- I License Number: ?a I -7 Z I A. U A z A MUf dwMr 1 aininn 3. SUMMARY OF TEST RESULTS I . 11 CMM=, mom MMMM oo 0 0000 0000 oot o 0000 0000 0000 0000 000o MM= oaoo oo:o o oo MM== 0000 0000 Ithydrostatic testing was performed, describe what was done with the water after completion oftests: CERTIFICATION OF TECUMCIAN RESPONSIBLE FOR CONDUCTING TIM TESTING To the best ofmy bwwkdge, thefacts statedin this docanwt are acenrote andhsfurU coM iance wiMr legalregsdreawnb Technician's Signature: — SWRCB, January 2002 Page a ofQ. 5. SECONDARY PIPE TESTING Test Method Developed By: Piping Manufacturer Industry Standard Professional Engineer Other (Spec) Test Method Used: Pressure Vacuum Hydrostatic Other (Spew) Test Equipment Used Equipment Resolution: Piping Material: Piping Run # 91 7 eL I Piping Run # Piping Run # Piping Run # Piping Manufacturer: Piping Diameter: Length ofPiping Run: Product Stored: vL Methdd and location of piping-run isolation: Wait time between applying pressure /vacuum/water and starting test: on Test Start Time: Initial Reading (RD: Test End Time: Final Reading (RF): Test Duration: Change in Reading (RF -Ri): PasslFail Threshold or Criteria Comments — (include information on repairs made prior to testing; and recommendedfollow -upforfailed tests) SWRCB, January 2006 Spill Bucket Testing Report Form Thisform is intendedfor use by contractors performing annual testing of UST spill containment structures. The completedform and printoutsfrom tests (fapplicable), should be provided to thefacility owner /operatorfor submittal to the local regulatory agency. 1. FACILITY INFORMATION Facility Name: Date of Testing: a a / Facility Address: L r Facility Contact: Phone: Date Local Agency Was Notified ofTesting: Name ofLocal Agency Inspector (fpresent during testing): 2_ TESTING CONTRACTOR INFORMATION Company Name: —, V C Technician Conducting Test: Credentials: KCSLB Contractor ICC Service Tech. SWRCB Tank Tester Other (Spec) License Number(s): H 3. SPILL BUCKET TESTING INFORMATION Test Method Used: KHydrostatic Vacuum Other Test Equipment Used: Equipment Resolution: 1 Identify Spill Bucket (By Tank Number, Stored Product, etc. 1 2 3 4 Bucket Installation Type: ADirect Bury Contained in Sump Direct Bury Contained in Sump Direct Bury Contained in Sump Direct Bury Contained in Sum Bucket Diameter: 116611, Bucket Depth: I v' Wait time between applying vacuum/water and start oftest: Test Start Time (Ti): Initial Reading (111): Test End Time (TF): Final Reading (RF): G O Test Duration (TF — Tj): lo M in Change in Reading (RF- Rj):j. Pass/Fail Threshold or Criteria: 1 11 1111 Comments — (include information on repairs made prior to testing, and recommendedfollow -upforfailed tests) X28,-) C kt T ea.:i1a&ban CERTIFICATION OF TECHNICIAN RESPONSIBLE FOR CONDUCTING THIS TESTING I hereby cert & that all the information contained in this report is true, accurate, and infull compliance with legal requirements. Technician's Signature: Date: a %I zp, State laws and regulations do not currently require testing to be performed by a qualified contractor. However, local requirements may be more stringent. IID e BAKERSFIELD CORP YARD BAKERSFIELD CORP YARD4101TRUXTON4101TRUXTON BAKERSFIELD CA BAKERSFIELD CA9330793307PREBACKFILLPREBACKFILL 02/21/2012 1139 PM 02/21/2012 2.25 "PH.:., SUMP LEAK TEST REPORT SUMP LMk' -TEST REPORT DSL FB I DSL FB TE TARTED 1: TEST STARTED 2:10 PMTESTTED02/ 012 TEST STARTED 02/21/2012BEGIN03INBEGINLEVEL6.8144 INENDTIME1:39 PM END TIME 2:25 PMENDDAT1/2012 END DATE 02/21/2012ENDLENDLEVEL6.8146 INLERESHOLD0. I LEAK THRESHOLD 0.002 INTRESULTINCRDTESTRESULTPASSED DSL FB2 TEST STARTED 2:10 PM TEST STARTED 02/21/2012 BEGIN LEVEL 5.913 y INENDTIME2 :2U PM END DATE 02/21/2012 END LEVEL 5.9140 IN LEAK THRESHOLD 0.002 IN TEST RESULT PASSED I BAKERSFIELD CORP YARD 4101 TRUXTON. BAKERSFIELD CA 93307 PRE BACKFILL 02/21/2012 1 :59 PM SUMP LEAK TEST REPORT DSL FB TEST STARTED 1:44 PM TEST STARTED 02/21/2012 BEGIN LEVEL 6.8106 IN END TIME 1:59 PM END DATE 02/21/2012 END LEVEL 6.8109 IN LEAK THRESHOLD 0.002 IN TEST RESULT PASSED DSL FB2 EST RTED 1:.4 M T ST TED 02 012 BEG E 59 IN END TI 1:59 PM END DAT 2/21/2012 END 042 IN L ESHOLD IN T S ESULT INCR WRCB, January 2002 Page l of 7 Secondary Containment Testing Report Form Thisform is intendedfor use by contractors performingperiodic testing of USTsecondary containment systems. Use the appropriatepages ofthisform to report resultsforall components tested. The completedform, written testprocedures, and printoutsfrom tests (ifapplicable), should beprovidedto thefacility owner /operatorfor submittal to the local regulatory agency. 1. FACILITY INFORMATION Facility Name: C Date of Testing: 1 -1S Facility Address: r V 7 B Facility Contact: Phone: (kb 1 6 3 — Date Local Agency Was Notified of Testing: Name ofLocal Agency Inspector rfpresent during testing): 2. TESTING CONTRACTOR INFORMATION Company Name: 6R — V au Technician Conducting Test: .g Credentials: 0 CSLB Licensed Contractor Q SWRCB Licensed Tank Tester License Type: lQ - License Number: 70141%'104- Manufacturer Trainine Manufacturer Component(s) Date Training ires 3. SUMMARY OF TEST RESULTS If hydrostatic testing was performed, describe, what was done with the water after completion of tests: Vaha eG v M w• -a..i — CERTIFICATION OF TECHNICIAN RESPONSIBLE FOR CONDUCTING THIS TESTING To the best of my knowledge, the facts stated in this document are accurate and in full compliance with legal requirements Technician's signature AL Date: 12 1 n n0 nnnM t WI'- MM nnnM 1 .. , MILYMMMOMM nnnM Wow= 0 nn nn nova r nno nova If hydrostatic testing was performed, describe, what was done with the water after completion of tests: Vaha eG v M w• -a..i — CERTIFICATION OF TECHNICIAN RESPONSIBLE FOR CONDUCTING THIS TESTING To the best of my knowledge, the facts stated in this document are accurate and in full compliance with legal requirements Technician's signature AL Date: 12 SWRCB, January 2002 4. TANK ANNULAR TESTING Page Z oft Test Method Developed By: Tank Manufacturer r>Sdustry Standard Professional Engineer Other (Spec6) Test Method Used: Pressure D-Vacuum Hydrostatic Other (Spec) Test Equipment Used: VQ CV Vw• Tank # 0 ,L#4.t k Tank # 81 U L Is Tank Exempt From Testing ?' Yes ,ErNo Yes .EMo Equipment Resolution: Tank # Tank # Yes No Yes No Tank Capacity: Tank Material: FAf Tank Manufacturer: Product Stored: fig.{ L/L- Wait time between applying pressure/vacuum/water and starting test: Test Start Time: 1'2.op Initial Reading Test End Time: Final Reading (RF): Test Duration: Change in Reading (RF-I r): Pass/F" Threshold or Criteria: 2.14 .. k H s`f 'exult: HAP a . 4 I' O ti Was sensor removed for testing? o&Yes No NA 5Tes No NA Yes No NA Yes No NA Was sensor properly replaced and verified functional after testing? 2-Yes No NA i-Yes No NA Yes No NA Yes No NA Comments — (include information on repairs made prior to testing, andrecommendedfollow -upforfailed tests) Secondary containment systems where the continuous monitoring automatically monitors both the primary and secondary containment, such as systems that are hydrostatically monitored or under constant vacuum, are exempt from periodic containment testing. {California Code of Regulations, Title 23, Section 2637(a)(6)) SWRCB, January 2002 5. SECONDARY PIPE TESTING Page of4 Test Method Developed By: Piping Manufacturer .BTndustry Standard Professional Engineer Other (Spec6) Test Method Used: 2Tressure Vacuum Hydrostatic Other (Spec) Test Equipment Used: " Equipment Resolution: AL Piping Run # g, Piping Run # 67 t_ Piping Run # Piping Run # Piping Material: Q Piping Manufacturer: 4 Piping Diameter: let 314 Length ofPiping Run: 6 ,o l Product Stored: 9 Method and location of piping-run isolation: rr t Wait time between applying pressuretvacuum/water and starting test: w.rh. d Test Start Time: p G rtiZ IF. ` Initial Reading (110: 1 Test End Time: j 06 A,,— braFinalReading (RFZ S 05 1 Test Duration: Change in Reading (RF -RI): Pass/Fail Threshold or Criteria: de 2 P-3, CJ 2 P5 TtilasfResuIt: a3g p Comments — (include information on repairs madeprior to testing, andrecommendedfollow -upforfailed tests) M. M 1 SWRCB, January 2002 6. PIPING SUMP TESTING Page Iof_j Test Method Developed By: 0 Sump Manufacturer .@- Industry Standard Professional Engineer 0 Other ( ec) Test Method Used: Pressure Vacuum .0-Hydrostatic Other (Spec) Test Equipment Used: Equipment Resolution: m Sump Diameter: Sump # ' Sump # . Sump # Sump # a1 C, Z If Sump Depth: qcl" Sit Sump Material: Height from Tank Top to Top of Hi est Piping Penetration: 1 u 1 rl t Height from Tank Top to Lowest Electrical Penetration: Condition ofsump prior to testing: Portion ofSump Tested' 4 Does turbine shut down when sump sensor detects liquid (both induct and water)?* @'Yes No NA 8'4es 0 No 0NA Yes No NA Yes No NA Turbine shutdown response time 3 q 3 Is system programmed for fail -safe shutdown ?* RTes 0 No NA eyes 0No DNA Yes No 0 NA 0 Yes 0No NA Was fail -safe verified to be operational?* Z-Yes 0 No NA J iYes 0 No 0NA Yes No 0NA 0 Yes 0 No DNA Wait time between applying pressure /vacuum/water and starting test: 1 w. Test Start Time: Initial Reading (Rj): qQ48 Test End Time: i it 3 a 11 : 30 Final Reading (RF): 37q5 • Test Duration: 3.0 . M Change in Reading (F -rRO: p 1 Pass/Fail Threshold or Criteria: Ora wile 2 Test Result: Qt. O ss 0. „. < a'I''. Was sensor removed for testing? 121yes 0 No 0 NA RYes 0 No 0 NA Yes 0 No 0 NA 0 Yes 0No 0 NA Was sensor properly replaced and verified functional after testing? @"Yes 0 No 0 NA RYes 0 No 0 NA 0 Yes No 0NA Yes 0 No NA Comments — (include information on repairs madeprior to testing, and recommendedfollow -upforfailed tests) h m 5d akA ll A L;4i,A a C i l f d U.n Il/Ye 6 IV -C . ir 1 If the entire depth of the sump is not tested, specify how much was tested. If the answer to any of the questions indicated with an asterisk ( *) is "NO" or "NA ", the entire sump must be tested. (See SWRCB LG -160) SWRCB, January 2002 7. UNDER- DISPENSER CONTAINMENT (UDC) TESTING Page j- of —7 Test Method Developed By: UDC Manufacturer ,B- industry Standard Professional Engineer Other (Spec6) Test Method Used: Pressure Vacuum - Miydrostatic Other (Spec) Test Equipment Used: — ST Equipment Resolution: ec UDC # — UDC # 3 UDC # —b UDC # UDC Manufacturer o rI UDC Material: F A P F al f UDC Depth: Height from UDC Bottom to Top ofHighest Piping Penetration: Height from UDC Bottom to Lowest Electrical Penetration: V Condition of UDC prior to testing: 0 p Portion of UDC Tested Does turbine shut down whenUDCsensordetectsliquid (both product and water)?* No NA 8-Yes No NA @ Yes No NA 9-Yes No NA Turbine shutdown response time 3 -S 3 54c 3 V- Is system programmed for fail - safe shutdown?* B"Yes No NA a Yes No NA BYes No NA B-Yes No NA Was fail -safe verified to be OPerational ?* wErYes No NA es No 0N 2-Yes No DNA E'Yes No DNA Wait time between applying pressure/vacuum /water and starting test l0 v-•#n 1 w.1,•• i0 Test Start Time: I t 110 A-._ t if l i ,q w Initial Reading 11631 2 Test End Time: 1: Lt I L k I I t it 14 Final Reading F : S b Aq 4, - Test Duration: 1 5 1.5 5 ",a Change in Reading F- +Y : 0 0 0. 0,00 0 NO I Pass/Fail Threshold or Criteria: 0.0.01, ev p, 2 Test Result: D , Was sensor removed for testing? AEI-Yes No NA 4i'Yes No NA B°Yes No NA r&Yes No NA Was sensor properly replaced and verified functional after testing? ABI Yes No NA ayes No NA 2Tes No NA Yes No NA Comments — (include information on repairs made prior to testing, andrecommendedfollow -upforfailed tests) If the entire depth of the UDC is not tested, specify how much was tested. If the answer to any of the questions indicated with an asterisk ( *) is "NO" or "NA ", the entire UDC must be tested. (See SWRCB LG -160) SWRCB, January 2002 Page 6 of 8. FILL RISER CONTAINMENT SUMP TESTING Facility is Not Equipped With Fill Riser Containment Sums lid" Fill Riser Containment Sum s are Present, but were Not Tested Test Method Developed By: Sump Manufacturer Industry Standard Professional Engineer Other (Spec) Test Method Used: Pressure Vacuum Hydrostatic Other (Specj&) Test Equipment Used: FW Sump # Fill Sump # Sump Diameter. Equipment Resolution: Fill Suinp # Fill Sump # Sump Depth: Height from Tank Top to Top of Highest Piping Penetration: Height from Tank Top to Lowest Electrical Penetration: Condition ofsump prior to testing: Portion of Sump Tested Sump Material: Wait time between applying pressure/vacuum/water and starting test: Test Start Time: Initial Reading : Test End Time: Final Reading Test Duration: Change in Reading F-R : Pass/Fail Threshold or Criteria: Test Result: RhSs fail P s y -M-Fr', 4' o 1 . a'ss; Is there a sensor in the sum2? Yes No O.Yes Q No n Yes nNo Yes No NA Does the sensor alarm when either product or water is detected? Yes No NA Yes No NA Yes No NA Was sensor removed for testing? Yes No NA Yes No NA Yes No NA Yes No NA Was sensor properly replaced and verified functional after testing? Yes No NA Yes No NA Yes No NA Yes No NA Comments — (include information on repairs made prior to testing, and recommendedfollow -upforfailed tests) M• . SWRCB, January 2002 9. SPELL/OVERFILL CONTAINMENT BOXES Page % of—j- Facility is Not Equipped With Spill/Overfill Containment Boxes 0 Spill/Overfill Containment Boxes are Present, but were Not Tested Test Method Developed By: 0 Spill Bucket Manufacturer R ndustry Standard 0 Professional Engineer 0 Other (Spec) Test Method Used: Pressure 0 Vacuum ,EMydrostatic 0 Other (Spec) Test Equipment Used: C m `raj — 5 Equipment Resolution: SpW Box #pt&L Bucket Diameter: Spill Box !bWL Spill Box # Spill Box # Bucket Depth: 10 « Wait time between applying pressure/vacuum/water and starting test: 6 Test Start Time: d: OC2 A, Initial Reading R): 2 , Test End Time: a ; t SA-- -- t 5,4v,,.. Final Reading (RF): 6 rbS_% 2, Test Duration: Change in Reading (RF -Rj): Pass/Fail Threshold or Criteria: o po"2 0 &a 2 fTestisplt:. D 'r}ss ,B Fail Comments — (include information on repairs madeprior to testing, and recommendedfollow -upforfailed tests) i i . . CITY CORP. YARD 4101 TRUXTON AVE. i BAKERSFIELD CA 661- 326 -3795 SB9 -89 12/15'2011 11:34 AM CITY CORP. YARD 4101 TRUXTON AVE. ALARM REPORT BAKERSFIELD CA + r 661 - 326 -3795 + i 12/15/2011 11 :34 AM S89 -89 POWER DOWN 12/15/2011 10 :56 AM 12/1.5/2011 AM SUMP LEAK TEST REPORT I 11:34POWERUP UDC 1 -2 T T STARTED 10 :40 AMTESSTARTED12/15/2011BEGINEU1=L 7 INENDTI10:56 AMENDDA12/15/2011 ' EN EL ?.4535 IN fAKTHRESHOL0.002 INTESTRESULTEASED CITY CORP. YARD 4101 TRUXTON AVE. UDC 3-4 BAKERSFIELD CA 661- 326 -3795 TEST STARTED 10:40 AM SB9 -89 TEST STARTED 12/15/2011BEGINLEVEL6.1625 IN 12/15/2011 11:54 AM END TIME 10:56 AM - f END DATE 12/15/2011 i SUMP LEAK TEST REPORT I END LEVEL 6.1629 INLEAKTHRESHOLD0.002 IN i UDC 1 -2 TEST RESULT PASSED TEST STARTED 11:38 AM TEST STARTED 12/15/2011 UDC 5-6 BEGIN LEVEL 7.1531 IN END TIME 11:54 AM jTESTSTARTED10 :40 AM END DATE 12/15/2011 TEST STARTED 12115/2011 i END LEVEL 7.1515 IN BEGIN LEVEL 6.3312 IN I LEAK THRESHOLD 0.002 IN END TIME 10:56 AM TEST RESULT PASSED END DATE 12/15/2011ENDLEVEL6.3320 INLEAKTHRESHOLD0.002 IN UDC 7 -8 TEST RESULT PASSED TEST STARTED 11:38 AM TEST STARTED 12/15/2011 UNL SB BEGIN LEVEL 6.2618 IN END TIME 11:54 AM TEST STARTED 10:40 AM END DATE 12/15/2011 TEST STARTED 12/15/2011 END LEVEL 6.2619 IN BEGIN LEVEL 4.2995 IN LEAK THRESHOLD 0.002 IN END TIME 10:56 AM TEST RESULT PASSED END DATE 12/15/2011ENDLEVEL4.3060 IN LEAK THRESHOLD 0.002 IN DSL STP TEST RESULT PASSED TEST STARTED 11:38 AM TEST STARTED 12/15/2011 BEGIN LEVEL 6.4048 IN END TIME 11:54 AM END DATE 12/15/2011 END LEVEL 6.3795 IN LEAK THRESHOLD 0.002 IN TEST RESULT FAILED I v a cno wny 9 Y fPK7C AMR . -' r ention Services DESIGNATED (UST) OPERATE 1 " 401 MONTHLY VISUAL RMIXTION CHECIa1ST P do 8eK CA, 9!9 • F uc 6B1- 852 -2171 loy eaew" o= -r sh"m be espbdaet ft t% oewtsem secum an tae tauwwtg P664 MW wo "gnu* sonow-.p FD 2101 (Rer. 081x7) UNDERGROOND S2OIt M TANK DESIGNATED (UST) OPERATOR MONTHLY VISUAL INSPECTION CHECKLIST Pap2d2 Usmtt Re dftFoUDw -UpAcde Instmedom Monftviu W irry eottsn ofdo UST ti, must be aoaduood ba Deedpeated UST Opm ow v to posseeeesa cwnW "Q gbvd& UST Gymma Operator" ceettlica 1 issued twthe bitten dorsal Cods CaunaL ' ACWGfd3bMonftvlPAdfo8D0Cd00 cI III mmt be peavlded to dw UST0MWoe OperatW- M* Dmknaoed USTO mmbr mostaloesthe UST owm ar Opemoerdotty ooedM= d{eooveeed rimingthe mmdtb vleoal iaepecdata that mqy mgWw hlow -asp aodons. 11re UST omwer Opertmormacemabomain a 0wofwe d IS vlsud hm odn dreamand Aaeett &mM fir the provWm IS coentba. The records must be I I I as -etas or. itappea ed bythe load *SYNW, aHaios ata maft ablebmudw FD 2103 Wev. 081071 UNDERGROUND STORAGE TANK DESIGNATED (UST) OPERATOR MONTHLY VISUAL INSPECTION CHECKLIST AKERSFIELD FIRE DEPARTMENT revention Services 800 Trwdun Ave., Suite 401 Bakersfield, CA 93301 Phone: 681326-3979 - Fauc 881 -852 -2171 REM MONMWO PANEL M ARMH07DRY Y N NA 1. Morn "— syslam is pmWed on and In pmWoperaBng mode mmm*W my Showft 910V 3 Almun Msb ry b-Ospaim R MM6 b eMbaboon mviewed byMe De*neled USt Opwalor. Aaed, a 4 Each alarm forthe palriars monk hu been ieaponded b a vm0taleltr 5 h axddnnwdmmhove notebrmod Inthe pad mom. L13t db*40Psun" Whereawls oopned h 8+uraps M ere onatam hno=nedbftpoWnar0i mwtheirrpealeduWwa qu dawWw bdntct nresponded k andprope* Me ceased/ba afam ANNdo wwnh B n vaMftsAw pdab awwoeb bbnWW p is reoordresars1n#=4below. USTSYSTEM I SPEC7ION 6 Tmk by coarred nap ae tedaber, d*% an hzebm abete Sesaebe3bd popyni . Aloft VPrural ' d k h rMreraanalarm basomvrrrd hlbt arorYh Rxsnbirb l6ert rsrronrvuv record Y N lochBorK Skmp Lacom : Locaeran: mp lsbn 7 oonfar+nrentsbuoa . e..reaeaaMalar, I Nous,rriad wAL Y I N NA Y N IA Task I- C RMW 12 Tyr } fir; Task Z- examw 1 =5 TW*4-Ce aontakrararrt aroas areflee dwaier. and jWZW does s, 1k to oe. Sensors are bcabd Y N NA Y N NA Dispenser if2 y,, Dispenser ono Dlsparier y4 oitpensa 11112 1an4 Dispow 7B DbperreP "no PAP6ZYYM NOTEMM Y N NA DATE DONE 10 11 12 13 14 kbonNodrg Iralemoerf3icdm has been aonpialed %*& pa1112 mmffi S-- ---- -- aorOmeni b* hatebeen oe A— W w1Wnthe re*" 6mehame. lip91 oonteYraentaytrucWre 1 IN wae aoniplaled wlwh the pmt my d 00 tl woommpledwWnIN wW * erd 6meam use ha eWnm 7beblbi bmmm: Tag"fiddn a ce: TaeER(airbnanogr r FA NG N41 NAAY AN &Mv offogoahired Wft fieWd 30 dWhft NedVed the tgtet /lsp answer of •x' should be explained in the ooasmeat Nestles, on the following pate, and will require follow-up ao os. FD 2103 (Rev. OWT) UNDERGROUND STORAGE TANK DESIGNATED (UST) OPERATOR MONTHLY VISUAL INSPECTION CHECKLIST Pape 2 of 2 Comments: Items Requiring Follow -Up Actions: Instructions: Monthly visual inspection ofthe UST system must be conducted by a Deeiguated UST Opemtor, who possesses a current TCalifarnia UST System Operator" certification issued by the International Code Council. ` A copy of this monthly visual inspection checklist must be provided to the UST Owner or Operator. The Designated USTOperator must alert the UST Owner or Operator ofany condition dieoovared during the monthly visual inspection that may require follow -up action. The UST OwnerorOperator must maintain a oopy ofthis monthlyvisual inspection checklist and all attachments for the previous 12 months. The records must be maintained on-aft or, ff approved by the local agency, off -site at a readily available location. FD 2103 (Rev. 08/07) i UNDERGROUND STORAGE TANK BAKERSFIELD FIRE DEPARTMENT Prevention Services DESIGNATED (UST) OPERATOR A&! r 1600 Truxtun Ave., Suite 401 MONTHLY VISUAL INSPECTION CHECKLIST Bakersfield, 3979Phone: 661 - 32626 -3979 •Fax: 661 -852 -2171 Page 1 of 2 Y = Yes; N = No; NA = Not Applicable ITEM MONITORING PANEL rALARM HISTORY S IA N NA 1 1 nl ': 1 , \ } f i .. f l it -Yti: 3r1 3 1 Alarm history report/log for the previous month Is available, and has been reviewed by the Designated UST Operator. (ARsch a COPY of" atom Nsby mpwft to ibis to m revapabie.) a.. 4 Each alarm for the previous month has been responded to appropriately. 5 nsom located in tank --too containment sumps have not alarmed in the past month. List all tank -top sumps where alarms occurred in the past month: 2' a. Noft Sumps where an alarm hasoeunred In the past month must be Inspected unitss a quaWed service lechnbba responded to, and pmperly addressed the cause of the alai. Alt ch documenta0bn vw by ng eA mpdale seMbe to tMs mport ff sunm #mpecdon to requfta4 record rasuas In item B below. UST SYSTEM INSPECTION 6 Tank -top containment sumps are free of water, debris, and hazardous substance. Sensors are bested property. Note V/suat i edion of swunmwps Abs m xind fi sum where an alarm has oaumd in the pay month for which them is no remise record. Y N Sum LocaOion: Sum Locaaar: Y = Yes; N = No; NA = Not Applicable ITEM MONITORING PANEL rALARM HISTORY Y N NA 1 Monitoring system Is powered on and In properoperating mode. Monbft system Is not currentlyshaft any alarms orwarnings 3 1 Alarm history report/log for the previous month Is available, and has been reviewed by the Designated UST Operator. (ARsch a COPY of" atom Nsby mpwft to ibis to m revapabie.) 4 Each alarm for the previous month has been responded to appropriately. 5 nsom located in tank --too containment sumps have not alarmed in the past month. List all tank -top sumps where alarms occurred in the past month: Noft Sumps where an alarm hasoeunred In the past month must be Inspected unitss a quaWed service lechnbba responded to, and pmperly addressed the cause of the alai. Alt ch documenta0bn vw by ng eA mpdale seMbe to tMs mport ff sunm #mpecdon to requfta4 record rasuas In item B below. UST SYSTEM INSPECTION 6 Tank -top containment sumps are free of water, debris, and hazardous substance. Sensors are bested property. Note V/suat i edion of swunmwps Abs m xind fi sum where an alarm has oaumd in the pay month for which them is no remise record. Y N Sum LocaOion: Sum Locaaar: Sum LoceiW, Sum LocaBon: Sump Locaft. Sump Locagan. Spill containment structuresare flee andhaserdo issubstance. Y N NA I Y N NA Tank 1- Contorts: Tank' 3- Contents. Task 2- Contents: a Sat 'l Tank4 Contents: Lhxler-ftpenser containment areas are free ofwater, debris, and hazardous substance. Sensors are Ioceted Y N NA Y N NA Dispenser 112 X Dispenser SRO Dispenser 314 Dispenser 11112 Dispenser516 Dispenser 13114 Dispenser 7/a X Dbpenser 16116 a is ryrypp Iap+t vr'S N t ., Y _ i q.. h+k t 1 trAL7r1Y1t +L 1 seL.l w wwe,y, yi! -e. . +"fit 'tip S YI 'Jr 1 i. aC Z Al i J R . _ . ' : ;\ t f! tk L'i" i . t:}.,.:i 4"Y.V:. L 'it Iw .$ .. 1'i { i .. 2 F 'C '•) i 1 17`. y+`M, y.: % ?:: 7Si.1 - '\ W 7 At yi t `q`l•' >ji +.+th A I f >,IS. 8 Ip ..., s+S' v' .. 4. :si` =: i``• ;; ri, lv+\l yl: l: "t ... `' ''L.. 43( 't .5' ;^, _.' u. ;ci k, t' 1r,{ i•..,. 1.. J I ;iil . \nl. 14. Notet Any answer of "N' should be explained in the comment section on the following page, and will require follow -up action. FD 21103 (Rev. 08107) UNDERGROUND STORAGE TANK DESIGNATED (UST) OPERATOR MONTHLY VISUAL INSPECTION CHECKLIST Page 2 of 2 i it ' . .. .. f. !y is, JAMEW Items Re uift Follow -Up Actions: IustrncNonsr mcmd y visual inspection ofthe UST aystem must be conducted by a Designated UST Operator, who poaeeanes a current "California UST System Operator" certification issued by the International CadeCouncil. A copy ofthin monthlyvisual inspection checklist must be provided to the UST Owner or Operator. The Designated ListOpmator must alert the UST Owner or Operator ofany condition disowmad during the monthly visual inspection that may require Mow-up acdcu- The UST Owner orOperatermust maintain a aopy ofthis monthly visual inepeotion and all ateelmente forthe previous 12 months. 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L ,4,1.:. - Lr %!- a::r =.: >.'±]a.S._.r..- ,.,i... -.c•:: fa Etr:tlr UNDERGROUND STORAGE MAIM DESIGNATED (UST) OPERATOR MONTHLY VISUAL INSPECTRW CHECKUST Pape2 d2 Comatmts: items RegalttFallow -Up Aedow , tr a rn. -n ,. hcu r rti tip ... L, l / losdraedom MontW vfmW MWectim of &e UST system must be cmducted bya Desixated UST opmaw, who possesses a cummt Twvmnia UST 3y0oem Operator' oectiSratlon issued by the httera Wonal code Catncl ` A copy of dais manta(y visual hu pecdm cbmkVst must be provided to the UST Owneror Opendw. The Doolymated UST Opmatar must alert the USTOwneror OpmatsrofMWaondltl® &Nmvmd dosing the mcaf+visaal inspection that may mquire Mo-upaodane. The USTowner or operatormustmaiotsfia a copy attbla mmsthly vJmW inspeadsn obeddGt and ati attack— for thepnwimm 12 months The reoor& must be maintained on -site or, ifapproved bythe Meal ap=:V. off -atteat a ready avaa7able kmdm FD 2103 (Rev. 08/07) xxxxm END *xx•0x 9 x x x x END X* x x x ALARM HISTORY REPORT SENSOR ALARM - - - -- L 1:UNLEADED STP STP SUMP FUEL ALARM ALARM HISTORY REPORT DEC 15, 2010 10:00 AM SENSOR ALARM - - - -- FUEL ALARM DEC 18, 2009 9 :314AML3:DIESEL STP - DEC 18. 2009 9:38 AM STP SUMP FUEL ALARM FUEL ALARM DEC 15. 2010 10:00 AM DEC 18..2009 8:19 AM FUEL ALARM DEC 18. 2009 9:37 AM FUEL ALARM DEC 18, 2009 8:24 AM xxxxm END *xx•0x 9 x x x x END X* x x x x * x x * END X x x x x ALARM HISTORY REPORT SENSOR ALARM - - - -- L 2:UNLEADED ANNULAR ANNULAR SPACE FUEL ALARM ALARM HISTORY REPORT DEC 15. 2010 10:05 AM SENSOR ALARM - - - -- FUEL ALARM L 4:DIESEL ANNULAR DEC 18. 2009 9:38 AM ANNULAR SPACE FUEL ALARM FUEL ALARM DEC 15. 2010 10:07 AM DEC 18. 2009 8:22 AM FUEL ALARM DEC 18. 2009 9:37 AM FUEL ALARM DEC 18. 2009 8:28 AM x * x x * END X x x x x UNDERGROUND STORAGE TANK DESIGNATED (UST) OPERATOR MONTHLY VISUAL INSPECTION CHECKLIST Pane 1 of2 C AKERSFIELD FIRE DEPARTMENT revention ServicesRAW at >• 600 Truxtun Ave., Suite 401 BakersW, CA 93301 Phone: 661- 326-3979 - Fax 861 -852 -2171 eAknes e4J C -' Cd r+ ACI v m% a Pcor>s:: 330 UUST OPERTOR CONDUCTING THE INSPECTION: e- NTERNATIONAL CODE COUNCIL CERTIFICA 1l f' RATION DATE / la a e - 1 HONE NO T = Tes; N = N0; NA = NO[ AppIICaDIe ITEM MONRORINGPANEL /ALARM HISTORY Y N NA 1 mmmmm Byars is Piedon and in WwOpffidm note. 7 3 Alaml hbDorjr mpuft for Ole ptwvlals monOl b avaAable, end has been le W&vd byto 0estm*d UST Operator. (Arta h a agpyaltheafe mh' s grYreparGbgbddsRm Yal Yab+b.J ' sumps Sranpe %*man alarmhasommed to Ehe pastmmrNh mustbe kWedad m*maquaftdsen" tednWan responded 4 andprOpw& he mmoffts mr. A00domodafion varsybg approprkosanft to Mhmpmt Nswwbmedon is record mu isin bm4 below. UST SYSTEM INSPECTION 6 1 Tank4op cmdalmw t monps arefree ofwa% debris, and hmierdomsubste m Sucre we toasted prop W Nrole forWW then is noTanar raced 7 9pU ebnfaganentobvetu ea are free of WSW, debris„ and herardous suhabilCo. Y I N I NA Y N NA Task I- Cm serrW Thank3- C d , Task 2- dXdAVW A I I Tank4Conemb j mwir4mmw aorrlaVrarrerrtareas arehe of wafer, debrhs and howdomm*sMnm Swm malekreabed propedy Y N NA I Y N NA Dispenserif2 okpoompno Dispenser 3/4 DiapenBBf iiNZ D 5f8 tilepellser i3P14 Dbpmiser R8 ,L Dispenser 16Ma Manllorbg 810m cWtIll sfal has been completedwiOM peat 12months. ! - /C- - 10 Sec XIM =fth ed testshave been oonA" wifrin Ilerequired *W me. 71 1 - — i1 SOcOntamm t shwhm =t W WOW the pastyear. - 4 13 1"tl ^_- wlWiltdnUdll - - - 14 OtherreQ" tasB Wmatntenanoe wan completed wllh6l lagldiad thrmhme. LAd eaathmhW wroeIsms resmWaMnom Te01aNliansnoe: ifgqte Any answer of 'N" should be ezplalaed is the comment section on the following page, and will require follow -up aot'lon. FD 21103 (Rev, 08107) UNDERGROUND STORAGE TANK DESIGNATED (UST) OPERATOR MONTHLY VISUAL INSPECTION CHECKLIST Page 2 of 2 Comments: Items requiring Follow -Up Acdons: Instructions: Month visual inspection ofthe UST system must be conducted by a Designated UST Operator, who possesses a current "California UST System Operator" cordfication issued by the International Code Council. A copy of this monthly visual inspection checklist must be provided to the USTOwner or Operator. The Designated UST Operator must ala t the UST Owner or Operator ofany condition discovered during the monthlyvisual inspection that may require follow -up actions. . 7%e UST Owner or Operator must maintain a copy of this monthly visual inspection checklist and all attachments for the previous 12 months. e records must be maintained on -site or, ifapproved by the local agency, off -site at a readfly avarlable location. FD 2103 (Rev. 08/07) ALARM HISTORY REPORT SENSOR ALARM - - - -- L I:UNLEADED STP STP SUMP FUEL ALARM DEC 15, 2010 10:00 AM FUEL ALARM DEC 18, 2009 9:37 AM FUEL ALARM DEC 18, 2009 8:19 AM i . i I 9*wxX END X9x9x ALARM HISTORY REPORT SENSOR ALARM - - - -- L 2:UNLEADED ANNULAR ANNULAR SPACE FUEL ALARM DEC 15, 2010 10:05 AM FUEL ALARM DEC 18, 2009 9:38 AM FUEL ALARM DEC 18, 2009 8:22 AM w** # END # ` =xmx ALARM HISTORY REPORT SENSOR ALARM - - --- L 3:DIESEL STP STP SUMP. FUEL_ ALAI.. _ .. . DEC 15, 2010 10:00 AM FUEL ALARM DEC 18, 2009 9:37 AM FUEL ALARM DEC 18, 2009 8:24 AM END HISTORY REPORT SENSOR ALARM - - - -- L 4:DIESEL ANNULAR ANNULAR SPACE FUEL ALARM DEC 15, 2010 10:07 AM FUEL ALARM DEC 18, 2009 9:37 AM FUEL ALARM DEC 18. 2009 8:28 AM x x x x x ENr April 10, 2012 State of California State Water Resources Control Board P.O. Box 944212 Sacramento, Co. 942442121 To Whom It May Concern: The City of Bakersfield is seff4nsured for General Liability, Automobile Liablity and Workers' compensation. All exposures, including contractual liability, arising out of City operations are covered by the City's self-insurance program undertaken pursuant to California Government Code Section M. Under our self- insurance program, we will bear all risk of bodily injury and property damage losses until we have satisfied any obligations we may have. This letter b In fug force and effect until rescinded. Sincerely, Jotm covey Risk Manager Clh, of Bakersfield • Office of Risk Management • 1600 Truxtun Avenue Bakersfield • California • 93301 661) 326 -3738 • (661) 852 -2030 B A K E R S F1 E L D April 10, 2012 State of California State Water Resources Control Board P.O. Box 944212 Sacramento, Co. 942442121 To Whom It May Concern: The City of Bakersfield is seff4nsured for General Liability, Automobile Liablity and Workers' compensation. All exposures, including contractual liability, arising out of City operations are covered by the City's self-insurance program undertaken pursuant to California Government Code Section M. Under our self- insurance program, we will bear all risk of bodily injury and property damage losses until we have satisfied any obligations we may have. This letter b In fug force and effect until rescinded. Sincerely, Jotm covey Risk Manager Clh, of Bakersfield • Office of Risk Management • 1600 Truxtun Avenue Bakersfield • California • 93301 661) 326 -3738 • (661) 852 -2030 ii I I I, I I II lii!I ;liI 1{ I ; I .. ' 1I 1 I,I IDR 1,:: . .. .`.i'. I I_ -; I Mn ULTRA LOW L ._._- _..,.. C ; f Aw I , p - A'/ of V'I'II , i t IrW. _. 11' f!_' 1, r_ Sii, : ir .'31i ?,.i'--._ :_.artii'_;•r. c tr Ilk Aim ki WAII tlP4 77 17 j". 1 11 ANk F" I Pit MEMBER CVE :84627 W Cal- Valley Equipment M21 3500 Gilmore Avenue, Bakersfield, CA. 93308 M EQUIPMENT IW Cont. # 921733 A HAZ Phone (661)327 -9341 Fax (661)325 -2529 Customer. Arrival Date: /_ / 1st Time:_LO_A.M. /PJd. Job Location: 4 t o.. rK 2nd Time: A.M. /P.M. Customer PO# City: t rs RE1 Departure 1st Time:j11LOA. M. / jVA. W/M Confirmation# Phone: 2 3 rb,37 Contact: f>=i,, r a end Time: A.M. /P.M. Make Model Serial Reported Problem Primary Cause /Corrections Made OIL A fs 1 1, T1l L t. , l Ae,11 1pvc4r_-4=r It is understood and agreed that in the event this bill becomes overdue and the seller commences legal action for the collection of same, the buyer will pay all costs of collection including attorney's fees. The title to the property described herein shall remain the property.of the seller, and title shall not pass to the purchaser until aid. A service charge of 4 %, equal to 44% per year, charged on past due accounts. Service Work Accepted By: Parts Number and Description Unit Cost Total Cost Additional Information Listed Relow: 1) Parts CA -1 /v t c—i` In I '}' N/ : i' f1 °f / 7 F7n`Ji i ( a I 7 „ , b OoLA cVJT"r 8) Sales Tax s) Freight 4) Labor Total b) Mileage Total T s) Equip. Rental 7) Subcontract Total Amount It is understood and agreed that in the event this bill becomes overdue and the seller commences legal action for the collection of same, the buyer will pay all costs of collection including attorney's fees. The title to the property described herein shall remain the property.of the seller, and title shall not pass to the purchaser until aid. A service charge of 4 %, equal to 44% per year, charged on past due accounts. Service Work Accepted By: Cal -Valley Equipment Representative Title: Date: r